Lupus & antiphospholipid syndrome

Efficacy and safety study of targeted small-molecule drugs in the treatment of systemic lupus erythematosus

Arthritis Res TherPublished Systematic review and network meta-analysis of randomised controlled trials

Authors' conclusion

Based on the evidence obtained in this study, the differences in the efficacy of targeted small-molecule drugs were statistically significant as compared to placebo, but the difference in the safety was not statistically significant.

Study context

Population
Patients with systemic lupus erythematosus (SLE) in randomized controlled trials (RCTs) of targeted small-molecule drugs (PubMed, Web of Science, Embase, Cochrane Library, to April 25, 2023)
Participants
3,622 patients13 studies
Comparison
Targeted small-molecule drugs vs each other and placebo
Outcome
SRI-4 response, BICLA response and adverse reactions
Methodological detailsBayesian network meta-regression, Cochrane risk of bias tool
  • Bayesian network meta-regression
  • Cochrane risk of bias tool

Pooled result

As reported in the abstract

Relative risk (95% CI)P value
Deucravacitinibvs BaricitinibSRI-4 response
1.32(1.04–1.68)
P < 0.05
Deucravacitinibvs PlaceboBICLA response
1.55(1.20–2.02)
P < 0.05

Safety

OutcomeP value
Adverse eventsTargeted small-molecule drugs vs PlaceboP > 0.05

Adverse events

Targeted small-molecule drugs did not significantly increase the risk of AEs vs placebo

Original publication

Efficacy and safety study of targeted small-molecule drugs in the treatment of systemic lupus erythematosus. Arthritis Res Ther. Published 10 May 2024. doi:10.1186/s13075-024-03331-8

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