From: Linaclotide for the treatment of refractory lower bowel manifestations of systemic sclerosis
Clinical variable | n = 31 |
---|---|
Age at first linaclotide dose, mean (SD) | 52 (11) |
Female sex, % (n) | 94 (29) |
White race, % (n) | 68 (21) |
SSc type: Diffuse cutaneous disease, % (n) | 32 (10) |
Disease duration in years, RP or non-RP, median (IQR) | 9 (5–14) |
Medsger GI score at initiation of linaclotide, % (n) | |
0 (Normal) | 0 (0) |
1 (Requiring medications for reflux or abnormal small bowel series) | 6 (2) |
2 (High-dose reflux medications or antibiotics for bacterial overgrowth) | 19 (6) |
3 (Malabsorption syndrome or episodes of pseudo-obstruction) | 65 (20) |
4 (Requiring total parental nutrition) | 10 (3) |
Sicca symptoms, % (n) | 84 (26) |
Myopathy, % (n) | 42 (13) |
Cardiac involvement (Medsger ≥ 1), % (n) | 55 (17) |
Lung involvement (Medsger > 1), % (n) | 71 (22) |
Raynaud’s (Medsger ≥ 2), % (n) | 61 (19) |
Antibody status | |
Anti-Scl-70 antibodies, % (n) | 23 (7) |
Anti-CENP antibodies, % (n) | 23 (7) |
Anti-RNA pol-3 antibodies, % (n) | 10 (3) |
Anti-U3RNP antibodies, % (n) | 13 (4) |
UCLA GIT 2.0 constipation score, mean (SD) n = 9 | 1.03 (0.55) |
Whole gut scintigraphy data | |
Abnormal large bowel transit at 72 h, % (n) | 70 (7/10) |
Percent large bowel emptying at 72 h, median (IQR) | 9.5 (0–84) |
Medications used prior to linaclotide | |
Polyethylene glycol, % (n) | 71 (22) |
Senna, % (n) | 32 (10) |
Oral docusate, % (n) | 42 (13) |
Docusate suppository, % (n) | 13 (4) |
Tegaserod, % (n) | 10 (3) |
Lubiprostone, % (n) | 29 (9) |
Pyridostigmine, % (n) | 13 (4) |
Prucalopride, % (n) | 3 (1) |