A Treatment Effectiveness Study Among SLE Patients Receiving Anifrolumab in Routine Clinical Practice

NCT ID: NCT05637112

Last Updated: 2025-12-19

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

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Recruitment Status

ACTIVE_NOT_RECRUITING

Total Enrollment

551 participants

Study Classification

OBSERVATIONAL

Study Start Date

2023-02-27

Study Completion Date

2030-12-30

Brief Summary

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Anifrolumab Study of Treatment Effectiveness in the Real World (ASTER) study will collect real world data to obtain a good understanding of the (sustained) clinical effect and patient quality of life outcomes among diagnosed SLE patients who initiate anifrolumab treatment. ASTER will generate critical real-world evidence on the benefits of adding anifrolumab to standard of care treatment for SLE in routine clinical practice, to inform physicians, payers and patients.

Detailed Description

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ASTER is a multi-country, single-arm, prospective, observational study. The study will be initiated on a country-by country basis following the commercial launch of anifrolumab. ASTER is a cohort study, with 1-year retrospective baseline data and 5 years of follow-up data.

The minimum enrolment period is anticipated to be 18 months (± 5 months) per country, but it may be extended, if necessary, to reach the overall study target.

In general, patients will enter the study between the first anifrolumab prescription and infusion (index), with follow-up until death, loss to follow-up, patient discontinuing the study, or end of study period (whichever occurs first). Data collection will continue for all patients including those who have discontinued anifrolumab during the study, unless the patients have withdrawn their consent for participation in the study. Relevant clinical data collection will continue for the entire follow up while patient reported outcome (PRO) data collection will continue only up to the 3-year follow up.

The study will use clinical assessments that are relevant for SLE-treating physicians in routine clinical practice, as well as introduce a specific measure for skin manifestations to affirm the potency of anifrolumab in treating SLE-related skin manifestations.

The eCRFs will be accessed through secure web-based portals and will be used to ensure consistent data collection for each healthcare provider involved in this study.

Electronic data collection will be the only method of data collection in this study.

Conditions

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Systemic Lupus Erythematosus

Keywords

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chronic autoimmune disease immunosuppressants corticosteroids human monoclonal antibody (IgG1ƙ mAb) Real World

Study Design

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Observational Model Type

COHORT

Study Time Perspective

PROSPECTIVE

Study Groups

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Prospective Cohort

All patients aged ≥18 years diagnosed with SLE who initiate anifrolumab as prescribed by their healthcare provider (HCP) per the approved country-specific label and are treated at the study sites will be eligible for inclusion.

None (Observational study)

Intervention Type OTHER

Not Applicable since Observational Study

Interventions

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None (Observational study)

Not Applicable since Observational Study

Intervention Type OTHER

Other Intervention Names

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Observational Study

Eligibility Criteria

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Inclusion Criteria

* Fulfilled the 2019 EULAR (European League Against Rheumatism)/ACR (American College of Rheumatology) criteria for SLE at the time of study entry.
* Prescribed anifrolumab for their SLE treatment for the first time, according to approved country-specific label.
* The Physician's decision to prescribe anifrolumab must occur prior to any study-related discussion.
* In countries where prescription reimbursements are authorised on a case-by-case basis, authorisation (ie, patient access to treatment) will be required for study entry.

Exclusion Criteria

* Currently participating in an anifrolumab early access/compassionate use program or an interventional clinical trial with an investigational product.
* Any previous exposure to anifrolumab (including as part of a clinical trial or early access programme).
* Documented diagnosis of severe or rapidly progressive Class III or IV glomerulonephritis requiring induction therapy (mycophenolate mofetil \[MMF\]/cyclophosphamide \[CYC\] + high dose steroids), isolated Class V lupus nephritis (in absence of other SLE manifestations, ie. skin/joint involvement), or active severe or unstable neuropsychiatric lupus.
* Any other condition which the investigator deems to limit a patient's ability to understand the informed consent.
Minimum Eligible Age

18 Years

Maximum Eligible Age

130 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Parexel

INDUSTRY

Sponsor Role collaborator

AstraZeneca

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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Innsbruck, Tyrol, Austria

