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

NCT ID: NCT04895241

Last Updated: 2025-11-03

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

Get a concise snapshot of the trial, including recruitment status, study phase, enrollment targets, and key timeline milestones.

Recruitment Status

ACTIVE_NOT_RECRUITING

Clinical Phase

PHASE3

Total Enrollment

548 participants

Study Classification

INTERVENTIONAL

Study Start Date

2021-05-25

Study Completion Date

2027-03-16

Brief Summary

Review the sponsor-provided synopsis that highlights what the study is about and why it is being conducted.

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

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

\- How many participants have an improvement in their symptoms after 52 weeks of treatment? Researchers will answer this and other questions by measuring the symptoms of SLE over time using a variety of scoring tools. These include the SLE Responder Index (SRI), the Systemic Lupus Erythematosus Disease Activity Index-2000 (SLEDAI-2K), and the Patient Global Assessment - Visual Analog Scale (PGA-VAS).

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

The study will be done as follows:

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

Detailed Description

Dive into the extended narrative that explains the scientific background, objectives, and procedures in greater depth.

Conditions

See the medical conditions and disease areas that this research is targeting or investigating.

Lupus Erythematosus, Systemic

Study Design

Understand how the trial is structured, including allocation methods, masking strategies, primary purpose, and other design elements.

Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

Review each arm or cohort in the study, along with the interventions and objectives associated with them.

Litifilimab High Dose

Participants who are receiving background nonbiologic lupus SOC therapy will receive high dose of litifilimab, subcutaneously (SC) every 4 weeks (Q4W), up to Week 48 with an additional dose at Week 2.

Group Type EXPERIMENTAL

Litifilimab

Intervention Type DRUG

Administered as specified in the treatment arm.

Litifilimab Low Dose

Participants who are receiving background nonbiologic lupus SOC therapy will receive low dose of litifilimab, SC Q4W, up to Week 48 with an additional dose at Week 2.

Group Type EXPERIMENTAL

Litifilimab

Intervention Type DRUG

Administered as specified in the treatment arm.

Placebo

Participants who are receiving background nonbiologic lupus SOC therapy will receive litifilimab-matching placebo, SC Q4W, up to Week 48 with an additional dose at Week 2.

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type DRUG

Administered as specified in the treatment arm.

Interventions

Learn about the drugs, procedures, or behavioral strategies being tested and how they are applied within this trial.

Litifilimab

Administered as specified in the treatment arm.

Intervention Type DRUG

Placebo

Administered as specified in the treatment arm.

Intervention Type DRUG

Other Intervention Names

Discover alternative or legacy names that may be used to describe the listed interventions across different sources.

BIIB059

Eligibility Criteria

Check the participation requirements, including inclusion and exclusion rules, age limits, and whether healthy volunteers are accepted.

Inclusion Criteria

* Participant must be diagnosed with systemic lupus erythematosus (SLE) at least 24 weeks prior to screening and must meet the 2019 European League Against Rheumatism (EULAR) / American College of Rheumatology (ACR) classification criteria for SLE at screening by a qualified physician.
* Participant has a modified Systemic Lupus Erythematosus Disease Activity Index-2000 (SLEDAI-2K) score ≥ 6 (excluding alopecia, fever, lupus-related headache, and organic brain syndrome) at screening (adjudicated).
* Participant has a modified clinical SLEDAI-2K score ≥ 4 (excluding anti-dsDNA, low complement component 3 (C3) and/or complement component 4 (C4), alopecia, fever, lupus-related headache, and organic brain syndrome) at Screening (adjudicated) and randomization.
* Participant has BILAG-2004 grade A in ≥ 1 organ system or BILAG-2004 grade B in ≥ 2 organ systems at Screening (adjudicated) and randomization.
* Participant must be treated with one of the following background nonbiologic lupus SOC therapies, initiated ≥ 12 weeks prior to Screening and at stable dose ≥ 4 weeks prior to randomization:

1. Antimalarials as stand-alone treatment
2. Antimalarial treatment in combination with OCS and/or a single immunosuppressant
3. Treatment with OCS and/or a single immunosuppressant

