Systemic sclerosis & Raynaud's

Outcomes of Patients With Diffuse Systemic Sclerosis Eligible for Autologous Stem Cell Transplantation Treated With Conventional Therapy

Arthritis RheumatolPublished Cohort study

Authors' conclusion

ASCS patients meeting ASTIS and/or SCOT inclusion criteria who were not treated with ASCT have similar EFS at 4 years as patients receiving ASCT and better EFS than those receiving cyclophosphamide in the ASTIS and SCOT trials.

Study context

Population
Australian patients with diffuse cutaneous systemic sclerosis (dcSSc) in the multicentre Australian Scleroderma Cohort Study meeting eligibility criteria for autologous stem cell transplant (ASCT) trials but not treated with ASCTdcSSc in the Australian Scleroderma Cohort Study (ASCS)
Participants
492 patients
Exposure
ASCS patients with dcSSc meeting ASTIS or SCOT inclusion criteria, not treated with ASCT
  • ASTISn = 56
  • SCOTn = 30
Outcome
EFS (survival without cardiac, renal, or pulmonary failure or death)
Follow-up
4 years
Methodological detailsmulticentre, ASCS patients who had already undergone transplantation were excluded from analysis
  • Multicentre
  • ASCS patients who had already undergone transplantation were excluded from analysis

Main finding

As reported in the abstract

EFS

Observational data: associations, not effects.

Further findings

OutcomeValues
EFS in patients meeting inclusion but also exclusion criteria (excluded due to severe organ manifestations) · 4 yearsASTIS inclusion + exclusion criteria 46.7% · SCOT inclusion + exclusion criteria 45.7%
Proportion of ASCS dcSSc patients meeting trial inclusion criteriaASTIS-eligible 11.4% · SCOT-eligible 6.1%
  • Event-free survival (EFS) in patients meeting inclusion but also exclusion criteria (excluded due to severe organ manifestations): 11 additional patients met ASTIS or SCOT inclusion criteria but were excluded

Original publication

Outcomes of Patients With Diffuse Systemic Sclerosis Eligible for Autologous Stem Cell Transplantation Treated With Conventional Therapy. Arthritis Rheumatol. Published 8 May 2024. doi:10.1002/art.42850

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