A Phase 3 interventional study of Epratuzumab and Epratuzumab in Systemic Lupus Erythematosus, sponsored by UCB Pharma. Completed at 228 sites in 25 countries. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2018-10-03.
Sponsored by UCB Pharma · Phase 3, Interventional, and Treatment
The primary objective of the study is assess the safety and tolerability of long-term epratuzumab treatment in subjects with Systemic Lupus Erythematosus (SLE)
Treatment period was extended by 2 years to a total of 4 years and an amendment was prepared accordingly.
1,202 studies on the registry are indexed under Lupus Erythematosus, Systemic; 399 are open to participants now.
This study's enrollment of 1,250 is above the median of 50 across 867 interventional studies indexed under Lupus Erythematosus, Systemic.
Browse Lupus Erythematosus, Systemic studies →UCB Pharma is the lead sponsor of 238 studies on the registry; none are open to participants now.
Counted across the registry records on this site, refreshed daily.
Exclusion Criteria:
600 mg infusions delivered weekly for a total of 4 consecutive weeks (cumulative dose 2400 mg) over sixteen 12-week treatment cycles
Drug: Epratuzumab
1200 mg infusions delivered every other week for a total of 4 weeks (cumulative dose 2400 mg) over sixteen 12 week treatment cycles
Drug: Epratuzumab
600 mg infusions delivered weekly for a total of 4 consecutive weeks (cumulative dose 2400 mg) over eight 12-week treatment cycles
1200 mg infusions delivered every other week for a total of 4 weeks (cumulative dose 2400 mg) over eight 12 week treatment cycles
Number of Subjects Prematurely Discontinuing Due to a Treatment-emergent Adverse Event (TEAE) During the Treatment Period (Maximum 96 Weeks)
A TEAE is any untoward medical occurrence in a patient or clinical investigation subject administered a pharmaceutical product, which does not necessarily have a causal relationship with this treatment.
Time frame: During the treatment period (through Week 96)
Percentage of Subjects Prematurely Discontinuing Due to a Treatment-emergent Adverse Event (TEAE) During the Treatment Period (Maximum 96 Weeks)
A TEAE is any untoward medical occurrence in a patient or clinical investigation subject administered a pharmaceutical product, which does not necessarily have a causal relationship with this treatment.
Time frame: During the treatment period (through Week 96)
Number of Subjects Reporting at Least 1 Serious Adverse Event (SAE) During the Treatment Period (Maximum 96 Weeks)
A SAE is a treatment-emergent adverse event (TEAE) that the investigator classifies as serious. This includes: * Death * Life-threatening * Significant or persistent disability/incapacity * Congenital anomaly/birth defect (including that occurring in a fetus) * Important medical event that, based upon appropriate medical judgment, may jeopardize the patient or subject and may require medical or surgical intervention to prevent 1 of the other outcomes listed in the definition of serious * Initial inpatient hospitalization or prolongation of hospitalization
Time frame: During the treatment period (through Week 96)
Percentage of Subjects Reporting at Least 1 Serious Adverse Event (SAE) During the Treatment Period (Maximum 96 Weeks)
A SAE is a treatment-emergent adverse event (TEAE) that the investigator classifies as serious. This includes: * Death * Life-threatening * Significant or persistent disability/incapacity * Congenital anomaly/birth defect (including that occurring in a fetus) * Important medical event that, based upon appropriate medical judgment, may jeopardize the patient or subject and may require medical or surgical intervention to prevent 1 of the other outcomes listed in the definition of serious * Initial inpatient hospitalization or prolongation of hospitalization
Time frame: During the treatment period (through Week 96)
Number of Subjects Meeting Treatment Response Criteria According to a Combined Response Index
Combined response index is a response variable (yes/no) incorporating the following criteria for achievement of responder status (ie, all criteria must be met to achieve responder status): (1) British Isles Lupus Activity Group (BILAG) improvement, (2) No worsening in Systemic Lupus Erythematosus Activity Index (SLEDAI), (3) No worsening in Physician's Global Assessment of Disease, and (4) No disallowed changes in concomitant medications, with disallowed changes including mainly increases in corticosteroids, immunosuppressants, and antimalarials.
