A Study of the Efficacy and Safety of MEDI-546 in Systemic Lupus Erythematosus

NCT ID: NCT01438489

Last Updated: 2016-10-07

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE2

Total Enrollment

626 participants

Study Classification

INTERVENTIONAL

Study Start Date

2012-01-31

Study Completion Date

2015-04-30

Brief Summary

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The purpose of this study is to evaluate the efficacy and safety of MEDI-546 compared to placebo in subjects with chronic, moderately-to-severely active systemic lupus erythematosus (SLE) with an inadequate response to standard of care treatment for SLE.

Detailed Description

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This is a Phase 2, multinational, multicenter, randomized, double-blind, placebo controlled, parallel-group study to evaluate the efficacy and safety of 2 intravenous (IV) treatment regimens in adult participants with chronic, moderately-to-severely active SLE with an inadequate response to SOC SLE. The investigational product (anifrolumab or placebo) will be administered as a fixed dose every 4 weeks (28 days) for a total of 13 doses.

Conditions

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Systemic Lupus Erythematosus

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

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Anifrolumab (MEDI-546) 300 mg

Participants will receive 300 milligram (mg) anifrolumab as an intravenous infusion every 4 weeks for 48 weeks.

Group Type EXPERIMENTAL

Anifrolumab 300 mg

Intervention Type BIOLOGICAL

Participants will receive 300 milligram (mg) anifrolumab as an intravenous infusion every 4 weeks for 48 weeks.

Anifrolumab (MEDI-546) 1000 mg

Participants will receive 1000 mg anifrolumab as an intravenous infusion every 4 weeks for 48 weeks.

Group Type EXPERIMENTAL

Anifrolumab 1000 mg

Intervention Type BIOLOGICAL

Participants will receive 1000 mg anifrolumab as an intravenous infusion every 4 weeks for 48 weeks.

Matching Placebo

Participants will receive placebo matched to anifrolumab intravenous (IV) infusion every 4 weeks for 48 weeks.

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type OTHER

Participants will receive placebo matched to anifrolumab intravenous (IV) infusion every 4 weeks for 48 weeks.

Interventions

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Anifrolumab 300 mg

Participants will receive 300 milligram (mg) anifrolumab as an intravenous infusion every 4 weeks for 48 weeks.

Intervention Type BIOLOGICAL

Anifrolumab 1000 mg

Participants will receive 1000 mg anifrolumab as an intravenous infusion every 4 weeks for 48 weeks.

Intervention Type BIOLOGICAL

Placebo

Participants will receive placebo matched to anifrolumab intravenous (IV) infusion every 4 weeks for 48 weeks.

Intervention Type OTHER

Other Intervention Names

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MEDI-546 MEDI-546

Eligibility Criteria

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Inclusion Criteria

* Fulfills at least 4 of the 11 American College of Rheumatology (ACR) criteria for systemic lupus erythematosus (SLE) including a positive antinuclear antibody (ANA) greater than or equal to 1:80 or elevated anti-double-stranded DNA or anti-Smith antibody at screening
* Pediatric or adult SLE with chronic disease activity for greater than or equal to 24 weeks
* Weight greater than or equal to 40 kg
* Currently receiving stable dose of oral prednisone (or equivalent) less than or equal to 40 mg/day and/or antimalarials/immunosuppressives
* Active moderate to severe SLE disease based on SLE disease activity score (SLEDAI) and British Isles Lupus Assessment Group Index (BILAG) and Physicians Global Assessment
* No evidence of cervical malignancy on Pap smear within 2 years of randomization
* Female participants must be willing to avoid pregnancy
* Negative tuberculosis (TB) test or newly positive TB test due to latent TB for which treatment must be initiated at or before randomization.

Exclusion Criteria

* Active severe SLE-driven renal disease or unstable renal disease prior to screening
* Active severe or unstable neuropsychiatric SLE
* Clinically significant active infection including ongoing and chronic infections
* History of human immunodeficiency virus (HIV)
* Confirmed Positive tests for hepatitis B or positive test for hepatitis C
* History of severe herpes infection such as herpes encephalitis, ophthalmic herpes, disseminated herpes
* Live or attenuated vaccine within 4 weeks prior to screening
* Participants with significant hematologic abnormalities.
Minimum Eligible Age

18 Years

Maximum Eligible Age

65 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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MedImmune LLC

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Warren Greth, MD

Role: STUDY_DIRECTOR

MedImmune LLC

Locations

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Research Site

Birmingham, Alabama, United States

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La Jolla, California, United States

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La Palma, California, United States

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Long Beach, California, United States

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Los Angeles, California, United States

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Palm Desert, California, United States

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San Leandro, California, United States

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Upland, California, United States

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Miami, Florida, United States

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Ocala, Florida, United States

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Orlando, Florida, United States

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Palm Harbor, Florida, United States

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Tampa, Florida, United States

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Atlanta, Georgia, United States

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Decatur, Georgia, United States

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Stockbridge, Georgia, United States

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Idaho Falls, Idaho, United States

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Chicago, Illinois, United States

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Indianapolis, Indiana, United States

