Subcutaneous Anifrolumab in Adult Patients With Systemic Lupus Erythematosus

Last updated: November 18, 2024
Sponsor: AstraZeneca
Overall Status: Active - Not Recruiting

Phase

3

Condition

Lupus

Musculoskeletal Diseases

Systemic Lupus Erythematosus

Treatment

Placebo

Medi-546

Clinical Study ID

NCT04877691
D3465C00001
SZA64400
2020-004529-22
  • Ages 18-70
  • All Genders

Study Summary

The purpose of this study is evaluating the efficacy and safety of SC antifrolumab in adult patients with moderate -to-severe SLE despite receiving standard therapy

Eligibility Criteria

Inclusion

Inclusion Criteria:

  1. Patients who have a diagnosis of pediatric or adult SLE according to the ACR 1997revised criteria for ≥ 24 weeks prior to signing the ICF

  2. To be eligible a patient must have SLEDAI-2K ≥ 6 points and "Clinical" SLEDAI-2Kscore ≥4 points at screening

  3. BILAG2004 with at least 1 of the following:

  4. BILAG2004 level A disease in ≥ 1 organ system

  5. BILAG2004 level B disease in ≥ 2 organ systems

  6. Physician's Global Assessment (PGA) score ≥ 1.0 on a 0 to 3 VAS at Screening

  7. Antinuclear antibody, and/or Anti-dsDNA and/oranti-Smith positive at Screening,

  8. Must be on stable background standard therapy with DMARD, glucocorticoids oranti-malarials alone or in combinations.

Exclusion

Exclusion Criteria:

  1. Active severe or unstable neuropsychiatric SLE

  2. Active severe SLE-driven renal disease

  3. History of any non-SLE disease that has required treatment with oral or parenteralcorticosteroids for more than a total of 2 weeks within the last 24 weeks prior tosigning the ICF.

  4. History of recurrent infection requiring hospitalization and IV antibiotics (eg, 3or more of the same type of infection over the previous 52 weeks).

  5. Known history of a primary immunodeficiency, splenectomy, or any underlyingcondition that predisposes the patient to infection, or a positive result for humanimmunodeficiency virus (HIV) infection confirmed by central laboratory at Screening.

  6. At Screening, confirmed positive test for hepatitis B serology and positive test forhepatitis C antibody

  7. Any severe case herpes zoster infection at any time prior to Week 0 (Day 1),

  8. Opportunistic infection requiring hospitalization or IV antimicrobial treatmentwithin 3 years of randomization.

  9. History of cancer, apart from:

  10. Squamous or basal cell carcinoma of the skin treated with documented success ofcurative therapy ≥ 3 months prior to Week 0 (Day 1)

  11. Cervical cancer in situ treated with apparent success with curative therapy ≥ 1year prior to Week 0 (Day 1).

Study Design

Total Participants: 367
Treatment Group(s): 2
Primary Treatment: Placebo
Phase: 3
Study Start date:
June 08, 2021
Estimated Completion Date:
November 30, 2026

Study Description

This is a Phase 3, multicentre, multinational, randomised, double-blind, placebo-controlled study to evaluate the efficacy and safety of a subcutaneous treatment regimen of anifrolumab versus placebo in participants with moderately to severely active, autoantibody-positive systemic lupus erythematosus (SLE) while receiving standard of care (SOC) treatment. Participants must be taking either 1 or any combination of the following: oral glucocorticoids, antimalarial, and/or immunosuppressants. The study will be performed in adult participants of 18 to 70 years of age.

Approximately 360 participants receiving SOC treatment will be randomised in a 1:1 ratio to receive a fixed subcutaneous dose of anifrolumab or placebo administered once weekly via an accessorized prefilled syringe and with the primary endpoint evaluated at Week 52. Subjects who complete Week 52 may enter into open-label extension (OLE). All patients who enter the OLE Period will receive a fixed subcutaneous dose of anifrolumab for up to 52 weeks. Study intervention will be administered SC via an accessorised prefilled syringe (aPFS).

