Comparison of Tripterygium wilfordii Hook F with methotrexate in the treatment of active rheumatoid arthritis (TRIFRA): a randomised, controlled clinical trial

Comparison of Tripterygium wilfordii Hook F with methotrexate in the treatment of active rheumatoid arthritis (TRIFRA): a randomised, controlled clinical trial
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雷公藤红 (Tripterygium wilfordii Hook F) 与甲氨蝶呤治疗活动性类风湿关节炎 (TRIFRA) 的比较:一项随机对照临床试验。

DOI:
10.1136/annrheumdis-2013-204807
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发表时间:
2015-06-01
影响因子:
27.4
通讯作者:
Zhang, Xuan
Zhang, Xuan
中科院分区:
医学1区
文献类型:
--
作者:
Lv, Qian-wen;Zhang, Wen;Zhang, Xuan

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目的比较雷公藤多甙(Tripterygium wilfordii Hook F,TwHF)与甲氨蝶呤(MTX)治疗活动期类风湿关节炎(RA)的疗效和安全性。所有患者均由不了解治疗方案的经过培训的研究人员进行评估。干预措施:207例活动期RA患者随机分为甲氨蝶呤12.5mg/周、雷公藤多甙20 mg/日、或两者联合治疗组(1:1:1)。第12周,如果28个关节计数减少,则疾病活动评分(DAS 28)
Objectives To compare the efficacy and safety of Tripterygium wilfordii Hook F (TwHF) with methotrexate (MTX) in the treatment of active rheumatoid arthritis (RA).Methods Design: a multicentre, open-label, randomised controlled trial. All patients were assessed by trained investigators who were unaware of the therapeutic regimen. Intervention: 207 patients with active RA were randomly allocated (1:1:1) to treatment with MTX 12.5mg once a week, or TwHF 20mg three times a day, or the two in combination. At week 12, if reduction of the 28-joint count Disease Activity Score (DAS28) was