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Systemic Lupus ErythematosusSEVERUSNCT06759519

Clinical and Demographic Features of Patients With Moderate to Severe Active Systemic Lupus Erythematosus in Russia

An observational study of Systemic Lupus Erythematosus, run by AstraZeneca at 32 sites in Russia.

Completed

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

Official record
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Trial summary

This is a multicenter observational retrospective-prospective study consisting of retrospective and prospective phases. Trial will include 2 visits for obtaining the patient's demographic and clinical data: the 1st is retrospective and the 2nd is prospective. Read more about this study

Who is it for?
Any age
Conditions the study is for
Systemic Lupus Erythematosus
How many people
637 participants
Where
32 sitesRussia
Study dates
30 Aug 2024to 19 Sep 2025
Phase
Observational
Are there results?
None posted in the registry

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 Any age
  • All sexes
  • No healthy volunteers
  • Child, Adult, Older adult

Study population: It is planned to enrol ~ 600 patients with moderate to severe SLE. Before that approximately 1000 patients with confirmed diagnosis of SLE will be screened (retrospective phase).

Who may be able to join

  • Patients with the diagnosis of SLE (ICD code: M32) confirmed by medical records;
  • Patients with availability of data of at least one visit to the clinic in the medical records in the last 24 months prior to inclusion;
  • Age ≥ 18 years at the time of last patient's visit to the clinic.
  • Additional inclusion criteria for the prospective phase are:
  • Signed and dated written informed consent in accordance with ICH-GCP and local law prior to inclusion in the prospective phase of the study;
  • Disease activity measured with SLEDAI-2K ≥ 6 despite of standard treatment at the time of inclusion in the prospective phase of the study

Who cannot join

  • Regular use of genetically engineered biological drugs for SLE treatment within the last 24 months prior to inclusion;
  • Participation in any interventional trial since the last patient's visit to the clinic;
  • Presence of lupus nephritis class III/IV ± V at the moment of the last patient's visit to the clinic;
  • Presence of neuropsychiatric lupus at the moment of the last patient's visit to the clinic.
  • Additional exclusion criteria for the prospective phase are:
  • Current use of genetically engineered biological drugs for SLE treatment;
Show all 10Show fewer
  • Current participation in any interventional trial;
  • Presence of lupus nephritis Class III/IV ± V at the moment of patient's visit;
  • Presence of neuropsychiatric lupus at the moment of patient's visit;
  • An acute or chronic disease that, in the opinion of the investigator, limits the ability of patient to provide data on his/her health or participate in this study or influence the interpretation of the results.

Trial locations and contacts

32 sites in 1 country.

32 sites in 1 country

Russia32 sites
  • Research Site

    Barnaul

  • Research Site

    Belgorod

  • Research Site

    Chelyabinsk

  • Research Site

    Grozny

  • Research Site

    Irkutsk

  • Research Site

    Izhevsk

  • Research Site

    Kaliningrad

  • Research Site

    Kazan'

  • Research Site

    Kemerovo

  • Research Site

    Krasnodar

  • Research Site

    Makhachkala

  • Research Site

    Moscow

  • Research Site

    Murmansk

  • Research Site

    Nizny Novgorod

  • Research Site

    Novosibirsk

  • Research Site

    Omsk

  • Research Site

    Orenburg

  • Research Site

    Penza

  • Research Site

    Perm

  • Research Site

    Petrozavodsk

  • Research Site

    Ryazan

  • Research Site

    Saint-Petrburg

  • Research Site

    Samara

  • Research Site

    Saransk

  • Research Site

    Saratov

  • Research Site

    Surgut

  • Research Site

    Tula

  • Research Site

    Ufa

  • Research Site

    Ulyanovsk

  • Research Site

    Volgograd

  • Research Site

    Yaroslavl

  • Research Site

    Yekaterinburg

Other trials in Russia

About this study

Official title: An Observational Multicenter Retrospective-prospective Study of Patients With Active Moderate to Severe SLE

This is a multicenter observational retrospective-prospective study consisting of retrospective and prospective phases. Trial will include 2 visits for obtaining the patient's demographic and clinical data: the 1st is retrospective and the 2nd is prospective. The study will involve approximately 50 sites of the Russian Federation; in each site about 20 patients will be recruited. The total planned size of study population will be approximately 1000 patients enrolled to the retrospective phase of the study, from which ~ 600 patients will be enrolled to the prospective phase.

Read the detailed description

Systemic lupus erythematosus (SLE) is a systemic autoimmune rheumatic disease with variable clinical manifestations and an unpredictable course, affecting any organs or systems, which quite often develops over several months or years, with persistent or, conversely, rapidly changing clinical manifestations, an undulating course, alternating remissions and flares.

