1. Rheumatoid Arthritis (NLD: reumatoide artritis)
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Patients have to fulfil the diagnostic criteria for RA as defined by the ACR9; 2. group I: treatment with rituximab (according to RA scheme), in combination with methotrexate, started 4 weeks before inclusion; 3. group II: treatment with rituximab (according to RA scheme), in combination with methotrexate, started 6-9 months before inclusion; 4. group III: second or third treatment with rituximab (according to RA scheme), in combination with methotrexate, started 4 weeks before inclusion; 5. group IV: treatment with monotherapy methotrexate (minimal dose 10 mg/week); 6. informed consent.
Exclusion criteria
Exclusion criteria: 1. Age under 18 years; 2. current infection, defined as fever in combination with clinical focal signs of infection and the need for therapeutic antibiotic treatment; 3. pregnancy; 4. malignancy; 5. known allergy to or former severe reaction following Influvac®.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Immune response one to four weeks after vaccination, humoral and cellular. | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. RA-activity (DAS-28); 2. Side effects influenza vaccination. | — |
Contacts
University Medical Center Groningen (UMCG), Department of Internal Medicine P.O. Box 30001