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Las Cruces, New Mexico, United States

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New York, New York, United States

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Charlotte, North Carolina, United States

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Raleigh, North Carolina, United States

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Columbus, Ohio, United States

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Edmond, Oklahoma, United States

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Tulsa, Oklahoma, United States

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Memphis, Tennessee, United States

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Houston, Texas, United States

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Seattle, Washington, United States

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Spokane, Washington, United States

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Rio de Janeiro, , Brazil

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São Paulo, , Brazil

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Plovdiv, , Bulgaria

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Sofia, , Bulgaria

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Barranquilla, , Colombia

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Bogotá, , Colombia

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Bucaramanga, , Colombia

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Chía, , Colombia

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Medellín, , Colombia

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Brno, , Czechia

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Prague, , Czechia

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Uherské Hradiště, , Czechia

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Budapest, , Hungary

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Debrecen, , Hungary

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Dantoli-Nagpur, , India

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Hyderabad, , India

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Mumbai, , India

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New Delhi, , India

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Pune, , India

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Secunderabad, , India

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Guadalajara, , Mexico

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León, , Mexico

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México, , Mexico

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Toluca, , Mexico

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Arequipa, , Peru

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Lima, , Peru

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Bialystok, , Poland

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Bydgoszcz, , Poland

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Krakow, , Poland

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Nadarzyn, , Poland

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Poznan, , Poland

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Brasov, , Romania

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Iași, , Romania

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Târgu Mureş, , Romania

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Gwangjin-gu, , South Korea

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Gwangju, , South Korea

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Seodaemun-gu, , South Korea

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Suwon, , South Korea

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Chiayi City, , Taiwan

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Kaohsiung City, , Taiwan

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Taichung, , Taiwan

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Taipei, , Taiwan

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Donetsk, , Ukraine

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Kyiv, , Ukraine

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Luhansk, , Ukraine

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Lviv, , Ukraine

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Ternopil, , Ukraine

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Vinnitsya, , Ukraine

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Vinnytsia, , Ukraine

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Countries

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United States Brazil Bulgaria Colombia Czechia Hungary India Mexico Peru Poland Romania South Korea Taiwan Ukraine

References

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Hannon CW, McCourt C, Lima HC, Chen S, Bennett C. Interventions for cutaneous disease in systemic lupus erythematosus. Cochrane Database Syst Rev. 2021 Mar 9;3(3):CD007478. doi: 10.1002/14651858.CD007478.pub2.

Reference Type DERIVED
PMID: 33687069 (View on PubMed)

Casey KA, Smith MA, Sinibaldi D, Seto NL, Playford MP, Wang X, Carlucci PM, Wang L, Illei G, Yu B, Wang S, Remaley AT, Mehta NN, Kaplan MJ, White WI. Modulation of Cardiometabolic Disease Markers by Type I Interferon Inhibition in Systemic Lupus Erythematosus. Arthritis Rheumatol. 2021 Mar;73(3):459-471. doi: 10.1002/art.41518. Epub 2021 Feb 15.

Reference Type DERIVED
PMID: 32909675 (View on PubMed)

Brohawn PZ, Streicher K, Higgs BW, Morehouse C, Liu H, Illei G, Ranade K. Type I interferon gene signature test-low and -high patients with systemic lupus erythematosus have distinct gene expression signatures. Lupus. 2019 Nov;28(13):1524-1533. doi: 10.1177/0961203319885447. Epub 2019 Oct 29.

Reference Type DERIVED
PMID: 31660791 (View on PubMed)

Casey KA, Guo X, Smith MA, Wang S, Sinibaldi D, Sanjuan MA, Wang L, Illei GG, White WI. Type I interferon receptor blockade with anifrolumab corrects innate and adaptive immune perturbations of SLE. Lupus Sci Med. 2018 Nov 22;5(1):e000286. doi: 10.1136/lupus-2018-000286. eCollection 2018.

Reference Type DERIVED
PMID: 30538817 (View on PubMed)

Morand EF, Trasieva T, Berglind A, Illei GG, Tummala R. Lupus Low Disease Activity State (LLDAS) attainment discriminates responders in a systemic lupus erythematosus trial: post-hoc analysis of the Phase IIb MUSE trial of anifrolumab. Ann Rheum Dis. 2018 May;77(5):706-713. doi: 10.1136/annrheumdis-2017-212504. Epub 2018 Feb 2.

Reference Type DERIVED
PMID: 29420200 (View on PubMed)

Furie R, Khamashta M, Merrill JT, Werth VP, Kalunian K, Brohawn P, Illei GG, Drappa J, Wang L, Yoo S; CD1013 Study Investigators. Anifrolumab, an Anti-Interferon-alpha Receptor Monoclonal Antibody, in Moderate-to-Severe Systemic Lupus Erythematosus. Arthritis Rheumatol. 2017 Feb;69(2):376-386. doi: 10.1002/art.39962.

Reference Type DERIVED
PMID: 28130918 (View on PubMed)

Other Identifiers

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CD-IA-MEDI-546-1013

Identifier Type: -

Identifier Source: org_study_id

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