A Study to Investigate the Safety and Efficacy of Elsubru... | NCT03978520 | Trialant
NCT03978520
Sponsor
AbbVie
Status
Completed
Last Update Posted
Jul 21, 2023Actual
Enrollment
341Actual
Phase
Phase 2
Conditions
Systemic Lupus Erythematosus (SLE)
Interventions
Elsubrutinib
Placebo for elsubrutinib
Upadacitinib
Placebo for upadacitinib
Countries
United States
Argentina
Australia
Bulgaria
Canada
China
Colombia
France
Germany
Hungary
Italy
Japan
Mexico
Netherlands
New Zealand
Poland
Puerto Rico
South Korea
Spain
Taiwan
United Kingdom
Protocol Section
Identification Module
NCT ID
NCT03978520
Obsolete or Duplicate NCT IDs
Not provided
Organization Study
M19-130
Secondary IDs
ID
Type
Description
Link
2019-000638-20
EudraCT Number
Brief Title
A Study to Investigate the Safety and Efficacy of Elsubrutinib and Upadacitinib Given Alone or in Combination in Participants With Moderately to Severely Active Systemic Lupus Erythematosus (SLE)
Official Title
A Phase 2 Study to Investigate the Safety and Efficacy of Elsubrutinib and Upadacitinib Given Alone or in Combination (ABBV-599 Combination) in Subjects With Moderately to Severely Active Systemic Lupus Erythematosus
Acronym
SLEek
Organization
AbbVieINDUSTRY
Status Module
Record Verification Date
Jun 2023
Overall Recruitment Status or Expanded Access Status
Completed
Last Known Status
Not provided
Delayed Posting
Not provided
Why Stopped
Not provided
Expanded Access Info
No
Start Date
Jul 25, 2019Actual
Primary Completion Date
Jan 19, 2022Actual
Completion Date
Jul 14, 2022Actual
First Submitted Date
Jun 3, 2019
First Submission Date that Met QC Criteria
Jun 5, 2019
First Posted Date
Jun 7, 2019Actual
Results Waived
Not provided
Results First Submitted Date
Jun 27, 2023
Results First Submitted that Met QC Criteria
Jun 27, 2023
Results First Posted Date
Jul 21, 2023Actual
Certification/Extension (aka Delayed Results) First Submitted Date
Dec 19, 2022
Certification/Extension First Submitted that Passed QC Review
Dec 19, 2022
Certification/Extension First Posted Date
Dec 23, 2022Actual
Last Update Submitted Date
Jun 27, 2023
Last Update Posted Date
Jul 21, 2023Actual
Sponsor/Collaborators Module
Responsible Party, by Official Title
Sponsor
Lead Sponsor
AbbVieINDUSTRY
Collaborators
Not provided
Oversight Module
Has Data Monitoring Committee (DMC)
Yes
Is FDA Regulated Drug
Yes
Is FDA Regulated Device
No
Is Unapproved Device
Not provided
Pediatric Postmarket Surveillance of a Device Product
Not provided
Product Exported from US
No
FDAAA801 Violation
Not provided
Description Module
Brief Summary
The main objective of this study was to evaluate the safety and efficacy of elsubrutinib, upadacitinib (UPA), and ABBV-599 (elsubrutinib/upadacitinib) High Dose and Low Dose combinations vs placebo for the treatment of signs and symptoms of Systemic Lupus Erythematosus (SLE) in participants with moderately to severely active SLE and to define doses for further development.
Detailed Description
Not provided
Conditions Module
Conditions
Systemic Lupus Erythematosus (SLE)
Keywords
Systemic Lupus Erythematosus (SLE)
ABBV-105
Upadacitinib
ABBV-599
Elsubrutinib
Design Module
Study Type
Interventional
Number of References to an Expanded Access Study
Not provided
Expanded Access Types
Not provided
Patient Registry
Not provided
Target Follow-Up Duration
Not provided
Phases
Phase 2
Interventional Study Design
Allocation
Biospecimen
No data available
No data is available for this block.
Enrollment
341Actual
Arms/Interventions Module
Arm Groups
Label
Type
Description
Intervention Names
Elsubrutinib placebo/upadacitinib placebo
Placebo Comparator
Placebo capsule for elsubrutinib once a day by mouth for up to 48 weeks; placebo film-coated tablet for upadacitinib once a day by mouth for up to 48 weeks
Drug: Placebo for elsubrutinib
Drug: Placebo for upadacitinib
ABBV-599 High Dose (Elsubrutinib 60 mg/upadacitinib 30 mg)
Experimental
60 mg elsubrutinib capsule once a day by mouth for up to 48 weeks; 30 mg upadacitinib film-coated tablet once a day by mouth for up to 48 weeks
Drug: Elsubrutinib
Drug: Upadacitinib
Elsubrutinib placebo/upadacitinib 30 mg
Experimental
Placebo capsule for elsubrutinib once a day by mouth for up to 48 weeks; 30 mg upadacitinib film-coated tablet once a day by mouth for up to 48 weeks
Percentage of Participants Achieving SLE Responder Index (SRI)-4 and Steroid Dose ≤ 10 mg Prednisone Equivalent Once a Day (QD) at Week 24
SLE Responder Index (SRI)-4 is defined as follows with all criteria compared to Baseline:
≥ 4-point reduction in Systemic Lupus Erythematosus Disease Activity Index 2000 (SLEDAI-2K) score
No worsening of the overall condition (< 0.3 point increase in Physician's Global Assessment [PhGA])
No new British Isles Lupus Assessment Group (BILAG) A or more than 1 new BILAG B disease activity scores (i.e., no organ system changes from baseline B/C/D/E to A and no more than 1 organ system changes from baseline C/D/E to B). A letter score is assigned to each organ system with following indications: A = severe, B = moderate, C = mild, D = inactive with prior history, and E = inactive with no history.
Baseline, Week 24
Secondary Outcomes
Measure
Description
Time Frame
Percentage of Participants Achieving SLE Responder Index (SRI)-4 at Week 24
SLE Responder Index (SRI)-4 is defined as follows with all criteria compared to Baseline:
≥ 4-point reduction in Systemic Lupus Erythematosus Disease Activity Index 2000 (SLEDAI-2K) score
No worsening of the overall condition (< 0.3 point increase in Physician's Global Assessment [PhGA])
No new British Isles Lupus Assessment Group (BILAG) A or more than 1 new BILAG B disease activity scores (i.e., no organ system changes from baseline B/C/D/E to A and no more than 1 organ system changes from baseline C/D/E to B). A letter score is assigned to each organ system with following indications: A = severe, B = moderate, C = mild, D = inactive with prior history, and E = inactive with no history.
Other Outcomes
Not provided
Eligibility Module
Eligibility Criteria
Inclusion Criteria:
Participant has clinical diagnosis of Systemic Lupus Erythematosus (SLE) at least 24 weeks prior to Screening, meeting at least 4 of the 11 revised Criteria for Classification of SLE according to the 1997 Update of the 1982 American College of Rheumatology (ACR) OR meeting at least 4 of the 2012 SLICC classification criteria, including at least 1 clinical criterion and 1 immunologic criterion.
At Screening, must have at least one of the following:
antinuclear antibody (ANA)+ (titer ≥ 1:80)
anti-dsDNA+
anti-Smith+
SLEDAI-2K (SLE Disease Activity Index) ≥ 6 despite background therapy as reported and independently adjudicated (clinical score ≥ 4, excluding lupus headache and/or organic brain syndrome) at Screening:
If 4 points of the required entry points are for arthritis, there must also be a minimum of 3 tender and 3 swollen joints.
If participant has rash and Principal Investigator (PI) considers it to be attributable to SLE, participant must consent to skin photograph collection for adjudication.
Score must be re-confirmed at the Baseline visit.
Physician's Global Assessment (PhGA) ≥ 1 during screening period.
Must be on background treatment, stable for 30 days prior to Baseline and throughout the study with antimalarial(s), prednisone (or prednisone equivalent) (≤ 20 mg), azathioprine (≤ 150 mg), mycophenolate (<2 g), leflunomide (≤ 20 mg), cyclosporine, tacrolimus, and/or methotrexate (MTX) (≤ 20 mg).
No combinations of the above with immunomodulators other than prednisone (or equivalents) and antimalarials.
Exclusion Criteria:
- Participant using intravenous (IV) or intramuscular (IM) corticosteroids greater than or equal to a 40 mg prednisone-equivalent bolus within 30 days of planned randomization.
