A Study of Baricitinib (LY3009104) in Participants With Systemic Lupus Erythematosus (SLE)
A Randomized, Double-Blind, Placebo-Controlled, Parallel- Group, Phase 2 Study of Baricitinib in Patients With Systemic Lupus Erythematosus (SLE)
3 other identifiers
interventional
314
12 countries
84
Brief Summary
The main purpose of this study is to evaluate the efficacy and safety of the study drug known as baricitinib in participants with systemic lupus erythematosus.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for phase_2
Started Mar 2016
84 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
March 10, 2016
CompletedFirst Posted
Study publicly available on registry
March 15, 2016
CompletedStudy Start
First participant enrolled
March 24, 2016
CompletedPrimary Completion
Last participant's last visit for primary outcome
October 12, 2017
CompletedStudy Completion
Last participant's last visit for all outcomes
November 9, 2017
CompletedResults Posted
Study results publicly available
November 21, 2018
CompletedNovember 21, 2018
December 1, 2017
1.6 years
March 10, 2016
September 28, 2018
November 16, 2018
Conditions
Outcome Measures
Primary Outcomes (1)
Percentage of Participants Who Achieve Remission of Arthritis and/or Rash Defined by the Systemic Lupus Erythematosus Disease Activity Index 2000 (SLEDAI-2K)
Participants were defined as responder as follows using SLEDAI-2K definitions of arthritis and rash. If only arthritis is present at baseline, then arthritis must be absent at Week 24 to meet the primary endpoint. If only rash is present at baseline, then rash must be absent at Week 24 to meet the primary endpoint. If both arthritis and rash are present at baseline, then the primary endpoint is met if either arthritis, or rash, or both arthritis and rash are absent at Week 24.
Week 24
Secondary Outcomes (5)
Percentage of Participants Who Achieve SLE Responder Index 4 (SRI-4) Response
Week 24
Change From Baseline in SLEDAI-2K Score
Baseline, Week 24
Change From Baseline in Patient's Global Assessment of Disease Activity
Baseline, Week 24
Population Pharmacokinetics (PK): Area Under the Concentration-Time Curve of Baricitinib at Steady State (AUCτ, ss)
Week (Wk) 0: 15-30 minutes (min) postdose; Wk 4: Predose, 1.5 - 4 hour (hr) postdose; Wk 8: 1 - 3 hr postdose; Wk 16: Predose
Population Pharmacokinetics (PK): Maximum Observed Drug Concentration at Steady State (Cmax,ss)
Week (Wk) 0: 15-30 minutes (min) postdose; Wk 4: Predose, 1.5 - 4 hour (hr) postdose; Wk 8: 1 - 3 hr postdose; Wk 16: Predose
Study Arms (3)
2 mg Baricitinib
EXPERIMENTALParticipants received 2 (milligrams) mg of Baricitinib tablet orally once a day for 24 weeks.
4 mg Baricitinib
EXPERIMENTALParticipants received 4 mg of Baricitinib tablet orally once a day for 24 weeks.
Placebo
PLACEBO COMPARATORParticipants received Placebo orally once daily (QD) for 24 weeks.
Interventions
Eligibility Criteria
You may qualify if:
- Have received a diagnosis of SLE at least 24 weeks prior to screening, meeting the American College of Rheumatology (ACR) 1982 revised criteria OR the 2012 Systemic Lupus Erythematosus International Collaborating Clinics (SLICC) criteria.
- Have a positive antinuclear antibody (ANA) (titer ≥1:80) and/or a positive anti-double-stranded deoxyribonucleic acid (dsDNA) as assessed by a central laboratory at screening.
- Have a SLEDAI-2K score ≥4 based on clinical symptoms (not including lab values) at randomization.
- Have active arthritis and/or active rash as defined by the SLEDAI-2K at randomization.
You may not qualify if:
- Have active severe lupus nephritis.
- Have active severe central nervous system (CNS) lupus.
