Rf. Vanvollenhoven et Jl. Mcguire, STUDIES OF DEHYDROEPIANDROSTERONE (DHEA) AS A THERAPEUTIC AGENT IN SYSTEMIC LUPUS-ERYTHEMATOSUS, Annales de medecine interne, 147(4), 1996, pp. 290-296
Several lines of investigation led to the consideration of dehydroepia
ndrosterone (DHEA) as a candidate for hormonal therapy in systemic lup
us erythematosus, including DHEA deficiency in patients with SLE, the
effects of sex steroids on SLE, the immunomodulatory effects of DHEA,
and the results of DHEA in animal models of SLE. Uncontrolled observat
ions in 50 patients suggested that DHEA has overall benefits for lupus
activity, alleviating specific lupus symptoms as well the systemic ma
nifestations of lupus, with incremental benefits over 3 to 12 months o
f treatment. DHEA, which was very well tolerated and safe, appeared to
decrease the number of lupus flares and to have a steroid sparing eff
ect. These results were confirmed in a small placebo-controlled trial,
although the results were of borderline statistical significance. Cur
rently, a number of additional trials with DHEA are underway, and it i
s anticipated that DHEA will find its place as a useful agent in the t
reatment of SLE.