AbbVie is committed to responsible data sharing regarding the clinical trials we sponsor. This includes access to anonymized, individual and trial-level data (analysis data sets), as well as other information (e.g., protocols, analyses plans, clinical study reports), as long as the trials are not part of an ongoing or planned regulatory submission. This includes requests for clinical trial data for unlicensed products and indications.
Access to this clinical trial data can be requested by any qualified researchers who engage in rigorous independent scientific research, and will be provided following review and approval of a research proposal and statistical analysis plan and execution of a data sharing statement. Data requests can be submitted at any time after approval in the US and/or EU and a primary manuscript is accepted for publication. For more information on the process, or to submit a request, visit the following link https://www.abbvieclinicaltrials.com/hcp/data-sharing/
Full Analysis Set: all randomized participants who received at least 1 dose of study drug
Recruitment Details
Not provided
Type of Units Analyzed
Not provided
Arm/Group Information
ID
Title
Description
FG000
Elsubrutinib Placebo/Upadacitinib Placebo
Placebo capsule for elsubrutinib once a day by mouth for up to 48 weeks; placebo film-coated tablet for upadacitinib once a day by mouth for up to 48 weeks
FG001
ABBV-599 High Dose (Elsubrutinib 60 mg/Upadacitinib 30 mg)
Percentage of Participants Achieving British Isles Lupus Assessment Group (BILAG) Based Combined Lupus Assessment (BICLA) Response at Week 24
BICLA is a composite responder index. Achievement of BICLA response is defined as improvement in all initial A and B BILAG scores, with no more than one new BILAG B score without worsening of the overall condition (no worsening in Physician's Global Assessment [PhGA], < 0.3 point increase) and no worsening of the Systemic Lupus Erythematosus Disease Activity Index 2000 (SLEDAI-2K) score.
Baseline, Week 24
Percentage of Participants Achieving Lupus Low Disease Activity State (LLDAS) at Week 24
LLDAS is a state of low disease activity based on Systemic Lupus Erythematosus Disease Activity Index 2000 score (SLEDAI-2K score ≤4 excluding SLEDAI-2K activity in major organ systems), absence of SLE disease activity in major organ systems and new disease activity, Physician's Global Assessment (PhGA ≤1), and concomitant medication usage (steroid dose ≤7.5 mg QD and toleration of immunosuppressive drugs at standard maintenance doses).
Baseline, Week 24
Change From Baseline in Daily Prednisone Dose at Week 24
Participants' current use of steroid therapy was assessed at each study visit, and the amount of daily prednisone was documented.
From Baseline to Week 24
Number of Flares Per Patient-year by Safety of Estrogens in Lupus Erythematosus National Assessment (SELENA) SLEDAI Flare Index Through Week 24
The SELENA SLEDAI flare index defines mild/moderate or severe SLE flares using the SLEDAI score, definitions of worsening signs and symptoms, treatment changes, and Physician's Global Assessment of Disease Activity.
From Baseline to Week 24
AZ Arthritis and Rheumotology Research, PLLC /ID# 211329
Phoenix
Arizona
85032-9306
United States
AZ Arthritis and Rheumotology Research, PLLC /ID# 214267
Phoenix
Arizona
85032-9306
United States
Arthritis and Rheumatism Associates /ID# 211411
Jonesboro
Arkansas
72401-6251
United States
Wallace Rheumatic Studies Center, LLC /ID# 211600
Beverly Hills
California
90211
United States
Arthritis & Osteo Medical Ctr /ID# 228235
La Palma
California
90623-1728
United States
Valerius Medical Group & Research Center /ID# 211599
Los Alamitos
California
90720-5402
United States
East Bay Rheumatology Medical /ID# 211638
San Leandro
California
94578
United States
The Lundquist Institute at Harbor-UCLA Medical Center /ID# 213402
60 mg elsubrutinib capsule once a day by mouth for up to 24 weeks; 15 mg upadacitinib film-coated tablet once a day by mouth for up to 24 weeks
FG004
Elsubrutinib 60 mg/Upadacitinib Placebo
60 mg elsubrutinib capsule once a day by mouth for up to 24 weeks; placebo film-coated tablet for upadacitinib once a day by mouth for up to 24 weeks
FG00075 subjects
FG00168 subjects
FG00262 subjects
FG00369 subjects
FG00467 subjects
COMPLETED
FG00052 subjects
FG00152 subjects
FG00251 subjects
FG00324 subjects
FG00429 subjects
NOT COMPLETED
FG00023 subjects
FG00116 subjects
FG00211 subjects
FG00345 subjects
FG00438 subjects
Type
Comment
Reasons
Adverse Event
FG0002 subjects
FG0015 subjects
FG0023 subjects
FG0035 subjects
FG0046 subjects
Withdrawal by Subject
FG00010 subjects
FG0014 subjects
FG0025 subjects
FG0036 subjects
FG004
Lost to Follow-up
FG0002 subjects
FG0012 subjects
FG0022 subjects
FG0030 subjects
FG004
COVID-19 infection
FG0000 subjects
FG0011 subjects
FG0020 subjects
FG0030 subjects
FG004
Other, not specified
FG0009 subjects
FG0014 subjects
FG0021 subjects
FG0031 subjects
FG004
Sponsor decision based on interim analysis data review
FG0000 subjects
FG0010 subjects
FG0020 subjects
FG00333 subjects
Full Analysis Set: all randomized participants who received at least 1 dose of study drug
Type of Units Analyzed
Not provided
Arm/Group Information
ID
Title
Description
BG000
Elsubrutinib Placebo/Upadacitinib Placebo
Placebo capsule for elsubrutinib once a day by mouth for up to 48 weeks; placebo film-coated tablet for upadacitinib once a day by mouth for up to 48 weeks
BG001
ABBV-599 High Dose (Elsubrutinib 60 mg/Upadacitinib 30 mg)
60 mg elsubrutinib capsule once a day by mouth for up to 48 weeks; 30 mg upadacitinib film-coated tablet once a day by mouth for up to 48 weeks
BG002
Elsubrutinib Placebo/Upadacitinib 30 mg
Placebo capsule for elsubrutinib once a day by mouth for up to 48 weeks; 30 mg upadacitinib film-coated tablet once a day by mouth for up to 48 weeks
60 mg elsubrutinib capsule once a day by mouth for up to 24 weeks; 15 mg upadacitinib film-coated tablet once a day by mouth for up to 24 weeks
BG004
Elsubrutinib 60 mg/Upadacitinib Placebo
60 mg elsubrutinib capsule once a day by mouth for up to 24 weeks; placebo film-coated tablet for upadacitinib once a day by mouth for up to 24 weeks
BG005
Total
Total of all reporting groups
Denominators
Units
Counts
Participants
BG00075
BG00168
BG00262
BG00369
BG00467
BG005341
Baseline Measures
Title
Description
Population Description
Parameter Type
Dispersion Type
Unit of Measure
Calculate Percentage
Denominator Units Selected
Denominators
Classes
Age, Continuous
Mean
Standard Deviation
years
Title
Denominators
Categories
Title
Measurements
BG00041.7± 12.05
BG00142.7± 11.27
BG00242.5± 11.89
BG003
Sex: Female, Male
Count of Participants
Participants
No
Title
Denominators
Categories
Title
Measurements
Female
BG00075
BG00162
BG002
Race (NIH/OMB)
Count of Participants
Participants
No
Title
Denominators
Categories
Title
Measurements
American Indian or Alaska Native
BG0003
BG0013
BG002
Systemic Lupus Erythematosus Disease Activity Index 2000 (SLEDAI-2K) score
The SLEDAI-2K is a global SLE disease activity index that focuses on high-impact disease manifestations across 9 organ systems. It includes 24 clinical and laboratory variables with manifestations weighted by the affected organ system. Scores range from 0 to 105, with higher scores indicating more severe disease.
Mean
Standard Deviation
units on a scale
Title
Denominators
Categories
Title
Measurements
BG0009.1± 3.88
BG001
Physician's Global Assessment (PhGA) score
Physician's assessment of patient's overall disease activity due to Systemic Lupus Erythematosus (SLE), as compared with all possible participants with SLE. The benchmarks of the visual analog scale are 0, 1, 2, and 3 on the line corresponding to no, mild, moderate, and severe SLE disease activity, respectively.
