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CompletedNCT02106897Updated Jan 31, 2023

Study Evaluating the Safety, Tolerability, and Pharmacokinetics of Single Doses and Multiple Doses of BIIB059 (Litifilimab) in Healthy Volunteers and Participants With Systemic Lupus Erythematosus

A Phase 1 interventional study of BIIB059 (litifilimab) and Placebo in Systemic Lupus Erythematosus and Healthy Volunteers, sponsored by Biogen. Completed at 5 sites in United States. Open to participants aged 18 Years and older, including healthy volunteers. Per ClinicalTrials.gov, last updated 2023-01-31.

Sponsored by Biogen · Phase 1, Interventional, and Treatment

Phase
Phase 1
Study type
Interventional
Enrollment
109
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

The primary objective of Parts 1 and 2 is to evaluate the safety and tolerability of either single-ascending intravenous (IV) doses or a single subcutaneous (SC) dose of BIIB059 (litifilimab) in healthy volunteers (HV), and a single IV dose in participants with Systemic Lupus Erythematosus (SLE). The primary objective of Part 3 is to evaluate the safety and tolerability of multiple SC doses of BIIB059 in healthy volunteers and in participants with SLE.

Secondary objectives of Parts 1 and 2 are as follows: To estimate the PK parameters of single-ascending IV doses of BIIB059 in healthy volunteers and a single IV dose of BIIB059 in participants with SLE; To estimate the PK parameters and bioavailability (F) of a single SC dose of BIIB059 in healthy volunteers; To evaluate the immunogenicity of BIIB059 administered to healthy volunteers and participants with SLE. Secondary objectives of Part 3 are as follows: To estimate the PK parameters of multiple SC doses of BIIB059 in healthy volunteers and in participants with SLE; To evaluate the immunogenicity of BIIB059 administered SC to healthy volunteers and participants with SLE.

Read the detailed description

Part 1 (single ascending dose in healthy volunteers) has closed to enrollment.

02

Conditions studied

  • Systemic Lupus Erythematosus
  • Healthy Volunteers
03

In context

Lupus Erythematosus, Systemic

1,202 studies on the registry are indexed under Lupus Erythematosus, Systemic; 399 are open to participants now.

This study's enrollment of 109 is above the median of 50 across 867 interventional studies indexed under Lupus Erythematosus, Systemic.

Browse Lupus Erythematosus, Systemic studies →

Lead sponsor

Biogen is the lead sponsor of 494 studies on the registry; 22 are open to participants now.

Of its 98 completed or terminated interventional studies of FDA-regulated products, 49 (50%) have results posted.

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
Yes

Eligibility criteria

Part 1: Key Inclusion Criteria For Healthy Volunteers:

  • Be in good health as determined by the Investigator, based on medical history, physical examination, and 12-lead ECG.
  • Body mass index (BMI) between 18 and 30 kg/m2 and body weight ≥45 kg.

Part 1: Key Exclusion Criteria For Healthy Volunteers:

  • History of or positive test results at screening for the following: for human immunodeficiency virus (HIV), hepatitis C virus antibody (HCV Ab), hepatitis B virus (defined as positive for hepatitis B surface antigen [HBsAg] or hepatitis B core antibody [HBcAb]).
    • History of chronic, recurrent, or recent serious infection (e.g., pneumonia, septicemia) as determined by the Investigator within 3 months prior to screening and randomization.
  • History of severe allergic or anaphylactic reactions or history of allergic reactions likely to be exacerbated by any component of the study drug.
  • History of any clinically significant cardiovascular, endocrinologic, hematologic, hepatic, immunologic, metabolic, urologic, pulmonary, neurologic, dermatologic, psychiatric, renal, or other major disease, as determined by the Investigator.
  • Any live or attenuated immunization/vaccination within 1 month prior to randomization or planned to occur during the study period.
  • Blood donation (1 unit or more) within 1 month prior to randomization.
  • Vigorous exercise (e.g., jogging, swimming laps, heavy gardening, hiking uphill, etc.) within 48 hours prior to Day -1

Part II: Key Inclusion Criteria for SLE Participants:

  • Definite SLE for at least 6 months duration or anti-dsDNA antibody, prior to screening.
  • Presence of active lupus skin disease including acute, sub acute, and/or chronic cutaneous lupus (e.g., discoid) at the time of screening and randomization.
  • BMI between 18 and \<40 kg/m2 and body weight ≥45 kg.

