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Leflunomide: A New DMARD

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Title: DG DISPATCH - EULAR: Leflunomide Of Benefit In Active RA

URL: http://www.pslgroup.com/dg/1060A6.htm

Doctor's Guide

June 9, 1999

By Jack

Special to DG News

GLASGOW, SCOTLAND -- June 9, 1999 -- Hoechst n Roussel's

leflunomide is more effective than methotrextate in

improving health status measures and functional activities in patients

with rheumatoid arthritis, according to the results of a study

presented by Dr. P. Tugwell, from the University of Ottawa, and

colleagues from the Leflunomide US Investigators Group.

The results of their study were presented at a poster session yesterday

during the European League Against Rheumatism

(EULAR).

Leflunomide is one of the new disease-modifying antirheumatic drugs. The

12-month, multi-centre, randomised,

placebo-controlled trial compared the efficacy of leflunomide with

methotrexate.

A total of 482 patients were randomised to receive either leflunomide 20

mg daily after a 100 mg loading dose for three days,

methotrexate 7.5 to 15.0 mg/weekly or placebo. A Modified Health

Assessment Questionnaire was administered monthly,

Problem Elicitation Technique and Medical Outcomes Survey Short Form 36

at baseline, 24 and 52 weeks.

Mean changes in test scores showed a significant improvement in function

and health related quality of life with leflunomide

treatment compared with placebo. Many of the other parameters were also

significantly improved.

Leflunomide produced significantly greater improvements than

methotrexate in the Modified Health Assessment Questionnaire,

five of the eight Health Assessment Questionnaire Scales and Disability

Index, weighted top five of Problem Elicitation

Technique and two of eight subscores of the Medical Outcomes Survey

Short Form 36.

The researchers concluded that functional ability improved from baseline

in both active treatment groups but that leflunomide

produced a significantly greater improvement than methotrexate in health

status measures and functional activities which are

considered important for a patient's health-related quality of life.

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on such content.

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This news story was printed from *Doctor's Guide to the Internet*

located at http://www.docguide.com

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