Medikamentöse Therapie:
Leflunomid
Eigenschaften - Wirkmechanismus
Wirksamkeit
Kombinationstherapie
Therapie-Sicherheit
Literatur



Sonstige Stellungnahmen



Literatur: Quellen

1. American College of Rheumatology-Hotline (2003) FDA Meeting March

 2003: Update on the safety of new drugs for rheumatoid arthritis- Part III: Safety and efficacy update on leflunomide (Arava®). www.fda.gov/ohrms/dockets/ac/acmenu.htm

 

2. Reinhold-Keller E, Gross WL (2001)

 Leflunomid zur Behandlung der rheumatoiden Arthritis.

 Deutsches Ärzteblatt 98:A1881–1887

 

3. Bundesausschuß der Ärzte und Krankenkassen

 (2002) Änderungen der Arzneimittelrichtlinien: Leflunomid.

 Deutsches Ärzteblatt 99:A 2734

 

4. Prakash A, Jarvis B (1999) Leflunomide.

 Drugs 58:1137–1164

 

5. Breedveld FC, Dayer J-M (2000) Leflunomide:

 mode of action in the treatment of rheumatoid arthritis.

 Ann Rheum Dis 59:841–849

 

6. Mladenovic V, Domljan Z, Rozman B, Jajic I, Mihailovic D, Dordevic J

 (1995) Safety and effectiveness of leflunomide in the treatment of patients with active rheumatoid arthritis: results of a randomized, placebo-controlled phase II study. Arthritis Rheum 38:1595–1603

 

7. Smolen JS, Kalden JR, Scott DL, Rozman B, Kvien TK, Larsen A, Loew-Friedrich I, Oed C, Rosenburg R

 (1999) Efficacy and safety of leflunomide compared with placebo and sulphasalazine in active rheumatoid arthritis: a double-blind, randomised, multicentre trial. Lancet 353:259–266

 

8. Scott DL, Smolen JS, Kalden JR, van de Putte LBA, Larsen A, Kvien TK, Schattenkirchner M, Nash P, Oed C, Loew-Friedrich I

 (2001) Treatment of active rheumatoid arthritis with leflunomide: two year follow up of a double blind, placebo contolled trial versus sulfasalazine.

 Ann Rheum Dis 60:913–923

 

9. Strand V, Cohen S, Schiff M, Weaver A, Fleischmann R, Cannon G, Fox R, Moreland L, Olsen N, Furst D, Caldwell J, Kaine J, Sharp J, Hurley F, Loew-Friedrich I

 (1999) Treatment of active rheumatoid arthritis with leflunomide compared with placebo and methotrexate.

 Arch Intern Med 159: 2542–2550

 

10. Cohen S, Cannon GW, Schiff M, Weaver A, Fox R, Olsen N, Furst D, Sharp J, Moreland L, Caldwell J, Kaine J, Strand V

 (2001) Two-year, blinded, randomized, controlled trial of treatment of active rheumatoid arthritis with leflunomide compared with methotrexate.

 Arthritis Rheum 44: 1984–1992

 

11. Emery P, Breedveld FC, Lemmel EM, Kaltwasser JP, Dawes PT, Gomor B, Van Den Bosch F, Nordstrom D, Bjorneboe O, Dahl R, Horslev-Petersen K, Rodriguez De La Serna A, Molloy M, Tikly M, Oed C, Rosenburg R, Loew-Friedrich I

 (2000) A comparison of the efficacy and safety of leflunomide and methotrexate for the treatment of rheumatoid arthritis.

 Rheumatology 39:655–665

 

12. Kalden JR, Scott DL, Smolen JS, Schattenkirchner M, Rozman B, Williams BD, Kvien TK, Jones P, Williams RB, Oed C, Rosenburg R

 (2001) Improved functional ability in patients with rheumatoid arthritis – longterm treatment with leflunomide versus sulfasalazine.

 J Rheumatol 28:1983–1991

 

13. Sharp JT, Strand V, Leunh H, HurleyF, Loew-Friedrich I

 (2000) Treatment with leflunomide slows radiographic progression of rheumatoid arthritis. Results from three randomized controlled trials of leflunomide in patients with active rheumatoid arthritis.

 Arthritis Rheum 43:495–505

 

14. Larsen A, Kvien TK, Schattenkirchner M et al

 (2001) Slowing of disease progression in rheumatoid arthritis patients during long-term treatment with leflunomide or sulfasalazine.

 Scand J Rheumatol 30:135–142

 

15. Furst DE, Cohen S, Emery P, Dorrier K, Simpson K (2001) Does folic acid decrease the efficacy as well as the toxicity of methotrexate in rheumatoid arthritis?

 Arthritis Rheum 44,Suppl, Abstract 1921

 

16. Kalden JR, Schattenkirchner M, Sörensen H, Emery P, Deighton C, Rozman B, Breedveld F

 (2003) Efficacy and safety of leflunomide in patients with active rheumatoid arthritis – five years follow-up.

 Arthritis Rheum 46:1513–1520

 

17. Weinblatt ME, Kremer JM, Coblyn JS, Maier AL, Helfgott SM, Morrell M

 (1999) Pharmakokinetics, safety and efficacy of combination treatment with methotrexate and leflunomide in patients with active rheumatoid arthritis.

 Arthritis Rheum 42:1322–1328

 

18. Kremer JM, Genovese MC, Cannon GW, Caldwell JR, Cush JJ, Furst DE, Luggen ME, Keystone E, Weisman MH, Bensen WM, Kaine JL, Ruderman EM, Coleman P, Curtis DL, Kopp EJ, Kantor SM, Waltuck J, Lindsley HB, Markenson JA, Strand V, Crawford B, Fernando I, Simpson K, Bathon

 JM (2002) Concomitant leflunomide therapy in patients with active rheumatoid arthritis despite stable doses of methotrexate.

 Ann Intern Med 137:726–733

 

19. Kremer JM, Genovese MC, Cannon GW, Caldwell JR, Cush JJ, Furst DE, Luggen ME, Keystone E, Bathon JM, Kavanaugh A, Ruderman EM, Coleman P, Curtis DL, Kopp EJ, Kantor SM, Weisman M, Waltuck J, Lindsley HB, Markenson JA, Crawford B, Fernando I, Simpson K, Strand V

 (2004) Combination leflunomide and methotrexate (MTX) therapy for patients with active rheumatoid arthritis failing MTX monotherapy: Open-label extension of a randomized, doubleblind, placebo controlled trial.

 J Rheumatol 31:1521–1531

 

20. Fachinformation Arava, Stand Oktober 2003

Therapie-Empfehlung Leflunomid

 

Druckversion (PDF)

Leflunomid in Kombination mit TNF Blockern

 

DGRh Stellungsnahme,   PDF