Vasculitis & polymyalgia rheumatica

Measuring treatment outcomes and change in disease activity in giant cell arteritis: a systematic literature review informing the development of the EULAR-ACR response criteria on behalf of the EULAR-ACR response criteria in giant cell arteritis task force

RMD OpenPublished Systematic literature review

Authors' conclusion

The results of this SLR demonstrate that definitions of response used in clinical studies of GCA are scant and heterogeneous. RCTs and LOS mainly used remission and relapse as treatment outcomes.

Study context

Population
Randomised controlled trials (RCTs), longitudinal observational studies (LOS) with >20 subjects and qualitative research studies on response to treatment and change in disease activity in giant cell arteritis (GCA)11 RCTs, 104 LOS, 1 qualitative study
Participants
116 participants
Outcome
Criteria and descriptors used to measure response to treatment and change in disease activity in GCA

Main finding

As reported in the abstract

Active disease described in LOS

19%

Remission reported in RCTs; predominantly defined as combination of clinical and laboratory components

73%

Remission reported in LOS

42%

Relapse reported in LOS

86%

Original publication

Measuring treatment outcomes and change in disease activity in giant cell arteritis: a systematic literature review informing the development of the EULAR-ACR response criteria on behalf of the EULAR-ACR response criteria in giant cell arteritis task force. RMD Open. Published 22 June 2023. doi:10.1136/rmdopen-2023-003233

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