Evidence map›Paper›PMID 39780259›Full record

ArticleBMC rheumatology2025

Real-world effectiveness of intravenous belimumab in adults with systemic lupus erythematosus: results of the observational OBSErve study in the Russian Federation.

Alexander Mikhailovich Lila, Elena Aleksandrovna Aseeva, Alyona Igorevna Zagrebneva, Irina Borisovna Vinogradova, Ruzana Ramilovna Samigullina, Munther Khamashta, Tamer Elfishawy, Lindsey Teichman, Debora Dos Santos, Juliana Queiroz and 2 more

Abstract read
In one paragraph

Article in BMC rheumatology, 2025. 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
–field-weighted citation impact
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.

  1. Article
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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

12 authors.

Alexander Mikhailovich LilaInstitute of Rheumatology by V.A. Nasonova, Russian Academy of Science, Moscow, Russian Federation.
Elena Aleksandrovna AseevaInstitute of Rheumatology by V.A. Nasonova, Russian Academy of Science, Moscow, Russian Federation.
Alyona Igorevna ZagrebnevaMoscow City Clinical Hospital №52, Ministry of Health of Moscow, Moscow, Russian Federation.
Irina Borisovna VinogradovaUlyanovsk Regional Hospital, Ulyanovsk, Russian Federation.
Ruzana Ramilovna SamigullinaI.I. Mechnikov Northwestern State Medical University, St. Petersburg, Russian Federation.
Munther KhamashtaGSK, Medical Affairs, Dubai, United Arab Emirates.
Tamer ElfishawyGSK, Medical Affairs, Dubai, United Arab Emirates.
Lindsey TeichmanGSK, Real World Matrix Team, Arenco Tower, 19th Floor, Sheikh Zayed Road, PO Box 50199, Dubai, United Arab Emirates. lindsey.l.teichman@gsk.com.ORCID http://orcid.org/0000-0002-2600-9383
Debora Dos SantosGSK, Real World Matrix Team, Rio de Janeiro, Brazil.
Juliana QueirozGSK, Real World Matrix Team, Rio de Janeiro, Brazil.
Larisa Alexandrovna KniazevaGSK, Emerging Markets, Moscow, Russian Federation.
Saeed NoibiGSK Saudi Arabia, Value Evidence and Outcomes, Jeddah, Saudi Arabia.

Funding

GSK 215349
6 · The paper itself

Abstract

backgroundThe real-world effectiveness of intravenous (IV) belimumab in treating systemic lupus erythematosus (SLE) has been demonstrated in various countries through the OBSErve (evaluation Of use of Belimumab in clinical practice SEttings) program. Here we describe the clinical effectiveness of IV belimumab for treating SLE in real-world clinical practice in the Russian Federation.

methodsIn the retrospective, observational OBSErve Russia study (GSK Study 215349), eligible physicians enrolled adults with SLE receiving IV belimumab as part of their standard care. De-identified data were collected from patient medical records from September 2021 to March 2022. The primary outcome was the physician-assessed overall clinical response at 6 months post-index versus index (belimumab initiation) among patients receiving belimumab for ≥6 months. Other endpoints included change in Safety of Estrogens in Lupus Erythematosus National Assessment - SLE Disease Activity Index (SELENA-SLEDAI) score and glucocorticoid use.

resultsOverall, 59 patients initiated IV belimumab, mainly due to the previous regimen not being effective and to decrease glucocorticoid use (76.3% each); 15.3% of patients started belimumab within the first year of SLE diagnosis. Only 13.6% of patients discontinued belimumab within the first 6 months, mainly due to loss to follow-up and loss of insurance/reimbursement. At 6 months post-index, among patients who completed ≥6 months of belimumab therapy (full analysis set, n = 53), 90.6% and 60.4% had an overall clinical improvement of ≥20% and ≥50%, respectively. Mean (standard deviation, SD) change in SELENA-SLEDAI score from index to 6 months post-index was -5.9 (4.3). Mean (SD) glucocorticoid dose decreased from 12.2 (7.3) mg/day at index to 8.6 (5.1) mg/day at 6 months post-index (n = 50).

conclusionsPatients with SLE receiving IV belimumab for 6 months in real-world settings in the Russian Federation experienced overall clinical improvements and reductions in glucocorticoid use, which is an important long-term strategy of SLE treatment.

Indexed as

BelimumabBiologic drugsCohort studyDisease activityDisease modificationGlucocorticoidsHealthcare resource utilizationLupus flareReal-world dataRetrospective study

Identifiers

PMID39780259
PMCPMC11708191

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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.