Exclusion Criteria

* History of or positive test result for human immunodeficiency virus (HIV).
* Current hepatitis C infection (defined as positive hepatitis C virus (HCV) antibody and detectable HCV ribonucleic acid \[RNA\]).
* Current hepatitis B infection (defined as positive for antibody to hepatitis B surface antigen (HBsAg) and/or positive for total hepatitis antibody to B core antigen \[anti-HBc\] with positive reflex HBV DNA).
* History of severe herpes infection.
* Presence of uncontrolled or New York Heart Association class III or IV congestive heart failure.
* Active severe lupus nephritis where, in the opinion of the Investigator, protocol-specified SOC is insufficient and use of a more aggressive therapeutic approach is indicated, such as adding IV cyclophosphamide and/or high-dose IV pulse corticosteroid therapy or other treatments not permitted in the protocol is indicated; or urine protein-creatinine ratio \> 2.0 or severe chronic kidney disease (estimated glomerular filtration rate \< 30 milliliters per minute per 1.73 meter square \[mL/min/1.73 m\^2\]) calculated using the abbreviated modification of diet in renal disease equation.
* Any active skin conditions other than cutaneous lupus erythematosus (CLE) that may interfere with the study assessment of CLE such as but not limited to psoriasis, dermatomyositis, systemic sclerosis, non-LE skin lupus manifestation or drug-induced lupus.
* History or current diagnosis of a clinically significant non-SLE-related vasculitis syndrome.
* Active neuropsychiatric SLE.
* Use of oral prednisone (or equivalent) above 20 mg/day.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

Meet the organizations funding or collaborating on the study and learn about their roles.

Biogen

INDUSTRY

Sponsor Role lead

Responsible Party

Identify the individual or organization who holds primary responsibility for the study information submitted to regulators.

Responsibility Role SPONSOR

Principal Investigators

Learn about the lead researchers overseeing the trial and their institutional affiliations.

Medical Director

Role: STUDY_DIRECTOR

Biogen

Locations

Explore where the study is taking place and check the recruitment status at each participating site.

Tilda Research Birmingham

Homewood, Alabama, United States

Site Status

Wallace Rheumatic Study Center

Beverly Hills, California, United States

Site Status

University of Southern California

Los Angeles, California, United States

Site Status

Providence Facey Medical Foundation

Mission Hills, California, United States

Site Status

University of California San Diego School of Medicine

San Diego, California, United States

Site Status

SCLA Management

Thousand Oaks, California, United States

Site Status

Harbor-UCLA Medical Center

Torrance, California, United States

Site Status

Inland Rheumatology Clinical Trials, Inc.

Upland, California, United States

Site Status

University of Colorado Anschutz Medical Campus

Aurora, Colorado, United States

Site Status

Georgetown University Hospital-Medstar

Washington D.C., District of Columbia, United States

Site Status

Arthritis & Rheumatic Disease Specialties

Aventura, Florida, United States

Site Status

Highlands Rheumatology

Avon Park, Florida, United States

Site Status

Clinical Research of West Florida - Corporate

Clearwater, Florida, United States

Site Status

Believe Clinical Trials

Coral Springs, Florida, United States

Site Status

Omega Research Consultants

DeBary, Florida, United States

Site Status

Centre for Rheumatology, Immunology and Arthritis

Fort Lauderdale, Florida, United States

Site Status

GNP Research at Mark Jaffe, MD

Hollywood, Florida, United States

Site Status

Life Clinical Trials

Margate, Florida, United States

Site Status

Charisma Medical and Research Center

Miami Lakes, Florida, United States

Site Status

Rheumatology Associates of Central Florida

Orlando, Florida, United States

Site Status

AdventHealth Medical Group

Tampa, Florida, United States

Site Status

Vantage Clinical Trials

Tampa, Florida, United States

Site Status

Rheumatology care of Georgia

Kennesaw, Georgia, United States

Site Status

Atlanta Research Center for Rheumatology LLC

Marietta, Georgia, United States

Site Status

Accurate Clinical Research Inc.

