Lupus & antiphospholipid syndrome

New biologics and targeted therapies in systemic lupus: From new molecular targets to new indications. A systematic review

Joint Bone SpinePublished Systematic review of clinical trial registry

Authors' conclusion

The pipeline of investigational drugs in SLE is highly diversified and will hopefully enable more optimal Treat-To-Target with the goal of disease modification.

Study context

Population
Targeted therapies in clinical development in Systemic Lupus Erythematosus (SLE) registered in clinicaltrials.gov
Participants
92 participants203 clinical trials
Comparison
bDMARDs vs targeted synthetic [ts]DMARDs
  • bDMARDsn = 58
  • Targeted synthetic [ts]DMARDsn = 34
Outcome
Targeted therapies in clinical development in SLE
Methodological detailsclinicaltrials.gov search (28th of August 2022), most advanced stage of clinical development per drug
  • clinicaltrials.gov search (28th of August 2022)
  • Most advanced stage of clinical development per drug

Pooled result

As reported in the abstract

Phase I
20
Phase Ia/IIb
6
Phase II
51
Phase II/III
1
Phase III
13
Phase IV
1
Target: inflammatory cytokines, chemokines or their receptors
19
Target: intracellular signaling pathways
18
Target: B cells
14
Target: plasma cells
7
Target: T/B cell co-stimulation molecules
10
Target: complement molecules
5
Target: T lymphocytes
2
Target: plasmacytoid dendritic cells
2
Target: various other immune targets
15

Further pooled results

Trial status

Recruiting
31
Active but not recruiting
8
Not yet recruiting
4
Enrolling by invitation
2
Completed
31
Prematurely terminated
12
Withdrawn
1
Status unknown
3

Original publication

New biologics and targeted therapies in systemic lupus: From new molecular targets to new indications. A systematic review. Joint Bone Spine. Published 7 January 2023. doi:10.1016/j.jbspin.2023.105523

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