A Phase 2 interventional study of Belimumab 100 mg SC and Belimumab 100 mg SC in Systemic Lupus Erythematosus, sponsored by Human Genome Sciences Inc.. Terminated at 11 sites in 2 countries. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2013-08-07.
Sponsored by Human Genome Sciences Inc. · Phase 2, Interventional, and Treatment
The purpose of this study is to test the safety and tolerability of repeated subcutaneous (SC) doses of belimumab in subjects with SLE.
This clinical trial will evaluate the safety, pharmacokinetics (PK), and effect on biomarkers of repeated subcutaneous (SC) administration of belimumab in subjects with SLE. As data permit, an exploratory pharmacodynamic analysis will be performed to evaluate the correlation between belimumab serum exposure, PGA, SELENA SELDAI, and biomarker effects.
1,202 studies on the registry are indexed under Lupus Erythematosus, Systemic; 399 are open to participants now.
This study's enrollment of 56 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.
Exclusion Criteria:
Every other week: 100 mg of belimumab (1 injection) subcutaneous (under the skin) on days 0, 7, and 14, then every other week until final evaluation at Week 24 with option to continue receiving belimumab at the same dose through 144 week continuation period.
Drug: Belimumab 100 mg SC
Three times weekly: 200 mg of belimumab (2 injections of 100 mg each) subcutaneous (under the skin) on days 0, 2, and 4 then 100 mg three times a week until final evaluation at Week 24 with option to continue receiving belimumab at the same dose through 144 week continuation period.
Drug: Belimumab 100 mg SC
Belimumab 100 mg SC for 1 injection on Days 0, 7, 14, and then every two weeks.
Also known as: LymphoStat-B™
Belimumab 100mg SC for 2 injections (of 100mg each) on Days 0, 2, and 4, then 100 mg (1 injection) three times per week.
Evaluation of the Number of Participants Who Experienced Adverse Events (AEs) During the 24 Week Period.
SEE ALSO ADVERSE EVENTS RESULTS SECTION
Time frame: Up to 24 weeks
Absolute Change From Baseline in CD20+ (Total) B Cells at Week 24
Time frame: Baseline, 24 weeks
Median Percent Change From Baseline in CD20+ (Total) B Cells at Week 24.
Time frame: Baseline, 24 Weeks
Absolute Change From Baseline in CD20+/CD27- (Naive) B Cells at Week 24
Time frame: Baseline, 24 weeks
Median Percent Change From Baseline in CD20+/CD27-(Naive) B Cells at Week 24
Time frame: Baseline, 24 weeks
Absolute Change From Baseline in CD20+/CD69+ (Activated) B Cells at Week 24
Time frame: Baseline, 24 Weeks
Median Percent Change From Baseline in CD20+/CD69+ (Activated) B Cells at Week 24
Time frame: Baseline, 24 Weeks
Absolute Change From Baseline in CD20+/CD27+ (Memory) B Cells at Week 24
Time frame: Baseline, 24 Weeks
Median Percent Change From Baseline in CD20+/CD27+ (Memory) B Cells at Week 24
Time frame: Baseline, 24 Weeks
Mean Serum Belimumab Concentration Levels (Pharmacokinetic [PK]) Over 24 Weeks.
Time frame: Baseline, 24 weeks
Absolute Change From Baseline in IgA at Week 24
Time frame: Baseline, 24 Weeks
Median Percent Change From Baseline in IgA at Week 24
Time frame: Baseline, 24 weeks
Absolute Change From Baseline in IgG at Week 24
Time frame: Baseline, 24 Weeks
Median Percent Change From Baseline in IgG at Week 24
Time frame: Baseline, 24 Weeks
Absolute Change From Baseline in IgM at Week 24
Time frame: Baseline, 24 Weeks
Median Percent Change From Baseline in IgM at Week 24
Time frame: Baseline, 24 weeks
Absolute Change From Baseline in Physician's Global Assessment (PGA) Score at Week 24
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 Percent Change From Baseline in PGA Score 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
Absolute Change From Baseline in the Safety of Estrogen in Lupus Erythematosus National Assessment SLE Disease Activity Index (SELENA SLEDAI) Score at Week 24
SELENA SLEDAI is calculated from 24 individual descriptors; 0 indicates inactive disease and the maximum theoretical score is 105; scores \> 20 are rare.
