Systemic Lupus ErythematosusPhase 3NCT01196091
A Study of LY2127399 in Participants With Systemic Lupus Erythematosus
A Phase 3 study testing LY2127399 in people with Systemic Lupus Erythematosus and Connective Tissue Disease, run by Eli Lilly and Company at 192 sites in 23 countries.
Trial summary
The purpose of this SLE study is to evaluate the efficacy, safety and tolerability of two different doses of LY2127399 administered in participants with active SLE. Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Systemic Lupus Erythematosus, Connective Tissue Disease, Autoimmune Disease
- What is being tested?
- LY2127399
- Type of treatment
- Injection or infusion
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 1,164 participants
- Where
- 192 sitesin 23 countries
- Study dates
- Dec 2010to Jun 2015
- Phase
- Phase 3
- Are there results?
- Yes, posted in the registrySummary in the doctors' view
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 years and older
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Clinical diagnosis of SLE by American College of Rheumatology (ACR) criteria
- Have positive antinuclear antibodies (ANA)
- Agree not to become pregnant throughout the course of the trial
- Have a screening SELENA-SLEDAI score ≥6. (The participant must be actively exhibiting all the symptoms scored on the screening SELENA-SLEDAI on the day of screening.)
Who cannot join
- Have active severe Lupus kidney disease
- Have active Central Nervous System or peripheral neurologic disease
- Have received intravenous immunoglobulin (IVIg) within 180 days of randomization
- Have active or recent infection within 30 days of screening
- Have had a serious infection within 90 days of randomization
- Have evidence or test positive for Hepatitis B
Show all 15Show fewer
- Have Hepatitis C
- Are human immunodeficiency virus (HIV) positive
- Have evidence of active or latent tuberculosis (TB)
- Presence of significant laboratory abnormalities at screening
- Have had a malignancy in the past 5 years, except for cervical carcinoma in-situ or basal cell or squamous epithelial skin cell that were completely resected with no reoccurrence in the 3 yrs prior to randomization
- Have received greater than 40 mgs of prednisone or equivalent in the past 30 days
- Have changed your dose of antimalarial drug in the past 30 days
- Have changed your dose of immunosuppressive drug in the past 90 days
- Have previously received rituximab
Trial locations and contacts
192 sites in 23 countries.
192 sites in 23 countries
United States88 sites
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Albuquerque, New Mexico, 87102
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Allen, Texas, 75013
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Anaheim, California, 92805
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Atlanta, Georgia, 30342
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Baltimore, Maryland, 21239
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Birmingham, Alabama, 35294
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Boca Raton, Florida, 33486
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Boise, Idaho, 83702
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Bowling Green, Kentucky, 42101
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Charlotte, North Carolina, 28210
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Chesapeake, Virginia, 23320
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Chicago, Illinois, 60612
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Cincinnati, Ohio, 45229
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Clearwater, Florida, 33765
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Clifton, New Jersey, 07012
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Columbia, South Carolina, 29204
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Crossville, Tennessee, 38555
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Dallas, Texas, 75390
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Danbury, Connecticut, 06810
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Danville, Virginia, 24541
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Decatur, Georgia, 30033
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Doral, Florida, 33166
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Eagan, Minnesota, 55121
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Edmond, Oklahoma, 73013
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Endwell, New York, 13760
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Farmington, Connecticut, 06030
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Florissant, Missouri, 63031
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Fort Lauderdale, Florida, 33334
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Glendale, Arizona, 85304
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Glendale, California, 91204
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Grand Rapids, Michigan, 49546
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Greenville, North Carolina, 27834
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Greenville, South Carolina, 29601
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Hagerstown, Maryland, 21742
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Hickory, North Carolina, 28602
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Hixon, Tennessee, 37343
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Houston, Texas, 77034
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Irving, Texas, 75061
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Jackson, Tennessee, 38305
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Jacksonville, Florida, 32216
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Kansas City, Kansas, 66160
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Lake Mary, Florida, 32746
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Lakewood, California, 90712
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Lexington, Kentucky, 40504
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Lincoln, Nebraska, 68516
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Little Rock, Arkansas, 72205
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Long Beach, California, 90808
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Los Angeles, California, 90048
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Manhasset, New York, 11030
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Marietta, Georgia, 30060
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Mesa, Arizona, 85202
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Mesquite, Texas, 75150
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Miami, Florida, 33169
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Middleburg Heights, Ohio, 44130
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Milwaukee, Wisconsin, 53226
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Muncie, Indiana, 47304
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New York, New York, 10019
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North Charleston, South Carolina, 29406
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Norwich, Connecticut, 06360
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Oklahoma City, Oklahoma, 73103
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Omaha, Nebraska, 68134
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Orange Park, Florida, 32073
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Palm Harbor, Florida, 34684
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Paradise Valley, Arizona, 85253
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Peoria, Arizona, 85381
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Peoria, Illinois, 61636
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Philadelphia, Pennsylvania, 19107
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Phoenix, Arizona, 85037
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Pittsburgh, Pennsylvania, 15217
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Richmond, Virginia, 23294
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Rochester, New York, 14618
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Sacramento, California, 95825
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San Antonio, Texas, 78229
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San Leandro, California, 94578
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St. Petersburg, Florida, 33710
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Sugar Land, Texas, 77478
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Tacoma, Washington, 98405
