Review Article

Efficacy and Safety of Iguratimod for the Treatment of Rheumatoid Arthritis

Table 1

Characteristics of the included studies with iguratimod (T-614) for rheumatoid arthritis.

StudyMethodParticipantsInterventionDurationOutcomesAllocation concealment

Hara et al. (2007) [14]Double-blind,
randomized, placebo-controlled trial
Country: Japan
Site: multicenter
Number: 376
Iguratimod group ( )
SASP group ( )
Placebo group ( )
Sex: female/male = 306 : 70
T-614 group: iguratimod 25 mg daily for the first 4 weeks and 50 mg daily for the subsequent 24 weeks
SASP group: salazosulfapyridine (SASP) 1000 mg daily
Placebo group: placebo tablets
28 weeks of clinical assessment at 0, 4, 6, 12, 18, 24, and 28 weeks.ACR20, ACR50, tender joint count, swollen joint count, rest pain, physician's and patient's global assessment of disease activity (VAS, mm), physician's global assessment of disease activity, HAQ score, ESR, CRP, and adverse events.Described in article but not validated because the author could not be reached via email.

Lü et al. (2008) [2]Double-blind, randomized, placebo-controlled trialCountry: China
Site: multicenter
Number: 280
T-614 group 1 ( )
T-614 group 2 ( )
Placebo group ( )
Sex: female/male = 231 : 49
Group 1: T-614 25 mg daily for the first 4 weeks and 50 mg daily for the subsequent 20 weeks
Group 2: T-614 50 mg daily
Placebo group: placebo tablets
24 weeks of clinical assessment
at 0, 2, 4, 6, 12, 18, and 24 weeks.
ACR20, ACR50, ACR70, tender joint count, swollen joint count, tender joint score (TJS), swollen joint score (SJS), rest pain, duration of morning stiffness, grip strength, physician and patient global assessment of disease activity, ESR, CRP, rheumatoid factor, HAQ score, radiological damage, and adverse events.Detailed in article and validity ascertained through telephone.

Lü et al. (2009) [15]Double-blind, randomized, controlled trialCountry: China
Site: multicenter
Number: 489
T-614 group 1 ( )
T-614 group 2 ( )
MTX group ( )
Sex: female/male = 418 : 81
T-614 group 1: T-614 25 mg daily for the first 4 weeks and 50 mg daily for the subsequent 20 weeks
T-614 group 2: T-614 50 mg per day
MTX group: MTX 10 mg weekly for the first 4 weeks and 15 mg weekly for the subsequent 20 weeks
24 weeks of
clinical assessment
at 0, 4, 10, 17, and 24 weeks.
ACR20, ACR50, ACR70, tender joint count, swollen joint count, tender joint score (TJS), swollen joint score (SJS), rest pain, duration of morning stiffness, grip strength, physician and patient global assessment of disease activity, ESR, CRP, and adverse events.Detailed in article and validity ascertained through telephone.

Ishiguro (2013) [16] Double-blind, randomized, controlled trialCountry: Japan
Site: multicenter
Number: 252
T-614 + MTX group ( )
MTX + placebo group ( )
Sex: female/male = 204 : 48
T-614 + MTX group: T-614 25 mg daily for the first 4 weeks and 50 mg daily for the subsequent 20 weeks
Placebo + MTX group: MTX at low dosages of 6 or 8 mg weekly and folic acid at dosage of 5 mg weekly
28 weeks of
clinical assessment
at 0, 4, 6, 8, 20, 12, 16, 20, and 24 weeks.
ACR20, ACR50, ACR70, tender joint count, swollen joint count, patient's and physician's global assessment of disease activity, HAQ score, DAS28-CRP, ESR, CRP, and adverse events.Described in article but not validated because the author could not be reached via email.