Research Article

Tripterygium Glycosides Combined with Leflunomide for Rheumatoid Arthritis: A Systematic Review and Meta-Analysis

Table 1

Characteristics of the eligible studies.

Study author, year (study period)Patients total (Ctrl)Age/years (Trl) (Ctrl)Genders M/F total (Trl)Intervention/drug dosage (Trl) (Ctrl)Treating duration (M)IndexesAEs (Trl) (Ctrl)

Wan, 2009 [8] (2005.11–2008.3)46 (23)32 ± 15 (34 ± 12)6/40 (4/19)TG + LEF/10 mg, qd + 20 mg, qd (MTX + SASP/10 mg qw + 1 g bid)3Efficacy, MS, SJC, TJC, ESR, CRP8 (9)

Zhang, 2011 [9] (2007.1–2008.12)60 (30)66 (66)N. M.TG + LEF/20 mg, tid + 20 mg, qd (LEF/20 mg, qd)6MS, SJC, TJC, ESR, CRP, RF7 (5)

Min, 2012 [10] (2009.1–2011.6)50 (25)Mean 61.512/38TG + LEF/20 mg, tid + 10 mg, qd (MTX/15 mg, qw)3MS, SJC, TJC, ESR, CRP, RF, IL-1, IL-6, TNF-α6 (11)

Long, 2014 [11] (2011.6–2012.6)48 (24)67.00 ± 2.47 (68.00 ± 2.95)21/27TG + LEF/20 mg, tid + 10 mg, qd (LEF/10 mg, qd)6Efficacy, SJC, TJC, ESR, CRP, RFNM

Zhao, 2014 [12] (2010.7–2013.7)60 (30)45.07 ± 20.32 (45.10 ± 20.21)10/50TG + LEF + MTX/N. M. + 10 mg, qd + 7.5 mg, qw (LEF + MTX/10 mg, qd + 7.5 mg, qw)3Efficacy, MS, SJC, TJC, ESR, CRP5 (8)

Sun, 2016 [13] (2014.7–2015.7)62 (31)62.11 ± 3.02 (56.56 ± 2.33)32/30 (17/14)TG + LEF/20 mg, tid + 5 mg, bid (LEF/5 mg, bid)6Efficacy, SJC, TJC, ESR, CRP1 (3)

Gao, 2017 [14] (2015.1–2016.7)80 (40)42.35 ± 8.14 (41.67 ± 8.65)24/56 (11/29)TG + LEF + MTX/20 mg, tid + 10 mg, qd + 10 mg, qw (MTX/10 mg, qw)3Efficacy, MS, SJC, TJC, ESR, CRP, RF6 (5)

Zhang, 2017 [15] (2014.1–2017.1)64 (34)49.90 ± 15.22 (43.56 ± 15.07)21/47 (10/24)TG + LEF + MTX/10 mg, tid+10 mg, qd + 10 mg, qw (LEF + MTX/10 mg, qd + 10 mg, qw)3Efficacy, MS, SJC, TJC, ESR, CRP, RF2 (8)

Feng, 2018 [16] (2015.5–2017.5)108 (54)70.12 ± 5.13 (72.05 ± 6.24)55/53 (26/28)TG + LEF/20 mg, tid + 10 mg, qd (LEF/10 mg, qd)1Efficacy, MS, SJC, TJC, ESR, CRP, RF5 (7)

Zhang, 2018 [17] (2014.3–2016.6)100 (50)64.8 ± 11.5237/63TG + LEF + MTX/20 mg, tid+20 mg, qd + 10 mg, qw (LEF + MTX/20 mg, qd + 10 mg, qw)3Efficacy, MS, SJC, TJC, ESR, CRP, RF, IL-1, 4, 10, TNF-α2 (3)

Gao, 2019 [18] (2012.1–2017.12)72 (36)67.9 ± 2.3 (68.7 ± 2.5)20/16 (42/30)TG + LEF/20 mg, tid + 5 mg, bid (LEF/5 mg, bid)6Efficacy, SJC, TJC, ESR, CRP, IL-1, IL-6, TNF-α2 (3)

Sha, 2019 [19] (2016.10–2018.10)80 (40)58.89 ± 6.92 (58.99 ± 6.99)37/43 (18/22)TG + LEF/20 mg, tid + 20 mg, qd (LEF/20 mg, qd)3Efficacy, MS, SJC, TJC, IL-6, TNF-αNM

AEs: adverse events, Trl: trial group, Ctrl: control group, TG: Tripterygium glycosides, LEF: Leflunomide, MTX: methotrexate, SASP: sulfasalazine, 3M: 3 months, 6M: 6 months, 1M: 1 month, efficacy: clinical treatment efficacy, MS: morning stiffness, SJC: swollen joint count, TJC: tender joint count, ESR: erythrocyte sedimentation rate, CRPC-reactive protein, RF: rheumatoid factor, IL-1: interleukin 1, IL-4: interleukin 4, IL-6: interleukin 6, IL-10: interleukin 10, TNF-α: tumor necrosis factor-alpha, NM: not mentioned.