Lupus & antiphospholipid syndrome

When is the right time to change therapy? An observational study of the time to response to immunosuppressive drugs in systemic lupus erythematosus

Lupus Sci MedPublished Observational cohort study

Authors' conclusion

Our findings suggest that clinical improvement of extrarenal flares typically occurs within 6 months of initiating IS.

Study context

Population
Patients with SLE with extrarenal flares requiring a change in immunosuppressants, 2015–2022
Participants
81 patients
Exposure
Late responders vs Early responders
Outcome
Response to immunosuppressants (LLDAS5)
Follow-up
12 months
Methodological detailsCox model analysis, contingency table analysis
  • Cox model analysis
  • Contingency table analysis

Main finding

As reported in the abstract

Association of IS change with achieving LLDAS5
Cox model: significant association of a change in immunosuppressants (IS) with achieving lupus low disease activity state (LLDAS5)
p=0.019
Significant relationship between IS change at 6 months and achieving LLDAS5 and remission at 12 months
p=0.004

Observational data: associations, not effects.

Original publication

When is the right time to change therapy? An observational study of the time to response to immunosuppressive drugs in systemic lupus erythematosus. Lupus Sci Med. Published 23 July 2024. doi:10.1136/lupus-2024-001207

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