Connect with a study center

  • Research Site

    Ciudad de Buenos Aires, C1431FWO
    Argentina

    Site Not Available

  • Research Site

    Córdoba, X5016KEH
    Argentina

    Site Not Available

  • Research Site

    La Plata, 1900
    Argentina

    Site Not Available

  • Research Site

    Mendoza, 5500
    Argentina

    Site Not Available

  • Research Site

    Pergamino, B2700CPM
    Argentina

    Site Not Available

  • Research Site

    Quilmes, B1878GEG
    Argentina

    Site Not Available

  • Research Site

    Rosario, S2000PBJ
    Argentina

    Site Not Available

  • Research Site

    Salta, A4400ANW
    Argentina

    Site Not Available

  • Research Site

    San Isidro, 1643
    Argentina

    Site Not Available

  • Research Site

    San Juan, 5400
    Argentina

    Site Not Available

  • Research Site

    San Miguel de Tucuman, T4000AXL
    Argentina

    Site Not Available

  • Research Site

    Tucuman, T4000AXL
    Argentina

    Site Not Available

  • Research Site

    Kardzhali, 6600
    Bulgaria

    Site Not Available

  • Research Site

    Pleven, 5800
    Bulgaria

    Site Not Available

  • Research Site

    Plovdiv, 4003
    Bulgaria

    Site Not Available

  • Research Site

    Sevlievo, 5400
    Bulgaria

    Site Not Available

  • Research Site

    Sofia, 1784
    Bulgaria

    Site Not Available

  • Research Site

    Osorno, 5290000
    Chile

    Site Not Available

  • Research Site

    Santiago, 7500571
    Chile

    Site Not Available

  • Research Site

    Valdivia, 5090000
    Chile

    Site Not Available

  • Research Site

    Barranquilla, 080002
    Colombia

    Site Not Available

  • Research Site

    Bogota, 110221
    Colombia

    Site Not Available

  • Research Site

    Bucaramanga, 680003
    Colombia

    Site Not Available

  • Research Site

    Chia, 250001
    Colombia

    Site Not Available

  • Research Site

    Medellin, 050034
    Colombia

    Site Not Available

  • Research Site

    Monteria, 230002
    Colombia

    Site Not Available

  • Research Site

    Berlin, 10117
    Germany

    Site Not Available

  • Research Site

    Dresden, 01067
    Germany

    Site Not Available

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    Kirchheim, 73230
    Germany

