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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.
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.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Anifrolumab (MEDI-546) 300 mg | Experimental | Participants will receive 300 milligram (mg) anifrolumab as an intravenous infusion every 4 weeks for 48 weeks. |
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| Anifrolumab (MEDI-546) 1000 mg | Experimental | Participants will receive 1000 mg anifrolumab as an intravenous infusion every 4 weeks for 48 weeks. |
|
| Matching Placebo | Placebo Comparator | Participants will receive placebo matched to anifrolumab intravenous (IV) infusion every 4 weeks for 48 weeks. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Anifrolumab 300 mg | Biological | Participants will receive 300 milligram (mg) anifrolumab as an intravenous infusion every 4 weeks for 48 weeks. |
|
| Measure | Description | Time Frame |
|---|---|---|
| Percentage of Participants Achieving an Systemic Lupus Erythematosus (SLE) Responder Index [SRI (4)] Response With Oral Corticosteroids (OCS) Tapering at Day 169 | An SRI (4) responder defined as a participant who had 1) a reduction in baseline Systemic Lupus Erythematosus Disease Activity Index 2000 (SLEDAI-2K) score of greater than or equal to (>=) 4 points; 2) no worsening of disease from baseline as measured by the Physician Global Assessment (MDGA) (worsening was defined as an increase of >= 0.3 from baseline on a 0 to 3.0 visual analog scale); and 3) no new British Isles Lupus Assessment Group 2004 (BILAG-2004) Index 'A' organ system score and no more than one new or worsening BILAG-2004 Index 'B' organ system score. OCS tapering requires a sustained reduction of OCS from Day 85 through Day 169 [less than 10 milligram per day (mg/day) and less or equal to the dose received on Day 1]. SRI was analyzed by a logistic regression model. | Day 169 |
| Percentage of Type I Interferon (IFN) Test High Participants Achieving an Systemic Lupus Erythematosus Responder Index (SRI) (4) Response With Oral Corticosteroids (OCS) Tapering at Day 169 | Type I IFN signature in whole blood assessed by using a 4-gene diagnostic test. The blood samples collected were to be used to prospectively identify participants as IFN test-high or test-low. The results of this test were used to stratify participants. An SRI (4) Responder was defined as a participant who had 1) a reduction in baseline SLEDAI-2K disease activity score of >= 4 points; 2) no worsening of disease from baseline as measured by the Physician Global Assessment (MDGA) (worsening was defined as an increase of >= 0.3 from baseline on a 0 to 3.0 visual analog scale); and 3) no new British Isles Lupus Assessment Group 2004 (BILAG-2004) Index A organ system score and no more than one new or worsening BILAG-2004 Index B organ system score. OCS tapering requires a sustained reduction of OCS from Day 85 through Day 169 [less than 10 mg/day and less or equal to the dose received on Day 1]. SRI was analyzed by a logistic regression model. | Day 169 |
| Measure | Description | Time Frame |
|---|---|---|
| Percentage of Participants Achieving an Systemic Lupus Erythematosus (SLE) Responder Index [SRI (4)] Response With Oral Corticosteroids (OCS) Tapering at Day 365 | An SRI (4) Responder was defined as a participant who had 1) a reduction in baseline SLEDAI-2K disease activity score of >= 4 points; 2) no worsening of disease from baseline as measured by the MDGA (worsening was defined as an increase of >= 0.3 from baseline on a 0 to 3.0 visual analog scale); and 3) no new British Isles Lupus Assessment Group 2004 (BILAG-2004) Index A organ system score and no more than one new or worsening BILAG-2004 Index B organ system score. OCS tapering requires a sustained reduction of OCS from Day 281 through Day 365 (less than 10 mg/day and less or equal to the dose received on Day 1). SRI was analyzed by a logistic regression model. |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Warren Greth, MD | MedImmune LLC | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Research Site | Birmingham | Alabama | United States | |||
| Research Site |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 33687069 | Derived | 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. | |
| 32909675 | Derived | 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. |
| Label | URL |
|---|---|
| Related Info | View source |
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A total of 626 participants were screened out of which 319 participants did not meet eligibility criteria and were considered screen failures, and 307 participants were randomized into the study.
