Rheumatoid Arthritis
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Active RA according to ACR criteria >6 swollen joints or >6 painful joints Disease duration 28mm VAS > 20 Age > 18 years
Exclusion criteria
Exclusion criteria: Prior treatment DMARDs (except hydroxychloroquine) Insulin-dependent Diabetes mellitus Uncontrolable non-insuline dependent diabetes mellitus Decompensatio cordis class 3-4 Uncontrolable hypertension ALAT/ASAT > 3 times normal values Reduced renal function (serum creat > 15mcmol) Contra-indications for methotrexate, sulfasalzine or prednisolone Indications of probable tuberculosis
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Difference in delta DAS compared at baseline between the both treatment strategies after 6 months. | — |
Secondary
| Measure | Time frame |
|---|---|
| Secundary parameters: - Difference in delta DAS compared with baseline between the treatmentstrategies after 12 months - % patients with ACR 20, 50, 70 response - Low disease status (DAS 44 | — |
Countries
Netherlands