“We are stuck with steroids in lupus; they work and they work fast,” Dr. Petri says. “We just cannot maintain them long term at 6 mg or more.”
Other research by her group suggested that durable remission is rare among SLE patients, supporting her study’s position that LLDAS is a more reachable goal for a treat-to-target strategy.2 She agrees with Dr. Morand and Dr. van Vollenhoven that a clinical trial will be needed to confirm whether such an approach is in SLE patients’ best interests. “But now, at least, we have the target,” Dr. Morand says.
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Bryn Nelson, PhD, is a medical journalist based in Seattle.
References
- Petri M, Magder LS. Comparison of remission and lupus low disease activity state in damage prevention in a United States systemic lupus erythematosus cohort. Arthritis Rheumatol. 2018 May 27. [Epub ahead of print]
- Wilhelm TR, Magder LS, Petri M. Remission in systemic lupus erythematosus: durable remission is rare. Ann Rheum Dis. 2017;76:547–553.