Treatment of Rheumatoid Arthritis Patients: Comparative Efficacy of Four Treatment Regimens

    March 2017
    Е М Федоренко, G. Lukina, Ya. A. Sigidin
    TLDR MTX and GC combinations are the most effective for early rheumatoid arthritis.
    The study compared the efficacy and safety of four treatment regimens for early rheumatoid arthritis (RA) in 118 patients over one year. The regimens included methotrexate (MTX), MTX with glucocorticoids (GC), MTX with GC and a single infusion of methylprednisolone (MP), and leflunomide (LEF). Clinical remission rates were highest in the MTX+GC (46%) and MTX+GC+MP (47%) groups, compared to MTX alone (19%) and LEF (28%). Side effects varied, with hair loss noted in several groups. Overall, the combination of MTX and GC showed the most promising results, and the total remission rate across all groups was 34%, indicating satisfactory efficacy and good tolerability.
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