Table 1

Patient characteristics, stratified by presence of grade 2 leucopenia at least once (ever) during study observation period

All patientsLeucopoenia—neverLeucopoenia—everP-value
(n = 2330)(n = 1312)(n = 1018)
Demographics
 Age at enrolment, median (IQR), years39 (30, 50)41 (31, 52)38 (29, 48)<0.001
 Age at SLE diagnosis, median (IQR), years29 (21, 39)30 (22, 41)28 (21, 37)0.002
 Disease duration, median (IQR), years8 (3, 14)8 (3, 14)7 (3, 13)0.07
 Study observation period, median (IQR), years2.3 (1.0, 3.5)2.1 (0.7, 3.4)2.6 (1.6, 3.7)<0.001
 No. of visits, median (IQR)7 (4, 11)5 (3, 9)9 (5, 12)<0.001
 Visits per study years, median (IQR)3.8 (2.6, 4.7)3.6 (2.4, 4.7)4.0 (2.9, 4.7)<0.001
 Asian ethnicity, n (%)2055 (89)1173 (90)882 (88)0.09
 Females, n (%)2171 (93)1218 (93)953 (94)0.4
 Current smoker at enrolment, n (%)113 (5.3)65 (5.6)48 (4.9)0.5
 Family history of SLE, n (%)177 (8.3)104 (9.0)73 (7.5)0.2
 Tertiary education, n (%)1069 (48)609 (49)460 (47)0.3
Serology, n (%)
 Low complement (C3/C4)1767 (76)889 (68)878 (87)<0.001
 Anti-dsDNA positivity1406 (61)698 (53)708 (70)<0.001
 ESR ≥251280 (62)636 (56)644 (69)<0.001
Medications use evera, n (%)
 Prednisolone1989 (85)1042 (79)947 (93)<0.001
 TAM prednisolone, median (IQR), mg/d5.3 (2.5, 9.4)5.0 (1.1, 7.8)7.3 (4.4, 10.3)<0.001
 Anti-malarial drugs1734 (74)1002 (76)732 (72)0.014
  HCQ1612 (69)933 (71)679 (68)0.020
  Chloroquine167 (7.1)92 (7.0)74 (7.3)0.8
 Immunosuppressants1661 (71)831 (63)830 (82)<0.001
  Mycophenolate820 (35)403 (31)417 (41)<0.001
  Mycophenolic acid132 (5.7)60 (4.6)72 (7.1)0.010
  AZA688 (30)317 (24)371 (36)<0.001
  Ciclosporin170 (7.3)78 (5.9)92 (9.0)0.004
  MTX166 (7.1)84 (6.4)82 (8.1)0.12
  Tacrolimus88 (3.8)35 (2.7)53 (5.2)0.001
  LEF66 (2.8)29 (2.2)37 (3.6)0.040
  Mizoribine13 (0.5)3 (0.2)10 (1.0)0.015
  CYC229 (11)96 (8.2)133 (14)<0.001
 Biologics (any) ever76 (3.3)20 (1.5)56 (5.5)<0.001
  Rituximab50 (2.4)12 (1.0)38 (4.0)<0.001
  Belimumab31 (1.5)9 (0.8)22 (2.3)0.003
Clinical indicators
 TAM SLEDAI-2K, median (IQR)3.1 (1.5, 5.1)2.5 (1.0, 4.5)3.7 (2.0, 5.8)<0.001
 SLEDAI ≥ 6 ever, n (%)1196 (51)584 (44)612 (60)<0.001
 TAM PGA, median (IQR)0.4 (0.2, 0.8)0.4 (0.2, 0.8)0.5 (0.3, 0.9)<0.001
 Mild/moderate/severe flare evera, n (%)1257 (54)606 (46)651 (64)<0.001

 Baseline organ damage present

(SDI > 0 at recruitment), n (%)

916 (39)517 (39)399 (39)0.9
 Damage accrual during study period, n (%)332 (14)154 (12)178 (18)<0.001
 Achieved LLDAS evera, n (%)1697 (73)1004 (77)693 (68)<0.001
 Percentage time spent in LLDAS during study period, median (IQR)

44.6

(0, 76.9)

50.5

(8.5, 88.3)

28.9

(0, 58.3)

