Outcomes | Methods of assessment | Timepoint WP-I | Timepoint WP-II |
Patient-reported outcomes | |||
Fatigue (primary outcome) | FACIT-F questionnaire | Daily | Weekly |
Autonomic symptoms | COMPASS-31 questionnaire | Baseline, day 7 | Baseline, day 7, week 8 |
SLE disease activity | The SLAQ and PtGA questionnaires | Baseline, day 7 | Weekly |
Pain | Subjective pain on visual analogue scale | Baseline, day 7 | Weekly |
Quality of life | SF-12 questionnaire | Baseline, day 7 | Baseline, day 7, week 8 |
Autonomic nervous system function | |||
Resting autonomic function | 5 min resting HRV and cardiac vagal tone 5 min resting blood pressure and heart rate Stimulation of sweat glands | Baseline, day 7 | Baseline, day 7, week 8 |
Cardiovascular autonomic reflex function | Four cardiovascular reflex tests and response in changes to heart rate and blood pressure | Baseline, day 7 | Baseline, day 7, week 8 |
Continuous autonomic function | Holter HRV monitoring | Continuously during WP-I | Continuously first week of WP-II |
SLE disease activity indices | |||
SLE disease activity | SLEDAI-2K, SRI-50, SLE-DAS, PGA, DAS-28 clinical disease evaluations | Baseline, day 7 | Baseline, day 7, week 8 |
Treatment | Medication history | Retrospective change from inclusion to WP-I until 3 months after WP-II | |
Organ function | |||
Pain tolerability | Cold pressor test, conditioned pain modulation | Baseline, day 7 | Baseline, day 7, week 8 |
Cardiac function | Echocardiography | Baseline, day 7 | Baseline, day 7, week 8 |
Vascular function | Capillaroscopy and arterial stiffness | Baseline, day 7 | Baseline, day 7, week 8 |
Biochemical function | |||
SLE routine status | Routine assessment of haematological, serological and urinary markers | Baseline, day 7 | Baseline, day 7, week 8 |
SLE inflammatory status | Multiplex plasma cytokines, whole blood expression analyses, flow cytometry, whole blood stimulation assays | Baseline, day 7 | Baseline, day 7, week 8 |
Renal function | eGFR and urine albumin and protein/creatinine ratio, spot-urine | Baseline, day 7 | Baseline, day 7, week 8 |
Metabolic control | Plasma lipid and glucose profiles | Baseline, day 7 | Baseline, day 7, week 8 |
COMPASS, Composite Autonomic Symptoms Score; DAS-28, Disease Activity Score; eGFR, estimated glomerular filtration rate; FACIT-F, Functional Assessment of Chronic Illness Therapy Fatigue; HRV, heart rate variability; PGA, Physician Global Assessment; PtGA, Patient Global Assessment; SF, short form; SLAQ, Systemic Lupus Activity Questionnaire; SLE, systemic lupus erythematosus; SLEDAI-2K, SLE Disease Activity Index 2000; SLE-DAS, SLE-Disease Activity Score; SRI-50, SLEDAI Responder Index-50%; SRI, SLEDAI responder index; WP, work package.