Reason for request

Renewal of inclusion

Non-biologic DMARDs in rheumatoid arthritis (excluding methotrexate and leflunomide)

Azathioprine, sulfasalazine and synthetic antimalarials (hydroxychloroquine, chloroquine) still have a substantial clinical benefit.

Cyclosporine, D-penicillamine, gold salts and tiopronin have no longer a clinical benefit relative to the available alternatives.

 

  • The main focus concerns the following disease-modifying treatments for rheumatoid arthritis (RA):
  • azathioprine (IMUREL)
  • chloroquine (NIVAQUINE)
  • cyclosporine (NEORAL, SANDIMMUN)
  • D-penicillamine (TROLOVOL)
  • hydroxychloroquine (PLAQUENIL)
  • gold salts (ALLOCHRYSINE)
  • sulfasalazine (SALAZOPYRINE)
  • tiopronin (ACADIONE)
  • According to current recommendations, the opinion of the French Society of Rheumatology and the published clinical data, azathioprine, sulfasalazine and synthetic antimalarials (hydroxychloroquine, chloroquine) still have a role in the therapeutic strategy for RA.
  • Cyclosporine, D-penicillamine, gold salts and tiopronin no longer have a role in this therapeutic strategies.

Clinical Benefit

Substantial

The actual benefit of this medicinal product remains substantial In the treatment of RA.

Ulcerative colitis
the actual benefit of this medicinal product remains substantial in this indication.

Moderate

The actual benefit of SALAZOPYRINE remains moderate in the induction and maintenance treatment of Crohn's disease.