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Active Systemic Lupus ErythematosusPhase 3TULIP SLE LTENCT02794285

Long Term Safety of Anifrolumab in Adult Subjects With Active Systemic Lupus Erythematosus

A Phase 3 study testing Anifrolumab in people with Active Systemic Lupus Erythematosus, run by AstraZeneca at 175 sites in 24 countries.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
Search all trials

Trial summary

The purpose of this study is to characterise long-term safety and tolerability of intravenous anifrolumab. Read more about this study

Who is it for?
Ages 18 to 70 years
Conditions the study is for
Active Systemic Lupus Erythematosus
What is being tested?
Anifrolumab
Type of treatment
Injection or infusion
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
559 participants
Where
175 sitesin 24 countries
Study dates
30 Jun 2016to 21 Dec 2021
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 to 70 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Subjects who have qualified for and received investigational product (anifrolumab or placebo) and completed the treatment period in Studies D3461C00004 or D3461C00005 (through Week 52)
  • Adequate peripheral venous access
  • Females with an intact cervix should have documentation of a Pap smear with no documented malignancy within 90 days before Day 1/Visit 1 or 30 days following Day 1/Visit 1. Since access to a Pap smear may vary by country, the Sponsor recommends that local guidelines for obtaining Pap smears in subjects who have received immunomodulators or immunosuppressive treatment be followed.
  • Meets the following TB criteria:
  • Negative QuantiFERON®-TB Gold [QFT-G] test result for TB obtained from the study central laboratory at Week 52 of Studies D3461C00004 or D3461C00005; OR
  • Newly positive QFT-G test result at Week 52 of Studies D3461C00004 or D3461C00005 from the study central laboratory. A chest x-ray must be performed. If the chest x-ray shows no evidence of active TB, and the subject has no symptoms or medical history consistent with active TB, the subject must have a retest. If the retest is positive, the subject must start on prophylaxis within 30 days of randomisation but prior to the second dose of investigational product (Visit 2/Week 4); OR
Show all 9Show fewer
  • Positive but not newly positive QFT-G test at Week 52 of Studies D3461C00004 or D3461C00005. The subject must have been diagnosed with latent TB and must have documentation confirming initiation of appropriate treatment OR initiate treatment for latent TB within 30 days of randomization, but prior to the second dose of investigational product administration (Visit 2/Week 4)
  • Newly indeterminate (confirmed on retest unless prior positive QFT G was documented, along with completed treatment for latent TB) or indeterminate but not newly indeterminate QFT-G test result at Week 52 of Studies D3461C00004 or D3461C00005 from the study central laboratory with ongoing QFT-G testing for TB according to the Study Plan
  • In the opinion of the Investigator, subject must be able to comprehend the ICF and all protocol related assessments

Who cannot join

  • Receipt of any of the following within the last 60 days:
  • Azathioprine >200 mg/day
  • Mycophenolate mofetil >2.0 g/day /mycophenolic acid >1.44 g/day
  • Oral, subcutaneous, or intramuscular methotrexate >25 mg/week
  • Mizoribine >150 mg/day
  • Receipt of any investigational product (small molecule or biologic agent other than anifrolumab) within 4 weeks or 5 half-lives prior to Day 1/Visit 1, whichever is greater
Show all 13Show fewer
  • Receipt of any of the following:
  • Any live or attenuated vaccine within 8 weeks prior to Day 1/Visit 1 (administration of killed vaccines is acceptable, the Sponsor recommends Investigators ensure all subjects are up to date on required vaccinations, including influenza [inactivated/recombinant] vaccine prior to study entry)
  • Bacillus Calmette-Guerin (BCG) vaccine between the end of Studies D3461C00004 or D3461C00005 and Day 1/Visit 1
  • Active severe SLE-driven renal or neuropsychiatric disease
  • Any underlying condition that predisposes the subject to infection, including history of/current human immunodeficiency virus (HIV) infection
  • Subjects with Hepatitis B core antibody (HBcAb) positivity at enrolment of Studies D3461C00004 or D3461C00005 will be tested every 3 months for Hepatitis B virus (HBV) DNA. To remain eligible in the LTE study, subject HBV DNA levels must remain below the lower limit of quantitation as per the central laboratory.
  • Opportunistic infection requiring hospitalisation or parenteral antimicrobial treatment within 3 years of Day 1/Visit 1

Trial locations and contacts

175 sites in 24 countries.

