NCT07424261

Brief Summary

VIOLET is a prospective, single-arm, multi-centre, non-interventional study (NIS) evaluating real-world clinical and patient-reported outcome (PRO) data in adult patients who are initiated on subcutaneous anifrolumab treatment of systemic lupus erythematosus (SLE) in line with the applicable european summary of product characteristics (SmPC) and neither having used anifrolumab subcutaneous (SC) or intravenous (IV) before.

Trial Health

77
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
125

participants targeted

Target at P50-P75 for all trials

Timeline
40mo left

Started Mar 2026

Typical duration for all trials

Geographic Reach
1 country

6 active sites

Status
recruiting

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

Study Progress4%
Mar 2026Aug 2029

First Submitted

Initial submission to the registry

February 13, 2026

Completed
7 days until next milestone

First Posted

Study publicly available on registry

February 20, 2026

Completed
27 days until next milestone

Study Start

First participant enrolled

March 19, 2026

Completed
3.5 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

August 31, 2029

Expected
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

August 31, 2029

Last Updated

April 13, 2026

Status Verified

April 1, 2026

Enrollment Period

3.5 years

First QC Date

February 13, 2026

Last Update Submit

April 10, 2026

Conditions

Keywords

anifrolumab subcutaneousreal-world evidenceremissionfatiguepatient-reported quality of life

Outcome Measures

Primary Outcomes (1)

  • Proportion and number of patients who fulfill criteria for definition of remission in SLE (DORIS remission)

    To assess disease activity at month 24 by evaluating the attainment of DORIS remission following initiation of anifrolumab SC treatment

    At month 24

Secondary Outcomes (21)

  • Proportion and number of patients in DORIS remission

    During routine visits up to 24 months

  • Proportion and number of patients who ever achieved DORIS remission

    During routine visits up to 24 months

  • Time (in months) to first DORIS remission among patients achieving DORIS criteria

    Baseline up to 24 months

  • Time (in months) spent in DORIS remission among patients achieving DORIS criteria

    Up to 24 months

  • Time (in months) spent in sustained DORIS remission if in remission for at least 2 consecutive routine visits among patients achieving DORIS criteria

    Up to 24 months

  • +16 more secondary outcomes

Other Outcomes (1)

  • Safety: Collection of Adverse Events (AE)

    Up to 24 months during routine visits

Eligibility Criteria

Age18 Years - 130 Years
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)
Sampling MethodNon-Probability Sample
Study Population

125 patients ≥18 years of age, who have been diagnosed with systemic lupus erythematosus (SLE) and who are initiated on subcutaneous (SC) anifrolumab therapy independently of the study and in line with the applicable european summary of product characteristics (SmPC) within routine clinical practice neither having used subcutaneous nor intravenous (IV) anifrolumab before will be enrolled. Patients must be willing and able to report PROs. Eligible patients will be enrolled into the study after the after the treating physicians' diagnostic and therapeutic decisions.

You may qualify if:

  • Age ≥18 years at the time of signing the informed consent
  • Diagnosis of SLE
  • Prescription of anifrolumab SC in line with the european summary of product characteristics (SmPC)
  • Prescription of anifrolumab SC was decided prior to and independently of the study
  • Signed and dated written informed consent prior to enrolment into the study
  • Willing and able to participate in all study evaluations and procedures

You may not qualify if:

  • Prior exposure to anifrolumab
  • Treatment with concurrent biologics
  • Current or planned participation in a clinical study that does not constitute routine care
  • Currently experiencing a severe or rapidly progressive Class III or IV glomerulonephritis requiring induction therapy (mycophenolate mofetil \[MMF\]/cyclophosphamide + high dose steroids), isolated Class V lupus nephritis (in absence of other SLE manifestations, i.e. skin/joint involvement), or active severe or unstable neuropsychiatric lupus
  • Conditions (acute or chronic) or events at the time of signing the informed consent that would limit the patient's ability to complete questionnaires or participate in this study over the period of 24 months according to the treating physician (e.g., clinically significant cognitive impairment or dementia, unstable severe psychiatric illness, uncontrolled alcohol or substance use disorder that interferes with adherence to care or other circumstances that preclude completing PROs or attending routine visits)
  • Pregnancy or breast feeding at study enrolment

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (6)

Research Site

Bad Bramstedt, Germany

RECRUITING

Research Site

Berlin, Germany

RECRUITING

Research Site

Heidelberg, Germany

RECRUITING

Research Site

Kassel, Germany

RECRUITING

Research Site

München, Germany

RECRUITING

Research Site

Wuppertal, Germany

RECRUITING

MeSH Terms

Conditions

Lupus Erythematosus, SystemicFatigue

Condition Hierarchy (Ancestors)

Connective Tissue DiseasesSkin and Connective Tissue DiseasesAutoimmune DiseasesImmune System DiseasesSigns and SymptomsPathological Conditions, Signs and Symptoms

Central Study Contacts

AstraZeneca Clinical Study Information Center

CONTACT

Study Design

Study Type
observational
Observational Model
COHORT
Time Perspective
PROSPECTIVE
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR

Study Record Dates

First Submitted

February 13, 2026

First Posted

February 20, 2026

Study Start

March 19, 2026

Primary Completion (Estimated)

August 31, 2029

Study Completion (Estimated)

August 31, 2029

Last Updated

April 13, 2026

Record last verified: 2026-04

Data Sharing

IPD Sharing
Will share

Qualified researchers can request access to anonymized individual patient-level data from AstraZeneca group of companies sponsored clinical trials via the request portal. 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.

Time Frame
AstraZeneca will meet or exceed data availability as per the commitments made to the EFPIA Pharma Data Sharing Principles. For details of our timelines, please refer 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 deidentified individual patient-level data in an approved sponsored tool. Signed Data Sharing Agreement (non-negotiable contract for data accessors) must be in place before accessing requested information. Additionally, all users will need to accept the terms and conditions of the SAS MSE to gain access. For additional details, please review the Disclosure Statements at https://astrazenecagrouptrials.pharmacm.com/ST/Submission/Disclosure
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