Comparison of 2 Dosages of Intraarticular Triamcinolone for the Treatment of Knee Arthritis: Results of a 12-week Randomized Controlled Clinical Trial

J Rheumatol. 2015 Oct;42(10):1865-8. doi: 10.3899/jrheum.141630. Epub 2015 Aug 1.

Abstract

Objective: To determine whether a double dose of intraarticular triamcinolone acetonide is more effective for knee arthritis than a 40-mg dose.

Methods: In this 12-week randomized controlled clinical trial, 40 mg and 80 mg of intraarticular triamcinolone acetonide were compared in patients with knee arthritis. Evaluated variables included a Likert burden scale, visual analog scale pain scale, degree of arthritis activity, presence of swelling, and presence of functional limitation.

Results: Ninety-seven patients were randomized. No significant differences were observed between the groups regarding any outcomes.

Conclusion: An 80-mg dose of triamcinolone acetonide had no additional benefit compared with 40 mg as treatment for knee arthritis.

Trial registration: Nederlands Trial Register; trial registration number: NTR2298.

Keywords: ARTHRITIS; DOSE-RESPONSE RELATIONSHIP; DRUG THERAPY; INJECTIONS; INTRAARTICULAR; TRIAMCINOLONE.

Publication types

  • Comparative Study
  • Multicenter Study
  • Randomized Controlled Trial

MeSH terms

  • Adult
  • Aged
  • Arthritis / drug therapy*
  • Arthritis / pathology*
  • Arthritis, Psoriatic / drug therapy
  • Arthritis, Psoriatic / pathology
  • Arthritis, Rheumatoid / drug therapy
  • Arthritis, Rheumatoid / pathology
  • Dose-Response Relationship, Drug
  • Double-Blind Method
  • Drug Administration Schedule
  • Female
  • Follow-Up Studies
  • Glucocorticoids / administration & dosage*
  • Glucocorticoids / adverse effects
  • Humans
  • Injections, Intra-Articular
  • Male
  • Middle Aged
  • Osteoarthritis / drug therapy
  • Osteoarthritis / pathology
  • Pain Measurement
  • Prospective Studies
  • Range of Motion, Articular / drug effects*
  • Range of Motion, Articular / physiology
  • Time Factors
  • Treatment Outcome
  • Triamcinolone Acetonide / administration & dosage*
  • Triamcinolone Acetonide / adverse effects

Substances

  • Glucocorticoids
  • Triamcinolone Acetonide