Mean
Standard Deviation
units on a scale
Title
Denominators
Categories
Title
Measurements
BG0001.75± 0.440
BG001
Daily dose of corticosteroid
Mean
Standard Deviation
mg/day
Title
Denominators
Categories
Title
Measurements
BG0007.937± 7.1270
BG0016.743± 6.3736
BG002
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
Primary
Percentage of Participants Achieving SLE Responder Index (SRI)-4 and Steroid Dose ≤ 10 mg Prednisone Equivalent Once a Day (QD) at Week 24
SLE Responder Index (SRI)-4 is defined as follows with all criteria compared to Baseline:
≥ 4-point reduction in Systemic Lupus Erythematosus Disease Activity Index 2000 (SLEDAI-2K) score
No worsening of the overall condition (< 0.3 point increase in Physician's Global Assessment [PhGA])
No new British Isles Lupus Assessment Group (BILAG) A or more than 1 new BILAG B disease activity scores (i.e., no organ system changes from baseline B/C/D/E to A and no more than 1 organ system changes from baseline C/D/E to B). A letter score is assigned to each organ system with following indications: A = severe, B = moderate, C = mild, D = inactive with prior history, and E = inactive with no history.
Full Analysis Set: all randomized participants who received at least 1 dose of study drug; non-responder imputation incorporating multiple imputation to handle missing data due to COVID-19 (NRI-C). When 50% of planned participants had completed Week 24 or withdrawn from the study, the ABBV-599 Low Dose and elsubrutinib 60 mg treatment groups were terminated as these groups did not meet projected efficacy. Per protocol, terminated groups were removed from the efficacy analyses.
Posted
Number
95% Confidence Interval
percentage of participants
Baseline, Week 24
ID
Title
Description
OG000
Elsubrutinib Placebo/Upadacitinib Placebo
Placebo capsule for elsubrutinib once a day by mouth for up to 48 weeks; placebo film-coated tablet for upadacitinib once a day by mouth for up to 48 weeks
OG001
ABBV-599 High Dose (Elsubrutinib 60 mg/Upadacitinib 30 mg)
60 mg elsubrutinib capsule once a day by mouth for up to 48 weeks; 30 mg upadacitinib film-coated tablet once a day by mouth for up to 48 weeks
OG002
Elsubrutinib Placebo/Upadacitinib 30 mg
Placebo capsule for elsubrutinib once a day by mouth for up to 48 weeks; 30 mg upadacitinib film-coated tablet once a day by mouth for up to 48 weeks
Units
Counts
Participants
OG00075
OG00168
OG00262
Title
Denominators
Categories
Title
Measurements
OG00037.3(26.4 to 48.3)
OG00148.5(36.7 to 60.4)
OG00254.8(42.5 to 67.2)
Group IDs
Group Description
Statistical Method
Statistical Comment
P-Value
P-Value Comment
Parameter Type
Parameter Value
Dispersion Type
Dispersion Value
Confidence Interval Sides
Confidence Interval %
CI Lower Limit
CI Upper Limit
CI Lower Limit Comment
CI Upper Limit Comment
Estimate Comment
Tested Non-Inferiority
Non-Inferiority Type
Non-Inferiority Comment
Other Analysis Description
OG000
OG001
ABBV-599 High Dose (Elsubrutinib 60 mg/upadacitinib 30 mg) vs elsubrutinib placebo/upadacitinib placebo
The difference between the groups was assessed using the Cochran-Mantel-Haenszel (CMH) test, stratified by baseline corticosteroid dose above 10 mg prednisone-equivalent (≤10 mg or > 10 mg), screening SLEDAI-2K (< 10 or ≥10), baseline interferon score (high or low or NA), baseline immunosuppressant (azathioprine, tacrolimus, cyclosporine, methotrexate [MTX], mycophenolate) (yes or no).
Cochran-Mantel-Haenszel
=0.081
Response Rate Difference
12.8
2-Sided
95
-1.6
27.1
Superiority
Secondary
Percentage of Participants Achieving SLE Responder Index (SRI)-4 at Week 24
SLE Responder Index (SRI)-4 is defined as follows with all criteria compared to Baseline:
≥ 4-point reduction in Systemic Lupus Erythematosus Disease Activity Index 2000 (SLEDAI-2K) score
No worsening of the overall condition (< 0.3 point increase in Physician's Global Assessment [PhGA])
No new British Isles Lupus Assessment Group (BILAG) A or more than 1 new BILAG B disease activity scores (i.e., no organ system changes from baseline B/C/D/E to A and no more than 1 organ system changes from baseline C/D/E to B). A letter score is assigned to each organ system with following indications: A = severe, B = moderate, C = mild, D = inactive with prior history, and E = inactive with no history.
Full Analysis Set: all randomized participants who received at least 1 dose of study drug; non-responder imputation incorporating multiple imputation to handle missing data due to COVID-19 (NRI-C). When 50% of planned participants had completed Week 24 or withdrawn from the study, the ABBV-599 Low Dose and elsubrutinib 60 mg treatment groups were terminated as these groups did not meet projected efficacy. Per protocol, terminated groups were removed from the efficacy analyses.
Posted
Number
95% Confidence Interval
percentage of participants
Baseline, Week 24
ID
Title
Description
OG000
Elsubrutinib Placebo/Upadacitinib Placebo
Placebo capsule for elsubrutinib once a day by mouth for up to 48 weeks; placebo film-coated tablet for upadacitinib once a day by mouth for up to 48 weeks
OG001
Secondary
Percentage of Participants Achieving British Isles Lupus Assessment Group (BILAG) Based Combined Lupus Assessment (BICLA) Response at Week 24
BICLA is a composite responder index. Achievement of BICLA response is defined as improvement in all initial A and B BILAG scores, with no more than one new BILAG B score without worsening of the overall condition (no worsening in Physician's Global Assessment [PhGA], < 0.3 point increase) and no worsening of the Systemic Lupus Erythematosus Disease Activity Index 2000 (SLEDAI-2K) score.
Full Analysis Set: all randomized participants who received at least 1 dose of study drug; non-responder imputation incorporating multiple imputation to handle missing data due to COVID-19 (NRI-C). When 50% of planned participants had completed Week 24 or withdrawn from the study, the ABBV-599 Low Dose and elsubrutinib 60 mg treatment groups were terminated as these groups did not meet projected efficacy. Per protocol, terminated groups were removed from the efficacy analyses.
Posted
Number
95% Confidence Interval
percentage of participants
Baseline, Week 24
ID
Title
Description
OG000
Elsubrutinib Placebo/Upadacitinib Placebo
Placebo capsule for elsubrutinib once a day by mouth for up to 48 weeks; placebo film-coated tablet for upadacitinib once a day by mouth for up to 48 weeks
OG001
ABBV-599 High Dose (Elsubrutinib 60 mg/Upadacitinib 30 mg)
60 mg elsubrutinib capsule once a day by mouth for up to 48 weeks; 30 mg upadacitinib film-coated tablet once a day by mouth for up to 48 weeks
Secondary
Percentage of Participants Achieving Lupus Low Disease Activity State (LLDAS) at Week 24
LLDAS is a state of low disease activity based on Systemic Lupus Erythematosus Disease Activity Index 2000 score (SLEDAI-2K score ≤4 excluding SLEDAI-2K activity in major organ systems), absence of SLE disease activity in major organ systems and new disease activity, Physician's Global Assessment (PhGA ≤1), and concomitant medication usage (steroid dose ≤7.5 mg QD and toleration of immunosuppressive drugs at standard maintenance doses).
Full Analysis Set: all randomized participants who received at least 1 dose of study drug; non-responder imputation incorporating multiple imputation to handle missing data due to COVID-19 (NRI-C). When 50% of planned participants had completed Week 24 or withdrawn from the study, the ABBV-599 Low Dose and elsubrutinib 60 mg treatment groups were terminated as these groups did not meet projected efficacy. Per protocol, terminated groups were removed from the efficacy analyses.
Posted
Number
95% Confidence Interval
percentage of participants
Baseline, Week 24
ID
Title
Description
OG000
Elsubrutinib Placebo/Upadacitinib Placebo
Placebo capsule for elsubrutinib once a day by mouth for up to 48 weeks; placebo film-coated tablet for upadacitinib once a day by mouth for up to 48 weeks
OG001
ABBV-599 High Dose (Elsubrutinib 60 mg/Upadacitinib 30 mg)
60 mg elsubrutinib capsule once a day by mouth for up to 48 weeks; 30 mg upadacitinib film-coated tablet once a day by mouth for up to 48 weeks
Secondary
Change From Baseline in Daily Prednisone Dose at Week 24
Participants' current use of steroid therapy was assessed at each study visit, and the amount of daily prednisone was documented.