Time frame: At Week 48
Percentage of Subjects Meeting Treatment Response Criteria According to a Combined Response Index
Combined response index is a response variable (yes/no) incorporating the following criteria for achievement of responder status (ie, all criteria must be met to achieve responder status): (1) British Isles Lupus Activity Group (BILAG) improvement, (2) No worsening in Systemic Lupus Erythematosus Activity Index (SLEDAI), (3) No worsening in Physician's Global Assessment of Disease, and (4) No disallowed changes in concomitant medications, with disallowed changes including mainly increases in corticosteroids, immunosuppressants, and antimalarials.
Time frame: Week 48
Number of Subjects Meeting Treatment Response Criteria According to a Combined Response Index
Combined response index is a response variable (yes/no) incorporating the following criteria for achievement of responder status (ie, all criteria must be met to achieve responder status): (1) British Isles Lupus Activity Group (BILAG) improvement, (2) No worsening in Systemic Lupus Erythematosus Activity Index (SLEDAI), (3) No worsening in Physician's Global Assessment of Disease, and (4) No disallowed changes in concomitant medications, with disallowed changes including mainly increases in corticosteroids, immunosuppressants, and antimalarials.
Time frame: Week 96
The Percent of Subjects Meeting Treatment Response Criteria According to a Combined Response Index
Combined response index is a response variable (yes/no) incorporating the following criteria for achievement of responder status (ie, all criteria must be met to achieve responder status): (1) British Isles Lupus Activity Group (BILAG) improvement, (2) No worsening in Systemic Lupus Erythematosus Activity Index (SLEDAI), (3) No worsening in Physician's Global Assessment of Disease, and (4) No disallowed changes in concomitant medications, with disallowed changes including mainly increases in corticosteroids, immunosuppressants, and antimalarials.
Time frame: Week 96
The study started to enroll patients in July 2011 and concluded in February 2016.
| Milestone | Enrollment Cohort 1 Epratuzumab 600 mg Per Week (ES) | Enrollment Cohort 2 Epratuzumab 1200 mg Q2W (ES) | Enrollment Cohort 2 Epratuzumab 600 mg Per Week (ES) |
|---|---|---|---|
| Started | 244 | 498 | 508 |
| Completed | 56 | 0 | 0 |
| Not completed | 188 | 498 | 508 |
| Withdrew: Lack of efficacy | 17 | 30 | 48 |
| Withdrew: Protocol violation | 1 | 2 | 2 |
| Withdrew: Lost to follow-up | 10 | 9 | 17 |
| Withdrew: Withdrawal by subject | 34 | 60 | 66 |
| Withdrew: Sponsor terminated study | 89 | 333 | 330 |
| Withdrew: Ae, serious fatal | 4 | 4 | 1 |
| Withdrew: Sae, non-fatal | 11 | 23 | 14 |
| Withdrew: Ae, non-serious non-fatal | 12 | 19 | 11 |
| Withdrew: Sae, non-fatal+ae, non-serious non-fatal | 0 | 1 | 1 |
| Withdrew: Ae, unknown type | 0 | 1 | 0 |
| Withdrew: Other | 10 | 16 | 18 |
A TEAE is any untoward medical occurrence in a patient or clinical investigation subject administered a pharmaceutical product, which does not necessarily have a causal relationship with this treatment.
| Participants | Enrollment Cohort 1 Epratuzumab 600 mg Per Week (ES) | Enrollment Cohort 2 Epratuzumab 1200 mg Q2W (ES) | Enrollment Cohort 2 Epratuzumab 600 mg Per Week (ES) | All Epratuzumab 600 mg Per Week | All Subjects |
|---|---|---|---|---|---|
| Number of Subjects Prematurely Discontinuing Due to a Treatment-emergent Adverse Event (TEAE) During the Treatment Period (Maximum 96 Weeks) | 26 | 45 | 25 | 51 | 96 |
A TEAE is any untoward medical occurrence in a patient or clinical investigation subject administered a pharmaceutical product, which does not necessarily have a causal relationship with this treatment.
