Evidence map›Paper›PMID 34215704›Full record

Trial reportRMD open2021

Hydroxychloroquine in patients with inflammatory and erosive osteoarthritis of the hands: results of the OA-TREAT study-a randomised, double-blind, placebo-controlled, multicentre, investigator-initiated trial.

Claudia Kedor, Jacqueline Detert, Rolf Rau, Siegfried Wassenberg, Joachim Listing, Pascal Klaus, Tanja Braun, Walter Hermann, Stefan Markus Weiner, Frank Buttgereit and 1 more

Open access · goldAbstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in RMD open, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 2 pooled it
4.6field-weighted citation impact, top 4% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

17 citing papers in PubMed, 2 syntheses or guidelines pooled it, 33 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Review
  5. Article
  6. Review
  7. A novel MRI contrast agent NaGdFScientific reports · 2025
    Article
  8. Article
  9. Article
  10. Review
  11. Review
  12. Review
  13. Observational
  14. Article
  15. Erosive hand osteoarthritis: latest findings and outlook.Nature reviews. Rheumatology · 2022 · on this map
    Review
  16. Repurposed and investigational disease-modifying drugs in osteoarthritis (DMOADs).Therapeutic advances in musculoskeletal disease · 2022
    Review
  17. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors at 6 institutions in 1 country.

Claudia Kedor *Institute of Medical Immunology, Charité Universitätsmedizin Berlin, Berlin, Germany claudia.kedor@charite.de.ORCID 0000-0001-9361-9213
Jacqueline Detert *Rheumatology and Clinical Immunology, Charité Universitätsmedizin Berlin, Berlin, Germany.
Rolf RauRheumatologie, Rheumazentrum Ratingen, Ratingen, Germany.
Siegfried WassenbergRheumatologie, Rheumazentrum Ratingen, Ratingen, Germany.
Joachim ListingEpidemiology Unit, Deutsches Rheuma-Forschungszentrum, Berlin, Germany.
Pascal KlausRheumatology and Clinical Immunology, Charité Universitätsmedizin Berlin, Berlin, Germany.
Tanja BraunRheumatology and Clinical Immunology, Charité Universitätsmedizin Berlin, Berlin, Germany.
Walter HermannRheumatology, Kerckhoff-Klinik GmbH, Bad Nauheim, Hessen, Germany.
Stefan Markus WeinerMedizinische Abteilung, Krankenhaus der Barmherzigen Brüder Trier, Trier, Germany.
Frank ButtgereitRheumatology and Clinical Immunology, Charité Universitätsmedizin Berlin, Berlin, Germany.ORCID 0000-0003-2534-550X
Gerd R BurmesterRheumatology and Clinical Immunology, Charité Universitätsmedizin Berlin, Berlin, Germany.ORCID 0000-0001-7518-1131
Charité - Universitätsmedizin Berlin · DEFachklinik 360° · DEGerman Rheumatism Research Centre · DEKerckhoff Klinik · DEKrankenhaus der Barmherzigen Brüder Trier · DEOrthopädische Praxis · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesHand osteoarthritis (OA) is a condition characterised by cartilage degradation and frequently erosive changes. Analgesics and non-steroidal anti-inflammatory drugs are used for symptomatic relief but are often poorly tolerated or contraindicated. Previous publications suggest hydroxychloroquine (HCQ) as a possible treatment for hand OA. The OA-TREAT study aimed to investigate the efficacy and safety of HCQ in patients with inflammatory and erosive hand OA (EOA).

methodsOA-TREAT was an investigator-initiated, multicentre, randomised, double-blind, placebo (PBO)-controlled trial. Patients with inflammatory and EOA, according to the ACR criteria, with radiographically erosive disease were randomised 1:1 to HCQ 200-400 mg/day or PBO for 52 weeks (W52). Both groups received stable standard therapy. The primary endpoint was Australian Canadian Hand Osteoarthritis Index (AUSCAN) for pain and hand disability at W52.

results75 patients were randomised to HCQ and 78 to PBO. At W52, mean AUSCAN pain was 26.7 in HCQ and 26.5 in PBO patients (p=0.92). Hand disability measured by AUSCAN function (mean) was 48.1 in HCQ and 51.3 in PBO patients (p=0.36). Changes in radiographic scores did not differ significantly (p>0.05) between treatment groups. There were 7 serious adverse events in the HCQ and 15 in the PBO group.

conclusionsOA-TREAT is the first large randomised PBO controlled trial focusing on EOA. HCQ was no more effective than PBO for changes in pain, function and radiographic scores in the 52-week period. Overall safety findings were consistent with the known profile of HCQ.

Indexed as

HydroxychloroquineOsteoarthritisAustraliaCanadaHumansTreatment OutcomeHydroxychloroquineanalgesicsantirheumatic agentshydroxychloroquineosteoarthritis

Identifiers

PMID34215704
PMCPMC8256837
OpenAlexW3176923618

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.