Targeted Therapy for SLE—What Works, What Doesn’t, What’s Next

For many years, the failure of randomized controlled trials (RCTs) has prevented patients with systemic lupus erythematosus (SLE) from benefiting from biological drugs that have proved to be effective in other rheumatological diseases. Only two biologics are approved for SLE, however they can only b...

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Main Authors: Veronica Venturelli, David Alan Isenberg
Format: Article
Language:English
Published: MDPI AG 2023-04-01
Series:Journal of Clinical Medicine
Subjects:
Online Access:https://www.mdpi.com/2077-0383/12/9/3198
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author Veronica Venturelli
David Alan Isenberg
author_facet Veronica Venturelli
David Alan Isenberg
author_sort Veronica Venturelli
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description For many years, the failure of randomized controlled trials (RCTs) has prevented patients with systemic lupus erythematosus (SLE) from benefiting from biological drugs that have proved to be effective in other rheumatological diseases. Only two biologics are approved for SLE, however they can only be administered to a restricted proportion of patients. Recently, several phase II RCTs have evaluated the efficacy and safety of new biologics in extra-renal SLE and lupus nephritis. Six drug trials have reported encouraging results, with an improvement in multiple clinical and serological outcome measures. The possibility of combining B-cell depletion and anti-BLyS treatment has also been successfully explored.
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spelling doaj.art-0c4cd9322135480f9242a6e0de5e31752023-11-17T23:12:00ZengMDPI AGJournal of Clinical Medicine2077-03832023-04-01129319810.3390/jcm12093198Targeted Therapy for SLE—What Works, What Doesn’t, What’s NextVeronica Venturelli0David Alan Isenberg1Rheumatology Unit, Department of Medical Sciences, Università degli Studi di Ferrara, Azienda Ospedaliero-Universitaria S. Anna, 44124 Cona, ItalyCentre for Rheumatology, Department of Medicine, University College London, London WC1E 6JF, UKFor many years, the failure of randomized controlled trials (RCTs) has prevented patients with systemic lupus erythematosus (SLE) from benefiting from biological drugs that have proved to be effective in other rheumatological diseases. Only two biologics are approved for SLE, however they can only be administered to a restricted proportion of patients. Recently, several phase II RCTs have evaluated the efficacy and safety of new biologics in extra-renal SLE and lupus nephritis. Six drug trials have reported encouraging results, with an improvement in multiple clinical and serological outcome measures. The possibility of combining B-cell depletion and anti-BLyS treatment has also been successfully explored.https://www.mdpi.com/2077-0383/12/9/3198biological therapiescombination therapiestrialssystemic lupus erythematosuslupus nephritis
spellingShingle Veronica Venturelli
David Alan Isenberg
Targeted Therapy for SLE—What Works, What Doesn’t, What’s Next
Journal of Clinical Medicine
biological therapies
combination therapies
trials
systemic lupus erythematosus
lupus nephritis
title Targeted Therapy for SLE—What Works, What Doesn’t, What’s Next
title_full Targeted Therapy for SLE—What Works, What Doesn’t, What’s Next
title_fullStr Targeted Therapy for SLE—What Works, What Doesn’t, What’s Next
title_full_unstemmed Targeted Therapy for SLE—What Works, What Doesn’t, What’s Next
title_short Targeted Therapy for SLE—What Works, What Doesn’t, What’s Next
title_sort targeted therapy for sle what works what doesn t what s next
topic biological therapies
combination therapies
trials
systemic lupus erythematosus
lupus nephritis
url https://www.mdpi.com/2077-0383/12/9/3198
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