Lupus & antiphospholipid syndrome

Prospective analysis of B cell subset dynamics following telitacicept treatment in systemic lupus erythematosus

Arthritis Res TherPublished Prospective cohort study

Authors' conclusion

Combining telitacicept with standard therapy induced significant changes in B cell subsets and clinical markers in SLE patients.

Study context

Population
Active systemic lupus erythematosus (SLE) patients (SLEDAI-2K ≥ 6)
Participants
20 vs 21
Exposure
Telitacicept plus standard therapy, B cell subsets vs baseline
  • Telitaciceptn = 20
  • Healthy controlsn = 21reference
Outcome
Changes in detailed B cell subsets following telitacicept treatment
Methodological detailssingle-group, flow cytometry, B cell subsets and clinical assessments at 0, 4, 12 and 24 weeks
  • Single-group
  • Flow cytometry
  • B cell subsets and clinical assessments at 0, 4, 12 and 24 weeks

Main finding

As reported in the abstract

B cell subsets vs baseline
Decrease in total B cells
p < 0.05
Decreases in transitional B cells, naive B cells and short-lived plasma cells
all p < 0.01
Increase in proportion of B regulatory (Breg) cells
p < 0.05

Observational data: associations, not effects.

Further findings

SRI-4 response · six months

SRI-4 response rate (19/20)
95%

LLDAS achievement · six months

Achievement of LLDAS (7/20)
35%

SLEDAI-2K scores and anti-dsDNA levels vs baseline

Significant reductions (both p < 0.001)

Complement C3 and C4 levels vs baseline

Increases (both p < 0.001)

24-h urine protein levels vs baseline

Significant decrease (p = 0.004)

Original publication

Prospective analysis of B cell subset dynamics following telitacicept treatment in systemic lupus erythematosus. Arthritis Res Ther. Published 18 June 2025. doi:10.1186/s13075-025-03584-x

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