Lupus & antiphospholipid syndrome

Efficacy and safety of telitacicept in patients with systemic lupus erythematosus: a multicentre, retrospective, real-world study

Lupus Sci MedPublished Retrospective cohort study

Authors' conclusion

Telitacicept demonstrated favourable efficacy and safety in patients with active SLE and improved the renal and haematological manifestations of the disease.

Study context

Population
Patients with active SLE treated with telitacicept in everyday clinical practice, multiple centres in China, 2019–202221 treated for 52 weeks
Participants
72 patients
Outcome
SRI-4 response
Follow-up
4, 12, 24 and 52 weeks
Methodological detailsmulticentre, real-world, trajectory analysis, multivariable logistic regression
  • Multicentre
  • Real-world
  • Trajectory analysis
  • Multivariable logistic regression

Main finding

As reported in the abstract

SRI-4 at 4 weeks

22.22%

SRI-4 at 12 weeks

54.17%

SRI-4 at 24 weeks

72.22%

SRI-4 at 52 weeks

80.95%

Observational data: associations, not effects.

Further findings

LLDAS · 4, 12, 24 and 52 weeks

LLDAS at 4 weeks
8.33%
LLDAS at 12 weeks
26.39%
LLDAS at 24 weeks
34.72%
LLDAS at 52 weeks
47.62%

Remission · 4, 12, 24 and 52 weeks

Remission at 4 weeks
0%
Remission at 12 weeks
4.17%
Remission at 24 weeks
8.33%
Remission at 52 weeks
23.81%

Serum IgA, IgG and IgM · 4, 12, 24 and 52 weeks

Significant decreases at 4 weeks, downward trend at 12, 24 and 52 weeks

Median 24-hour urinary protein in LN (subgroup) · 52 weeks

mg

Baseline
1323.5
After 52 weeks
224.0

Recovery of haematological abnormalities (subgroup) · 52 weeks

Recovered
10 of 13

Factors for limited response

Age appeared to have a negative impact on treatment efficacy

Safety

Severe adverse events · observation period

No severe adverse events reported

Original publication

Efficacy and safety of telitacicept in patients with systemic lupus erythematosus: a multicentre, retrospective, real-world study. Lupus Sci Med. Published 24 November 2023. doi:10.1136/lupus-2023-001074

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