Lupus & antiphospholipid syndrome

Anifrolumab in lupus nephritis: results from second-year extension of a randomised phase II trial

Lupus Sci MedPublished Secondary analysis of the TULIP-LN randomised trial

Authors' conclusion

The safety and tolerability profile through Year 2 of TULIP-LN was generally consistent with Year 1, with promising efficacy results for the anifrolumab IR regimen.

Study context

Population
Patients with active lupus nephritis (LN) who achieved at least partial renal response and a GC tapering target in Year 175 continued into Year 2
Participants
147 patients
Comparison
Anifrolumab intensified regimen vs basic regimen vs placebo, IV every 4 weeks
  • Intensified regimen (IR)n = 29
  • Basic regimen (BR)n = 23
  • Placebon = 23reference
Methodological detailsphase II, double-blind, placebo-controlled, second-year extension
  • Phase II
  • Double-blind
  • Placebo-controlled
  • Second-year extension

Primary result

As reported in the abstract

Complete renal response · Week 104

Further findings

Complete renal response with sustained GC tapering · Week 104 — IR
25.0%

eGFR improvement

Numerically larger improvements in both anifrolumab groups vs placebo

Safety

Serious AEs · Year 2

Events

OutcomeIRBRPlacebo
Discontinuation due to AE · Year 22— not stated in the abstract1
Herpes zoster · Year 211— not stated in the abstract

— not stated in the abstract

≥1 adverse event (AE) during Year 2 (all patients)

Patients with ≥1 AE
72%

COVID-19 cases

No COVID-19 cases reported

Original publication

Anifrolumab in lupus nephritis: results from second-year extension of a randomised phase II trial. Lupus Sci Med. Published 22 August 2023. doi:10.1136/lupus-2023-000910

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