Evidence map›Paper›PMID 32677992›Full record

ArticleTrials2020

Safety and efficacy of belimumab after B cell depletion therapy in systemic LUPUS erythematosus (BEAT-LUPUS) trial: statistical analysis plan.

Patrick Muller, Kashfia Chowdhury, Caroline Gordon, Michael R Ehrenstein, Caroline J Doré

Open access · goldAbstract readClinical Trial Protocol
In one paragraph

Article in Trials, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.9field-weighted citation impact, top 25% of its field
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 5 citations in OpenAlex.

  1. Article
  2. 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

5 authors at 3 institutions in 2 countries.

Patrick MullerComprehensive Clinical Trials Unit, Institute of Clinical Trials and Methodology, University College London, London, UK. p.muller@ucl.ac.uk.ORCID http://orcid.org/0000-0002-6824-578X
Kashfia ChowdhuryComprehensive Clinical Trials Unit, Institute of Clinical Trials and Methodology, University College London, London, UK.
Caroline GordonRheumatology Research Group, Institute of Inflammation and Ageing (IIA), University of Birmingham, Birmingham, UK.
Michael R EhrensteinCentre for Rheumatology, Division of Medicine, University College London, London, UK.
Caroline J DoréComprehensive Clinical Trials Unit, Institute of Clinical Trials and Methodology, University College London, London, UK.
MRC Clinical Trials Unit at UCL · GBUniversity College London · GBUniversity of Birmingham · GB

Funding

Medical Research Council MC_UU_12023/14Versus Arthritis 20873
6 · The paper itself

Abstract

backgroundThere is limited evidence that rituximab, a B cell depletion therapy, is an effective treatment for systemic lupus erythematosus (SLE). Data on the mechanisms of B cell depletion in SLE indicate that the combination of rituximab and belimumab may be more effective than rituximab alone. The safety and efficacy of belimumab after B cell depletion therapy in systemic LUPUS erythematosus (BEAT-LUPUS) trial aims to determine whether belimumab is superior to placebo, when given 4-8 weeks after treatment with rituximab. This article describes the statistical analysis plan for this trial as an update to the published protocol. It is written prior to the end of patient follow-up, while the outcome of the trial is still unknown. DESIGN AND

methodsBEAT-LUPUS is a randomised, double-blind, phase II trial of 52 weeks of belimumab versus placebo, initiated 4-8 weeks after rituximab treatment. The primary outcome is anti-dsDNA antibodies at 52 weeks post randomisation. Secondary outcomes include lupus flares and damage, adverse events, doses of concomitant medications, quality of life, and clinical biomarkers. We describe the trial's clinical context, outcome measures, sample size calculation, and statistical modelling strategy, and the supportive analyses planned to evaluate for mediation of the treatment effect through changes in concomitant medication doses and bias from missing data. DISCUSSION: The analysis will provide detailed information on the safety and effectiveness of belimumab. It will be implemented from July 2020 when patient follow-up and data collection is complete.

trial registrationISRCTN: 47873003 . Registered on 28 November 2016. EudracT: 2015-005543-14 . Registered on 19 November 2018.

Indexed as

B-LymphocytesLupus Erythematosus, SystemicAntibodies, AntinuclearAntibodies, Monoclonal, HumanizedHumansImmunosuppressive AgentsQuality of LifeRandomized Controlled Trials as TopicRituximabTreatment OutcomeAntibodies, AntinuclearAntibodies, Monoclonal, HumanizedbelimumabImmunosuppressive AgentsRituximabAnti-dsDNABelimumabBritish Isles Lupus Assessment GroupCausal mediationFlareRandomised controlled trialRituximabStatistical analysis planSystemic lupus erythematosus

Identifiers

PMID32677992
PMCPMC7364494
OpenAlexW3043016821

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.