<0.001
All patientsLeucopoenia—neverLeucopoenia—everP-value
(n = 2330)(n = 1312)(n = 1018)
Demographics
 Age at enrolment, median (IQR), years39 (30, 50)41 (31, 52)38 (29, 48)<0.001
 Age at SLE diagnosis, median (IQR), years29 (21, 39)30 (22, 41)28 (21, 37)0.002
 Disease duration, median (IQR), years8 (3, 14)8 (3, 14)7 (3, 13)0.07
 Study observation period, median (IQR), years2.3 (1.0, 3.5)2.1 (0.7, 3.4)2.6 (1.6, 3.7)<0.001
 No. of visits, median (IQR)7 (4, 11)5 (3, 9)9 (5, 12)<0.001
 Visits per study years, median (IQR)3.8 (2.6, 4.7)3.6 (2.4, 4.7)4.0 (2.9, 4.7)<0.001
 Asian ethnicity, n (%)2055 (89)1173 (90)882 (88)0.09
 Females, n (%)2171 (93)1218 (93)953 (94)0.4
 Current smoker at enrolment, n (%)113 (5.3)65 (5.6)48 (4.9)0.5
 Family history of SLE, n (%)177 (8.3)104 (9.0)73 (7.5)0.2
 Tertiary education, n (%)1069 (48)609 (49)460 (47)0.3
Serology, n (%)
 Low complement (C3/C4)1767 (76)889 (68)878 (87)<0.001
 Anti-dsDNA positivity1406 (61)698 (53)708 (70)<0.001
 ESR ≥251280 (62)636 (56)644 (69)<0.001
Medications use evera, n (%)
 Prednisolone1989 (85)1042 (79)947 (93)<0.001
 TAM prednisolone, median (IQR), mg/d5.3 (2.5, 9.4)5.0 (1.1, 7.8)7.3 (4.4, 10.3)<0.001
 Anti-malarial drugs1734 (74)1002 (76)732 (72)0.014
  HCQ1612 (69)933 (71)679 (68)0.020
  Chloroquine167 (7.1)92 (7.0)74 (7.3)0.8
 Immunosuppressants1661 (71)831 (63)830 (82)<0.001
  Mycophenolate820 (35)403 (31)417 (41)<0.001
  Mycophenolic acid132 (5.7)60 (4.6)72 (7.1)0.010
  AZA688 (30)317 (24)371 (36)<0.001
  Ciclosporin170 (7.3)78 (5.9)92 (9.0)0.004
  MTX166 (7.1)84 (6.4)82 (8.1)0.12
  Tacrolimus88 (3.8)35 (2.7)53 (5.2)0.001
  LEF66 (2.8)29 (2.2)37 (3.6)0.040
  Mizoribine13 (0.5)3 (0.2)10 (1.0)0.015
  CYC229 (11)96 (8.2)133 (14)<0.001
 Biologics (any) ever76 (3.3)20 (1.5)56 (5.5)<0.001
  Rituximab50 (2.4)12 (1.0)38 (4.0)<0.001
  Belimumab31 (1.5)9 (0.8)22 (2.3)0.003
Clinical indicators
 TAM SLEDAI-2K, median (IQR)3.1 (1.5, 5.1)2.5 (1.0, 4.5)3.7 (2.0, 5.8)<0.001
 SLEDAI ≥ 6 ever, n (%)1196 (51)584 (44)612 (60)<0.001
 TAM PGA, median (IQR)0.4 (0.2, 0.8)0.4 (0.2, 0.8)0.5 (0.3, 0.9)<0.001
 Mild/moderate/severe flare evera, n (%)1257 (54)606 (46)651 (64)<0.001

 Baseline organ damage present

(SDI > 0 at recruitment), n (%)

916 (39)517 (39)399 (39)0.9
 Damage accrual during study period, n (%)332 (14)154 (12)178 (18)<0.001
 Achieved LLDAS evera, n (%)1697 (73)1004 (77)693 (68)<0.001
 Percentage time spent in LLDAS during study period, median (IQR)

44.6

(0, 76.9)

50.5

(8.5, 88.3)

28.9

(0, 58.3)

<0.001
a

Used/achieved at least once during study observation period. P-values for comparing categorical variables were derived using Pearson’s chi-square test. P-values for comparing continuous variables were derived using the Wilcoxon rank-sum test. IQR: interquartile range; LLDAS: lupus low disease activity state; PGA: physician global assessment; TAM: time adjusted mean.

