Lupus & antiphospholipid syndrome

Peripheral blood CD19+B cell proportion at baseline predicts early complete response to belimumab treatment in patients with refractory lupus nephritis

Lupus Sci MedPublished Retrospective cohort study

Authors' conclusion

Findings support the baseline CD19+B cell proportion could be used to predict CR to treatment with belimumab in refractory lupus nephritis patients.

Study context

Population
Patients with refractory LN who received 6 months of belimumab
Participants
28 patients
Exposure
Baseline CD19+ B cell proportion in complete response (CR) vs non-CR patients
Outcome
Predictors of CR to belimumab
Follow-up
6 months
Methodological detailsbinary logistic regression, ROC analysis
  • Binary logistic regression
  • ROC analysis

Main finding

As reported in the abstract

Baseline CD19+ B cell proportion as predictor of CR
Estimate (95% CI)P value
Baseline CD19+ B cell proportion
OR (univariate) 1.359(1.098–1.683)
P = 0.005
Baseline CD19+ B cell proportion
OR (exploratory multivariate, adjusted for 24-hour urinary protein) 1.349(1.092–1.665)
P = 0.005
ROC cut-off of CD19+ B cell proportion
15.12%
Sensitivity
90.90%
Specificity
88.20%
AUC
0.888 (95% CI 0.759 to 1.000, p=0.001)

Observational data: associations, not effects.

Further findings

Renal response at 6 months

CR
39.29%
Partial response (PR)
32.14%
No response (NR)
28.57%

Original publication

Peripheral blood CD19+B cell proportion at baseline predicts early complete response to belimumab treatment in patients with refractory lupus nephritis. Lupus Sci Med. Published 3 August 2026. doi:10.1136/lupus-2026-002100

Composed by AI from the published abstract and checked against it. How Briefs are made →

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