Study | Disease duration | Intervention | Period of evaluation | Outcomes | Results |
Buttgereit et al (CAPRA-2)15 | Mean 8 years | MR prednisone (5 mg/day) (Gp 1) or PBO (Gp 2)+existing DMARDs | 12 weeks | ACR 20 | Gp 1: 48% Gp 2: 29%* |
Verschueren et al (CareRA)20 | ≤1 year | csDMARDs with (Gp 1) or w/o (Gp 2) GCs (30 mg/day to 5 mg/day in 6 weeks) | 16 weeks | DAS28-CRP<2.6 | Gp 1: 65% Gp 2: 47% |
Verschueren et al (CareRA at 1 year)21 | ≤1 year | csDMARDs with (Gp 1) or w/o (Gp 2) GCs (30 mg/days to 5 mg/days in 6 weeks) | 1 year | DAS28-CRP<2.6 | Gp 1: 67% Gp 2: 57% |
Markusse et al (BeSt at 10 years)23 | ≤2 years | Initial 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 years | DAS44 <1.6 | Approx. 50% in each Gp |
Safy et al (CAMERA-II follow-up)25 | ≤1 year | Initial groups of randomisation: GCs (10 mg/day) (Gp 1) or PBO (Gp 2)+MTX | Median 6.6 years | Initiation of first bDMARD | Gp 1: 31% Gp 2: 50%* |
Ajeganova et al (BARFOT at 10 years)27 | ≤1 year | Initial groups of randomisation: csDMARDs with (Gp 1) or w/o (Gp 2) GCs (7.5 mg/day) | 10 years | Use of bDMARD | Gp 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.