| percentage of participants | Enrollment Cohort 1 Epratuzumab 600 mg Per Week | Enrollment Cohort 2 Epratuzumab 1200 mg Q2W | Enrollment Cohort 2 Epratuzumab 600 mg Per Week | All Epratuzumab 600 mg Per Week | All Subjects |
|---|---|---|---|---|---|
| Percentage of Subjects Prematurely Discontinuing Due to a Treatment-emergent Adverse Event (TEAE) During the Treatment Period (Maximum 96 Weeks) | 10.7 | 9.1 | 4.9 | 6.8 | 7.7 |
A SAE is a treatment-emergent adverse event (TEAE) that the investigator classifies as serious. This includes: * Death * Life-threatening * Significant or persistent disability/incapacity * Congenital anomaly/birth defect (including that occurring in a fetus) * Important medical event that, based upon appropriate medical judgment, may jeopardize the patient or subject and may require medical or surgical intervention to prevent 1 of the other outcomes listed in the definition of serious * Initial inpatient hospitalization or prolongation of hospitalization
| Participants | Enrollment Cohort 1 Epratuzumab 600 mg Per Week | Enrollment Cohort 2 Epratuzumab 1200 mg Q2W | Enrollment Cohort 2 Epratuzumab 600 mg Per Week | All Epratuzumab 600 mg Per Week | All Subjects |
|---|---|---|---|---|---|
| Number of Subjects Reporting at Least 1 Serious Adverse Event (SAE) During the Treatment Period (Maximum 96 Weeks) | 81 | 119 | 104 | 185 | 304 |
A SAE is a treatment-emergent adverse event (TEAE) that the investigator classifies as serious. This includes: * Death * Life-threatening * Significant or persistent disability/incapacity * Congenital anomaly/birth defect (including that occurring in a fetus) * Important medical event that, based upon appropriate medical judgment, may jeopardize the patient or subject and may require medical or surgical intervention to prevent 1 of the other outcomes listed in the definition of serious * Initial inpatient hospitalization or prolongation of hospitalization
| percentage of participants | Enrollment Cohort 1 Epratuzumab 600 mg Per Week | Enrollment Cohort 2 Epratuzumab 1200 mg Q2W | Enrollment Cohort 2 Epratuzumab 600 mg Per Week | All Epratuzumab 600 mg Per Week | All Subjects |
|---|---|---|---|---|---|
| Percentage of Subjects Reporting at Least 1 Serious Adverse Event (SAE) During the Treatment Period (Maximum 96 Weeks) | 33.2 | 23.9 | 20.5 | 24.6 | 24.4 |
Combined response index is a response variable (yes/no) incorporating the following criteria for achievement of responder status (ie, all criteria must be met to achieve responder status): (1) British Isles Lupus Activity Group (BILAG) improvement, (2) No worsening in Systemic Lupus Erythematosus Activity Index (SLEDAI), (3) No worsening in Physician's Global Assessment of Disease, and (4) No disallowed changes in concomitant medications, with disallowed changes including mainly increases in corticosteroids, immunosuppressants, and antimalarials.
| Participants | Enrollment Cohort 1 Epratuzumab 600 mg Per Week (FASS1) | Enrollment Cohort 2 Epratuzumab 1200 mg Q2W (FASS1) | Enrollment Cohort 2 Epratuzumab 600 mg Per Week (FASS1) | All Epratuzumab 600 mg Per Week (FASS1) | All Subjects (FASS1) |
|---|---|---|---|---|---|
| Number of Subjects Meeting Treatment Response Criteria According to a Combined Response Index | 82 | 146 | 134 | 216 | 362 |
Combined response index is a response variable (yes/no) incorporating the following criteria for achievement of responder status (ie, all criteria must be met to achieve responder status): (1) British Isles Lupus Activity Group (BILAG) improvement, (2) No worsening in Systemic Lupus Erythematosus Activity Index (SLEDAI), (3) No worsening in Physician's Global Assessment of Disease, and (4) No disallowed changes in concomitant medications, with disallowed changes including mainly increases in corticosteroids, immunosuppressants, and antimalarials.
