Evidence map›Paper›PMID 36718275›Full record

ArticleJournal of translational autoimmunity2023

Belimumab treatment in autoimmune hepatitis and primary biliary cholangitis - a case series.

Mirjam Kolev, Adela-Cristina Sarbu, Burkhard Möller, Britta Maurer, Florian Kollert, Nasser Semmo

Open access · goldAbstract read
In one paragraph

Article in Journal of translational autoimmunity, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
4.3field-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.

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

15 citing papers in PubMed, 21 citations in OpenAlex.

  1. Review
  2. Article
  3. Article
  4. [Diagnosis and treatment strategies of autoimmune hepatitis and future challenges].Zhonghua gan zang bing za zhi = Zhonghua ganzangbing zazhi = Chinese journal of hepatology · 2025
    Review
  5. The Role of Novel Immunomodulators in the Treatment of Autoimmune Hepatitis.Journal of clinical and translational hepatology · 2025
    Review
  6. Article
  7. Article
  8. Article
  9. Review
  10. Review
  11. Article
  12. AIH Therapy: Beyond First‑Line.Current hepatology reports · 2024
    Article
  13. Review
  14. Review
  15. 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

6 authors at 1 institution in 1 country.

Mirjam KolevDepartment of Visceral Surgery and Medicine, Inselspital, Bern University Hospital, University of Bern, Switzerland.
Adela-Cristina SarbuDepartment of Rheumatology and Immunology, Bern University Hospital, University of Bern, Switzerland.
Burkhard MöllerDepartment of Rheumatology and Immunology, Bern University Hospital, University of Bern, Switzerland.
Britta MaurerDepartment of Rheumatology and Immunology, Bern University Hospital, University of Bern, Switzerland.
Florian KollertDepartment of Rheumatology and Immunology, Bern University Hospital, University of Bern, Switzerland.
Nasser SemmoDepartment of Visceral Surgery and Medicine, Inselspital, Bern University Hospital, University of Bern, Switzerland.
University of Bern · CH

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: The majority of patients with autoimmune hepatitis (AIH) achieve complete remission with established treatment regiments. In patients with intolerance or insufficient response to these drugs, the remaining options are limited and novel treatment approaches necessary. In primary biliary cholangitis (PBC), ursodeoxycholic acid (UDCA) and fibrates have improved prognosis dramatically, but there remains a proportion of patients with refractory disease.In patients with refractory AIH and/or PBC, we used a novel treatment strategy with the Aims and methods: To retrospectively investigate treatment response in six patients with AIH or PBC with or without concomitant Sjögren's disease treated with the Results: In all three patients with AIH, belimumab improved disease control and helped by-pass or reduce problematic side effects from corticosteroids and calcineurin inhibitors. In PBC patients (n = 3), there was no clear improvement of liver function tests, despite reduction or normalization of IgM. All patients with concomitant Sjögren's disease (n = 3) had an improvement of sicca symptoms and two out of three patients experienced an initially marked reduction in fatigue, which lessened over time. Conclusions: Belimumab may be a promising treatment option for patients with AIH and further investigations are needed. In PBC however, response was not convincing. The effects on sicca symptoms and fatigue were encouraging.

Indexed as

AIH, autoimmune hepatitisALT, alanine aminotransferaseAMA, anti-mitochondrial antibodiesANA, anti-nuclear antibodiesAP, alkaline phosphataseAPS, anti-phospholipid-antibody syndromeAutoimmune hepatitisAutoimmune liver diseaseAZA, azathioprineBDN, budesonideBelimumabCI, calcineurin inhibitorCyA, cyclosporine Adisease-modifying anti-rheumatic drugs, DMARDsIgG, immunoglobulin GIgM, immunoglobulin MINR, international normalized ratioLC 1, liver cytosol 1 antibodiesLKM-1, liver-kidney-microsomal antibodiesMMF, mycophenolate mofetilMRCP, magnetic resonance cholangiopancreatographyNA, not applicableNRH, nodular regenerative hyperplasiaPBC, primary biliary cholangitisPDN, prednisolonePLA2R, anti-phospholipase 2 receptor antibodyPrimary biliary cholangitisPSC, primary sclerosing cholangitisRF, rheumatoid factorSjögren's diseaseSLA, soluble liver antigen antibodiesSLE, systemic lupus erythematosusSMA, smooth-muscle cell antibodiesSS-A, SS-A (Ro) antibodiesSS-B, SS-B (La) antibodiesTNFi, tumor necrosis factor inhibitorUDCA, ursodeoxycholic acidULN, upper limit of normal

Identifiers

PMID36718275
PMCPMC9883290
OpenAlexW4315977529

What OpenQuestion holds

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LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

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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.