Lupus & antiphospholipid syndrome

Systematic Review of Inequitable Population Representation in Systemic Lupus Erythematosus Clinical Trials

Arthritis Care Res (Hoboken)Published Systematic review and meta-analysis of systemic lupus erythematosus (SLE) clinical trials

Authors' conclusion

The results of this study reveal disparities in the representation of the SLE disease population in clinical trials, emphasizing insufficient inclusion of Black, Asian, and Hispanic and Latino participants and the disproportionate overrepresentation of White participants.

Study context

Population
US SLE clinical trials published January 1, 2018 to December 31, 2023 (MEDLINE and Embase, searched May 2024)18 US SLE clinical trials
Outcome
Participation of historically marginalized populations (participant sex, age, racial and ethnic data)
Methodological detailstwo independent reviewers, standardized data extraction
  • Two independent reviewers
  • Standardized data extraction

Pooled result

As reported in the abstract

Race and ethnicity representation

Overall poor rating for race and ethnicity participation

11 of 18 studies

61.1%

Good rating for race and ethnicity participation

0

Statistically insignificant underrepresentation of Black, Asian and Hispanic populations

14 of 18 studies

77.8%

Further pooled results

Sex and gender representation

Included population accurately represented the disease population

Inclusion of older adults

Studies reporting inclusion of older adults
0

Original publication

Systematic Review of Inequitable Population Representation in Systemic Lupus Erythematosus Clinical Trials. Arthritis Care Res (Hoboken). Published 1 August 2025. doi:10.1002/acr.25576

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