Lupus & antiphospholipid syndrome

Real-world experience of anifrolumab in 30 patients with refractory DM: a multicentre–multidisciplinary retrospective study

Rheumatology (Oxford)Published Retrospective cohort study

Authors' conclusion

ANI showed rapid, multisystem efficacy in refractory DM with significant steroid-sparing effects and a favourable safety profile.

Study context

Population
Patients with refractory systemic DM
Participants
30 patients
Outcome
Cutaneous activity (CDASI-A), median, baseline to month 1
Follow-up
Month 1
Methodological detailsmulticentre, multidisciplinary, compassionate use
  • Multicentre
  • Multidisciplinary
  • Compassionate use

Main finding

As reported in the abstract

CDASI-A baseline
23 [IQR 10.8-30.5]
CDASI-A month 1
6 [IQR 3-10]
Change baseline to month 1
P < 0.001

Observational data: associations, not effects.

Safety

Adverse events (mild)

Patients with AEs, all mild
16.7%
Death from pneumonia (89-year-old patient)
1

Treatment discontinuation

Discontinued anifrolumab (ANI) for efficacy loss
1
Required upadacitinib for refractory pruritus
1

Original publication

Real-world experience of anifrolumab in 30 patients with refractory DM: a multicentre–multidisciplinary retrospective study. Rheumatology (Oxford). Published 16 December 2025. doi:10.1093/rheumatology/keaf662

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