Evidence map›Paper›PMID 38490245›Full record

ArticleRheumatology (Oxford, England)2025

Thorough assessment of the effectiveness of belimumab in a large Spanish multicenter cohort of systemic lupus erythematosus patients.

Irene Altabás-González, José María Pego-Reigosa, Coral Mouriño, Norman Jiménez, Andrea Hernández-Martín, Ivette Casafont-Solé, Judit Font Urguelles, José Andrés Román-Ivorra, Marta de la Rubia Navarro, María Galindo-Izquierdo and 27 more

Open access · hybridAbstract readMulticenter Study
In one paragraph

Article in Rheumatology (Oxford, England), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
3.8field-weighted citation impact, top 7% 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

9 citing papers in PubMed, 8 citations in OpenAlex.

  1. Trial
  2. Observational
  3. Review
  4. Article
  5. Article
  6. Lessons Learnt from the Belimumab Trials in Systemic Lupus Erythematosus.International journal of molecular sciences · 2025
    Review
  7. Review
  8. Article
  9. 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

37 authors at 20 institutions in 1 country.

Irene Altabás-GonzálezDepartment of Rheumatology, Complexo Hospitalario Universitario de Vigo, Galicia Sur Health Research Institute, Rheumatology and Inmuno-Mediated Diseases Reasearch Group (IRIDIS), Vigo, Spain.
José María Pego-ReigosaDepartment of Rheumatology, Complexo Hospitalario Universitario de Vigo, Galicia Sur Health Research Institute, Rheumatology and Inmuno-Mediated Diseases Reasearch Group (IRIDIS), Vigo, Spain.ORCID 0000-0003-3461-3537
Coral MouriñoDepartment of Rheumatology, Galicia Sur Health Research Institute, Rheumatology and Inmuno-Mediated Diseases Reasearch Group (IRIDIS), Vigo, Spain.
Norman JiménezDepartment of Rheumatology, Galicia Sur Health Research Institute, Rheumatology and Inmuno-Mediated Diseases Reasearch Group (IRIDIS), Vigo, Spain.
Andrea Hernández-MartínDepartment of Rheumatology, Hospital Universitario Doctor Negrín, Las Palmas de Gran Canaria, Spain.
Ivette Casafont-SoléDepartment of Rheumatology, Germans Trias i Pujol University Hospital, LCMN, Germans Trias i Pujol Research Institute (IGTP), Barcelona, Spain.
Judit Font UrguellesDepartment of Rheumatology, Germans Trias i Pujol University Hospital, LCMN, Germans Trias i Pujol Research Institute (IGTP), Barcelona, Spain.
José Andrés Román-IvorraDepartment of Rheumatology, Hospital Universitari i Politècnic La Fe. Facultad de Medicina y Ciencias de la Salud. Universidad Católica de Valencia, Valencia, Spain.
Marta de la Rubia NavarroDepartment of Rheumatology, Hospital Universitari i Politècnic La Fe, Valencia, Spain.
María Galindo-IzquierdoDepartment of Rheumatology, University Hospital '12 de Octubre', Madrid, Spain.
Tarek Carlos Salman-MonteDepartment of Rheumatology, Hospital del Mar/Parc de Salut Mar-IMIM, Barcelona, Spain.
Javier NarváezDepartment of Rheumatology, Hospital Universitario de Bellvitge-Instituto de Investigación Biomédica de Bellvitge (IDIBELL), L'Hospitalet de Llobregat, Barcelona, España.ORCID 0000-0002-1614-8064
Paola Vidal-MontalDepartment of Rheumatology, Hospital Universitario de Bellvitge, Bellvitge Biomedical Research Institute (IDIBELL), Barcelona, Spain.
María Jesús García-VillanuevaDepartment of Rheumatology, Hospital Universitario Ramon y Cajal, Madrid, Spain.
Sandra Garrote-CorralDepartment of Rheumatology, Hospital Universitario de Bellvitge, Bellvitge Biomedical Research Institute (IDIBELL), Barcelona, Spain.
María Ángeles Blázquez-CañameroDeparment of Rheumatology, Severo Ochoa Hospital, Madrid, Spain.
Carlos MarrasDepartment of Rheumatology, Hospital Universitario Virgen de Arrixaca, Murcia, Spain.
María Piqueras-GarcíaDepartment of Rheumatology, Hospital Universitario Virgen de Arrixaca, Murcia, Spain.
Julia Martínez-BarrioDepartment of Rheumatology, Hospital General Universitario Gregorio Marañón, Instituto de Investigación Biomédica, Universidad Complutense de Madrid, Hospital Gregorio Marañon, Madrid, Spain.
Marina Sánchez-LucasDepartment of Rheumatology, Hospital General Universitario Gregorio Marañón, Madrid, Spain.
Josefina Cortés-HernándezDepartment of Rheumatology, Vall d'Hebron Research Institute, Barcelona, Spain.
Eleonora PenzoDepartment of Rheumatology, Vall d'Hebron Research Institute, Barcelona, Spain.
Jaime Calvo-AlénDepartment of Rheumatology, Hospital Universitario de Araba, Vitoria, Spain.
Juan Ramón de DiosDepartment of Rheumatology, Hospital Universitario de Araba, Vitoria, Spain.
Belén Álvarez RodríguezDepartment of Rheumatology, Hospital Universitario de Araba, Vitoria, Spain.
Margarida Vasques-RochaDepartment of Rheumatology, Hospital Universitario de Araba, Vitoria, Spain.
Eva TomeroDepartment of Rheumatology, Hospital Universitario de la Princesa, Madrid, Spain.
Raúl Menor-AlmagroDepartment of Rheumatology, Hospital Universitario de Jerez, Cádiz, Spain.
Myriam GandíaDepartment of Rheumatology, Hospital Universitario de Jerez, Cádiz, Spain.
José A Gómez-PuertaDepartment of Rheumatology, Hospital Clinic and IDIBAPS, Barcelona, Spain.ORCID 0000-0001-8177-702X
Beatriz Frade-SosaDepartment of Rheumatology, Hospital Clinic and IDIBAPS, Barcelona, Spain.ORCID 0000-0002-5867-8434
Consuelo Ramos-GiráldezDepartment of Rheumatology, Hospital Universitario Virgen de Valme, Sevilla, Spain.
Carmen Trapero-PérezDepartment of Rheumatology, Hospital Universitario Virgen de Valme, Sevilla, Spain.
Elvira DiezDepartment of Rheumatology, Complejo Asistencial Universitario de León, León, Spain.
Clara MorianoDepartment of Rheumatology, Complejo Asistencial Universitario de León, León, Spain.
Alejandro Muñoz-JiménezDepartment of Rheumatology, Hospital Universitario Virgen del Rocío, Sevilla, Spain.
Iñigo Jesús Rúa-FigueroaDepartment of Rheumatology, Hospital Universitario Doctor Negrín, Las Palmas de Gran Canaria, Spain.ORCID 0000-0002-7894-1690
Hospital Universitario Araba · ESInstitut d'Investigació Biomédica de Bellvitge · ESComplejo Asistencial Universitario de Palencia · ESGalicia Sur Biomedical Foundation · ESHospital Clínic de Barcelona · ESHospital Universitario de Gran Canaria Doctor Negrín · ESHospital Universitario de Valme · ESHospital Universitario Virgen de la Arrixaca · ESInstitut d'Investigació en Ciències de la Salut Germans Trias i Pujol · ESUniversity Hospital Complex Of Vigo · ESVall d'Hebron Institut de Recerca · ESHospital General Universitario Gregorio Marañón · ESHospital Universitari i Politècnic La Fe · ESHospital Universitario de La Princesa · ESHospital Universitario Ramón y Cajal · ESHospital Universitario Severo Ochoa · ESHospital Universitario Virgen del Rocío · ESParc de Salut · ESResearch Institute Hospital 12 de Octubre · ESUniversidad Complutense de Madrid · ES

