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Pulse Steroid Injection in Refractory Rheumatoid Arthritis

NCT06456489 — Phase 3, Unknown, 268 participants, Sohag University

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Revealing the Potential of Intravenous Pulse Steroid Therapy; Impressive Results in Attaining Remission or Low Disease Activity in Refractory Rheumatoid Arthritis

RegistryNCT06456489
StatusUnknown
PhasePhase 3
Study typeInterventional; randomized, parallel, masking: single, treatment
Enrollment268 (Estimated)
SponsorSohag University (Other)
ConditionsActive Rheumatoid Arthritis
InterventionsSolumedrol (Drug)
Datesstart 2024-05-01, primary completion 2024-09-30 (estimated), completion 2024-12-31 (estimated), first posted 2024-06-13, last updated 2024-06-13
Locations1 site in Egypt

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-Summary

Remission or low disease activity in active rheumatoid arthritis

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+Detailed description

Assessment of rheumatoid arthritis activity by Disease activity score DAS28, DAS28 Erythrocyte sedimentation rate (ESR), American college of rheumatology (ACR) 20, ACR 50, ACR 70 will be done at baseline and every month for 3 consecutive months for both groups.

+Arms and interventions

ArmTypeInterventionsDescription
pulse steroid solumedrolExperimentalDrug: Solumedrol125 mg of methylprednisolone IV pulse will be administered for two consecutive days followed by oral steroid for 2 weeks with gradual withdrawal.
without pulsePlacebo comparatorDrug: Solumedrolpatients will not receive any additional treatment
  • Solumedrol (Drug): 125 mg methylprednisolone intravenous pulse on 2 consecutive days

+Outcome measures

Primary outcomes

  • remission or low disease activity [4 months]: Outcome measurements for both groups will be done at baseline and every month for 3 months. DAS28, DAS28 ESR ACR20 ACR50 ACR70

+Eligibility

Sex: All, ages: 20 Years to 65 Years

Inclusion Criteria:

* Refractory rheumatoid arthritis patients

Exclusion Criteria:

* Other connective tissue diseases
* Endocrine diseases such as DM and thyroid disorders

+Locations (1)

FacilityCityCountryStatus
Al-Azhar UnivrsityCairoEgyptRecruiting

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