Page last updated: 2024-10-30

leflunomide and Hypertension

leflunomide has been researched along with Hypertension in 10 studies

Leflunomide: An isoxazole derivative that inhibits dihydroorotate dehydrogenase, the fourth enzyme in the pyrimidine biosynthetic pathway. It is used an immunosuppressive agent in the treatment of RHEUMATOID ARTHRITIS and PSORIATIC ARTHRITIS.
leflunomide : A monocarboxylic acid amide obtained by formal condensation of the carboxy group of 5-methyl-1,2-oxazole-4-carboxylic acid with the anilino group of 4-(trifluoromethyl)aniline. The prodrug of teriflunomide.

Hypertension: Persistently high systemic arterial BLOOD PRESSURE. Based on multiple readings (BLOOD PRESSURE DETERMINATION), hypertension is currently defined as when SYSTOLIC PRESSURE is consistently greater than 140 mm Hg or when DIASTOLIC PRESSURE is consistently 90 mm Hg or more.

Research Excerpts

ExcerptRelevanceReference
"Leflunomide is effective and well tolerated in the treatment of rheumatoid arthritis (RA), however, data on its use in early RA are scarce."9.14Leflunomide in the treatment of patients with early rheumatoid arthritis--results of a prospective non-interventional study. ( Bornholdt, K; Hein, G; Kellner, H, 2010)
"To study the safety and efficacy of infliximab plus leflunomide combination therapy in adult rheumatoid arthritis (RA)."9.10Infliximab and leflunomide combination therapy in rheumatoid arthritis: an open-label study. ( Johnson, DM; Kiely, PD, 2002)
" She was known to have type 1 diabetes mellitus, previous Hashimoto's thyroiditis, rheumatoid arthritis treated with leflunomide and drug- treated arterial hypertension."7.74[Persistent diarrhea and loss of weight during therapy with leflunomide]. ( Berges, W; Donner, P; Gugenberger, C; Naami, A, 2008)
"To determine the frequency of new-onset hypertension in patients with Rheumatoid arthritis taking leflunomide, in comparison with methotrexate in Asian setting."5.30Onset of Hypertension in Leflunamide Treated Low Socioeconomic Rheumatoid Arthritis Patients: An Unseen Iceberg. ( Ishaq, M; Kumar, A; Muhammad, JS; Razzaque, S; Shohail, F, 2019)
"Leflunomide is effective and well tolerated in the treatment of rheumatoid arthritis (RA), however, data on its use in early RA are scarce."5.14Leflunomide in the treatment of patients with early rheumatoid arthritis--results of a prospective non-interventional study. ( Bornholdt, K; Hein, G; Kellner, H, 2010)
"To study the safety and efficacy of infliximab plus leflunomide combination therapy in adult rheumatoid arthritis (RA)."5.10Infliximab and leflunomide combination therapy in rheumatoid arthritis: an open-label study. ( Johnson, DM; Kiely, PD, 2002)
" Mycophenolate and leflunomide are teratogenic drugs and should be withdrawn before conception in case of programmed pregnancy or should be rapidly discontinued in case of unexpected pregnancy."4.91Immunosuppression in pregnant women with systemic lupus erythematosus. ( Moroni, G; Ponticelli, C, 2015)
" Patients treated with leflunomide had increases in BP and a greater risk of incident hypertension compared with patients treated with methotrexate (hazard ratio, 1."3.88Initiation of Disease-Modifying Therapies in Rheumatoid Arthritis Is Associated With Changes in Blood Pressure. ( Baker, JF; Cannella, A; Cannon, GW; Caplan, L; Davis, LA; England, BR; George, M; Ibrahim, S; Michaud, K; Mikuls, TR; OʼDell, J; Sauer, B; Teng, CC, 2018)
" She was known to have type 1 diabetes mellitus, previous Hashimoto's thyroiditis, rheumatoid arthritis treated with leflunomide and drug- treated arterial hypertension."3.74[Persistent diarrhea and loss of weight during therapy with leflunomide]. ( Berges, W; Donner, P; Gugenberger, C; Naami, A, 2008)
"Treatment with leflunomide or low doses of glucocorticoids were not associated with severe course in our cohort."2.82COVID-19 among patients with giant cell arteritis: a single-centre observational study from Slovenia. ( Hočevar, A; Ješe, R; Kramarič, J; Rotar, Ž; Tomšič, M, 2022)
"Patients with treated hypertension should be monitored regularly when conventional NSAIDs or COX-2 inhibitors are administered."2.41Cardiovascular risk profile of antirheumatic agents in patients with osteoarthritis and rheumatoid arthritis. ( Dijkmans, BA; Nurmohamed, MT; van Halm, VP, 2002)
"Gender, age, and hypertension are associated with KD recurrence."1.43Clinicopathological features and prognosis of Kimura's disease with renal involvement in Chinese patients. ( Chen, Y; Liu, Z; Wang, J; Xu, F; Zeng, C, 2016)

Research

Studies (10)

TimeframeStudies, this research(%)All Research%
pre-19900 (0.00)18.7374
1990's0 (0.00)18.2507
2000's4 (40.00)29.6817
2010's5 (50.00)24.3611
2020's1 (10.00)2.80

Authors

AuthorsStudies
Kramarič, J1
Ješe, R1
Tomšič, M2
Rotar, Ž1
Hočevar, A1
Ishaq, M1
Razzaque, S1
Shohail, F1
Kumar, A1
Muhammad, JS1
Baker, JF1
Sauer, B1
Teng, CC1
George, M1
Cannon, GW1
Ibrahim, S1
Cannella, A1
England, BR1
Michaud, K1
Caplan, L1
Davis, LA1
OʼDell, J1
Mikuls, TR1
Ponticelli, C1
Moroni, G1
Chen, Y1
Wang, J1
Xu, F1
Zeng, C1
Liu, Z1
Gugenberger, C1
Donner, P1
Naami, A1
Berges, W1
Kellner, H1
Bornholdt, K1
Hein, G1
Nurmohamed, MT1
van Halm, VP1
Dijkmans, BA1
Rozman, B1
Praprotnik, S1
Logar, D1
Hojnik, M1
Kos-Golja, M1
Accetto, R1
Dolenc, P1
Kiely, PD1
Johnson, DM1