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| ID | Title | Description |
|---|---|---|
| FG000 | Placebo | Participants received placebo matched to anifrolumab intravenous (IV) infusion every 4 weeks for 48 weeks. |
| FG001 | Anifrolumab 300 mg | Participants received 300 milligram (mg) anifrolumab as an intravenous infusion every 4 weeks for 48 weeks. |
| Title | Milestones | Reasons Not Completed | |||||
|---|---|---|---|---|---|---|---|
| Overall Study |
|
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| Anifrolumab 1000 mg | Biological | Participants will receive 1000 mg anifrolumab as an intravenous infusion every 4 weeks for 48 weeks. |
|
|
| Placebo | Other | Participants will receive placebo matched to anifrolumab intravenous (IV) infusion every 4 weeks for 48 weeks. |
|
| Day 365 |
| Percentage of Participants on Oral Corticosteroids (OCS) >=10 mg/Day of Prednisone or Equivalent at Baseline Who Were Able to Taper to Less Than or Equal to (<=) 7.5 mg/Day at Day 365 | Participants on OCS >=10 mg/day of prednisone or equivalent at baseline who were able to taper to <= 7.5 mg/day at Day 365 were evaluated. | Day 365 |
| Number of Participants With Treatment-Emergent Adverse Events (TEAEs), Adverse Events of Special Interest (AESIs) and Treatment-Emergent Serious Adverse Events (TESAEs) | An adverse event (AE) was any untoward medical occurrence in a study participant administered a pharmaceutical product and which does not necessarily have a causal relationship with treatment. A serious AE (SAE) was an AE resulting in any of following outcomes or deemed significant for any other reason: death; initial/prolonged inpatient hospitalization; life-threatening experience (immediate risk of dying); persistent or significant disability/incapacity; congenital anomaly (in offspring of participant). AEs may be treatment emergent (TE) [that is, occurring after initial receipt of investigational product] or non-TE. An AESI is one of scientific and medical concern specific to understanding biologics and requires close monitoring and rapid communication by investigator to sponsor. | Day 1 (Baseline) to Day 422 (End of Study) |
| Number of Participants With Clinically Significant Laboratory Abnormalities in Investigations Reported as Treatment-Emergent Adverse Events | Any medically significant change in laboratory evaluations were recorded as Treatment emergent adverse events. | Day 1 (Baseline) to Day 422 (End of Study) |
| Number of Participants With Vital Signs Abnormalities Reported as Treatment-Emergent Adverse Events (TEAEs) | Vital sign parameters are temperature, blood pressure, respiratory rate, heart rate and weight. Vital signs abnormalities were reported as TEAEs. | Day 1 (Baseline) to Day 422 (End of Study) |
| Number of Participants With Electrocardiogram (ECG) Abnormalities Reported as Treatment-Emergent Adverse Events (TEAEs) | Any medically significant changes from the screening ECG was recorded as TEAEs. An abnormal ECG findings such as QT prolonged were reported as treatment emergent adverse events. | Day 1 (Baseline) to Day 422 (End of Study) |
| Percentage of SLE Participants With Positive Anti-drug Antibody (ADA) | Anti-drug antibody responses to anifrolumab in serum were evaluated. | Days 1, 85, 141, 169, 253, 337 (Treatment Phase), 365, 396, and 422 (Follow-up Period) |
| Neutralization Ratio of 21-Gene Type I Interferon (IFN) Signature for Participants With Positive Baseline Pharmacodynamic (PD) Gene Signature | The PD positive and negative gene signature was determined by comparing the expression of type I IFN-inducible genes in a 21-gene panel in study participants relative to pooled normal blood collected from healthy participants. | Days 29, 85, 141, 169, 253, 337 (treatment phase), on Days 365, 396, and 422 (follow up period) |
| Maximum Observed Plasma Concentration (Cmax) of Anifrolumab at Day 1, 169 and 337 | Maximum plasma concentration (Cmax) was defined as the peak plasma level of anifrolumab, derived from plasma concentration -time data. | Pre-infusion and 15 minutes post-infusion on Day 1, 169 and 337 |
| Accumulation Ratio of Maximum Observed Plasma Concentration (Cmax,AR) of Anifrolumab | Accumulation ratio for maximum plasma concentration (Cmax,AR) of anifrolumab after multiple administration at Day 169 and 337 was calculated. | Pre-infusion and 15 minutes post-infusion on Day 169 and 337 |
| Trough Concentration (Ctrough) of Anifrolumab at Day 29, 169 and 365 | Trough concentration (Ctrough) of anifrolumab at Day 29, 169 and 365 were calculated. | Pre-infusion and 15 minutes post-infusion on Day 29, 169 and 365 |
