A Study of LY2127399 in Participants With Systemic Lupus Erythematosus
A Phase 3, Multicenter, Randomized, Double-blind, Placebo-Controlled Study to Evaluate the Efficacy and Safety of Subcutaneous LY2127399 in Patients With Systemic Lupus Erythematosus (SLE)
2 other identifiers
interventional
1,124
21 countries
185
Brief Summary
The purpose of this SLE study is to evaluate the efficacy, safety and tolerability of two different doses of LY2127399 administered in addition to standard of care therapy in participants with active SLE.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for phase_3
Started Jan 2011
Typical duration for phase_3
185 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
September 17, 2010
CompletedFirst Posted
Study publicly available on registry
September 20, 2010
CompletedStudy Start
First participant enrolled
January 1, 2011
CompletedPrimary Completion
Last participant's last visit for primary outcome
August 1, 2014
CompletedStudy Completion
Last participant's last visit for all outcomes
March 1, 2015
CompletedResults Posted
Study results publicly available
June 19, 2018
CompletedJuly 17, 2018
June 1, 2018
3.6 years
September 17, 2010
March 24, 2018
June 18, 2018
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Percentage of Participants Achieving an SLE Responder Index Response at Week 52
Percentage of participants with a ≥ 5 point reduction from baseline in SELENA SLEDAI score, and no worsening (increase of \< 0.30 points from baseline) in PGA, and no new BILAG A organ domain score or 2 new BILAG B organ domain scores compared with baseline. SELENA SLEDAI is calculated from 24 individual descriptors across 9 organ systems; 0 indicates inactive disease and the maximum theoretical score is 105; scores \> 20 are rare. PGA is a visual analog scale scored from 0 to 3 (0=none, 1=mild, 2=moderate, 3=severe). BILAG uses a single score for each of the 9 organ domains; range is from severe (A) to no disease (E). Participants who were unable to comply with allowed concomitant medications requirements were considered non-responders, as were participants who dropped out or were missing Week 52 data.
52 weeks
Secondary Outcomes (13)
Percentage of Participants Able to Decrease Dose of Prednisone or Equivalent With No Increase in Disease Activity at Week 52
52 weeks
Change From Baseline to 52 Weeks in Anti-double Stranded Deoxyribonucleic Acid (Anti-dsDNA) Level
Baseline, 52 weeks
Change From Baseline to 52 Week Endpoint in Systemic Lupus Erythematosus Disease Activity Index (SLEDAI2K) Score
Baseline, 52 weeks
Time to First Severe SLE Flare (SFI)
Baseline through 52 weeks
Change From Baseline to 52 Week Endpoint in Physician's Global Assessment (PGA)
Baseline, 52 weeks
- +8 more secondary outcomes
Study Arms (3)
LY2127399 every 2 weeks
EXPERIMENTALLY2127399 every 4 weeks
EXPERIMENTALDuring the Treatment Period, for blinding purposes, participants will alternate injections of LY2127399 and injections of placebo every 2 weeks.
Placebo
PLACEBO COMPARATORInterventions
120mg administered via subcutaneous injection for 52 weeks. 240 mg loading dose will be administered as the first dose of study drug
Administered via subcutaneous injection for 52 weeks. A matching loading dose will also be administered at the first dose.
Administered via subcutaneous injection for 52 weeks.
Eligibility Criteria
You may qualify if:
- Clinical diagnosis of SLE as defined by American College of Rheumatology (ACR) criteria
- Have positive antinuclear antibodies (ANA)
- Agree not to become pregnant throughout the course of the trial
- Have a screening SELENA-SLEDAI score ≥6. (The participant must be actively exhibiting all the symptoms scored on the screening SELENA-SLEDAI on the day of screening.)
