Pain News

Monday, December 05, 2005 Trials Demonstrate That Earlier Use of DMARDs and MTX Improve Juvenile Arthritis Outcomes 
Earlier use of second-line medications such as methotrexate or disease-modifying antirheumatic drugs (DMARDs) in juvenile arthritis may account for the improved outcomes that rheumatologists have observed in recent years…  Presented at: Annual Meeting of the American College of Rheumatology; November 12–17, 2005; San Diego, Calif. Abstract 126.

Friday, December 02, 2005 New Gout Drug PEG-Uricase May Benefit Severe, Refractory Patients
A new study has found that multiple doses of PEG-uricase, a novel polyethylene glycol conjugate of porcine uricase (urate oxidase), has shown substantial and sustained reductions in plasma urate levels in patients with severe, refractory gout... Presented at: Annual Meeting of the American College of Rheumatology; November 12–17, 2005; San Diego, Calif. Abstract 1836.

Tuesday, November 29, 2005 Leading Rheumatologists Sound Off on Limitations of GAIT Study
The initial results of the $14 million National Institutes of Health Glucosamine/Chondroitin Arthritis Intervention Trial failed to show any real benefit for patients with mild-to-moderate knee osteoarthritis, leaving many rheumatologists in a quandary about what they should tell patients regarding the use of these readily available supplements... Clegg DO, et al. Annual Meeting of the American College of Rheumatology; November 12–17, 2005; San Diego, Calif. Abstract 622.

Thursday, November 17, 2005 Febuxostat Superior to Allopurinol for Hyperuricemia in Gouty Arthritis
The next-generation nonpurine selective xanthine oxidase inhibitor febuxostat, the first new agent for gout in 40 years, proved to be significantly more potent than allopurinol for lowering serum uric acid to <6.0 mg/dL, a level associated with a dissolution of the urate crystals that cause gouty arthritis and a reduction in tophus size ... Annual Meeting of the American College of Rheumatology; November 12–17, 2005; San Diego, Calif.

Thursday, November 17, 2005 Study Results Question "Window of Opportunity" Hypothesis for RA
Contradicting a widely held belief about treatment of rheumatoid arthritis (RA), early use of disease-modifying therapy within 4 months of diagnosis had no apparent impact on the disease course... Presented at: Annual Meeting of the American College of Rheumatology; November 12–17, 2005; San Diego, Calif

Wednesday, November 16, 2005 Long-Term Follow-Up Results Show Durable RA Responses with Abatacept
Abatacept, the selective co-stimulation modulator of T-cell activation, has demonstrated sustained clinical benefit during 18 months of treatment in rheumatoid arthritis (RA) patients who had inadequate responses to anti-tumor necrosis factor-alpha (anti-TNF-α) therapy... Presented at: Annual Meeting of the American College of Rheumatology; November 12–17, 2005; San Diego, Calif.

Wednesday, November 16, 2005 REFLEX Trial Demonstrates Efficacy of Rituximab in RA Resistant to Anti-TNF Therapy
Rituximab, an anti-CD20+ B-cell-targeted monoclonal antibody with an established therapeutic record in the treatment of non-Hodgkin's lymphoma, has shown statistically significant and clinically meaningful improvement in rheumatoid arthritis (RA) patients who are refractory to anti-tumor necrosis factor-alpha (TNF-α) therapy... Presented at: Annual Meeting of the American College of Rheumatology; November 12–17, 2005; San Diego, Calif.

Tuesday, November 15, 2005 Thalidomide Shows Promise in Refractory Systemic Onset Juvenile Idiopathic Arthritis
Thalidomide improves systemic clinical features, lab parameters, and joint symptoms in most patients with refractory systemic onset juvenile idiopathic arthritis (So-JIA), but caution is urged due to possible neurologic side effects... Badot V, et al. Presented at: 69^th Annual Meeting of the American College of Rheumatology; November 12–17, 2005; San Diego, Calif.

Monday, November 07, 2005 Underpowered Randomized Clinical Trials Common in Rheumatology
A new literature review reports that underpowered randomized clinical trials (RCTs), which have been criticized as unethical and inadequate tests of an underlying hypothesis, accounted for approximately 21% of phase III RCTs of adult rheumatologic diseases published in English during 2001–2002 ... Keen HI, et al. J Rheum. 2005;32:2083-2088.

Tuesday, November 01, 2005 NSAIDs Plus Aspirin Increase Risk of Gastrointestinal Complications
Patients who combine ibuprofen and naproxen with aspirin are two to three times more likely to suffer gastrointestinal complications than patients who do not combine these common over-the-counter medications...Biskupiak J, et al. Presented at: American College of Gastroenterology 70th Annual Scientific Meeting; November 2, 2005; Honolulu, Hawaii.