| percentage of participants | Enrollment Cohort 1 Epratuzumab 600 mg Per Week (FASS1) | Enrollment Cohort 2 Epratuzumab 1200 mg Q2W (FASS1) | Enrollment Cohort 2 Epratuzumab 600 mg Per Week (FASS1) | All Epratuzumab 600 mg Per Week (FASS1) | All Subjects (FASS1) |
|---|---|---|---|---|---|
| Percentage of Subjects Meeting Treatment Response Criteria According to a Combined Response Index | 35.7 | 29.9 | 27.1 | 29.8 | 29.9 |
Combined response index is a response variable (yes/no) incorporating the following criteria for achievement of responder status (ie, all criteria must be met to achieve responder status): (1) British Isles Lupus Activity Group (BILAG) improvement, (2) No worsening in Systemic Lupus Erythematosus Activity Index (SLEDAI), (3) No worsening in Physician's Global Assessment of Disease, and (4) No disallowed changes in concomitant medications, with disallowed changes including mainly increases in corticosteroids, immunosuppressants, and antimalarials.
| Participants | Enrollment Cohort 1 Epratuzumab 600 mg Per Week (FASS1) | Enrollment Cohort 2 Epratuzumab 1200 mg Q2W (FASS1) | Enrollment Cohort 2 Epratuzumab 600 mg Per Week (FASS1) | All Epratuzumab 600 mg Per Week (FASS1) | All Subjects (FASS1) |
|---|---|---|---|---|---|
| Number of Subjects Meeting Treatment Response Criteria According to a Combined Response Index | 74 | 66 | 78 | 152 | 218 |
Combined response index is a response variable (yes/no) incorporating the following criteria for achievement of responder status (ie, all criteria must be met to achieve responder status): (1) British Isles Lupus Activity Group (BILAG) improvement, (2) No worsening in Systemic Lupus Erythematosus Activity Index (SLEDAI), (3) No worsening in Physician's Global Assessment of Disease, and (4) No disallowed changes in concomitant medications, with disallowed changes including mainly increases in corticosteroids, immunosuppressants, and antimalarials.
| percentage of participants | Enrollment Cohort 1 Epratuzumab 600 mg Per Week (FASS1) | Enrollment Cohort 2 Epratuzumab 1200 mg Q2W (FASS1) | Enrollment Cohort 2 Epratuzumab 600 mg Per Week (FASS1) | All Epratuzumab 600 mg Per Week (FASS1) | All Subjects (FASS1) |
|---|---|---|---|---|---|
| The Percent of Subjects Meeting Treatment Response Criteria According to a Combined Response Index | 39.8 | 21.6 | 26.2 | 31.4 | 27.6 |
Collected over Adverse events were collected from Visit 1 until Safety Follow-Up Visit (up to Week 196). Non-serious events are listed at a 5% frequency threshold.
| Group | Deaths | Serious | Other |
|---|---|---|---|
| Enrollment Cohort 1 Epratuzumab 600 mg Per Week | 4/244 (1.6%) | 81/244 (33.2%) | 177/244 (72.5%) |
| Enrollment Cohort 2 Epratuzumab 1200 mg Q2W | 4/497 (0.8%) | 119/497 (23.9%) | 296/497 (59.6%) |
| Enrollment Cohort 2 Epratuzumab 600 mg Per Week | 1/507 (0.2%) | 104/507 (20.5%) | 306/507 (60.4%) |
| All Epratuzumab 600 mg Per Week | 5/751 (0.7%) | 185/751 (24.6%) | 483/751 (64.3%) |
| All Subjects | 9/1,248 (0.7%) | 304/1,248 (24.4%) | 779/1,248 (62.4%) |
| Event | Enrollment Cohort 1 Epratuzumab 600 mg Per Week | Enrollment Cohort 2 Epratuzumab 1200 mg Q2W | Enrollment Cohort 2 Epratuzumab 600 mg Per Week | All Epratuzumab 600 mg Per Week | All Subjects |
|---|---|---|---|---|---|
| Systemic lupus erythematosusMusculoskeletal and connective tissue disorders | 7/244 | 13/497 | 12/507 | 19/751 | 32/1248 |