Lake Charles, Louisiana, United States

Site Status

AA MRC LLC Ahmed Arif Medical Research Center

Flint, Michigan, United States

Site Status

Washington University School of Medicine

St Louis, Missouri, United States

Site Status

Renown Medical Group

Reno, Nevada, United States

Site Status

Joseph S. and Diane H. Steinberg Ambulatory Care Center

Brooklyn, New York, United States

Site Status

Northwell Health Center for Advanced Medicine

New Hyde Park, New York, United States

Site Status

University of Rochester Medical Center

Rochester, New York, United States

Site Status

SUNY Upstate Medical Center

Syracuse, New York, United States

Site Status

Joint and Muscle Research Institute

Charlotte, North Carolina, United States

Site Status

Medication Management, LLC

Greensboro, North Carolina, United States

Site Status

OnSite Clinical Solutions, LLC - Charlotte

Salisbury, North Carolina, United States

Site Status

Wake Forest University Health Sciences

Winston-Salem, North Carolina, United States

Site Status

Paramount Medical Research & Consulting, LLC

Middleburg Heights, Ohio, United States

Site Status

Hightower Clinical

Oklahoma City, Oklahoma, United States

Site Status

Ramesh C Gupta, MD

Memphis, Tennessee, United States

Site Status

Vanderbilt University Medical Center

Nashville, Tennessee, United States

Site Status

PrimeCare 360

Allen, Texas, United States

Site Status

Precision Comprehensive Clinical Research Solution

Colleyville, Texas, United States

Site Status

Precision Comprehensive Clinical Research Solutions

Colleyville, Texas, United States

Site Status

Arthritis Care Texas

Corpus Christi, Texas, United States

Site Status

Prolato Clinical Research Center

Houston, Texas, United States

Site Status

Accurate Clinical Management LLC

Houston, Texas, United States

Site Status

Pioneer Research Solutions, Inc.

Houston, Texas, United States

Site Status

Accurate Clinical Research, Inc.

Humble, Texas, United States

Site Status

Accurate Clinical Research

Stafford, Texas, United States

Site Status

Fort Bend Rheumatology Associates

Sugar Land, Texas, United States

Site Status

Advanced Rheumatology of Houston

The Woodlands, Texas, United States

Site Status

CLS Research Ctr, PLLC

Webster, Texas, United States

Site Status

University of Washington

Seattle, Washington, United States

Site Status

Royal Prince Alfred Hospital

Camperdown, New South Wales, Australia

Site Status

Box Hill Hospital

Box Hill, Victoria, Australia

Site Status

Footscray Hospital

Footscray, Victoria, Australia

Site Status

Fiona Stanley Hospital

Murdoch, Western Australia, Australia

Site Status

HUWC - UFC - Hospital Universitário Walter Cantídio - Universidade Federal do Ceará

Fortaleza, Ceará, Brazil

Site Status

CEDOES - Diagnóstico e Pesquisa

Vitória, Espírito Santo, Brazil

Site Status

Clínica SER da Bahia

Salvador, Estado de Bahia, Brazil

Site Status

L2IP - Instituto de Pesquisas Clínicas Ltda.

Brasília, Federal District, Brazil

Site Status

Oncovida - Centro de Onco-Hematologia de Mato Grosso

Cuiabá, Mato Grosso, Brazil

Site Status

Santa Casa de Misericórdia de Belo Horizonte

Belo Horizonte, Minas Gerais, Brazil

Site Status

CMiP - Centro Mineiro de Pesquisa

Juiz de Fora, Minas Gerais, Brazil

Site Status

CETI - Centro de Estudos em Terapias Inovadoras Ltda.

