Treat-to-target in systemic lupus erythematosus: where are we today?

Marta Mosca1, Dimitrios T Boumpas, Ian N Bruce

  • 1Rheumatology Unit, Department of Internal Medicine, University of Pisa, Italy. marta.mosca@med.unipi.it

Insights

Treating systemic lupus erythematosus (SLE) using a treat-to-target approach, similar to rheumatoid arthritis (RA) protocols, may improve patient outcomes. Further research and a defined agenda are needed to establish this strategy for SLE management.

Area of Science:

  • Rheumatology
  • Immunology

Background:

  • Rheumatoid arthritis (RA) treatment success is linked to achieving pre-specified disease activity targets.
  • Systemic lupus erythematosus (SLE) management may benefit from a similar structured approach.

Purpose of the Study:

  • To evaluate the applicability of a treat-to-target (T2T) strategy for SLE.
  • To define a research agenda and plan for T2T/SLE implementation.

Main Methods:

  • A European expert panel convened to discuss T2T/SLE.
  • Literature review of potential therapeutic targets in SLE.

Main Results:

  • Evidence from RA trials suggests target-driven therapy improves outcomes.
  • The panel discussed the potential for T2T/SLE and identified research needs.

Conclusions:

  • A treat-to-target approach is being considered for systemic lupus erythematosus.
  • Further research and a structured plan are required to advance T2T/SLE.

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