A Phase 3 interventional study of Placebo and Belimumab 1 mg/kg in Systemic Lupus Erythematosus, sponsored by Human Genome Sciences Inc.. Completed at 146 sites in 19 countries. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2017-02-01.
Sponsored by Human Genome Sciences Inc. · Phase 3, Interventional, and Treatment
The purpose of this study is to evaluate the efficacy, safety, tolerability, and impact on quality of life of two different doses of belimumab administered in addition to standard therapy in subjects with active, autoantibody-positive systemic lupus erythematosus (SLE) disease.
1,202 studies on the registry are indexed under Lupus Erythematosus, Systemic; 399 are open to participants now.
This study's enrollment of 819 is above the median of 50 across 867 interventional studies indexed under Lupus Erythematosus, Systemic.
Browse Lupus Erythematosus, Systemic studies →Human Genome Sciences Inc. is the lead sponsor of 23 studies on the registry; none are open to participants now.
Counted across the registry records on this site, refreshed daily.
Key Inclusion Criteria:
Key Exclusion Criteria:
Placebo
Drug: Placebo
Belimumab 1 mg/kg
Drug: Belimumab 1 mg/kg
Belimumab 10 mg/kg
Drug: Belimumab 10 mg/kg
Placebo IV plus standard therapy; placebo administered on Days 0, 14, 28, and every 28 days thereafter through 72 weeks.
Belimumab 1 mg/kg IV plus standard therapy; belimumab 1 mg/kg administered on Days 0, 14, 28, and every 28 days thereafter through 72 weeks.
Also known as: LymphoStat-B™, belimumab
Belimumab 10 mg/kg IV plus standard therapy; belimumab 10 mg/kg administered on Days 0, 14, 28, and every 28 days thereafter through 72 weeks.
Also known as: LymphoStat-B™, belimumab
SLE Responder Index (SRI) Response Rate at Week 52
Percentage of subjects with a ≥ 4 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; 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 (1=mild, 2=moderate, 3=severe). BILAG uses a single score for each of the 8 organ domains; range is from severe to no disease (A to E).
Time frame: Baseline, 52 Weeks
SRI Response Rate at Week 76
Percentage of subjects with a ≥ 4 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; 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 (1=mild, 2=moderate, 3=severe). BILAG uses a single score for each of the 8 organ domains; range is from severe to no disease (A to E).
Time frame: Baseline, 76 Weeks
Percent of Subjects With a ≥ 4 Point Reduction From Baseline in SELENA SLEDAI Score at Week 52.
Time frame: Baseline, 52 Weeks
Mean Change in Physician's Global Assessment (PGA) at Week 24.
The PGA is a visual analog scale scored from 0 to 3. A score of 1 corresponds to mild lupus disease activity. A score of 2 correlates with moderate disease activity and a score of 3 with severe disease activity.
Time frame: Baseline, 24 Weeks
Mean Change From Baseline in Medical Outcomes 36-Item Short Form Health Survey (SF-36) Physical Component Summary Score (PCS) at Week 24.
The SF-36 is a generic health related quality of life (HRQOL) measurement. The survey includes 36 questions grouped to 8 domains and 2 summary measures (physical and mental health component, PCS and MCS, respectively) assessing HRQOL. Responses are scored according to the SF-36v2™ manual. A score is calculated for each SF-36 domain based on the patient's response to each question within it. This is then transformed to a scale ranging from 0 (worst) to 100 (best) points. The PCS is norm-based where the mean=50 and standard deviation (SD)=10. Higher scores represent better physical health.