| Accumulation Ratio of Trough Concentration (Ctrough,AR) of Anifrolumab at Day 169 and 365 | Accumulation ratio for trough concentration (Ctrough,AR) of anifrolumab after multiple administration at Day 169 and 365 was calculated. | Pre-infusion and 15 minutes post-infusion on Day 169 and 365 |
| La Jolla |
| California |
| United States |
| Research Site | La Palma | California | United States |
| Research Site | Long Beach | California | United States |
| Research Site | Los Angeles | California | United States |
| Research Site | Palm Desert | California | United States |
| Research Site | San Leandro | California | United States |
| Research Site | Upland | California | United States |
| Research Site | Miami | Florida | United States |
| Research Site | Ocala | Florida | United States |
| Research Site | Orlando | Florida | United States |
| Research Site | Palm Harbor | Florida | United States |
| Research Site | Tampa | Florida | United States |
| Research Site | Atlanta | Georgia | United States |
| Research Site | Decatur | Georgia | United States |
| Research Site | Stockbridge | Georgia | United States |
| Research Site | Idaho Falls | Idaho | United States |
| Research Site | Chicago | Illinois | United States |
| Research Site | Indianapolis | Indiana | United States |
| Research Site | Las Cruces | New Mexico | United States |
| Research Site | New York | New York | United States |
| Research Site | Charlotte | North Carolina | United States |
| Research Site | Raleigh | North Carolina | United States |
| Research Site | Columbus | Ohio | United States |
| Research Site | Edmond | Oklahoma | United States |
| Research Site | Tulsa | Oklahoma | United States |
| Research Site | Memphis | Tennessee | United States |
| Research Site | Houston | Texas | United States |
| Research Site | Seattle | Washington | United States |
| Research Site | Spokane | Washington | United States |
| Research Site | Rio de Janeiro | Brazil |
| Research Site | São Paulo | Brazil |
| Research Site | Plovdiv | Bulgaria |
| Research Site | Sofia | Bulgaria |
| Research Site | Barranquilla | Colombia |
| Research Site | Bogotá | Colombia |
| Research Site | Bucaramanga | Colombia |
| Research Site | Chía | Colombia |
| Research Site | Medellín | Colombia |
| Research Site | Brno | Czechia |
| Research Site | Prague | Czechia |
| Research Site | Uherské Hradiště | Czechia |
| Research Site | Budapest | Hungary |
| Research Site | Debrecen | Hungary |
| Research Site | Dantoli-Nagpur | India |
| Research Site | Hyderabad | India |
| Research Site | Mumbai | India |
| Research Site | New Delhi | India |
| Research Site | Pune | India |
| Research Site | Secunderabad | India |
| Research Site | Guadalajara | Mexico |
| Research Site | León | Mexico |
| Research Site | México | Mexico |
| Research Site | Toluca | Mexico |
| Research Site | Arequipa | Peru |
| Research Site | Lima | Peru |
| Research Site | Bialystok | Poland |
| Research Site | Bydgoszcz | Poland |
| Research Site | Krakow | Poland |
| Research Site | Nadarzyn | Poland |
| Research Site | Poznan | Poland |
| Research Site | Brasov | Romania |
| Research Site | Iași | Romania |
| Research Site | Târgu Mureş | Romania |
| Research Site | Gwangjin-gu | South Korea |
| Research Site | Gwangju | South Korea |
| Research Site | Seodaemun-gu | South Korea |
| Research Site | Suwon | South Korea |
| Research Site | Chiayi City | Taiwan |
| Research Site | Kaohsiung City | Taiwan |
| Research Site | Taichung | Taiwan |
| Research Site | Taipei | Taiwan |
| Research Site | Donetsk | Ukraine |
| Research Site | Kyiv | Ukraine |
| Research Site | Luhansk | Ukraine |
| Research Site | Lviv | Ukraine |
| Research Site | Ternopil | Ukraine |
| Research Site | Vinnitsya | Ukraine |
| Research Site | Vinnytsia | Ukraine |
| 31660791 | Derived | 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. |
| 30538817 | Derived | 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. |
| 29420200 | Derived | 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. |
| 28130918 | Derived | 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. |
| FG002 | Anifrolumab 1000 mg | Participants received 1000 mg anifrolumab as an intravenous infusion every 4 weeks for 48 weeks. |
| COMPLETED |
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| NOT COMPLETED |
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Intent-to-treat (ITT) population included all participants who were randomized into the study.