Table 1

Patient characteristics, stratified by presence of grade 2 leucopenia at least once (ever) during study observation period

All patientsLeucopoenia—neverLeucopoenia—everP-value
(n = 2330)(n = 1312)(n = 1018)
Demographics
 Age at enrolment, median (IQR), years39 (30, 50)41 (31, 52)38 (29, 48)<0.001
 Age at SLE diagnosis, median (IQR), years29 (21, 39)30 (22, 41)28 (21, 37)0.002
 Disease duration, median (IQR), years8 (3, 14)8 (3, 14)7 (3, 13)0.07
 Study observation period, median (IQR), years2.3 (1.0, 3.5)2.1 (0.7, 3.4)2.6 (1.6, 3.7)<0.001
 No. of visits, median (IQR)7 (4, 11)5 (3, 9)9 (5, 12)<0.001
 Visits per study years, median (IQR)3.8 (2.6, 4.7)3.6 (2.4, 4.7)4.0 (2.9, 4.7)<0.001
 Asian ethnicity, n (%)2055 (89)1173 (90)882 (88)0.09
 Females, n (%)2171 (93)1218 (93)953 (94)0.4
 Current smoker at enrolment, n (%)113 (5.3)65 (5.6)48 (4.9)0.5
 Family history of SLE, n (%)177 (8.3)104 (9.0)73 (7.5)0.2
 Tertiary education, n (%)1069 (48)609 (49)460 (47)0.3
Serology, n (%)
 Low complement (C3/C4)1767 (76)889 (68)878 (87)<0.001
 Anti-dsDNA positivity1406 (61)698 (53)708 (70)<0.001
 ESR ≥251280 (62)636 (56)644 (69)<0.001
Medications use evera, n (%)
 Prednisolone1989 (85)1042 (79)947 (93)<0.001
 TAM prednisolone, median (IQR), mg/d5.3 (2.5, 9.4)5.0 (1.1, 7.8)7.3 (4.4, 10.3)<0.001
 Anti-malarial drugs1734 (74)1002 (76)732 (72)0.014
  HCQ1612 (69)933 (71)679 (68)0.020
  Chloroquine167 (7.1)92 (7.0)74 (7.3)0.8
 Immunosuppressants1661 (71)831 (63)830 (82)<0.001
  Mycophenolate820 (35)403 (31)417 (41)<0.001
  Mycophenolic acid132 (5.7)60 (4.6)72 (7.1)0.010
  AZA688 (30)317 (24)371 (36)<0.001
  Ciclosporin170 (7.3)78 (5.9)92 (9.0)0.004
  MTX166 (7.1)84 (6.4)82 (8.1)0.12
  Tacrolimus88 (3.8)35 (2.7)53 (5.2)0.001
  LEF66 (2.8)29 (2.2)37 (3.6)0.040
  Mizoribine13 (0.5)3 (0.2)10 (1.0)0.015
  CYC229 (11)96 (8.2)133 (14)<0.001
 Biologics (any) ever76 (3.3)20 (1.5)56 (5.5)<0.001
  Rituximab50 (2.4)12 (1.0)38 (4.0)<0.001
  Belimumab31 (1.5)9 (0.8)22 (2.3)0.003
Clinical indicators
 TAM SLEDAI-2K, median (IQR)3.1 (1.5, 5.1)2.5 (1.0, 4.5)3.7 (2.0, 5.8)<0.001
 SLEDAI ≥ 6 ever, n (%)1196 (51)584 (44)612 (60)<0.001
 TAM PGA, median (IQR)0.4 (0.2, 0.8)0.4 (0.2, 0.8)0.5 (0.3, 0.9)<0.001
 Mild/moderate/severe flare evera, n (%)1257 (54)606 (46)651 (64)<0.001

 Baseline organ damage present

(SDI > 0 at recruitment), n (%)

916 (39)517 (39)399 (39)0.9
 Damage accrual during study period, n (%)332 (14)154 (12)178 (18)<0.001
 Achieved LLDAS evera, n (%)1697 (73)1004 (77)693 (68)<0.001
 Percentage time spent in LLDAS during study period, median (IQR)

44.6

(0, 76.9)

50.5

(8.5, 88.3)

28.9

(0, 58.3)

