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Combining Sulphasalazine and Methotrexate in Rheumatoid Arthritis: Early Clinical Impressions

Identifieur interne : 000617 ( Istex/Corpus ); précédent : 000616; suivant : 000618

Combining Sulphasalazine and Methotrexate in Rheumatoid Arthritis: Early Clinical Impressions

Auteurs : C. J. Haagsma ; P. L. C. M. Van Riel ; L. B. A. Van De Putte

Source :

RBID : ISTEX:29FE800555D100EF5CE79670ADB2A347D4B60FE9

Abstract

The use of combinations of second line antirheumatic agents (SLAs) is increasing. There are several reasons for combination therapy, e.g. the unsatisfactory effects of single therapy. Strategies for combining SLAs are to begin with combinations, or to add one or more agents to another. The strategy of adding one agent to another is illustrated by a study of 40 patients having insufficient effect from sulphasalazine (SASP). Patients were randomized between methotrexate (MTX) and the combination of SASP and MTX. The patients were evaluated by a single observer in an open design. The follow-up was 24 weeks. The mean decrease in disease activity score was significantly greater and occurred earlier in the combination group. This favourable response was also present in the other efficacy variables. The incidence of toxicity was equal in both groups. These results support the strategy of adding MTX to SASP when combining these second line antirheumatic drugs.

Url:
DOI: 10.1093/rheumatology/XXXIV.suppl_4.104

Links to Exploration step

ISTEX:29FE800555D100EF5CE79670ADB2A347D4B60FE9

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<namePart type="family">van Riel</namePart>
<affiliation>Department of Rheumatology, University Hospital Nijmegen, Nijmegen, The Netherlands</affiliation>
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<name type="personal">
<namePart type="given">L. B. A.</namePart>
<namePart type="family">van de Putte</namePart>
<affiliation>Department of Rheumatology, University Hospital Nijmegen, Nijmegen, The Netherlands</affiliation>
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<dateIssued encoding="w3cdtf">1995-01</dateIssued>
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<abstract>The use of combinations of second line antirheumatic agents (SLAs) is increasing. There are several reasons for combination therapy, e.g. the unsatisfactory effects of single therapy. Strategies for combining SLAs are to begin with combinations, or to add one or more agents to another. The strategy of adding one agent to another is illustrated by a study of 40 patients having insufficient effect from sulphasalazine (SASP). Patients were randomized between methotrexate (MTX) and the combination of SASP and MTX. The patients were evaluated by a single observer in an open design. The follow-up was 24 weeks. The mean decrease in disease activity score was significantly greater and occurred earlier in the combination group. This favourable response was also present in the other efficacy variables. The incidence of toxicity was equal in both groups. These results support the strategy of adding MTX to SASP when combining these second line antirheumatic drugs.</abstract>
<note type="author-notes">C. J. Haagsma, Department of Rheumatology, University Hospital Nijmegen, P.O. Box 9101, 6500 HB Nijmegen, The Netherlands.</note>
<subject>
<genre>keywords</genre>
<topic>Combination therapy</topic>
<topic>Methotrexate</topic>
<topic>Sulphasalazine</topic>
<topic>Rheumatoid arthritis</topic>
<topic>Clinical trial</topic>
</subject>
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<title>Rheumatology</title>
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<subject>
<topic>Combination Therapy</topic>
</subject>
<identifier type="ISSN">1462-0324</identifier>
<identifier type="eISSN">1462-0332</identifier>
<identifier type="PublisherID">brheum</identifier>
<identifier type="PublisherID-hwp">rheumatology</identifier>
<part>
<date>1995</date>
<detail type="volume">
<caption>vol.</caption>
<number>XXXIV</number>
</detail>
<detail type="issue">
<number>suppl-4</number>
</detail>
<extent unit="pages">
<start>104</start>
<end>108</end>
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<identifier type="ark">ark:/67375/HXZ-135L5VG2-P</identifier>
<identifier type="DOI">10.1093/rheumatology/XXXIV.suppl_4.104</identifier>
<accessCondition type="use and reproduction" contentType="copyright">© 1995 British Society for Rheumatology</accessCondition>
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<recordCreationDate encoding="w3cdtf">2019-12-09</recordCreationDate>
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