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| ID | Title | Description |
|---|---|---|
| BG000 | Placebo | Participants received placebo matched to anifrolumab intravenous (IV) infusion every 4 weeks for 48 weeks. |
| BG001 | Anifrolumab 300 mg | Participants received 300 milligram (mg) anifrolumab as an intravenous infusion every 4 weeks for 48 weeks. |
| BG002 | Anifrolumab 1000 mg | Participants received 1000 mg anifrolumab as an intravenous infusion every 4 weeks for 48 weeks. |
| BG003 | Total | Total of all reporting groups |
| Units | Counts |
|---|---|
| Participants |
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| Title | Description | Population Description | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Denominator Units Selected | Denominators | Classes | ||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Age, Continuous | Mean | Standard Deviation | Years |
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| Sex: Female, Male | Count of Participants | Participants |
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| Race/Ethnicity, Customized | Number | Participants |
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| Region of Enrollment | Number | Participants |
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| Baseline weight | Mean | Standard Deviation | kilogram |
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| Type | Title | Description | Population Description | Reporting Status | Anticipated Posting Date | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Time Frame | Units Analyzed | Denominator Units Selected | Arm/Group Information | Denominators | Classes | Analyses | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| Primary | Percentage of Participants Achieving an Systemic Lupus Erythematosus (SLE) Responder Index [SRI (4)] Response With Oral Corticosteroids (OCS) Tapering at Day 169 | An SRI (4) responder defined as a participant who had 1) a reduction in baseline Systemic Lupus Erythematosus Disease Activity Index 2000 (SLEDAI-2K) score of greater than or equal to (>=) 4 points; 2) no worsening of disease from baseline as measured by the Physician Global Assessment (MDGA) (worsening was defined as an increase of >= 0.3 from baseline on a 0 to 3.0 visual analog scale); and 3) no new British Isles Lupus Assessment Group 2004 (BILAG-2004) Index 'A' organ system score and no more than one new or worsening BILAG-2004 Index 'B' organ system score. OCS tapering requires a sustained reduction of OCS from Day 85 through Day 169 [less than 10 milligram per day (mg/day) and less or equal to the dose received on Day 1]. SRI was analyzed by a logistic regression model. | The modified Intent-To-Treat (mITT) population included all randomized participants who received any investigational product and had a baseline primary efficacy measurement. Here, "N" signifies evaluable participants for this outcome measure. | Posted | Number | Percentage of Participants | Day 169 |
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| Primary | Percentage of Type I Interferon (IFN) Test High Participants Achieving an Systemic Lupus Erythematosus Responder Index (SRI) (4) Response With Oral Corticosteroids (OCS) Tapering at Day 169 | Type I IFN signature in whole blood assessed by using a 4-gene diagnostic test. The blood samples collected were to be used to prospectively identify participants as IFN test-high or test-low. The results of this test were used to stratify participants. An SRI (4) Responder was defined as a participant who had 1) a reduction in baseline SLEDAI-2K disease activity score of >= 4 points; 2) no worsening of disease from baseline as measured by the Physician Global Assessment (MDGA) (worsening was defined as an increase of >= 0.3 from baseline on a 0 to 3.0 visual analog scale); and 3) no new British Isles Lupus Assessment Group 2004 (BILAG-2004) Index A organ system score and no more than one new or worsening BILAG-2004 Index B organ system score. OCS tapering requires a sustained reduction of OCS from Day 85 through Day 169 [less than 10 mg/day and less or equal to the dose received on Day 1]. SRI was analyzed by a logistic regression model. | The mITT population included all randomized participants who received any investigational product and had a baseline primary efficacy measurement. Here, "N" signifies evaluable participants for this outcome measure. | Posted | Number | Percentage of Participants | Day 169 |
