Systemic sclerosis & Raynaud's

Preliminary Clinical and Laser Speckle Contrast Analysis Data on Selexipag Efficacy for the Treatment of Digital Vasculopathy in Systemic Sclerosis

J RheumatolPublished Prospective case series

Authors' conclusion

Selexipag showed good potential for the treatment of SSc digital vasculopathy.

Study context

Population
Patients with systemic sclerosis (SSc) with severe digital vasculopathy refractory or with contraindication to all other vasoactive therapies (66.6% female, mean age 52.3 [SD 16.6] yrs)1 stopped for adverse effects
Participants
9 patients
Exposure
Selexipag, baseline vs after 3 months
  • Selexipagn = 9
Outcome
RP- and DU-related clinical outcomes and digital perfusion by laser speckle contrast analysis (LASCA)
Follow-up
3 months
Methodological detailssingle-group, before-after (baseline vs 3 months)
  • Single-group
  • Before-after (baseline vs 3 months)

Main finding

As reported in the abstract

RP- and DU-related outcomes and digital perfusion, baseline vs 3 months
Significant reduction in Raynaud phenomenon (RP) daily episodes
P = 0.01
Significant reduction in RP mean duration
P = 0.04
Significant improvement in mean perfusion of the fingers (laser speckle contrast analysis (LASCA))
P = 0.02

Observational data: associations, not effects.

Safety

Discontinuation because of adverse effects

One patient had to stop the drug because of adverse effects
1

Original publication

Preliminary Clinical and Laser Speckle Contrast Analysis Data on Selexipag Efficacy for the Treatment of Digital Vasculopathy in Systemic Sclerosis. J Rheumatol. Published 1 April 2023. doi:10.3899/jrheum.221113

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