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Tamarac, Florida, 33321
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Tampa, Florida, 33612
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Teaneck, New Jersey, 07666
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The Bronx, New York, 10457
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Toms River, New Jersey, 08755
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Trumbull, Connecticut, 06611
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Upland, California, 91786
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Waco, Texas, 76708
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Wheaton, Maryland, 20902
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Williamsburg, Virginia, 23185
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Willow Grove, Pennsylvania, 19090
Ukraine13 sites
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Donetsk, 83001
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Ivano-Frankivsk, 76008
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Kharkiv, 61029
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Kryvyi Rih, 50056
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Kyiv, 1601
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Lviv, 79011
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Odesa, 65025
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Simferopol, 95017
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Ternopil, 46002
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Uzhhorod, 88018
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Vinnytsia, 21018
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Zaporizhzhya, 69600
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Zhytomyr, 10002
Japan9 sites
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Aichi, 4600001
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Chiba, 284-0003
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Fukuoka, 807-8556
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Hokkaido, 060-8648
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Japan, 852-8501
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Miyagi, 980-8574
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Nagasaki, 856-8562
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Osaka, 530-8480
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Tokyo, 101-0062
Philippines9 sites
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Angeles City, 2009
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Cebu, 6000
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Davao City, 8000
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Ermita, 1000
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España, 1008
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Iloilo City, 5000
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Manila, 1007
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Paranaque City
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Quezon City, 1102
Germany8 sites
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Bad Nauheim, 61231
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Baden-Baden, 76530
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Berlin, 14059
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Erlangen, 91054
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Freiburg im Breisgau, 79106
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Hildesheim, 31134
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Jena, 07747
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Zerbst, 39261
Italy8 sites
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Brescia, 25123
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Genova, 16132
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Milan, 20122
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Naples, 80131
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Padova, 35128
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Palermo, 90127
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Scafati, 84018
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Torino, 10128
South Korea8 sites
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Bucheon-si, 420-717
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Daegu, 700-712
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Daejeon, 301-721
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Gwangju, 501-757
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Incheon, 405-760
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Jeonju, 561712
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Seoul, 143-729
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Suwon, 443-721
Argentina6 sites
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Buenos Aires, C1417EYG
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Caba, C1181ACH
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Córdoba, X5016KEH
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Rosario, S2000PBJ
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San Juan, 5400
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San Miguel de Tucumán, 4000
Poland6 sites
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?Ód?, 94-017
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Bytom, 41-902
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Poznan, 61-397
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Sosnowiec, 41-200
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Warsaw, 02-507
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Wroc?Aw, 50-368
Colombia5 sites
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Bogotá
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Bucaramanga, 681001
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Cali
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Chía
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Medellín, 574
Bulgaria4 sites
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Plovdiv, 4002
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Sofia, 1612
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Stara Zagora, 6003
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Varna, 9010
Peru4 sites
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Arequipa
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Lima, L41
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Lince, Lima14
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Piura
Belarus3 sites
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Brest, 224027
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Grodno, 230017
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Minsk, 220116
Canada3 sites
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Kelowna, British Columbia, V1Y3G5
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Markham, Ontario, L3P1A8
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Newmarket, Ontario, L3Y3R7
Chile3 sites
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Osorno, 5290000
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Santiago, 7500000
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Valdivia
Egypt3 sites
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Al Minyā, 61111
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Alexandria, 21131
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Cairo, 941400
North Macedonia3 sites
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Bitola, 7000
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Shtip, 2000
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Skopje, 1000
Austria2 sites
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Graz, 8036
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Vienna, A1090
Puerto Rico2 sites
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San Juan, 00918
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Santurce, 00909
Thailand2 sites
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Bangkok, 10700
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Chiang Mai, 50200
Croatia1 site
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Osijek, 31000
Guatemala1 site
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Guatemala City, 1010
Singapore1 site
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Singapore, 258499
About this study
Official title: A Phase 3, Multicenter, Randomized, Double Blind, Placebo-controlled Study to Evaluate the Efficacy and Safety of Subcutaneous LY2127399 in Participants With Systemic Lupus Erythematosus (SLE)
The purpose of this SLE study is to evaluate the efficacy, safety and tolerability of two different doses of LY2127399 administered in participants with active SLE.