Clinical Trials (1)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
Secondary Event Prevention Using Population Risk Management After PCI[NCT02694185]5,269 participants (Actual)Interventional2016-10-01Active, not recruiting
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trial Outcomes

Cardiovascular Events (CVE)

Cardiovascular Events (CVEs) such as mortality, myocardial infarction, stroke, or repeat revascularization among IHD patients at 12 months post-PCI and progressive erosive disease demonstrated in patients with rheumatic disease will be monitored. CVEs will be monitored to determine if there is a reduction in the occurrence of those events as a result of the intervention. (NCT02694185)
Timeframe: 1 year

InterventionCardiovascular events (Mean)
Experimental Group15.2
Control Group14.3

Incremental Cost Effectiveness (ICE)

To establish the cost to implement and maintain the intervention, above the cost of usual care. Incremental Cost Effectiveness (ICE) is the cost to achieve a 10% improvement in PDC, and the cost of CVE prevented. (NCT02694185)
Timeframe: through study completion, an average of 1 year

Interventiondollars per patient (Median)
Experimental Group821.45
Control Group893.55

Proportion of Days Covered (PDC)

Proportion of Days Covered (PDC) is measured by looking at the number of doses of medication a patient has versus days in the month (if a patient has 20 days of medication for a 30 day period their PDC is 20/30, 2/3, or 66.7%). Used to assess the effectiveness of the intervention, PDC will be tested among IHD patients in the year after PCI and among rheumatology clinic patients chronically prescribed DMARDs. (NCT02694185)
Timeframe: 1 year

,
Interventionpercentage of days covered (Mean)
Anti-plateletBeta-BlockerStatin
Control Group75.673.371.2
Experimental Group82.678.478.8

Reviews

3 reviews available for leflunomide and Hypertension

ArticleYear
COVID-19 among patients with giant cell arteritis: a single-centre observational study from Slovenia.
    Clinical rheumatology, 2022, Volume: 41, Issue:8

    Topics: Cardiovascular Diseases; COVID-19; Giant Cell Arteritis; Glucocorticoids; Humans; Hypertension; Lefl

2022
Immunosuppression in pregnant women with systemic lupus erythematosus.
    Expert review of clinical immunology, 2015, Volume: 11, Issue:5

    Topics: Contraindications; Cyclosporine; Female; Glucocorticoids; Humans; Hypertension; Immunosuppression Th

2015
Cardiovascular risk profile of antirheumatic agents in patients with osteoarthritis and rheumatoid arthritis.
    Drugs, 2002, Volume: 62, Issue:11

    Topics: Anti-Inflammatory Agents, Non-Steroidal; Antirheumatic Agents; Arthritis, Rheumatoid; Cardiovascular

2002

Trials

3 trials available for leflunomide and Hypertension

ArticleYear
Onset of Hypertension in Leflunamide Treated Low Socioeconomic Rheumatoid Arthritis Patients: An Unseen Iceberg.
    Current rheumatology reviews, 2019, Volume: 15, Issue:3

    Topics: Adult; Arthritis, Rheumatoid; Asian People; Case-Control Studies; Female; Humans; Hypertension; Immu

2019
Leflunomide in the treatment of patients with early rheumatoid arthritis--results of a prospective non-interventional study.
    Clinical rheumatology, 2010, Volume: 29, Issue:8

    Topics: Adult; Aged; Anti-Inflammatory Agents, Non-Steroidal; Arthritis, Rheumatoid; Blood Sedimentation; Di

2010
Infliximab and leflunomide combination therapy in rheumatoid arthritis: an open-label study.
    Rheumatology (Oxford, England), 2002, Volume: 41, Issue:6

    Topics: Adult; Aged; Anaphylaxis; Antibodies, Monoclonal; Antirheumatic Agents; Arthritis, Rheumatoid; Autoa

2002

Other Studies

4 other studies available for leflunomide and Hypertension

ArticleYear
Initiation of Disease-Modifying Therapies in Rheumatoid Arthritis Is Associated With Changes in Blood Pressure.
    Journal of clinical rheumatology : practical reports on rheumatic & musculoskeletal diseases, 2018, Volume: 24, Issue:4

    Topics: Aged; Anti-Inflammatory Agents; Antirheumatic Agents; Arthritis, Rheumatoid; Blood Pressure; Female;

2018
Clinicopathological features and prognosis of Kimura's disease with renal involvement in Chinese patients.
    Clinical nephrology, 2016, Volume: 85, Issue:6

    Topics: Adolescent; Adult; Angiolymphoid Hyperplasia with Eosinophilia; Anti-Inflammatory Agents; China; Fem

2016
[Persistent diarrhea and loss of weight during therapy with leflunomide].
    Deutsche medizinische Wochenschrift (1946), 2008, Volume: 133, Issue:34-35

    Topics: Antirheumatic Agents; Arthritis, Rheumatoid; Colitis, Lymphocytic; Diabetes Mellitus, Type 1; Diarrh

2008
Leflunomide and hypertension.
    Annals of the rheumatic diseases, 2002, Volume: 61, Issue:6

    Topics: Anti-Inflammatory Agents, Non-Steroidal; Arthritis, Rheumatoid; Humans; Hypertension; Isoxazoles; Le

2002