Evidence mapPaperPMID 41147706Full record

ArticleArthritis & rheumatology (Hoboken, N.J.)2026

Efficacy of Telitacicept in Childhood-Onset Systemic Lupus Erythematosus: A Prospective Multicenter Cohort Study With Inverse Probability of Treatment Weighting-Adjusted Comparison to a Historical Control Group Treated With Belimumab.

Chong Luo, Shu Su, Jingyue Liu, Junyu Lin, Jin Song, Zongwen Chen, Yuanyuan Peng, Lijun Jiang, Meng Jia, Li Wang and 6 more

Abstract readMulticenter StudyComparative Study
In one paragraph

Article in Arthritis & rheumatology (Hoboken, N.J.), 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
field-weighted citation impact
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

  1. Review
  2. Defective efferocytosis in diabetes: molecular mechanisms and emerging therapeutic strategies.Inflammation research : official journal of the European Histamine Research Society ... [et al.] · 2026
    Review
  3. Article
  4. Article
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.

Chong LuoDepartment of Rheumatology and Immunology, Children's Hospital of Chongqing Medical University, National Clinical Research Center for Child Health and Disorders, Ministry of Education Key Laboratory of Child Development and Disorders, Chongqing, China.ORCID https://orcid.org/0000-0002-7271-3064
Shu SuDepartment of Epidemiology and Biostatistics, The Second Affiliated Hospital of Chongqing Medical University, Chongqing, China.
Jingyue LiuDepartment of Pediatrics, The First People's Hospital of Yunnan Province, Kunming, China.
Junyu LinDepartment of Nephrology & Rheumatology, The Affiliated Children's Hospital of Kunming Medical University, Kunming Children's Hospital, Kunming, China.
Jin SongDepartment of Rheumatology Immunization, Guiyang Maternal and Child Health Care Hospital, Guiyang, China.
Zongwen ChenDepartment of Comprehensive Pediatric Internal Medicine, Chongqing University Three Gorges Hospital, Chongqing, China.
Yuanyuan PengPediatric Immunology and Rheumatology Department, Chengdu Women's and Children's Central Hospital, School of Medicine, University of Electronic Science and Technology of China, Chengdu, China.
Lijun JiangDepartment of Pediatrics, the Second Hospital of Hebei Medical University, Shijiazhuang.
Meng JiaDepartment of Epidemiology and Biostatistics, The Second Affiliated Hospital of Chongqing Medical University, Chongqing, China.
Li WangDepartment of Rheumatology and Immunology, Children's Hospital of Chongqing Medical University, National Clinical Research Center for Child Health and Disorders, Ministry of Education Key Laboratory of Child Development and Disorders, Chongqing, China.
Xinhui JiangDepartment of Rheumatology Immunization, Guiyang Maternal and Child Health Care Hospital, Guiyang, China.
Wei ZhangPediatric Immunology and Rheumatology Department, Chengdu Women's and Children's Central Hospital, School of Medicine, University of Electronic Science and Technology of China, Chengdu, China.
Zanhua RongDepartment of Pediatrics, the Second Hospital of Hebei Medical University, Shijiazhuang.
Bo ZhaoDepartment of Nephrology & Rheumatology, The Affiliated Children's Hospital of Kunming Medical University, Kunming Children's Hospital, Kunming, China.
Yajun WangDepartment of Pediatrics, The First People's Hospital of Yunnan Province, Kunming, China.
Xuemei TangDepartment of Rheumatology and Immunology, Children's Hospital of Chongqing Medical University, National Clinical Research Center for Child Health and Disorders, Ministry of Education Key Laboratory of Child Development and Disorders, Chongqing, China.ORCID https://orcid.org/0000-0001-9656-0296

Funding

Kuanren Talent programs of the second affiliated hospital of Chongqing Medical University (202417-16) 202417-16National Key R&D Program of China (2021YFC2702000) 2021YFC2702000
6 · The paper itself

Abstract

objectiveThe therapeutic effects of telitacicept combined with standard of care (SoC) in childhood-onset systemic lupus erythematosus (cSLE) remain unclear. This study aims to evaluate its efficacy in comparison with belimumab combined with SoC.

methodsWe performed a prospective cohort study across seven tertiary hospitals in China, enrolling patients aged 5 to 18 years with cSLE. Primary endpoints included the proportions of patients attaining Lupus Low Disease Activity State (LLDAS) and Definition of Remission in SLE (DORIS) at 3, 6, and 12 months after treatment, complemented by relapse rates and steroid tapering metrics. Propensity score-based inverse probability of treatment weighting (IPTW) was employed to address baseline imbalances between the telitacicept group (n = 60) and the historical control group treated with belimumab (n = 67).

resultsAmong 60 enrolled patients (median follow-up 12 [interquartile range 6-12] months), LLDAS and DORIS achievement rates progressively increased from 19.6% and 7.8% at 6 months to 65.7% and 37.1% at 12 months. Flare rates remained low (3 months: 1.7%; 6 months: 11.8%; 12 months: 14.3%). Notably, 74.3% of patients achieved prednisone doses ≤7.5 mg/day by 12 months (vs baseline 13.3%, P < 0.0001). IPTW-adjusted analyses demonstrated comparable efficacy between the telitacicept and belimumab groups across all endpoints in terms of LLDAS and DORIS attainment, steroid reduction, and immunologic normalization (all P > 0.05).

conclusionTelitacicept combined with SoC exhibited significant improvements in disease activity, steroid reduction, and immunologic markers, with therapeutic outcomes comparable to belimumab in cSLE management.

Indexed as

Antibodies, Monoclonal, HumanizedImmunosuppressive AgentsLupus Erythematosus, SystemicAdolescentChildChild, PreschoolChinaDrug Therapy, CombinationFemaleHumansMalePropensity ScoreProspective StudiesRecombinant Fusion ProteinsRemission InductionTreatment OutcomeAntibodies, Monoclonal, HumanizedbelimumabImmunosuppressive AgentsRecombinant Fusion Proteinstelitacicept

Identifiers

PMID41147706
PMCPMC12991918

What Socratic holds

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LicenceCC BY-NC-ND
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Registered trials

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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.