Lupus & antiphospholipid syndrome

Safety profile of baricitinib in patients with systemic lupus erythematosus: an integrated analysis

RMD OpenPublished Integrated safety analysis of randomised placebo-controlled trials and a long-term extension study

Authors' conclusion

The results of this integrated safety analysis in patients with SLE are not substantially different to the established safety profile of baricitinib. No increased venous thromboembolism was found.

Study context

Population
Adults with systemic lupus erythematosus (SLE) receiving stable background therapyreceived baricitinib
Participants
1,655 adults
Comparison
Baricitinib 4 mg vs baricitinib 2 mg vs placebo
Primary endpoint
Safety: treatment-emergent adverse events (AEs), AEs of special interest (infections, cardiovascular and thromboembolic events) and abnormal laboratory changes
Methodological detailsthree randomised, placebo-controlled studies (one phase 2 and two phase 3), one long-term extension study, placebo-controlled, extended exposure and all-baricitinib data sets, Baricitinib exposure up to 3.5 years (median duration 473 days)
  • Three randomised, placebo-controlled studies (one phase 2 and two phase 3)
  • One long-term extension study
  • Placebo-controlled, extended exposure and all-baricitinib data sets
  • Baricitinib exposure up to 3.5 years (median duration 473 days)

Primary result

As reported in the abstract

At least one infection

Safety

Serious infection

Herpes zoster

OutcomeBaricitinib 4 mgBaricitinib 2 mgPlacebo
At least one positively adjudicated MACE
IR0.90.2— not stated in the abstract
At least one positively adjudicated VTE
IR— not stated in the abstract0.60.4

— not stated in the abstract

Most common treatment-emergent infections

Urinary tract infection, COVID-19, upper respiratory tract infection and nasopharyngitis

Original publication

Safety profile of baricitinib in patients with systemic lupus erythematosus: an integrated analysis. RMD Open. Published 21 August 2023. doi:10.1136/rmdopen-2023-003302

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