Lupus & antiphospholipid syndrome

Efficacy and safety of telitacicept combined with standard of care in patients with proliferative lupus nephritis: a real-world retrospective study

Lupus Sci MedPublished Retrospective cohort study

Authors' conclusion

This real-world study demonstrates that telitacicept combined with SoC significantly improves renal response rates during the induction phase of proliferative LN while reducing glucocorticoid exposure.

Study context

Population
Patients with biopsy-proven ISN/RPS Class III/IV (with or without Class V) lupus nephritis (LN); induction therapy
Participants
112 patients
Exposure
Telitacicept plus standard of care (SoC) vs SoC alone
  • Telitaciceptn = 56
  • Controln = 56reference
Outcome
Rates of complete renal response (CR) and partial renal response (PR)
Follow-up
Week 24
Methodological detailsreal-world, propensity score-based inverse probability of treatment weighting (IPTW)
  • Real-world
  • Propensity score-based IPTW

Main finding

As reported in the abstract

Values · week 24

PR rate

  • Telitacicept vs Control: P = 0.004
  • Telitacicept vs Control: P = 0.023

Observational data: associations, not effects.

Secondary outcomes

OutcomeHR (95% CI)P value
Achieving CR (multivariate Cox regression)Independent predictor4.43 (2.25–8.73)P < 0.001

Disease activity markers, GC dosages, SLEDAI-2K, BILAG and PGA

Significant improvements in serum albumin, 24-hour urinary protein and urinary leucocyte and erythrocyte counts with telitacicept
GC dosages, SLEDAI-2K, BILAG and PGA scores significantly reduced with telitacicept

Original publication

Efficacy and safety of telitacicept combined with standard of care in patients with proliferative lupus nephritis: a real-world retrospective study. Lupus Sci Med. Published 12 September 2026. doi:10.1136/lupus-2026-002191

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