Systemic sclerosis & Raynaud's

Neutrophil-to-lymphocyte ratio as a biomarker for clinical response after autologous haematopoietic stem cell transplantation in systemic sclerosis

Rheumatology (Oxford)Published Retrospective cohort study

Authors' conclusion

NLR is a simple biomarker that correlated with outcome measures in SSc following AHSCT but not with conventional therapy or CAR-T therapy.

Study context

Population
Patients with progressive diffuse SSc
Exposure
AHSCT vs rituximab plus MMF vs CAR-T therapy, with healthy controls
  • AHSCTn = 15
  • Combinationn = 15
  • CAR-Tn = 6
Outcome
NLR changes as a biomarker for treatment response
Follow-up
2 years
Methodological detailslinear mixed model, 2-year follow-up
  • Linear mixed model
  • 2-year follow-up

Main finding

As reported in the abstract

NLR change over time · up to 24 months
Neutrophil-to-lymphocyte ratio (NLR) increased above 3 in two patients who relapsed after AHSCT
2

Observational data: associations, not effects.

Further findings

Baseline mean NLR

Baseline mean NLR high (>2.95) in AHSCT, combination and CAR-T vs HC

Modified Rodnan Skin Score (mRSS) and forced vital capacity (FVC)% predicted · up to 12 months

All treatment arms showed a significant decrease in mRSS and an increase in FVC% at each time point up to 12 months

Original publication

Neutrophil-to-lymphocyte ratio as a biomarker for clinical response after autologous haematopoietic stem cell transplantation in systemic sclerosis. Rheumatology (Oxford). Published 1 November 2024. doi:10.1093/rheumatology/keae606

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