Systemic Lupus Erythematosus Clinical Trial
OBJECTIVES: I. Evaluate whether pregnancy is an independent risk factor that affects disease
activity in women with systemic lupus erythematosus.
II. Evaluate whether maternal disease activity is a risk factor for adverse pregnancy
outcome.
PROTOCOL OUTLINE: This is a case-controlled study. Intensive data collection begins when a
patient becomes pregnant.
Pregnant women are evaluated with interval pregnancy/exposure history and a clinical exam,
including the Systemic Lupus Activity Measure (SLAM). Assessments are scheduled every 3
months as follows: visit 1 when the pregnancy is confirmed, visit 2 during the second
trimester, visit 3 during the third trimester, visit 4 at 3 months postpartum, and visit 5
at 6 months postpartum. Visits 4 and 5 include an infant exam for growth and morphologic
parameters; these visits occur on the same schedule if there is a miscarriage or stillbirth.
Patients not currently pregnant are randomly chosen to be followed as controls. These
patients undergo a review of current pregnancy status and measures of disease activity,
including SLAM, every 3 months for 5 visits.
;
Primary Purpose: Screening, Time Perspective: Longitudinal
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