Full Analysis Set: all randomized participants who received at least 1 dose of study drug with available data; Mixed-Effect Model Repeat Measurement was used. When 50% of planned participants had completed Week 24 or withdrawn from the study, the ABBV-599 Low Dose and elsubrutinib 60 mg treatment groups were terminated as these groups did not meet projected efficacy. Per protocol, terminated groups were removed from the efficacy analyses.
Posted
Least Squares Mean
95% Confidence Interval
mg
From Baseline to Week 24
ID
Title
Description
OG000
Elsubrutinib Placebo/Upadacitinib Placebo
Placebo capsule for elsubrutinib once a day by mouth for up to 48 weeks; placebo film-coated tablet for upadacitinib once a day by mouth for up to 48 weeks
OG001
ABBV-599 High Dose (Elsubrutinib 60 mg/Upadacitinib 30 mg)
60 mg elsubrutinib capsule once a day by mouth for up to 48 weeks; 30 mg upadacitinib film-coated tablet once a day by mouth for up to 48 weeks
OG002
Elsubrutinib Placebo/Upadacitinib 30 mg
Secondary
Number of Flares Per Patient-year by Safety of Estrogens in Lupus Erythematosus National Assessment (SELENA) SLEDAI Flare Index Through Week 24
The SELENA SLEDAI flare index defines mild/moderate or severe SLE flares using the SLEDAI score, definitions of worsening signs and symptoms, treatment changes, and Physician's Global Assessment of Disease Activity.
Full Analysis Set: all randomized participants who received at least 1 dose of study drug with available data; data as observed. When 50% of planned participants had completed Week 24 or withdrawn from the study, the ABBV-599 Low Dose and elsubrutinib 60 mg treatment groups were terminated as these groups did not meet projected efficacy. Per protocol, terminated groups were removed from the efficacy analyses.
Posted
Number
95% Confidence Interval
Events per patient-year
From Baseline to Week 24
ID
Title
Description
OG000
Elsubrutinib Placebo/Upadacitinib Placebo
Placebo capsule for elsubrutinib once a day by mouth for up to 48 weeks; placebo film-coated tablet for upadacitinib once a day by mouth for up to 48 weeks
OG001
ABBV-599 High Dose (Elsubrutinib 60 mg/Upadacitinib 30 mg)
60 mg elsubrutinib capsule once a day by mouth for up to 48 weeks; 30 mg upadacitinib film-coated tablet once a day by mouth for up to 48 weeks
OG002
Time Frame
All-cause mortality is reported from enrollment to end of study; median time on follow-up was 337.0 days, 337.0 days, 338.5 days, 281.0 days, and 295.0 days for the placebo, ABBV-599 High Dose, upadacitinib, ABBV-599 Low Dose, and elsubrutinib groups, respectively.
Description
TEAEs and SAEs were collected from first dose of study drug until 30 days after last dose of study drug; mean time on treatment was 286.1 days, 289.8 days, 297.7 days, 226.4 days, and 228.6 days, for the placebo, ABBV-599 High Dose, upadacitinib, ABBV-599 Low Dose, and elsubrutinib groups, respectively.
All-Cause Mortality Comment
Not provided
Arm/Groups
ID
Title
Description
Deaths (Affected)
Deaths (At Risk)
Serious Events (Affected)
Serious Events (At Risk)
Other Events (Affected)
Other Events (At Risk)
EG000
Elsubrutinib Placebo/Upadacitinib Placebo
Placebo capsule for elsubrutinib once a day by mouth for up to 48 weeks; placebo film-coated tablet for upadacitinib once a day by mouth for up to 48 weeks
0
75
13
75
39
75
EG001
ABBV-599 High Dose (Elsubrutinib 60 mg/Upadacitinib 30 mg)
60 mg elsubrutinib capsule once a day by mouth for up to 48 weeks; 30 mg upadacitinib film-coated tablet once a day by mouth for up to 48 weeks
2
68
7
68
38
68
EG002
Elsubrutinib Placebo/Upadacitinib 30 mg
Placebo capsule for elsubrutinib once a day by mouth for up to 48 weeks; 30 mg upadacitinib film-coated tablet once a day by mouth for up to 48 weeks
60 mg elsubrutinib capsule once a day by mouth for up to 24 weeks; 15 mg upadacitinib film-coated tablet once a day by mouth for up to 24 weeks
0
69
9
69
28
69
EG004
Elsubrutinib 60 mg/Upadacitinib Placebo
60 mg elsubrutinib capsule once a day by mouth for up to 24 weeks; placebo film-coated tablet for upadacitinib once a day by mouth for up to 24 weeks
2
67
7
67
36
67
Serious Adverse Events
Term
Organ System
Source Vocabulary
Assessment Type
Notes
Statistical Information
NEUTROPENIA
Blood and lymphatic system disorders
MedDRA 25.0
Systematic Assessment
EG0000 events0 affected75 at risk
EG0010 events0 affected68 at risk
EG0020 events0 affected62 at risk
EG0031 events1 affected69 at risk
EG0040 events0 affected67 at risk
THROMBOCYTOPENIA
Blood and lymphatic system disorders
MedDRA 25.0
Systematic Assessment
EG0000 events0 affected75 at risk
EG0011 events1 affected68 at risk
EG0020 events0 affected62 at risk
EG003
ACUTE MYOCARDIAL INFARCTION
Cardiac disorders
MedDRA 25.0
Systematic Assessment
EG0001 events1 affected75 at risk
EG0010 events0 affected68 at risk
EG0020 events0 affected62 at risk
EG003
PERICARDIAL EFFUSION
Cardiac disorders
MedDRA 25.0
Systematic Assessment
EG0001 events1 affected75 at risk
EG0010 events0 affected68 at risk
EG0020 events0 affected62 at risk
EG003
STRESS CARDIOMYOPATHY
Cardiac disorders
MedDRA 25.0
Systematic Assessment
EG0000 events0 affected75 at risk
EG0010 events0 affected68 at risk
EG0021 events1 affected62 at risk
EG003
DYSPHAGIA
Gastrointestinal disorders
MedDRA 25.0
Systematic Assessment
EG0000 events0 affected75 at risk
EG0010 events0 affected68 at risk
EG0020 events0 affected62 at risk
EG003
GASTRITIS
Gastrointestinal disorders
MedDRA 25.0
Systematic Assessment
EG0001 events1 affected75 at risk
EG0010 events0 affected68 at risk
EG0020 events0 affected62 at risk
EG003
OESOPHAGITIS
Gastrointestinal disorders
MedDRA 25.0
Systematic Assessment
EG0000 events0 affected75 at risk
EG0010 events0 affected68 at risk
EG0020 events0 affected62 at risk
EG003
ACCIDENTAL DEATH
General disorders
MedDRA 25.0
Systematic Assessment
EG0000 events0 affected75 at risk
EG0010 events0 affected68 at risk
EG0020 events0 affected62 at risk
EG003
ABSCESS LIMB
Infections and infestations
MedDRA 25.0
Systematic Assessment
EG0000 events0 affected75 at risk
EG0010 events0 affected68 at risk
EG0020 events0 affected62 at risk
EG003
COVID-19
Infections and infestations
MedDRA 25.0
Systematic Assessment
EG0001 events1 affected75 at risk
EG0011 events1 affected68 at risk
EG0020 events0 affected62 at risk
EG003
COVID-19 PNEUMONIA
Infections and infestations
MedDRA 25.0
Systematic Assessment
EG0000 events0 affected75 at risk
EG0011 events1 affected68 at risk
EG0021 events1 affected62 at risk
EG003
DISSEMINATED VARICELLA ZOSTER VIRUS INFECTION
Infections and infestations
MedDRA 25.0
Systematic Assessment
EG0000 events0 affected75 at risk
EG0010 events0 affected68 at risk
EG0021 events1 affected62 at risk
EG003
DIVERTICULITIS
Infections and infestations
MedDRA 25.0
Systematic Assessment
