From: Concomitant prednisone may alleviate methotrexate side-effects in rheumatoid arthritis patients
CAMERA-II | U-ACT-EARLY (first 6 months) | |||
---|---|---|---|---|
MTX + prednisone (N = 117; 2187 visits) | MTX Mono (N = 119; 2421 visits) | MTX + TCZ (N = 106; 622 visits) | MTX Mono (N = 108; 605 visits) | |
Female sex | 70 (60%) | 72 (61%) | 65 (61%) | 69 (64%) |
RF positive | 64 (55%) | 73 (61%) | 75 (71%) | 86 (80%) |
Mean age in years (SD) | 54 (14) | 53 (13) | 53 (12) | 53 (13) |
Mean DAS28a during follow-up (SD) | 2.4 (1.3) | 3.0 (1.5) | 2.0 (1.2) | 3.7 (1.4) |
Mean MTXb dose in mg during follow-up (SD) | 16.0 (8.2) | 20.5 (8.0) | 11.8 (8.0) | 19.9 (7.9) |
Adalimumab added | 16 (14%) | 42 (35%) | – | – |
HCQc added | – | – | 23 (21%) | 45 (42%) |
Discontinued study due to adverse events | 16 (14%) | 20 (17%) | 3 (3%) | 1 (1%) |
Medical history at baseline | ||||
Cardiovascular disease | 6 (5%) | 6 (5%) | 10 (9%) | 11 (10%) |
Diabetes | 2 (2%) | 5 (4%) | 6 (6%) | 3 (3%) |
Chronic pulmonary disease | 6 (5%) | 5 (4%) | 8 (8%) | 2 (2%) |
Malignancyd | 1 (1% | 1 (1%) | 4 (4%) | 0 (0%) |
Chronic gastro-intestinal disease | 1 (1%) | 1 (1%) | 0 (0%) | 1 (1%) |
Side-effects: Number of visits (%) (number of patients) | ||||
Nausea | 50 (2.3%) (22) | 152 (6.3%) (43) | 16 (2.6%) (15) | 26 (4.2%) (25) |
Vomiting | 7 (0.3%) (2) | 8 (0.3%) (6) | 3 (0.5%) (3) | 6 (1.0%) (6) |
Abdominal Pain | 13 (0.6%) (12) | 17 (0.7%) (12) | 3 (0.5%) (3) | 11 (1.8%) (11) |
GI Ulcere | 15 (0.7%) (9) | 35 (1.4%) (18) | 9 (1.4%) (9) | 3 (0.5%) (3) |
Loss of appetite | 1 (0.0%) (1) | 4 (0.2%) (3) | 0 (0.0%) (0) | 3 (0.5%) (3) |
Elevated ALT/ASTf | 48 (2.2%) (20) | 84 (3.5%) (34) | 16 (2.6%) (16) | 15 (2.4%) (14) |
Any MTXb side-effect | 128 (5.9%) (51) | 272 (11.2%) (73) | 42 (6.8%) (37) | 54 (8.7%) (44) |
Any adverse event | 483 (21.1%) (96) | 647 (26.7%) (104) | 241 (38.7%) (97) | 219 (35.2%) (93) |