You may not qualify if:
- Have active severe Lupus kidney disease
- Have active Central Nervous System or peripheral neurologic disease
- Have received intravenous immunoglobulin (IVIg) within 180 days of randomization
- Have active or recent infection within 30 days of screening
- Have had a serious infection within 90 days of randomization
- Have evidence or test positive for Hepatitis B
- Have Hepatitis C
- Are human immunodeficiency virus (HIV) positive
- Have evidence of active or latent tuberculosis (TB)
- Presence of significant laboratory abnormalities at screening
- Have had a malignancy in the past 5 years, except for cervical carcinoma in-situ or basal cell or squamous epithelial skin cell that were completely resected with no reoccurrence in the 3 yrs prior to randomization
- Have received greater than 40 mgs of prednisone or equivalent in the past 30 days
- Have changed your dose of antimalarial drug in the past 30 days
- Have changed your dose of immunosuppressive drug in the past 90 days
- Have previously received rituximab
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (185)
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Anniston, Alabama, 36207, United States
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Birmingham, Alabama, 35216, United States
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Gilbert, Arizona, 85234, United States
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Scottsdale, Arizona, 85258, United States
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Tempe, Arizona, 85282, United States
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Malvern, Arkansas, 72104, United States
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Covina, California, 91723, United States
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El Cajon, California, 92020, United States
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Escondido, California, 92027, United States
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La Mesa, California, 91941, United States
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Lakewood, California, 90712, United States
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Los Alamitos, California, 90720, United States
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Los Angeles, California, 90095, United States
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Pasadena, California, 91107, United States
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Riverside, California, 92506, United States
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San Diego, California, 92108, United States
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San Gabriel, California, 91776, United States
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Santa Barbara, California, 93108, United States
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Van Nuys, California, 91405, United States
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Westlake Village, California, 91361, United States
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Whittier, California, 90606, United States
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Aurora, Colorado, 80045, United States
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Washington D.C., District of Columbia, 20060, United States
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Aventura, Florida, 33180, United States
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DeBary, Florida, 32713, United States
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Miami, Florida, 33175, United States
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Naples, Florida, 34102, United States
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New Port Richey, Florida, 34652, United States
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Ormond Beach, Florida, 32174, United States
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Pensacola, Florida, 32514, United States
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Pinellas Park, Florida, 33781, United States
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Plantation, Florida, 33324, United States
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South Miami, Florida, 33143, United States
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Tampa, Florida, 33603, United States
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Vero Beach, Florida, 32960, United States
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Atlanta, Georgia, 30303, United States
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Duluth, Georgia, 30096, United States
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Lithonia, Georgia, 30038, United States
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Meridian, Idaho, 83642, United States
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Chicago, Illinois, 60612, United States
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Rockford, Illinois, 61107, United States
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Fort Wayne, Indiana, 46804, United States
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Granger, Indiana, 46530, United States
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Indianapolis, Indiana, 46202, United States
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Monroe, Louisiana, 71203, United States
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Portland, Maine, 04102, United States
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Cumberland, Maryland, 21502, United States
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Saint Clair Shores, Michigan, 48081, United States
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Duluth, Minnesota, 55805, United States
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Hattiesburg, Mississippi, 39402, United States
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St Louis, Missouri, 63117, United States
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Las Vegas, Nevada, 89128, United States
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Nashua, New Hampshire, 03060, United States
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Freehold, New Jersey, 07728, United States
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Voorhees Township, New Jersey, 08043, United States
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Las Cruces, New Mexico, 88011, United States
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Albany, New York, 12206, United States
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Brooklyn, New York, 11201, United States
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Manhasset, New York, 11030, United States
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New York, New York, 10016, United States
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New York, New York, 10021, United States
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Plainview, New York, 11803, United States
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Roslyn, New York, 11576, United States
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Chapel Hill, North Carolina, 27599, United States
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Charlotte, North Carolina, 28204, United States
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Raleigh, North Carolina, 27617, United States
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Rocky Mount, North Carolina, 27804, United States
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Cincinnati, Ohio, 45219, United States
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Cleveland, Ohio, 44109, United States
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Toledo, Ohio, 43606, United States
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Oklahoma City, Oklahoma, 73104, United States
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Duncansville, Pennsylvania, 16635, United States
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Wyomissing, Pennsylvania, 19610, United States
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Charleston, South Carolina, 29425, United States
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Cookeville, Tennessee, 38501, United States
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Knoxville, Tennessee, 37909, United States
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Memphis, Tennessee, 38163, United States