| PneumoniaInfections and infestations | 6/244 | 7/497 | 9/507 | 15/751 | 22/1248 |
| Chest painGeneral disorders | 1/244 | 4/497 | 8/507 | 9/751 | 13/1248 |
| SepsisInfections and infestations | 3/244 | 3/497 | 4/507 | 7/751 | 10/1248 |
| Meniscus injuryInjury, poisoning and procedural complications | 3/244 | 0/497 | 0/507 | 3/751 | 3/1248 |
| Transient ischaemic attackNervous system disorders | 3/244 | 0/497 | 3/507 | 6/751 | 6/1248 |
| Abortion spontaneousPregnancy, puerperium and perinatal conditions | 3/244 | 0/497 | 1/507 | 4/751 | 4/1248 |
| Deep vein thrombosisVascular disorders | 3/244 | 0/497 | 2/507 | 5/751 | 5/1248 |
| Myocardial infarctionCardiac disorders | 2/244 | 1/497 | 0/507 | 2/751 | 3/1248 |
| NauseaGastrointestinal disorders | 2/244 | 1/497 | 1/507 | 3/751 | 4/1248 |
| Event | Enrollment Cohort 1 Epratuzumab 600 mg Per Week | Enrollment Cohort 2 Epratuzumab 1200 mg Q2W | Enrollment Cohort 2 Epratuzumab 600 mg Per Week | All Epratuzumab 600 mg Per Week | All Subjects |
|---|---|---|---|---|---|
| Upper respiratory tract infectionInfections and infestations | 66/244 | 76/497 | 82/507 | 148/751 | 224/1248 |
| Urinary tract infectionInfections and infestations | 56/244 | 61/497 | 62/507 | 118/751 | 179/1248 |
| HeadacheNervous system disorders | 46/244 | 67/497 | 57/507 | 103/751 | 170/1248 |
| NauseaGastrointestinal disorders | 39/244 | 59/497 | 62/507 | 101/751 | 160/1248 |
| NasopharyngitisInfections and infestations | 38/244 | 42/497 | 45/507 | 83/751 | 125/1248 |
| BronchitisInfections and infestations | 34/244 | 35/497 | 35/507 | 69/751 | 104/1248 |
| Back painMusculoskeletal and connective tissue disorders | 34/244 | 31/497 | 32/507 | 66/751 | 97/1248 |
| DiarrhoeaGastrointestinal disorders | 27/244 | 47/497 | 34/507 | 61/751 | 108/1248 |
| SinusitisInfections and infestations | 25/244 | 41/497 | 38/507 | 63/751 | 104/1248 |
| ArthralgiaMusculoskeletal and connective tissue disorders | 24/244 | 36/497 | 30/507 | 54/751 | 90/1248 |
Baseline Characteristics refers to the Enrolled Set, that consisted of all subjects who gave informed consent.
| Age, Categorical(Participants) | Enrollment Cohort 1 Epratuzumab 600 mg Per Week (ES) | Enrollment Cohort 2 Epratuzumab 1200 mg Q2W (ES) | Enrollment Cohort 2 Epratuzumab 600 mg Per Week (ES) | Total Title |
|---|---|---|---|---|
| <=18 years | 0 | 0 | 0 | 0 |
| Between 18 and 65 years | 239 | 489 | 490 | 1218 |
| >=65 years | 5 | 9 | 18 | 32 |
| Age, Continuous(years) | Enrollment Cohort 1 Epratuzumab 600 mg Per Week (ES) | Enrollment Cohort 2 Epratuzumab 1200 mg Q2W (ES) | Enrollment Cohort 2 Epratuzumab 600 mg Per Week (ES) | Total Title |
|---|---|---|---|---|
| Mean | 41.0 ± 12.0 | 41.9 ± 11.5 | 42.5 ± 11.9 | 42.0 ± 11.7 |
| Sex: Female, Male(Participants) | Enrollment Cohort 1 Epratuzumab 600 mg Per Week (ES) | Enrollment Cohort 2 Epratuzumab 1200 mg Q2W (ES) | Enrollment Cohort 2 Epratuzumab 600 mg Per Week (ES) | Total Title |
|---|---|---|---|---|
| Female | 226 | 467 | 478 | 1171 |
| Male | 18 | 31 | 30 | 79 |
Showing the first 100 of 228 sites across 25 countries.
This study is completed, as verified in Mar 2016. You cannot join it, but the record below documents what was studied.
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Lupus Erythematosus, Systemic→
UCB Pharma