Evidence map›Paper›PMID 35428697›Full record

Trial reportRMD open2022

Phase 3, long-term, open-label extension period of safety and efficacy of belimumab in patients with systemic lupus erythematosus in China, for up to 6 years.

Fengchun Zhang, Jie Zheng, Yang Li, Guochun Wang, Mingjun Wang, Yin Su, Jieruo Gu, Xingfu Li, Damon Bass, Myron Chu and 6 more

Registry-linked trialOpen access · goldAbstract readClinical Trial, Phase IIIRandomized Controlled Trial
In one paragraph

Trial report in RMD open, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01345253 (GSK1550188 A 52 Week Study of Belimumab Versus Placebo in the Treatment of Subjects With Systemic Lupus Erythematosus), which is not on this map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
2.7field-weighted citation impact, top 9% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT01345253 phase3completednot on this map

GSK1550188 A 52 Week Study of Belimumab Versus Placebo in the Treatment of Subjects With Systemic Lupus Erythematosus (SLE) Located in Northeast Asia

TypeinterventionalSponsorGlaxoSmithKlineRan2011 to 2018Enrolled709ConditionsSystemic Lupus ErythematosusArmsBelimumab, Placebo
3 · Its place in the literature

Who cites it

9 citing papers in PubMed, 1 synthesis or guideline pooled it, 17 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Trial
  4. Lessons Learnt from the Belimumab Trials in Systemic Lupus Erythematosus.International journal of molecular sciences · 2025
    Review
  5. Article
  6. [Ovarian function in patients of childbearing age with systemic lupus erythematosus].Beijing da xue xue bao. Yi xue ban = Journal of Peking University. Health sciences · 2024
    Article
  7. Article
  8. Article
  9. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

16 authors at 10 institutions in 3 countries.

Fengchun ZhangDepartment of Rheumatology and Clinical Immunology, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China.ORCID 0000-0003-3484-4319
Jie ZhengDepartment of Dermatology, Ruijin Hospital, School of Medicine, Shanghai Jiao Tong University, Shanghai, China.ORCID 0000-0002-7961-6427
Yang LiDepartment of Rheumatology, The Second Affiliated Hospital, Harbin Medical University, Nangang District, Harbin, China.
Guochun WangDepartment of Rheumatology, China-Japan Friendship Hospital, Beijing, China.
Mingjun WangDepartment of Rheumatology, The First Affiliated Hospital of Soochow University, Suzhou, China.
Yin SuDepartment of Rheumatology and Immunology, Peking University People's Hospital, Beijing, China.
Jieruo GuDepartment of Rheumatology and Immunology, The Third Affiliated Hospital of Sun Yat-Sen University, Guangzhou, Guangdong, China.
Xingfu LiDepartment of Rheumatology, Qilu Hospital of Shandong University, Jinan, China.
Damon BassImmunoinflammation, GlaxoSmithKline, Collegeville, Pennsylvania, USA.ORCID 0000-0003-2480-5674
Myron ChuImmunoinflammation, GlaxoSmithKline, Collegeville, Pennsylvania, USA.ORCID 0000-0001-5763-5603
Paula CurtisBiostatistics, GlaxoSmithKline, Brentford, Middlesex, UK.
Kathleen DeRoseImmunoinflammation, GlaxoSmithKline, Collegeville, Pennsylvania, USA kathleen.2.derose@gsk.com.ORCID 0000-0002-1056-3400
Regina KurraschImmunoinflammation, GlaxoSmithKline, Collegeville, Pennsylvania, USA.ORCID 0000-0002-2820-8423
Jenny LoweImmunoinflammation and Fibrosis, GlaxoSmithKline, Brentford, Middlesex, UK.ORCID 0000-0002-8565-2723
Paige MeizlikImmunoinflammation, GlaxoSmithKline, Collegeville, Pennsylvania, USA.ORCID 0000-0002-2237-8552
David A RothImmunoinflammation, GlaxoSmithKline, Collegeville, Pennsylvania, USA.ORCID 0000-0001-8356-0457
GlaxoSmithKline (United States) · USGlaxoSmithKline (United Kingdom) · GBChina-Japan Friendship Hospital · CNChinese Academy of Medical Sciences & Peking Union Medical College · CNHarbin Medical University · CNPeking University · CNQilu Hospital of Shandong University · CNShanghai Jiao Tong University · CNSoochow University · CNSun Yat-sen University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo evaluate the long-term safety and efficacy of belimumab in patients with systemic lupus erythematosus (SLE) in China.

methodsIn this phase 3, open-label extension period, eligible completers of study BEL113750 (NCT01345253) received intravenous belimumab 10 mg/kg monthly for ≤6 years. The primary endpoint was safety. Secondary endpoints included the SLE Responder Index (SRI)-4 response rate, severe SLE flares and changes in prednisone use. Analyses were based on observed data from the first dose of belimumab through to study end.

resultsOf the 424 patients who received belimumab, 215 (50.7%) completed the study, 208 (49.1%) withdrew and 1 patient died. Overall, 359/424 (84.7%) patients had adverse events (AEs), and 96/424 (22.6%) had serious AEs. 26/424 (6.1%) patients discontinued study treatment/withdrew from the study due to AEs. Postinfusion systemic reaction rate was 1.5 events/100 patient-years. Herpes zoster infection rate was 3.0 events/100 patient-years, of which 0.4 events/100 patient-years were serious events. One papillary thyroid cancer and one vaginal cancer were reported in year 0-1 and year 3-4, respectively. There were no completed suicides/suicide attempts and no reports of serious depression. The proportion of SRI-4 responders increased progressively (year 1, week 24: 190/346 (54.9%); year 5, week 48: 66/82 (80.5%)). Severe flares were experienced by 55/396 (13.9%) patients. For 335 patients with baseline prednisone-equivalent dose >7.5 mg/day, the number of patients with a dose reduction to ≤7.5 mg/day increased over time (year 1, week 24: 30/333 (9.0%); year 5, week 48: 36/67 (53.7%)).

conclusionsFavourable safety profile and disease control appeared to be maintained in patients with SLE in China for ≤6 years, consistent with previous belimumab studies.

Indexed as

Immunosuppressive AgentsLupus Erythematosus, SystemicAntibodies, Monoclonal, HumanizedDouble-Blind MethodFemaleHumansPrednisoneTreatment OutcomeAntibodies, Monoclonal, HumanizedbelimumabImmunosuppressive AgentsPrednisonebiological therapyB-lymphocytescytokineslupus erythematosussystemic

Identifiers

PMID35428697
PMCPMC9014060
OpenAlexW4224021513

What Socratic holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.