PT - JOURNAL ARTICLE AU - A W van Rijthoven AU - B A Dijkmans AU - H S Goei The AU - J Hermans AU - Z L Montnor-Beckers AU - P C Jacobs AU - A Cats TI - Cyclosporin treatment for rheumatoid arthritis: a placebo controlled, double blind, multicentre study. AID - 10.1136/ard.45.9.726 DP - 1986 Sep 01 TA - Annals of the Rheumatic Diseases PG - 726--731 VI - 45 IP - 9 4099 - http://ard.bmj.com/content/45/9/726.short 4100 - http://ard.bmj.com/content/45/9/726.full SO - Ann Rheum Dis1986 Sep 01; 45 AB - The efficacy and safety of cyclosporin for patients with rheumatoid arthritis (RA) were assessed in a six month double blind, placebo controlled, multicentre study. The initial dosage of the drug was 10 mg/kg daily for two months. There were many discontinuations in both the cyclosporin group (eight out of 17) and the placebo group (six out of 19). Of the patients who completed the six months of therapy, those who had received cyclosporin showed a significant improvement in the number of swollen joints, the Ritchie articular index, and pain at active movement and at rest, compared not only with their condition at the start of the study, but also with the end results of the placebo group. Major adverse reactions to the drug were gastrointestinal disturbances and nephrotoxicity, which were probably due to the relatively high dosages of cyclosporin given in combination with non-steroidal anti-inflammatory drugs.