Evidence map›Paper›PMID 33913260›Full record

Trial reportArthritis & rheumatology (Hoboken, N.J.)2021

What Does It Mean to Be a British Isles Lupus Assessment Group-Based Composite Lupus Assessment Responder? Post Hoc Analysis of Two Phase III Trials.

Richard Furie, Eric F Morand, Ian N Bruce, David Isenberg, Ronald van Vollenhoven, Gabriel Abreu, Lilia Pineda, Raj Tummala

2 registry-linked trialsOpen access · hybridAbstract readClinical Trial, Phase IIIRandomized Controlled Trial
In one paragraph

Trial report in Arthritis & rheumatology (Hoboken, N.J.), 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
2.9field-weighted citation impact, top 9% 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.

NCT02446899 phase3completednot on this map

A Multicentre, Randomised, Double-blind, Placebo-controlled, Phase 3 Study Evaluating the Efficacy and Safety of Anifrolumab in Adult Subjects With Active Systemic Lupus Erythematosus

TypeinterventionalSponsorAstraZenecaRan2015 to 2018Enrolled373ConditionsActive Systemic Lupus ErythematosusArmsAnifrolumab, Placebo
NCT02446912 phase3completednot on this map

A Multicentre, Randomised, Double-blind, Placebo-controlled, Phase 3 Study Evaluating the Efficacy and Safety of Two Doses of Anifrolumab in Adult Subjects With Active Systemic Lupus Erythematosus

TypeinterventionalSponsorAstraZenecaRan2015 to 2018Enrolled460ConditionsActive Systemic Lupus ErythematosusArmsAnifrolumab, Placebo
3 · Its place in the literature

Who cites it

7 citing papers in PubMed, 25 citations in OpenAlex.

  1. Trial
  2. Review
  3. What's new in the assessment of lupus activity?Rheumatology advances in practice · 2025
    Review
  4. Article
  5. Interferon Inhibition in SLE: From Bench to Bedside.Mediterranean journal of rheumatology · 2024
    Review
  6. Article
  7. Article
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

8 authors at 7 institutions in 8 countries.

Richard FurieZucker School of Medicine at Hofstra/Northwell, Great Neck, New York.ORCID 0000-0001-6712-1585
Eric F MorandMonash University, Melbourne, Victoria, Australia.ORCID 0000-0002-9507-3338
Ian N BruceUniversity of Manchester, NIHR Manchester Biomedical Research Centre, Manchester University Hospitals NHS Foundation Trust, Manchester Academic Health Science Centre, Manchester, UK.
David IsenbergUniversity College London and University College Hospital, London, UK.ORCID 0000-0001-9514-2455
Ronald van VollenhovenAmsterdam Rheumatology and Immunology Center, Amsterdam, The Netherlands.
Gabriel AbreuBioPharmaceuticals R&D, AstraZeneca, Gothenburg, Sweden.
Lilia PinedaBioPharmaceuticals R&D, AstraZeneca, Gaithersburg, Maryland.
Raj TummalaBioPharmaceuticals R&D, AstraZeneca, Gaithersburg, Maryland.
AstraZeneca (Australia) · AUAstraZeneca (Finland) · FICenter for Rheumatology · USHofstra University · USManchester Academic Health Science Centre · GBMonash University · AUUniversity College Hospital · GB

Funding

AstraZeneca
6 · The paper itself

Abstract

objectiveThe British Isles Lupus Assessment Group-based Composite Lupus Assessment (BICLA) is a validated global measure of treatment response in systemic lupus erythematosus (SLE) clinical trials. To understand the relevance of BICLA in clinical practice, we investigated relationships between BICLA response and routine SLE assessments, patient-reported outcomes (PROs), and medical resource utilization.

methodsThis was a post hoc analysis of pooled data from the phase III, randomized, placebo-controlled, 52-week TULIP-1 (ClinicalTrials.gov identifier: NCT02446912; n = 457) and TULIP-2 (ClinicalTrials.gov identifier: NCT02446899; n = 362) trials of intravenous anifrolumab (150/300 mg once every 4 weeks) in patients with moderate-to-severe SLE. Changes from baseline to week 52 in clinical assessments, PROs, and medical resource use were compared in BICLA responders versus nonresponders, regardless of treatment assignment.

resultsBICLA responders (n = 318) achieved significantly improved outcomes compared with nonresponders (n = 501), including lower flare rates, higher rates of attainment of sustained oral glucocorticoid taper to ≤7.5 mg/day, greater improvements in PROs (Functional Assessment of Chronic Illness Therapy-Fatigue, Short Form 36 Health Survey), and fewer SLE-related hospitalizations/emergency department visits (all nominal P < 0.001). Compared with nonresponders, BICLA responders had greater improvements in global and organ-specific disease activity (Physician's Global Assessment, SLE Disease Activity Index 2000, Cutaneous Lupus Erythematosus Disease Area and Severity Index Activity, and joint counts; all nominal P < 0.001). BICLA responders had fewer lupus-related serious adverse events than nonresponders.

conclusionBICLA response is associated with clinical benefit in SLE assessments, PROs, and medical resource utilization, confirming its value as a clinical trial end point that is associated with measures important to patient care.

Indexed as

AdultAntibodies, Monoclonal, HumanizedFemaleGlucocorticoidsHumansLupus Erythematosus, SystemicMaleMiddle AgedOutcome Assessment, Health CareSeverity of Illness IndexTreatment OutcomeanifrolumabAntibodies, Monoclonal, HumanizedGlucocorticoids

Identifiers

PMID33913260
PMCPMC8596929
OpenAlexW3159484888

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

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.