Table 5

Relevance of MCII tentative cut-offs for ESSDAI and ESSPRI

MCII thresholdsDecrease of ESSDAI
Among patients with baseline ESSDAI≥5
Decrease of ESSPRI
Among patients with baseline ESSPRI≥5
Clinical trials≥2≥3≥4≥0.67≥1≥10%≥15%
TRIPPS11
 Placebo armNANANA14/45 (31.1%)12/45 (26.7%)13/45 (28.9%)11/45 (24.4%)
 Infliximab arm17/53 (32.18%)9/53 (17.0%)15/53 (28.3%)12/53 (22.6%)
Rituximab trial (the Netherlands)14
 Placebo arm3/7 (42.9%)1/7 (14.3%)1/7 (14.3%)NANANANA
 Rituximab arm10/13 (76.9%)10/13 (76.9%)9/13 (69.2%)
TEARS12
 Placebo arm19/40 (47.5%)13/40 (32.5%)12/40 (30.0%)20/43 (46.5%)16/43 (37.2%)20/43 (46.5%)17/43 (39.5%)
 Rituximab arm21/47 (44.7%)15/47 (31.9%)14/47 (29.8%)26/45 (57.8%)21/45 (46.7%)25/45 (55.6%)21/45 (46.7%)
JOQUER13
 Placebo arm12/18 (66.7%)10/18 (55.6%)10/18 (55.6%)15/35 (42.9%)13/35 (37.1%)14/35 (40.0%)12/35 (34.3%)
 Hydroxychloroquine arm11/14 (78.6%)7/14 (50.0%)4/14 (28.6%)15/35 (42.9%)13/35 (37.1%)14/35 (40.0%)10/35 (28.6%)
BELISS16
 Belimumab arm15/18 (83.3%)12/18 (66.7%)10/18 (55.6%)16/28 (57.1%)12/28 (42.9%)15/28 (53.6%)11/28 (39.3%)
ASAP15
 Abatacept arm13/14 (92.9%)12/14 (85.7%)12/14 (85.7%)6/12 (50.0%)6/12 (50.0%)6/12 (50%)6/12 (50%)
  • EULAR, European League Against Rheumatism; ESSDAI, EULAR Sjögren's syndrome disease activity index; ESSPRI, EULAR Sjögren's syndrome patient-reported index; NA, not available.