Evidence mapPaperPMID 41233651Full record

ArticleJournal of nephrology2025

Sustained renal response with belimumab in children with new-onset lupus nephritis.

Ren Wang, Tao Sun, Zhuo Shi, Xiang Fang, Xiao Yang, Yu Zhou, Qianhuining Kuang, Jun Yao, Jingjing Wang, ZhiQiang Zhang and 3 more

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Article in Journal of nephrology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

13 authors.

Ren Wang *Department of Pediatrics, Jinling Hospital, Nanjing Medical University, Nanjing, China.
Tao Sun *Department of Pediatrics, Jinling Hospital, Nanjing, China.
Zhuo ShiDepartment of Pediatrics, Jinling Hospital, Nanjing, China.
Xiang FangDepartment of Pediatrics, Jinling Hospital, Nanjing, China.
Xiao YangDepartment of Pediatrics, Jinling Hospital, Nanjing, China.
Yu ZhouDepartment of Pediatrics, Jinling Hospital, Nanjing, China.
Qianhuining KuangDepartment of Pediatrics, Jinling Hospital, Nanjing Medical University, Nanjing, China.
Jun YaoDepartment of Pediatrics, Jinling Hospital, Nanjing, China.
Jingjing WangDepartment of Pediatrics, Jinling Hospital, Nanjing, China.
ZhiQiang ZhangDepartment of Pediatrics, Jinling Hospital, Nanjing Medical University, Nanjing, China.
Zhengkun XiaDepartment of Pediatrics, Jinling Hospital, Nanjing Medical University, Nanjing, China. njxzk@126.com.ORCID 0000-0003-3281-8766
Chunlin GaoDepartment of Pediatrics, Jinling Hospital, Nanjing Medical University, Nanjing, China. shuangmu34@163.com.
Pei ZhangDepartment of Pediatrics, Jinling Hospital, Nanjing Medical University, Nanjing, China. zhangpei266@163.com.

Funding

Basic Research Program of Jiangsu Province BK20242093the Hospital Management Project of the Eastern Theater Command General Hospital 2023LCZLXC057the Hospital Management Project of the Eastern Theater Command General Hospital 22LCZLXJS65
6 · The paper itself

Abstract

backgroundBelimumab is approved for treating systemic lupus erythematosus (SLE) in children over 5 years old; however, its efficacy and safety in pediatric SLE patients require further validation. This study aimed to evaluate the impact of belimumab on the long-term cumulative probability of sustained renal response and disease flare in children with lupus nephritis (LN), to inform clinical decision-making.

methodsWe included a total of 96 children with LN in our study. The patients were part of a prospective cohort study and were divided into two groups: belimumab group (68 cases) and standard treatment (group (28 cases). We compared remission rates, flare rates, and adverse event incidence between these two groups.

resultsAfter 152 weeks of follow-up, belimumab increased the renal response and complete renal response rates by 16.7% [odds ratios (OR) = 5.38 (1.33, 15.12)] and 24.7% [OR = 2.74 (1.04, 7.19)]. Belimumab significantly reduced the risk of LN flare, with a 46.2% lower flare rate in the belimumab group compared to the standard treatment group. There was no significant difference in long-term cumulative probability of complete remission between the belimumab and standard treatment groups (P = 0.081), and the standard treatment group had a higher flare rate (P = 0.004).

conclusionsAdding belimumab to standard treatment may effectively maintain long-term kidney function and reduce LN flares, making it an effective and safe biologic agent.

Indexed as

Antibodies, Monoclonal, HumanizedImmunosuppressive AgentsKidneyLupus NephritisAdolescentChildChild, PreschoolFemaleHumansMaleProspective StudiesRemission InductionSymptom Flare UpTime FactorsTreatment OutcomeAntibodies, Monoclonal, HumanizedbelimumabImmunosuppressive AgentsBelimumabChildrenLupus nephritis

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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.