- Being tested
- LY2127399, Placebo every 2 weeks, Placebo every 4 weeks, Standard of Care
- Keywords
- Lupus, SLE, Systemic Lupus Erythematosis, autoimmune disease, LY2127399, Immune system disease
- Medical subject headings
- Lupus Erythematosus, Systemic, Connective Tissue Diseases, Autoimmune Diseases, Immune System Diseases
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
LY2127399Drug
120 mg administered via subcutaneous (SC) injection for 52 weeks. 240 mg loading dose will be administered as the first dose of study drug.
Placebo every 2 weeksDrug
Administered via subcutaneous injection for 52 weeks. A matching loading dose of corticosteroids, NSAIDs, antimalarials, or immunosuppressants will also be administered at the first dose
Placebo every 4 weeksDrug
Administered via subcutaneous injection for 52 weeks.
Standard of CareDrug
Also called Non-steroidal anti-inflammatory drug, Corticosteroids, Antimalarials (used for SLE), Immunosuppressants
| Study group | Role | What they receive |
|---|---|---|
| LY2127399 every 2 weeks | Experimental | Administered SC Receives: Drug: LY2127399; Drug: Standard of Care |
| LY2127399 every 4 wks | Experimental | During the Treatment Period, for blinding purposes, patients will alternate injections of LY2127399 and injections of placebo every 2 weeks. Receives: Drug: LY2127399; Drug: Placebo every 4 weeks; Drug: Standard of Care |
| Placebo | Placebo comparator | Administered SC Receives: Drug: Placebo every 2 weeks; Drug: Standard of Care |
What is being measured
The primary outcome is the main question the study is designed to answer.
Percentage of Participants Achieving an SLE Responder Index Response at Week 52
Percentage of participants with a ≥ 5 point reduction from baseline in SELENA SLEDAI score, and no worsening (increase of < 0.30 points from baseline) in PGA, and no new BILAG A organ domain score or 2 new BILAG B organ domain scores compared with baseline.
SELENA SLEDAI is calculated from 24 individual descriptors across 9 organ systems; 0 indicates inactive disease and the maximum theoretical score is 105; scores > 20 are rare. PGA is a visual analog scale scored from 0 to 3 (0=none, 1=mild, 2=moderate, 3=severe). BILAG uses a single score for each of the 9 organ domains; range is from severe (A) to no disease (E). Participants who were unable to comply with allowed concomitant medications requirements were considered non-responders, as were participants who dropped out or were missing Week 52 data.
Measured: 52 weeks
Secondary outcomes (13)
Percentage Participants Able to Decrease Dose of Prednisone or Equivalent With No Increase in Disease Activity at Week 52
A participant achieves corticosteroid sparing effects (quiescent disease) if they have met the following criteria during Weeks 24 through 52; able to decrease their dose of prednisone or equivalent to 7.5 mg/day or less, have quiescent disease (BILAG C score or better in all nine systems), and no BILAG A or B flares in the previous three months, without an increase in either antimalarials or immunosuppressants on or prior to the visit. Only participants receiving a prednisone or equivalent dose of more than 7.5 mg/day at baseline are included.