Time frame: Baseline, 24 Weeks
Percent of Subjects Whose Average Prednisone Dose Has Been Reduced by ≥ 25% From Baseline to ≤ 7.5 mg/Day During Weeks 40 Through 52
Time frame: Baseline, Weeks 40-52
Adverse Event (AE) Overview
SEE ALSO ADVERSE EVENT RESULTS SECTION
Time frame: Up to 80 Weeks
| Milestone | Placebo | Belimumab 1 mg/kg | Belimumab 10 mg/kg |
|---|---|---|---|
| Started | 275 | 271 | 273 |
| Completed | 186 | 199 | 191 |
| Not completed | 89 | 72 | 82 |
| Withdrew: Withdrawal by subject | 28 | 17 | 20 |
| Withdrew: Adverse event | 23 | 18 | 23 |
| Withdrew: Lack of efficacy | 20 | 12 | 17 |
| Withdrew: Lack of compliance | 2 | 2 | 2 |
| Withdrew: Lost to follow-up | 4 | 6 | 6 |
| Withdrew: Protocol violation | 6 | 6 | 6 |
| Withdrew: Physician decision | 3 | 3 | 4 |
| Withdrew: Other | 3 | 8 | 4 |
Percentage of subjects with a ≥ 4 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; 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 (1=mild, 2=moderate, 3=severe). BILAG uses a single score for each of the 8 organ domains; range is from severe to no disease (A to E).
| Percentage of participants | Placebo | Belimumab 1 mg/kg | Belimumab 10 mg/kg |
|---|---|---|---|
| SLE Responder Index (SRI) Response Rate at Week 52 | 33.5 | 40.6 | 43.2 |
Percentage of subjects with a ≥ 4 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; 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 (1=mild, 2=moderate, 3=severe). BILAG uses a single score for each of the 8 organ domains; range is from severe to no disease (A to E).
| Percentage of participants | Placebo | Belimumab 1 mg/kg | Belimumab 10 mg/kg |
|---|---|---|---|
| SRI Response Rate at Week 76 | 32.4 | 39.1 | 38.5 |
| Percentage of participants | Placebo | Belimumab 1 mg/kg | Belimumab 10 mg/kg |
|---|---|---|---|
| Percent of Subjects With a ≥ 4 Point Reduction From Baseline in SELENA SLEDAI Score at Week 52. | 35.3 | 42.8 | 46.5 |
The PGA is a visual analog scale scored from 0 to 3. A score of 1 corresponds to mild lupus disease activity. A score of 2 correlates with moderate disease activity and a score of 3 with severe disease activity.
| Scores on a 3-point scale | Placebo | Belimumab 1 mg/kg | Belimumab 10 mg/kg |
|---|---|---|---|
| Mean Change in Physician's Global Assessment (PGA) at Week 24. | -0.49 ± 0.04 | -0.47 ± 0.04 | -0.44 ± 0.03 |
The SF-36 is a generic health related quality of life (HRQOL) measurement. The survey includes 36 questions grouped to 8 domains and 2 summary measures (physical and mental health component, PCS and MCS, respectively) assessing HRQOL. Responses are scored according to the SF-36v2™ manual. A score is calculated for each SF-36 domain based on the patient's response to each question within it. This is then transformed to a scale ranging from 0 (worst) to 100 (best) points. The PCS is norm-based where the mean=50 and standard deviation (SD)=10. Higher scores represent better physical health.
| Scores on a scale | Placebo | Belimumab 1 mg/kg | Belimumab 10 mg/kg |
|---|---|---|---|
| Mean Change From Baseline in Medical Outcomes 36-Item Short Form Health Survey (SF-36) Physical Component Summary Score (PCS) at Week 24. | 3.35 ± 0.51 | 3.78 ± 0.46 | 3.21 ± 0.43 |
| Percentage of participants | Placebo | Belimumab 1 mg/kg | Belimumab 10 mg/kg |
|---|---|---|---|
| Percent of Subjects Whose Average Prednisone Dose Has Been Reduced by ≥ 25% From Baseline to ≤ 7.5 mg/Day During Weeks 40 Through 52 | 12.7 (0.78 to —) | 19.2 | 17.5 |
SEE ALSO ADVERSE EVENT RESULTS SECTION
| Percentage of participants | Placebo | Belimumab 1 mg/kg | Belimumab 10 mg/kg |
|---|---|---|---|
| Percent of patients with at least 1 AE | 92.0 | 93.4 | 92.7 |
| Percent of patients with at least 1 Serious AE | 19.6 | 23.2 | 22.3 |
| Percent of patients with an AE resulting in death | 0.0 | 0.7 | 0.4 |
Collected over Up to 80 weeks. Non-serious events are listed at a 5% frequency threshold.
