Anifrolumab Malignancy and Serious Infections Study
SIMA
A Non-Interventional Multi-Country Post-Authorisation Safety Study (PASS) to Assess the Incidence of Serious Infections & Malignancies in Systemic Lupus Erythematosus (SLE) Patients Exposed to Anifrolumab
1 other identifier
observational
3,195
4 countries
4
Brief Summary
This is an observational study, in which the main research question is to evaluate the risk of malignancies and serious infections among moderate/severe SLE patients who receive anifrolumab compared with a comparable population of moderate/severe SLE patients on standard of care who do not initiate anifrolumab.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for all trials
Started Jan 2026
Longer than P75 for all trials
4 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
Click on a node to explore related trials.
Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
May 22, 2025
CompletedFirst Posted
Study publicly available on registry
June 2, 2025
CompletedStudy Start
First participant enrolled
January 26, 2026
CompletedPrimary Completion
Last participant's last visit for primary outcome
November 30, 2031
ExpectedStudy Completion
Last participant's last visit for all outcomes
November 30, 2031
April 23, 2026
April 1, 2026
5.8 years
May 22, 2025
April 22, 2026
Conditions
Keywords
Outcome Measures
Primary Outcomes (4)
Malignancies
Defined as the first coded diagnosis for hematological malignancies and solid tumors available in the data source
Indexdate to November 2031
Serious infection
Infection leading to hospitalization, use of intravenous antimicrobials or an infection-related death
Indexdate to November 2027
Infections leading to hospitalisation
Infection diagnosis as a part of a hospitalization episode, use of IV antimicrobials, or death, or infection diagnosis in primary or secondary care settings up to 7 days before hospitalization
Index date to November 2027
Infection-related death
Recorded diagnosis of infection in primary or secondary care settings with record of death within the subsequent month
Indexdate to November 2027
Secondary Outcomes (3)
Specific types of malignancies
Indexdate to November 2031
Serious infection components
Indexdate to November 2027
Serious infection types grouped as opportunistic serious infections, other serious infections, pneumonia (overall), fatal and non-fatal pneumonia (separately)
Indexdate to November 2027
Interventions
Eligibility Criteria
Moderate/severe SLE patients who receive anifrolumab compared with a comparable population of moderate/severe SLE patients on standard of care (SOC) who do not initiate anifrolumab.
You may qualify if:
- First prescription of anifrolumab in the study period (no anifrolumab prescription prior to index date): date of first anifrolumab prescription will be the index date
- A minimum data availability of 12 months prior to index date
- Age ≥18 years at index date
- SLE severity: patients with moderate to severe SLE at index date
- SLE activity: patients with at least a flare (uncontrolled SLE) in the 6 months prior to index date
You may not qualify if:
- A diagnosis of any malignancy prior to index date
- A diagnosis of HIV/AIDS or congenital immunodeficiency prior to index date
- Organ or bone marrow transplant procedure prior to index date
- A diagnosis of serious infection in the previous 6 months
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- AstraZenecalead
- IQVIA Pty Ltdcollaborator
Study Sites (4)
Research Site
Copenhagen, 23000, Denmark
Research Site
Charenton-le-Pont, 94220, France
Research Site
Essen, 45128, Germany
Research Site
Barcelona, 08007, Spain
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Central Study Contacts
AstraZeneca Clinical Study Information Center
CONTACT
Study Design
- Study Type
- observational
- Observational Model
- COHORT
- Time Perspective
- RETROSPECTIVE
- Sponsor Type
- INDUSTRY
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
May 22, 2025
First Posted
June 2, 2025
Study Start
January 26, 2026
Primary Completion (Estimated)
November 30, 2031
Study Completion (Estimated)
November 30, 2031
Last Updated
April 23, 2026
Record last verified: 2026-04
Data Sharing
- IPD Sharing
- Will share
- Shared Documents
- STUDY PROTOCOL, SAP
- Time Frame
- AstraZeneca will meet or exceed data availability as per the commitments made to the EFPIA PhRMA Data Sharing Principles. For details of our timelines, please rerefer to our disclosure commitment at https://astrazenecagrouptrials.pharmacm.com/ST/Submission/Disclosure
- Access Criteria
- When a request has been approved AstraZeneca will provide access to the anonymized individual patient-level data via secure research environment Vivli.org. Signed Data Usage Agreement (non-negotiable contract for data accessors) must be in place before accessing requested information.
Qualified researchers can request access to anonymized individual patient-level data from AstraZeneca group of companies sponsored clinical trials via the request portal Vivli.org. All requests will be evaluated as per the AZ disclosure commitment: https://astrazenecagrouptrials.pharmacm.com/ST/Submission/Disclosure. Yes, indicates that AZ are accepting requests for IPD, but this does not mean all requests will be shared.