Measured: 52 weeks
Change From Baseline to 52 Weeks in Anti-double Stranded Deoxyribonucleic Acid (Anti-dsDNA) Level
Anti-double stranded deoxyribonucleic acid (anti-dsDNA) is a lab analyte used to assist in the diagnosis of SLE.
Measured: Baseline, 52 weeks
Change From Baseline to 52 Week Endpoint in Systemic Lupus Erythematosus Disease Activity Index (SLEDAI2K) Score
SLE Disease Activity Index 2000 (SLEDAI-2K) score is a weighted, cumulative index of lupus disease activity. SLEDAI-2K is calculated from 24 individual descriptors across 9 organ systems; 0 indicates inactive disease and the maximum theoretical score is 105.
Measured: Baseline, 52 weeks
Time to First Severe SLE Flare (SFI)
The SFI uses the SELENA-SLEDAI disease activity index score, disease activity scenarios, treatment changes, and PGA to define mild/moderate and severe flares. The index takes into account the absolute change in total scores, new or worsening symptoms, and increases in corticosteroid use or hospitalization due to the disease activity.
Time to first severe SLE flare (SFI) (in days) is calculated as: (Start date of first severe SLE flare (SFI) - Date of randomization + 1).
Measured: Baseline through 52 weeks
Percentage of Participants With No Worsening in Physician Global Assessment (PGA) Score at 52 Weeks
Physician's Global Assessment (PGA) is a single-item clinician rated assessment of the patient's current level of disease activity measured on a continuous 100 millimeter (mm) visual analytic scale with benchmarks of 0, 1, 2, and 3 from left to right corresponding to no, mild, moderate, and severe SLE disease activity. Scores are presented from 0 to 100. No worsening is defined as increase of ≥0.3 points.
Measured: 52 weeks
Change From Baseline to 52 Week Endpoint in Brief Fatigue Inventory (BFI) Scores
A participants-reported scale that measures the severity of fatigue based on the worst fatigue experienced during the past 24-hours. The severity scores ranged from 0 (no fatigue) to 10 (fatigue as severe as you can imagine).
Measured: Baseline, 52 weeks
Change From Baseline to 52 Week Endpoint Lupus Quality of Life (LupusQoL) Domain Scores
The LupusQoL is a disease-specific, 34-item, self-report questionnaire designed to measure the health-related quality of life (HRQoL) of participants with SLE within 8 domains.Responses are based on a 5-point Likert scale where 0 (all of the time) to 4 (never). A LupusQoL score for each domain is reported on a 0 to 100 scale, with greater values indicating better HRQoL.
Measured: Baseline, 52 weeks
Time to First New British Isles Lupus Assessment Group (BILAG A) or 2 New BILAG B SLE Flares
The British Isles Lupus Assessment Group (BILAG) instrument assesses global disease activity across 9 organ system domains. BILAG flare is assessed for each of the 9 organ domains using BILAG2004 index flare rules; A is a severe flare and B is a moderate flare.
Time to first BILAG A or two BILAG B flares (in days) is calculated as: (Start date of first BILAG A or two BILAG B flares - Date of randomization + 1). The two BILAG B flares must occur in different domains at the same visit.
Measured: Baseline through 52 weeks
Change From Baseline to 52 Week Endpoint in PGA
Physician's Global Assessment (PGA) is a single-item clinician rated assessment of the patient's current level of disease activity measured on a continuous 100-mm visual analytic scale with benchmarks of 0, 1, 2, and 3 from left to right corresponding to no, mild, moderate, and severe SLE disease activity. Scores range from 0, being worst possible to 100 being very active or best possible.
Measured: Baseline, 52 weeks
Percentage of Participants With an Increase in Corticosteroids Dose at 52 Weeks
An increase in corticosteroids at a visit was defined as a change from baseline greater than 2.5 mg/day in dose or prednisone or equivalent using average daily dose of corticosteroids taken since the previous scheduled visit.