EG0000 events0 affected75 at risk
EG0010 events0 affected68 at risk
EG0020 events0 affected62 at risk
EG003
ENDOCARDITIS BACTERIAL
Infections and infestations
MedDRA 25.0
Systematic Assessment
EG0000 events0 affected75 at risk
EG0011 events1 affected68 at risk
EG0020 events0 affected62 at risk
EG003
ESCHERICHIA SEPSIS
Infections and infestations
MedDRA 25.0
Systematic Assessment
EG0001 events1 affected75 at risk
EG0010 events0 affected68 at risk
EG0020 events0 affected62 at risk
EG003
GASTROENTERITIS
Infections and infestations
MedDRA 25.0
Systematic Assessment
EG0000 events0 affected75 at risk
EG0010 events0 affected68 at risk
EG0021 events1 affected62 at risk
EG003
GASTROENTERITIS VIRAL
Infections and infestations
MedDRA 25.0
Systematic Assessment
EG0000 events0 affected75 at risk
EG0010 events0 affected68 at risk
EG0021 events1 affected62 at risk
EG003
HERPES ZOSTER
Infections and infestations
MedDRA 25.0
Systematic Assessment
EG0000 events0 affected75 at risk
EG0011 events1 affected68 at risk
EG0020 events0 affected62 at risk
EG003
MENINGITIS TUBERCULOUS
Infections and infestations
MedDRA 25.0
Systematic Assessment
EG0001 events1 affected75 at risk
EG0010 events0 affected68 at risk
EG0020 events0 affected62 at risk
EG003
MYCOPLASMA INFECTION
Infections and infestations
MedDRA 25.0
Systematic Assessment
EG0000 events0 affected75 at risk
EG0010 events0 affected68 at risk
EG0020 events0 affected62 at risk
EG003
OESOPHAGEAL CANDIDIASIS
Infections and infestations
MedDRA 25.0
Systematic Assessment
EG0000 events0 affected75 at risk
EG0010 events0 affected68 at risk
EG0020 events0 affected62 at risk
EG003
PELVIC ABSCESS
Infections and infestations
MedDRA 25.0
Systematic Assessment
EG0001 events1 affected75 at risk
EG0010 events0 affected68 at risk
EG0020 events0 affected62 at risk
EG003
PNEUMOCYSTIS JIROVECII PNEUMONIA
Infections and infestations
MedDRA 25.0
Systematic Assessment
EG0000 events0 affected75 at risk
EG0010 events0 affected68 at risk
EG0021 events1 affected62 at risk
EG003
PNEUMONIA
Infections and infestations
MedDRA 25.0
Systematic Assessment
EG0000 events0 affected75 at risk
EG0010 events0 affected68 at risk
EG0022 events2 affected62 at risk
EG003
PNEUMONIA FUNGAL
Infections and infestations
MedDRA 25.0
Systematic Assessment
EG0000 events0 affected75 at risk
EG0011 events1 affected68 at risk
EG0020 events0 affected62 at risk
EG003
PNEUMONIA PNEUMOCOCCAL
Infections and infestations
MedDRA 25.0
Systematic Assessment
EG0001 events1 affected75 at risk
EG0010 events0 affected68 at risk
EG0020 events0 affected62 at risk
EG003
PNEUMONIA RESPIRATORY SYNCYTIAL VIRAL
Infections and infestations
MedDRA 25.0
Systematic Assessment
EG0000 events0 affected75 at risk
EG0011 events1 affected68 at risk
EG0020 events0 affected62 at risk
EG003
SEPSIS
Infections and infestations
MedDRA 25.0
Systematic Assessment
EG0000 events0 affected75 at risk
EG0011 events1 affected68 at risk
EG0020 events0 affected62 at risk
EG003
URINARY TRACT INFECTION
Infections and infestations
MedDRA 25.0
Systematic Assessment
EG0001 events1 affected75 at risk
EG0010 events0 affected68 at risk
EG0020 events0 affected62 at risk
EG003
FALL
Injury, poisoning and procedural complications
MedDRA 25.0
Systematic Assessment
EG0001 events1 affected75 at risk
EG0010 events0 affected68 at risk
EG0020 events0 affected62 at risk
EG003
JOINT INJURY
Injury, poisoning and procedural complications
MedDRA 25.0
Systematic Assessment
EG0000 events0 affected75 at risk
EG0010 events0 affected68 at risk
EG0020 events0 affected62 at risk
EG003
TIBIA FRACTURE
Injury, poisoning and procedural complications
MedDRA 25.0
Systematic Assessment
EG0001 events1 affected75 at risk
EG0010 events0 affected68 at risk
EG0020 events0 affected62 at risk
EG003
SYSTEMIC LUPUS ERYTHEMATOSUS DISEASE ACTIVITY INDEX INCREASED
Investigations
MedDRA 25.0
Systematic Assessment
EG0000 events0 affected75 at risk
EG0010 events0 affected68 at risk
EG0020 events0 affected62 at risk
EG003
DIABETES MELLITUS
Metabolism and nutrition disorders
MedDRA 25.0
Systematic Assessment
EG0001 events1 affected75 at risk
EG0010 events0 affected68 at risk
EG0020 events0 affected62 at risk
EG003
OSTEONECROSIS
Musculoskeletal and connective tissue disorders
MedDRA 25.0
Systematic Assessment
EG0000 events0 affected75 at risk
EG0010 events0 affected68 at risk
EG0020 events0 affected62 at risk
EG003
SYSTEMIC LUPUS ERYTHEMATOSUS
Musculoskeletal and connective tissue disorders
MedDRA 25.0
Systematic Assessment
EG0001 events1 affected75 at risk
EG0011 events1 affected68 at risk
EG0021 events1 affected62 at risk
EG003
CENTRAL NERVOUS SYSTEM LUPUS
Nervous system disorders
MedDRA 25.0
Systematic Assessment
EG0000 events0 affected75 at risk
EG0010 events0 affected68 at risk
EG0021 events1 affected62 at risk
EG003
CEREBROVASCULAR ACCIDENT
Nervous system disorders
MedDRA 25.0
Systematic Assessment
EG0000 events0 affected75 at risk
EG0011 events1 affected68 at risk
EG0020 events0 affected62 at risk
EG003
MIGRAINE
Nervous system disorders
MedDRA 25.0
Systematic Assessment
EG0000 events0 affected75 at risk
EG0010 events0 affected68 at risk
EG0021 events1 affected62 at risk
EG003
RUPTURED CEREBRAL ANEURYSM
Nervous system disorders
MedDRA 25.0
Systematic Assessment
EG0000 events0 affected75 at risk
EG0011 events1 affected68 at risk
EG0021 events1 affected62 at risk
EG003
SPINAL CORD COMPRESSION
Nervous system disorders
MedDRA 25.0
Systematic Assessment
EG0000 events0 affected75 at risk
EG0010 events0 affected68 at risk
EG0021 events1 affected62 at risk
EG003
SUBARACHNOID HAEMORRHAGE
Nervous system disorders
MedDRA 25.0
Systematic Assessment
EG0000 events0 affected75 at risk
EG0010 events0 affected68 at risk
EG0021 events1 affected62 at risk
EG003
BIPOLAR DISORDER
Psychiatric disorders
MedDRA 25.0
Systematic Assessment
EG0001 events1 affected75 at risk
EG0010 events0 affected68 at risk
EG0020 events0 affected62 at risk
EG003
ACUTE KIDNEY INJURY
Renal and urinary disorders
MedDRA 25.0
Systematic Assessment
EG0000 events0 affected75 at risk
EG0011 events1 affected68 at risk
EG0020 events0 affected62 at risk
EG003
LUPUS NEPHRITIS
Renal and urinary disorders
MedDRA 25.0
Systematic Assessment
EG0000 events0 affected75 at risk
EG0010 events0 affected68 at risk
EG0021 events1 affected62 at risk
EG003
NEPHROLITHIASIS
Renal and urinary disorders
MedDRA 25.0
Systematic Assessment
EG0000 events0 affected75 at risk
EG0011 events1 affected68 at risk
EG0020 events0 affected62 at risk
EG003
URETEROLITHIASIS
Renal and urinary disorders
MedDRA 25.0
Systematic Assessment
EG0002 events2 affected75 at risk
EG0010 events0 affected68 at risk
EG0020 events0 affected62 at risk
EG003
BREAST MASS
Reproductive system and breast disorders
MedDRA 25.0
Systematic Assessment
EG0000 events0 affected75 at risk
EG0010 events0 affected68 at risk
