Characteristics and clinical outcomes of patients with systemic lupus erythematosus initiating anifrolumab in a real-world setting in Spain (AZAHAR study): an observational study protocol

Introduction Anifrolumab (Saphnelo) is approved for adult patients with moderate-severe systemic lupus erythematosus (SLE). Considering its commercialisation in Spain in 2023, observational studies describing the use of anifrolumab in routine clinical practice are limited. The aim of the AZAHAR stud...

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Main Authors: María Galindo-Izquierdo, Josefina Cortés-Hernández, Noemí Bahamontes-Rosa, Berta Sarto-Ferres, Marta Galvez-Fernandez
Format: Article
Language:English
Published: BMJ Publishing Group 2025-02-01
Series:Lupus Science and Medicine
Online Access:https://lupus.bmj.com/content/12/1/e001486.full
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author María Galindo-Izquierdo
Josefina Cortés-Hernández
Noemí Bahamontes-Rosa
Berta Sarto-Ferres
Marta Galvez-Fernandez
author_facet María Galindo-Izquierdo
Josefina Cortés-Hernández
Noemí Bahamontes-Rosa
Berta Sarto-Ferres
Marta Galvez-Fernandez
author_sort María Galindo-Izquierdo
collection DOAJ
description Introduction Anifrolumab (Saphnelo) is approved for adult patients with moderate-severe systemic lupus erythematosus (SLE). Considering its commercialisation in Spain in 2023, observational studies describing the use of anifrolumab in routine clinical practice are limited. The aim of the AZAHAR study is to describe the characteristics and clinical outcomes of patients with SLE who initiated anifrolumab during its first year of marketing in Spain.Methods and analysis This is an observational retrospective study including ~120 patients with moderate-severe SLE who received anifrolumab in Spain in 20 centres from 1 June 2023 to 31 May 2024. Patients will be followed up every 6 months after the first infusion of anifrolumab for a period between 6 and 18 months until the end of the study (31 December 2024). Data will be obtained through the review of medical records, considering as primary outcomes disease activity measured by Systemic Lupus Erythematosus Disease Activity Index (SLEDAI) 2000, clinical SLEDAI, Physician Global Assessment and Lupus Low Disease Activity State and remission, defined by Definitions of Remission in SLE-21, and as secondary outcomes, SLE treatment, flare incidence, anifrolumab adherence and persistence (time on treatment) and healthcare resources utilisation.Ethics and dissemination The final protocol of the study will be approved by ethics committees/institutional review boards (IRB)/independent ethics committees at each site.Trial registration number NCT06626945.
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spelling doaj-art-09aa0d88f2da4f64a903475e0bdad6202025-08-20T03:11:32ZengBMJ Publishing GroupLupus Science and Medicine2053-87902025-02-0112110.1136/lupus-2024-001486Characteristics and clinical outcomes of patients with systemic lupus erythematosus initiating anifrolumab in a real-world setting in Spain (AZAHAR study): an observational study protocolMaría Galindo-Izquierdo0Josefina Cortés-Hernández1Noemí Bahamontes-Rosa2Berta Sarto-Ferres3Marta Galvez-Fernandez4Rheumatology Department, Instituto de Investigación Hospital 12 de Octubre, Madrid, SpainRheumatology Department, Hospital Vall d`Hebron, Barcelona, SpainBiopharmaceuticals Medical, AstraZeneca, Madrid, SpainBiopharmaceuticals Medical, AstraZeneca, Madrid, SpainBiopharmaceuticals Medical, AstraZeneca, Madrid, SpainIntroduction Anifrolumab (Saphnelo) is approved for adult patients with moderate-severe systemic lupus erythematosus (SLE). Considering its commercialisation in Spain in 2023, observational studies describing the use of anifrolumab in routine clinical practice are limited. The aim of the AZAHAR study is to describe the characteristics and clinical outcomes of patients with SLE who initiated anifrolumab during its first year of marketing in Spain.Methods and analysis This is an observational retrospective study including ~120 patients with moderate-severe SLE who received anifrolumab in Spain in 20 centres from 1 June 2023 to 31 May 2024. Patients will be followed up every 6 months after the first infusion of anifrolumab for a period between 6 and 18 months until the end of the study (31 December 2024). Data will be obtained through the review of medical records, considering as primary outcomes disease activity measured by Systemic Lupus Erythematosus Disease Activity Index (SLEDAI) 2000, clinical SLEDAI, Physician Global Assessment and Lupus Low Disease Activity State and remission, defined by Definitions of Remission in SLE-21, and as secondary outcomes, SLE treatment, flare incidence, anifrolumab adherence and persistence (time on treatment) and healthcare resources utilisation.Ethics and dissemination The final protocol of the study will be approved by ethics committees/institutional review boards (IRB)/independent ethics committees at each site.Trial registration number NCT06626945.https://lupus.bmj.com/content/12/1/e001486.full
spellingShingle María Galindo-Izquierdo
Josefina Cortés-Hernández
Noemí Bahamontes-Rosa
Berta Sarto-Ferres
Marta Galvez-Fernandez
Characteristics and clinical outcomes of patients with systemic lupus erythematosus initiating anifrolumab in a real-world setting in Spain (AZAHAR study): an observational study protocol
Lupus Science and Medicine
title Characteristics and clinical outcomes of patients with systemic lupus erythematosus initiating anifrolumab in a real-world setting in Spain (AZAHAR study): an observational study protocol
title_full Characteristics and clinical outcomes of patients with systemic lupus erythematosus initiating anifrolumab in a real-world setting in Spain (AZAHAR study): an observational study protocol
title_fullStr Characteristics and clinical outcomes of patients with systemic lupus erythematosus initiating anifrolumab in a real-world setting in Spain (AZAHAR study): an observational study protocol
title_full_unstemmed Characteristics and clinical outcomes of patients with systemic lupus erythematosus initiating anifrolumab in a real-world setting in Spain (AZAHAR study): an observational study protocol
title_short Characteristics and clinical outcomes of patients with systemic lupus erythematosus initiating anifrolumab in a real-world setting in Spain (AZAHAR study): an observational study protocol
title_sort characteristics and clinical outcomes of patients with systemic lupus erythematosus initiating anifrolumab in a real world setting in spain azahar study an observational study protocol
url https://lupus.bmj.com/content/12/1/e001486.full
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