Overview
This study aims at evaluating the possible efficacy and safety of L-carnitine in rheumatoid arthritis via targeting Jak/STAT pathway and TGF-β1
Eligibility
Inclusion Criteria:
- Patients with active rheumatoid arthritis (not in remission) according to American College of Rheumatology/European League Against Rheumatism (ACR/EULAR) 2010 criteria (9) i.e., 28 joints disease activity score (DAS-28) >2.6.
- Patients receive the conventional DMARDs
- Both sexes.
- Age range between 18 and 70 years old.
Exclusion Criteria:
- Patients with heart disease (congestive heart failure, arrhythmia, hypertension, ischemic heart diseases), diabetes, active infection, other illness except rheumatoid arthritis.
- Patients with renal and hepatic dysfunction.
- Patients receiving biological DMARDs.
- Patients receiving oral prednisolone greater than 15 mg/day.
- Patients with hypersensitivity to study medications.
- Patients using antioxidants.
- Pregnant and lactating females.