Lupus & antiphospholipid syndrome

Type I interferon blockade with anifrolumab in patients with systemic lupus erythematosus modulates key immunopathological pathways in a gene expression and proteomic analysis of two phase 3 trials

Ann Rheum DisPublished Mechanistic study

Authors' conclusion

Type I IFN blockade with anifrolumab modulated multiple inflammatory pathways downstream of type I IFN signalling, including apoptotic, innate and adaptive mechanisms that play key roles in SLE immunopathogenesis.

Study context

Population
Patients with moderate to severe systemic lupus erythematosus (SLE) enrolled in TULIP-1 and TULIP-2RNA sequencing (RNA-seq): anifrolumab n=244, placebo n=258
Comparison
Intravenous anifrolumab vs placebo alongside standard therapy
Outcome
Transcriptomic and proteomic modulation, anifrolumab vs placebo
Methodological detailsgene expression and proteomic analysis of two phase 3 trials (TULIP-1 and TULIP-2), randomised, 52-week, longitudinal
  • Gene expression and proteomic analysis of two phase 3 trials (TULIP-1 and TULIP-2)
  • Randomised
  • 52-week
  • Longitudinal

Main finding

As reported in the abstract

Genes modulated by week 24 (overlapping results at week 52)

>2000

Proteins modulated by week 52

41

Original publication

Type I interferon blockade with anifrolumab in patients with systemic lupus erythematosus modulates key immunopathological pathways in a gene expression and proteomic analysis of two phase 3 trials. Ann Rheum Dis. Published 15 July 2024. doi:10.1136/ard-2023-225445

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