Evidence map›Paper›PMID 37017254›Full record

Observational studyLupus science & medicine2022

MOONLIGHT study: the design of a comparative study of the effectiveness of belimumab in patients with a history of lupus nephritis from the post-Marketed effectiveness of belimumab cOhOrt and JapaN Lupus NatIonwide reGistry (LUNA) coHorT.

Kenei Sada, Noriaki Kurita, Hisashi Noma, Taizo Matsuki, Holly Quasny, Roger A Levy, Angela R Jones-Leone, Kerry Gairy, Nobuyuki Yajima

2 registry-linked trialsOpen access · goldAbstract readObservational StudyMulticenter Study
In one paragraph

Observational study in Lupus science & medicine, 2022. 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 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.2field-weighted citation impact, top 47% 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.

NCT01639339 phase3completednot on this map

A Phase 3, Randomized, Double-Blind, Placebo-Controlled Study to Evaluate the Efficacy and Safety of Belimumab Plus Standard of Care Versus Placebo Plus Standard of Care in Adult Subjects With Active Lupus Nephritis

TypeinterventionalSponsorHuman Genome Sciences Inc., a GSK CompanyRan2012 to 2020Enrolled448ConditionsLupus NephritisArmsPlacebo plus standard therapy, Belimumab 10 mg/kg plus standard therapy, Standard therapy
NCT06113900 phase1 / phase2unknown statusnot on this mapstarted 2023, after this paper: background citation

Assessment of Safety and Efficacy of Sodium Glucose Co-transporter 2 Inhibitors Among Lupus Nephritis Patients

TypeinterventionalSponsorAin Shams UniversityRan2023 to 2025Enrolled50ConditionsLupus NephritisArmsDapagliflozin 10mg Tab orally once daily
3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 2 citations in OpenAlex.

  1. 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

9 authors at 8 institutions in 3 countries.

Kenei Sada *Department of Clinical Epidemiology, Kochi Medical School, Kochi University, Kochi, Japan sadak@kochi-u.ac.jp.ORCID http://orcid.org/0000-0003-1020-0818
Noriaki Kurita *Department of Innovative Research and Education for Clinicians and Trainees (DiRECT), Fukushima Medical University Hospital, Fukushima, Japan.
Hisashi Noma *Department of Data Science, The Institute of Statistical Mathematics, Tokyo, Japan.
Taizo Matsuki *Value Evidence and Outcomes Division, GSK K.K, Tokyo, Japan.
Holly QuasnyClinical Sciences, GSK, Research Triangle Park, North Carolina, USA.ORCID http://orcid.org/0000-0002-1659-0004
Roger A LevyGlobal Medical Affairs, GSK, Collegeville, Pennsylvania, USA.ORCID http://orcid.org/0000-0001-6393-6031
Angela R Jones-LeoneGlobal Medical Affairs, GSK, Collegeville, Pennsylvania, USA.
Kerry GairyValue Evidence and Outcomes Division, GSK, Brentford, UK.ORCID http://orcid.org/0000-0001-8591-1396
Nobuyuki Yajima *Division of Rheumatology, Department of Internal Medicine, Showa University School of Medicine, Tokyo, Japan.
GlaxoSmithKline (United States) · USFukushima Medical University · JPGlaxoSmithKline (Japan) · JPHealth Economics and Outcomes Research (United Kingdom) · GBKōchi University · JPResearch Triangle Park Foundation · USShowa University · JPThe Institute of Statistical Mathematics · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionLupus nephritis (LN) is more prevalent in patients with SLE of Asian ethnicity than in Caucasian patients. Belimumab became available in Japan in 2017 to treat patients with SLE, including those with LN. In the BLISS-LN trial (NCT01639339), belimumab showed a favourable effect on renal outcomes when combined with standard therapy (ST) starting at the induction treatment phase for active LN, but real-world effectiveness of belimumab in LN has not been extensively studied. Here we describe the protocol for the MOONLIGHT (post-Marketed effectiveness of belimumab cOhOrt and JapaN Lupus NatIonwide ReGistry (LUNA) coHorT) study, which will use data from a Japan postmarketing surveillance study and the Lupus Registry of Nationwide Institutions (LUNA) to evaluate the real-world effectiveness of belimumab plus ST versus ST alone in patients with a history of active LN who are not in the induction phase. METHODS AND ANALYSIS: This multicentre, retrospective, observational study (GSK Study 214710) will enrol adults with SLE and a history of active LN, holding ≥3 years of complete follow-up data from the initiation of belimumab (no continuous treatment required). Data for patients with belimumab plus ST treatment (postmarketing registry data, belimumab cohort) will be compared with those for patients with ST only treatment (LUNA data, comparison cohort). Patients who discontinue/initiate belimumab after the start of the follow-up may be included in the comparison/belimumab cohort, respectively. The primary endpoint will be the occurrence of renal flares, for which belimumab's effectiveness will be estimated using a marginal structural model to consider time-dependent treatment and confounding factors. Secondary endpoints will include change in corticosteroid dose, renal disease activity, extrarenal disease activity, disease severity/activity biomarkers, LN class changes, end-stage kidney disease events and hospitalisations. ETHICS AND DISSEMINATION: This study will be conducted according to the Declaration of Helsinki and the local ethical guidelines. Findings will be submitted to peer-reviewed journals and presented at scientific meetings.

Indexed as

Lupus Erythematosus, SystemicLupus NephritisAdultAntibodies, Monoclonal, HumanizedHumansImmunosuppressive AgentsJapanRetrospective StudiesAntibodies, Monoclonal, HumanizedbelimumabImmunosuppressive AgentsBiological ProductsB-LymphocytesLupus NephritisTherapeutics

Identifiers

PMID37017254
PMCPMC9438087
OpenAlexW4294053339

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.