Curitiba, Paraná, Brazil

Site Status

Hospital Bruno Born

Lajeado, Rio Grande do Sul, Brazil

Site Status

Hospital Moinhos de Vento

Porto Alegre, Rio Grande do Sul, Brazil

Site Status

Hospital de Clínicas de Porto Alegre

Porto Alegre, Rio Grande do Sul, Brazil

Site Status

LMK Serviços Médicos S/S Ltda

Porto Alegre, Rio Grande do Sul, Brazil

Site Status

Fundação Faculdade Regional de Medicina de São José do Rio Preto

Sao Jose Rio Preto, São Paulo, Brazil

Site Status

Centro Multidisciplinar de Estudos Clínicos - CEMEC

São Bernardo do Campo, São Paulo, Brazil

Site Status

CEPIC - Centro Paulista de Investigação Clínica e Serviços Médicos

São Paulo, São Paulo, Brazil

Site Status

A2Z Clinical Centro Avancado de Pesquisa Clinica

Valinhos, São Paulo, Brazil

Site Status

RDSS Ricardo Diaz Scientific Solution

São Paulo, , Brazil

Site Status

DCC 'Sv. Georgi', EOOD

Plovdiv, , Bulgaria

Site Status

UMHAT "Pulmed" OOD

Plovdiv, , Bulgaria

Site Status

UMHAT-Plovdiv AD

Plovdiv, , Bulgaria

Site Status

DCC 1 - Ruse, EOOD

Rousse, , Bulgaria

Site Status

DCC 'Alexandrovska', EOOD

Sofia, , Bulgaria

Site Status

Medical Center Hera EOOD

Sofia, , Bulgaria

Site Status

Military Medical Academy - MHAT - Sofia

Sofia, , Bulgaria

Site Status

UMHAT 'Sv. Ivan Rilski', EAD

Sofia, , Bulgaria

Site Status

Clinica Alemana de Osorno

Osorno, , Chile

Site Status

Centro Medico Prosalud

Santiago, , Chile

Site Status

Interin

Santiago, , Chile

Site Status

CTR Estudios

Santiago, , Chile

Site Status

Enroll Spa

Santiago, , Chile

Site Status

BioMedica Research Group

Santiago, , Chile

Site Status

CeCim Biocinetic

Santiago, , Chile

Site Status

Clinical Research Chile SpA.

Valdivia, , Chile

Site Status

Groupe Hospitalier Pellegrin - Hôpital Pellegrin

Bordeaux, Gironde, France

Site Status

Hopital Lapeyronie

Montpellier, Herault, France

Site Status

CHU Clermont Ferrand - Hopital Gabriel Montpied

Clermont-Ferrand, Puy De Dome, France

Site Status

NNA Hospita;

Athens, , Greece

Site Status

General Hospital of Athens Laiko

Athens, , Greece

Site Status

University General Hospital 'Attikon'

Athens, , Greece

Site Status

Diseno y Planeacion en Investigacion Medica S.C.

Guadalajara, Jalisco, Mexico

Site Status

Centro de Investigacion Farmaceutica Especializada de Occidente S.C

Guadalajara, Jalisco, Mexico

Site Status

Clinica de Investigacion en Reumatologia y Obesidad S.C.

Guadalajara, Jalisco, Mexico

Site Status

Centro de investigacion medica y reumatologia

Guadalajara, Jalisco, Mexico

Site Status

Instituto Nacional de Ciencias Médicas y Nutricion Dr. Salvador Zubiran

Mexico City, Mexico City, Mexico

Site Status

Centro de Investigacion Clínica GRAMEL S.C

Mexico City, Mexico City, Mexico

Site Status

Clinstile, S.A. de C.V.

Mexico City, Mexico City, Mexico

Site Status

Consultorio Privado Dr. Miguel Cortes Hernandez

Cuernavaca, Morelos, Mexico

Site Status

Accelerium S. de R.L. de C.V.

Monterrey, Nuevo León, Mexico

Site Status

Universidad Autonoma de Nuevo Leon, Hospital Universitario Dr. Jose Eleuterio Gonzalez

Monterrey, Nuevo León, Mexico

Site Status

Centro Peninsular de Investigacion Clinica, SCP

Mérida, Yucatán, Mexico

Site Status

Unidad de Atencion Medica e Investigacion en Salud S.C.

Mérida, Yucatán, Mexico

Site Status

Medical Care & Research SA de CV

Mérida, Yucatán, Mexico

Site Status

Investigacion y Biomedicina de Chihuahua, S.C.

Chihuahua City, , Mexico

Site Status

Centro de Investigacion y Atencion Integral Durango CIAID

Durango, , Mexico

Site Status

FAICIC S. de R.L. de C.V.

