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Rheumatoid
arthritis patients may soon be able to receive anti-inflammatory
injections once every few months for the treatment of their condition,
according to researchers at University Hospital in Dusseldorf,
Germany.
Phase I clinical
trials of a new gene therapy have shown that it has no serious
side effects and that it is a feasible approach for treatment
of rheumatoid arthritis, according to Dr. Axel Baltzer, co-author
of the study.
The treatment
was developed by Dr. C.H. Evans of Harvard Medical School, who
conducted phase I trials on nine patients. The German researchers
have completed phase 1 trials on 3 patients.
All 12 patients
were suffering from advanced rheumatoid arthritis and were treated
with the same basic procedure. Cells were taken from an arthritic
joint, cultured and genetically altered to produce interleukin-1
receptor antagonist, an anti-inflammatory protein. After several
weeks, the treated cells were injected into two joints. Two placebos,
one containing non-treated cells and one containing saline, were
injected into two other joints.
The U.S. patients,
who were all scheduled for joint replacement, began producing
the desired anti-inflammatory protein for at least 4 weeks prior
to their surgery. The German study found the injections to be
effective for 6 weeks, until the patients underwent surgery.
Phase II studies
on the new gene therapy are slated to begin later in 2002.
Other
sources: University Hospital, Dusseldorf
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