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| Secondary | Percentage of Participants Achieving an Systemic Lupus Erythematosus (SLE) Responder Index [SRI (4)] Response With Oral Corticosteroids (OCS) Tapering at Day 365 | An SRI (4) Responder was defined as a participant who had 1) a reduction in baseline SLEDAI-2K disease activity score of >= 4 points; 2) no worsening of disease from baseline as measured by the MDGA (worsening was defined as an increase of >= 0.3 from baseline on a 0 to 3.0 visual analog scale); and 3) no new British Isles Lupus Assessment Group 2004 (BILAG-2004) Index A organ system score and no more than one new or worsening BILAG-2004 Index B organ system score. OCS tapering requires a sustained reduction of OCS from Day 281 through Day 365 (less than 10 mg/day and less or equal to the dose received on Day 1). SRI was analyzed by a logistic regression model. | The mITT population included all randomized participants who received any investigational product and had a baseline primary efficacy measurement. Here, "N" signifies evaluable participants for this outcome measure. | Posted | Number | Percentage of Participants | Day 365 |
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| Secondary | Percentage of Participants on Oral Corticosteroids (OCS) >=10 mg/Day of Prednisone or Equivalent at Baseline Who Were Able to Taper to Less Than or Equal to (<=) 7.5 mg/Day at Day 365 | Participants on OCS >=10 mg/day of prednisone or equivalent at baseline who were able to taper to <= 7.5 mg/day at Day 365 were evaluated. | The mITT population included all randomized participants who received any investigational product and had a baseline primary efficacy measurement. Here, "N" signifies evaluable participants for this outcome measure. | Posted | Number | Percentage of Participants | Day 365 |
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| Secondary | Number of Participants With Treatment-Emergent Adverse Events (TEAEs), Adverse Events of Special Interest (AESIs) and Treatment-Emergent Serious Adverse Events (TESAEs) | An adverse event (AE) was any untoward medical occurrence in a study participant administered a pharmaceutical product and which does not necessarily have a causal relationship with treatment. A serious AE (SAE) was an AE resulting in any of following outcomes or deemed significant for any other reason: death; initial/prolonged inpatient hospitalization; life-threatening experience (immediate risk of dying); persistent or significant disability/incapacity; congenital anomaly (in offspring of participant). AEs may be treatment emergent (TE) [that is, occurring after initial receipt of investigational product] or non-TE. An AESI is one of scientific and medical concern specific to understanding biologics and requires close monitoring and rapid communication by investigator to sponsor. | The safety population included participants who received any investigational product. Here, "N" signifies evaluable participants for this outcome measure. One participant from Placebo group received Anifrolumab 1000 mg once and hence, included it in the Anifrolumab 1000 mg group. | Posted | Number | Participants | Day 1 (Baseline) to Day 422 (End of Study) |
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| Secondary | Number of Participants With Clinically Significant Laboratory Abnormalities in Investigations Reported as Treatment-Emergent Adverse Events | Any medically significant change in laboratory evaluations were recorded as Treatment emergent adverse events. | The safety population included participants who received any investigational product. Here, "N" signifies evaluable participants for this outcome measure. One participant from Placebo group received Anifrolumab 1000 mg once and hence, included it in the Anifrolumab 1000 mg group. | Posted | Number | Participants | Day 1 (Baseline) to Day 422 (End of Study) |
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| Secondary | Number of Participants With Vital Signs Abnormalities Reported as Treatment-Emergent Adverse Events (TEAEs) | Vital sign parameters are temperature, blood pressure, respiratory rate, heart rate and weight. Vital signs abnormalities were reported as TEAEs. | The safety population included participants who received any investigational product. Here, "N" signifies evaluable participants for this outcome measure. One participant from Placebo group received Anifrolumab 1000 mg once and hence, included it in the Anifrolumab 1000 mg group. | Posted | Number | Participants | Day 1 (Baseline) to Day 422 (End of Study) |
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| Secondary | Number of Participants With Electrocardiogram (ECG) Abnormalities Reported as Treatment-Emergent Adverse Events (TEAEs) | Any medically significant changes from the screening ECG was recorded as TEAEs. An abnormal ECG findings such as QT prolonged were reported as treatment emergent adverse events. | The safety population included participants who received any investigational product. Here, "N" signifies evaluable participants for this outcome measure. One participant from Placebo group received Anifrolumab 1000 mg once and hence, included it in the Anifrolumab 1000 mg group. | Posted | Number | Participants | Day 1 (Baseline) to Day 422 (End of Study) |
