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Clinical Trials in the USA / NCT04895241
Active, not recruiting Phase 3

A Study to Learn About the Safety of Litifilimab (BIIB059) Injections and Whether They Can Improve Symptoms of Adult Participants Who Have Systemic Lupus Erythematosus

NCT04895241 · tracked via the Priya Life Science USA tracker
Sponsor
Biogen
Phase
Phase 3
Started
2021-05-25
Last updated
2026-02-10

Condition(s) studied

Lupus Erythematosus, Systemic

Investigational drug(s) / intervention(s)

Litifilimab →Placebo

Litifilimab: Administered as specified in the treatment arm.

Placebo: Administered as specified in the treatment arm.

Study summary

In this study, researchers will learn more about a study drug called litifilimab (BIIB059) in participants with systemic lupus erythematosus (SLE). The study will focus on participants who have active disease and are already taking standard of care medications. These may include antimalarials, steroids, and immunosuppressants.

The main objective of the study is to learn about the effect litifilimab has on lowering the activity of the disease. The main question researchers want to answer is:

\- How many participants have an improvement in their symptoms after 52 weeks of treatment? Researchers will answer this and other questions by measuring the symptoms of SLE over time using a variety of scoring tools. These include the SLE Responder Index (SRI), the Systemic Lupus Erythematosus Disease Activity Index-2000 (SLEDAI-2K), the British Isles Lupus Activity Group-2004 index (BILAG-2004), and the BILAG-BASED Combined Lupus Assessment (BICLA), among others.

Researchers will also learn more about the safety of litifilimab. They will study how participants' immune systems respond to litifilimab. Additionally, they will measure the effect litifilimab and SLE have on the quality of life of participants using a group of questionnaires.

The study will be done as follows:

* After screening, participants will be randomized to receive either a high or low dose of litifilimab, or placebo. A placebo looks like the study drug but contains no real medicine.
* All participants will receive either litifilimab or placebo as injections under the skin once every 4 weeks. The treatment period will last 52 weeks. Participants will continue to take their standard of care medications.
* Neither the researchers nor the participants will know if the participants are receiving litifilimab or placebo.
* There will be a follow-up safety period that lasts up to 24 weeks.
* In total, participants will have up to 22 study visits. The total study duration for participants will be up to 80 weeks.

Eligibility

Sex
ALL
Min age
18 Years
Max age
—
Healthy volunteers
No
Key Inclusion Criteria: * Participant must be diagnosed with systemic lupus erythematosus (SLE) at least 24 weeks prior to screening and must meet the 2019 European League Against Rheumatism (EULAR) / American College of Rheumatology (ACR) classification criteria for SLE at screening by a qualified physician. * Participant has a modified Systemic Lupus Erythematosus Disease Activity Index-2000 (SLEDAI-2K) score ≥ 6 (excluding alopecia, fever, lupus-related headache, and organic brain syndrome) at screening (adjudicated). * Participant has a modified clinical SLEDAI-2K score ≥ 4 (excluding anti-dsDNA, low complement component 3 (C3) and/or complement component 4 (C4), alopecia, fever, lupus-related headache, and organic brain syndrome) at Screening (adjudicated) and randomization. * Participant has BILAG-2004 grade A in ≥ 1 organ system or BILAG-2004 grade B in ≥ 2 organ systems at Screening (adjudicated) and randomization. * Participant must be treated with one of the following background nonbiologic lupus SOC therapies, initiated ≥ 12 weeks prior to Screening and at stable dose ≥ 4 weeks prior to randomization: 1. Antimalarials as stand-alone treatment 2. Antimalarial treatment in combination with OCS and/or a single immunosuppressant 3. Treatment with OCS and/or a single immunosuppressant Key Exclusion Criteria: * History of or positive test result for human immunodeficiency virus (HIV). * Current hepatitis C infection (defined as positive hepatitis C virus (HCV) antibody and detectable HCV ribonucleic acid \[RNA\]). * Current hepatitis B infection (defined as positive for antibody to hepatitis B surface antigen (HBsAg) and/or positive for total hepatitis antibody to B core antigen \[anti-HBc\] with positive reflex HBV DNA). * History of severe herpes infection. * Presence of uncontrolled or New York Heart Association class III or IV congestive heart failure. * Active severe lupus nephritis where, in the opinion of the Investigator, protocol-specified SOC is insufficient and use of a more aggressive therapeutic approach is indicated, such as adding IV cyclophosphamide and/or high-dose IV pulse corticosteroid therapy or other treatments not permitted in the protocol is indicated; or urine protein-creatinine ratio \> 2.0 or severe chronic kidney disease (estimated glomerular filtration rate \< 30 milliliters per minute per 1.73 meter square \[mL/min/1.73 m\^2\]) calculated using the abbreviated modification of diet in renal disease equation. * Any active skin conditions other than cutaneous lupus erythematosus (CLE) that may interfere with the study assessment of CLE such as but not limited to psoriasis, dermatomyositis, systemic sclerosis, non-LE skin lupus manifestation or drug-induced lupus. * History or current diagnosis of a clinically significant non-SLE-related vasculitis syndrome. * Active neuropsychiatric SLE. * Use of oral prednisone (or equivalent) above 20 mg/day. Note: Other protocol defined Inclusion/Exclusion criteria may apply.