Measured: 52 weeks
Change From Baseline to 52 Weeks Endpoint in SELENA-SLEDAI Disease Activity Score
Safety of Estrogens in Lupus Erythematosus National Assessment - SLE Disease Activity Index (SELENA-SLEDAI) score is a weighted, cumulative index of lupus disease activity. SELENA-SLEDAI is calculated from 24 individual descriptors across 9 organ systems; 0 indicates inactive disease and the maximum theoretical score is 105.
Measured: Baseline, 52 weeks
Percentage of Participants Achieving a Response as Measured by Modified SRI With No BILAG A or No More Than 1 BILAG B Organ Domain Flares at 52 Weeks
Percentage of participants with a ≥ 5 point reduction from baseline in SELENA SLEDAI score, and no worsening (increase of < 0.30 points from baseline) in PGA, and no new BILAG A or no more than 1 new BILAG B organ domain flare compared with baseline. (Primary outcome modified to use BILAG flare instead of BILAG disease score)
SELENA SLEDAI is calculated from 24 individual descriptors across 9 organ systems; 0 indicates inactive disease and the maximum theoretical score is 105. PGA is a visual analog scale scored from 0 to 3 (0=none, 1=mild, 2=moderate, 3=severe). BILAG flare is assessed for each of the 9 organ domains; A is a severe flare and B is a moderate flare. Patients who were unable to comply with allowed concomitant medications requirements were considered non-responders, as were participants who dropped out or were missing Week 52 data.
Measured: 52 weeks
Number of Participants With No New BILAG A and No More Than One New BILAG B Disease Activity Scores Compared to Baseline
The BILAG2004 index is a validated global disease activity index designed on the basis of the physician's ITT, focusing on changes in disease manifestations (new, improved, worsening, etc) occurring in the last 4 weeks compared with the previous 4 weeks.
The instrument assesses 97 clinical signs, symptoms, and laboratory parameters across 9 organ system domains: constitutional, mucocutaneous, neuropsychiatric, musculoskeletal, cardiorespiratory, gastrointestinal, opthalmic, renal and hematology.
Measured: Baseline through 52 weeks
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted8 Sep 2010 (estimated)
- Study startDec 2010
- Primary completionJul 2014
- Study completionJun 2015
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Posted resultsParticipant flow, outcome measures and adverse events reported by the sponsor.
- Publications (7)Papers the sponsor has linked to this study.
- Other trials for Systemic Lupus ErythematosusStudies of the same condition, open and under way.
- More trials run by Eli Lilly and CompanyThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase 3
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Quadruple blind
- Who is masked
- Participant, Care provider, Investigator, Outcomes assessor
- Enrolment
- 1,164 participants (actual)
Sponsor and investigators
- Lead sponsor
- Eli Lilly and Company
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Call 1-877-CTLILLY (1-877-285-4559) or 1-317-615-4559 Mon - Fri 9AM - 5PM Eastern time (UTC/GMT -5 hours, EST), Study director, Eli Lilly and Company
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT01196091
- Sponsor's protocol ID
- 13656
- Other IDs
- H9B-MC -BCDS
- Status last verified
- Jun 2018
- First submitted
- 3 Sep 2010
- Last updated
- 12 Jun 2018
- Results posted
- Yes, on ClinicalTrials.gov
- Data monitoring committee
- Yes
Publications
Vendel AC, Jaroszewski L, Linnik MD, Godzik A. B- and T-Lymphocyte Attenuator in Systemic Lupus Erythematosus Disease Pathogenesis. Clin Pharmacol Ther. 2024 Jul;116(1):247-256. doi: 10.1002/cpt.3282. Epub 2024 Apr 26.
PubMed 38676311Toro-Dominguez D, Martorell-Marugan J, Martinez-Bueno M, Lopez-Dominguez R, Carnero-Montoro E, Barturen G, Goldman D, Petri M, Carmona-Saez P, Alarcon-Riquelme ME. Scoring personalized molecular portraits identify Systemic Lupus Erythematosus subtypes and predict individualized drug responses, symptomatology and disease progression. Brief Bioinform. 2022 Sep 20;23(5):bbac332. doi: 10.1093/bib/bbac332.
