Systemic sclerosis & Raynaud's

Long-term effects of selexipag in SSc-associated digital ulcers: a case-control multicentre observational study

Rheumatology (Oxford)Published Retrospective case-control study

Authors' conclusion

This observational study suggests that selexipag may be strongly effective in treating DUs refractory to conventional drugs.

Study context

Population
SSc patients with refractory digital ulcersmatched case-control
Participants
96 patients
Comparison
Selexipag vs iloprost for refractory SSc-associated digital ulcers (DUs)
  • Selexipagn = 32
  • Iloprostn = 64reference
Outcome
DU healing rate (long-term efficacy in treating DUs)
Follow-up
96 weeks
Methodological detailsmulticentre, matched for gender, disease subset and age, Kaplan-Meier analysis
  • Multicentre
  • Matched for gender, disease subset and age
  • Kaplan-Meier analysis

Main finding

As reported in the abstract

DU healing rate

P < 0.001

Observational data: associations, not effects.

Further findings

DU relapse rate · 24 months

P < 0.001

New DU formation · 24 months

P < 0.001

OutcomeSelexipagIloprost
Time to healing · week 4075%— not stated in the abstract

— not stated in the abstract

DU number, Raynaud Condition Score (RCS) and Likert Pain Scale (LPS) · throughout 24 months
P < 0.001 for all

DU number, RCS and LPS · throughout 24 months

Significant improvement with selexipag vs iloprost

Time to healing · week 40

Faster healing with selexipag

Original publication

Long-term effects of selexipag in SSc-associated digital ulcers: a case-control multicentre observational study. Rheumatology (Oxford). Published 3 June 2025. doi:10.1093/rheumatology/keaf292

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