Systemic sclerosis & Raynaud's

Long-Term Data on Efficacy and Safety of Selexipag for Digital Systemic Sclerosis Vasculopathy

J RheumatolPublished Prospective case series

Authors' conclusion

We observed a sustained efficacy of selexipag on SSc digital vasculopathy during 1 year of administration.

Study context

Population
Patients with systemic sclerosis (SSc) with severe digital vasculopathy refractory or with contraindication to all other vasoactive therapies (63% female, mean age 50.1 years)
Participants
8 patients
Outcome
RP and DU outcomes at 12 months
Follow-up
12 months
Methodological detailssingle-group, 12-month follow-up
  • Single-group
  • 12-month follow-up

Main finding

As reported in the abstract

12 months
Raynaud phenomenon (RP) daily episodes significantly decreased
P < 0.001
RP mean duration significantly decreased
P = 0.01
Complete healing of digital ulcers (DUs) in all patients within 6 months
P = 0.03

Observational data: associations, not effects.

Further findings

Fingers skin score (modified Rodnan)

Progressive reduction
P = 0.03

Total digital perfusion (laser speckle contrast analysis (LASCA))

Important increase despite seasonal variability
P = 0.004

Capillary structure (nailfold videocapillaroscopy (NVC))

No structural changes

Original publication

Long-Term Data on Efficacy and Safety of Selexipag for Digital Systemic Sclerosis Vasculopathy. J Rheumatol. Published 15 June 2024. doi:10.3899/jrheum.2024-0103

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