- Have a history or presence of cardiovascular, respiratory, hepatic, gastrointestinal, endocrine, hematological, neurological, or neuropsychiatric disorders or any other serious and/or unstable illness that, in the opinion of the investigator, could constitute an unacceptable risk when taking investigational product or interfere with the interpretation of data.
- Have a current or recent clinically serious viral, bacterial, fungal, or parasitic infection.
- Are currently receiving oral corticosteroids at doses \>20-milligrams per day of prednisone (or equivalent) or have adjusted the dose of corticosteroids within 2 weeks of planned randomization.
- Have started treatment with or adjusted the dose of nonsteroidal anti-inflammatory drugs (NSAIDs) (for which the NSAID use is intended for treatment of signs and symptoms of SLE) within 4 weeks of planned randomization.
- Have started treatment with or adjusted the dose of an antimalarial within 12 weeks of planned randomization.
- Have started treatment with or adjusted the dose of an immunosuppressant within 12 weeks of planned randomization.
- Have received cyclophosphamide (or any other cytotoxic agent) within 12 weeks prior to screening.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (84)
University of Arizona
Tucson, Arizona, 85724, United States
Wallace Rheumatic Study Center
Beverly Hills, California, 90211, United States
Medvin Clinical Research
Covina, California, 91723, United States
TriWest Research Assocaites
El Cajon, California, 92020, United States
University of California
La Jolla, California, 92037, United States
Desert Medical Advances
Palm Desert, California, 92260, United States
Inlande Rheumatology Clinical Trials
Upland, California, 91786, United States
Denver Arthritis Center
Denver, Colorado, 80230, United States
New Horizon Research Center
Miami, Florida, 33175, United States
West Broward Rheumatology Associates, Inc
Tamarac, Florida, 33321, United States
Clinical Research of West Florida, Inc.
Tampa, Florida, 33603, United States
Kansas City Internal Medicine Research
Overland Park, Kansas, 66209, United States
The Arthritis & Diabetes Clinic Inc.
Monroe, Louisiana, 71203, United States
Louisiana State University Health Sciences Center
Shreveport, Louisiana, 71103, United States
University of Michigan
Ann Arbor, Michigan, 48109, United States
Clayton Medical Research
St Louis, Missouri, 63117, United States
Arthritis Consultants
St Louis, Missouri, 63141, United States
Albuquerque Clinical Trials
Albuquerque, New Mexico, 87102, United States
North Shore University Hospital at Great Neck
Great Neck, New York, 11021, United States
The Ohio State University
Columbus, Ohio, 43203, United States
Paramount Medical Research
Middleburg Heights, Ohio, 44130, United States
Arthritis & Rheumatology Center of Oklahoma PLLC
Oklahoma City, Oklahoma, 73103, United States
Oklahoma Medical Research Foundation
Oklahoma City, Oklahoma, 73104-5046, United States
The Oklahoma Center For Arthritis Therapy
Tulsa, Oklahoma, 74104, United States
East Penn Rheumatology
Bethlehem, Pennsylvania, 18015, United States
Clinical Research Center of Reading, LLC
Wyomissing, Pennsylvania, 19610, United States
Accent Clinical Research Professionals, LLC
Allen, Texas, 75013, United States
For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician.
Ciudad Autonoma de Buenos Aire, C1204AAD, Argentina
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Ciudad Autonoma de Buenos Aire, C1417EYG, Argentina
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San Juan, J5402DIL, Argentina
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San Miguel de Tucumán, T4000AXL, Argentina
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San Miguel de Tucumán, T4000BRD, Argentina
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Graz, 8036, Austria
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Vienna, 1090, Austria
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Vienna, 1130, Austria
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Bordeaux, 33076, France
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Marseille, 13003, France
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Pessac, 33604, France
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Strasbourg, 67098, France
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Asahikawa, 070-8644, Japan
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Chūōku, 104-8560, Japan
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Fukuoka, 810-8563, Japan
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Hamamatsu, 430-8558, Japan
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Itabashi-ku, 173-8610, Japan
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Kawagoe, 350-8550, Japan
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Kita-gun, 761-0793, Japan
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Kitakyushu, 807-8556, Japan
Meguro-kuFor additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician.
