TY - JOUR
T1 - Long term evaluation of radiographic disease progression in a subset of patients with rheumatoid arthritis treated with leflunomide beyond 2 years
AU - van der Heijde, D
AU - Kalden, J
AU - Scott, D
AU - Smolen, J
AU - Strand, V
PY - 2004/6
Y1 - 2004/6
N2 - Objectives: To assess the effect of long term (>2 years) leflunomide treatment on radiographic progression in patients with RA. Methods: Patients treated with leflunomide for >2 years in one of three phase III trials and subsequent extensions, for whom paired, evaluable radiographs at baseline and study end point were available, were included. Radiographs of hands and feet were assessed according to the modified Sharp/van der Heijde scoring method, for erosion, joint space narrowing, and total score. Changes from baseline were assessed, and a predicted yearly progression rate estimated for each patient. Results: 128 of the original 824 patients were included, with mean disease duration 5.1 years and mean leflunomide treatment duration 4.3 years until the final x ray examination. The mean change from baseline in total score was 8.6 with yearly adjusted rate 1.9, and the median change was 2 with yearly adjusted rate 0.5, compared with 7.9 and 4.9, respectively, before leflunomide treatment. After treatment, the rate improved in 92/128 (72%) patients and deteriorated in 21/128 (16%). In 42 (33%) patients who had a total score >0 at baseline, no radiographic progression occurred after leflunomide treatment. Conclusions: In a subset of patients who continued treatment long term, leflunomide treatment reduced the rate of radiographic damage.
AB - Objectives: To assess the effect of long term (>2 years) leflunomide treatment on radiographic progression in patients with RA. Methods: Patients treated with leflunomide for >2 years in one of three phase III trials and subsequent extensions, for whom paired, evaluable radiographs at baseline and study end point were available, were included. Radiographs of hands and feet were assessed according to the modified Sharp/van der Heijde scoring method, for erosion, joint space narrowing, and total score. Changes from baseline were assessed, and a predicted yearly progression rate estimated for each patient. Results: 128 of the original 824 patients were included, with mean disease duration 5.1 years and mean leflunomide treatment duration 4.3 years until the final x ray examination. The mean change from baseline in total score was 8.6 with yearly adjusted rate 1.9, and the median change was 2 with yearly adjusted rate 0.5, compared with 7.9 and 4.9, respectively, before leflunomide treatment. After treatment, the rate improved in 92/128 (72%) patients and deteriorated in 21/128 (16%). In 42 (33%) patients who had a total score >0 at baseline, no radiographic progression occurred after leflunomide treatment. Conclusions: In a subset of patients who continued treatment long term, leflunomide treatment reduced the rate of radiographic damage.
UR - http://www.scopus.com/inward/record.url?scp=2442640462&partnerID=8YFLogxK
U2 - 10.1136/ard.2003.010983
DO - 10.1136/ard.2003.010983
M3 - Article
SN - 1468-2060
VL - 63
SP - 737
EP - 739
JO - Annals of the Rheumatic Diseases
JF - Annals of the Rheumatic Diseases
IS - 6
ER -