Lupus & antiphospholipid syndrome

Patient profiles and early response in patients with systemic lupus erythematosus initiating anifrolumab: interim analysis from the ongoing multicentre observational REVEAL study

Lancet RheumatolPublished Prospective observational cohort study

Authors' conclusion

This study provides the first large-scale real-world evidence of anifrolumab use in patients with SLE, supporting its clinical benefit and rapid onset of action in routine care.

Study context

Population
Adults (≥18 years) with systemic lupus erythematosus (SLE), active disease, naive to anifrolumab, consecutively enrolled at first infusion, 25 tertiary rheumatology centres in Italy140 assessed at 6 months
Participants
236 adults
Outcome
Number of patients reaching remission (DORIS), LLDAS and LLDAS5 (LLDAS with prednisone-equivalent ≤5 mg/day)
Follow-up
6 months
Methodological detailsmulticentre, pre-specified 6-month interim analysis, 25 tertiary rheumatology centres
  • Multicentre
  • Pre-specified 6-month interim analysis
  • 25 tertiary rheumatology centres

Main finding

As reported in the abstract

Remission (DORIS), LLDAS5 and LLDAS

Remission (DORIS), of 140 patients

37

26%

LLDAS5

80

57%

Lupus Low Disease Activity State (LLDAS)

93

66%

Observational data: associations, not effects.

Further findings

OutcomeValues
Baseline SLEDAI-2KAnifrolumab median 7 (IQR 6–9)

Safety

Adverse events during 6-month follow-up

Adverse events recorded
108
Infections among AEs
83 (77%)

Serious adverse events

Serious adverse events
5
Resulting hospitalisations
6

Original publication

Patient profiles and early response in patients with systemic lupus erythematosus initiating anifrolumab: interim analysis from the ongoing multicentre observational REVEAL study. Lancet Rheumatol. Published 5 February 2026. doi:10.1016/s2665-9913(25)00316-9

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