Hi John
You follow Gold. Is it real gold, they are using in this study,and if study pans out, what will it do for gold usage? Like my play on words? newswire.ca
Crazy about gold: Canadian study sparks widespread interest in arthritis therapies
TORONTO, Dec. 3 /CNW/ - Klondike fever has broken out over the new application of an old arthritis remedy. With a fervor reminiscent of Yukon prospectors in the 1890s, Canadians with rheumatoid arthritis (RA) are now flocking to The Arthritis Society's clinical trials of gold therapy. A 12-month study of a gold and methotrexate combination therapy will be launched this month with about 200 people in 15 communities across Canada. It's hoped this combination of disease modifying antirheumatic drugs (DMARDs) will vastly improve the quality of life for people with RA. ''I've never seen anything like it,'' said Denis Morrice, The Arthritis Society's president and CEO. ''Our telephone lines are buzzing with what can only be described as a contemporary strain of Klondike fever.'' Gold compounds were first recruited in the fight against arthritis in 1935, although they were used to treat other diseases, such as tuberculosis, as early as 1890. No one is sure how it works, but more than 60 years of RA research shows no other DMARD works as well as gold. Usually mixed with an oil or water based solution, gold compounds are the only medications capable of inducing remission. Gold produces improvements in 60 per cent of people with RA. The popularity of gold, however, faded through the years, as newer, faster-acting pharmaceutical products like methotrexate emerged. ''We're studying people who have bad RA for less than three years, and who are on methotrexate, with hopes that by adding gold it will put them into remission,'' said Dr. Vivian Bykerk, a participating rheumatologist at Credit Valley Hospital, in Mississauga, Ontario. ''It's a combination therapy I've used before,'' added Dr. Bykerk. ''It has great promise and we'd like to have the scientific evidence that it works. ''It's not a cure and it doesn't mean that people with RA will be able to put away all their other medications,'' she said, ''but it is an opportunity to control the disease much more effectively, in the early stages, to prevent joint damage.'' In fact, recent long-term clinical trials involving more than 1,400 people in Vancouver illustrate gold's ''repeated effectiveness'' in people with RA, according to Dr. Alice Klinkhoff. Dr. Klinkhoff and Dr. John Esdaile, both of British Columbia, are spearheading investigation of the combination therapy. ''It's nice to be in on this research with all the country's leading arthritis researchers,'' said Dr. Catherine Alderdice, another participating rheumatologist. ''This way, the data will have a far greater statistical significance,'' added Dr. Alderdice, whose research is conducted with the Arthritis Centre team at St. Clare Mercy Hospital, in St. John's, Newfoundland. ''We will get a more definitive answer on whether the combination therapy works better than either drug on its own. The information we have now is anecdotal.'' Methotrexate was first used to suppress the immune system in cancer chemotherapy. Canadian clinical trials in the 1980s established safe and effective doses for RA. Methotrexate slows down the biological process that is a driving force behind persistent inflammation. In Canada, methotrexate has emerged as the preferred DMARD for RA, largely because it acts fast and is well tolerated. ''There's a lot of validity in combination therapies,'' said Barbara Brunton, of Toronto. ''It's just a matter of finding the right one that suits an individual. ''With the severity of my arthritis, I would try just about anything to get relief,'' added Brunton, who uses a combination of methotrexate and hydroxycholoroquine to manage her RA, lupus and osteoarthritis symptoms. RA affects one-in-100 Canadians of all ages, from toddlers to senior citizens, causing inflammation in the lining of the joints and other internal organs. It affects women three times more often than men. The debilitating disease affects virtually all joints in the body, seriously damaging cartilage, bone, tendons and ligaments. There is no cure for RA, although symptoms of the chronic disease can be controlled with medical and physical therapies. The Arthritis Society is Canada's only not-for-profit charity dedicated solely to funding and promoting arthritis research and care. Since its inception in 1948, The Society has contributed more than $100 million toward arthritis research, with the annual research budget reaching $7 million in 1998. The Society also contributes $425,000 a year to support Arthritis Centres for research at 16 medical schools in each province. Thanks in part to The Society's career development program, there are now 283 rheumatologists in Canada. Fifty years ago, there were only four.
Arthritis Society Gold and methotrexate Study
Participating Centres Centre Physicians --------------------- -----------------
Methods Centre Dr. Alice V. Klinkoff Mary Pack Arthritis Centre Dr. John M. Esdaile Vancouver, BC (604) 871-4500
Edmonton, Alberta Dr. Avril Fitzgerald (403) 454-2676
University of Alberta Dr. Walter Maksymowych Edmonton, Alberta (403) 492-1964
Saskatoon, Saskatchewan Dr. Wojciech Olszynski (306) 244-2277
University of Saskatchewan Dr. Paul M. Peloso (306) 966-8265
University of Manitoba Dr. Janice Canvin Health Sciences Centre (204) 787-2208
University of Western Ontario Dr. Manfred Harth London Health Science Centre (519) 663-3514 London, Ontario
St. Joseph's Hospital Dr. William Bensen Hamilton, Ontario (905) 523-7705
Credit Valley Hospital Dr. Vivian Bykerk Mississauga, Ontario (905) 828-7571
Sunnybrook Health Sciences Centre Dr. Mary Bell Toronto, Ontario (416) 480-4580
Mount Sinai Hospital Dr. Edward Keystone Toronto, Ontario (416) 586-8645
University of Montreal Dr. Paul Haraoui Notre-Dame Hospital (514) 281-6000 Ext. 8819
Maissoneuve Hospital Dr. Michel Zummer Montreal, Quebec (514) 252-778-3580
St. Clare Mercy Hospital Dr. Catherine Alderdice St. John's, Newfoundland (709) 778-3580
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For further information: The Arthritis Society at 1-800-321-1433 |