背景:三份患者报告结果(PRO)问卷-最严重瘙痒数字评定量表(WP-NRS),特应性皮炎症状量表(ADerm-SS),和特应性皮炎影响量表(ADerm-IS)-用于评估特应性皮炎(AD)的症状和影响。需要这些专业人员的严重程度等级来帮助进行解释。
方法:使用全局数据,随机化,双盲,安慰剂对照,中重度AD患者(年龄≥12岁)的3期临床试验(NCT03568318),采用患者严重程度总体印象作为指标,进行了等百分位关联分析,以确定严重程度层次.分别对成人和青少年进行了分析,然后在两个年龄组之间协调。
结果:样本包括769名成年人和113名青少年。对于WP-NRS,0与缺席有关,1-2最小,3温和,4-7中度,8-10严重。对于ADerm-SS皮肤疼痛,0与缺席有关,1、最小2温和,3-6中度,7-10严重。对于ADerm-SS7项总症状评分(TSS-7),0-1与缺席有关,2-11最小,12-22轻度,23-47中度,和48-70严重。对于ADerm-IS睡眠,0与缺席有关,1-3最小,4-6轻度,7-20中度,21-30严重。对于ADerm-IS日常活动,0与缺席有关,1-2最小,3-7温和,8-25中度,和26-40严重。对于ADerm-IS情绪状态,0与缺席有关,1-2最小,3-8温和,9-22中度,和23-30严重。
结论:这些严重程度等级提供了WP-NRS的评分解释,ADerm-SS,和ADerm-IS,将这些分数转化为简单直观的结果,这可以为临床研究和临床实践提供信息。
背景:NCT03568318。
BACKGROUND: Three patient-reported outcome (PRO) questionnaires-Worst Pruritus Numerical Rating Scale (WP-NRS), Atopic Dermatitis Symptom Scale (ADerm-SS), and Atopic Dermatitis Impact Scale (ADerm-IS)-were developed to assess the symptoms and impacts of atopic dermatitis (AD). Severity strata for these PROs are needed to aid in their interpretation.
METHODS: Using data from a global, randomized, double-blind, placebo-controlled, phase 3 clinical trial (NCT03568318) of patients with moderate-severe AD (age ≥ 12 years), equipercentile linking analyses were conducted to define severity strata applying the Patient Global Impression of Severity as an anchor. Analyses were conducted separately for adults and adolescents, and then harmonized between the two age groups.
RESULTS: The sample included 769 adults and 113 adolescents. For the WP-NRS, 0 was associated with absent, 1-2 with minimal, 3 with mild, 4-7 with moderate, and 8-10 with severe. For the ADerm-SS Skin Pain, 0 was associated with absent, 1 with minimal, 2 with mild, 3-6 with moderate, and 7-10 with severe. For ADerm-SS 7-Item Total Symptom Score (TSS-7), 0-1 was associated with absent, 2-11 with minimal, 12-22 with mild, 23-47 with moderate, and 48-70 with severe. For ADerm-IS Sleep, 0 was associated with absent, 1-3 with minimal, 4-6 with mild, 7-20 with moderate, and 21-30 with severe. For ADerm-IS Daily Activities, 0 was associated with absent, 1-2 with minimal, 3-7 with mild, 8-25 with moderate, and 26-40 with severe. For ADerm-IS Emotional State, 0 was associated with absent, 1-2 with minimal, 3-8 with mild, 9-22 with moderate, and 23-30 with severe.
CONCLUSIONS: These severity strata provide score interpretations of the WP-NRS, ADerm-SS, and ADerm-IS, translating these scores to simple and intuitive outcomes, which can inform clinical studies and clinical practice.
BACKGROUND: NCT03568318.