rct
    2014
    High Quality

    Effects of Hydroxychloroquine on Symptomatic Improvement in Primary Sjogren Syndrome: The JOQUER Randomized Clinical Trial

    Gottenberg JE

    Published in JAMA

    Methodology

    JOQUER multicentre randomized, double-blind, placebo-controlled trial of hydroxychloroquine in primary Sjogren syndrome, with the primary endpoint a 30% reduction in at least two of three VAS scores for dryness, pain and fatigue at 24 weeks.

    Key Findings

    Hydroxychloroquine 400 mg/day for 24 weeks did not reduce dryness, pain or fatigue in primary Sjogren syndrome compared with placebo, although some biological markers improved.

    Conclusions

    Among patients with primary Sjogren syndrome, the use of hydroxychloroquine compared with placebo did not improve symptoms during 24 weeks of treatment.

    Limitations

    Twenty-four weeks may be too short for hydroxychloroquine, subjective symptom-based primary endpoint, and possible dilution by patients with low baseline systemic activity.

    Related Health Concerns

    Study Details

    Year:2014
    Sample Size:120
    Duration:24 weeks
    Quality Score:8/10

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