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Eligibility for clinical trials in primary sjögren's syndrome: Lessons from the UK primary sjögren's syndrome registry

  • on behalf of the UK Primary Sjögren’s Syndrome Registry
  • University Hospitals Birmingham NHS Foundation Trust
  • Newcastle upon Tyne Hospitals NHS Foundation Trust
  • Newcastle University
  • Great Western Hospitals NHS Foundation Trust
  • University of Leeds
  • Leeds Teaching Hospitals NHS Trust
  • Nottingham University Hospitals NHS Trust
  • Barts Health NHS Trust
  • NHS Greater Glasgow and Clyde
  • NHS Fife
  • Hampshire Hospitals NHS Foundation Trust
  • University Hospitals of Derby and Burton NHS Foundation Trust
  • University College London Hospitals NHS Foundation Trust
  • Gateshead Health NHS Foundation Trust
  • South Tyneside and Sunderland NHS Foundation Trust
  • Mid and South Essex NHS Foundation Trust
  • Royal United Hospitals Bath NHS Foundation Trust
  • Portsmouth Hospitals University NHS Trust
  • Liverpool University Hospitals NHS Foundation Trust
  • Sheffield Teaching Hospitals NHS Foundation Trust
  • University of Birmingham
  • Birmingham Community Healthcare NHS Foundation Trust
  • Barking, Havering and Redbridge University Hospitals NHS Trust
  • Dudley Group NHS Foundation Trust
  • Frimley Health NHS Foundation Trust
  • Harrogate and District NHS Foundation Trust
  • East Suffolk and North Essex NHS Foundation Trust
  • East Cheshire NHS Trust
  • Torbay and South Devon NHS Foundation Trust

Research output: Contribution to journalArticlepeer-review

Abstract

Objective: To identify numbers of participants in the UK Primary Sjögren's Syndrome Registry (UKPSSR) who would fulfil eligibility criteria for previous/current or potential clinical trials in primary SS (pSS) in order to optimize recruitment. Methods: We did a retrospective analysis of UKPSSR cohort data of 688 participants who had pSS with evaluable data. Results: In relation to previous/current trials, 75.2% fulfilled eligibility for the Belimumab in Subjects with Primary Sjögren's Syndrome study (Belimumab), 41.4% fulfilled eligibility for the Trial of Remicade in primary Sjögren's syndrome study (Infliximab), 35.4% for the Efficacy of Tocilizumab in Primary Sjögren's Syndrome study (Tocilizumab), 31.6% for the Tolerance and Efficacy of Rituximab in Sjögren's Disease study (Rituximab), 26.9% for the Trial of anti-B-cell therapy in pSS study (Rituximab) and 26.6% for the Efficacy and Safety of Abatacept in Patients With Primary Sjögren's Syndrome study (Abatacept). If recent measures of outcome, such as the EULAR Sjögren's Syndrome Patient Reported Index (ESSPRI) score55 (measure of patient symptoms) and the EULAR Sjögren's Syndrome Disease Activity Index (ESSDAI) score55 (measure of systemic disease activity) are incorporated into a study design, with requirements for an unstimulated salivary flow>0 and anti-Ro positivity, then the pool of eligible participants is reduced to 14.3%. Conclusion: The UKPSSR identified a number of options for trial design, including selection on ESSDAI≥5, ESSPRI≥5 and serological and other parameters.

Original languageEnglish
Pages (from-to)544-552
Number of pages9
JournalRheumatology
Volume55
Issue number3
DOIs
Publication statusPublished - 1 Mar 2016
Externally publishedYes

Keywords

  • Clinical trial
  • Eligibility
  • Registry
  • Sjögren's

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