Systemic sclerosis & Raynaud's

Assessment of digital perfusion as a surrogate outcome in Raynaud’s phenomenon clinical trials

Rheumatology (Oxford)Published Surrogate endpoint validation study combining individual-level and trial-level data

Authors' conclusion

Digital perfusion, at rest or in response to a cold challenge, and whatever the method used, does not fulfil the criteria of a valid surrogate for existing patient-reported outcomes in RP trials.

Study context

Population
Patients with RP in n-of-1 trials and drug therapy trials in RP
Participants
33 patients24 trials
Outcome
Potential surrogacy of digital perfusion for clinical outcomes in RP trials (coefficients of determination at individual and trial level)
Methodological detailsindividual data from a series of n-of-1 trials, trial data from a network meta-analysis, non-weighted linear regression, bootstrapped 95% CI
  • Individual data from a series of n-of-1 trials
  • Trial data from a network meta-analysis
  • Non-weighted linear regression
  • Bootstrapped 95% CI

Performance

As reported in the abstract

Surrogacy of digital perfusion for clinical outcomes

Individual level: no correlation between digital perfusion and clinical outcomes at rest and in response to cooling tests; highest R2ind [CI]

0.03

−0.07, 0.09

R2TEind (treatment effect, individual level) [CI]

0.07

0, 0.29

Trial level: highest R2trial [CI]

0.1

0, 0.477

Original publication

Assessment of digital perfusion as a surrogate outcome in Raynaud’s phenomenon clinical trials. Rheumatology (Oxford). Published 8 July 2023. doi:10.1093/rheumatology/kead337

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