Systemic sclerosis & Raynaud's

Comparing the safety and efficacy of nintedanib starting dose in patients with connective tissue disease-associated interstitial lung diseases

Scand J RheumatolPublished Retrospective cohort study

Authors' conclusion

There was no evidence for a difference between the two groups in terms of discontinuation rates, efficacy, and safety.

Study context

Population
Patients with connective tissue disease (CTD)-associated ILD treated with nintedanib (age 61.6 ± 13.2 years; 38 women, 13 men); SSc most common CTDretrospectively analysed · SSc most common CTD 32
Participants
51 patients
Exposure
Nintedanib started at reduced dose vs standard dose of 300 mg
  • Standard dosagen = 18reference
  • Reduced dosagen = 33
Outcome
Cumulative discontinuation rate due to adverse events

Main finding

As reported in the abstract

  • Comparable cumulative discontinuation rates due to adverse events in both groups

Observational data: associations, not effects.

Secondary outcomes

Maintenance dose

No significant differences between the two groups

Cumulative dose · up to 52 weeks

Lower in the reduced dosage group than in the standard dosage group

Changes in forced vital capacity (FVC)

No significant differences between the two groups

Safety

Frequency of adverse events

Similar frequencies in both groups

Original publication

Comparing the safety and efficacy of nintedanib starting dose in patients with connective tissue disease-associated interstitial lung diseases. Scand J Rheumatol. Published 2 April 2024. doi:10.1080/03009742.2024.2327159

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