贝里穆马布
医学
美罗华
B细胞激活因子
临床试验
临床终点
奥比努图库单抗
系统性红斑狼疮
CD20
随机对照试验
免疫学
内科学
重症监护医学
B细胞
抗体
疾病
作者
Naushad Abid,Sara Manaye,Hamzah Naushad,Kaaviya Cheran,Chinmayee Murthy,Elisa A Bornemann,Hari Krishna Kamma,Mohammad Alabbas,Mohammed Elashahab
出处
期刊:Cureus
[Cureus, Inc.]
日期:2023-06-21
摘要
There is a vital role of B cells in the pathogenesis of Systemic Lupus Erythematosus (SLE). Belimumab (Bel), an inhibitor of B cell activating factor (BAFF), and Rituximab (RTX), a monoclonal antibody targeting Cd20 antigen, have been used to manage systemic lupus. Several randomized controlled trials (RCTs) have evaluated these two agents' clinical efficacy and safety in different manifestations of SLE. This study aims to review the randomized control trials involving these two agents systematically and to explain if any disparity is noticed in the primary and secondary outcomes between these two agents. This study is done according to Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. After applying the inclusion criteria and quality assessment by independent reviewers and co-authors, relevant papers were identified, and data were extracted. The results have shown that RCTs involving Belimumab achieved primary endpoints; however, targeted endpoints were not achieved in studies involving Rituximab. It is concluded that despite the conflicting results obtained in clinical trials, both are effective in systemic lupus, as indicated in real-world clinical experience. However, better-designed multicenter studies evaluating these B-cell-targeting drugs are needed.
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