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CompletedNCT00624351Updated Sep 12, 2011

Study of Epratuzumab in Serologically-positive Systemic Lupus Erythematosus (SLE) Patients With Active Disease

A Phase 2 interventional study of Epratuzumab and Placebo in Systemic Lupus Erythematosus, sponsored by UCB Pharma. Completed at 53 sites in 11 countries. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2011-09-12.

Sponsored by UCB Pharma (part of UCB S.A.) · Phase 2, Interventional, and Treatment

Phase
Phase 2
Study type
Interventional
Enrollment
227
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

The primary objective of the study is to assess the dose response and the dose frequency of epratuzumab in patients with SLE.

02

Conditions studied

  • Systemic Lupus Erythematosus

Keywords

  • Lupus
  • Monoclonal antibody
  • B-Cell immunotherapy
03

In context

Lupus Erythematosus, Systemic

1,222 studies on the registry are indexed under Lupus Erythematosus, Systemic; 399 are open to participants now.

This study's enrollment of 227 is above the median of 50 across 881 interventional studies indexed under Lupus Erythematosus, Systemic.

Browse Lupus Erythematosus, Systemic studies →

Lead sponsor

UCB Pharma is the lead sponsor of 242 studies on the registry; none are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Positive ANA result at visit 1
  • Current diagnosis of systemic lupus erythematosus (SLE) by American College of Rheumatology revised criteria such that at least 4 of the 11 criteria are met
  • Active moderate or severe SLE disease activity as demonstrated by British Isles Lupus Assessment Group (BILAG) A level disease activity in at least one body/organ system or BILAG B level disease activity in at least two body/organ systems if no BILAG A level disease is present
  • If on antimalarials, dose regimen must be stable for 4 weeks prior to study entry.

Exclusion criteria

Exclusion Criteria:

  • Patients receiving any live vaccination within 2 weeks prior to visit 1 or during the course of the study
  • Active severe SLE disease activity which involves the central nervous system (CNS) (defined by BILAG neurologic A level activity) including transverse myelitis, psychosis and seizures
  • Active severe SLE disease activity which involves the Renal system (defined by BILAG renal level A activity or Grade III or higher World Health Organization (WHO) nephritis) or serum creatinine >2.5mg/dL or clinically significant serum creatinine increase within the prior 4 weeks or proteinuria >3.5gm/day
  • Patients with a history of anti-phospholipid antibody syndrome AND use of oral anticoagulants or anti-platelet treatment
  • Patients with a history of chronic infection, recent significant infection, or any current sign of symptom that may indicate an infection
05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
227 participants (actual)

Study arms

  • Placebo comparator
    Placebo

    Phosphate-buffered Saline (PBS) infusions at study weeks 0, 1, 2, and 3.

    Other: Placebo

  • Experimental
    EMAB 600mg

    600 mg Epratuzumab infusions at study weeks 0, 1, 2, and 3.

    Biological: Epratuzumab

  • Experimental
    EMAB 100mg

    100 mg Epratuzumab infusions at study weeks 0, and 2, and placebo at study weeks 1 and 3.

    Biological: Epratuzumab · Other: Placebo

  • Experimental
    EMAB 400mg

    400 mg Epratuzumab infusions at study weeks 0, and 2, and placebo at study weeks 1 and 3.

    Biological: Epratuzumab · Other: Placebo

  • Experimental
    EMAB 1200mg

    1200 mg Epratuzumab infusions at study weeks 0, and 2, and placebo at study weeks 1 and 3.

    Biological: Epratuzumab · Other: Placebo

  • Experimental
    EMAB 1800mg

    1800 mg Epratuzumab infusions at study weeks 0, and 2, and placebo at study weeks 1 and 3.

    Biological: Epratuzumab · Other: Placebo

Interventions

  • BiologicalEpratuzumab

    Epratuzumab at a concentration of 10 mg/mL prepared in 17.5 ml vials for slow intravenous infusion using only Phosphate buffered Saline (PBS) as a vehicle/buffer for the infusion procedure.

  • OtherPlacebo

    Phosphate-buffered Saline (PBS) infusion.

