Lupus & antiphospholipid syndrome

Reduced organ damage accumulation in adult patients with systemic lupus erythematosus (SLE) on anifrolumab plus standard of care compared to real-world external controls

Ann Rheum DisPublished Externally controlled cohort study

Main finding · Change in SDI score (weighted)Result — go to the resultMean change difference (lower) 0.416 points 95% CI −0.582 to −0.249

Authors' conclusion

Patients who received anifrolumab accumulated significantly less organ damage after 208 weeks than patients who received RW SOC.

Study context

Population
Adults with moderately to severely active SLE
Participants
354 vs 561
Exposure
Anifrolumab 300 mg plus standard of care (SOC) vs real-world SOC only
  • Anifrolumabn = 354
  • Real-world (RW) SOCn = 561reference
Outcome
Change in SLICC/ACR DI (SDI) score from baseline
Follow-up
Week 208
Methodological detailsreal-world external controls, propensity score and censoring weighting
  • Real-world external controls
  • Propensity score and censoring weighting

Main finding

Change in SDI score (weighted)

Mean change difference (lower)

0.416 points

95% CI −0.582 to −0.249

P < 0.001

As reported in the abstract

Observational data: associations, not effects.

Secondary outcomes

OutcomeHR (95% CI)P value
Time to first SDI score increase · within 208 weeks59.9% less likely0.401 (0.213–0.753)P = 0.005

Original publication

Reduced organ damage accumulation in adult patients with SLE on anifrolumab plus standard of care compared to real-world external controls. Ann Rheum Dis. Published 1 February 2025. doi:10.1016/j.ard.2025.01.025

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