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Search / Trial NCT04895241

A Study to Learn About the Safety of Litifilimab (BIIB059) Injections and Whether They Can Improve Symptoms of Adult Participants Who Have Systemic Lupus Erythematosus

Launched by BIOGEN · May 17, 2021

Trial Information

Current as of August 22, 2025

Recruiting

Keywords

Lupus Sle Cle

ClinConnect Summary

This clinical trial is looking at a new treatment called litifilimab (BIIB059) to see if it can help improve symptoms in adults with systemic lupus erythematosus (SLE), a condition that causes the immune system to attack healthy tissues. The study will involve participants who are already taking standard medications for lupus and will track how well litifilimab works in reducing their disease activity over a period of 52 weeks. Researchers will measure improvements in symptoms using specific scoring tools and will also assess the safety of the treatment.

To participate, individuals must have a confirmed diagnosis of SLE for at least six months and show signs of active disease. They should be on stable doses of lupus medications like antimalarials or steroids. Participants will receive either litifilimab, a lower dose of it, or a placebo (which looks like the drug but has no active ingredients) through injections every four weeks. Throughout the study, neither the participants nor the researchers will know who is receiving the actual medication versus the placebo. Participants can expect to have regular check-ins over the course of up to 80 weeks to monitor their health and how they respond to the treatment.

Gender

ALL

Eligibility criteria

  • Key Inclusion Criteria:
  • Participant must be diagnosed with systemic lupus erythematosus (SLE) at least 24 weeks prior to screening and must meet the 2019 European League Against Rheumatism (EULAR) / American College of Rheumatology (ACR) classification criteria for SLE at screening by a qualified physician.
  • Participant has a modified Systemic Lupus Erythematosus Disease Activity Index-2000 (SLEDAI-2K) score ≥ 6 (excluding alopecia, fever, lupus-related headache, and organic brain syndrome) at screening (adjudicated).
  • Participant has a modified clinical SLEDAI-2K score ≥ 4 (excluding anti-dsDNA, low complement component 3 (C3) and/or complement component 4 (C4), alopecia, fever, lupus-related headache, and organic brain syndrome) at Screening (adjudicated) and randomization.
  • Participant has BILAG-2004 grade A in ≥ 1 organ system or BILAG-2004 grade B in ≥ 2 organ systems at Screening (adjudicated) and randomization.
  • * Participant must be treated with one of the following background nonbiologic lupus SOC therapies, initiated ≥ 12 weeks prior to Screening and at stable dose ≥ 4 weeks prior to randomization:
  • 1. Antimalarials as stand-alone treatment
  • 2. Antimalarial treatment in combination with OCS and/or a single immunosuppressant
  • 3. Treatment with OCS and/or a single immunosuppressant
  • Key Exclusion Criteria:
  • History of or positive test result for human immunodeficiency virus (HIV).
  • Current hepatitis C infection (defined as positive hepatitis C virus (HCV) antibody and detectable HCV ribonucleic acid \[RNA\]).
  • Current hepatitis B infection (defined as positive for antibody to hepatitis B surface antigen (HBsAg) and/or positive for total hepatitis antibody to B core antigen \[anti-HBc\] with positive reflex HBV DNA).
  • History of severe herpes infection.
  • Presence of uncontrolled or New York Heart Association class III or IV congestive heart failure.
  • Active severe lupus nephritis where, in the opinion of the Investigator, protocol-specified SOC is insufficient and use of a more aggressive therapeutic approach is indicated, such as adding IV cyclophosphamide and/or high-dose IV pulse corticosteroid therapy or other treatments not permitted in the protocol is indicated; or urine protein-creatinine ratio \> 2.0 or severe chronic kidney disease (estimated glomerular filtration rate \< 30 milliliters per minute per 1.73 meter square \[mL/min/1.73 m\^2\]) calculated using the abbreviated modification of diet in renal disease equation.
  • Any active skin conditions other than cutaneous lupus erythematosus (CLE) that may interfere with the study assessment of CLE such as but not limited to psoriasis, dermatomyositis, systemic sclerosis, non-LE skin lupus manifestation or drug-induced lupus.
  • History or current diagnosis of a clinically significant non-SLE-related vasculitis syndrome.
  • Active neuropsychiatric SLE.
  • Use of oral prednisone (or equivalent) above 20 mg/day.
  • Note: Other protocol defined Inclusion/Exclusion criteria may apply.

