Lupus & antiphospholipid syndrome

Belimumab versus anifrolumab in adults with systemic lupus erythematosus: an indirect comparison of clinical response at 52 weeks

Lupus Sci MedPublished Indirect treatment comparison (multilevel network meta-regression) of randomised trials

Primary result · SRI-4 responseResult — go to the resultOdds ratio 1.04 95% CrI 0.74–1.45

Authors' conclusion

Our results suggest that the SRI-4 response of belimumab and anifrolumab are similar at 52 weeks in the general SLE population, but the level of uncertainty around the point estimate means we cannot rule out the possibility of a clinically meaningful benefit for either treatment.

Study context

Population
Adults with SLE in randomised trials8 trials
Comparison
Belimumab vs anifrolumab
Primary endpoint
SRI-4 response
Follow-up
52 weeks
Methodological detailssystematic literature review, multilevel network meta-regression (ML-NMR) adjusted for SLEDAI-2K, anti-dsDNA positivity, low C3 and low C4, sensitivity analyses
  • Systematic literature review
  • ML-NMR adjusted for SLEDAI-2K, anti-dsDNA positivity, low C3 and low C4
  • Sensitivity analyses

Primary result

As reported in the abstract

Odds ratio

1.04

95% CrI 0.74–1.45

Belimumabvs Anifrolumab
OR 1.04 (95% CrI 0.74–1.45)
Probability belimumab is the more effective treatment
0.58

Further findings

Robustness across analysis scenarios

Results highly consistent across all analysis scenarios

Original publication

Belimumab versus anifrolumab in adults with systemic lupus erythematosus: an indirect comparison of clinical response at 52 weeks. Lupus Sci Med. Published 5 May 2023. doi:10.1136/lupus-2023-000907

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