Currently, in Russia there is no exact data on the number of patients with active moderate to severe SLE in the population, since there is no unified system for regular monitoring of patients with SLE in the country. The systematic information about complications and comorbidities, about the treatment approaches and their effectiveness in the Russian population is also absent.

The Russian Federation consists of 85 regions with a total population of more than 145 million people. The regions differ in ethnic composition, age, gender, climate, ecology, economic level, prevalence of SLE in general and moderate to severe SLE in particular.

Thus, there is a need to perform a large-scale observational study in regions of the country with a sufficient size of population to obtain information on moderate to severe SLE epidemiology, clinical and demographic characteristics, to describe main clinical outcomes and evaluate existing associations between observed treatment patterns and clinical outcomes in real clinical practice.

Trial will include 2 visits for obtaining the patient's demographic and clinical data: the 1st is retrospective and the 2nd is prospective. To allow wide data coverage the study will involve approximately 50 sites of Russian Federation; in each site about 20 patients will be recruited.

Overall expected duration of the study (from the first patient inclusion to the last patient last visit) is about 13 months or until 1000 patients will be included in the retrospective phase and ~ 600 patients - in the prospective phase This observational study does not imply any intervention into a routine clinical practice, including choice of treatment modality or special methods of investigation.

Keywords
Systemic lupus erythematosus, SLE
Medical subject headings
Lupus Erythematosus, Systemic

What is being measured

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

  1. disease activity status at the time of patient visit to the doctor measured with SLEDAI-2K, expressed as the mean SLEDAI-2K total score at Visit 2.

    In order to achieve primary objective, the mean SLEDAI-2K total score at Visit 2 will be calculated among patients with moderate to severe SLE (i.e. SLEDAI-2K total score ≥6 measured on the Visit 2) who provided informed consent and were enrolled to the prospective phase. The Systemic Lupus Erythematosus Disease Activity Index (SLEDAI) is a clinical index for the measurement of disease activity in SLE. The modified index SLEDAI-2K was introduced and validated in 2002; it allows the documentation of persistent activity disease in rash, mucous membrane ulcers, alopecia, and proteinuria. 4 activity categories have been defined on the basis of the SLEDAI-2K total score (higher scores indicate more damage): no activity (0 points); low activity (1-4 points); moderate activity (5-10 points), and high activity (>10 points).

    Measured: patient's visit to the doctor (Visit 2 -prospective data collection)

Secondary outcomes (21)
  1. 1. Mean age at the inclusion into the study

    Measured: inclusion into the study

  2. 2. Proportion of patients aged 18-44, 45-64, and ≥65 years at the inclusion into the study

    Measured: inclusion into the study

  3. 3. Mean age at the SLE diagnosis

    Measured: within 24 months prior to inclusion into the study

  4. 4. Mean and median SLE duration, years

    Measured: from the SLE diagnosis to the Visit 1

  5. 5. Proportion of men and women

    Measured: inclusion of a patient into retrospective part of the study (Visit 1)

  6. 6. Proportion of patients from each residential region of Russia

    Measured: inclusion of a patient into retrospective part of the study (Visit 1)

  7. 7. Mean SLEDAI-2K activity total score at Visit 1 (if available)

    The Systemic Lupus Erythematosus Disease Activity Index (SLEDAI) is a clinical index for the measurement of disease activity in SLE. The modified index SLEDAI-2K was introduced and validated in 2002; it allows the documentation of persistent activity disease in rash, mucous membrane ulcers, alopecia, and proteinuria. 4 activity categories have been defined on the basis of the SLEDAI-2K total score (higher scores indicate more damage): no activity (0 points); low activity (1-4 points); moderate activity (5-10 points), and high activity (>10 points).

    Measured: inclusion of a patient into retrospective part of the study (Visit 1)

  8. 8. The proportion of patients with each SLE activity category based on SLEDAI-2K total score at Visit 1 (if available):

    • No activity (total score 0);
    • Low (total score 1-4);
    • Moderate (total score 5-10);
    • High (total score >10); The Systemic Lupus Erythematosus Disease Activity Index (SLEDAI) is a clinical index for the measurement of disease activity in SLE. The modified index SLEDAI-2K was introduced and validated in 2002; it allows the documentation of persistent activity disease in rash, mucous membrane ulcers, alopecia, and proteinuria. 4 activity categories have been defined on the basis of the SLEDAI-2K total score (higher scores indicate more damage): no activity (0 points); low activity (1-4 points); moderate activity (5-10 points), and high activity (>10 points).

