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Treat-to-target Prednisolon Taper in Patients With Polymyalgia Rheumatica
Sponsor: Aarhus University Hospital
Summary
Polymyalgia rheumatica (PMR) has an incidence of approximately 1000/10\^6 for persons more than 50 years. Treatment with prednisolone carries several significant adverse effects, and it is therefore essential to taper prednisolone as fast as possible. Systematic treatment strategies (treat-to-target) is the most important improvement of disease management for other rheumatic diseases such as rheumatoid arthritis in the last decades. Thus, the purpose is to investigate benefits and harms associated with a nurce led systematic prednisolone taper strategy at the department of rheumatology compared to individual treatment by discretion of the general practitioner. It is a 1-year open label randomised trial with a 1-year extension in 120 treatment naïve patients with PMR.
Official title: Dose Reduction and Discontinuation of Prednisolone Using Structured Treat-to-target Taper in Patients With Polymyalgia Rheumatica
Key Details
Gender
All
Age Range
50 Years - Any
Study Type
INTERVENTIONAL
Enrollment
120
Start Date
2023-01-12
Completion Date
2026-11
Last Updated
2025-12-18
Healthy Volunteers
No
Conditions
Interventions
Treat-to-target Prednisolone Taper
Systematic prednisolone taper
Usual care
Prednisolone taper performed by discretion of the patient's general practitioner.
Locations (6)
Aalborg University Hospital
Aalborg, Denmark
Aarhus University Hospital, Department of Rheumatology
Aarhus, Denmark
Gødstrup Regional Hospital
Herning, Denmark
Hjørring Regional Hospital
Hjørring, Denmark
Horsens Regional Hospital
Horsens, Denmark
Silkeborg Regional Hospital
Silkeborg, Denmark