Veracruz, , Mexico

Site Status

Hogar Clínica San Juan de Dios - Arequipa

Arequipa, , Peru

Site Status

Centro de Investigacion Clinica Immunoreumatologioa

Lima, , Peru

Site Status

Hospital Nacional Edgardo Rebagliati Martins

Lima, , Peru

Site Status

HMA - Hospital Maria Auxiliadora

Lima, , Peru

Site Status

Invest Clinicas Sac Inst de Ginecologia y Reproduccion

Lima, , Peru

Site Status

Chong Hua Hospital

Cebu City, , Philippines

Site Status

Ospital Ng Makati

City of Taguig, , Philippines

Site Status

Davao Doctors Hospital

Davao City, , Philippines

Site Status

The Medical City Iloilo

Iloilo City, , Philippines

Site Status

Mary Mediatrix Medical Center

Lipa City, , Philippines

Site Status

The Medical City Clark

Mabalacat, Pampanga, , Philippines

Site Status

Manila Doctors Hospital

Manila, , Philippines

Site Status

Medical Center Manila

Manila, , Philippines

Site Status

Philippine General Hospital

Manila, , Philippines

Site Status

Jose R. Reyes Memorial Medical Center

Manila, , Philippines

Site Status

St. Luke's Medical Center

Quenzon City, , Philippines

Site Status

Far Eastern University - Dr. Nicanor Reyes Medical Foundation

Quezon City, Metro Manila, , Philippines

Site Status

Lorma Medical Center

San Fernando City, La Union, , Philippines

Site Status

Nova Reuma Domysławska i Rusiłowicz, Spółka Partnerska Lekarza Reumatologa i Fizjoterapeuty

Bialystok, , Poland

Site Status

Centrum Medyczne Intercor Sp. z o.o

Bydgoszcz, , Poland

Site Status

Szpital Uniwersytecki nr 2 im.dr J. Biziela

Bydgoszcz, , Poland

Site Status

Nzoz Bif-Med

Bytom, , Poland

Site Status

Malopolskie Badania Kliniczne

Krakow, , Poland

Site Status

Centrum Medyczne Plejady

Krakow, , Poland

Site Status

Pratia MCM Krakow

Krakow, , Poland

Site Status

Centrum Medyczne All-Med

Krakow, , Poland

Site Status

Reumed Spolka z o.o.

Lublin, , Poland

Site Status

Centrum Badawcze Panaceum Agnieszka Brzezicka, Magdalena Lenkiewicz Sp. z o.o.

Malbork, , Poland

Site Status

Twoja Przychodnia NCM

Nowa Sól, , Poland

Site Status

Prywatna Praktyka Lekarska prof Pawel Hrycaj

Poznan, , Poland

Site Status

Przychodnia Care Access Warszawa

Warsaw, , Poland

Site Status

MICS Centrum Medyczne Warszawa

Warsaw, , Poland

Site Status

Niepubliczny Zakład Opieki Zdrowotnej 'Biogenes' Sp. z o.o.

Wroclaw, , Poland

Site Status

Ajou University Hospital

Suwon, Gyeonggi-do, South Korea

Site Status

Dong-A University Hospital

Busan, , South Korea

Site Status

Gachon University Gil Medical Center

Incheon, , South Korea

Site Status

Hanyang University Seoul Hospital

Seoul, , South Korea

Site Status

Konkuk University Medical Center

Seoul, , South Korea

Site Status

Asan Medical Center

Seoul, , South Korea

Site Status

Hospital Universitario Marques de Valdecilla

Santander, Cantabria, Spain

Site Status

Hospital Universitario Rio Hortega

Valladolid, Cantabria, Spain

Site Status

Hospital Universitari Vall d'Hebron

Barcelona, , Spain

Site Status

Hospital Universitario San Cecilio

Granada, , Spain

Site Status

Hospital Universitario Virgen Macarena

Seville, , Spain

Site Status

Hospital Quironsalud Infanta Luisa

Seville, , Spain

Site Status

Hospital Universitario Dr. Peset

Valencia, , Spain

Site Status

Universitetssjukhuset Orebro

Örebro, , Sweden

Site Status

Karolinska Universitetssjukhuset Solna

Stockholm, , Sweden

Site Status

Akademiska Sjukhuset

Uppasala, , Sweden

Site Status

Kaohsiung Chang Gung Memorial Hospital

Kaohsiung City, , Taiwan

Site Status

Chung Shan Medical University Hospital

Taichung, , Taiwan

Site Status

Chang Gung Memorial Hospital,Linkou

Taoyuan, , Taiwan

Site Status

Countries

Review the countries where the study has at least one active or historical site.

United States Australia Brazil Bulgaria Chile France Greece Mexico Peru Philippines Poland South Korea Spain Sweden Taiwan

Related Links

Access external resources that provide additional context or updates about the study.

https://www.topazlupusstudy.com/

Click here to learn more about this trial, visit our study website

Other Identifiers

Review additional registry numbers or institutional identifiers associated with this trial.

2023-505695-30

Identifier Type: OTHER

Identifier Source: secondary_id

230LE303

Identifier Type: -

Identifier Source: org_study_id

More Related Trials

Additional clinical trials that may be relevant based on similarity analysis.

Anti-CD20 in Systemic Lupus Erythematosus
NCT00036491 COMPLETED PHASE1/PHASE2