EG0020 events0 affected62 at risk
EG003
ACUTE RESPIRATORY FAILURE
Respiratory, thoracic and mediastinal disorders
MedDRA 25.0
Systematic Assessment
EG0000 events0 affected75 at risk
EG0011 events1 affected68 at risk
EG0020 events0 affected62 at risk
EG003
EPISTAXIS
Respiratory, thoracic and mediastinal disorders
MedDRA 25.0
Systematic Assessment
EG0000 events0 affected75 at risk
EG0011 events1 affected68 at risk
EG0020 events0 affected62 at risk
EG003
PNEUMONITIS
Respiratory, thoracic and mediastinal disorders
MedDRA 25.0
Systematic Assessment
EG0000 events0 affected75 at risk
EG0011 events1 affected68 at risk
EG0020 events0 affected62 at risk
EG003
ABORTION INDUCED
Surgical and medical procedures
MedDRA 25.0
Systematic Assessment
EG0002 events2 affected75 at risk
EG0010 events0 affected68 at risk
EG0020 events0 affected62 at risk
EG003
HYPERTENSIVE URGENCY
Vascular disorders
MedDRA 25.0
Systematic Assessment
EG0001 events1 affected75 at risk
EG0010 events0 affected68 at risk
EG0020 events0 affected62 at risk
EG003
VENOUS THROMBOSIS LIMB
Vascular disorders
MedDRA 25.0
Systematic Assessment
Clotted peripheral IV catheter in participant's arm
EG0000 events0 affected75 at risk
EG0011 events1 affected68 at risk
EG0020 events0 affected62 at risk
EG003
Other Adverse Events
Term
Organ System
Source Vocabulary
Assessment Type
Notes
Statistical Information
CONSTIPATION
Gastrointestinal disorders
MedDRA 25.0
Systematic Assessment
EG0004 events4 affected75 at risk
EG0011 events1 affected68 at risk
EG0021 events1 affected62 at risk
EG0034 events4 affected69 at risk
EG0041 events1 affected67 at risk
DIARRHOEA
Gastrointestinal disorders
MedDRA 25.0
Systematic Assessment
EG0006 events6 affected75 at risk
EG0014 events3 affected68 at risk
EG0025 events4 affected62 at risk
EG003
GASTRITIS
Gastrointestinal disorders
MedDRA 25.0
Systematic Assessment
EG0000 events0 affected75 at risk
EG0010 events0 affected68 at risk
EG0022 events2 affected62 at risk
EG003
NAUSEA
Gastrointestinal disorders
MedDRA 25.0
Systematic Assessment
EG00011 events6 affected75 at risk
EG0014 events4 affected68 at risk
EG0024 events4 affected62 at risk
EG003
VOMITING
Gastrointestinal disorders
MedDRA 25.0
Systematic Assessment
EG0003 events3 affected75 at risk
EG0013 events2 affected68 at risk
EG0026 events4 affected62 at risk
EG003
FATIGUE
General disorders
MedDRA 25.0
Systematic Assessment
EG0002 events2 affected75 at risk
EG0014 events4 affected68 at risk
EG0020 events0 affected62 at risk
EG003
PYREXIA
General disorders
MedDRA 25.0
Systematic Assessment
EG0006 events6 affected75 at risk
EG0013 events3 affected68 at risk
EG0023 events3 affected62 at risk
EG003
BRONCHITIS
Infections and infestations
MedDRA 25.0
Systematic Assessment
EG0001 events1 affected75 at risk
EG0011 events1 affected68 at risk
EG0024 events4 affected62 at risk
EG003
COVID-19
Infections and infestations
MedDRA 25.0
Systematic Assessment
EG0008 events8 affected75 at risk
EG0013 events3 affected68 at risk
EG0027 events7 affected62 at risk
EG003
HERPES ZOSTER
Infections and infestations
MedDRA 25.0
Systematic Assessment
EG0003 events3 affected75 at risk
EG0017 events7 affected68 at risk
EG0023 events3 affected62 at risk
EG003
NASOPHARYNGITIS
Infections and infestations
MedDRA 25.0
Systematic Assessment
EG0003 events3 affected75 at risk
EG0016 events6 affected68 at risk
EG0021 events1 affected62 at risk
EG003
ORAL HERPES
Infections and infestations
MedDRA 25.0
Systematic Assessment
EG0001 events1 affected75 at risk
EG00111 events5 affected68 at risk
EG0024 events3 affected62 at risk
EG003
UPPER RESPIRATORY TRACT INFECTION
Infections and infestations
MedDRA 25.0
Systematic Assessment
EG00010 events8 affected75 at risk
EG00113 events7 affected68 at risk
EG0026 events5 affected62 at risk
EG003
URINARY TRACT INFECTION
Infections and infestations
MedDRA 25.0
Systematic Assessment
EG00010 events9 affected75 at risk
EG00114 events8 affected68 at risk
EG00215 events11 affected62 at risk
EG003
WEIGHT INCREASED
Investigations
MedDRA 25.0
Systematic Assessment
EG0001 events1 affected75 at risk
EG0018 events4 affected68 at risk
EG0022 events1 affected62 at risk
EG003
ARTHRALGIA
Musculoskeletal and connective tissue disorders
MedDRA 25.0
Systematic Assessment
EG0005 events5 affected75 at risk
EG0013 events3 affected68 at risk
EG0021 events1 affected62 at risk
EG003
BACK PAIN
Musculoskeletal and connective tissue disorders
MedDRA 25.0
Systematic Assessment
EG0005 events4 affected75 at risk
EG0013 events3 affected68 at risk
EG0021 events1 affected62 at risk
EG003
HEADACHE
Nervous system disorders
MedDRA 25.0
Systematic Assessment
EG00013 events9 affected75 at risk
EG0014 events4 affected68 at risk
EG0022 events2 affected62 at risk
EG003
INSOMNIA
Psychiatric disorders
MedDRA 25.0
Systematic Assessment
EG0002 events2 affected75 at risk
EG0012 events2 affected68 at risk
EG0024 events4 affected62 at risk
EG003
ACNE
Skin and subcutaneous tissue disorders
MedDRA 25.0
Systematic Assessment
EG0002 events1 affected75 at risk
EG0014 events4 affected68 at risk
EG0022 events2 affected62 at risk
EG003
Certain Agreements
Are all PI(s) employees of the sponsor?
No
Restriction Type
OTHER
Results Disclosure Restriction on PI(s)?
Yes
Other Details
AbbVie requests that any investigator or institution that plans on presenting/publishing results disclosure, provide written notification of their request 60 days prior to their presentation/publication. AbbVie requests that no presentation/publication will be instituted until 12 months after a study is completed, or after the first presentation/publication whichever occurs first. A delay may be proposed of a presentation/publication if AbbVie needs to secure patent or proprietary protection.
Elsubrutinib placebo/upadacitinib 30 mg vs elsubrutinib placebo/upadacitinib placebo
The difference between the groups was assessed using the Cochran-Mantel-Haenszel (CMH) test, stratified by baseline corticosteroid dose above 10 mg prednisone-equivalent (≤10 mg or > 10 mg), screening SLEDAI-2K (< 10 or ≥10), baseline interferon score (high or low or NA), baseline immunosuppressant (azathioprine, tacrolimus, cyclosporine, methotrexate [MTX], mycophenolate) (yes or no).
Cochran-Mantel-Haenszel
=0.028
Response Rate Difference
16.9
2-Sided
95
1.8
31.9
Superiority
OG001
OG002
ABBV-599 High Dose (Elsubrutinib 60 mg/upadacitinib 30 mg) vs elsubrutinib placebo/upadacitinib 30 mg
The difference between the groups was assessed using the Cochran-Mantel-Haenszel (CMH) test, stratified by baseline corticosteroid dose above 10 mg prednisone-equivalent (≤10 mg or > 10 mg), screening SLEDAI-2K (< 10 or ≥10), baseline interferon score (high or low or NA), baseline immunosuppressant (azathioprine, tacrolimus, cyclosporine, methotrexate [MTX], mycophenolate) (yes or no).