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| Secondary | Percentage of SLE Participants With Positive Anti-drug Antibody (ADA) | Anti-drug antibody responses to anifrolumab in serum were evaluated. | The safety population included participants who received any investigational product. Here, "N" and "n" signifies evaluable participants for this outcome measure and for specified category of the arms respectively. One participant from Placebo group received Anifrolumab 1000 mg once and hence, included it in Anifrolumab 1000 mg group. | Posted | Number | Percentage of Participants | Days 1, 85, 141, 169, 253, 337 (Treatment Phase), 365, 396, and 422 (Follow-up Period) |
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| Secondary | Neutralization Ratio of 21-Gene Type I Interferon (IFN) Signature for Participants With Positive Baseline Pharmacodynamic (PD) Gene Signature | The PD positive and negative gene signature was determined by comparing the expression of type I IFN-inducible genes in a 21-gene panel in study participants relative to pooled normal blood collected from healthy participants. | The mITT population included all randomized participants who received any investigational product and had a baseline primary efficacy measurement. Here, "N" signifies evaluable participants for this outcome measure and "n" signifies evaluable participants for the specified category of the arms respectively. | Posted | Mean | Standard Deviation | Ratio | Days 29, 85, 141, 169, 253, 337 (treatment phase), on Days 365, 396, and 422 (follow up period) |
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| Secondary | Maximum Observed Plasma Concentration (Cmax) of Anifrolumab at Day 1, 169 and 337 | Maximum plasma concentration (Cmax) was defined as the peak plasma level of anifrolumab, derived from plasma concentration -time data. | The Pharmacokinetic population included all treated participants with at least 1 Pharmacokinetic assessment. Here, "N" signifies evaluable participants for this outcome measure and "n" signifies evaluable participants for the specified category of the arms respectively. | Posted | Mean | Standard Deviation | micrograms/milliliter (mcg/mL) | Pre-infusion and 15 minutes post-infusion on Day 1, 169 and 337 |
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| Secondary | Accumulation Ratio of Maximum Observed Plasma Concentration (Cmax,AR) of Anifrolumab | Accumulation ratio for maximum plasma concentration (Cmax,AR) of anifrolumab after multiple administration at Day 169 and 337 was calculated. | The Pharmacokinetic population included all treated participants with at least 1 Pharmacokinetic assessment. Here, "N" signifies evaluable participants for this outcome measure and "n" signifies evaluable participants for the specified category of the arms respectively. | Posted | Median | Full Range | Ratio | Pre-infusion and 15 minutes post-infusion on Day 169 and 337 |
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| Secondary | Trough Concentration (Ctrough) of Anifrolumab at Day 29, 169 and 365 | Trough concentration (Ctrough) of anifrolumab at Day 29, 169 and 365 were calculated. | The Pharmacokinetic population included all treated participants with at least 1 Pharmacokinetic assessment. Here, "N" signifies evaluable participants for this outcome measure and "n" signifies evaluable participants for the specified category of the arms respectively. | Posted | Mean | Standard Deviation | microgram per milliliter | Pre-infusion and 15 minutes post-infusion on Day 29, 169 and 365 |
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| Secondary | Accumulation Ratio of Trough Concentration (Ctrough,AR) of Anifrolumab at Day 169 and 365 | Accumulation ratio for trough concentration (Ctrough,AR) of anifrolumab after multiple administration at Day 169 and 365 was calculated. | The Pharmacokinetic population included all treated participants with at least 1 Pharmacokinetic assessment. Here, "N" signifies evaluable participants for this outcome measure and "n" signifies evaluable participants for the specified category of the arms respectively. | Posted | Median | Full Range | Ratio | Pre-infusion and 15 minutes post-infusion on Day 169 and 365 |
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Day 1 (Baseline) to Day 422 (End of Study)
1 participant from placebo arm inadvertently received one dose of anifrolumab 1000 milligram (mg).
