Systemic sclerosis & Raynaud's

Clinical and Molecular Findings After Autologous Stem Cell Transplantation or Cyclophosphamide for Scleroderma: Handling Missing Longitudinal Data

Arthritis Care Res (Hoboken)Published Secondary analysis of a randomised trial

Authors' conclusion

Longitudinal trends estimated from 2 statistical models affirm the efficacy of HSCT over CYC in severe SSc.

Study context

Population
Individuals with systemic sclerosis (SSc) randomised to CYC or hematopoietic stem cell transplantation (HSCT)
Participants
33 vs 34
Comparison
HSCT vs CYC
  • HSCTn = 33
  • CYCn = 34reference
Primary endpoint
Longitudinal trends of clinical, pulmonary function and quality of life measures, accounting for early failures
Methodological detailsmixed-effects regression models (missing at random), shared parameter models (missing not at random)
  • Mixed-effects regression models (missing at random)
  • Shared parameter models (missing not at random)

Primary result

As reported in the abstract

FVC longitudinal trend after accounting for participant loss

HSCT

0.77

percentage points/year

CYC

−3.70

/year

P = 0.004

Further findings

Pulmonary and quality of life measures in inflammatory (n = 20) and fibroproliferative (n = 20) molecular subsets

HSCT superior long-term trends vs CYC

mRSS in fibroproliferative subset

HSCT superior

Normal-like subset (n = 22)

Superiority of HSCT less apparent

Original publication

Clinical and Molecular Findings After Autologous Stem Cell Transplantation or Cyclophosphamide for Scleroderma: Handling Missing Longitudinal Data. Arthritis Care Res (Hoboken). Published 16 November 2022. doi:10.1002/acr.24785

Composed by AI from the published abstract and checked against it. How Briefs are made →

Get them every week

New studies on this topic in My Week and in your Monday e-mail.

We e-mail you a sign-in link and a code. No password, no spam.