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Determination of minimally important difference for short form 36 and Facit Fatigue for Systemic lupus erythematosus
Proposal
998
Title of Proposed Research
Determination of minimally important difference for short form 36 and Facit Fatigue for Systemic lupus erythematosus
Lead Researcher
Meenakshi Jolly, MD, MSCP
Affiliation
Rush University Medical CenterChicago, ILUSA
Funding Source
none
Potential Conflicts of Interest
Lead Researcher: Copyrights to LupusPRO and LIT. However, either of these tools were not used in BLYSS studies and thus unlikely to have conflicts of Interest.
Management of Real or Potential Conflicts of Interest: HoweLIT, LupusPRO were not used in BLYSS studies and thus unlikely to have conflicts of Interest.
All analysis will be scientifically performed
Data Sharing Agreement Date
20 May 2015
Lay Summary
In medical intervention studies, it is advisable to include assessment of a patient's perspective on improvement or worsening in their health status in response to the intervention. This is done using patient reported outcome surveys (e.g. short form 36). However, it is important for the investigators to ensure that the patient reported survey tool does capture even minimal but significant changes in health status in response.
Establishing minimally important differences (MID) values for the patient reported outcome survey tool is therefore important. MID for the same tool can vary by groups of patients e.g. by disease. MID for SF36 for osteoarthritis and rheumatoid arthritis are different, as are for FACIT-Fatigue. MID for short form 36 has been not been established for SLE, and currently we use generic template based MID set for small effect size for SF36 in SLE. Herein, we propose to systematically determine the MID for SF36 and FACIT-Fatigue from longitudinal belimumab study data. The information thus calculated will provide significant advancement in clinical trials designs and interventional trials in SLE in the future.
Study Data Provided
[{ "PostingID": 1416, "Title": "GSK-HGS1006-C1056", "Description": "A Phase 3, Multi-Center, Randomized, Double-Blind, Placebo-Controlled, 76-Week Study to Evaluate the Efficacy and Safety of Belimumab (HGS1006, LymphoStat-B™), a Fully Human Monoclonal Anti-BLyS Antibody, in Subjects with Systemic Lupus Erythematosus (SLE)" },{ "PostingID": 1417, "Title": "GSK-HGS1006-C1057", "Description": "A Phase 3, Multi-Center, Randomized, Double-Blind, Placebo-Controlled, 52-Wk Study to Evaluate the Efficacy and Safety of Belimumab (HGS1006, LymphoStat-B™), a Fully Human Monoclonal Anti-BLyS Antibody, in Subjects With Systemic Lupus Erythematosus (SLE)" }]
Statistical Analysis Plan
we will use anchor based and distribution based methods.Anchors will be based on changes in disease activity. Established MID for changes in PGA, SLEDAI and BILAG will be used to assess mean change in SF36 and FACIT-Fatigue. Standard response means and effect sizes will be obtained, to establish MID.We will also use the well described distribution based methods to establish MID for SF36 and FACIT-FT.All data will be analysed irrespective of placebo or treatment groups assignment.We will also test same analysis startified by underlying diagnosis of Fibromyalgia or not, to see if MID's are different. Mixed models for repeated measures will be performed for above analysis based on worsening, improved or unchanged disease activity status. We will also calculate MID for SLE responder Index definition used in BLYSS studies.
Publication Citation
Devilliers H, Annapureddy N, Jolly M. Minimal Clinically Important Differences for Generic Patient Reported Outcomes Tools in SLE [abstract]. Arthritis Rheumatol. 2016; 68 (suppl 10).
https://acrabstracts.org/abstract/minimal-clinically-important-differences-for-generic-patient-reported-outcomes-tools-in-sle/
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