In a long-term clinical study of the efficacy and safety of bucillamin
e (BCL), an antirheumatic drug, 78 patients were treated with BCL from
November 1991 through October 1992. These patients were unable to con
tinue treatment with other DMARDs (disease-modifying antirheumatic dru
gs) and/or immunosuppressants because of side-effects and/or disease r
elapse. Treatment with BCL lasted for the duration of the study in 58
patients and was discontinued in 20 because of side-effects and/or ine
ffectiveness. The major side-effects were skin eruption and itching, l
iver dysfunction and proteinuria. Changes in clinical status and labor
atory data showed statistically significant improvement with BCL. Thes
e results suggest that BCL is effective as a DMARD for uncontrollable
rheumatoid arthritis (RA).