PubMed 35947992Li Y, Higgs RE, Hoffman RW, Dow ER, Liu X, Petri M, Wallace DJ, Dorner T, Eastwood BJ, Miller BB, Liu Y. A Bayesian gene network reveals insight into the JAK-STAT pathway in systemic lupus erythematosus. PLoS One. 2019 Dec 2;14(12):e0225651. doi: 10.1371/journal.pone.0225651. eCollection 2019.
PubMed 31790472Kalunian KC, Urowitz MB, Isenberg D, Merrill JT, Petri M, Furie RA, Morgan-Cox MA, Taha R, Watts S, Silk M, Linnik MD. Clinical trial parameters that influence outcomes in lupus trials that use the systemic lupus erythematosus responder index. Rheumatology (Oxford). 2018 Jan 1;57(1):125-133. doi: 10.1093/rheumatology/kex368.
PubMed 29045736Hoffman RW, Merrill JT, Alarcon-Riquelme MM, Petri M, Dow ER, Nantz E, Nisenbaum LK, Schroeder KM, Komocsar WJ, Perumal NB, Linnik MD, Airey DC, Liu Y, Rocha GV, Higgs RE. Gene Expression and Pharmacodynamic Changes in 1,760 Systemic Lupus Erythematosus Patients From Two Phase III Trials of BAFF Blockade With Tabalumab. Arthritis Rheumatol. 2017 Mar;69(3):643-654. doi: 10.1002/art.39950.
PubMed 27723281Rovin BH, Dooley MA, Radhakrishnan J, Ginzler EM, Forrester TD, Anderson PW. The impact of tabalumab on the kidney in systemic lupus erythematosus: results from two phase 3 randomized, clinical trials. Lupus. 2016 Dec;25(14):1597-1601. doi: 10.1177/0961203316650734. Epub 2016 May 24.
PubMed 27220348Isenberg DA, Petri M, Kalunian K, Tanaka Y, Urowitz MB, Hoffman RW, Morgan-Cox M, Iikuni N, Silk M, Wallace DJ. Efficacy and safety of subcutaneous tabalumab in patients with systemic lupus erythematosus: results from ILLUMINATE-1, a 52-week, phase III, multicentre, randomised, double-blind, placebo-controlled study. Ann Rheum Dis. 2016 Feb;75(2):323-31. doi: 10.1136/annrheumdis-2015-207653. Epub 2015 Sep 3.
PubMed 26338095
Study at a glance
From the registry record, last updated by the sponsor on 12 Jun 2018. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Phase 3, Multicenter, Randomized, Double Blind, Placebo-controlled Study to Evaluate the Efficacy and Safety of Subcutaneous LY2127399 in Participants With Systemic Lupus Erythematosus (SLE)
- ClinicalTrials.gov ID
- NCT01196091
- Acronym / sponsor ID
- 13656
- Keywords
- Lupus, SLE, Systemic Lupus Erythematosis, autoimmune disease, LY2127399, Immune system disease
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 1,164 participants (actual)
- Lead sponsor
- Eli Lilly and CompanyIndustry (pharma, biotech, devices)
- Study start
- Dec 2010
- Primary completion
- Jul 2014 (actual)
- Study completion
- Jun 2015 (actual)
- First posted
- 8 Sep 2010 (estimated)
- Results
- Posted 12 Jun 2018
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The purpose of this SLE study is to evaluate the efficacy, safety and tolerability of two different doses of LY2127399 administered in participants with active SLE.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Quadruple blind (participant, care provider, investigator, outcomes assessor)
- Number of arms
- 3
| Arm | Type | Receives |
|---|---|---|
| LY2127399 every 2 weeks | Experimental | Drug: LY2127399, Drug: Standard of CareAdministered SC |
| LY2127399 every 4 wks | Experimental | Drug: LY2127399, Drug: Placebo every 4 weeks, Drug: Standard of CareDuring the Treatment Period, for blinding purposes, patients will alternate injections of LY2127399 and injections of placebo every 2 weeks. |
| Placebo | Placebo comparator | Drug: Placebo every 2 weeks, Drug: Standard of CareAdministered SC |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (4 listed)
- Clinical diagnosis of SLE by American College of Rheumatology (ACR) criteria
- Have positive antinuclear antibodies (ANA)
- Agree not to become pregnant throughout the course of the trial
- Have a screening SELENA-SLEDAI score ≥6. (The participant must be actively exhibiting all the symptoms scored on the screening SELENA-SLEDAI on the day of screening.)
