Evidence map›Paper›PMID 39973976›Full record

ArticleOpen access rheumatology : research and reviews2025

Real-World Effectiveness of Intravenous Belimumab on Clinical Outcomes in Patients With Systemic Lupus Erythematosus in Saudi Arabia: The OBSErve Observational Study.

Ibrahim Abdulrazag Al-Homood, Ibrahim Almaghlouth, Alhussain Mohammed Asiri, Hanan Hamdy, Ali Alhammad, Alaa Mustafa, Mohamed Othman, Munther Khamashta, Tamer Elfishawy, Lindsey Teichman and 3 more

Abstract read
In one paragraph

Article in Open access rheumatology : research and reviews, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  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

13 authors.

Ibrahim Abdulrazag Al-HomoodDepartment of Medicine, King Fahad Medical City, Riyadh, Saudi Arabia.ORCID 0000-0001-6391-6938
Ibrahim AlmaghlouthRheumatology Unit, Department of Medicine, King Saud University Medical City, King Saud University, Riyadh, Saudi Arabia.ORCID 0000-0002-8176-287X
Alhussain Mohammed AsiriMedical Department, Asir Central Hospital, Abha, Aser, Saudi Arabia.
Hanan HamdyInternal Medicine, King Fahad Specialist Hospital, Tabouk, Saudi Arabia.
Ali AlhammadValue Evidence and Outcomes, GSK Saudi Arabia, Jeddah, Saudi Arabia.ORCID 0000-0002-7442-5015
Alaa MustafaMedical Affairs, GSK Saudi Arabia, Jeddah, Saudi Arabia.
Mohamed OthmanMedical Affairs, GSK Saudi Arabia, Jeddah, Saudi Arabia.
Munther KhamashtaMedical Affairs, GSK, Dubai, United Arab Emirates.ORCID 0000-0002-8927-6024
Tamer ElfishawyMedical Affairs, GSK, Dubai, United Arab Emirates.
Lindsey TeichmanReal World Matrix Team, GSK, Dubai, United Arab Emirates.ORCID 0000-0002-2600-9383
Debora Dos SantosReal World Matrix Team, GSK, Rio de Janeiro, Brazil.ORCID 0000-0003-3917-2291
Juliana Domenico QueirozReal World Matrix Team, GSK, Rio de Janeiro, Brazil.ORCID 0000-0002-1560-3598
Saeed NoibiValue Evidence and Outcomes, GSK Saudi Arabia, Jeddah, Saudi Arabia.ORCID 0009-0002-4075-7182

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Purpose: To describe intravenous (IV) belimumab's clinical effectiveness in patients with systemic lupus erythematosus (SLE) in real-world practice in Saudi Arabia. Patients and methods: This retrospective, observational OBSErve study (GSK Study 215349) analyzed medical record data for adults with SLE receiving IV belimumab. Index date was the date of belimumab initiation. The primary endpoint was overall clinical response per physician judgement (categorized as worse, no improvement, improvement of <20%, 20-49%, 50-79%, ≥80%) at 6 months post-index. The secondary endpoints included changes from index in Safety of Estrogens in Lupus Erythematosus National Assessment-SLE Disease Activity Index (SELENA-SLEDAI) score and corticosteroid dose at 6 months post-index; and healthcare resource utilization (HCRU) 6 months pre- and post-index. Results: Of 47 patients enrolled, 44 patients completed ≥6 months of IV belimumab treatment and were included in the analysis. Most patients were female (91.5%) and the mean (standard deviation [SD]) age was 33.1 (8.1) years. At 6 months post-index, overall physician-assessed clinical improvements of ≥20% and ≥50% were reported for 97.7% (n=43) and 79.5% (n=35) of patients, respectively; 2.3% (n=1) of patients had no improvement, and no patient worsened. Mean SELENA-SLEDAI score decreased by 7.8 points during the 6 months post-index. Mean (SD) corticosteroid dose decreased from 10.2 (7.5) mg/day at index to 6.2 (3.4) mg/day at 6 months post-index. Reductions in unscheduled physician office and emergency room visits were observed during the post-index versus pre-index periods. Conclusion: Real-world data from patients with SLE treated with IV belimumab in Saudi Arabia demonstrated clinical improvements and reductions in corticosteroid dose and HCRU. Although the low number of patients and lack of a control group limit interpretation, the similar findings to the other OBSErve studies support the effectiveness of belimumab for patients with SLE in Saudi Arabia.

Indexed as

disease activitydisease modificationglucocorticoidsmonoclonal antibodysystemic lupus erythematosus

Identifiers

PMID39973976
PMCPMC11835778

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Registered trials

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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.