The Choice Between Belimumab And Anifrolumab: Analysis Of A Monocentric Cohort

    Societa Italiana di Reumatologia
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    Studysummary This study observed that the choice between using Belimumab and Anifrolumab for treating active Systemic Lupus Erythematosus was mainly based on clinical phenotype, with Anifrolumab linked to chronic-active disease and Belimumab associated with relapsing-remitting disease.
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    This study analyzed the factors influencing the choice between belimumab (BEL) and anifrolumab (ANI) for treating Systemic Lupus Erythematosus (SLE) in a cohort of 61 patients. ANI was more frequently chosen for patients with a chronic-active disease course and active cutaneous manifestations, including subacute lupus and alopecia with lupus hair. In contrast, BEL was preferred for those with a relapsing-remitting disease course and active arthritis, particularly non-deforming and non-erosive arthritis. The study found no significant differences in corticosteroid use or hydroxychloroquine between the groups, though more ANI patients used methotrexate due to skin involvement. The findings suggest that the clinical phenotype primarily guides the choice of biologic drug, highlighting the need for predictive biomarkers to enhance personalized therapy in precision medicine.
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