Skip to main content
Top
Published in: Rheumatology International 5/2021

01-05-2021 | Systemic Lupus Erythematosus | Cohort Studies

Indian SLE Inception cohort for Research (INSPIRE): the design of a multi-institutional cohort

Authors: Vineeta Shobha, Amita Aggarwal, Liza Rajasekhar, Avinash Jain, Ranjan Gupta, Bidyut Das, Ashish J. Mathew, Manish Rathi, Parasar Ghosh, Vir Singh Negi, Abhishek Tripathi, Ramnath Misra

Published in: Rheumatology International | Issue 5/2021

Login to get access

Abstract

Systemic lupus erythematosus (SLE) cohorts across the world have allowed better understanding of SLE, including its bimodal mortality, and the impact of social factors and ethnicity on outcomes. The representation of patients from South Asia has been poor in the existing SLE cohorts across the world. Hence, we planned to initiate an inception cohort to understand the diversity of lupus in India. Indian SLE Inception cohort for REsearch (INSPIRE), planned over 5 years is a multi-centric cohort of adult and childhood lupus patients of Indian origin, fulfilling the SLICC-2012 classification criteria, with an aim to provide cross-sectional information on demography, ethnicity, socio-economic status, standard disease variables, quality of life, and prospective information on new events like hospitalization, infections, pregnancies, changes in disease activity, and damage. One of the other deliverables of this project is the establishment of a biorepository. The instruments to be used for each variable and outcome were finalized, and a web-enabled case report form was prepared to encompass SLEDAI, BILAG, SLICC damage scores, and Lupus quality-of-life index.
Ten centers located in different geographic areas of India would enroll patients who are seen for the first time after the start of the study. In the first 8 months, 476 patients (63 children, 36 males) have been enrolled with a median disease duration of 10 (IQR 4–17) months and mucocutaneous features being the most prevalent clinical manifestations. INSPIRE is the first prospective Indian SLE cohort to study the diversity of Indian patients.
Appendix
Available only for authorised users
Literature
9.
go back to reference Pons-Estel GJ, Catoggio LJ, Cardiel MH, Bonfa E, Caeiro F, Sato E, Massardo L, Molina-Restrepo JF, Toledano MG, Barile-Fabris LA, Amigo MC, Acevedo-Vásquez EM, Abadi I, Wojdyla D, Alarcón-Riquelme ME, Alarcón GS, Pons-Estel BA, GLADEL (2015) Lupus in Latin-American patients: lessons from the GLADEL cohort. Lupus 24:536–545. https://doi.org/10.1177/0961203314567753CrossRefPubMed Pons-Estel GJ, Catoggio LJ, Cardiel MH, Bonfa E, Caeiro F, Sato E, Massardo L, Molina-Restrepo JF, Toledano MG, Barile-Fabris LA, Amigo MC, Acevedo-Vásquez EM, Abadi I, Wojdyla D, Alarcón-Riquelme ME, Alarcón GS, Pons-Estel BA, GLADEL (2015) Lupus in Latin-American patients: lessons from the GLADEL cohort. Lupus 24:536–545. https://​doi.​org/​10.​1177/​0961203314567753​CrossRefPubMed
10.
go back to reference Li M, Zhang W, Leng X, Li Z, Ye Z, Li C, Li X, Zhu P, Wang Z, Zheng Y, Li X, Zhang M, Zhang F, Zhao Y, Zeng X, CSTAR co-authors, (2013) Chinese SLE Treatment and Research group (CSTAR) registry: I. major clinical characteristics of Chinese patients with systemic lupus erythematosus. Lupus 22:1192–1199. https://doi.org/10.1177/0961203313499086CrossRefPubMed Li M, Zhang W, Leng X, Li Z, Ye Z, Li C, Li X, Zhu P, Wang Z, Zheng Y, Li X, Zhang M, Zhang F, Zhao Y, Zeng X, CSTAR co-authors, (2013) Chinese SLE Treatment and Research group (CSTAR) registry: I. major clinical characteristics of Chinese patients with systemic lupus erythematosus. Lupus 22:1192–1199. https://​doi.​org/​10.​1177/​0961203313499086​CrossRefPubMed
12.
go back to reference Pons-Estel BA, Catoggio LJ, Cardiel MH, Soriano ER, Gentiletti S, Villa AR, Abadi I, Caeiro F, Alvarellos A, Alarcón-Segovia D, Latinoamericano G, de Estudio del Lupus (2004) The GLADEL multinational Latin American prospective inception cohort of 1214 patients with systemic lupus erythematosus: ethnic and disease heterogeneity among “Hispanics.” Medicine (Baltimore) 83:1–17. https://doi.org/10.1097/01.md.0000104742.42401.e2CrossRef Pons-Estel BA, Catoggio LJ, Cardiel MH, Soriano ER, Gentiletti S, Villa AR, Abadi I, Caeiro F, Alvarellos A, Alarcón-Segovia D, Latinoamericano G, de Estudio del Lupus (2004) The GLADEL multinational Latin American prospective inception cohort of 1214 patients with systemic lupus erythematosus: ethnic and disease heterogeneity among “Hispanics.” Medicine (Baltimore) 83:1–17. https://​doi.​org/​10.​1097/​01.​md.​0000104742.​42401.​e2CrossRef
