Evidence map›Paper›PMID 30610066›Full record

SynthesisAnnals of the rheumatic diseases2019

Organ damage in patients treated with belimumab versus standard of care: a propensity score-matched comparative analysis.

Murray B Urowitz, Robert L Ohsfeldt, Ronald C Wielage, Kari A Kelton, Yumi Asukai, Sulabha Ramachandran

Registry-linked trialAbstract readComparative StudyMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Annals of the rheumatic diseases, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04570306 (Whole Blood Transcriptional and Mass Cytometry Immune Profiling in Systemic Lupus Erythematosus), which is not on this map. Cited by 41 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
41citing papers in PubMed, 1 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.

NCT04570306 completednot on this mapstarted 2020, after this paper: background citation

Whole Blood Transcriptional and Mass Cytometry Immune Profiling in Systemic Lupus Erythematosus (SLE) Patients to Discern the Salutary Effects of Belimumab on Halting Disease Progression and Flares Without Compromising Host Fitness

TypeobservationalSponsorBiomedical Research Foundation, Academy of AthensRan2020 to 2023Enrolled85ConditionsSystemic Lupus ErythematosusArmsBelimumab
3 · Its place in the literature

Who cites it

41 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Observational
  4. Lessons Learnt from the Belimumab Trials in Systemic Lupus Erythematosus.International journal of molecular sciences · 2025
    Review
  5. Review
  6. Article
  7. Review
  8. Effect of type 2 diabetes mellitus on patients undergoing percutaneous endoscopic lumbar discectomy: a retrospective propensity score-matched cohort study.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2025
    Article
  9. Article
  10. Review
  11. Article
  12. Observational
  13. Observational
  14. Article
  15. Recent advances in immunotherapies for lupus nephritis.Pediatric nephrology (Berlin, Germany) · 2023
    Review
  16. Advances in the Pathogenesis and Treatment of Systemic Lupus Erythematosus.International journal of molecular sciences · 2023
    Review
  17. Article
  18. Article
  19. Review
  20. Review
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

6 authors.

Murray B UrowitzCentre for Prognosis Studies in Rheumatic Diseases, Toronto Western Hospital, Toronto, Ontario, Canada m.urowitz@utoronto.ca.
Robert L OhsfeldtSchool of Public Health, Texas A&M University, College Station, Texas, USA.
Ronald C WielageMedical Decision Modeling Inc, Indianapolis, Indiana, USA.
Kari A KeltonMedical Decision Modeling Inc, Indianapolis, Indiana, USA.
Yumi AsukaiValue Evidence & Outcomes, GSK, Brentford, UK.
Sulabha RamachandranValue Evidence & Outcomes, GSK, Philadelphia, Pennsylvania, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesThe study (206347) compared organ damage progression in patients with systemic lupus erythematosus (SLE) who received belimumab in the BLISS long-term extension (LTE) study with propensity score (PS)-matched patients treated with standard of care (SoC) from the Toronto Lupus Cohort (TLC).

methodsA systematic literature review identified 17 known predictors of organ damage to calculate a PS for each patient. Patients from the BLISS LTE and the TLC were PS matched posthoc 1:1 based on their PS (±calliper). The primary endpoint was difference in change in Systemic Lupus International Collaborating Clinics/American College of Rheumatology Damage Index (SDI) score from baseline to 5 years.

resultsFor the 5- year analysis, of 567 (BLISS LTE n=195; TLC n=372) patients, 99 from each cohort were 1:1 PS matched. Change in SDI score at Year 5 was significantly lower for patients treated with belimumab compared with SoC (-0.434; 95% CI -0.667 to -0.201; p<0.001). For the time to organ damage progression analysis (≥1 year follow-up), the sample included 965 (BLISS LTE n=259; TLC n=706) patients, of whom 179 from each cohort were PS-matched. Patients receiving belimumab were 61% less likely to progress to a higher SDI score over any given year compared with patients treated with SoC (HR 0.391; 95% CI 0.253 to 0.605; p<0.001). Among the SDI score increases, the proportion of increases ≥2 was greater in the SoC group compared with the belimumab group.

conclusionsPS-matched patients receiving belimumab had significantly less organ damage progression compared with patients receiving SoC.

Indexed as

AdultAntibodies, Monoclonal, HumanizedDisease ProgressionFemaleHumansImmunosuppressive AgentsLupus Erythematosus, SystemicMaleMiddle AgedPropensity ScoreSeverity of Illness IndexStandard of CareTreatment OutcomeAntibodies, Monoclonal, HumanizedbelimumabImmunosuppressive Agentsdisease activitysystemic lupus erythematosustreatment

Identifiers

PMID30610066
PMCPMC6390027

What OpenQuestion holds

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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.