Cochran-Mantel-Haenszel
=0.566
Response Rate Difference
-4.7
2-Sided
95
-20.8
11.4
Superiority
ABBV-599 High Dose (Elsubrutinib 60 mg/Upadacitinib 30 mg)
60 mg elsubrutinib capsule once a day by mouth for up to 48 weeks; 30 mg upadacitinib film-coated tablet once a day by mouth for up to 48 weeks
OG002
Elsubrutinib Placebo/Upadacitinib 30 mg
Placebo capsule for elsubrutinib once a day by mouth for up to 48 weeks; 30 mg upadacitinib film-coated tablet once a day by mouth for up to 48 weeks
Units
Counts
Participants
OG00075
OG00168
OG00262
Title
Denominators
Categories
Title
Measurements
OG00038.7(27.6 to 49.7)
OG00154.4(42.6 to 66.2)
OG00256.5(44.1 to 68.8)
Group IDs
Group Description
Statistical Method
Statistical Comment
P-Value
P-Value Comment
Parameter Type
Parameter Value
Dispersion Type
Dispersion Value
Confidence Interval Sides
Confidence Interval %
CI Lower Limit
CI Upper Limit
CI Lower Limit Comment
CI Upper Limit Comment
Estimate Comment
Tested Non-Inferiority
Non-Inferiority Type
Non-Inferiority Comment
Other Analysis Description
OG000
OG001
ABBV-599 High Dose (Elsubrutinib 60 mg/upadacitinib 30 mg) vs elsubrutinib placebo/upadacitinib placebo
The difference between the groups was assessed using the Cochran-Mantel-Haenszel (CMH) test, stratified by baseline corticosteroid dose above 10 mg prednisone-equivalent (≤10 mg or > 10 mg), screening SLEDAI-2K (< 10 or ≥10), baseline interferon score (high or low or NA), baseline immunosuppressant (azathioprine, tacrolimus, cyclosporine, methotrexate [MTX], mycophenolate) (yes or no).
Cochran-Mantel-Haenszel
=0.013
Response Rate Difference
18.3
2-Sided
95
3.9
32.6
Superiority
OG000
OG002
Elsubrutinib placebo/upadacitinib 30 mg vs elsubrutinib placebo/upadacitinib placebo
The difference between the groups was assessed using the Cochran-Mantel-Haenszel (CMH) test, stratified by baseline corticosteroid dose above 10 mg prednisone-equivalent (≤10 mg or > 10 mg), screening SLEDAI-2K (< 10 or ≥10), baseline interferon score (high or low or NA), baseline immunosuppressant (azathioprine, tacrolimus, cyclosporine, methotrexate [MTX], mycophenolate) (yes or no).
Cochran-Mantel-Haenszel
=0.018
Response Rate Difference
18.1
2-Sided
95
3.0
33.2
Superiority
OG001
OG002
ABBV-599 High Dose (Elsubrutinib 60 mg/upadacitinib 30 mg) vs elsubrutinib placebo/upadacitinib 30 mg
The difference between the groups was assessed using the Cochran-Mantel-Haenszel (CMH) test, stratified by baseline corticosteroid dose above 10 mg prednisone-equivalent (≤10 mg or > 10 mg), screening SLEDAI-2K (< 10 or ≥10), baseline interferon score (high or low or NA), baseline immunosuppressant (azathioprine, tacrolimus, cyclosporine, methotrexate [MTX], mycophenolate) (yes or no).
Cochran-Mantel-Haenszel
=0.882
Response Rate Difference
-1.2
2-Sided
95
-17.6
15.2
Superiority
OG002
Elsubrutinib Placebo/Upadacitinib 30 mg
Placebo capsule for elsubrutinib once a day by mouth for up to 48 weeks; 30 mg upadacitinib film-coated tablet once a day by mouth for up to 48 weeks
Units
Counts
Participants
OG00075
OG00168
OG00262
Title
Denominators
Categories
Title
Measurements
OG00042.7(31.5 to 53.9)
OG00154.4(42.6 to 66.2)
OG00258.1(45.8 to 70.3)
Group IDs
Group Description
Statistical Method
Statistical Comment
P-Value
P-Value Comment
Parameter Type
Parameter Value
Dispersion Type
Dispersion Value
Confidence Interval Sides
Confidence Interval %
CI Lower Limit
CI Upper Limit
CI Lower Limit Comment
CI Upper Limit Comment
Estimate Comment
Tested Non-Inferiority
Non-Inferiority Type
Non-Inferiority Comment
Other Analysis Description
OG000
OG001
ABBV-599 High Dose (Elsubrutinib 60 mg/upadacitinib 30 mg) vs elsubrutinib placebo/upadacitinib placebo
The difference between the groups was assessed using the Cochran-Mantel-Haenszel (CMH) test, stratified by baseline corticosteroid dose above 10 mg prednisone-equivalent (≤10 mg or > 10 mg), screening SLEDAI-2K (< 10 or ≥10), baseline interferon score (high or low or NA), baseline immunosuppressant (azathioprine, tacrolimus, cyclosporine, methotrexate [MTX], mycophenolate) (yes or no).
Cochran-Mantel-Haenszel
=0.049
Response Rate Difference
14.7
2-Sided
95
0.0
29.4
Superiority
OG000
OG002
Elsubrutinib placebo/upadacitinib 30 mg vs elsubrutinib placebo/upadacitinib placebo
The difference between the groups was assessed using the Cochran-Mantel-Haenszel (CMH) test, stratified by baseline corticosteroid dose above 10 mg prednisone-equivalent (≤10 mg or > 10 mg), screening SLEDAI-2K (< 10 or ≥10), baseline interferon score (high or low or NA), baseline immunosuppressant (azathioprine, tacrolimus, cyclosporine, methotrexate [MTX], mycophenolate) (yes or no).
Cochran-Mantel-Haenszel
=0.091
Response Rate Difference
13.9
2-Sided
95
-2.2
30.1
Superiority
OG001
OG002
ABBV-599 High Dose (Elsubrutinib 60 mg/upadacitinib 30 mg) vs Elsubrutinib placebo/upadacitinib 30 mg
The difference between the groups was assessed using the Cochran-Mantel-Haenszel (CMH) test, stratified by baseline corticosteroid dose above 10 mg prednisone-equivalent (≤10 mg or > 10 mg), screening SLEDAI-2K (< 10 or ≥10), baseline interferon score (high or low or NA), baseline immunosuppressant (azathioprine, tacrolimus, cyclosporine, methotrexate [MTX], mycophenolate) (yes or no).
Cochran-Mantel-Haenszel
=0.447
Response Rate Difference
-6.3
2-Sided
95
-22.5
9.9
Superiority
OG002
Elsubrutinib Placebo/Upadacitinib 30 mg
Placebo capsule for elsubrutinib once a day by mouth for up to 48 weeks; 30 mg upadacitinib film-coated tablet once a day by mouth for up to 48 weeks
Units
Counts
Participants
OG00075
OG00168
OG00262
Title
Denominators
Categories
Title
Measurements
OG00013.3(5.6 to 21.0)
OG00130.9(19.9 to 41.9)
OG00245.2(32.8 to 57.5)
Group IDs
Group Description
Statistical Method
Statistical Comment
P-Value
P-Value Comment
Parameter Type
Parameter Value
Dispersion Type
Dispersion Value
Confidence Interval Sides
Confidence Interval %
CI Lower Limit
CI Upper Limit
CI Lower Limit Comment
CI Upper Limit Comment
Estimate Comment
Tested Non-Inferiority
Non-Inferiority Type
Non-Inferiority Comment
Other Analysis Description
OG000
OG001
ABBV-599 High Dose (Elsubrutinib 60 mg/upadacitinib 30 mg) vs elsubrutinib placebo/upadacitinib placebo
The difference between the groups was assessed using the Cochran-Mantel-Haenszel (CMH) test, stratified by baseline corticosteroid dose above 10 mg prednisone-equivalent (≤10 mg or > 10 mg), screening SLEDAI-2K (< 10 or ≥10), baseline interferon score (high or low or NA), baseline immunosuppressant (azathioprine, tacrolimus, cyclosporine, methotrexate [MTX], mycophenolate) (yes or no).
Cochran-Mantel-Haenszel
=0.007
Response Rate Difference
16.7
2-Sided
95
4.5
28.9
Superiority
OG000
OG002
Elsubrutinib placebo/upadacitinib 30 mg vs elsubrutinib placebo/upadacitinib placebo
Cochran-Mantel-Haenszel
<0.001
Response Rate Difference
31.0
2-Sided
95
18.1
44.0
Superiority
OG001
OG002
ABBV-599 High Dose (Elsubrutinib 60 mg/upadacitinib 30 mg) vs elsubrutinib placebo/upadacitinib 30 mg
The difference between the groups was assessed using the Cochran-Mantel-Haenszel (CMH) test, stratified by baseline corticosteroid dose above 10 mg prednisone-equivalent (≤10 mg or > 10 mg), screening SLEDAI-2K (< 10 or ≥10), baseline interferon score (high or low or NA), baseline immunosuppressant (azathioprine, tacrolimus, cyclosporine, methotrexate [MTX], mycophenolate) (yes or no).