    Site Not Available

  • Research Site

    Köln, 50937
    Germany

    Site Not Available

  • Research Site

    Leipzig, 04103
    Germany

    Site Not Available

  • Research Site

    Tuebingen, 72076
    Germany

    Site Not Available

  • Research Site

    Budapest, 1097
    Hungary

    Site Not Available

  • Research Site

    Gyula, 5700
    Hungary

    Site Not Available

  • Research Site

    Szekesfehervar, 8000
    Hungary

    Site Not Available

  • Research Site

    Veszprem, 8200
    Hungary

    Site Not Available

  • Research Site

    Chiba-shi, 260-8712
    Japan

    Site Not Available

  • Research Site

    Chuo-ku, 104-8560
    Japan

    Site Not Available

  • Research Site

    Hamamatsu-shi, 431-3192
    Japan

    Site Not Available

  • Research Site

    Hiroshima-shi, 734-8551
    Japan

    Site Not Available

  • Research Site

    Itabashi-ku, 173-8610
    Japan

    Site Not Available

  • Research Site

    Kawasaki-shi, 216-8511
    Japan

    Site Not Available

  • Research Site

    Kita-gun, 761-0793
    Japan

    Site Not Available

  • Research Site

    Kitakyushu-shi, 807-8555
    Japan

    Site Not Available

  • Research Site

    Meguro-ku, 152-8902
    Japan

    Site Not Available

  • Research Site

    Nagasaki-shi, 852-8501
    Japan

    Site Not Available

  • Research Site

    Nagoya, 457-8510
    Japan

    Site Not Available

  • Research Site

    Nagoya-shi, 460-0001
    Japan

    Site Not Available

  • Research Site

    Okayama-shi, 700-8607
    Japan

    Site Not Available

  • Research Site

    Sagamihara-shi, 252-0375
    Japan

    Site Not Available

  • Research Site

    Sapporo-shi, 060-8543
    Japan

    Site Not Available

  • Research Site

    Sasebo-shi, 857-1195
    Japan

    Site Not Available

  • Research Site

    Sendai-shi, 980-8574
    Japan

    Site Not Available

  • Research Site

    Shinjuku-ku, 160-8582
    Japan

    Site Not Available

  • Research Site

    Suita-shi, 565-0871
    Japan

    Site Not Available

  • Research Site

    Takatsuki-shi, 569-8686
    Japan

    Site Not Available

  • Research Site

    Tsu-shi, 514-8507
    Japan

    Site Not Available

  • Research Site

    Tsukuba-shi, 305-8576
    Japan

    Site Not Available

  • Research Site

    Chihuahua, 31000
    Mexico

    Site Not Available

  • Research Site

    Culiacan, 80000
    Mexico

    Site Not Available

  • Research Site

    Durango, 43080
    Mexico

    Site Not Available

  • Research Site

    Guadalajara, 44650
    Mexico

    Site Not Available

  • Research Site

    Merida, 97070
    Mexico

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  • Research Site

    Mexicali, 21200
    Mexico

    Site Not Available

  • Research Site

    Mexico, 03100
    Mexico

    Site Not Available

  • Research Site

    Lima, LIMA 32
    Peru

    Site Not Available

  • Research Site

    Davao City, PH-8000
    Philippines

    Site Not Available

  • Research Site

    Iloilo,
    Philippines

    Site Not Available

  • Research Site

    Lipa City, 4217
    Philippines

    Site Not Available

  • Research Site

    Makati City, 1218
    Philippines

    Site Not Available

  • Research Site

    Quezon City, 1118
    Philippines

    Site Not Available

  • Research Site

    Katowice, 40-081
    Poland

    Site Not Available

  • Research Site

    Koscian, 64-000
    Poland

    Site Not Available

  • Research Site

    Krakow, 30-033
    Poland

    Site Not Available

  • Research Site

    Kraków, 30-510
    Poland

    Site Not Available

  • Research Site

    Lublin, 20-607
    Poland

    Site Not Available

  • Research Site

    Nowa Sól, 67-100
    Poland

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    Ustron, 43-450
    Poland

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    Warszawa, 02-691
    Poland

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    Wroclaw, 50-244
    Poland