Key exclusion criteria (15 listed)
- Have active severe Lupus kidney disease
- Have active Central Nervous System or peripheral neurologic disease
- Have received intravenous immunoglobulin (IVIg) within 180 days of randomization
- Have active or recent infection within 30 days of screening
- Have had a serious infection within 90 days of randomization
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| LY2127399120 mg administered via subcutaneous (SC) injection for 52 weeks. 240 mg loading dose will be administered as the first dose of study drug. | Drug | LY2127399 every 2 weeks, LY2127399 every 4 wks |
| Placebo every 2 weeksAdministered via subcutaneous injection for 52 weeks. A matching loading dose of corticosteroids, NSAIDs, antimalarials, or immunosuppressants will also be administered at the first dose | Drug | Placebo |
| Placebo every 4 weeksAdministered via subcutaneous injection for 52 weeks. | Drug | LY2127399 every 4 wks |
| Standard of CareAlso: Non-steroidal anti-inflammatory drug, Corticosteroids, Antimalarials (used for SLE), Immunosuppressants | Drug | LY2127399 every 2 weeks, LY2127399 every 4 wks, Placebo |
Primary outcome
Percentage of Participants Achieving an SLE Responder Index Response at Week 52
Time frame: 52 weeks
Percentage of participants with a ≥ 5 point reduction from baseline in SELENA SLEDAI score, and no worsening (increase of < 0.30 points from baseline) in PGA, and no new BILAG A organ domain score or 2 new BILAG B organ domain scores compared with baseline. SELENA SLEDAI is calculated from 24 individual descriptors across 9 organ systems; 0 indicates inactive disease and the maximum theoretical score is 105; scores > 20 are rare. PGA is a visual analog scale scored from 0 to 3 (0=none, 1=mild, 2=moderate, 3=severe). BILAG uses a single score for each of the 9 organ domains; range is from severe (A) to no disease (E). Participants who were unable to comply with allowed concomitant medications requirements were considered non-responders, as were participants who dropped out or were missing Week 52 data.
13 secondary outcomes
Percentage Participants Able to Decrease Dose of Prednisone or Equivalent With No Increase in Disease Activity at Week 52
Time frame: 52 weeks
Change From Baseline to 52 Weeks in Anti-double Stranded Deoxyribonucleic Acid (Anti-dsDNA) Level
Time frame: Baseline, 52 weeks
Change From Baseline to 52 Week Endpoint in Systemic Lupus Erythematosus Disease Activity Index (SLEDAI2K) Score
Time frame: Baseline, 52 weeks
Time to First Severe SLE Flare (SFI)
Time frame: Baseline through 52 weeks
Percentage of Participants With No Worsening in Physician Global Assessment (PGA) Score at 52 Weeks
Time frame: 52 weeks
Change From Baseline to 52 Week Endpoint in Brief Fatigue Inventory (BFI) Scores
Time frame: Baseline, 52 weeks
Change From Baseline to 52 Week Endpoint Lupus Quality of Life (LupusQoL) Domain Scores
Time frame: Baseline, 52 weeks
Time to First New British Isles Lupus Assessment Group (BILAG A) or 2 New BILAG B SLE Flares
Time frame: Baseline through 52 weeks
Change From Baseline to 52 Week Endpoint in PGA
Time frame: Baseline, 52 weeks
Percentage of Participants With an Increase in Corticosteroids Dose at 52 Weeks
Time frame: 52 weeks
Change From Baseline to 52 Weeks Endpoint in SELENA-SLEDAI Disease Activity Score
Time frame: Baseline, 52 weeks
Percentage of Participants Achieving a Response as Measured by Modified SRI With No BILAG A or No More Than 1 BILAG B Organ Domain Flares at 52 Weeks
Time frame: 52 weeks
Number of Participants With No New BILAG A and No More Than One New BILAG B Disease Activity Scores Compared to Baseline
Time frame: Baseline through 52 weeks
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 12 Jun 2018.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Derived from this study: PubMed 38676311Vendel AC, Jaroszewski L, Linnik MD, Godzik A. B- and T-Lymphocyte Attenuator in Systemic Lupus Erythematosus Disease Pathogenesis. Clin Pharmacol Ther. 2024 Jul;116(1):247-256. doi: 10.1002/cpt.3282. Epub 2024 Apr 26.