15.
go back to reference Petri M (1996) Hydroxychloroquine use in the Baltimore Lupus Cohort: effects on lipids, glucose and thrombosis. Lupus 5(Suppl 1):S16-22CrossRefPubMed Petri M (1996) Hydroxychloroquine use in the Baltimore Lupus Cohort: effects on lipids, glucose and thrombosis. Lupus 5(Suppl 1):S16-22CrossRefPubMed
21.
go back to reference Kandane-Rathnayake R, Golder V, Louthrenoo W, Luo SF, Jan Wu YJ, Li Z, An Y, Lateef A, Sockalingam S, Navarra SV, Zamora L, Hamijoyo L, Katsumata Y, Harigai M, Chan M, O’Neill S, Goldblatt F, Hao Y, Zhang Z, Al-Saleh J, Khamashta M, Takeuchi T, Tanaka Y, Bae SC, Lau CS, Hoi A, Nikpour M, Morand EF (2019) Development of the Asia Pacific lupus collaboration cohort. Int J Rheum Dis 22:425–433. https://doi.org/10.1111/1756-185X.13431CrossRefPubMed Kandane-Rathnayake R, Golder V, Louthrenoo W, Luo SF, Jan Wu YJ, Li Z, An Y, Lateef A, Sockalingam S, Navarra SV, Zamora L, Hamijoyo L, Katsumata Y, Harigai M, Chan M, O’Neill S, Goldblatt F, Hao Y, Zhang Z, Al-Saleh J, Khamashta M, Takeuchi T, Tanaka Y, Bae SC, Lau CS, Hoi A, Nikpour M, Morand EF (2019) Development of the Asia Pacific lupus collaboration cohort. Int J Rheum Dis 22:425–433. https://​doi.​org/​10.​1111/​1756-185X.​13431CrossRefPubMed
23.
go back to reference Abujam B, Gupta A, Suri D, Rawat A, Singh S (2016) Trends and predictors of mortality in childhood onset lupus in a single North-Indian centre over 23 years: a retrospective study. Clin Exp Rheumatol 34:554–559PubMed Abujam B, Gupta A, Suri D, Rawat A, Singh S (2016) Trends and predictors of mortality in childhood onset lupus in a single North-Indian centre over 23 years: a retrospective study. Clin Exp Rheumatol 34:554–559PubMed
25.
go back to reference Doley D, Kakati S, Saikia L, Rajadhyaksha A, Nadkar M, Khadilkar P, Patwardhan M, Pradhan V (2017) A comparitive study of anticardiolipin antibodies among systemic lupus erythematosus patients from Western and Eastern India. J Assoc Physicians India 65:14–19PubMed Doley D, Kakati S, Saikia L, Rajadhyaksha A, Nadkar M, Khadilkar P, Patwardhan M, Pradhan V (2017) A comparitive study of anticardiolipin antibodies among systemic lupus erythematosus patients from Western and Eastern India. J Assoc Physicians India 65:14–19PubMed
29.
go back to reference McElhone K, Abbott J, Shelmerdine J, Bruce IN, Ahmad Y, Gordon C, Peers K, Isenberg D, Ferenkeh-Koroma A, Griffiths B, Akil M, Maddison P, Teh LS (2007) Development and validation of a disease-specific health-related quality of life measure, the LupusQol, for adults with systemic lupus erythematosus. Arthritis Rheum 57:972–979. https://doi.org/10.1002/art.22881CrossRefPubMed McElhone K, Abbott J, Shelmerdine J, Bruce IN, Ahmad Y, Gordon C, Peers K, Isenberg D, Ferenkeh-Koroma A, Griffiths B, Akil M, Maddison P, Teh LS (2007) Development and validation of a disease-specific health-related quality of life measure, the LupusQol, for adults with systemic lupus erythematosus. Arthritis Rheum 57:972–979. https://​doi.​org/​10.​1002/​art.​22881CrossRefPubMed
30.
go back to reference Fanouriakis A, Kostopoulou M, Alunno A, Aringer M, Bajema I, Boletis JN, Cervera R, Doria A, Gordon C, Govoni M, Houssiau F, Jayne D, Kouloumas M, Kuhn A, Larsen JL, Lerstrøm K, Moroni G, Mosca M, Schneider M, Smolen JS, Svenungsson E, Tesar V, Tincani A, Troldborg A, van Vollenhoven R, Wenzel J, Bertsias G, Boumpas DT (2019) 2019 update of the EULAR recommendations for the management of systemic lupus erythematosus. Ann Rheum Dis 78:736–745. https://doi.org/10.1136/annrheumdis-2019-215089CrossRefPubMed Fanouriakis A, Kostopoulou M, Alunno A, Aringer M, Bajema I, Boletis JN, Cervera R, Doria A, Gordon C, Govoni M, Houssiau F, Jayne D, Kouloumas M, Kuhn A, Larsen JL, Lerstrøm K, Moroni G, Mosca M, Schneider M, Smolen JS, Svenungsson E, Tesar V, Tincani A, Troldborg A, van Vollenhoven R, Wenzel J, Bertsias G, Boumpas DT (2019) 2019 update of the EULAR recommendations for the management of systemic lupus erythematosus. Ann Rheum Dis 78:736–745. https://​doi.​org/​10.​1136/​annrheumdis-2019-215089CrossRefPubMed
