Inflammatory myopathies

Belimumab treatment of adult idiopathic inflammatory myopathy

Rheumatology (Oxford)Published Randomised controlled trial

Authors' conclusion

The study did not meet the primary endpoint and no statistically significant differences were observed in clinical responses between arms.

Study context

Population
Adults with refractory idiopathic inflammatory myopathy (IIM)15 in ITT analysis
Participants
17 adults
Comparison
IV belimumab 10 mg/kg added to standard of care vs placebo
Methodological detailsmulticentre, double-blind, placebo-controlled, 24-week open-label extension
  • Multicentre
  • Double-blind
  • Placebo-controlled
  • 24-week open-label extension

Primary result

As reported in the abstract

TIS ≥40 · weeks 40 and 64

P = non-significant (NS)

Further findings

DOI achieved · weeks 40 and 64

P = NS

Events

OutcomeBelimumabPlacebo
Major responses (TIS = 72.5) after week 4020

Mean total improvement score (TIS)

The mean TIS was similar among groups

Placebo after switch to open-label

No improvement observed

Steroid-sparing effect

There was no steroid-sparing effect

B cell phenotype

Total B cells not reduced; belimumab depleted naïve B cells and increased number and frequency of memory B cells

Original publication

Belimumab treatment of adult idiopathic inflammatory myopathy. Rheumatology (Oxford). Published 16 June 2023. doi:10.1093/rheumatology/kead281

Composed by AI from the published abstract and checked against it. How Briefs are made →

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