Table 4

Number (%) of patients with (serious) adverse events and treatment alterations due to side effects for each induction therapy group

A. MTX+SASP+HCQ+IM GCs (n=85)B. MTX+SASP+HCQ+oral GCs (n=89)C. MTX+oral GCs (n=90)
Serious AE(s)1 (1)4 (4)6 (7)
Patients with ≥1 AE(s)61 (72)67 (75)50 (56)*
Number of AEs per patient, median (IQR)1 (0–2)2 (1–2)1 (0–2)
Medication changes due to AE(s)
Patients with medication changes*19 (22)18 (20)14 (16)
Lowering MTX dosage <20 mg/week8 (9)6 (7)9 (10)
Stop MTX5 (6)6 (7)5 (6)
Stop SASP9 (11)7 (8)NA
Stop HCQ2 (2)2 (2)NA
  • Results are shown a number (%) unless stated otherwise.

  • * p=0.026 and p=0.006 for respectively A vs C and B vs C.

  • Serious AEs per treatment arm are respectively: [A] 1× hospitalisation (pneumonia); [B] 4× hospitalisation (for respectively severe obstipation, transient ischaemic attack, gastroenteritis and unexplained chest pain); [C] 1× myocardial infarction, 1× colon carcinoma, 4× hospitalisation for respectively pneumonia, blood transfusion, syncope and exacerbation of rheumatoid arthritis.

  • AE, adverse events; GCs, glucocorticosteroids; HCQ, hydroxychloroquine; IM, intramuscular; MTX, methotrexate; SASP, sulfasalazine.