32.
go back to reference Gladman DD, Ibañez D, Urowitz MB (2002) Systemic lupus erythematosus disease activity index 2000. J Rheumatol 29:288–291PubMed Gladman DD, Ibañez D, Urowitz MB (2002) Systemic lupus erythematosus disease activity index 2000. J Rheumatol 29:288–291PubMed
33.
go back to reference Hay EM, Bacon PA, Gordon C et al (1993) The BILAG index: a reliable and valid instrument for measuring clinical disease activity in systemic lupus erythematosus. Q J Med 86:447–458PubMed Hay EM, Bacon PA, Gordon C et al (1993) The BILAG index: a reliable and valid instrument for measuring clinical disease activity in systemic lupus erythematosus. Q J Med 86:447–458PubMed
34.
go back to reference Isenberg DA, Rahman A, Allen E, Farewell V, Akil M, Bruce IN, D’Cruz D, Griffiths B, Khamashta M, Maddison P, McHugh N, Snaith M, Teh LS, Yee CS, Zoma A, Gordon CBILAG (2004) (2005) Development and initial validation of an updated version of the British Isles Lupus Assessment Group’s disease activity index for patients with systemic lupus erythematosus. Rheumatology (Oxford) 44:902–906. https://doi.org/10.1093/rheumatology/keh624CrossRef Isenberg DA, Rahman A, Allen E, Farewell V, Akil M, Bruce IN, D’Cruz D, Griffiths B, Khamashta M, Maddison P, McHugh N, Snaith M, Teh LS, Yee CS, Zoma A, Gordon CBILAG (2004) (2005) Development and initial validation of an updated version of the British Isles Lupus Assessment Group’s disease activity index for patients with systemic lupus erythematosus. Rheumatology (Oxford) 44:902–906. https://​doi.​org/​10.​1093/​rheumatology/​keh624CrossRef
35.
go back to reference Gladman D, Ginzler E, Goldsmith C, Fortin P, Liang M, Urowitz M, Bacon P, Bombardieri S, Hanly J, Hay E, Isenberg D, Jones J, Kalunian K, Maddison P, Nived O, Petri M, Richter M, Sanchez-Guerrero J, Snaith M, Sturfelt G, Symmons D, Zoma A (1996) The development and initial validation of the Systemic Lupus International Collaborating Clinics/American College of Rheumatology damage index for systemic lupus erythematosus. Arthritis Rheum 39:363–369. https://doi.org/10.1002/art.1780390303CrossRefPubMed Gladman D, Ginzler E, Goldsmith C, Fortin P, Liang M, Urowitz M, Bacon P, Bombardieri S, Hanly J, Hay E, Isenberg D, Jones J, Kalunian K, Maddison P, Nived O, Petri M, Richter M, Sanchez-Guerrero J, Snaith M, Sturfelt G, Symmons D, Zoma A (1996) The development and initial validation of the Systemic Lupus International Collaborating Clinics/American College of Rheumatology damage index for systemic lupus erythematosus. Arthritis Rheum 39:363–369. https://​doi.​org/​10.​1002/​art.​1780390303CrossRefPubMed
Metadata
Title
Indian SLE Inception cohort for Research (INSPIRE): the design of a multi-institutional cohort
Authors
Vineeta Shobha
Amita Aggarwal
Liza Rajasekhar
Avinash Jain
Ranjan Gupta
Bidyut Das
Ashish J. Mathew
Manish Rathi
Parasar Ghosh
Vir Singh Negi
Abhishek Tripathi
Ramnath Misra
Publication date
01-05-2021
Publisher
Springer Berlin Heidelberg
Published in
Rheumatology International / Issue 5/2021
Print ISSN: 0172-8172
Electronic ISSN: 1437-160X
DOI
https://doi.org/10.1007/s00296-020-04766-3

Other articles of this Issue 5/2021

Rheumatology International 5/2021 Go to the issue
Live Webinar | 27-06-2024 | 18:00 (CEST)

Keynote webinar | Spotlight on medication adherence

Live: Thursday 27th June 2024, 18:00-19:30 (CEST)

WHO estimates that half of all patients worldwide are non-adherent to their prescribed medication. The consequences of poor adherence can be catastrophic, on both the individual and population level.

Join our expert panel to discover why you need to understand the drivers of non-adherence in your patients, and how you can optimize medication adherence in your clinics to drastically improve patient outcomes.

Prof. Kevin Dolgin
Prof. Florian Limbourg
Prof. Anoop Chauhan
Developed by: Springer Medicine
Obesity Clinical Trial Summary

At a glance: The STEP trials

A round-up of the STEP phase 3 clinical trials evaluating semaglutide for weight loss in people with overweight or obesity.

Developed by: Springer Medicine