Cochran-Mantel-Haenszel
=0.068
Response Rate Difference
-13.7
2-Sided
95
-28.4
1.0
Superiority
Placebo capsule for elsubrutinib once a day by mouth for up to 48 weeks; 30 mg upadacitinib film-coated tablet once a day by mouth for up to 48 weeks
Units
Counts
Participants
OG00056
OG00154
OG00248
Title
Denominators
Categories
Title
Measurements
OG000-0.65(-1.57 to 0.28)
OG001-0.45(-1.38 to 0.48)
OG002-0.62(-1.60 to 0.36)
Group IDs
Group Description
Statistical Method
Statistical Comment
P-Value
P-Value Comment
Parameter Type
Parameter Value
Dispersion Type
Dispersion Value
Confidence Interval Sides
Confidence Interval %
CI Lower Limit
CI Upper Limit
CI Lower Limit Comment
CI Upper Limit Comment
Estimate Comment
Tested Non-Inferiority
Non-Inferiority Type
Non-Inferiority Comment
Other Analysis Description
OG000
OG001
ABBV-599 High Dose (Elsubrutinib 60 mg/upadacitinib 30 mg) vs elsubrutinib placebo/upadacitinib placebo
The Mixed-Effect Model Repeat Measurement model included fixed effects of Tx, visit and Tx-by-visit interaction, stratification factors (Baseline corticosteroid dose > 10 mg prednisone-equivalent (≤ 10 mg or >10 mg), screening SLEDAI-2K (<10 or ≥ 10), baseline interferon score (high/low/NA, baseline immunosuppressant (yes/no)), and continuous fixed covariates of measurements at Baseline.
Mixed-effect model repeat measurement
=0.710
LS Mean Difference
0.20
Standard Error of the Mean
0.527
2-Sided
95
-0.84
1.23
Superiority
OG000
OG002
Elsubrutinib placebo/upadacitinib 30 mg vs elsubrutinib placebo/upadacitinib placebo
The Mixed-Effect Model Repeat Measurement model included fixed effects of Tx, visit and Tx-by-visit interaction, stratification factors (Baseline corticosteroid dose > 10 mg prednisone-equivalent (≤ 10 mg or >10 mg), screening SLEDAI-2K (<10 or ≥ 10), baseline interferon score (high/low/NA, baseline immunosuppressant (yes/no)), and continuous fixed covariates of measurements at Baseline.
Mixed-effect model repeat measurement
=0.963
LS Mean Difference
0.03
Standard Error of the Mean
0.545
2-Sided
95
-1.05
1.10
Superiority
OG001
OG002
ABBV-599 High Dose (Elsubrutinib 60 mg/upadacitinib 30 mg) vs elsubrutinib placebo/upadacitinib 30 mg
The Mixed-Effect Model Repeat Measurement model included fixed effects of Tx, visit and Tx-by-visit interaction, stratification factors (Baseline corticosteroid dose > 10 mg prednisone-equivalent (≤ 10 mg or >10 mg), screening SLEDAI-2K (<10 or ≥ 10), baseline interferon score (high/low/NA, baseline immunosuppressant (yes/no)), and continuous fixed covariates of measurements at Baseline.
Mixed-effect model repeat measurement
=0.754
LS Mean Difference
0.17
Standard Error of the Mean
0.547
2-Sided
95
-0.90
1.25
Superiority
Elsubrutinib Placebo/Upadacitinib 30 mg
Placebo capsule for elsubrutinib once a day by mouth for up to 48 weeks; 30 mg upadacitinib film-coated tablet once a day by mouth for up to 48 weeks
Units
Counts
Participants
OG00075
OG00168
OG00262
Title
Denominators
Categories
Mild/Moderate
Title
Measurements
OG0002.45(1.92 to 2.99)
OG0011.39(0.97 to 1.81)
OG0021.76(1.28 to 2.25)
Severe
Title
Measurements
OG0000.36(0.16 to 0.56)
OG0010.26(0.08 to 0.44)
OG0020.10(-0.01 to 0.22)
Overall
Title
Measurements
OG0002.81(2.24 to 3.38)
OG0011.65(1.20 to 2.10)
OG0021.87(1.37 to 2.36)
Group IDs
Group Description
Statistical Method
Statistical Comment
P-Value
P-Value Comment
Parameter Type
Parameter Value
Dispersion Type
Dispersion Value
Confidence Interval Sides
Confidence Interval %
CI Lower Limit
CI Upper Limit
CI Lower Limit Comment
CI Upper Limit Comment
Estimate Comment
Tested Non-Inferiority
Non-Inferiority Type
Non-Inferiority Comment
Other Analysis Description
OG000
OG001
Mild/Moderate
ABBV-599 High Dose (Elsubrutinib 60 mg/upadacitinib 30 mg) vs Elsubrutinib placebo/upadacitinib placebo
A negative binomial regression model was used to assess treatment effect with treatment, visit, and stratification factors as covariates.
Binomial regression
=0.002
Rate difference
-1.06
2-Sided
95
-1.74
-0.39
Superiority
OG000
OG002
Mild/Moderate
Elsubrutinib placebo/upadacitinib 30 mg vs elsubrutinib placebo/upadacitinib placebo
A negative binomial regression model was used to assess treatment effect with treatment, visit, and stratification factors as covariates.
Binomial regression
=0.059
Rate Difference
-0.69
2-Sided
95
-1.41
0.03
Superiority
OG001
OG002
Mild/Moderate
ABBV-599 High Dose (Elsubrutinib 60 mg/upadacitinib 30 mg) vs elsubrutinib placebo/upadacitinib 30 mg
A negative binomial regression model was used to assess treatment effect with treatment, visit, and stratification factors as covariates.
Binomial regression
=0.252
Rate Difference
-0.37
2-Sided
95
-1.01
0.27
Superiority
OG000
OG001
Severe
ABBV-599 High Dose (Elsubrutinib 60 mg/upadacitinib 30 mg) vs elsubrutinib placebo/upadacitinib placebo
A negative binomial regression model was used to assess treatment effect with treatment, visit, and stratification factors as covariates.
Binomial regression
=0.467
Rate Difference
-0.10
2-Sided
95
-0.37
0.17
Superiority
OG000
OG002
Severe
Elsubrutinib placebo/upadacitinib 30 mg vs elsubrutinib placebo/upadacitinib placebo
A negative binomial regression model was used to assess treatment effect with treatment, visit, and stratification factors as covariates.
Binomial regression
=0.033
Rate Difference
-0.26
2-Sided
95
-0.49
-0.02
Superiority
OG001
OG002
Severe
ABBV-599 High Dose (Elsubrutinib 60 mg/upadacitinib 30 mg) vs elsubrutinib placebo/upadacitinib 30 mg
A negative binomial regression model was used to assess treatment effect with treatment, visit, and stratification factors as covariates.
Binomial regression
=0.156
Rate Difference
0.15
2-Sided
95
-0.06
0.37
Superiority
OG000
OG001
Overall
ABBV-599 High Dose (Elsubrutinib 60 mg/upadacitinib 30 mg) vs elsubrutinib placebo/upadacitinib placebo
A negative binomial regression model was used to assess treatment effect with treatment, visit, and stratification factors as covariates.
Binomial regression
=0.002
Rate Difference
-1.16
2-Sided
95
-1.89
-0.44
Superiority
OG000
OG002
Overall
Elsubrutinib placebo/upadacitinib 30 mg vs elsubrutinib placebo/upadacitinib placebo
A negative binomial regression model was used to assess treatment effect with treatment, visit, and stratification factors as covariates.
Binomial regression
=0.014
Rate Difference
-0.95
2-Sided
95
-1.70
-0.19
Superiority
OG001
OG002
Overall
ABBV-599 High Dose (Elsubrutinib 60 mg/upadacitinib 30 mg) vs elsubrutinib placebo/upadacitinib 30 mg
A negative binomial regression model was used to assess treatment effect with treatment, visit, and stratification factors as covariates.