Systemic sclerosis & Raynaud's

Effect of nintedanib in patients with systemic sclerosis-associated interstitial lung disease and risk factors for rapid progression

RMD OpenPublished Secondary analysis of the SENSCIS randomised trial

Authors' conclusion

In the SENSCIS trial, subjects with SSc-ILD who had early SSc, elevated inflammatory markers or extensive skin fibrosis had a more rapid decline in FVC over 52 weeks than the overall trial population. Nintedanib had a numerically greater effect in patients with these risk factors for rapid ILD progression.

Study context

Population
Subjects with SSc and fibrotic ILD of ≥10% extent on high-resolution CT, with or without risk factors for rapid forced vital capacity (FVC) decline (early SSc, elevated inflammatory markers, significant skin fibrosis)
Comparison
Nintedanib vs placebo
Primary endpoint
Rate of decline in FVC
Follow-up
52 weeks
Methodological detailssubgroup analysis
  • Subgroup analysis

Primary result

As reported in the abstract

Rate of FVC decline, placebo, by risk-factor subgroup
Placebo, <18 months since first non-Raynaud symptom
−167.8 mL/year
Placebo, elevated inflammatory markers
−100.7 mL/year
Placebo, modified Rodnan skin score (mRSS) 15-40
−121.7 mL/year
Placebo, mRSS ≥18
−131.7 mL/year
Placebo, all subjects
−93.3 mL/year

Original publication

Effect of nintedanib in patients with systemic sclerosis-associated interstitial lung disease and risk factors for rapid progression. RMD Open. Published 16 February 2023. doi:10.1136/rmdopen-2022-002859

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.