- Derived from this study: PubMed 35947992Toro-Dominguez D, Martorell-Marugan J, Martinez-Bueno M, Lopez-Dominguez R, Carnero-Montoro E, Barturen G, Goldman D, Petri M, Carmona-Saez P, Alarcon-Riquelme ME. Scoring personalized molecular portraits identify Systemic Lupus Erythematosus subtypes and predict individualized drug responses, symptomatology and disease progression. Brief Bioinform. 2022 Sep 20;23(5):bbac332. doi: 10.1093/bib/bbac332.
- Derived from this study: PubMed 31790472Li Y, Higgs RE, Hoffman RW, Dow ER, Liu X, Petri M, Wallace DJ, Dorner T, Eastwood BJ, Miller BB, Liu Y. A Bayesian gene network reveals insight into the JAK-STAT pathway in systemic lupus erythematosus. PLoS One. 2019 Dec 2;14(12):e0225651. doi: 10.1371/journal.pone.0225651. eCollection 2019.
- Derived from this study: PubMed 29045736Kalunian KC, Urowitz MB, Isenberg D, Merrill JT, Petri M, Furie RA, Morgan-Cox MA, Taha R, Watts S, Silk M, Linnik MD. Clinical trial parameters that influence outcomes in lupus trials that use the systemic lupus erythematosus responder index. Rheumatology (Oxford). 2018 Jan 1;57(1):125-133. doi: 10.1093/rheumatology/kex368.
- Derived from this study: PubMed 27723281Hoffman RW, Merrill JT, Alarcon-Riquelme MM, Petri M, Dow ER, Nantz E, Nisenbaum LK, Schroeder KM, Komocsar WJ, Perumal NB, Linnik MD, Airey DC, Liu Y, Rocha GV, Higgs RE. Gene Expression and Pharmacodynamic Changes in 1,760 Systemic Lupus Erythematosus Patients From Two Phase III Trials of BAFF Blockade With Tabalumab. Arthritis Rheumatol. 2017 Mar;69(3):643-654. doi: 10.1002/art.39950.
- Derived from this study: PubMed 27220348Rovin BH, Dooley MA, Radhakrishnan J, Ginzler EM, Forrester TD, Anderson PW. The impact of tabalumab on the kidney in systemic lupus erythematosus: results from two phase 3 randomized, clinical trials. Lupus. 2016 Dec;25(14):1597-1601. doi: 10.1177/0961203316650734. Epub 2016 May 24.
- Derived from this study: PubMed 26338095Isenberg DA, Petri M, Kalunian K, Tanaka Y, Urowitz MB, Hoffman RW, Morgan-Cox M, Iikuni N, Silk M, Wallace DJ. Efficacy and safety of subcutaneous tabalumab in patients with systemic lupus erythematosus: results from ILLUMINATE-1, a 52-week, phase III, multicentre, randomised, double-blind, placebo-controlled study. Ann Rheum Dis. 2016 Feb;75(2):323-31. doi: 10.1136/annrheumdis-2015-207653. Epub 2015 Sep 3.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Call 1-877-CTLILLY (1-877-285-4559) or 1-317-615-4559 Mon - Fri 9AM - 5PM Eastern time (UTC/GMT -5 hours, EST) study director
Eli Lilly and Company
192 sites in 23 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing LY2127399 in people with Systemic Lupus Erythematosus and Connective Tissue Disease, run by Eli Lilly and Company at 192 sites in 23 countries.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 4 inclusion and 15 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 12 Jun 2018. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 192 sites in United States, Ukraine, Japan, Philippines, Germany and 18 more countries. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
What does this phase mean?
Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
Yes. Results are posted in the registry (first posted 12 Jun 2018). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Percentage of Participants Achieving an SLE Responder Index Response at Week 52 (time frame: 52 weeks). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT01196091, which also lists 7 linked publications.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 12 Jun 2018.