A randomized controlled trial to evaluate the slow-acting symptom-modifying effects of colchicine in osteoarthritis of the knee: a preliminary report.

作者: Siddharth K. Das , S. Ramakrishnan , Kavita Mishra , Ragini Srivastava , G. G. Agarwal

DOI: 10.1002/ART.10455

关键词:

摘要: Objective To determine if colchicine added to nimesulide may have a beneficial effect on osteoarthritis (OA) of the knee. Methods Colchicine 0.5 mg twice daily or placebo was (a nonsteroidal antiinflammatory drug) in 36 patients with OA knee randomized, double-blind, placebo-controlled trial over 5-month period. Results The 30% improvement rate at 20 weeks higher group than control receiving placebo, as measured by total Western Ontario and McMaster University Osteoarthritis scores (57.9% versus 23.5%) visual analog scale for index pain (52.6% 17.6%) (primary measures response). The significance persisted combined analysis Mantel-Haenszel test (P = 0.062). Comparison means also showed significant multivariate performed using T2 0.0115). Conclusion Among knee, plus exhibited significantly greater symptomatic benefit did placebo.

参考文章(15)
Schumacher Hr, Synovial inflammation, crystals, and osteoarthritis. The Journal of Rheumatology Supplement. ,vol. 43, pp. 101- ,(1995)
A Alvarellos, I Spilberg, Colchicine prophylaxis in pseudogout. The Journal of Rheumatology. ,vol. 13, pp. 804- 805 ,(1986)
A Swan, B Chapman, P Heap, H Seward, P Dieppe, Submicroscopic crystals in osteoarthritic synovial fluids. Annals of the Rheumatic Diseases. ,vol. 53, pp. 467- 470 ,(1994) , 10.1136/ARD.53.7.467
James F. Fries, Patricia Spitz, R. Guy Kraines, Halsted R. Holman, Measurement of patient outcome in arthritis Arthritis & Rheumatism. ,vol. 23, pp. 137- 145 ,(1980) , 10.1002/ART.1780230202
Eldad Ben-Chetrit, Micha Levy, Colchicine: 1998 update. Seminars in Arthritis and Rheumatism. ,vol. 28, pp. 48- 59 ,(1998) , 10.1016/S0049-0172(98)80028-0
Paul A. Gibilisco, H. Ralph Schumacher, Joseph L. Hollander, Keith A. Soper, Synovial fluid crystals in osteoarthritis Arthritis & Rheumatism. ,vol. 28, pp. 511- 515 ,(1985) , 10.1002/ART.1780280507
David B. Reitz, James J. Li, Monica B. Norton, Emily J. Reinhard, Joe T. Collins, Gary D. Anderson, Susan A. Gregory, Carol M. Koboldt, William E. Perkins, Selective cyclooxygenase inhibitors: novel 1,2-diarylcyclopentenes are potent and orally active COX-2 inhibitors. Journal of Medicinal Chemistry. ,vol. 37, pp. 3878- 3881 ,(1994) , 10.1021/JM00049A005
R. Altman, E. Asch, D. Bloch, G. Bole, D. Borenstein, K. Brandt, W. Christy, T. D. Cooke, R. Greenwald, M. Hochberg, D. Howell, D. Kaplan, W. Koopman, S. Longley, H. Mankin, D. J. McShane, T. Medsger, R. Meenan, W. Mikkelsen, R. Moskowitz, W. Murphy, B. Rothschild, M. Segal, L. Sokoloff, F. Wolfe, Development of criteria for the classification and reporting of osteoarthritis: Classification of osteoarthritis of the knee Arthritis & Rheumatism. ,vol. 29, pp. 1039- 1049 ,(1986) , 10.1002/ART.1780290816
Lawrence M. Ryan, Herman S. Cheung, THE ROLE OF CRYSTALS IN OSTEOARTHRITIS Rheumatic Diseases Clinics of North America. ,vol. 25, pp. 257- 267 ,(1999) , 10.1016/S0889-857X(05)70066-1