<0.001
All patientsLeucopoenia—neverLeucopoenia—everP-value
(n = 2330)(n = 1312)(n = 1018)
Demographics
 Age at enrolment, median (IQR), years39 (30, 50)41 (31, 52)38 (29, 48)<0.001
 Age at SLE diagnosis, median (IQR), years29 (21, 39)30 (22, 41)28 (21, 37)0.002
 Disease duration, median (IQR), years8 (3, 14)8 (3, 14)7 (3, 13)0.07
 Study observation period, median (IQR), years2.3 (1.0, 3.5)2.1 (0.7, 3.4)2.6 (1.6, 3.7)<0.001
 No. of visits, median (IQR)7 (4, 11)5 (3, 9)9 (5, 12)<0.001
 Visits per study years, median (IQR)3.8 (2.6, 4.7)3.6 (2.4, 4.7)4.0 (2.9, 4.7)<0.001
 Asian ethnicity, n (%)2055 (89)1173 (90)882 (88)0.09
 Females, n (%)2171 (93)1218 (93)953 (94)0.4
 Current smoker at enrolment, n (%)113 (5.3)65 (5.6)48 (4.9)0.5
 Family history of SLE, n (%)177 (8.3)104 (9.0)73 (7.5)0.2
 Tertiary education, n (%)1069 (48)609 (49)460 (47)0.3
Serology, n (%)
 Low complement (C3/C4)1767 (76)889 (68)878 (87)<0.001
 Anti-dsDNA positivity1406 (61)698 (53)708 (70)<0.001
 ESR ≥251280 (62)636 (56)644 (69)<0.001
Medications use evera, n (%)
 Prednisolone1989 (85)1042 (79)947 (93)<0.001
 TAM prednisolone, median (IQR), mg/d5.3 (2.5, 9.4)5.0 (1.1, 7.8)7.3 (4.4, 10.3)<0.001
 Anti-malarial drugs1734 (74)1002 (76)732 (72)0.014
  HCQ1612 (69)933 (71)679 (68)0.020
  Chloroquine167 (7.1)92 (7.0)74 (7.3)0.8
 Immunosuppressants1661 (71)831 (63)830 (82)<0.001
  Mycophenolate820 (35)403 (31)417 (41)<0.001
  Mycophenolic acid132 (5.7)60 (4.6)72 (7.1)0.010
  AZA688 (30)317 (24)371 (36)<0.001
  Ciclosporin170 (7.3)78 (5.9)92 (9.0)0.004
  MTX166 (7.1)84 (6.4)82 (8.1)0.12
  Tacrolimus88 (3.8)35 (2.7)53 (5.2)0.001
  LEF66 (2.8)29 (2.2)37 (3.6)0.040
  Mizoribine13 (0.5)3 (0.2)10 (1.0)0.015
  CYC229 (11)96 (8.2)133 (14)<0.001
 Biologics (any) ever76 (3.3)20 (1.5)56 (5.5)<0.001
  Rituximab50 (2.4)12 (1.0)38 (4.0)<0.001
  Belimumab31 (1.5)9 (0.8)22 (2.3)0.003
Clinical indicators
 TAM SLEDAI-2K, median (IQR)3.1 (1.5, 5.1)2.5 (1.0, 4.5)3.7 (2.0, 5.8)<0.001
 SLEDAI ≥ 6 ever, n (%)1196 (51)584 (44)612 (60)<0.001
 TAM PGA, median (IQR)0.4 (0.2, 0.8)0.4 (0.2, 0.8)0.5 (0.3, 0.9)<0.001
 Mild/moderate/severe flare evera, n (%)1257 (54)606 (46)651 (64)<0.001

 Baseline organ damage present

(SDI > 0 at recruitment), n (%)

916 (39)517 (39)399 (39)0.9
 Damage accrual during study period, n (%)332 (14)154 (12)178 (18)<0.001
 Achieved LLDAS evera, n (%)1697 (73)1004 (77)693 (68)<0.001
 Percentage time spent in LLDAS during study period, median (IQR)

44.6

(0, 76.9)

50.5

(8.5, 88.3)

28.9

(0, 58.3)

<0.001
a

Used/achieved at least once during study observation period. P-values for comparing categorical variables were derived using Pearson’s chi-square test. P-values for comparing continuous variables were derived using the Wilcoxon rank-sum test. IQR: interquartile range; LLDAS: lupus low disease activity state; PGA: physician global assessment; TAM: time adjusted mean.

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