Lupus & antiphospholipid syndrome

Statin therapy in systemic lupus erythematosus: a meta-analysis of disease activity and inflammatory biomarkers

Lupus Sci MedPublished Systematic review and meta-analysis

Authors' conclusion

Statin therapy may reduce disease activity and inflammation in SLE, with a consistent benefit observed in patients with a mean age <40 years.

Study context

Population
Patients with systemic lupus erythematosus (SLE)12 studies
Comparison
Statin therapy vs control
Outcome
SLEDAI
Methodological detailsPRISMA 2020
  • PRISMA 2020

Pooled result

As reported in the abstract

Statins vs ControlWMD (95% CI)P value
Controlled before-after studies
−0.70(−1.16 to −0.23)
P = 0.0037
Parallel controlled trials; I² = 81.1%
−0.58(−1.74 to 0.59)
P = 0.330

Further pooled results

OutcomeSMD (95% CI)P value
CRPStatinsvs ControlControlled before-after studies−0.38 (−0.73 to −0.03)P = 0.032
CRPStatinsvs ControlParallel controlled trials−1.45 (−2.84 to −0.07)P = 0.040

SLE Disease Activity Index (SLEDAI), subgroup with mean age <40 years

Pronounced SLEDAI reduction, weighted mean difference (WMD)
−1.60 (95% CI −1.98 to −1.22; p<0.001)
  • Subgroup analysis

IL-6

IL-6 reduction after excluding an outlier, SMD
−0.32 (95% CI −0.63 to −0.00; p=0.048)

Erythrocyte sedimentation rate (ESR)

ESR reduction, SMD
−1.81 (95% CI −3.54 to −0.08; p=0.0406)

Original publication

Statin therapy in systemic lupus erythematosus: a meta-analysis of disease activity and inflammatory biomarkers. Lupus Sci Med. Published 9 February 2026. doi:10.1136/lupus-2025-001770

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