    Measured: inclusion of a patient into retrospective part of the study (Visit 1)

  9. 9. The proportion of patients with each SLE activity category based on SLEDAI-2K total score at Visit 2:

    • Moderate (total score 5-10);
    • High (total score >10). The Systemic Lupus Erythematosus Disease Activity Index (SLEDAI) is a clinical index for the measurement of disease activity in SLE. The modified index SLEDAI-2K was introduced and validated in 2002; it allows the documentation of persistent activity disease in rash, mucous membrane ulcers, alopecia, and proteinuria. 4 activity categories have been defined on the basis of the SLEDAI-2K total score (higher scores indicate more damage): no activity (0 points); low activity (1-4 points); moderate activity (5-10 points), and high activity (>10 points).

    Measured: patient's visit to the doctor (prospective part of the study)

  10. 10. Mean SLICC/ACR damage index score by each domain and total score at Visit 2

    The Systemic Lupus International Collaborating Clinics/American College of Rheumatology Damage Index (SLICC/ACR damage index or SDI) is a 42-item questionnaire concerning long-term damage due to SLE in 12 organ systems for use in clinical research studies [14, 15]. The global score (range from 0 to 49, with higher scores indicating more damage) is the sum of the scores for all 12 organ systems.

    Measured: patient's visit to the doctor (Visit 2 -prospective data collection)

  11. 11. The proportion of patients with various organ domain involvement:

    1. Skin and mucosa involvement;
    2. Joints involvement;
    3. Hematological disorders;
    4. Immunological activity;
    5. Renal involvement;
    6. Serositis (pleurisy, pericarditis etc.).

    Measured: Retrospective and prospective data collection (Visit 1, Visit 2)

  12. 12. The proportion of patients with various comorbidities and concomitant treatment

    Measured: patient's visit to the doctor (Visit 2 -prospective data collection)

  13. 13. The proportion of patients with various groups of SLE treatment medications in anamnesis (at Visit 1)

    Measured: inclusion of a patient into retrospective part of the study (Visit 1)

  14. 14. The proportion of patients taking various groups and drugs of SLE treatment medications (at Visit 2);

    Measured: patient's visit to the doctor (Visit 2 -prospective data collection)

  15. 15. The mean (median) of oral glucocorticosteroids (OGCS) daily dose,

    mg/day (prednisolone equivalent) (evaluated in patients who are taking OGCS);

    Measured: Retrospective and prospective data collection (Visit 1, Visit 2)

  16. 16. The proportion of patients received OGCS daily dose (prednisolone equivalent) more than 5 mg/day;

    Measured: Retrospective and prospective data collection (Visit 1, Visit 2)

  17. 17. Proportion of patient receiving immunosuppressive agents (azathioprine, cyclophosphamide, methotrexate, mycophenolate mofetil, cyclosporine, calcineurin inhibitors etc.) as a single agent or combination

    Measured: Retrospective and prospective data collection (Visit 1, Visit 2)

  18. 18. The mean value of immunological laboratory parameters

    C3, C4, anti-dsDNA, ANA

    Measured: Visit 2 (within around a year from inclusion into the study)

  19. 19. The mean value of hematology laboratory parameters

    leukocytes, platelets

    Measured: patient's visit to the doctor (Visit 2 -prospective data collection)

  20. 20. The proportion of patients with leukopenia <4,000/mm³;

    Measured: patient's visit to the doctor (Visit 2 -prospective data collection)

  21. 21. The proportion of patients with thrombocytopenia <100,000/mm³.

    Measured: patient's visit to the doctor (Visit 2 -prospective data collection)

Timeline

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

  1. First posted6 Jan 2025
  2. Study start30 Aug 2024
  3. Primary completion19 Sep 2025
  4. Study completion19 Sep 2025

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Observational
Observational model
Case-control
Time perspective
Cross-sectional
Enrolment
637 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT06759519
Sponsor's protocol ID
D3461R00092
Acronym
SEVERUS
Status last verified
Jun 2026
First submitted
28 Aug 2024
Last updated
9 Jul 2026
Results posted
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
Yes: Qualified researchers can request access to anonymized individual patient-level data from AstraZeneca group of companies sponsored clinical trials via the request portal Vivli.org. All requests will be evaluated as per the AZ disclosure commitment: https://astrazenecagrouptrials.pharmacm.com/ST/Submission/Disclosure. Yes, indicates that AZ are accepting requests for IPD, but this does not mean all requests will be shared.

Questions about this trial

What is this clinical trial studying?

An observational study of Systemic Lupus Erythematosus, run by AstraZeneca at 32 sites in Russia.

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 6 inclusion and 10 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 9 Jul 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 32 sites in Russia. 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. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

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?

disease activity status at the time of patient visit to the doctor measured with SLEDAI-2K, expressed as the mean SLEDAI-2K total score at Visit 2. (time frame: patient's visit to the doctor (Visit 2 -prospective data collection)). It is what the study was designed to measure, not a finding.

Where can I read the original study information?
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 9 Jul 2026.

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