Sjögren's disease & overlap diseases

Stability and prognostic value of B-cell markers in primary SS: results from the French ASSESS cohort

Rheumatology (Oxford)Published Prospective cohort study

Authors' conclusion

B-cell biomarkers profile in SjD is largely stable over time. However, a high baseline 'B-cell burden' identifies patients at risk of poorer outcomes

Study context

Population
Patients with primary Sjögren's disease (SjD) fulfilling AECG criteria with ≥2 visits including immunological assessments and ClinESSDAI over 5 years, French ASSESS cohortof 395 ASSESS participants
Participants
362 patients
Exposure
Number of abnormal baseline B-cell markers
Outcome
Longitudinal evolution of B-cell biomarkers and association with clinical disease course (ClinESSDAI)
Methodological detailsmulticentre, longitudinal, Mean follow-up 56.4 months (±10.6); mean 5.3 visits per patient (±0.5)
  • Multicentre
  • Longitudinal
  • Mean follow-up 56.4 months (±10.6); mean 5.3 visits per patient (±0.5)

Main finding

As reported in the abstract

Stability of B-cell biomarkers

B-cell biomarkers remained stable

80.5%

Biological responders (STAR biological domain, IgG decrease), mostly within first year, no correlation with changes in ClinESSDAI or ESSPRI

43.1%

Risk of persistent or worsening disease with multiple B-cell activity markers, particularly ≥5: OR

4.6

95% CI 1.2–17.8P = 0.002

Observational data: associations, not effects.

Further findings

Baseline ClinESSDAI by number of B-cell abnormalities

Did not differ (P = 0.096)

Original publication

Stability and prognostic value of B-cell markers in primary SS: results from the French ASSESS cohort. Rheumatology (Oxford). Published 1 July 2026. doi:10.1093/rheumatology/keag339

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