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Williams HJ, Ward JR, Egger MJ, et al. Auranofin, gold sodium thiomalate, and placebo in the treatment of rheumatoid arthritis. Cooperative systematic studies of rheumatic diseases. Clin Rheumatol. 1984;3:39-50doi: 10.1007/BF03342621.
Williams, H. J., Ward, J. R., Egger, M. J., Reading, J. C., Samuelson, C. O., Altz-Smith, M., Willkens, R. W., Solsky, M. A., Hayes, S. P., & Furst, D. (1984). Auranofin, gold sodium thiomalate, and placebo in the treatment of rheumatoid arthritis. Cooperative systematic studies of rheumatic diseases. Clinical rheumatology, 339-50. https://doi.org/10.1007/BF03342621
Williams, H J, et al. "Auranofin, gold sodium thiomalate, and placebo in the treatment of rheumatoid arthritis. Cooperative systematic studies of rheumatic diseases." Clinical rheumatology vol. 3 (1984): 39-50. doi: https://doi.org/10.1007/BF03342621
Williams HJ, Ward JR, Egger MJ, Reading JC, Samuelson CO, Altz-Smith M, Willkens RW, Solsky MA, Hayes SP, Furst D. Auranofin, gold sodium thiomalate, and placebo in the treatment of rheumatoid arthritis. Cooperative systematic studies of rheumatic diseases. Clin Rheumatol. 1984 Mar;3:39-50. doi: 10.1007/BF03342621. PMID: 6432412.
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Clin Rheumatol. 1984 Mar;3:39-50. doi: 10.1007/BF03342621.

Auranofin, gold sodium thiomalate, and placebo in the treatment of rheumatoid arthritis. Cooperative systematic studies of rheumatic diseases.

Clinical rheumatology

H J Williams, J R Ward, M J Egger, J C Reading, C O Samuelson, M Altz-Smith, R W Willkens, M A Solsky, S P Hayes, D Furst

PMID: 6432412 DOI: 10.1007/BF03342621

Abstract

Two hundred eight patients were studied in a prospective, controlled, double-blind multicenter trial comparing auranofin (AUR), gold sodium thiomalate (GST), and placebo. One hundred sixty-one patients completed at least 20 weeks of therapy. Response to a variety of measures of efficacy was generally modest for both gold treatment groups although improvement was continuing in both groups at the end of the study. There was statistically significant improvement with both gold preparations compared to placebo for the number of tender joints, the joint tenderness score, and physician assessment of disease severity. GST was also significantly better than placebo for the joint swelling score. GST demonstrated more improvement in patients with anemia and thrombocytosis compared to the other treatment groups and both gold preparations were superior to placebo in improvement of an elevated erythrocyte sedimentation rate. Twenty-seven percent of patients on GST were withdrawn from the study for adverse drug reaction with rash and stomatitis being the predominant cause. Only 6% of patients on AUR were withdrawn for untoward drug effect. The time of onset of the adverse reactions is discussed. The two gold preparations were similar in efficacy although AUR was better tolerated.

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