About Biogen

Biogen is a leading biotechnology company dedicated to discovering, developing, and delivering innovative therapies for neurological and neurodegenerative diseases. With a strong focus on research and development, Biogen leverages advanced science and cutting-edge technology to address the unmet needs of patients suffering from conditions such as multiple sclerosis, Alzheimer's disease, and spinal muscular atrophy. The company is committed to advancing the understanding of the underlying biology of these diseases and is actively engaged in clinical trials to evaluate new treatment options, aiming to improve patient outcomes and enhance quality of life. With a global presence and a robust pipeline of therapies, Biogen is at the forefront of innovation in the biopharmaceutical industry.

Locations

Los Angeles, California, United States

Seattle, Washington, United States

Saint Louis, Missouri, United States

Rochester, New York, United States

Box Hill, Victoria, Australia

Winston Salem, North Carolina, United States

Nashville, Tennessee, United States

Orlando, Florida, United States

Barcelona, , Spain

Nashville, Tennessee, United States

Camperdown, New South Wales, Australia

Santiago, , Chile

Footscray, Victoria, Australia

Los Angeles, California, United States

Orlando, Florida, United States

Manila, , Philippines

Syracuse, New York, United States

Torrance, California, United States

Valencia, , Spain

Santander, Cantabria, Spain

Upland, California, United States

Clearwater, Florida, United States

Charlotte, North Carolina, United States

Athens, , Greece

Santander, Cantabria, Spain

Sevilla, , Spain

Incheon, , Korea, Republic Of

Aventura, Florida, United States

Upland, California, United States

Cebu City, , Philippines

Seoul, , Korea, Republic Of

Plovdiv, , Bulgaria

Sofia, , Bulgaria

Box Hill, Victoria, Australia

Tampa, Florida, United States

Aventura, Florida, United States

Porto Alegre, Rio Grande Do Sul, Brazil

Busan, , Korea, Republic Of

Suwon, , Korea, Republic Of

Brooklyn, New York, United States

Chihuahua, , Mexico

Saint Louis, Missouri, United States

Footscray, Victoria, Australia

Athens, , Greece

Manila, , Philippines

Incheon, , Korea, Republic Of

Davao City, , Philippines

Fort Lauderdale, Florida, United States

Ruse, , Bulgaria

Sevilla, , Spain

Memphis, Tennessee, United States

Webster, Texas, United States

Merida, Yucatán, Mexico

Murdoch, Western Australia, Australia

Bytom, , Poland

Aurora, Colorado, United States

Lublin, , Poland

Greensboro, North Carolina, United States

Colleyville, Texas, United States

Margate, Florida, United States

Belo Horizonte, Minas Gerais, Brazil

Kaohsiung, , Taiwan

Durango, , Mexico

Santiago, , Chile

Houston, Texas, United States

Barcelona, , Spain

Taichung, , Taiwan

Manila, , Philippines

Santiago, , Chile

Durango, , Mexico

Lipa City, , Philippines

Granada, , Spain

Middleburg Heights, Ohio, United States

örebro, , Sweden

Murdoch, Western Australia, Australia

Valencia, , Spain

Fort Lauderdale, Florida, United States

Wroclaw, , Poland

Santiago, , Chile

Bydgoszcz, , Poland

Grand Blanc, Michigan, United States

Charlotte, North Carolina, United States

Guadalajara, Jalisco, Mexico

Tampa, Florida, United States

Suwon, Gyeonggi Do, Korea, Republic Of

Ruse, , Bulgaria

Merida, , Mexico

Sevilla, , Spain

Monterrey, , Mexico

Taoyuan, , Taiwan

Debary, Florida, United States

Incheon, , Korea, Republic Of

Guadalajara, Jalisco, Mexico

Cleveland, Ohio, United States

Monterrey, Nuevo León, Mexico

Beverly Hills, California, United States

Clearwater, Florida, United States

Chihuahua, , Mexico

Lima, , Peru

Busan, , Korea, Republic Of

Debary, Florida, United States

Bytom, , Poland

Houston, Texas, United States

Memphis, Tennessee, United States

Merida, , Mexico

Porto Alegre, Rio Grande Do Sul, Brazil

Sofia, , Bulgaria

Seoul, , Korea, Republic Of

Stafford, Texas, United States

Santiago, , Chile

Mexico, Distrito Federal, Mexico

