Table 2

Unmet needs and research agenda on SSc-related sicca symptoms

FieldResearch questionsPotential approaches
PathogenesisWhat are the sub-populations involved in the pathogenesis of sicca syndrome in SSc patients, including adaptive immunity (B cells, T cells), innate immunity (macrophages), glandular epithelial cells and fibroblasts?Identification of new subpopulations using new omics technologies such as single cell RNA sequencing for SSc, pSS and overlap of pSS with SSc patients
Are there differences between SSc, pSS and overlap of pSS with SSc patients in terms of major contributing cell sub-populations, suggesting that therapeutic targets may differ between these sub-groups of patients?
Diagnosis and severity assessmentWhat is the contribution of US evaluation to the diagnosis and assessment of major salivary glands in SSc patients with sicca symptoms?Comparison of US parameters with histological findings in SSc, pSS and overlap of pSS with SSc patients
Are there differences between SSc-related sicca symptoms and overlap with pSS in terms of US evaluation and are these differences associated with different histological patterns in minor salivary glands?
Clinical assesmentAre PROs currently used in patients with pSS adapted for sicca syndrome in SSc?Evaluation of the psychometric properties of PROs assessing sicca symptoms in observational cohorts of patients with SSc
Are new PROs needed?
TherapeuticsImpact of new therapeutics on sicca symptoms in patients with SSc (anti-fibrotic drug such as nintedanib, B cell targeting therapies including rituximab or belimumab)Inclusion of sicca symptoms as exploratory outcomes in future RCTs
FieldResearch questionsPotential approaches
PathogenesisWhat are the sub-populations involved in the pathogenesis of sicca syndrome in SSc patients, including adaptive immunity (B cells, T cells), innate immunity (macrophages), glandular epithelial cells and fibroblasts?Identification of new subpopulations using new omics technologies such as single cell RNA sequencing for SSc, pSS and overlap of pSS with SSc patients
Are there differences between SSc, pSS and overlap of pSS with SSc patients in terms of major contributing cell sub-populations, suggesting that therapeutic targets may differ between these sub-groups of patients?
Diagnosis and severity assessmentWhat is the contribution of US evaluation to the diagnosis and assessment of major salivary glands in SSc patients with sicca symptoms?Comparison of US parameters with histological findings in SSc, pSS and overlap of pSS with SSc patients
Are there differences between SSc-related sicca symptoms and overlap with pSS in terms of US evaluation and are these differences associated with different histological patterns in minor salivary glands?
Clinical assesmentAre PROs currently used in patients with pSS adapted for sicca syndrome in SSc?Evaluation of the psychometric properties of PROs assessing sicca symptoms in observational cohorts of patients with SSc
Are new PROs needed?
TherapeuticsImpact of new therapeutics on sicca symptoms in patients with SSc (anti-fibrotic drug such as nintedanib, B cell targeting therapies including rituximab or belimumab)Inclusion of sicca symptoms as exploratory outcomes in future RCTs

PROs: patient reported outcomes; pSS: primary Sjögren’s syndrome; RCT: randomized controlled trial.

Table 2

Unmet needs and research agenda on SSc-related sicca symptoms

FieldResearch questionsPotential approaches
PathogenesisWhat are the sub-populations involved in the pathogenesis of sicca syndrome in SSc patients, including adaptive immunity (B cells, T cells), innate immunity (macrophages), glandular epithelial cells and fibroblasts?Identification of new subpopulations using new omics technologies such as single cell RNA sequencing for SSc, pSS and overlap of pSS with SSc patients
Are there differences between SSc, pSS and overlap of pSS with SSc patients in terms of major contributing cell sub-populations, suggesting that therapeutic targets may differ between these sub-groups of patients?
Diagnosis and severity assessmentWhat is the contribution of US evaluation to the diagnosis and assessment of major salivary glands in SSc patients with sicca symptoms?Comparison of US parameters with histological findings in SSc, pSS and overlap of pSS with SSc patients
Are there differences between SSc-related sicca symptoms and overlap with pSS in terms of US evaluation and are these differences associated with different histological patterns in minor salivary glands?
Clinical assesmentAre PROs currently used in patients with pSS adapted for sicca syndrome in SSc?Evaluation of the psychometric properties of PROs assessing sicca symptoms in observational cohorts of patients with SSc
Are new PROs needed?
TherapeuticsImpact of new therapeutics on sicca symptoms in patients with SSc (anti-fibrotic drug such as nintedanib, B cell targeting therapies including rituximab or belimumab)Inclusion of sicca symptoms as exploratory outcomes in future RCTs
FieldResearch questionsPotential approaches
PathogenesisWhat are the sub-populations involved in the pathogenesis of sicca syndrome in SSc patients, including adaptive immunity (B cells, T cells), innate immunity (macrophages), glandular epithelial cells and fibroblasts?Identification of new subpopulations using new omics technologies such as single cell RNA sequencing for SSc, pSS and overlap of pSS with SSc patients
Are there differences between SSc, pSS and overlap of pSS with SSc patients in terms of major contributing cell sub-populations, suggesting that therapeutic targets may differ between these sub-groups of patients?
Diagnosis and severity assessmentWhat is the contribution of US evaluation to the diagnosis and assessment of major salivary glands in SSc patients with sicca symptoms?Comparison of US parameters with histological findings in SSc, pSS and overlap of pSS with SSc patients
Are there differences between SSc-related sicca symptoms and overlap with pSS in terms of US evaluation and are these differences associated with different histological patterns in minor salivary glands?
Clinical assesmentAre PROs currently used in patients with pSS adapted for sicca syndrome in SSc?Evaluation of the psychometric properties of PROs assessing sicca symptoms in observational cohorts of patients with SSc
Are new PROs needed?
TherapeuticsImpact of new therapeutics on sicca symptoms in patients with SSc (anti-fibrotic drug such as nintedanib, B cell targeting therapies including rituximab or belimumab)Inclusion of sicca symptoms as exploratory outcomes in future RCTs

PROs: patient reported outcomes; pSS: primary Sjögren’s syndrome; RCT: randomized controlled trial.

Close
This Feature Is Available To Subscribers Only

Sign In or Create an Account

Close

This PDF is available to Subscribers Only

View Article Abstract & Purchase Options

For full access to this pdf, sign in to an existing account, or purchase an annual subscription.

Close