Table 1

Characteristics of studies of the clinical efficacy of glucocorticoids published in the last 6 years

StudyDisease durationInterventionPeriod of evaluationOutcomesResults
Buttgereit et al (CAPRA-2)15 Mean 8 yearsMR prednisone (5 mg/day) (Gp 1) or PBO (Gp 2)+existing DMARDs12 weeksACR 20Gp 1: 48%
Gp 2: 29%*
Verschueren et al (CareRA)20 ≤1 yearcsDMARDs with (Gp 1) or w/o (Gp 2) GCs (30 mg/day to 5 mg/day in 6 weeks)16 weeksDAS28-CRP<2.6Gp 1: 65%
Gp 2: 47%
Verschueren et al (CareRA at 1 year)21 ≤1 yearcsDMARDs with (Gp 1) or w/o (Gp 2) GCs (30 mg/days to 5 mg/days in 6 weeks)1 yearDAS28-CRP<2.6Gp 1: 67%
Gp 2: 57%
Markusse et al (BeSt at 10 years)23 ≤2 yearsInitial groups of randomisation: MTX then substituted with csDMARDs (Gp 1) or MTX then addition of csDMARDs (Gp 2) or COBRA scheme=MTX+ SSZ+GCs (60 mg/day to 7.5 mg/day in 6 weeks) (Gp 3) or MTX+IFX (Gp 4)10 yearsDAS44 <1.6Approx. 50% in each Gp
Safy et al (CAMERA-II follow-up)25 ≤1 yearInitial groups of randomisation: GCs (10 mg/day) (Gp 1) or PBO (Gp 2)+MTXMedian 6.6 yearsInitiation of first bDMARDGp 1: 31%
Gp 2: 50%*
Ajeganova et al (BARFOT at 10 years)27 ≤1 yearInitial groups of randomisation: csDMARDs with (Gp 1) or w/o (Gp 2) GCs (7.5 mg/day)10 yearsUse of bDMARDGp 1: 15%
Gp 2: 15%
  • *P<0.05.

  • ACR, American College of Rheumatology; approx, approximately;bDMARD, biological disease modifying antirheumatic drugs; CRP, C reactive protein; csDMARDs, conventional synthetic disease modifying antirheumatic drugs; DAS28, Disease Activity Score in 28 joints; DAS44, disease activity score in 44 joints; GCs, glucocorticoids; Gp, group; MR, modified release; MTX, methotrexate; PBO, placebo; SSZ, sulfasalazine; w/o, without.