Part II: Key Exclusion Criteria for SLE Participants:

  • Active neuropsychiatric SLE including but not limited to the following: seizure, new or worsening impaired level of consciousness, psychosis, delirium or confusional state, aseptic meningitis, ascending or transverse myelitis, chorea, cerebellar ataxia, mononeuritis multiplex, or demyelinating syndromes.
  • History of chronic, recurrent, or recent serious infection (e.g., pneumonia, septicemia) as determined by the Investigator within 3 months prior to screening and randomization.
  • Symptoms of bacterial or viral infection (including upper respiratory tract infection) within 28 days prior to randomization.
  • History of severe allergic or anaphylactic reactions or history of allergic reactions likely to be exacerbated by any component of the study drug.
  • Evidence of skin conditions other than lupus skin disease (e.g., eczema) at screening or at the time of randomization that would interfere with evaluations of the effect of study treatment on lupus skin disease.
  • Treatment with oral prednisone >15 mg daily (or equivalent). Any prednisone regimen must be stable for at least 28 days before randomization and expected to remain stable for the duration of the study.
  • Treatment with any antibiotics within 14 days prior to randomization.

Part IIIa: Key Inclusion Criteria for Healthy Volunteers :

  • Must be in good health as determined by the Investigator, based on medical history, physical examination, and 12-lead ECG.
  • Must have a body mass index (BMI) between 18 and 30 kg/m2 and body weight ≥45 kg.

Part IIIa: Key Exclusion Criteria for Healthy Volunteers:

  • History of chronic, recurrent, or recent serious infection (e.g., pneumonia, septicemia) as determined by the Investigator within 3 months prior to screening and randomization
  • History of severe allergic or anaphylactic reactions or history of allergic reactions likely to be exacerbated by any component of the study treatment.
  • Treatment with any antibiotics within 14 days prior to randomization.

Part IIIb: Key Inclusion Criteria for SLE Participants:

  • Definite SLE for at least 6 months duration prior to screening
  • Presence of active lupus skin disease including acute, subacute, and/or chronic cutaneous lupus (e.g., discoid), and/or hypocomplementemia , and/or positive anti-dsDNA antibody at the time of screening.
  • Must have a BMI between 18 and \<40 kg/m2 and body weight ≥45 kg.

Part IIIb: Key Exclusion Criteria for SLE Participants:

  • Active neuropsychiatric SLE including but not limited to the following: seizure, new or worsening impaired level of consciousness, psychosis, delirium or confusional state, aseptic meningitis, ascending or transverse myelitis, chorea, cerebellar ataxia, mononeuritis multiplex, or demyelinating syndromes.
  • History of chronic, recurrent, or recent serious infection (e.g., pneumonia, septicemia) as determined by the Investigator within 3 months prior to screening and randomization.
  • History of severe allergic or anaphylactic reactions or history of allergic reactions likely to be exacerbated by any component of the study drug.
  • Treatment with any antibiotics within 14 days prior to randomization.

NOTE: Other protocol-defined inclusion/exclusion Criteria May Apply

05

Study design

Phase
Phase 1
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
109 participants (actual)

Study arms

  • Experimental
    Part 1, Cohort 1: BIIB059 0.05 mg/kg IV

    BIIB059 0.05 mg/kg IV dose, Once on Day 1

    Drug: BIIB059 (litifilimab)

  • Experimental
    Part 1, Cohort 2: BIIB059 0.3 mg/kg IV

    BIIB059 0.3 mg/kg IV dose, Once on Day 1

    Drug: BIIB059 (litifilimab)

  • Experimental
    Part 1, Cohort 3: BIIB059 1 mg/kg IV

    BIIB059 1 mg/kg IV dose, Once on Day 1

    Drug: BIIB059 (litifilimab)

  • Experimental
    Part 1, Cohort 4: BIIB059 3 mg/kg IV

    BIIB059 3 mg/kg IV dose, Once on Day 1

    Drug: BIIB059 (litifilimab)

  • Experimental
    Part 1, Cohort 5: BIIB059 10 mg/kg IV

    BIIB059 10 mg/kg IV dose, Once on Day 1

    Drug: BIIB059 (litifilimab)

  • Experimental
    Part 1, Cohort 6: BIIB059 20 mg/kg IV

    BIIB059 20 mg/kg IV dose, Once on Day 1

    Drug: BIIB059 (litifilimab)

  • Experimental
    Part 1, Cohort 7: BIIB059 50 mg SC

    BIIB059 50 mg SC dose, Once on Day 1

    Drug: BIIB059 (litifilimab)

  • Placebo comparator
    Part 1, Cohort 1-6: Placebo IV

    Matching placebo IV dose, Once on Day 1

    Drug: Placebo

  • Placebo comparator
    Part 1, Cohort 7: Placebo SC

    Matching placebo SC dose, Once on Day 1

    Drug: Placebo

  • Experimental
    Part 2, Cohort 8: BIIB059 20 mg/kg IV

    BIIB059 20 mg/kg IV dose, Once on Day 1

    Drug: BIIB059 (litifilimab)

