Systemic sclerosis & Raynaud's

Extent of fibrosis and lung function decline in patients with systemic sclerosis and interstitial lung disease: data from the SENSCIS trial

Rheumatology (Oxford)Published Secondary analysis of the SENSCIS randomised trial

Authors' conclusion

Data from the SENSCIS trial suggest that patients with SSc-ILD are at risk of ILD progression and benefit from nintedanib largely irrespective of their extent of fibrotic ILD at baseline.

Study context

Population
Patients with SSc-ILD in the SENSCIS trial
Participants
288 vs 288
Comparison
Association of baseline extent of fibrotic interstitial lung disease (ILD) on high-resolution computed tomography (HRCT) (and its interplay with forced vital capacity (FVC) % predicted) with FVC decline over 52 weeks, in placebo and nintedanib groups
  • Placebon = 288
  • Nintedanibn = 288
Primary endpoint
Association between extent of fibrotic ILD on HRCT at baseline and decline in FVC % predicted
Follow-up
Week 52
Methodological detailsgeneralized additive models
  • Generalized additive models

Primary result

As reported in the abstract

Correlation between baseline extent of fibrotic ILD and decline in FVC % predicted

Placebo

−0.09

r · 95% CI −0.2–0.03

Nintedanib

0.01

r · 95% CI −0.11–0.12

Further findings

Interplay of baseline extent of fibrotic ILD and FVC % predicted with FVC % predicted decline · week 52

Placebo: higher values of both tended to be associated with greater decline
Nintedanib: no evidence of an association

Original publication

Extent of fibrosis and lung function decline in patients with systemic sclerosis and interstitial lung disease: data from the SENSCIS trial. Rheumatology (Oxford). Published 16 September 2022. doi:10.1093/rheumatology/keac535

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