Lupus & antiphospholipid syndrome

Long-term safety and efficacy of the combination of belimumab and rituximab in the treatment of severe and refractory SLE: a preliminary report

Lupus Sci MedPublished Descriptive study

Authors' conclusion

Long-lasting remission was observed in patients with SLE following combination treatment with rituximab and belimumab. We observed no significant hypogammaglobulinaemia and, notably, persistent reduction of DN B cells.

Study context

Population
Patients with severe treatment-refractory SLE who previously participated in the phase II Synbiose Study
Participants
8 patients
Outcome
Long-term clinical remission
Follow-up
Median 6.8 years
Methodological detailslong-term extension of the phase II Synbiose Study, high-sensitivity flow cytometry
  • Long-term extension of the phase II Synbiose Study
  • High-sensitivity flow cytometry

Main finding

As reported in the abstract

Patients maintaining long-term clinical remission (of 8)

6

Patients with a major flare

2

Immunosuppression-free remission among those in remission

2

Continued belimumab among those in remission

4

Original publication

Long-term safety and efficacy of the combination of belimumab and rituximab in the treatment of severe and refractory SLE: a preliminary report. Lupus Sci Med. Published 12 February 2025. doi:10.1136/lupus-2024-001424

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