Primary outcome measure(s)

Trial sites (164)

FacilityCityRegionStatus
Tilda Research Birmingham Homewood Alabama
Wallace Rheumatic Study Center Beverly Hills California
University of Southern California Los Angeles California
Providence Facey Medical Foundation Mission Hills California
University of California San Diego School of Medicine San Diego California
SCLA Management Thousand Oaks California
Harbor-UCLA Medical Center Torrance California
Inland Rheumatology Clinical Trials, Inc. Upland California
University of Colorado Anschutz Medical Campus Aurora Colorado
Georgetown University Hospital-Medstar Washington D.C. District of Columbia
Arthritis & Rheumatic Disease Specialties Aventura Florida
Highlands Rheumatology Avon Park Florida
Clinical Research of West Florida - Corporate Clearwater Florida
Believe Clinical Trials Coral Springs Florida
Omega Research Consultants DeBary Florida
Centre for Rheumatology, Immunology and Arthritis Fort Lauderdale Florida
GNP Research at Mark Jaffe, MD Hollywood Florida
Life Clinical Trials Margate Florida
Charisma Medical and Research Center Miami Lakes Florida
Rheumatology Associates of Central Florida Orlando Florida
AdventHealth Medical Group Tampa Florida
Vantage Clinical Trials Tampa Florida
Rheumatology care of Georgia Kennesaw Georgia
Atlanta Research Center for Rheumatology LLC Marietta Georgia
Accurate Clinical Research Inc. Lake Charles Louisiana
AA MRC LLC Ahmed Arif Medical Research Center Flint Michigan
Washington University School of Medicine St Louis Missouri
Renown Medical Group Reno Nevada
Joseph S. and Diane H. Steinberg Ambulatory Care Center Brooklyn New York
Northwell Health Center for Advanced Medicine New Hyde Park New York
University of Rochester Medical Center Rochester New York
SUNY Upstate Medical Center Syracuse New York
Joint and Muscle Research Institute Charlotte North Carolina
Medication Management, LLC Greensboro North Carolina
OnSite Clinical Solutions, LLC - Charlotte Salisbury North Carolina
Wake Forest University Health Sciences Winston-Salem North Carolina
Paramount Medical Research & Consulting, LLC Middleburg Heights Ohio
Hightower Clinical Oklahoma City Oklahoma
Ramesh C Gupta, MD Memphis Tennessee
Vanderbilt University Medical Center Nashville Tennessee

+ 124 more sites — see the full list on the official registry below.

More Biogen trials in the USA

Other trials for the same condition

Official registry record

This page summarises publicly available registry data for informational purposes — not medical advice. Eligibility is determined by each study team; patients should discuss participation with their clinician.

View NCT04895241 on ClinicalTrials.gov ↗ ← All trials in the USA