Systemic Lupus Erythematosus
Conditions
Keywords
malignancies, infections, anifrolumab
Brief summary
This is an observational study, in which the main research question is to evaluate the risk of malignancies and serious infections among moderate/severe SLE patients who receive anifrolumab compared with a comparable population of moderate/severe SLE patients on standard of care who do not initiate anifrolumab.
Detailed description
This is an observational study, in which the main research question is to evaluate the risk of malignancies and serious infections among moderate/severe SLE patients who receive anifrolumab compared with a comparable population of moderate/severe SLE patients on standard of care who do not initiate anifrolumab.
Interventions
Anifrolumab prescribed per local practice
Sponsors
Study design
Eligibility
Inclusion criteria
* First prescription of anifrolumab in the study period (no anifrolumab prescription prior to index date): date of first anifrolumab prescription will be the index date * A minimum data availability of 12 months prior to index date * Age ≥18 years at index date * SLE severity: patients with moderate to severe SLE at index date * SLE activity: patients with at least a flare (uncontrolled SLE) in the 6 months prior to index date
Exclusion criteria
* A diagnosis of any malignancy prior to index date * A diagnosis of HIV/AIDS or congenital immunodeficiency prior to index date * Organ or bone marrow transplant procedure prior to index date * A diagnosis of serious infection in the previous 6 months
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Malignancies | Indexdate to November 2031 | Defined as the first coded diagnosis for hematological malignancies and solid tumors available in the data source |
| Serious infection | Indexdate to November 2027 | Infection leading to hospitalization, use of intravenous antimicrobials or an infection-related death |
| Infections leading to hospitalisation | Index date to November 2027 | Infection diagnosis as a part of a hospitalization episode, use of IV antimicrobials, or death, or infection diagnosis in primary or secondary care settings up to 7 days before hospitalization |
| Infection-related death | Indexdate to November 2027 | Recorded diagnosis of infection in primary or secondary care settings with record of death within the subsequent month |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Specific types of malignancies | Indexdate to November 2031 | Haematologic, solid and skin malignancies |
| Serious infection components | Indexdate to November 2027 | Infection leading to hospitalization, infection requiring treatment with IV antimicrobials and infection-related death |
| Serious infection types grouped as opportunistic serious infections, other serious infections, pneumonia (overall), fatal and non-fatal pneumonia (separately) | Indexdate to November 2027 | — |
Countries
Denmark, France, Germany, Spain