Lupus & antiphospholipid syndrome

Safety and tolerability of combination rituximab and belimumab therapy in systemic lupus erythematosus: A systematic review

LupusPublished Systematic review of randomised and non-randomised trials

Authors' conclusion

Adverse effects are common on this treatment, and there is potential for serious adverse events.

Study context

Population
Adults with SLE; Embase, MEDLINE and Web of Science searched through June 20257 studies (2 RCTs, 5 non-randomised)
Participants
185 adults
Comparison
Combination RTX then belimumab therapy
Outcome
Safety and tolerability of combination RTX and belimumab therapy
Methodological detailsPRISMA
  • PRISMA

Pooled result

As reported in the abstract

Treatment-emergent adverse events (TEAEs)
GroupValueDiscontinued treatment due to treatment-emergent adverse events (TEAEs)
RTX + belimumab7 events7

RTX + belimumab

Value7 events
Discontinued treatment due to treatment-emergent adverse events (TEAEs)7

Safety

OutcomeValues
Discontinuation due to TEAEsRTX + belimumab 7 events

Original publication

Safety and tolerability of combination rituximab and belimumab therapy in systemic lupus erythematosus: A systematic review. Lupus. Published 29 October 2025. doi:10.1177/09612033251390995

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