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Olsalazine in ankylosing spondylitis: a pilot study

C M Chapman1, S H Zwillich

  • 1Department of Medicine, University of Rochester School of Medicine, NY 14642.

The Journal of Rheumatology
|September 1, 1994
PubMed
Summary

Olsalazine shows promise for treating ankylosing spondylitis (AS) in men unresponsive to standard therapies. The drug demonstrated good tolerability and efficacy, with improvements in pain and joint assessments observed in most participants.

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Area of Science:

  • Rheumatology
  • Pharmacology

Background:

  • Ankylosing spondylitis (AS) is a chronic inflammatory disease primarily affecting the spine.
  • Nonsteroidal anti-inflammatory drugs (NSAIDs) and physiotherapy are common first-line treatments for AS.
  • Some patients with AS do not respond adequately to or tolerate conventional therapies.

Purpose of the Study:

  • To evaluate the safety and efficacy of olsalazine in male patients diagnosed with ankylosing spondylitis.
  • To assess olsalazine's effectiveness in individuals unresponsive to NSAIDs and physiotherapy.

Main Methods:

  • A cohort of four male patients with AS participated in the study.
  • Two patients had previously shown no response to sulfasalazine (SASP), and one patient could not tolerate SASP.
  • Patients received olsalazine at a dosage up to 3 grams per day for a duration of 24 weeks.

Main Results:

  • One patient discontinued olsalazine due to diarrhea at a dose of 1 g/day.
  • The remaining three patients reported improvements in global spine self-assessment (visual analog scale - VAS).
  • Significant improvements were noted in spinal pain (VAS), night pain, tender joint count, and enthesis score in 2-3 patients. Erythrocyte sedimentation rate and C-reactive protein levels remained normal. Loose stools were the sole adverse effect reported.

Conclusions:

  • Olsalazine appears to be a well-tolerated and effective treatment option for men suffering from ankylosing spondylitis.
  • Further research, including direct comparisons with sulfasalazine (SASP), is warranted to elucidate olsalazine's mechanisms of action and therapeutic potential in AS.

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