06

What researchers measure

Primary outcomes

  1. Response at Week 12 according to a combined response index

    The combined response index incorporates the Bristish Isles Lupus Assessment Group (BILAG) assessment, the Systemic Lupus Eyrthematosus Disease Activity Index (SLEDAI), a physician's global assessment of disease activity, and treatment failure status.

    Time frame: Week 12

Secondary outcomes

  1. Response at Week 4 according to a combined response index

    The combined response index incorporates the Bristish Isles Lupus Assessment Group (BILAG) assessment, the Systemic Lupus Eyrthematosus Disease Activity Index (SLEDAI), a physician's global assessment of disease activity, and treatment failure status.

    Time frame: Week 4

  2. Response at Week 8 according to a combined response index

    The combined response index incorporates the Bristish Isles Lupus Assessment Group (BILAG) assessment, the Systemic Lupus Eyrthematosus Disease Activity Index (SLEDAI), a physician's global assessment of disease activity, and treatment failure status.

    Time frame: Week 8

  3. Response at Week 4 according to a combined response index involving Short Form-36 (SF-36) response

    The combined response index incorporates the Bristish Isles Lupus Assessment Group (BILAG) assessment, the Systemic Lupus Eyrthematosus Disease Activity Index (SLEDAI), a physician's global assessment of disease activity, treatment failure status, and SF-36 response.

    Time frame: Week 4

  4. Response at Week 8 according to a combined response index involving Short Form-36 (SF-36) response

    The combined response index incorporates the Bristish Isles Lupus Assessment Group (BILAG) assessment, the Systemic Lupus Eyrthematosus Disease Activity Index (SLEDAI), a physician's global assessment of disease activity, treatment failure status, and SF-36 response.

    Time frame: Week 8

  5. Response at Week 12 according to a combined response index involving Short Form-36 (SF-36) response

    The combined response index incorporates the Bristish Isles Lupus Assessment Group (BILAG) assessment, the Systemic Lupus Eyrthematosus Disease Activity Index (SLEDAI), a physician's global assessment of disease activity, treatment failure status, and SF-36 response.

    Time frame: Week 12

  6. Improvement (yes/no) in British Isles Lupus Assessment Group (BILAG) at Week 4

    Time frame: Baseline, Week 4

  7. Improvement (yes/no) in British Isles Lupus Assessment Group (BILAG) at Week 8

    Time frame: Baseline, Week 8

  8. Improvement (yes/no) in British Isles Lupus Assessment Group (BILAG) at Week 12

    Time frame: Baseline, Week 12

  9. Improvement in British Isles Lupus Assessment Group (BILAG) at Week 24

    Time frame: Baseline, Week 24

  10. Change from baseline in total British Isles Lupus Assessment Group (BILAG) score at Week 12

    Time frame: Baseline, Week 12

  11. Change from baseline in Systemic Lupus Erythematosus Disease Activity Index (SLEDAI) at Week 2

    Time frame: Baseline, Week 2

  12. Change from baseline in Systemic Lupus Erythematosus Disease Activity Index (SLEDAI) at Week 4

    Time frame: Baseline, Week 4

  13. Change from baseline in Systemic Lupus Erythematosus Disease Activity Index (SLEDAI) at Week 8

    Time frame: Baseline, Week 8

  14. Change from baseline in Systemic Lupus Erythematosus Disease Activity Index (SLEDAI) at Week 12

    Time frame: Baseline, Week 12

  15. Change from baseline in physician global assessment at Week 12

    Time frame: Baseline, Week 12

  16. Change from baseline in patient global assessment at Week 12

    Time frame: Baseline, Week 12

  17. Short Form-36 (SF-36) response at Week 2

    SF-36 response is defined as no changes from baseline more negative than -0.8 in PCS or \> -2.5 changes in any of the 8 domain scores.

