Rheumatoid Arthritis
Conditions
Brief summary
This study aims at evaluating the possible efficacy and safety of L-carnitine in rheumatoid arthritis via targeting Jak/STAT pathway and TGF-β1
Interventions
One 500 mg tablet twice daily after meals
Sponsors
Study design
Eligibility
Inclusion criteria
* Patients with active rheumatoid arthritis (not in remission) according to American College of Rheumatology/European League Against Rheumatism (ACR/EULAR) 2010 criteria (9) i.e., 28 joints disease activity score (DAS-28) \>2.6. * Patients receive the conventional DMARDs * Both sexes. * Age range between 18 and 70 years old.
Exclusion criteria
* Patients with heart disease (congestive heart failure, arrhythmia, hypertension, ischemic heart diseases), diabetes, active infection, other illness except rheumatoid arthritis. * Patients with renal and hepatic dysfunction. * Patients receiving biological DMARDs. * Patients receiving oral prednisolone greater than 15 mg/day. * Patients with hypersensitivity to study medications. * Patients using antioxidants. * Pregnant and lactating females.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| The change in DAS-28-CRP score | 3 months | Patients will undergo clinical assessment according to DAS-28-CRP score |
| The change in Multidimensional Health Assessment Questionnaire (MDHAQ) score | 3 months | — |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| The change in serum level of C-reactive protein (CRP) | 3 months | Blood samples will be collected at base line and after 3 months |
| The change in serum level of Signal transducer and activator of transcription 3(STAT 3). | 3 months | Blood samples will be collected at base line and after 3 months |
| The change in serum level of Transforming growth factor β1(TGF-β1). | 3 months | Blood samples will be collected at base line and after 3 months |
Countries
Egypt