Lupus & antiphospholipid syndrome

Predictive biomarkers for low-dose IL-2 therapy efficacy in systemic lupus erythematosus: a clinical analysis

Arthritis Res TherPublished Retrospective cohort study

Authors' conclusion

These findings uncovered the predictors of Ld-IL2 treatment efficacy in SLE patients and provided guidance to physicians for rational utilization.

Study context

Population
Systemic lupus erythematosus (SLE) patients undergoing sequential low-dose IL-2 treatment314 persisting >3 months analysed
Participants
342 patients
Exposure
SRI-4 responders vs non-responders to low-dose IL-2
  • Respondern = 136
  • Non-respondern = 178reference
Outcome
Predictors of achieving SRI-4 response
Methodological detailspooled real-world data, prediction analysis
  • Pooled real-world data
  • Prediction analysis

Main finding

As reported in the abstract

Prediction of SRI-4 response

AUC of rash, renal involvement, % change of CD4+ T cells and C3 for predicting SRI-4

0.933

Observational data: associations, not effects.

Further findings

Prediction of Lupus Low Disease Activity State (LLDAS) attainment

Hematological involvement and lower CLA+ Treg were potent predictive markers of LLDAS attainment
Renal involvement not significantly associated with achieving LLDAS

Background therapy

MMF more likely to reach SRI-4 response in combination with Ld-IL2

Original publication

Predictive biomarkers for low-dose IL-2 therapy efficacy in systemic lupus erythematosus: a clinical analysis. Arthritis Res Ther. Published 22 October 2024. doi:10.1186/s13075-024-03388-5

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