Time frame: Baseline, 24 Weeks
Mean Percent Change From Baseline in the SELENA SLEDAI Score at Week 24
Time frame: Baseline, 24 weeks
Absolute Change From Baseline in Complement C3 at Week 24
Time frame: Baseline, 24 Weeks
Median Percent Change From Baseline in Compliment C3 at Week 24
Time frame: Baseline, 24 Weeks
Absolute Change From Baseline in Complement C4 at Week 24
Time frame: Baseline, 24 weeks
Median Percent Change From Baseline in Complement C4 at Week 24
Time frame: Baseline, 24 Weeks
Absolute Change From Baseline in Anti-Double-Stranded DNA (Anti-dsDNA)at Week 24
Time frame: Baseline, 24 Weeks
Median Percent Change From Baseline in Anti-dsDNA at Week 24
Time frame: Baseline, 24 weeks
Absolute Change From Baseline in High Density Lipoproteins (HDL) at Week 24
Time frame: Baseline, 24 Weeks
Median Percent Change From Baseline in HDL at Week 24
Time frame: Baseline, 24 week
Absolute Change From Baseline in Total Cholesterol at Week 24
Time frame: Baseline, 24 Weeks
Median Percent Change From Baseline in Total Cholesterol at Week 24
Time frame: Baseline, 24 Weeks
Median Percent Change From Baseline in Triglycerides at Week 24
Time frame: Baseline, 24 weeks
Absolute Change From Baseline in Triglycerides at Week 24
Time frame: Baseline, 24 Weeks
| Milestone | Belimumab SC Q2WKS | Belimumab SC 3X/WK |
|---|---|---|
| Started | 28 | 28 |
| Completed | 26 | 25 |
| Not completed | 2 | 3 |
| Withdrew: Withdrawal by subject | 1 | 2 |
| Withdrew: Adverse event | 0 | 1 |
| Withdrew: Lost to follow-up | 1 | 0 |
SEE ALSO ADVERSE EVENTS RESULTS SECTION
| Percentage of participants | Belimumab SC Q2WKS | Belimumab SC 3X/WK |
|---|---|---|
| Percent of patients with at least 1 AE | 89.3 | 85.7 |
| Percent of patients with at least 1 Serious AE | 7.1 | 14.3 |
| Percent of patients with an AE resulting in death | 0 | 0 |
| µg/mL | Belimumab SC Q2WKS | Belimumab SC 3X/WK |
|---|---|---|
| Mean Serum Belimumab Concentration Levels (Pharmacokinetic [PK]) Over 24 Weeks. | 20.5 ± 11.6 | 120.8 ± 53.7 |
| g/L | Belimumab SC Q2WKS | Belimumab SC 3X/WK |
|---|---|---|
| Absolute Change From Baseline in IgA at Week 24 | -0.3 ± 0.08 | -0.3 ± 0.10 |
| Percentage | Belimumab SC Q2WKS | Belimumab SC 3X/WK |
|---|---|---|
| Median Percent Change From Baseline in IgA at Week 24 | -8.1 (-45.1 to 15.4) | -10.7 (-36.4 to 34.1) |
| g/L | Belimumab SC Q2WKS | Belimumab SC 3X/WK |
|---|---|---|
| Absolute Change From Baseline in IgG at Week 24 | -2.2 ± 0.7 | -1.4 ± 0.7 |
| Percentage | Belimumab SC Q2WKS | Belimumab SC 3X/WK |
|---|---|---|
| Median Percent Change From Baseline in IgG at Week 24 | -11.1 (-47.0 to 12.1) | -9.5 (-42.9 to 94.0) |
| g/L | Belimumab SC Q2WKS | Belimumab SC 3X/WK |
|---|---|---|
| Absolute Change From Baseline in IgM at Week 24 | -0.3 ± 0.04 | -0.4 ± 0.07 |
| Percentage | Belimumab SC Q2WKS | Belimumab SC 3X/WK |
|---|---|---|
| Median Percent Change From Baseline in IgM at Week 24 | -25.6 (-80.0 to 11.0) | -26.9 (-71.6 to 170.6) |
| cells/mm^3 | Belimumab SC Q2WKS | Belimumab SC 3X/WK |
|---|---|---|
| Absolute Change From Baseline in CD20+ (Total) B Cells at Week 24 | -53.5 ± 20.4 | -75.3 ± 23.6 |
| Percentage | Belimumab SC Q2WKS | Belimumab SC 3X/WK |
|---|---|---|
