Lupus & antiphospholipid syndrome

Lupus nephritis randomised controlled trials: evidence gaps and under-represented groups

Lupus Sci MedPublished Scoping review of randomised controlled trials

Study context

Population
RCTs of pharmacological therapies for the initial management of lupus nephritis (LN), published 2000–2024124 arms in 61 RCTs
Participants
7,058 participants
Methodological detailsdescriptive statistics, Fragility Index
  • Descriptive statistics
  • Fragility Index

Primary result

As reported in the abstract

Study design, included populations and outcome definitions of LN RCTs
Arms with guideline-recommended therapies
79 (63.7%)
MPAA arms
33 (26.6%)
NIH-CYC arms
28 (22.6%)
Triple-drug therapy arms
7 (5.6%)
Triple-drug therapy RCTs multinational
100%
NIH-CYC RCTs multinational
7.1%
Tacrolimus RCTs multinational
0%
RCTs with follow-up ≥24 months
9 (14.8%)
RCTs exclusively including severe or refractory LN
10 (16.4%)
RCTs reporting serious adverse events
29 (47.5%)
Fragility Index (FI) of RCTs of double-drug guideline-recommended therapies (robustness mostly low)
1 to 3

Original publication

Lupus nephritis randomised controlled trials: evidence gaps and under-represented groups. Lupus Sci Med. Published 20 December 2024. doi:10.1136/lupus-2024-001331

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