Vasculitis & polymyalgia rheumatica

What is a response in randomised controlled trials in giant cell arteritis?

Ann Rheum DisPublished Viewpoint article

Main finding

As reported in the abstract

  • Previous randomised controlled trials (RCTs) in giant cell arteritis (GCA) applied different primary endpoints, limiting comparison of treatment effects in meta-analyses and creating heterogeneity of outcomes
  • Change of disease activity is a fundamental component of response; whether GC tapering and/or maintenance of a disease state for a specific period should be part of response assessment is debatable
  • Imaging and novel laboratory biomarkers as possible objective markers of disease activity need further investigation, possibly where drugs influence ESR and CRP
  • Future response criteria might be a multidomain set; domains and their relative weights remain to be defined

Original publication

What is a response in randomised controlled trials in giant cell arteritis? Ann Rheum Dis. Published 17 February 2023. doi:10.1136/ard-2022-223751

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