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.jpg): Failed to open stream: No such file or directory in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 117 Rheumatol+Int
2017 ; 37
(6
): 865-873
Nephropedia Template TP
gab.com Text
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English Wikipedia
Belimumab use, clinical outcomes and glucocorticoid reduction in patients with
systemic lupus erythematosus receiving belimumab in clinical practice settings:
results from the OBSErve Canada Study
#MMPMID28280970
Touma Z
; Sayani A
; Pineau CA
; Fortin I
; Matsos M
; Ecker GA
; Chow A
; Iczkovitz S
Rheumatol Int
2017[Jun]; 37
(6
): 865-873
PMID28280970
show ga
To describe the characteristics of patients receiving belimumab, overall patterns
of systemic lupus erythematosus (SLE) care, clinical outcomes, and changes in
glucocorticoid dose following 6 months of therapy with belimumab, and healthcare
resource utilization in belimumab users in Canadian clinical practice settings.
Retrospective multicenter medical chart review study of adult patients with SLE
who were prescribed belimumab as part of usual care and who received??8 infusions
or 6 months of treatment. Primary endpoints included physician-determined overall
clinical improvement from baseline, glucocorticoid use, and physician-determined
SLE disease severity at Month 6. In total, 52 patients were included in the
study. At belimumab initiation, 5.8/76.9/17.3% of patients had
mild/moderate/severe SLE, respectively. Oral glucocorticoids were discontinued in
11.4% of patients and 59.1% received a lower dose at Month 6. At Month 6,
80.8/57.7/17.3% of patients had a physician-determined clinical improvement of
?20/?50/?80%, respectively. Sixteen patients had a SLE Disease Activity Index-2K
score at both baseline and Month 6, with a mean improvement of 2.6?±?5.3 from
8.1?±?3.2 at baseline. No formal disease assessment tool was utilized for 42.3%
of study patients at baseline. This study provides the first real-world insights
into belimumab use in Canada. It demonstrates significant reduction or
discontinuation of glucocorticoid dose in 70.5% of patients and clinically
significant improvement following 6 months' belimumab therapy. The high number of
patients with no formal disease activity assessments highlights a key care gap in
SLE treatment in the real-world setting.