Evidence map›Paper›PMID 38609320›Full record

ArticleRMD open2024

Analysis of belimumab prescription and outcomes in a 10-year monocentric cohort: is there an advantage with early use?

Chiara Tani, Dina Zucchi, Chiara Cardelli, Elena Elefante, Viola Signorini, Davide Schilirò, Giancarlo Cascarano, Luca Gualtieri, Anastasiya Valevich, Giulia Puccetti and 3 more

Open access · goldAbstract read
In one paragraph

Article in RMD open, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
5.2field-weighted citation impact, top 4% 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

8 citing papers in PubMed, 11 citations in OpenAlex.

  1. Anti-CD19-engineered exosomes enable B cell-targeted anti-BAFF mRNA delivery to alleviate lupus progression.Molecular therapy : the journal of the American Society of Gene Therapy · 2026
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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

13 authors at 2 institutions in 2 countries.

Chiara Tani *Rheumatology Unit, Department of Clinical and Experimental Medicine, University of Pisa, Pisa, Italy.ORCID 0000-0002-0870-8738
Dina Zucchi *Rheumatology Unit, Department of Clinical and Experimental Medicine, University of Pisa, Pisa, Italy.ORCID 0000-0002-2161-2562
Chiara CardelliRheumatology Unit, Department of Clinical and Experimental Medicine, University of Pisa, Pisa, Italy.ORCID 0000-0001-6407-6213
Elena ElefanteRheumatology Unit, Department of Clinical and Experimental Medicine, University of Pisa, Pisa, Italy.ORCID 0000-0003-0657-485X
Viola SignoriniRheumatology Unit, Department of Clinical and Experimental Medicine, University of Pisa, Pisa, Italy.
Davide SchiliròRheumatology Unit, Department of Clinical and Experimental Medicine, University of Pisa, Pisa, Italy.
Giancarlo CascaranoRheumatology Unit, Department of Clinical and Experimental Medicine, University of Pisa, Pisa, Italy.
Luca GualtieriRheumatology Unit, Department of Clinical and Experimental Medicine, University of Pisa, Pisa, Italy.
Anastasiya ValevichRheumatology Unit, Department of Clinical and Experimental Medicine, University of Pisa, Pisa, Italy.
Giulia PuccettiRheumatology Unit, Department of Clinical and Experimental Medicine, University of Pisa, Pisa, Italy.
Linda CarliRheumatology Unit, Department of Clinical and Experimental Medicine, University of Pisa, Pisa, Italy.
Chiara StagnaroRheumatology Unit, Department of Clinical and Experimental Medicine, University of Pisa, Pisa, Italy.
Marta MoscaRheumatology Unit, Department of Clinical and Experimental Medicine, University of Pisa, Pisa, Italy marta.mosca@med.unipi.it.
University of Pisa · ITUniversity of Siena · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThe objective is to evaluate perscriptions of belimumab (BEL), how these have changed over the years and their impact on clinical outcomes in patients with systemic lupus erythematosus (SLE).

methodsThis is a retrospective analysis of prospectively collected data. We retrieved demographic and clinical data and concomitant therapies at BEL starting (baseline). Disease activity was assessed at baseline and after 6 and 12 months and organ damage at baseline and at the last visit.

resultsFrom 422 patients followed in the Pisa SLE cohort, 102 patients received BEL and were included and 22 (21.6%) were immunosuppressant (IS)-naïve. Lupus Low Disease Activity State (LLDAS) with a glucocorticoid (GC) dosage ≤5 mg/day (LLDAS5) and remission were achieved by 47% and 38% of patients at 6 months, and by 75% and 66% at 12 months. Comparing IS-naïve patients with those who received BEL after at least one conventional IS, we did not find significant differences in baseline characteristics and in the achievement of LLDAS5 and remission. Despite at baseline we did not observe significant differences in mean GC daily dosage, IS-naïve patients were taking a significantly lower GC daily dose at 6 and 12 months. Interestingly, IS-naïve patients were more common in the most recent years.

conclusionsOur data confirm that BEL is effective in controlling disease activity, and in recent years BEL has been considered as an earlier treatment option before other IS. Early introduction of BEL can be at least as effective as a step-up approach and can help to reduce the GC dosage.

Indexed as

Antibodies, Monoclonal, HumanizedLupus Erythematosus, SystemicGlucocorticoidsHumansImmunosuppressive AgentsPrescriptionsRetrospective StudiesAntibodies, Monoclonal, HumanizedbelimumabGlucocorticoidsImmunosuppressive AgentsBiological TherapyLupus Erythematosus, SystemicOutcome Assessment, Health Care

Identifiers

PMID38609320
PMCPMC11029263
OpenAlexW4394761722

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.