Evidence map›Paper›PMID 41546110›Full record

Observational studyArthritis research & therapy2026

A BAFF/APRIL dual inhibitor for the treatment of systemic lupus erythematosus: a long-term, observational, real-world study.

Yi Wei, Yuxia Shao, Xu Wang, Lin Qiao, Di Wu, Yunjiao Yang, Qian Wang, Mengtao Li, Li Wang, Fengchun Zhang

Abstract readObservational Study
In one paragraph

Observational study in Arthritis research & therapy, 2026. 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

10 authors.

Yi WeiDepartment of Rheumatology and Clinical Immunology, Peking Union Medical College Hospital, Peking Union Medical College, Chinese Academy of Medical Sciences, Key Laboratory of Rheumatology and Clinical Immunology, Ministry of Education, National Clinical Research Center for Dermatologic and Immunologic Diseases, Beijing, China.
Yuxia ShaoDepartment of Rheumatology and Clinical Immunology, Peking Union Medical College Hospital, Peking Union Medical College, Chinese Academy of Medical Sciences, Key Laboratory of Rheumatology and Clinical Immunology, Ministry of Education, National Clinical Research Center for Dermatologic and Immunologic Diseases, Beijing, China.
Xu WangDepartment of Rheumatology and Clinical Immunology, Peking Union Medical College Hospital, Peking Union Medical College, Chinese Academy of Medical Sciences, Key Laboratory of Rheumatology and Clinical Immunology, Ministry of Education, National Clinical Research Center for Dermatologic and Immunologic Diseases, Beijing, China.
Lin QiaoDepartment of Rheumatology and Clinical Immunology, Peking Union Medical College Hospital, Peking Union Medical College, Chinese Academy of Medical Sciences, Key Laboratory of Rheumatology and Clinical Immunology, Ministry of Education, National Clinical Research Center for Dermatologic and Immunologic Diseases, Beijing, China.
Di WuDepartment of Rheumatology and Clinical Immunology, Peking Union Medical College Hospital, Peking Union Medical College, Chinese Academy of Medical Sciences, Key Laboratory of Rheumatology and Clinical Immunology, Ministry of Education, National Clinical Research Center for Dermatologic and Immunologic Diseases, Beijing, China.
Yunjiao YangDepartment of Rheumatology and Clinical Immunology, Peking Union Medical College Hospital, Peking Union Medical College, Chinese Academy of Medical Sciences, Key Laboratory of Rheumatology and Clinical Immunology, Ministry of Education, National Clinical Research Center for Dermatologic and Immunologic Diseases, Beijing, China.
Qian WangDepartment of Rheumatology and Clinical Immunology, Peking Union Medical College Hospital, Peking Union Medical College, Chinese Academy of Medical Sciences, Key Laboratory of Rheumatology and Clinical Immunology, Ministry of Education, National Clinical Research Center for Dermatologic and Immunologic Diseases, Beijing, China.
Mengtao LiDepartment of Rheumatology and Clinical Immunology, Peking Union Medical College Hospital, Peking Union Medical College, Chinese Academy of Medical Sciences, Key Laboratory of Rheumatology and Clinical Immunology, Ministry of Education, National Clinical Research Center for Dermatologic and Immunologic Diseases, Beijing, China.
Li WangDepartment of Rheumatology and Clinical Immunology, Peking Union Medical College Hospital, Peking Union Medical College, Chinese Academy of Medical Sciences, Key Laboratory of Rheumatology and Clinical Immunology, Ministry of Education, National Clinical Research Center for Dermatologic and Immunologic Diseases, Beijing, China. wangli1@pumch.cn.ORCID http://orcid.org/0000-0003-0899-5703
Fengchun ZhangDepartment of Rheumatology and Clinical Immunology, Peking Union Medical College Hospital, Peking Union Medical College, Chinese Academy of Medical Sciences, Key Laboratory of Rheumatology and Clinical Immunology, Ministry of Education, National Clinical Research Center for Dermatologic and Immunologic Diseases, Beijing, China. zhangfccra@aliyun.com.

Funding

Chinese National Key Technology R&D Program, Ministry of Science and Technology 2022YFC2504600Nation Natural Science Foundation of China 81501414the CAMS Innovation Fund for Medical Sciences(CIFMS) 2024-I2M-C&T-B-005the Non-profit Central Research Institute Fund of Chinese Academy of Medical Sciences 2023-RW320-01, 2019XK32022
6 · The paper itself

Abstract

backgroundThis study evaluated the efficacy and safety of telitacicept (a B-cell inhibitor targeting B cell-activating factor [BAFF] and a proliferation-inducing ligand [APRIL]) in patients with systemic lupus erythematosus (SLE) in real clinical settings.

methodsThis was a long-term, single-center, observational study with a maximum observation point of 36 months. A total of 110 patients with SLE treated with telitacicept at Peking Union Medical College Hospital between May 2021 and October 2025 were retrospectively enrolled. The SLEDAI-2K score, SLE Responder Index-4 (SRI-4) response, serological parameters and glucocorticoid dose were evaluated. Subgroup analysis was performed for patients with renal involvement and hematologic involvement. Univariate and multivariate Cox regression and logistic regression analysis were used to explore the predictors of SRI-4 response.

resultsThe mean duration of telitacicept treatment was 21.12 ± 13.29 months. After 2, 4, 6, 12, 18, 24, and 36 months of telitacicept treatment, 31%, 49%, 55%, 60%, 74%, 61%, and 65% of patients with SLE achieved SRI-4 response, respectively. The SLEDAI-2K score, immunoglobulin level, anti-dsDNA levels and glucocorticoid dose all decreased significantly at 6, 12, 18, 24, and 36 months, whereas complements 3 and 4 increased significantly. Additionally, The 24-hour urine protein, serum creatinine and serum albumin of patients with renal involvement were significantly improved, and the platelet count, hemoglobin and white blood cell count of patients with hematologic involvement were significantly increased. The incidence of adverse events was 34%, with infection accounting for 25.5%; no serious adverse events occurred.

conclusionsThis real-world study demonstrated that telitacicept is both efficacious and safe and can effectively reduce disease activity and improve serological indices. It may therefore be a viable medicine for the treatment of SLE.

Indexed as

B-Cell Activating FactorLupus Erythematosus, SystemicTumor Necrosis Factor Ligand Superfamily Member 13AdultFemaleHumansMaleMiddle AgedRetrospective StudiesTreatment OutcomeB-Cell Activating FactorTNFSF13B protein, humanTNFSF13 protein, humanTumor Necrosis Factor Ligand Superfamily Member 13B cell inhibitorEfficacySafetySystemic lupus erythematosusTelitacicept

Identifiers

PMID41546110
PMCPMC12892478

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

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.