    Time frame: Baseline, Week 2

  18. Short Form-36 (SF-36) response at Week 4

    SF-36 response is defined as no changes from baseline more negative than -0.8 in PCS or \> -2.5 changes in any of the 8 domain scores

    Time frame: Baseline, Week 4

  19. Short Form-36 (SF-36) response at Week 8

    SF-36 response is defined as no changes from baseline more negative than -0.8 in PCS or \> -2.5 changes in any of the 8 domain scores

    Time frame: Baseline, Week 8

  20. Short Form-36 (SF-36) response at Week 12

    SF-36 response is defined as no changes from baseline more negative than -0.8 in PCS or \> -2.5 changes in any of the 8 domain scores

    Time frame: Baseline, Week 12

  21. European Quality of Life-5 Dimensions (EQ-5D) score at Week 12

    Time frame: Week 12

  22. Time to first sustained British Isles Lupus Assessment Group (BILAG) response

    Time frame: From Baseline to Week 12

  23. Time to enhanced British Isles Lupus Assessment Group (BILAG) response

    Time frame: From Baseline to Week 12

  24. Treatment failure up to Week 12

    Treatment failure is defined as increase in (or addition of a new) immunosuppressive agent over baseline treatment levels, or any increase in corticosteroid baseline treatment level, or any IV, IA, or IM injections of corticosteroids.

    Time frame: From Baseline to Week 12

  25. Cumulative steroid dose at Week 12

    Time frame: From Baseline to Week 12

  26. Human anti-human antibodies (HAHA) levels at Week 12

    Time frame: Week 12

  27. Change from baseline in levels of circulating B cells at Week 12

    Time frame: Baseline, Week 12

  28. Change from baseline in levels of circulating T cells at Week 12

    Time frame: Baseline, Week 12

07

Study locations

53 sites
  • Birmingham, Alabama, United States
  • Tucson, Arizona, United States
  • La Jolla, California, United States
  • Los Angeles, California, United States
  • San Leandro, California, United States
  • Denver, Colorado, United States
  • Farmington, Connecticut, United States
  • Aventura, Florida, United States
  • Tampa, Florida, United States
  • Baltimore, Maryland, United States
  • Brooklyn, New York, United States
  • Chapel Hill, North Carolina, United States
  • Charlotte, North Carolina, United States
  • Durham, North Carolina, United States
  • Wilmington, North Carolina, United States
  • Oklahoma City, Oklahoma, United States
  • Dallas, Texas, United States
  • Arlington, Virginia, United States
  • Milwaukee, Wisconsin, United States
  • Brussels, Belgium
  • Leuven, Belgium
  • Curitiba, Brazil
  • Goiânia, Brazil
  • Porto Alegre, Brazil
  • Rio de Janeiro, Brazil
  • São Paulo, Brazil
  • Sorocaba, Brazil
  • Chai Wan, Hong Kong
  • Shatin, Hong Kong
  • Debrecen, Hungary
  • Zalaegerszeg, Hungary
  • Bangalore, India
  • Hyderabad, India
  • Ludhiana, India
  • Madurai, India
  • Manipal, India
  • Nagpur, India
  • Kaunas, Lithuania
  • Klaipėda, Lithuania
  • Vilnius, Lithuania
  • Elblag, Poland
  • Gmina Końskie, Poland
  • Lublin, Poland
  • Poznan, Poland
  • Torun, Poland
  • Barcelona, Spain
  • Santander, Spain
  • Valencia, Spain
  • Donetsk, Ukraine
  • Ivano-Frankivsk, Ukraine
  • Kiev, Ukraine
  • Lviv, Ukraine
  • Birmingham, United Kingdom
08

References and documents

Publications

  • Hannon 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. PubMed 33687069 ↗
  • Wallace DJ, Kalunian K, Petri MA, Strand V, Houssiau FA, Pike M, Kilgallen B, Bongardt S, Barry A, Kelley L, Gordon C. Efficacy and safety of epratuzumab in patients with moderate/severe active systemic lupus erythematosus: results from EMBLEM, a phase IIb, randomised, double-blind, placebo-controlled, multicentre study. Ann Rheum Dis. 2014 Jan;73(1):183-90. doi: 10.1136/annrheumdis-2012-202760. Epub 2013 Jan 12. PubMed 23313811 ↗
09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Sep 12, 2011, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT00624351
Lead sponsor
UCB Pharma
Responsible party
Sponsor
First posted
Feb 27, 2008
Start date
Jan 2008
Primary completion
Aug 2009
Completion
Aug 2009
Last update
Sep 12, 2011

Study contacts

UCB Clinical Trial Call Center
study director · +1 877 822 9493 (UCB)

Oversight

Data monitoring committee
Yes
View the source record on ClinicalTrials.gov ↗

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