Table 3.

Incidence rates of renal flares and hazard ratios comparing antimalarial users and non-users

Pooled study population (n = 3225)
AMA useAMA non-use
n = 2173n = 1052
Renal flares during follow-up, n (%)116 (5.3)76 (7.2)
Person-years of follow-up2077.1977.5
Rate of renal flares per 1000 person-years (95% CI)55.8 (46.1, 67.0)77.7 (61.3, 97.3)
Unadjusted HR0.7 (0.5–1.0) P = 0.0261.0 (reference)
Adjusted HR0.7 (0.6–0.8) P < 0.0011.0 (reference)
Pooled study population (n = 3225)
AMA useAMA non-use
n = 2173n = 1052
Renal flares during follow-up, n (%)116 (5.3)76 (7.2)
Person-years of follow-up2077.1977.5
Rate of renal flares per 1000 person-years (95% CI)55.8 (46.1, 67.0)77.7 (61.3, 97.3)
Unadjusted HR0.7 (0.5–1.0) P = 0.0261.0 (reference)
Adjusted HR0.7 (0.6–0.8) P < 0.0011.0 (reference)
Renal BILAG A–D at baseline subgroup (n = 1761)
AMA useAMA non-use
n = 1209n = 552
Renal flares during follow-up, n (%)111 (9.2)70 (12.7)
Person-years of follow-up1094.6480.4
Rate of renal flares per 1000 person-years (95% CI)101.4 (83.4, 122.1)145.7 (113.6, 184.1)
Unadjusted HR0.7 (0.5–0.9) P = 0.0171.0 (reference)
Adjusted HR0.7 (0.6–0.8) P < 0.0011.0 (reference)
Renal BILAG A–D at baseline subgroup (n = 1761)
AMA useAMA non-use
n = 1209n = 552
Renal flares during follow-up, n (%)111 (9.2)70 (12.7)
Person-years of follow-up1094.6480.4
Rate of renal flares per 1000 person-years (95% CI)101.4 (83.4, 122.1)145.7 (113.6, 184.1)
Unadjusted HR0.7 (0.5–0.9) P = 0.0171.0 (reference)
Adjusted HR0.7 (0.6–0.8) P < 0.0011.0 (reference)
Renal BILAG E at baseline subgroup (n = 1464)
AMA useAMA non-use
n = 964n = 500
Renal flares during follow-up, n (%)5 (0.5)6 (1.2)
Person-years of follow-up982.4497.1
Rate of renal flares per 1000 person-years (95% CI)5.1 (1.7, 11.9)12.1 (4.4, 26.3)
Renal BILAG E at baseline subgroup (n = 1464)
AMA useAMA non-use
n = 964n = 500
Renal flares during follow-up, n (%)5 (0.5)6 (1.2)
Person-years of follow-up982.4497.1
Rate of renal flares per 1000 person-years (95% CI)5.1 (1.7, 11.9)12.1 (4.4, 26.3)

Incidence rate and hazard rations are presented for the pooled study population, and for the subgroups of patients with renal BILAG A–D and renal BILAG E at baseline.

Cox regression models were adjusted for age, sex, ethnicity, extra-renal clinical SLEDAI-2K score, SDI score, proteinuria, anti-dsDNA positivity, low C3, low C4, use of glucocorticoids, and use of immunosuppressants. The model for the pooled population was additionally adjusted for current or previous renal involvement (renal BILAG A–D vs BILAG E at baseline).

BILAG: British Isles Lupus Assessment Group; BLM: belimumab; IV: intravenous; SC: subcutaneous; SDI: SLICC/ACR Damage Index; SLEDAI-2K: systemic lupus erythematosus disease activity index 2000.

Table 3.

Incidence rates of renal flares and hazard ratios comparing antimalarial users and non-users

Pooled study population (n = 3225)
AMA useAMA non-use
n = 2173n = 1052
Renal flares during follow-up, n (%)116 (5.3)76 (7.2)
Person-years of follow-up2077.1977.5
Rate of renal flares per 1000 person-years (95% CI)55.8 (46.1, 67.0)77.7 (61.3, 97.3)
Unadjusted HR0.7 (0.5–1.0) P = 0.0261.0 (reference)
Adjusted HR0.7 (0.6–0.8) P < 0.0011.0 (reference)
Pooled study population (n = 3225)
AMA useAMA non-use
n = 2173n = 1052
Renal flares during follow-up, n (%)116 (5.3)76 (7.2)
Person-years of follow-up2077.1977.5
Rate of renal flares per 1000 person-years (95% CI)55.8 (46.1, 67.0)77.7 (61.3, 97.3)
Unadjusted HR0.7 (0.5–1.0) P = 0.0261.0 (reference)
Adjusted HR0.7 (0.6–0.8) P < 0.0011.0 (reference)
Renal BILAG A–D at baseline subgroup (n = 1761)
AMA useAMA non-use
n = 1209n = 552
Renal flares during follow-up, n (%)111 (9.2)70 (12.7)
Person-years of follow-up1094.6480.4
Rate of renal flares per 1000 person-years (95% CI)101.4 (83.4, 122.1)145.7 (113.6, 184.1)
Unadjusted HR0.7 (0.5–0.9) P = 0.0171.0 (reference)
Adjusted HR0.7 (0.6–0.8) P < 0.0011.0 (reference)
Renal BILAG A–D at baseline subgroup (n = 1761)
AMA useAMA non-use
n = 1209n = 552
Renal flares during follow-up, n (%)111 (9.2)70 (12.7)
Person-years of follow-up1094.6480.4
Rate of renal flares per 1000 person-years (95% CI)101.4 (83.4, 122.1)145.7 (113.6, 184.1)
Unadjusted HR0.7 (0.5–0.9) P = 0.0171.0 (reference)
Adjusted HR0.7 (0.6–0.8) P < 0.0011.0 (reference)
Renal BILAG E at baseline subgroup (n = 1464)
AMA useAMA non-use
n = 964n = 500
Renal flares during follow-up, n (%)5 (0.5)6 (1.2)
Person-years of follow-up982.4497.1
Rate of renal flares per 1000 person-years (95% CI)5.1 (1.7, 11.9)12.1 (4.4, 26.3)
Renal BILAG E at baseline subgroup (n = 1464)
AMA useAMA non-use
n = 964n = 500
Renal flares during follow-up, n (%)5 (0.5)6 (1.2)
Person-years of follow-up982.4497.1
Rate of renal flares per 1000 person-years (95% CI)5.1 (1.7, 11.9)12.1 (4.4, 26.3)

Incidence rate and hazard rations are presented for the pooled study population, and for the subgroups of patients with renal BILAG A–D and renal BILAG E at baseline.

Cox regression models were adjusted for age, sex, ethnicity, extra-renal clinical SLEDAI-2K score, SDI score, proteinuria, anti-dsDNA positivity, low C3, low C4, use of glucocorticoids, and use of immunosuppressants. The model for the pooled population was additionally adjusted for current or previous renal involvement (renal BILAG A–D vs BILAG E at baseline).

BILAG: British Isles Lupus Assessment Group; BLM: belimumab; IV: intravenous; SC: subcutaneous; SDI: SLICC/ACR Damage Index; SLEDAI-2K: systemic lupus erythematosus disease activity index 2000.

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