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    Łódź, 90-368
    Poland

    Site Not Available

  • Research Site

    Moscow, 119021
    Russian Federation

    Site Not Available

  • Research Site

    Ryazan, 390026
    Russian Federation

    Site Not Available

  • Research Site

    Saint-Petersburg, 190068
    Russian Federation

    Site Not Available

  • Research Site

    Saratov, 410054
    Russian Federation

    Site Not Available

  • Research Site

    Smolensk, 214015
    Russian Federation

    Site Not Available

  • Research Site

    Barcelona, 8003
    Spain

    Site Not Available

  • Research Site

    Madrid, 28702
    Spain

    Site Not Available

  • Research Site

    Santiago de Compostela, 15706
    Spain

    Site Not Available

  • Research Site

    Sevilla, 41010
    Spain

    Site Not Available

  • Research Site

    Valencia, 46026
    Spain

    Site Not Available

  • Research Site

    Muang, 50200
    Thailand

    Site Not Available

  • Research Site

    Rachathewi, 10400
    Thailand

    Site Not Available

  • Research Site

    Cherkasy, 18009
    Ukraine

    Site Not Available

  • Research Site

    Kryvyi Rih, 50031
    Ukraine

    Site Not Available

  • Research Site

    Kyiv, 01601
    Ukraine

    Site Not Available

  • Research Site

    Lviv, 79000
    Ukraine

    Site Not Available

  • Research Site

    Odesa, 65025
    Ukraine

    Site Not Available

  • Research Site

    Vinnytsia, 21001
    Ukraine

    Site Not Available

  • Research Site

    Zaporizhzhia, 69600
    Ukraine

    Site Not Available

  • Research Site

    Coventry, CV2 2DX
    United Kingdom

    Site Not Available

  • Research Site

    Doncaster, DN2 5LT
    United Kingdom

    Site Not Available

  • Research Site

    Edinburgh, EH4 2XU
    United Kingdom

    Site Not Available

  • Research Site

    Harlow, CM20 1QX
    United Kingdom

    Site Not Available

  • Research Site

    Leeds, LS7 4SA
    United Kingdom

    Site Not Available

  • Research Site

    Leytonstone, E11 1NR
    United Kingdom

    Site Not Available

  • Research Site

    London, SE1 9RT
    United Kingdom

    Site Not Available

  • Research Site

    Wigan, WN6 9EP
    United Kingdom

    Site Not Available

  • Research Site

    Anniston, Alabama 36207
    United States

    Site Not Available

  • Research Site

    Birmingham, Alabama 35233
    United States

    Site Not Available

  • Research Site

    Paradise Valley, Arizona 85253
    United States

    Site Not Available

  • Research Site

    Phoenix, Arizona 85032
    United States

    Site Not Available

  • Research Site

    El Cajon, California 92020
    United States

    Site Not Available

  • Research Site

    Fullerton, California 92835
    United States

    Site Not Available

  • Research Site

    Hemet, California 92543
    United States

    Site Not Available

  • Research Site

    La Mesa, California 91942
    United States

    Site Not Available

  • Research Site

    Los Angeles, California 90095
    United States

    Site Not Available

  • Research Site

    Menifee, California 92586
    United States

    Site Not Available

  • Research Site

    Moreno Valley, California 92553
    United States

    Site Not Available

  • Research Site

    Upland, California 91786
    United States

    Site Not Available

  • Research Site

    Aurora, Colorado 80045
    United States

    Site Not Available

  • Research Site

    Denver, Colorado 80230
    United States

    Site Not Available

  • Research Site

    Boynton Beach, Florida 33472
    United States

    Site Not Available

  • Research Site

    Brandon, Florida 33511
    United States

    Site Not Available

  • Research Site

    Clearwater, Florida 33765
    United States

    Site Not Available

  • Research Site

    Hialeah, Florida 33016
    United States

    Site Not Available

  • Research Site

    Miami, Florida 33180
    United States

    Site Not Available

  • Research Site

    Tampa, Florida 33613
    United States

    Site Not Available

  • Research Site

    Decatur, Georgia 30033
    United States

    Site Not Available

  • Research Site

    Lawrenceville, Georgia 30046
    United States

    Site Not Available

  • Research Site

    Idaho Falls, Idaho 83404
    United States

    Site Not Available

  • Research Site

    Boston, Massachusetts 02215
    United States

    Site Not Available

  • Research Site

    Flint, Michigan 48504
    United States

    Site Not Available

  • Research Site

    Lansing, Michigan 48911
    United States

    Site Not Available

  • Research Site

    Saint Louis, Missouri 63119
    United States

    Site Not Available

  • Research Site

    Newark, New Jersey 07103
    United States

    Site Not Available

  • Research Site

    Voorhees, New Jersey 08043
    United States

    Site Not Available

  • Research Site

    Las Cruces, New Mexico 88011
    United States

    Site Not Available

  • Research Site

    Bronx, New York 10461
    United States

    Site Not Available

  • Research Site

    Brooklyn, New York 11201
    United States

    Site Not Available

  • Research Site

    Manhasset, New York 11030
    United States

    Site Not Available

  • Research Site

    New Hyde Park, New York 11042
    United States

    Site Not Available

  • Research Site

    New York, New York 10032
    United States

    Site Not Available

  • Research Site

    Potsdam, New York 13676
    United States

    Site Not Available

  • Research Site

    Charlotte, North Carolina 28203
    United States

    Site Not Available

  • Research Site

    Oklahoma City, Oklahoma 73104
    United States

    Site Not Available

  • Research Site

    Pittsburgh, Pennsylvania 15224
    United States

    Site Not Available

  • Research Site

    Reading, Pennsylvania 19610
    United States

    Site Not Available

  • Research Site

    Memphis, Tennessee 38119
    United States

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  • Research Site

    Austin, Texas 78745
    United States

    Site Not Available

  • Research Site

    El Paso, Texas 79902
    United States

    Site Not Available

  • Research Site

    Grapevine, Texas 76051
    United States

    Site Not Available

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