EFFICACY AND SAFETY OF SIMVASTATIN IN RHEUMATOID ARTHRITIS: AN OPEN-LABEL, CONTROLLED STUDY

Abstract. Recently discovered immune–modulating and anti-inflammatory properties of statins have resulted in application of these drugs for treatment of autoimmune disorders. There are few studies investigating therapeutic potential of simvastatin in rheumatoid arthritis (RA). In present study, we i...

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Autores principales: I. V. Shirinsky, O. I. Zheltova, V. S. Shirinsky, V. A. Kozlov
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Lenguaje:RU
Publicado: SPb RAACI 2014
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spelling oai:doaj.org-article:55940b68a245480db26b15e9de3f05ac2021-11-18T08:03:39ZEFFICACY AND SAFETY OF SIMVASTATIN IN RHEUMATOID ARTHRITIS: AN OPEN-LABEL, CONTROLLED STUDY1563-06252313-741X10.15789/1563-0625-2008-4-5-477-482https://doaj.org/article/55940b68a245480db26b15e9de3f05ac2014-07-01T00:00:00Zhttps://www.mimmun.ru/mimmun/article/view/227https://doaj.org/toc/1563-0625https://doaj.org/toc/2313-741XAbstract. Recently discovered immune–modulating and anti-inflammatory properties of statins have resulted in application of these drugs for treatment of autoimmune disorders. There are few studies investigating therapeutic potential of simvastatin in rheumatoid arthritis (RA). In present study, we investigated efficacy and safety of simvastatin in active RA patients treated with conventional disease-modifying antirheumatic drugs (DMARDs). Thirty-three patients were enrolled into an open-label, controlled study. The patients received treatment with 40 mg of simvastatin daily for 12 weeks. A group of historical controls consisted of nine patients taking placebo combined with disease-modifying therapy. No differences in demographic characteristics and disease activity were observed between the two groups. By the end of therapy (12 weeks), simvastatin-treated patients exhibited a significant reduction in disease activity scores with 28-joint counts (DAS28), and according to physician’s assessment of disease, as compared with control group. The estimate of trea tment effect (DAS28 scores) was 0.76 (95% confidence interval 0.01-1.5), thus corresponding to moderate decrease in disease activity. In conclusion, combination therapy with simvastatin and conventional DMARDs results into decreased RA activity. However, additional studies are required in order to specify exact role of simvastatin in RA treatment. (Med. Immunol., vol. 10, N 4-5, pp 477-482).I. V. ShirinskyO. I. ZheltovaV. S. ShirinskyV. A. KozlovSPb RAACIarticlerheumatoid arthritisstatinsdisease-modifying therapyImmunologic diseases. AllergyRC581-607RUMedicinskaâ Immunologiâ, Vol 10, Iss 4-5, Pp 477-482 (2014)
institution DOAJ
collection DOAJ
language RU
topic rheumatoid arthritis
statins
disease-modifying therapy
Immunologic diseases. Allergy
RC581-607
spellingShingle rheumatoid arthritis
statins
disease-modifying therapy
Immunologic diseases. Allergy
RC581-607
I. V. Shirinsky
O. I. Zheltova
V. S. Shirinsky
V. A. Kozlov
EFFICACY AND SAFETY OF SIMVASTATIN IN RHEUMATOID ARTHRITIS: AN OPEN-LABEL, CONTROLLED STUDY
description Abstract. Recently discovered immune–modulating and anti-inflammatory properties of statins have resulted in application of these drugs for treatment of autoimmune disorders. There are few studies investigating therapeutic potential of simvastatin in rheumatoid arthritis (RA). In present study, we investigated efficacy and safety of simvastatin in active RA patients treated with conventional disease-modifying antirheumatic drugs (DMARDs). Thirty-three patients were enrolled into an open-label, controlled study. The patients received treatment with 40 mg of simvastatin daily for 12 weeks. A group of historical controls consisted of nine patients taking placebo combined with disease-modifying therapy. No differences in demographic characteristics and disease activity were observed between the two groups. By the end of therapy (12 weeks), simvastatin-treated patients exhibited a significant reduction in disease activity scores with 28-joint counts (DAS28), and according to physician’s assessment of disease, as compared with control group. The estimate of trea tment effect (DAS28 scores) was 0.76 (95% confidence interval 0.01-1.5), thus corresponding to moderate decrease in disease activity. In conclusion, combination therapy with simvastatin and conventional DMARDs results into decreased RA activity. However, additional studies are required in order to specify exact role of simvastatin in RA treatment. (Med. Immunol., vol. 10, N 4-5, pp 477-482).
format article
author I. V. Shirinsky
O. I. Zheltova
V. S. Shirinsky
V. A. Kozlov
author_facet I. V. Shirinsky
O. I. Zheltova
V. S. Shirinsky
V. A. Kozlov
author_sort I. V. Shirinsky
title EFFICACY AND SAFETY OF SIMVASTATIN IN RHEUMATOID ARTHRITIS: AN OPEN-LABEL, CONTROLLED STUDY
title_short EFFICACY AND SAFETY OF SIMVASTATIN IN RHEUMATOID ARTHRITIS: AN OPEN-LABEL, CONTROLLED STUDY
title_full EFFICACY AND SAFETY OF SIMVASTATIN IN RHEUMATOID ARTHRITIS: AN OPEN-LABEL, CONTROLLED STUDY
title_fullStr EFFICACY AND SAFETY OF SIMVASTATIN IN RHEUMATOID ARTHRITIS: AN OPEN-LABEL, CONTROLLED STUDY
title_full_unstemmed EFFICACY AND SAFETY OF SIMVASTATIN IN RHEUMATOID ARTHRITIS: AN OPEN-LABEL, CONTROLLED STUDY
title_sort efficacy and safety of simvastatin in rheumatoid arthritis: an open-label, controlled study
publisher SPb RAACI
publishDate 2014
url https://doaj.org/article/55940b68a245480db26b15e9de3f05ac
work_keys_str_mv AT ivshirinsky efficacyandsafetyofsimvastatininrheumatoidarthritisanopenlabelcontrolledstudy
AT oizheltova efficacyandsafetyofsimvastatininrheumatoidarthritisanopenlabelcontrolledstudy
AT vsshirinsky efficacyandsafetyofsimvastatininrheumatoidarthritisanopenlabelcontrolledstudy
AT vakozlov efficacyandsafetyofsimvastatininrheumatoidarthritisanopenlabelcontrolledstudy
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