Systemic sclerosis & Raynaud's

Expert viewpoint on endpoints in systemic sclerosis: current and future outlook

RMD OpenPublished Expert review

Authors' conclusion

Despite progress, significant unmet needs remain.

Study context

Population
Clinical trials in systemic sclerosis (SSc)
Outcome
Current landscape and future directions of clinical endpoints in SSc trials

Main finding

As reported in the abstract

  • Three historical trial concepts: single-organ studies; single-organ primary endpoint with supportive secondary endpoints across other systems; studies designed to show disease modification through combined endpoints
  • Growing importance of patient-reported outcomes, such as HAQ-DI and ScleroID
  • Emergence of candidate composite endpoints, including the revised Composite Response Index in SSc, integrating clinical, functional and patient-centred measures
  • Many endpoints assess damage at advanced stages; need for earlier indicators of disease progression
  • Advocates time-to-event analyses, imaging and biomarker-based assessments, and refining composite endpoints to include continuous measures and vascular and gastrointestinal domains

Original publication

Expert viewpoint on endpoints in systemic sclerosis: current and future outlook. RMD Open. Published 15 July 2026. doi:10.1136/rmdopen-2026-006784

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.