Lupus & antiphospholipid syndrome

Belimumab therapy for refractory immune thrombocytopenia in systemic lupus erythematosus patients with anti-phospholipid antibodies

Scand J RheumatolPublished Single-arm observational study

Authors' conclusion

In this study, belimumab reduced the anti-phospholipid antibodies while increasing the platelet count in SLE patients with anti-phospholipid antibody-associated immune thrombocytopenia.

Study context

Population
Systemic lupus erythematosus (SLE) patients (1997 ACR criteria) with refractory aPL-associated immune thrombocytopenia (platelets <30 × 109/L), no bleeding symptoms, lack of satisfactory response to traditional treatment and high-titre aPL
Participants
4 patients
Outcome
Platelet count
Methodological detailsone-arm
  • One-arm

Main finding

As reported in the abstract

Mean platelet count at baseline

21.8 × 109 cells/L

Platelet count range at baseline

16 and 29 × 109/L

Platelet count at 1 month

123.3 × 109/L

Platelet count at the end of 6 months

172.5 × 109/L

Observational data: associations, not effects.

Safety

No bleeding complications occurred during the entire follow-up period

Original publication

Belimumab therapy for refractory immune thrombocytopenia in systemic lupus erythematosus patients with anti-phospholipid antibodies. Scand J Rheumatol. Published 31 August 2023. doi:10.1080/03009742.2023.2247881

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