Funding

Astra ZenecaAstraZenecaGlaxoSimthKlineInvestigator Sponsorized Study
6 · The paper itself

Abstract

objectivesTo provide an overview on the current use of belimumab (BLM) in SLE patients in clinical practice and to examine its efficacy in terms of standardized outcomes, drug survival, as well as patient and safety profiles.

methodsA longitudinal retrospective multicenter cohort including SLE patients treated with BLM at 18 Spanish centers. Data was collected upon initiation of BLM, at 6 and 12 months after initiation, and at the last recorded visit. Changes in SLEDAI-2K, the proportion of patients who achieved LLDAS and DORIS 2021, and number of flares were compared between visits. Changes in damage, glucocorticoids use and employment status pre-BLM and post-BLM were also assessed.

resultsA total of 324 patients were included with a mean follow-up of 3.8 (±2.7) years. LLDAS was attained by 45.8%, 62% and 71% of patients, and DORIS by 24%, 36.2% and 52.5% on successive visits, respectively. A total of 27.2% of patients were in DORIS ≥50% of the visits and 46% in LLDAS-50. Flares and number of flares were significantly lower one year after treatment with BLM and no changes in damage accrual were observed. Mean (±SD) prednisone dose was significantly reduced over time, with 70 (24%) patients discontinuing GC.

conclusionOur study not only demonstrates belimumab's efficacy in attaining treat-to-target goals in SLE patients, but also confirms its GC-sparing effect, and its prevention of flares and organ damage accrual.

Indexed as

Antibodies, Monoclonal, HumanizedImmunosuppressive AgentsLupus Erythematosus, SystemicAdultFemaleGlucocorticoidsHumansLongitudinal StudiesMaleMiddle AgedRetrospective StudiesSpainTreatment OutcomeAntibodies, Monoclonal, HumanizedbelimumabGlucocorticoidsImmunosuppressive AgentsbelimumabbiologicscohortDORISeffectivenessLLDASremissionSpanishsystemic lupus erythematosustarget

Identifiers

PMID38490245
PMCPMC11701321
OpenAlexW4392886187

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.