Evidence map›Paper›PMID 26936891›Full record

Trial reportLupus2016

Long-term organ damage accrual and safety in patients with SLE treated with belimumab plus standard of care.

I N Bruce, M Urowitz, R van Vollenhoven, C Aranow, J Fettiplace, M Oldham, B Wilson, C Molta, D Roth, D Gordon

Registry-linked trialAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Lupus, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00712933 (A Multi-Center, Continuation Trial of Belimumab), which is not on this map. Cited by 46 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
46citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT00712933 phase3completednot on this map

A Multi-Center, Continuation Trial of Belimumab (HGS1006, LymphoStat-B™)a Fully Human Monoclonal Anti-BLyS Antibody in Subjects With Systemic Lupus Erythematosus (SLE) Who Completed the Phase 3 Protocol HGS1006-C1056 or HGS1006-C1057

TypeinterventionalSponsorHuman Genome Sciences Inc., a GSK CompanyRan2008 to 2016Enrolled738ConditionsSystemic Lupus ErythematosusArmsbelimumab
3 · Its place in the literature

Who cites it

46 citing papers in PubMed, 2 syntheses or guidelines pooled it.

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  12. Lessons Learnt from the Belimumab Trials in Systemic Lupus Erythematosus.International journal of molecular sciences · 2025
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

I N BruceArthritis Research UK Centre for Epidemiology, Centre for Musculoskeletal Research, Institute for Inflammation and Repair, University of Manchester, Manchester Academic Health Sciences Centre, Manchester, UK The Kellgren Centre for Rheumatology, NIHR Manchester Musculoskeletal Biomedical Research Unit, Central Manchester University Hospitals NHS Foundation Trust, Manchester Academic Health Science Centre, Manchester, UK ian.bruce@manchester.ac.uk.
M UrowitzUniversity of Toronto and Toronto Western Hospital, Toronto, ON, Canada.
R van VollenhovenKarolinska Institute, Stockholm, Sweden.
C AranowThe Feinstein Institute for Medical Research, Manhasset, NY, USA.
J FettiplaceGSK, Uxbridge, Middlesex, UK.
M OldhamGSK, Stevenage, Hertfordshire, UK.
B WilsonGSK, Research Triangle Park, NC, USA.
C MoltaGSK, Philadelphia, PA, USA.
D RothGSK, Philadelphia, PA, USA.
D GordonGSK, Philadelphia, PA, USA.

Funding

Wellcome Trust
6 · The paper itself

Abstract

objectiveTo examine long-term organ damage and safety following treatment with belimumab plus standard of care (SoC) in patients with systemic lupus erythematosus (SLE).

methodsPooled data were examined from two ongoing open-label studies that enrolled patients who completed BLISS-52 or BLISS-76. Patients received belimumab every four weeks plus SoC. SLICC Damage Index (SDI) values were assessed every 48 weeks (study years) following belimumab initiation (baseline). The primary endpoint was change in SDI from baseline at study years 5-6. Incidences of adverse events (AEs) were reported for the entire study period.

resultsThe modified intent-to-treat (MITT) population comprised 998 patients. At baseline, 940 (94.2%) were female, mean (SD) age was 38.7 (11.49) years, and disease duration was 6.7 (6.24) years. The mean (SD) SELENA-SLEDAI and SDI scores were 8.2 (4.18) and 0.7 (1.19), respectively; 411 (41.2%) patients had organ damage (SDI = 1: 235 (23.5%); SDI ≥ 2: 176 (17.6%)) prior to belimumab. A total of 427 (42.8%) patients withdrew overall; the most common reasons were patient request (16.8%) and AEs (8.5%).The mean (SD) change in SDI was +0.2 (0.48) at study years 5-6 (n = 403); 343 (85.1%) patients had no change from baseline in SDI score (SDI +1: 46 (11.4%), SDI +2: 13 (3.2%), SDI +3: 1 (0.2%)). Of patients without organ damage at baseline, 211/241 (87.6%) had no change in SDI and the mean change (SD) in SDI was +0.2 (0.44). Of patients with organ damage at baseline, 132/162 (81.5%) had no change in SDI and the mean (SD) change in SDI was +0.2 (0.53). The probability of not having a worsening in SDI score was 0.88 (95% CI: 0.85, 0.91) and 0.75 (0.67, 0.81) in those without and with baseline damage, respectively (post hoc analysis).Drug-related AEs were reported for 433 (43.4%) patients; infections/infestations (282, 28.3%) and gastrointestinal disorders (139, 13.9%) were the most common.

conclusionPatients with SLE treated with long-term belimumab plus SoC had a low incidence of organ damage accrual and no unexpected AEs. High-risk patients with pre-existing organ damage also had low accrual, suggesting a favorable effect on future damage development.

Indexed as

AdultAntibodies, Monoclonal, HumanizedDouble-Blind MethodDrug-Related Side Effects and Adverse ReactionsFemaleGastrointestinal DiseasesHumansImmunosuppressive AgentsLupus Erythematosus, SystemicMaleMiddle AgedSeverity of Illness IndexStandard of CareTreatment OutcomeAntibodies, Monoclonal, HumanizedbelimumabImmunosuppressive Agentsorgan damagesafetySystemic lupus erythematosus

Identifiers

PMID26936891
PMCPMC4958991

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.