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Linz, Upper Austria, Austria

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Vienna, , Austria

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Liège, Li Ge, Belgium

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Aalst, Oost-Vlaanderen, Belgium

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Bruges, West Flanders, Belgium

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Leuven, , Belgium

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Calgary, Alberta, Canada

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Winnipeg, Manitoba, Canada

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Hamilton, Ontario, Canada

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Orillia, Ontario, Canada

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Toronto, Ontario, Canada

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Rimouski, Quebec, Canada

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Sherbrooke, Quebec, Canada

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Ste-Foy, Quebec, Canada

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Nice, Alpes-Maritimes, France

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Clermont-Ferrand, Auvergne-Rh ne-Alpes, France

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Strasbourg, Bas-Rhin, France

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Finist Re, Brest Cedex, France

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Dijon, C te-d'Or, France

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Bordeaux, Gironde, France

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Grenoble, Is Re, France

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Saint-Denis, La R Union, France

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Nantes, Loire-Atlantique, France

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Bouches-du-Rh Ne, Lyon, France

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FORT de France Cedex, Martinique, France

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Lille, Nord, France

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Seine-Maritime, Rouen, France

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Paris, , France

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Paris, , France

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Paris, , France

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Paris, , France

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Paris, , France

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Heidelberg, Baden-W Rttemberg, Germany

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Heidelberg, Baden-Wurttemberg, Germany

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Erlangen, Bavaria, Germany

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Bad Bramstedt, Hamburg, Germany

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Schleswig-Holstein, L Beck, Germany

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Greifswald, Mecklenburg-Vorpommern, Germany

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Munich, Monachium, Germany

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Cologne, North Rhine-Westphalia, Germany

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D Sseldorf, North Rhine-Westphalia, Germany

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Herne, North Rhine-Westphalia, Germany

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Mainz A. Rhein, Rhineland-Palatinate, Germany

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Magdeburg, Saxony-Anhalt, Germany

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Greifwald, Vorpommern-Greifswald, Germany

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Berlin, , Germany

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Kfar Saba, Central District, Israel

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Tel Hashomer, Central District, Israel

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Tiberias, Galilee, Israel

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Haifa, Haifa District, Israel

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Haifa, Haifa District, Israel

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Jerusalem, Jerusalem, Israel

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Afula, Northern District, Israel

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Ramat Gan, Tel Aviv, Israel

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Tel Aviv, Tel Aviv, Israel

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Napoli, Campania, Italy

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Cona, Emilia-Romagna, Italy

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Udine, Friuli Venezia Giulia, Italy

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Rome, Lazio, Italy

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Brescia, Lombardy, Italy

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Milan, Lombardy, Italy

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Turin, Piedmont, Italy

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Cagliari, Sardinia, Italy

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Ancona, , Italy

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Bari, , Italy

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Florence, , Italy

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Milan, , Italy

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Milan, , Italy

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Pisa, , Italy

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Roma, , Italy

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Roma, , Italy

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Örebro, N Rke, Sweden

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Danderyd, Stockholm County, Sweden

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Stockholm, Uppland, Sweden

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Dubai, Dubayy, United Arab Emirates

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Dubai, Dubayy, United Arab Emirates

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Sharjah city, Emirate of Sharjah, United Arab Emirates

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Abu Dhabi, , United Arab Emirates

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Countries

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Denmark Austria Belgium Canada France Germany Israel Italy Sweden United Arab Emirates

References

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Mosca M, Emmas C, Nekeman-Nan C, Stirnadel-Farrant H, Chen S, Carty L, Waratani M, Seo C, Chen S, Sorrentino A. Anifrolumab Study for Treatment Effectiveness in the Real World (ASTER) among patients with systemic lupus erythematosus: protocol for an international observational effectiveness study. BMJ Open. 2024 Nov 21;14(11):e086055. doi: 10.1136/bmjopen-2024-086055.

Reference Type DERIVED
PMID: 39578022 (View on PubMed)

Other Identifiers

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D3461R00043

Identifier Type: -

Identifier Source: org_study_id