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. 2024 Aug 19;83(11):e225686. doi: 10.1136/ard-2024-225686

Table 2. Summary of primary and major secondary efficacy endpoints, based on IBA assessment (mITT population,* N=263).

Observed response rate, n (%) BEL/RTX versus BEL/PBO
Blinded BEL/PBO(n=72) Blinded BEL/RTX(n=144) Open-label BEL/ST reference arm(n=47) Observed treatment difference(%) OR (95% CI) P value
Primary endpoint
 Disease control§ at week 52 12 (16.7) 28 (19.4) 12 (25.5) 2.78 1.27 (0.60 to 2.71) 0.5342
Major secondary endpoints
 Clinical remission§ at week 64 4 (5.6) 9 (6.3) 5 (10.6) 0.69 1.12 (0.33 to 3.78) 0.8582
 Disease control§ at week 104 5 (6.9) 16 (11.1) 10 (21.3) 4.17 1.64 (0.57 to 4.72) 0.3613
*

mITT population excludes 29 patients from the BEL/ST group, due to independent blinded assessors being potentially unblinded.

ST included corticosteroids, antimalarials, immunosuppressants and NSAIDs.

OR (95% CI), adjusted treatment difference (95% CI), and p value are from a logistic regression model with covariates: baseline SLEDAI-2K, baseline immunosuppressants, baseline prednisone-equivalent dose and treatment group.

§

Disease control defined as SLEDAI-2K score ≤2 achieved without immunosuppressants and with a prednisone-equivalent dose of ≤5 mg/day; clinical remission defined as a clinical SLEDAI-2K score=0, without immunosuppressants and with corticosteroids at a prednisone-equivalent dose of 0 mg/day.

BEL, belimumab; IBA, independent blinded assessor; mITT, modified intention-to-treat; NSAIDs, non-steroidal anti-inflammatory drugs; PBO, placebo; RTX, rituximab; SLE, systemic lupus erythematosus; SLEDAI-2K, SLE Disease Activity Index-2000; ST, standard therapy