175 sites in 24 countries

United States62 sites
  • Research Site

    Amarillo, Texas, 79124

  • Research Site

    Atlanta, Georgia, 30322

  • Research Site

    Aurora, Colorado, 80045

  • Research Site

    Austin, Texas, 78726

  • Research Site

    Austin, Texas, 78745

  • Research Site

    Birmingham, Alabama, 35294-3280

  • Research Site

    Boise, Idaho, 83702

  • Research Site

    Brandon, Florida, 33511

  • Research Site

    Bridgeport, Connecticut, 06606

  • Research Site

    Brooklyn, New York, 11201

  • Research Site

    Charlotte, North Carolina, 28210

  • Research Site

    Charlotte, North Carolina, 28277

  • Research Site

    Cumberland, Maryland, 21502

  • Research Site

    Dallas, Texas, 75231

  • Research Site

    DeBary, Florida, 32713

  • Research Site

    Decatur, Georgia, 30033

  • Research Site

    Denver, Colorado, 80230

  • Research Site

    El Cajon, California, 92020

  • Research Site

    Freehold, New Jersey, 07728

  • Research Site

    Grand Rapids, Michigan, 49546

  • Research Site

    Great Neck, New York, 11021

  • Research Site

    Greenville, North Carolina, 27834

  • Research Site

    Hagerstown, Maryland, 21740

  • Research Site

    Hemet, California, 92543

  • Research Site

    Houston, Texas, 77004

  • Research Site

    Houston, Texas, 77034

  • Research Site

    Houston, Texas, 77074

  • Research Site

    Idaho Falls, Idaho, 83404

  • Research Site

    La Jolla, California, 92037

  • Research Site

    Las Cruces, New Mexico, 88011

  • Research Site

    Lawrenceville, Georgia, 30046

  • Research Site

    Los Alamitos, California, 90720

  • Research Site

    Los Angeles, California, 90024

  • Research Site

    Marietta, Georgia, 30060

  • Research Site

    Memphis, Tennessee, 38104

  • Research Site

    Memphis, Tennessee, 38119

  • Research Site

    Mesquite, Texas, 75150

  • Research Site

    Miami, Florida, 33136

  • Research Site

    Miami, Florida, 33180

  • Research Site

    Middleburg Heights, Ohio, 44130

  • Research Site

    Milwaukee, Wisconsin, 53217

  • Research Site

    Minneapolis, Minnesota, 55455-0341

  • Research Site

    Nashua, New Hampshire, 03060

  • Research Site

    New Hyde Park, New York, 11042

  • Research Site

    New York, New York, 10016

  • Research Site

    New York, New York, 10021

  • Research Site

    New York, New York, 10032

  • Research Site

    North Charleston, South Carolina, 29406

  • Research Site

    Oklahoma City, Oklahoma, 73102

  • Research Site

    Oklahoma City, Oklahoma, 73104

  • Research Site

    Ormond Beach, Florida, 32174

  • Research Site

    Philadelphia, Pennsylvania, 19140

  • Research Site

    Pittsburgh, Pennsylvania, 15213

  • Research Site

    Raleigh, North Carolina, 27617

  • Research Site

    Reading, Pennsylvania, 19610

  • Research Site

    San Leandro, California, 94578

  • Research Site

    Spokane, Washington, 99204

  • Research Site

    Stafford, Texas, 77477

  • Research Site

    Tampa, Florida, 33614

  • Research Site

    Thousand Oaks, California, 91360

  • Research Site

    Upland, California, 91786

  • Research Site

    Vero Beach, Florida, 32960

Other trials in United States

Japan15 sites
  • Research Site

    Chiba, 260-8712

  • Research Site

    Chūōku, 104-8560

  • Research Site

    Fukuoka, 810-0065

  • Research Site

    Fukuoka, 810-8539

  • Research Site

    Hiroshima, 730-8619

  • Research Site

    Kitakyushu-shi, 807-8556

  • Research Site

    Kurashiki-shi, 710-8522

  • Research Site

    Meguro-ku, 152-8902

  • Research Site