Lajeado, Rio Grande Do Sul, Brazil

Juiz De Fora, Minas Gerais, Brazil

Cuernavaca, , Mexico

Seoul, , Korea, Republic Of

Fortaleza, Ceará, Brazil

Vitória, Espírito Santo, Brazil

Curitiba, Paraná, Brazil

Porto Alegre, Rio Grande Do Sul, Brazil

Monterrey, Nuevo León, Mexico

Reno, Nevada, United States

Krakow, , Poland

Santiago, , Chile

Warszawa, , Poland

The Woodlands, Texas, United States

Flint, Michigan, United States

São Paulo, Sao Paulo, Brazil

Miami Lakes, Florida, United States

Colleyville, Texas, United States

The Woodlands, Texas, United States

Mexico, Distrito Federal, Mexico

Sofia, , Bulgaria

Krakow, , Poland

Bordeaux, Gironde, France

Montpellier Cedex 5, Herault, France

Granada, , Spain

Moscow, , Russian Federation

Veracruz, , Mexico

Oklahoma City, Oklahoma, United States

Osorno, , Chile

Quenzon City, , Philippines

Guadalajara, Jalisco, Mexico

Margate, Florida, United States

Krakow, , Poland

Santiago, , Chile

Houston, Texas, United States

Hollywood, Florida, United States

Greensboro, North Carolina, United States

Mission Hills, California, United States

Webster, Texas, United States

Plovdiv, , Bulgaria

Seoul, , Korea, Republic Of

Warszawa, , Poland

Viña Del Mar, Valparaíso, Chile

Taoyuan City, Taiwan, China

Athina, , Greece

Benito Juárez, Ciudad De México, Mexico

Kaohsiung City, Niaosong District, Taiwan

Krakow, , Poland

San Diego, California, United States

Seoul, , Korea, Republic Of

Sofia, , Bulgaria

Clermont Ferrand Cedex 1, Puy De Dome, France

Suwon, Gyeonggi Do, Korea, Republic Of

Bialystok, , Poland

Los Lagos, , Chile

Malbork, , Poland

Mansfield, Texas, United States

Lancaster, California, United States

Bydgoszcz, , Poland

Valladolid, Cantabria, Spain

Krakow, , Poland

Merida, Yucatán, Mexico

Valdivia, , Chile

Brooklyn, New York, United States

Sao Jose Rio Preto, Sao Paulo, Brazil

Salvador, Bahia, Brazil

Plovdiv, , Bulgaria

Santiago, , Chile

Montpellier Cedex 5, Herault, France

Clermont Ferrand Cedex 1, Puy De Dome, France

Merida, Yucatán, Mexico

Lima, , Peru

Lima, , Peru

Bialystok, , Poland

örebro, , Sweden

Lublin, , Poland

Ciudad De México, Distrito Federal, Mexico

Cuernavaca, Morelos, Mexico

Nowa Sol, , Poland

Washington, District Of Columbia, United States

Santiago, , Chile

Brasilia, Distrito Federal, Brazil

Coral Springs, Florida, United States

New Hyde Park, New York, United States

Colleyville, Texas, United States

Humble, Texas, United States

Stafford, Texas, United States

Cuiabá, Mato Grosso, Brazil

São Bernardo Do Campo, Sao Paulo, Brazil

Plovdiv, , Bulgaria

Sofia, , Bulgaria

Bordeaux, Gironde, France

Athens, , Greece

Athens, , Greece

Iloilo, , Philippines

Mabalacat, Pampanga, , Philippines

Quezon City, Metro Manila, , Philippines

Bydgoszcz, , Poland

Wroclaw, , Poland

Kemerovo, , Russian Federation

Orenburg, , Russian Federation

Stockholm, , Sweden

Uppasala, , Sweden

Taoyuan County, , Taiwan

Guadalajara, Jalisco, Mexico

Manila, , Philippines

Houston, Texas, United States

Avon Park, Florida, United States

Kennesaw, Georgia, United States

Lima, , Peru

Arequipa, , Peru

Homewood, Alabama, United States

Thousand Oaks, California, United States

Lake Charles, Louisiana, United States

Salisbury, North Carolina, United States

Allen, Texas, United States

Corpus Christi, Texas, United States

Valinhos, Sao Paulo, Brazil

Sao Paulo, , Brazil

Guadalajara, Jalisco, Mexico

Merida, Yucatán, Mexico

Poznan, , Poland

Warszawa, , Poland

Taguig, , Philippines

Tampa, Florida, United States

Marietta, Georgia, United States

Sugar Land, Texas, United States

San Fernando City, La Union, , Philippines

Fortaleza, , Brazil

Curitiba, , Brazil

Monterrey, , Mexico

Vitória, , Brazil

Merida, , Mexico

Patients applied

0 patients applied

Trial Officials

Medical Director

Study Director

Biogen

Timeline

First submit

Trial launched

Trial updated

Estimated completion

Not reported

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