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Nashville, Tennessee, 37203, United States
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Amarillo, Texas, 79124, United States
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Austin, Texas, 78745, United States
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Nassau Bay, Texas, 77058, United States
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Round Rock, Texas, 78665, United States
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San Antonio, Texas, 78232, United States
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Victoria, Texas, 77901, United States
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St Leonards, New South Wales, 2065, Australia
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Cairns, Queensland, 4870, Australia
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Maroochydore, Queensland, 4558, Australia
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Clayton, Victoria, 3168, Australia
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Heidelberg, Victoria, 3081, Australia
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Malvern East, 3145, Australia
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Campinas, 13015-011, Brazil
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Goiânia, 74110-120, Brazil
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Juiz de Fora, 36010-570, Brazil
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Porto Alegre, 91350-200, Brazil
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Salvador, 40050-410, Brazil
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São Paulo, 04039-901, Brazil
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Cuenca, EC010150, Ecuador
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Guayaquil, 90110321, Ecuador
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Quito, 17, Ecuador
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Orléans, 45000, France
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Strasbourg, 67091, France
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Budapest, 1027, Hungary
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Debrecen, 4032, Hungary
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Győr, 9023, Hungary
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Gyula, 5700, Hungary
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Szeged, 6720, Hungary
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Bangalore, 560043, India
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Gujarat, 380015, India
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Haryāna, 122001, India
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Hyderabaad, 500082, India
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Kormangala, 560034, India
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Pune, 411007, India
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Trivandrum, 695011, India
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Haifa, 34362, Israel
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Kfar Saba, 44281, Israel
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Petah Tikva, 49100, Israel
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Tel Litwinsky, 52651, Israel
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Ẕerifin, 70300, Israel
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Riga, LV-1002, Latvia
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Kota Kinabalu, 88586, Malaysia
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Kuala Lumpur, 59100, Malaysia
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Guadalajara, 44650, Mexico
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Mexico City, 06090, Mexico
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Mérida, 97130, Mexico
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San Luis, 78240, Mexico
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San Luis Potosí City, 78200, Mexico
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Tijuana, 22010, Mexico
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Hamilton, 3204, New Zealand
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Otahuhu, 1640, New Zealand
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Takapuna, 622, New Zealand
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Brasov, 500283, Romania
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Bucharest, 020475, Romania
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Cluj-Napoca, 400006, Romania
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Galati, 800587, Romania
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Iași, 700656, Romania
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Târgu Mureş, 540136, Romania
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Chelyabinsk, 454076, Russia
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Kazan', 420097, Russia
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Kemerovo, 650099, Russia
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Moscow, 125101, Russia
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Orenburg, 460018, Russia
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Saint Petersburg, 197089, Russia
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Tomsk, 634063, Russia
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Yaroslavl, 150023, Russia
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Yekaterinburg, 620012, Russia
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Belgrade, 11000, Serbia
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Kragujevac, 34000, Serbia
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Niška Banja, 18205, Serbia
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Novi Sad, 21000, Serbia
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Cape Town, 7925, South Africa
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Durban, 4001, South Africa
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Stellenbosch, 7600, South Africa
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A Coruña, 15006, Spain
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Barcelona, 08035, Spain
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Bilbao, 48013, Spain
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Las Palmas de Gran Canaria, 35010, Spain
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Madrid, 28040, Spain
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Málaga, 29010, Spain
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Santiago de Compostela, 15706, Spain
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Seville, 41071, Spain
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Vigo, 36200, Spain
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Changhua, 500, Taiwan
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Hualien City, 970, Taiwan
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Kaohsiung City, 833, Taiwan
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Taichung, 40201, Taiwan
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Taichung, 40705, Taiwan
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Taipei, 10630, Taiwan
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La Marsa, 2070, Tunisia
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Monastir, 5000, Tunisia
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Sfax, 3029, Tunisia
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Sousse, 4000, Tunisia
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Tunis, 1008, Tunisia
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Tunis Monfleury, 1008, Tunisia
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Cambridge, Cambridgeshire, CB2 0QQ, United Kingdom
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Poole, Dorset, BH15 2JB, United Kingdom
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London, Greater London, E11 1NR, United Kingdom
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Maidstone, Kent, ME16 9QQ, United Kingdom
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Wigan, Lancashire, WN6 0LW, United Kingdom
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London, SE1 7EH, United Kingdom
Related Publications (8)
Vendel AC, Jaroszewski L, Linnik MD, Godzik A. B- and T-Lymphocyte Attenuator in Systemic Lupus Erythematosus Disease Pathogenesis. Clin Pharmacol Ther. 2024 Jul;116(1):247-256. doi: 10.1002/cpt.3282. Epub 2024 Apr 26.