| Group | Deaths | Serious | Other |
|---|---|---|---|
| Placebo | — | 54/275 (19.6%) | 213/275 (77.5%) |
| Belimumab 1 mg/kg | — | 63/271 (23.2%) | 217/271 (80.1%) |
| Belimumab 10 mg/kg | — | 61/273 (22.3%) | 219/273 (80.2%) |
| Event | Placebo | Belimumab 1 mg/kg | Belimumab 10 mg/kg |
|---|---|---|---|
| PneumoniaInfections and infestations | 4/275 | 3/271 | 5/273 |
| Lupus nephritisRenal and urinary disorders | 5/275 | 2/271 | 3/273 |
| AnaemiaBlood and lymphatic system disorders | 2/275 | 2/271 | 4/273 |
| PyrexiaGeneral disorders | 2/275 | 1/271 | 4/273 |
| Non-cardiac chest painGeneral disorders | 4/275 | 0/271 | 0/273 |
| Abdominal painGastrointestinal disorders | 1/275 | 3/271 | 0/273 |
| Urinary tract infectionInfections and infestations | 3/275 | 3/271 | 3/273 |
| Infusion related reactionGeneral disorders | 0/275 | 1/271 | 3/273 |
| BronchitisInfections and infestations | 1/275 | 0/271 | 3/273 |
| PleurisyRespiratory, thoracic and mediastinal disorders | 0/275 | 0/271 | 3/273 |
| Event | Placebo | Belimumab 1 mg/kg | Belimumab 10 mg/kg |
|---|---|---|---|
| Upper respiratory tract infectionInfections and infestations | 58/275 | 53/271 | 54/273 |
| HeadacheNervous system disorders | 38/275 | 56/271 | 43/273 |
| Urinary tract infectionInfections and infestations | 41/275 | 50/271 | 41/273 |
| NauseaGastrointestinal disorders | 27/275 | 42/271 | 45/273 |
| NasopharyngitisInfections and infestations | 24/275 | 29/271 | 43/273 |
| ArthralgiaMusculoskeletal and connective tissue disorders | 42/275 | 42/271 | 41/273 |
| DiarrhoeaGastrointestinal disorders | 28/275 | 34/271 | 33/273 |
| SinusitisInfections and infestations | 28/275 | 21/271 | 31/273 |
| BronchitisInfections and infestations | 20/275 | 19/271 | 30/273 |
| PyrexiaGeneral disorders | 19/275 | 22/271 | 27/273 |
| Age, Continuous(years) | Placebo | Belimumab 1 mg/kg | Belimumab 10 mg/kg | Total |
|---|---|---|---|---|
| Mean | 40.0 ± 11.9 | 40.0 ± 11.4 | 40.5 ± 11.1 | 40.2 ± 11.5 |
| Age, Customized(participants) | Placebo | Belimumab 1 mg/kg | Belimumab 10 mg/kg | Total |
|---|---|---|---|---|
| ≤ 45 years | 189 | 184 | 178 | 551 |
| Between 45 and 65 years | 77 | 83 | 92 | 252 |
| ≥ 65 years | 9 | 4 | 3 | 16 |
| Gender(Participants) | Placebo | Belimumab 1 mg/kg | Belimumab 10 mg/kg | Total |
|---|---|---|---|---|
| Female | 252 | 253 | 259 | 764 |
| Male | 23 | 18 | 14 | 55 |
| Region of Enrollment(participants) | Placebo | Belimumab 1 mg/kg | Belimumab 10 mg/kg | Total |
|---|---|---|---|---|
| North America | 145 | 155 | 136 | 436 |
| Europe | 100 | 90 | 105 | 295 |
| Central America | 30 | 26 | 32 | 88 |
Showing the first 100 of 146 sites across 19 countries.
Plan to share: Yes — Patient-level data for this study will be made available through www.clinicalstudydatarequest.com following the timelines and process described on this site.
This study is completed, as verified in Dec 2016. You cannot join it, but the record below documents what was studied.
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Lupus Erythematosus, Systemic→
Human Genome Sciences Inc.