    Meguro-ku, 153-8515

  • Research Site

    Nagasaki, 852-8501

  • Research Site

    Omura-shi, 856-8562

  • Research Site

    Sapporo, 060-8648

  • Research Site

    Sasebo-shi, 857-1195

  • Research Site

    Sendai, 980-8574

  • Research Site

    Shinjuku-ku, 160-8582

Other trials in Japan

Poland10 sites
  • Research Site

    Bialystok, 15-297

  • Research Site

    Bydgoszcz, 85 168

  • Research Site

    Kościan, 64-000

  • Research Site

    Krakow, 31-011

  • Research Site

    Lublin, 20-607

  • Research Site

    Nadarzyn, 05-830

  • Research Site

    Starachowice, 27-200

  • Research Site

    Szczecin, 71-252

  • Research Site

    Ustroń, 43-450

  • Research Site

    Warsaw, 02-118

Other trials in Poland

South Korea7 sites
  • Research Site

    Daejeon, 35015

  • Research Site

    Gwangju, 61469

  • Research Site

    Jeju City, 690-767

  • Research Site

    Seoul, 05030

  • Research Site

    Seoul, 06591

  • Research Site

    Seoul, 07345

  • Research Site

    Suwon, 16499

Other trials in South Korea

Ukraine7 sites
  • Research Site

    Kyiv, 01601

  • Research Site

    Kyiv, 03680

  • Research Site

    Lviv, 79011

  • Research Site

    Ternopil, 46001

  • Research Site

    Uzhhorod, 88018

  • Research Site

    Vinnytsia, 21018

  • Research Site

    Zaporizhzhya, 69600

Other trials in Ukraine

France6 sites
  • Research Site

    Bordeaux, 33076

  • Research Site

    Lille, 59037

  • Research Site

    Montpellier, 34295

  • Research Site

    Paris, 75014

  • Research Site

    Paris, 75651

  • Research Site

    Pessac, 33604

Other trials in France

Germany6 sites
  • Research Site

    Berlin, 10117

  • Research Site

    Frankfurt am Main, 60528

  • Research Site

    Hamburg, 20246

  • Research Site

    Jena, 07747

  • Research Site

    Kirchheim, 73230

  • Research Site

    Mainz Am Rhein, 55131

Other trials in Germany

Mexico6 sites
  • Research Site

    Chihuahua City, 31000

  • Research Site

    León, 37000

  • Research Site

    Mérida, 97000

  • Research Site

    México, 06700

  • Research Site

    Mexico City, 014080

  • Research Site

    San Luis Potosí City, 78213

Other trials in Mexico

Peru6 sites
  • Research Site

    Arequipa, 04000

  • Research Site

    Lima, 15023

  • Research Site

    Lima, 15033

  • Research Site

    Lima, 15046

  • Research Site

    Lima, 15073

  • Research Site

    Lima, 15102

Other trials in Peru

Israel5 sites
  • Research Site

    Haifa, 31048

  • Research Site

    Haifa, 31096

  • Research Site

    Jerusalem, 91120

  • Research Site

    Kfar Saba, 49281

  • Research Site

    Tel Aviv, 64239

Other trials in Israel

Romania5 sites
  • Research Site

    Brasov, 500283

  • Research Site

    Bucharest, 011172

  • Research Site

    Cluj-Napoca, 400006

  • Research Site

    Galati, 800578

  • Research Site

    Târgu Mureş, 540136

Other trials in Romania

Spain5 sites
  • Research Site

    Barcelona, 08035

  • Research Site

    Getafe, 28905

  • Research Site

    Mérida, 06800

  • Research Site

    Servilla, 41014

  • Research Site

    Vigo, 36200

Other trials in Spain

Hungary4 sites
  • Research Site

    Budapest, 1097

  • Research Site

    Debrecen, 4032

  • Research Site

    Szeged, 6725

  • Research Site

    Zalaegerszeg, 8900

Other trials in Hungary

Russia4 sites
  • Research Site

    Smolensk, 214015

  • Research Site

    Tolyatti, 445039

  • Research Site

    Vladimir, 600023

  • Research Site

    Yaroslavl, 150003

Other trials in Russia

United Kingdom4 sites
