Evidence map›Paper›PMID 38594808›Full record

Observational studyLupus2024

Considering belimumab during pregnancy: A more viable option over time.

Paloma Vela-Casasempere, Rocío Caño Alameda, Silvia Gómez Sabater, Silvia Cortell Aznar, Encarnación Pérez Pascual

Open access · hybridAbstract readObservational StudyReview
In one paragraph

Observational study in Lupus, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
2.2field-weighted citation impact, top 13% 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

2 citing papers in PubMed, 4 citations in OpenAlex.

  1. Article
  2. 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

5 authors at 3 institutions in 1 country.

Paloma Vela-CasasempereAlicante Institute for Health and Biomedical Research (ISABIAL), Alicante, Spain.ORCID 0000-0001-8566-5172
Rocío Caño AlamedaAlicante Institute for Health and Biomedical Research (ISABIAL), Alicante, Spain.ORCID 0000-0002-2803-4347
Silvia Gómez SabaterAlicante Institute for Health and Biomedical Research (ISABIAL), Alicante, Spain.ORCID 0000-0002-2833-565X
Silvia Cortell AznarDepartment of Obstetrics and Gynaecology, Dr Balmis General University Hospital, Alicante, Spain.ORCID 0000-0003-3527-3327
Encarnación Pérez PascualDepartment of Obstetrics and Gynaecology, Dr Balmis General University Hospital, Alicante, Spain.
Hospital General Universitario de Alicante Doctor Balmis · ESInstituto de investigación sanitaria y biomédica de AlicanteUniversitat de Miguel Hernández d'Elx · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo share our experience with belimumab in lupus pregnant women and to review the relevant published literature on its use in this scenario.

methodsA prospective observational study of pregnant patients with lupus was conducted. Additionally, MEDLINE and EMBASE databases were searched, and a secondary hand search of the literature was performed. Studies were evaluated and visualised descriptively.

resultsSixteen pregnancies of 12 lupus women were included, six (involving eight pregnancies) received belimumab throughout their illness, five of them during some period of gestation. In this group, there was one miscarriage, one elective termination and seven live foetuses (including two live twins). There was one type I intrauterine growth retardation, and a preterm pregnancy due to premature rupture of membranes (PPROM). One mild lupus flare was detected. There were no cases of pre-eclampsia, gestational diabetes mellitus or hypertension. All neonates had normal Apgar scores at birth, none needed critical care. There were no congenital anomalies. After the search, we identified 10 case reports and case series, and five registries. Among the 39 reported cases (41 pregnancies), there were 5 PPROM, 4 pre-eclampsia, and 1 eclampsia. All women made full recoveries. Nineteen new-borns had low birth weight. There were no malformations. While registries did not indicate an increased risk of birth defects or pregnancy loss, there was a higher risk of neonatal infections.

conclusionsBelimumab may be an option for pregnant women with difficult-to-control lupus. Further research is needed to confirm the absence of association between belimumab and foetal harm.

Indexed as

Antibodies, Monoclonal, HumanizedImmunosuppressive AgentsLupus Erythematosus, SystemicPregnancy ComplicationsPregnancy OutcomeAbortion, SpontaneousAdultFemaleHumansInfant, NewbornPregnancyProspective StudiesYoung AdultAntibodies, Monoclonal, HumanizedbelimumabImmunosuppressive AgentsbelimumabpregnancySystemic lupus erythematosus

Identifiers

PMID38594808
PMCPMC11193323
OpenAlexW4394684773

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.