Emerging biologic therapies for systemic lupus erythematosus
医学
皮肤病科
免疫学
重症监护医学
作者
Hiroshi Katô,J. Michelle Kahlenberg
出处
期刊:Current Opinion in Rheumatology [Ovid Technologies (Wolters Kluwer)] 日期:2024-02-02
标识
DOI:10.1097/bor.0000000000001003
摘要
Purpose of review The approval of belimumab and anifrolumab has expanded the scope of treatment for systemic lupus erythematosus (SLE) patients. However, many patients remain refractory to currently available therapies and suffer from drug toxicities. This review will discuss approved and target-specific therapeutics in development that bring hope for better SLE treatments. Recent findings Since the last review on this subject in the journal, the FDA has approved anifrolumab and belimumab for SLE and lupus nephritis (LN), respectively. A fully humanized anti-CD20, obinutuzumab, met the primary end point in a phase II trial in LN. A Tyk2 inhibitor, deucravacitinib, and an antibody targeting plasmacytoid dendritic cells, litifilimab, met the primary end point in phase II trials in SLE and cutaneous lupus erythematosus (CLE). Ustekinumab and baricitinib met the primary end point in phase II but not in phase III trials. Summary While many drug candidates which met the end points in phase II trials have failed phase III trials, the number of target-specific therapies for SLE has continued to expand.