  • Research Site

    Doncaster, DN2 5LT

  • Research Site

    Leeds, LS7 4SA

  • Research Site

    London, SE1 9RT

  • Research Site

    Manchester, M13 9WL

Other trials in United Kingdom

Argentina3 sites
  • Research Site

    Mendoza, 5500

  • Research Site

    Quilmes, 1878

  • Research Site

    San Miguel de Tucumán, T4000AXL

Other trials in Argentina

Chile3 sites
  • Research Site

    Osorno, 5311092

  • Research Site

    Santiago, 8320000

  • Research Site

    Viña del Mar, 2520997

Other trials in Chile

Colombia3 sites
  • Research Site

    Armenia, 630004

  • Research Site

    Barranquilla, 080002

  • Research Site

    Medellín, 050021

Other trials in Colombia

South Africa3 sites
  • Research Site

    Cape Town, 7500

  • Research Site

    Johannesburg, 2021

  • Research Site

    Stellenbosch, 7600

Other trials in South Africa

Taiwan3 sites
  • Research Site

    Kaohsiung City, 83301

  • Research Site

    Taichung, 40705

  • Research Site

    Taipei, 10002

Other trials in Taiwan

Australia2 sites
  • Research Site

    Fitzroy, 3065

  • Research Site

    Kogarah, 2217

Other trials in Australia

Bulgaria2 sites
  • Research Site

    Plovdiv, 4002

  • Research Site

    Plovdiv, 4003

Other trials in Bulgaria

Canada2 sites
  • Research Site

    Hamilton, Ontario, L8S 4K1

  • Research Site

    Rimouski, Quebec, G5L 5T1

Other trials in Canada

Lithuania2 sites
  • Research Site

    Kaunas, LT-50009

  • Research Site

    Klaipėda, LT-92288

Other trials in Lithuania

About this study

Official title: A Multicentre, Randomised, Double-blind, Placebo-Controlled Phase 3 Extension Study to Characterise the Long-term Safety and Tolerability of Anifrolumab in Adult Subjects With Active Systemic Lupus Erythematosus.

The purpose of this study is to characterise long-term safety and tolerability of intravenous anifrolumab.

Read the detailed description

This is a Phase 3, multicentre, multinational, randomised, double-blind, placebo-controlled extension study to characterising the long term safety and tolerability of of an intravenous treatment regimen of anifrolumab versus placebo in subjects with moderately to severely active systemic lupus erythematosus who completed a Phase 3 study (D3461C00004 or D3461C00005) through the 52-week double-blind treatment period.

Being tested
Anifrolumab, Placebo
Keywords
Lupus Erythematosus, Systemic Autoimmune Diseases, Connective Tissue Diseases,Immune System Diseases
Medical subject headings
Connective Tissue Diseases, Immune System Diseases

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • AnifrolumabBiological

    Anifrolumab IV administration every 4 weeks from Week 0 to Week 152 for a total of 39 doses

  • PlaceboDrug

    Placebo IV administration every 4 weeks from Week 0 to Week 152 for a total of 39 doses

Study groups in NCT02794285
Study groupRoleWhat they receive
AnifrolumabExperimentalAnifrolumab
Receives: Biological: Anifrolumab
PlaceboPlacebo comparatorPlacebo
Receives: Drug: Placebo

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Exposure-adjusted Incidence Rates (EAIRs) of Adverse Events of Special Interest (AESIs)

    The event rate per 100 participant years was defined as the number of participants with an event divided by the sum of exposure time during the LTE study (including follow-up) in days for all participants in the analysis set multiplied by 365.25 days/year multiplied by 100. The exposure in a time period for each participant was calculated as end of period - start of period + 1. EAIRs of AESIs are presented as event rate per 100 participant years.