PMID: 38676311DERIVEDToro-Dominguez D, Martorell-Marugan J, Martinez-Bueno M, Lopez-Dominguez R, Carnero-Montoro E, Barturen G, Goldman D, Petri M, Carmona-Saez P, Alarcon-Riquelme ME. Scoring personalized molecular portraits identify Systemic Lupus Erythematosus subtypes and predict individualized drug responses, symptomatology and disease progression. Brief Bioinform. 2022 Sep 20;23(5):bbac332. doi: 10.1093/bib/bbac332.
PMID: 35947992DERIVEDHannon 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.
PMID: 33687069DERIVEDLi Y, Higgs RE, Hoffman RW, Dow ER, Liu X, Petri M, Wallace DJ, Dorner T, Eastwood BJ, Miller BB, Liu Y. A Bayesian gene network reveals insight into the JAK-STAT pathway in systemic lupus erythematosus. PLoS One. 2019 Dec 2;14(12):e0225651. doi: 10.1371/journal.pone.0225651. eCollection 2019.
PMID: 31790472DERIVEDKalunian KC, Urowitz MB, Isenberg D, Merrill JT, Petri M, Furie RA, Morgan-Cox MA, Taha R, Watts S, Silk M, Linnik MD. Clinical trial parameters that influence outcomes in lupus trials that use the systemic lupus erythematosus responder index. Rheumatology (Oxford). 2018 Jan 1;57(1):125-133. doi: 10.1093/rheumatology/kex368.
PMID: 29045736DERIVEDHoffman RW, Merrill JT, Alarcon-Riquelme MM, Petri M, Dow ER, Nantz E, Nisenbaum LK, Schroeder KM, Komocsar WJ, Perumal NB, Linnik MD, Airey DC, Liu Y, Rocha GV, Higgs RE. Gene Expression and Pharmacodynamic Changes in 1,760 Systemic Lupus Erythematosus Patients From Two Phase III Trials of BAFF Blockade With Tabalumab. Arthritis Rheumatol. 2017 Mar;69(3):643-654. doi: 10.1002/art.39950.
PMID: 27723281DERIVEDRovin BH, Dooley MA, Radhakrishnan J, Ginzler EM, Forrester TD, Anderson PW. The impact of tabalumab on the kidney in systemic lupus erythematosus: results from two phase 3 randomized, clinical trials. Lupus. 2016 Dec;25(14):1597-1601. doi: 10.1177/0961203316650734. Epub 2016 May 24.
PMID: 27220348DERIVEDMerrill JT, van Vollenhoven RF, Buyon JP, Furie RA, Stohl W, Morgan-Cox M, Dickson C, Anderson PW, Lee C, Berclaz PY, Dorner T. Efficacy and safety of subcutaneous tabalumab, a monoclonal antibody to B-cell activating factor, in patients with systemic lupus erythematosus: results from ILLUMINATE-2, a 52-week, phase III, multicentre, randomised, double-blind, placebo-controlled study. Ann Rheum Dis. 2016 Feb;75(2):332-40. doi: 10.1136/annrheumdis-2015-207654. Epub 2015 Aug 20.
PMID: 26293163DERIVED
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Limitations and Caveats
Due to product program termination, not all analyses were completed.
Results Point of Contact
- Title
- Chief Medical Officer
- Organization
- Eli Lilly and Company
Study Officials
- STUDY DIRECTOR
Call 1-877-CTLILLY (1-877-285-4559) or 1-317-615-4559 Mon - Fri 9AM - 5PM Eastern time (UTC/GMT -5 hours, EST)
Eli Lilly and Company
Publication Agreements
- PI is Sponsor Employee
- No
- Restriction Type
- GT60
- Restrictive Agreement
- Yes
Study Design
- Study Type
- interventional
- Phase
- phase 3
- Allocation
- RANDOMIZED
- Masking
- QUADRUPLE
- Who Masked
- PARTICIPANT, CARE PROVIDER, INVESTIGATOR, OUTCOMES ASSESSOR
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- INDUSTRY
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
September 17, 2010
First Posted
September 20, 2010
Study Start
January 1, 2011
Primary Completion
August 1, 2014
Study Completion
March 1, 2015
Last Updated
July 17, 2018
Results First Posted
June 19, 2018
Record last verified: 2018-06