Evidence map›Paper›PMID 36177676›Full record

ArticleBirth defects research2023

Belimumab use during pregnancy: Interim results of the belimumab pregnancy registry.

Patricia Juliao, Keele Wurst, Jeanne M Pimenta, Kim Gemzoe, Helain Landy, M Anthony Moody, Hugh Tilson, Deborah Covington, Tammy Moore, Rebecca Marino and 4 more

Registry-linked trialOpen access · hybridAbstract read
In one paragraph

Article in Birth defects research, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01532310 (WEUKBRE6076), which is not on this map. Cited by 13 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 2 pooled it
4.4field-weighted citation impact, top 5% 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.

NCT01532310 completednot on this map

WEUKBRE6076: Belimumab (BENLYSTA) Pregnancy Registry Protocol

Typeobservational_patient_registrySponsorGlaxoSmithKlineRan2012 to 2022Enrolled77ConditionsSystemic Lupus ErythematosusArmsbelimumab
3 · Its place in the literature

Who cites it

13 citing papers in PubMed, 2 syntheses or guidelines pooled it, 29 citations in OpenAlex.

  1. Pooled it
  2. Systemic Lupus Erythematosus in Pregnancy.Medical sciences (Basel, Switzerland) · 2025
    Pooled it
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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

14 authors at 11 institutions in 2 countries.

Patricia JuliaoVaccines, GSK, Collegeville, Pennsylvania, USA.
Keele WurstEpidemiology, GSK, Research Triangle Park, North Carolina, USA.ORCID https://orcid.org/0000-0002-5177-1759
Jeanne M PimentaEpidemiology, GSK, Uxbridge, Middlesex, United Kingdom.
Kim GemzoeValue Evidence and Outcomes, GSK, Stevenage, Hertfordshire, United Kingdom.
Helain LandyMaternal And Fetal Medicine, Georgetown University Medical Center, Washington, DC, USA.
M Anthony MoodyDepartment of Pediatrics, Duke University School of Medicine, Durham, North Carolina, USA.
Hugh TilsonDepartment of Epidemiology, University of North Carolina Gillings School of Global Public Health, Chapel Hill, North Carolina, USA.
Deborah CovingtonReal-World Evidence, Evidera, Wilmington, North Carolina, USA.
Tammy MoorePPD, Wilmington, North Carolina, USA.
Rebecca MarinoUS Case Management Group, GSK, Research Triangle Park, North Carolina, USA.
Jennifer GilbrideStatistics, GSK, Stevenage, Hertfordshire, United Kingdom.
Andrew LiuGlobal Clinical Safety and Pharmacovigilance, GSK, Uxbridge, Middlesex, United Kingdom.
Paige MeizlikImmunoinflammation, GSK, Collegeville, Pennsylvania, USA.
Michelle PetriRheumatology, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.
GlaxoSmithKline (United States) · USNorth Hertfordshire College · GBResearch Triangle Park Foundation · USDiagnostics for the Real World (United States) · USDuke University · USGeorgetown University · USHillingdon Hospital · GBJohns Hopkins University · USMiddlesex University · GBUniversity of North Carolina at Chapel Hill · USUniversity of North Carolina Wilmington · US

Funding

GSK
6 · The paper itself

Abstract

backgroundBelimumab is approved for active, autoantibody-positive systemic lupus erythematosus (SLE) and lupus nephritis, but limited data exist regarding its use in pregnancy. The Belimumab Pregnancy Registry (BPR, GSK Study BEL114256; NCT01532310) was created to evaluate pregnancy and infant outcomes following belimumab exposure.

methodsIndividuals with SLE exposed to belimumab from 4 months before and/or during pregnancy can enroll into the BPR. The primary outcome is major birth defects; secondary outcomes include miscarriages, stillbirths, elective termination, pre-term birth, neonatal death, small for gestational age, and adverse infant outcomes during the first year of life. Belimumab exposure timing, concomitant medications, and other potential confounding factors are also collected. Data up to March 8, 2021, are reported descriptively.

resultsFrom an expected sample size target of 500 prospective pregnancies with a known outcome, only 55 were enrolled in the study. Among these, two pregnancy losses and 53 pregnancies with a live birth outcome were reported. Ten of the 53 live birth pregnancies resulted in a major birth defect. Ten pregnancies were enrolled after the pregnancy outcome occurred and were examined retrospectively (four live births with no defects, four miscarriages, and two elective terminations). There was no indication or pattern of birth defects associated with belimumab.

conclusionsLow recruitment numbers for the BPR and incomplete information limit the conclusions regarding belimumab exposure during pregnancy. There was no pattern or common mechanism of birth defects associated with belimumab within the BPR data.

Indexed as

Abortion, SpontaneousLupus Erythematosus, SystemicAntibodies, Monoclonal, HumanizedClinical Studies as TopicFemaleHumansInfantInfant, NewbornPregnancyProspective StudiesRegistriesRetrospective StudiesAntibodies, Monoclonal, Humanizedbelimumabbelimumabmajor birth defectspregnancysystemic lupus erythematosus

Identifiers

PMID36177676
PMCPMC10092734
OpenAlexW4298087359

What OpenQuestion holds

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LicenceCC BY
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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.