title: Effect of Avemar--a fermented wheat germ extract--on rheumatoid arthritis. Preliminary data.
abstract: OBJECTIVE
  To investigate the effect of the fermented wheat germ extract (Avemar)in patients with severe rheumatoid arthritis (RA).
  
  
  METHODS
  Fifteen female RA (Steinbrocker II-III) patients, who had unsuccessfully tried two different DMARD treatments, were enrolled in an open-label, 1-year long, pilot clinical study. DMARD and steroid therapies were recorded and continued. All patients received Avemar as additional therapy. For measurement of efficacy the Ritchie Index, the Health Assessment Questionnaire (HAQ) and the assessment of morning stiffness were applied. Patients were evaluated at baseline, 6 and 12 months. For statistical analyses the Wilcoxon test was used.
  
  
  RESULTS
  At both 6 and 12 months, Ritchie index, HAQ and morning stiffness showed significant improvements compared with the baseline values. Dosages of steroids could be reduced in about half of the patients. No side effects of Avemar were observed.
  
  
  CONCLUSIONS
  Supplementation of standard therapies with a continuous administration of Avemar is beneficial for RA patients.
authors.affiliation: Fourth Department of Rheumatology, National Institute of Rheumatology and Physiotherapy, Budapest, Hungary.
authors.forename: G
authors.initials: G
authors.lastname: Bálint
authors.forename: A
authors.initials: A
authors.lastname: Apáthy
authors.forename: M
authors.initials: M
authors.lastname: Gaál
authors.forename: A
authors.initials: A
authors.lastname: Telekes
authors.forename: A
authors.initials: A
authors.lastname: Resetár
authors.forename: G
authors.initials: G
authors.lastname: Blazsó
authors.forename: G
authors.initials: G
authors.lastname: Falkay
authors.forename: B
authors.initials: B
authors.lastname: Szende
authors.forename: A
authors.initials: A
authors.lastname: Paksy
authors.forename: M
authors.initials: M
authors.lastname: Ehrenfeld
authors.forename: Y
authors.initials: Y
authors.lastname: Shoenfeld
authors.forename: M
authors.initials: M
authors.lastname: Hidvégi
mesh_terms: D001172:Arthritis, Rheumatoid / Q000178:diet therapy* / Q000503:physiopathology; D019587:Dietary Supplements; D005260:Female; D006304:Health Status; D006801:Humans; D007596:Joints / Q000187:drug effects / Q000503:physiopathology; D010865:Pilot Projects; D010936:Plant Extracts / Q000008:administration & dosage*; D012720:Severity of Illness Index; D011795:Surveys and Questionnaires; D014908:Triticum
chemical_list: C113915:Avemar; D010936:Plant Extracts