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

Eur J Intern Med. 2020 Apr:74:29-34. doi: 10.1016/j.ejim.2020.01.018. Epub 2020 Feb 1.

Abstract

Systemic lupus erythematosus (SLE) is the most paradigmatic disorder within systemic autoimmune diseases. The concept and principles of treat-to-target (T2T) in SLE were established half a decade ago and, since then, remarkable advances have been made. An international consensus was organized in order to define and unify the term remission, although plurality, with subtle nuances still exists and has not been overcome. Also, lupus low disease activity state (LLDAS) was coined as an alternative and, perhaps, more realistic target. Both of them have proven to be meaningful in terms of improving several outcomes, and have opened the path for future research in clinical trials. This review arises from the need to summarize the current state of some of the recommendations of the T2T task force.

Keywords: Low level disease activity; Remission; Systemic lupus erythematosus; Treat-to-target in SLE.

Publication types

  • Review

MeSH terms

  • Humans
  • Lupus Erythematosus, Systemic* / drug therapy
  • Remission Induction
  • Severity of Illness Index