| Median Percent Change From Baseline in CD20+ (Total) B Cells at Week 24. | -33.5 ± 8.88 | -38.2 ± 13.26 |
| cells/mm^3 | Belimumab SC Q2WKS | Belimumab SC 3X/WK |
|---|---|---|
| Absolute Change From Baseline in CD20+/CD27- (Naive) B Cells at Week 24 | -81.9 ± 18.5 | -95.0 ± 20.8 |
| Percentage | Belimumab SC Q2WKS | Belimumab SC 3X/WK |
|---|---|---|
| Median Percent Change From Baseline in CD20+/CD27-(Naive) B Cells at Week 24 | -60.9 ± 6.47 | -66.7 ± 8.0 |
| cells/mL | Belimumab SC Q2WKS | Belimumab SC 3X/WK |
|---|---|---|
| Absolute Change From Baseline in CD20+/CD69+ (Activated) B Cells at Week 24 | 1100.3 ± 389.8 | -77.2 ± 456.9 |
| Percentage | Belimumab SC Q2WKS | Belimumab SC 3X/WK |
|---|---|---|
| Median Percent Change From Baseline in CD20+/CD69+ (Activated) B Cells at Week 24 | 45.2 (-69.6 to 1496.3) | 10.2 (-87.0 to 779.6) |
| cells/mm^3 | Belimumab SC Q2WKS | Belimumab SC 3X/WK |
|---|---|---|
| Absolute Change From Baseline in CD20+/CD27+ (Memory) B Cells at Week 24 | 27.7 ± 6.0 | 19.6 ± 6.2 |
| Percentage | Belimumab SC Q2WKS | Belimumab SC 3X/WK |
|---|---|---|
| Median Percent Change From Baseline in CD20+/CD27+ (Memory) B Cells at Week 24 | 84.2 (-37.5 to 288.9) | 100.0 (-45.5 to 600.0) |
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 | Belimumab SC Q2WKS | Belimumab SC 3X/WK |
|---|---|---|
| Absolute Change From Baseline in Physician's Global Assessment (PGA) Score at Week 24 | -0.4 ± 0.09 | -0.4 ± 0.09 |
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.
| Percentage | Belimumab SC Q2WKS | Belimumab SC 3X/WK |
|---|---|---|
| Mean Percent Change From Baseline in PGA Score at Week 24. | -26.1 ± 6.6 | -24.8 ± 13.1 |
SELENA SLEDAI is calculated from 24 individual descriptors; 0 indicates inactive disease and the maximum theoretical score is 105; scores \> 20 are rare.
| Points on a scale | Belimumab SC Q2WKS | Belimumab SC 3X/WK |
|---|---|---|
| Absolute Change From Baseline in the Safety of Estrogen in Lupus Erythematosus National Assessment SLE Disease Activity Index (SELENA SLEDAI) Score at Week 24 | -2.9 ± 0.8 | -3.1 ± 0.5 |
| Percentage | Belimumab SC Q2WKS | Belimumab SC 3X/WK |
|---|---|---|
| Mean Percent Change From Baseline in the SELENA SLEDAI Score at Week 24 | -35.8 ± 9.1 | -40.5 ± 8.6 |
| mg/L | Belimumab SC Q2WKS | Belimumab SC 3X/WK |
|---|---|---|
| Absolute Change From Baseline in Complement C3 at Week 24 | 188.0 ± 51.5 | 4.0 ± 44.3 |
| Percentage | Belimumab SC Q2WKS | Belimumab SC 3X/WK |
|---|---|---|
| Median Percent Change From Baseline in Compliment C3 at Week 24 | 25.8 (13.6 to 55.4) | 3.6 (-25.7 to 33.3) |
| mg/dL | Belimumab SC Q2WKS | Belimumab SC 3X/WK |
|---|---|---|
| Absolute Change From Baseline in Complement C4 at Week 24 | 7.2 ± 1.7 | 2.3 ± 1.4 |
| Percentage | Belimumab SC Q2WKS | Belimumab SC 3X/WK |
|---|---|---|
| Median Percent Change From Baseline in Complement C4 at Week 24 | 76.9 (0 to 133.3) | 40.0 (-46.7 to 200.0) |
| IU/mL | Belimumab SC Q2WKS | Belimumab SC 3X/WK |
|---|---|---|
| Absolute Change From Baseline in Anti-Double-Stranded DNA (Anti-dsDNA)at Week 24 | -33.1 ± 11.1 | -6.0 ± 12.2 |
| Percentage | Belimumab SC Q2WKS | Belimumab SC 3X/WK |
|---|---|---|
| Median Percent Change From Baseline in Anti-dsDNA at Week 24 | -24.0 (-51.4 to 18.4) | 0.0 (-57.2 to 125.8) |
