Response criteria for cutaneous SLE in clinical trials

Marta Mosca, Michael Lockshin, Matthias Schneider, Matthew H. Liang*, Joerg Albrecht, Martin Aringer, Stefano Bombardieri, Jill Buyon, Richard Cervera, Paola dePablo, Barri J. Fessler, Rebecca Fischer-Betz, Victoria Gall, Dafna Gladman, Nicolas Hunzelman, Joachim R. Kalden, Thomas Krieg, Annegret Kuhn, Lela Lee, David NorrisJutta Richter, Animesh Sinha, Josef Smolen, Richard Sontheimer, Cristof Specker, Victoria P. Werth

*Corresponding author for this work

Research output: Contribution to journalReview articlepeer-review

5 Citations (Scopus)

Abstract

Systemic lupus erythematosus (SLE) is a complex phenotype characterized by a wide variety of clinical manifestations but the skin is involved in 70-80% of patients. Acute cutaneous lupus erythematosus lesions, like other organ manifestations of SLE wax and wane with other manifestations of active disease and quantifying it is a useful a "signal" to screen new therapies in SLE and pre- and post-treatment biopsies can be additionally informative. The ACR has recommended a priori response criteria for SLE Activity Measures (2) and that these be used along with organ specific response criteria in clinical trials. We review the literature on evaluation of skin manifestations in lupus erythematosus (LE) and propose the parameters of evaluating responsiveness and criteria for minimal clinically important changes in skin manifestations. The Committee presents two options for grading skin manifestations. These recommendations add to the tools of SLE trials.

Original languageEnglish
Pages (from-to)666-671
Number of pages6
JournalClinical and Experimental Rheumatology
Volume25
Issue number5
Publication statusPublished - Sept 2007

Keywords

  • Clinical trials
  • Cutaneous lupus
  • Response criteria
  • Severity
  • SLE

ASJC Scopus subject areas

  • Rheumatology
  • Immunology and Allergy
  • Immunology

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