Rheumatoid arthritis
Conditions
Interventions
Product Name: Methotrexate
Pharmaceutical Form: Tablet
INN or Proposed INN: Methotrexate
Concentration unit: mg milligram(s)
Concentration type: up to
Concentration number: 25-
Trade Name: Salazopyri
Sponsors
North Glasgow NHS Trust
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: Rheumatoid arthritis Active disease (measured using the validated disease activity score) Disease duration =65 years) yes F.1.3.1 Number of subjects for this age range
Exclusion criteria
Exclusion criteria: Previous use of disease modifying drugs (other than hydroxychloroquine) AST >80 ALP > 700 Creatinine > 160 White cell count <4 Platelet count < 150 Pregnancy, planned pregnancy, unwillingness to use contraception
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Main Objective: The aim of the trial is to test the hypothesis that improved, sustained disease contol (with acceptable toxicity) will result from early triple therapy with methotrexate, hydroxychloroquine and sulfasalazine. The specific research questions that will be addressed are: 1) Does early triple therapy in the treatment of early active rheumatoid arthritis confer significant benfits in terms of disease control when compared to a 'step up' strategy for the use of disease odifying drug therapy?;Secondary Objective: 2) Does early triple therapy in the treatment of early active rheumatoid arthritis result in improved physical function, quality of life and reduced radiological damage? 3) Is there excess toxicity associated with the use of early triple therapy?;Primary end point(s): Mean change in disease activity score (DAS28) Proportion of patients with a 'good response' (EULAR definition) | — |
Countries
United Kingdom
Outcome results
None listed