| mmol/L | Belimumab SC Q2WKS | Belimumab SC 3X/WK |
|---|---|---|
| Absolute Change From Baseline in High Density Lipoproteins (HDL) at Week 24 | 0.1 ± 0.04 | 0.0 ± 0.08 |
| Percentage | Belimumab SC Q2WKS | Belimumab SC 3X/WK |
|---|---|---|
| Median Percent Change From Baseline in HDL at Week 24 | 4.8 (-16.1 to 34.6) | 2.2 (-38.2 to 72.7) |
| mmol/L | Belimumab SC Q2WKS | Belimumab SC 3X/WK |
|---|---|---|
| Absolute Change From Baseline in Total Cholesterol at Week 24 | 0.1 ± 0.09 | 0.0 ± 0.20 |
| Percentage | Belimumab SC Q2WKS | Belimumab SC 3X/WK |
|---|---|---|
| Median Percent Change From Baseline in Total Cholesterol at Week 24 | 1.0 (-17.2 to 20.9) | 1.6 (-36.3 to 45.7) |
| Percentage | Belimumab SC Q2WKS | Belimumab SC 3X/WK |
|---|---|---|
| Median Percent Change From Baseline in Triglycerides at Week 24 | -4.9 (-46.9 to 183.0) | 4.5 (-59.4 to 120.6) |
| mmol/L | Belimumab SC Q2WKS | Belimumab SC 3X/WK |
|---|---|---|
| Absolute Change From Baseline in Triglycerides at Week 24 | -0.1 ± 0.14 | -0.0 ± 0.15 |
Collected over Up to 24 Weeks. Non-serious events are listed at a 5% frequency threshold.
| Group | Deaths | Serious | Other |
|---|---|---|---|
| Belimumab SC Q2WKS | — | 2/28 (7.1%) | 19/28 (67.9%) |
| Belimumab SC 3X/WK | — | 4/28 (14.3%) | 18/28 (64.3%) |
| Event | Belimumab SC Q2WKS | Belimumab SC 3X/WK |
|---|---|---|
| Acute myocardial infarctionCardiac disorders | 1/28 | 0/28 |
| BradycardiaCardiac disorders | 0/28 | 1/28 |
| Retroperitoneal haemorrhageGastrointestinal disorders | 1/28 | 0/28 |
| CellulitisInfections and infestations | 0/28 | 1/28 |
| GastroenteritisInfections and infestations | 0/28 | 1/28 |
| Pneumococcal sepsisInfections and infestations | 0/28 | 1/28 |
| PyelonephritisInfections and infestations | 1/28 | 0/28 |
| Subcutaneous abscessInfections and infestations | 0/28 | 1/28 |
| Event | Belimumab SC Q2WKS | Belimumab SC 3X/WK |
|---|---|---|
| HeadacheNervous system disorders | 6/28 | 5/28 |
| NasopharyngitisInfections and infestations | 5/28 | 0/28 |
| Upper respiratory tract infectionInfections and infestations | 5/28 | 3/28 |
| DiarrhoeaGastrointestinal disorders | 4/28 | 1/28 |
| ArthralgiaMusculoskeletal and connective tissue disorders | 3/28 | 4/28 |
| NauseaGastrointestinal disorders | 2/28 | 3/28 |
| FatigueGeneral disorders | 3/28 | 2/28 |
| SinusitisInfections and infestations | 0/28 | 3/28 |
| ArthritisMusculoskeletal and connective tissue disorders | 1/28 | 3/28 |
| MyalgiaMusculoskeletal and connective tissue disorders | 3/28 | 2/28 |
| Age Continuous(years) | Belimumab SC Q2WKS | Belimumab SC 3X/WK | Total |
|---|---|---|---|
| Mean | 39.2 ± 11.5 | 40.9 ± 13.1 | 40.1 ± 12.2 |
| Sex: Female, Male(Participants) | Belimumab SC Q2WKS | Belimumab SC 3X/WK | Total |
|---|---|---|---|
| Female | 26 | 27 | 53 |
| Male | 2 | 1 | 3 |
| Region of Enrollment(participants) | Belimumab SC Q2WKS | Belimumab SC 3X/WK | Total |
|---|---|---|---|
| United States | 24 | 25 | 49 |
| Mexico | 4 | 3 | 7 |
This study is terminated, as verified in Mar 2013. You cannot join it, but the record below documents what was studied.
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Lupus Erythematosus, Systemic→
Human Genome Sciences Inc.