Lupus & antiphospholipid syndrome

Sustained glucocorticoid tapering in the phase 3 trials of anifrolumab: apost hocanalysis of the TULIP-1 and TULIP-2 trials

Rheumatology (Oxford)Published Post hoc analysis of the TULIP-1 and TULIP-2 randomised trials

Authors' conclusion

Sustained glucocorticoid tapering is associated with clinical benefits.

Study context

Population
Patients with moderate to severe SLE receiving GC (prednisone or equivalent) 10 mg or more per day at baselineof 726 TULIP patients
Participants
375 patients
Comparison
Sustained GC taper responders vs non-responders; anifrolumab vs placebo
  • Sustained GC taper respondersn = 155
  • Non-respondersn = 220reference
  • Anifrolumabn = 190
  • Placebon = 185reference
Methodological detailsrandomized, placebo-controlled, 52-week, phase 3
  • Randomized
  • Placebo-controlled
  • 52-week
  • Phase 3

Primary result

As reported in the abstract

Sustained GC tapering · week 52
Sustained GC taper responders overall
155 (41%)

Further findings

OutcomeAnifrolumabPlacebo
Sustained GC taper and reduced overall disease activity38%23%

Responders vs non-responders: cumulative GC dose, patient-reported outcomes (PROs), blood pressure

Responders reduced mean cumulative GC dose vs non-responders
32%
Responders improved PRO scores and reduced blood pressure

Safety

Fewer serious adverse events in sustained GC taper responders than non-responders

Original publication

Sustained glucocorticoid tapering in the phase 3 trials of anifrolumab: apost hocanalysis of the TULIP-1 and TULIP-2 trials. Rheumatology (Oxford). Published 26 August 2022. doi:10.1093/rheumatology/keac491

Composed by AI from the published abstract and checked against it. How Briefs are made →

Get them every week

New studies on this topic in My Week and in your Monday e-mail.

We e-mail you a sign-in link and a code. No password, no spam.