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Treatment of Rheumatoid Arthritis With Marine and Botanical Oils

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National Center for Complementary and Integrative Health (NCCIH)

关键词

抽象

The object of this study is to determine whether treatment of rheumatoid arthritis (RA) with a combination of fish oil and borage seed oil is superior to treatment with either oil alone. This study will also investigate the biochemical, immunological, and molecular mechanism responsible for the therapeutic effects of these fatty acids. Each patient will be followed for eighteen months.

描述

See Brief Summary

日期

最后验证: 07/31/2008
首次提交: 11/12/2003
提交的预估入学人数: 11/13/2003
首次发布: 11/16/2003
上次提交的更新: 08/21/2008
最近更新发布: 08/24/2008
实际学习开始日期: 10/31/2006
预计主要完成日期: 04/30/2008
预计完成日期: 10/31/2008

状况或疾病

Rheumatoid Arthritis

干预/治疗

Drug: 1

Drug: 2

Drug: 3

相 3

手臂组

干预/治疗
Active Comparator: 1
Fish Oil
Drug: 1
The object of this intervention is to determine whether treatment of rheumatoid arthritis with a combination of fish oil and borage seed oil is superior to treatment with either oil alone. Each arm of the study will take 13 capsules daily (divided doses) for 18 months.
Active Comparator: 2
Borage Oil
Drug: 2
Borage oil 13 capsules divided doses daily for 18 months
Active Comparator: 3
Fish Oil and Borage Oil
Drug: 3
Fish oil and borage seed oil capsules - 13 capsules to be be taken daily (divided doses) for a period of 18 months

资格标准

有资格学习的年龄 18 Years 至 18 Years
有资格学习的性别All
接受健康志愿者
标准

Inclusion Criteria

- Definite RA with onset at > 16 years, with total disease duration of at least 6 months

- Active disease as manifested by at least 3 joints that are swollen and 6 joints that are tender at time of enrollment, and either an erythrocyte sedimentation rate >_28, or a CRP >1.4, or morning stiffness of at least 45 min

- Stable dose of DMARDs for 2 mos before baseline visit, with total duration of DMARD for 6 mos.

- All standard therapy for RA, including DMARDs and combinations of DMARDs will be allowed as long as doses have been stable for 2 mos

- Stable NSAID for 1 month before baseline if on an NSAID

- Stable prednisone dose of < 10 mg/day for 1 month before baseline visit, if on prednisone

- Ability to give and understand all elements of informed consent

- Absence of comorbid condition which, in the opinion of the physician-investigator, would render the patient unsuitable for the study

- Willingness to adhere to the clinical protocol.

Exclusion Criteria

- A diagnosis of inflammatory arthritis other than rheumatoid arthritis

- Chronic anticoagulation

- Hypersensitivity to fish or fish products or plant products

- A dose of prednisone of > 10 mg/day, or either a change in the prednisone dose or intra-articular corticosteroid injection within one month of the baseline evaluation

- An inability or unwillingness to use an effective form of contraception (females) during the duration of the study

- Pregnant and breast-feeding females

- Inability or unwillingness to adhere to the study diet

- Platelet count < 100,000/mm 3

- Hemoglobin < 9 g/dl

- Albumin < 3.3 g

结果

主要结果指标

1. The modified Disease Activity Score (DAS28) will be the primary outcome measure. [Assessed every 3 months]

次要成果指标

1. Reduction of other medication for RA [Assessed every 3 months]

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