Not provided
| ID | Title | Description | Deaths (Affected) | Deaths (At Risk) | Serious Events (Affected) | Serious Events (At Risk) | Other Events (Affected) | Other Events (At Risk) |
|---|---|---|---|---|---|---|---|---|
| EG000 | Placebo | Participants received placebo matched to anifrolumab intravenous (IV) infusion every 4 weeks for 48 weeks. | 19 | 101 | 36 | 101 | ||
| EG001 | Anifrolumab 300 mg | Participants received 300 milligram (mg) anifrolumab as an intravenous infusion every 4 weeks for 48 weeks. | 16 | 99 | 40 | 99 | ||
| EG002 | Anifrolumab 1000 mg | Participants received 1000 mg anifrolumab as an intravenous infusion every 4 weeks for 48 weeks. | 18 | 105 | 46 | 105 |
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Cardiac tamponade | Cardiac disorders | MedDRA 18.0 | Systematic Assessment |
| |
| Myocardial infarction | Cardiac disorders | MedDRA 18.0 | Systematic Assessment |
| |
| Myocardial ischaemia | Cardiac disorders | MedDRA 18.0 | Systematic Assessment |
| |
| Vertigo | Ear and labyrinth disorders | MedDRA 18.0 | Systematic Assessment |
| |
| Goitre | Endocrine disorders | MedDRA 18.0 | Systematic Assessment |
| |
| Retinal disorder | Eye disorders | MedDRA 18.0 | Systematic Assessment |
| |
| Abdominal pain | Gastrointestinal disorders | MedDRA 18.0 | Systematic Assessment |
| |
| Colitis | Gastrointestinal disorders | MedDRA 18.0 | Systematic Assessment |
| |
| Pancreatitis | Gastrointestinal disorders | MedDRA 18.0 | Systematic Assessment |
| |
| Vomiting | Gastrointestinal disorders | MedDRA 18.0 | Systematic Assessment |
| |
| Chest pain | General disorders | MedDRA 18.0 | Systematic Assessment |
| |
| Oedema peripheral | General disorders | MedDRA 18.0 | Systematic Assessment |
| |
| Pyrexia | General disorders | MedDRA 18.0 | Systematic Assessment |
| |
| Appendicitis | Infections and infestations | MedDRA 18.0 | Systematic Assessment |
| |
| Cellulitis | Infections and infestations | MedDRA 18.0 | Systematic Assessment |
| |
| Endocarditis | Infections and infestations | MedDRA 18.0 | Systematic Assessment |
| |
| Gastroenteritis | Infections and infestations | MedDRA 18.0 | Systematic Assessment |
| |
| Haematoma infection | Infections and infestations | MedDRA 18.0 | Systematic Assessment |
| |
| Herpes zoster | Infections and infestations | MedDRA 18.0 | Systematic Assessment |
| |
| Influenza | Infections and infestations | MedDRA 18.0 | Systematic Assessment |
| |
| Lobar pneumonia | Infections and infestations | MedDRA 18.0 | Systematic Assessment |
| |
| Meningitis cryptococcal | Infections and infestations | MedDRA 18.0 | Systematic Assessment |
| |
| Peritonitis | Infections and infestations | MedDRA 18.0 | Systematic Assessment |
| |
| Pneumonia | Infections and infestations | MedDRA 18.0 | Systematic Assessment |
| |
| Septic shock | Infections and infestations | MedDRA 18.0 | Systematic Assessment |
| |
| Subcutaneous abscess | Infections and infestations | MedDRA 18.0 | Systematic Assessment |
| |
| Upper respiratory tract infection | Infections and infestations | MedDRA 18.0 | Systematic Assessment |
| |
| Urinary tract infection | Infections and infestations | MedDRA 18.0 | Systematic Assessment |
| |
| Hand fracture | Injury, poisoning and procedural complications | MedDRA 18.0 | Systematic Assessment |
| |
| Systemic lupus erythematosus | Musculoskeletal and connective tissue disorders | MedDRA 18.0 | Systematic Assessment |
| |
| Invasive ductal breast carcinoma | Neoplasms benign, malignant and unspecified (incl cysts and polyps) | MedDRA 18.0 | Systematic Assessment |
| |
| Lung neoplasm malignant | Neoplasms benign, malignant and unspecified (incl cysts and polyps) | MedDRA 18.0 | Systematic Assessment |
| |
| Uterine leiomyoma | Neoplasms benign, malignant and unspecified (incl cysts and polyps) | MedDRA 18.0 | Systematic Assessment |
| |
| Cerebral infarction | Nervous system disorders | MedDRA 18.0 | Systematic Assessment |
| |
| Headache | Nervous system disorders | MedDRA 18.0 | Systematic Assessment |
| |
| Ischaemic stroke | Nervous system disorders | MedDRA 18.0 | Systematic Assessment |
| |