Meguro-ku, 153-8515, Japan
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Nagasaki, 852-8501, Japan
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Ōmura, 856-8562, Japan
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Sapporo, 060-8648, Japan
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Sasebo, 857-1195, Japan
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Sendai, 980-8574, Japan
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Guadalajara, 44650, Mexico
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Guadalajara, 44690, Mexico
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Mexico City, 06700, Mexico
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Zapopan, 45030, Mexico
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Bydgoszcz, 85-168, Poland
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Bytom, 41-902, Poland
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Elblag, 82-300, Poland
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Gdansk, 80-546, Poland
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Nadarzyn, 05-830, Poland
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Świdnik, 21-040, Poland
Office: Perez-De Jesus, Amarilis
Caguas, 00725, Puerto Rico
Mindful Medical Research
San Juan, 00918, Puerto Rico
Latin Clinical Trial Center
Santurce, 00909, Puerto Rico
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Brasov, 500283, Romania
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Bucharest, 011172, Romania
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Galati, 800587, Romania
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Târgu Mureş, 540136, Romania
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Gwangju, 61469, South Korea
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Incheon, 22332, South Korea
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Seoul, 02447, South Korea
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Seoul, 03080, South Korea
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Suwon, 16499, South Korea
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Badalona, 08916, Spain
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Barcelona, 08035, Spain
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Madrid, 28007, Spain
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Madrid, 28041, Spain
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Vigo, 36200, Spain
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Kaohsiung City, 83301, Taiwan
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Taichung, 40201, Taiwan
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Taichung, 40447, Taiwan
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Taipei, 10002, Taiwan
Related Publications (4)
Dorner T, Tanaka Y, Dow ER, Koch AE, Silk M, Ross Terres JA, Sims JT, Sun Z, de la Torre I, Petri M. Mechanism of action of baricitinib and identification of biomarkers and key immune pathways in patients with active systemic lupus erythematosus. Ann Rheum Dis. 2022 Aug 11;81(9):1267-1272. doi: 10.1136/annrheumdis-2022-222335.
PMID: 35609978DERIVEDDorner T, van Vollenhoven RF, Doria A, Jia B, Ross Terres JA, Silk ME, de Bono S, Fischer P, Wallace DJ. Baricitinib decreases anti-dsDNA in patients with systemic lupus erythematosus: results from a phase II double-blind, randomized, placebo-controlled trial. Arthritis Res Ther. 2022 May 16;24(1):112. doi: 10.1186/s13075-022-02794-x.
PMID: 35578304DERIVEDHannon 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: 33687069DERIVEDWallace DJ, Furie RA, Tanaka Y, Kalunian KC, Mosca M, Petri MA, Dorner T, Cardiel MH, Bruce IN, Gomez E, Carmack T, DeLozier AM, Janes JM, Linnik MD, de Bono S, Silk ME, Hoffman RW. Baricitinib for systemic lupus erythematosus: a double-blind, randomised, placebo-controlled, phase 2 trial. Lancet. 2018 Jul 21;392(10143):222-231. doi: 10.1016/S0140-6736(18)31363-1.
PMID: 30043749DERIVED
Related Links
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
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 9 AM - 5 PM 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 2
- Allocation
- RANDOMIZED
- Masking
- DOUBLE
- Who Masked
- PARTICIPANT, INVESTIGATOR
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- INDUSTRY
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
March 10, 2016
First Posted
March 15, 2016
Study Start
March 24, 2016
Primary Completion
October 12, 2017
Study Completion
November 9, 2017
Last Updated
November 21, 2018
Results First Posted
November 21, 2018
Record last verified: 2017-12