  • Placebo comparator
    Part 2, Cohort 8: Placebo IV

    Matching placebo IV dose, Once on Day 1

    Drug: Placebo

  • Experimental
    Part 3a, Cohort 9: BIIB059 20 mg SC

    BIIB059 20 mg SC dose, Every 4 weeks for 2 doses

    Drug: BIIB059 (litifilimab)

  • Experimental
    Part 3a, Cohort 10: BIIB059 50 mg SC

    BIIB059 50 mg SC dose, Every 4 weeks for 2 doses

    Drug: BIIB059 (litifilimab)

  • Experimental
    Part 3a, Cohort 11: BIIB059 150 mg SC

    BIIB059 150 mg SC dose, Every 4 weeks for 2 doses

    Drug: BIIB059 (litifilimab)

  • Experimental
    Part 3a, Cohort 12: BIIB059 300 mg or less SC

    BIIB059 300 mg or less SC dose, Every 2 weeks for 3 doses

    Drug: BIIB059 (litifilimab)

  • Placebo comparator
    Part 3a, Cohort 9-12: Placebo SC

    Matching placebo SC dose, Every 4 weeks for 2 doses or every 2 weeks for 3 doses

    Drug: Placebo

  • Experimental
    Part 3b, Cohort 13: BIIB059 50 mg SC

    BIIB059 50 mg SC dose, Every 4 weeks for 2 doses

    Drug: BIIB059 (litifilimab)

  • Experimental
    Part 3b, Cohort 14: BIIB059 300 mg or less SC

    BIIB059 300 mg or less SC dose, Every 2 weeks for 3 doses

    Drug: BIIB059 (litifilimab)

  • Placebo comparator
    Part 3b, Cohort 13-14: Placebo SC

    Matching placebo SC dose, Every 4 weeks for 2 doses or every 2 weeks for 3 doses

    Drug: Placebo

Interventions

  • DrugBIIB059 (litifilimab)

    See Arm Descriptions

    Also known as: litifilimab

  • DrugPlacebo

    See Arm Descriptions

06

What researchers measure

Primary outcomes

  1. Number of Participants that Experience Adverse Events (AEs) and Serious Adverse Events (SAEs)

    Time frame: Up to Week 32

Secondary outcomes

  1. Area Under the Concentration-Time Curve from Time 0 Extrapolated to Infinity (AUCinf) of BIIB059

    Time frame: Up to Week 32

  2. Maximum Observed Concentration (Cmax) of BIIB059

    Time frame: Up to Week 32

  3. Time to Reach Maximum Observed Concentration (Tmax) of BIIB059

    Time frame: Up to Week 32

  4. Terminal Elimination Half-Life (t1/2) of BIIB059

    Time frame: Up to Week 32

  5. Clearance (CL) of BIIB059

    Time frame: Up to Week 32

  6. Apparent Clearance (CL/F) of BIIB059

    For SC cohorts only

    Time frame: Up to Week 32

  7. Volume of Distribution (Vss) of BIIB059

    Time frame: Up to Week 32

  8. Apparent Volume of Distribution (Vz/F) of BIIB059

    For SC cohorts only

    Time frame: Up to Week 32

  9. Bioavailability (F) for a single SC dose of BIIB059

    Time frame: Up to Week 32

  10. Absorption Rate Profile for a Single SC Dose of BIIB059

    Time frame: Up to Week 32

  11. Number of Participants Who Develop Serum Anti-BIIB059 Antibodies

    Time frame: Up to Week 32

07

Study locations

5 sites
  • Research Site
    Anniston, Alabama 36207, United States
  • Research Site
    Birmingham, Alabama 35294, United States
  • Research Site
    Orlando, Florida 32806, United States
  • Research Site
    Great Neck, New York 11021, United States
  • Research Site
    Duncansville, Pennsylvania 16635, United States
08

References and documents

Publications

  • Furie R, Werth VP, Merola JF, Stevenson L, Reynolds TL, Naik H, Wang W, Christmann R, Gardet A, Pellerin A, Hamann S, Auluck P, Barbey C, Gulati P, Rabah D, Franchimont N. Monoclonal antibody targeting BDCA2 ameliorates skin lesions in systemic lupus erythematosus. J Clin Invest. 2019 Mar 1;129(3):1359-1371. doi: 10.1172/JCI124466. Epub 2019 Feb 18. PubMed 30645203 ↗
09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jan 31, 2023, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT02106897
Lead sponsor
Biogen
Responsible party
Sponsor
First posted
Apr 8, 2014
Start date
Apr 30, 2014
Primary completion
May 24, 2016
Completion
May 24, 2016
Last update
Jan 31, 2023

Study contacts

Medical Director
study director · Biogen

Oversight

Data monitoring committee
No
View the source record on ClinicalTrials.gov ↗

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This study is completed, as verified in Jan 2023. You cannot join it, but the record below documents what was studied.

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