| Migraine | Nervous system disorders | MedDRA 18.0 | Systematic Assessment |
| |
| Myelitis transverse | Nervous system disorders | MedDRA 18.0 | Systematic Assessment |
| |
| Suicide attempt | Psychiatric disorders | MedDRA 18.0 | Systematic Assessment |
| |
| Oedematous kidney | Renal and urinary disorders | MedDRA 18.0 | Systematic Assessment |
| |
| Dyspnoea | Respiratory, thoracic and mediastinal disorders | MedDRA 18.0 | Systematic Assessment |
| |
| Pleural effusion | Respiratory, thoracic and mediastinal disorders | MedDRA 18.0 | Systematic Assessment |
| |
| Pulmonary embolism | Respiratory, thoracic and mediastinal disorders | MedDRA 18.0 | Systematic Assessment |
| |
| Respiratory disorder | Respiratory, thoracic and mediastinal disorders | MedDRA 18.0 | Systematic Assessment |
| |
| Hypertensive emergency | Vascular disorders | MedDRA 18.0 | Systematic Assessment |
| |
| Secondary hypertension | Vascular disorders | MedDRA 18.0 | Systematic Assessment |
| |
| Vasculitis | Vascular disorders | MedDRA 18.0 | Systematic Assessment |
|
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Diarrhoea | Gastrointestinal disorders | MedDRA 18.0 | Systematic Assessment |
| |
| Bronchitis | Infections and infestations | MedDRA 18.0 | Systematic Assessment |
| |
| Nasopharyngitis | Infections and infestations | MedDRA 18.0 | Systematic Assessment |
| |
| Upper respiratory tract infection | Infections and infestations | MedDRA 18.0 | Systematic Assessment |
| |
| Urinary tract infection | Infections and infestations | MedDRA 18.0 | Systematic Assessment |
| |
| Headache | Nervous system disorders | MedDRA 18.0 | Systematic Assessment |
|
MedImmune has 60 days to review results communications prior to public release and may delete information that compromises ongoing studies or is considered proprietary. This restriction is not intended to compromise the objective scientific integrity of the manuscript, it being understood that results shall be published regardless of outcome. The PIs also agree for data to be presented first as a joint, multi-center publication.
| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Gabor Illei, MD, Senior Director | MedImmune, LLC | 301-398-0000 | illeig@Medimmune.com |
| ID | Term |
|---|---|
| D008180 | Lupus Erythematosus, Systemic |
| ID | Term |
|---|---|
| D003240 | Connective Tissue Diseases |
| D017437 | Skin and Connective Tissue Diseases |
| D001327 | Autoimmune Diseases |
| D007154 | Immune System Diseases |
Not provided
Not provided
| ID | Term |
|---|---|
| C582345 | anifrolumab |
Not provided
Not provided
Not provided
| Male |
|
| Asian |
|
| Black or African American |
|
| Native Hawaiian or Other Pacific Islander |
|
| White |
|
| Other |
|
| Multiple category checked |
|
| BULGARIA |
|
| COLOMBIA |
|
| CZECH REPUBLIC |
|
| HUNGARY |
|
| INDIA |
|
| MEXICO |
|
| PERU |
|
| POLAND |
|
| ROMANIA |
|
| SOUTH KOREA |
|
| TAIWAN |
|
| UKRAINE |
|
| UNITED STATES OF AMERICA |
|
| 0.063 |
| Odds Ratio (OR) |
| 1.94 |
| 2-Sided |
| 90 |
| 1.08 |
| 3.49 |
| No |
| Superiority or Other |
Participants received 300 milligram (mg) anifrolumab as an intravenous infusion every 4 weeks for 48 weeks. |
| OG002 | Anifrolumab 1000 mg | Participants received 1000 mg anifrolumab as an intravenous infusion every 4 weeks for 48 weeks. |
|
|
|
| OG002 |
| Anifrolumab 1000 mg |
Participants received 1000 mg anifrolumab as an intravenous infusion every 4 weeks for 48 weeks. |
|
|
| Units | Counts |
|---|
| Participants |
|
|
Participants received 300 milligram (mg) anifrolumab as an intravenous infusion every 4 weeks for 48 weeks.
| OG002 | Anifrolumab 1000 mg | Participants received 1000 mg anifrolumab as an intravenous infusion every 4 weeks for 48 weeks. |
|
|
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|---|
| Participants |
|
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| Units | Counts |
|---|
| Participants |
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| Units | Counts |
|---|---|
| Participants |
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| Units | Counts |
|---|
| Participants |
|
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|
|
|
|
|