Evidence map›Paper›PMID 34238087›Full record

ReviewLupus2021

10 Years of belimumab experience: What have we learnt?

Roger A Levy, Tania Gonzalez-Rivera, Munther Khamashta, Norma Lynn Fox, Angela Jones-Leone, Bernie Rubin, Susan W Burriss, Kerry Gairy, Andre van Maurik, David A Roth

Open access · bronzeAbstract readReview
In one paragraph

Review in Lupus, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 79 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
79citing papers in PubMed, 2 pooled it
15.6field-weighted citation impact, top 1% 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

79 citing papers in PubMed, 2 syntheses or guidelines pooled it, 117 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Trial
  5. Trial
  6. Article
  7. Article
  8. Review
  9. Observational
  10. Article
  11. Review
  12. Immunological mechanisms and therapeutic approaches in pulmonary fibrosis.European respiratory review : an official journal of the European Respiratory Society · 2026
    Review
  13. Article
  14. Review
  15. Article
  16. Review
  17. Review
  18. Review
  19. Article
  20. Review

19 more citing papers are in PubMed but not listed here.

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 at 3 institutions in 3 countries.

Roger A LevyGlaxoSmithKline, Collegeville, PA, USA.
Tania Gonzalez-RiveraGlaxoSmithKline, Collegeville, PA, USA.
Munther KhamashtaGlaxoSmithKline, Dubai, UAE.
Norma Lynn FoxGlaxoSmithKline, Collegeville, PA, USA.
Angela Jones-LeoneGlaxoSmithKline, Collegeville, PA, USA.
Bernie RubinGlaxoSmithKline, Philadelphia, PA, USA.
Susan W BurrissGlaxoSmithKline, Collegeville, PA, USA.
Kerry GairyGlaxoSmithKline, Stevenage, UK.
Andre van MaurikGlaxoSmithKline, Stevenage, UK.
David A RothGlaxoSmithKline, Collegeville, PA, USA.
GlaxoSmithKline (United States) · USAge UK · GBGlaxoSmithKline (India) · IN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Systemic lupus erythematosus (SLE) is a chronic autoimmune inflammatory disease affecting both adults and children. Belimumab is the only biologic approved for SLE, and the first in a class of drugs known as B-lymphocyte stimulator-specific inhibitors. The introduction of intravenous belimumab in 2011 was a major advance, being the first new therapy approved for SLE in over 50 years. As of April 2021, more than 7200 people with SLE have received belimumab in clinical studies, and it is approved in over 75 countries for the treatment of adults with SLE. A subcutaneous, self-injectable belimumab formulation was licensed in 2017 by both the US Food and Drug Administration (FDA) and European Medicines Agency (EMA). Belimumab was then approved for use in children in Europe, the USA and Japan in 2019, and China and Brazil in 2020. Recently, belimumab became the first FDA-approved drug for the treatment of adults with active lupus nephritis (LN), the most-common severe manifestation of SLE.Over the past 10 years, belimumab has established its position as a disease modifier in the SLE treatment paradigms. Robust evidence from randomised clinical studies and observational, real-world studies has demonstrated the tolerability and efficacy of belimumab for reducing disease activity and the risk of new, severe SLE flares. This enables patients to taper their glucocorticoid use, which limits damage accumulation. Significantly more patients with active LN met the criteria for renal responses and were at less risk of a renal-related event or death after receiving belimumab plus standard therapy, compared with standard therapy on top of mandatory steroid reduction. Ongoing clinical studies are evaluating belimumab's effectiveness in various indications beyond SLE. Post-marketing and registry studies are gathering additional data on key areas such as pregnancy outcomes after belimumab exposure and belimumab co-administration with other biologics.

Indexed as

Antibodies, Monoclonal, HumanizedImmunosuppressive AgentsLupus Erythematosus, SystemicAdultB-Cell Activating FactorChildHumansImmunologic FactorsLupus NephritisRandomized Controlled Trials as TopicTreatment OutcomeAntibodies, Monoclonal, HumanizedB-Cell Activating FactorbelimumabImmunologic FactorsImmunosuppressive AgentsTNFSF13B protein, humanMusculoskeletalrenal lupussystemic lupus erythematosus

Identifiers

PMID34238087
PMCPMC8564244
OpenAlexW3180978316

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.