    The following AESIs were pre-defined:

    • Non-opportunistic serious infections
    • Opportunistic infections
    • Anaphylaxis
    • Malignancy
    • Herpes zoster
    • Tuberculosis (TB) (including latent TB)
    • Influenza
    • Vasculitis (non-systemic lupus erythematosus [SLE])
    • Major cardiovascular events as according to the Cardiovascular Event Adjudication Committee.

    Measured: Up to a maximum of 1114 days

  2. EAIRs of Serious Adverse Events (SAEs)

    EAIRs of SAEs are presented as event rate per 100 participant years.

    An SAE was an AE occurring during any study phase that fulfils 1 or more of the following criteria:

    • Results in death
    • Is immediately life-threatening
    • Requires in-patient hospitalisation or prolongation of existing hospitalisation
    • Results in persistent or significant disability/incapacity or substantial disruption of the ability to conduct normal life functions
    • Is a congenital abnormality or birth defect
    • Is an important medical event that may jeopardise the participant or may require medical intervention to prevent one of the outcomes listed above.

    Measured: Up to a maximum of 1114 days

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted9 Jun 2016 (estimated)
  2. Study start30 Jun 2016
  3. Primary completion21 Dec 2021
  4. Study completion21 Dec 2021

Resources

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
559 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT02794285
Sponsor's protocol ID
D3461C00009
Acronym
TULIP SLE LTE
Status last verified
Dec 2022
First submitted
6 Jun 2016
Last updated
13 Jan 2023
Data monitoring committee
Yes

Publications

  • Strand V, Kalunian KC, Lee KW, Seo C, Abreu G, Tummala R, Al-Mossawi H, Duncan EA, Lindholm C. Long-term effect of anifrolumab on patient-reported outcomes in systemic lupus erythematosus (TULIP-LTE): a randomised, placebo-controlled, phase 3 long-term extension trial. Lancet Rheumatol. 2025 Jul;7(7):e485-e494. doi: 10.1016/S2665-9913(25)00022-0. Epub 2025 May 2.

    PubMed 40324450
  • Tanaka Y, Atsumi T, Okada M, Miyamura T, Ishii T, Nishiyama S, Matsumura R, Kawakami A, Hayashi N, Abreu G, Yavuz S, Lindholm C, Al-Mossawi H, Takeuchi T. The long-term safety and tolerability of anifrolumab for patients with systemic lupus erythematosus in Japan: TULIP-LTE subgroup analysis. Mod Rheumatol. 2024 Jul 6;34(4):720-731. doi: 10.1093/mr/road092.

    PubMed 37706527
  • Kalunian KC, Furie R, Morand EF, Bruce IN, Manzi S, Tanaka Y, Winthrop K, Hupka I, Zhang LJ, Werther S, Abreu G, Hultquist M, Tummala R, Lindholm C, Al-Mossawi H. A Randomized, Placebo-Controlled Phase III Extension Trial of the Long-Term Safety and Tolerability of Anifrolumab in Active Systemic Lupus Erythematosus. Arthritis Rheumatol. 2023 Feb;75(2):253-265. doi: 10.1002/art.42392. Epub 2022 Nov 11.

    PubMed 36369793

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing Anifrolumab in people with Active Systemic Lupus Erythematosus, run by AstraZeneca at 175 sites in 24 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 9 inclusion and 13 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 13 Jan 2023. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 175 sites in United States, Japan, Poland, South Korea, Ukraine and 19 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 13 Jan 2023). 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?

Exposure-adjusted Incidence Rates (EAIRs) of Adverse Events of Special Interest (AESIs) (time frame: Up to a maximum of 1114 days). The study lists 2 primary outcomes in all. 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 NCT02794285, which also lists 3 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 13 Jan 2023.

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