ClinicalTrials.gg
CompletedNCT02504645LUPUZORUpdated Apr 11, 2019Results posted

A 52-Week, Randomized, Double-Blind, Parallel-Group, Placebo-Controlled Study to Evaluate the Efficacy and Safety of a 200-mcg Dose of IPP-201101 Plus Standard of Care in Patients With Systemic Lupus Erythematosus

A Phase 3 interventional study of IPP-201101 and Placebo in Lupus Erythematosus, Systemic, sponsored by ImmuPharma. Completed at 30 sites in 8 countries. Open to participants aged 18 Years to 70 Years. Per ClinicalTrials.gov, last updated 2019-04-11.

Sponsored by ImmuPharma · Phase 3, Interventional, and Treatment

From the registry’s dates

  • Registered 4 months after the study started (first participant enrolled Mar 2015, registered Jul 2015).
Phase
Phase 3
Study type
Interventional
Enrollment
202
Allocation
Randomized
Ages
18 Years to 70 Years
Sex
All
01

Study summary

This current Phase 3 study will evaluate the efficacy and safety of administration of subcutaneous (sc) IPP-201101 in patients with active SLE.

02

Conditions studied

  • Lupus Erythematosus, Systemic
03

In context

Lupus Erythematosus, Systemic

1,207 studies on the registry are indexed under Lupus Erythematosus, Systemic; 405 are open to participants now.

This study's enrollment of 202 is above the median of 52 across 876 interventional studies indexed under Lupus Erythematosus, Systemic.

Browse Lupus Erythematosus, Systemic studies →

Lead sponsor

ImmuPharma is the lead sponsor of 2 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 to 70 Years
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

  • The patient is a man or woman between 18 and 70 years of age with an established diagnosis of SLE as defined by ACR Classification Revised Criteria. The diagnosis is fulfilled provided that at least 4 criteria are met.
  • The patient has a positive test result for ANA at screening (titer must be at least 1:80 [by human epithelial cell tumor line (HEp-2) ANA assay]) and/or a positive test result for anti-dsDNA Ab at screening (value must be 30 IU/mL or more by enzyme-linked immunosorbent assay [ELISA]).
  • Written is obtained.
  • Women must be surgically sterile, 2 years , or, if of , using a medically accepted method of , and must agree to continued use of this method for the duration of the study and for 30 days after discontinuation of study drug treatment. Acceptable methods of contraception include barrier method with spermicide, abstinence (when this is in line with the preferred and usual lifestyle of the subject), intrauterine device (IUD), or steroidal contraceptive (oral, transdermal, implanted, and injected) in conjunction with a barrier method.
  • The patient has a SLEDAI-2K clinical score of at least 6 points during screening. A SLEDAI-2K clinical score is the calculated score without inclusion of the points that may be contributed by having a positive titer for anti-dsDNA Ab or decreased serum complement levels.
  • The patient does not have an "A" score on the BILAG-2004 scale. If the patient is using oral , the weekly cumulative dose must not exceed 80 mg of prednisone equivalent; the weekly dose must be stable over the 4 weeks preceding the 1st dose of study drug.
  • If the patient is using antimalarials, methotrexate, leflunomide, mycophenolate mofetil (MMF), or azathioprine, the start date must be at least 3 months prior to the 1st dose of study drug, and the daily dose must be stable over the 4 weeks preceding the 1st dose of study drug.
  • If the patient is not currently using corticosteroids, antimalarials, methotrexate, MMF, or azathioprine, the last dose (in case of previous use) must be at least 4 weeks prior to the 1st dose of study drug. For leflunomide, the stop date must be at least 8 weeks before the 1st dose of study drug unless an adequate cholestryamine washout has been performed. If cholestyramine washout is performed, the last use of leflunomide must be at least 4 weeks before the 1st dose of study drug.
  • The patient must be willing and able to comply with study restrictions, to remain at the study center for the required duration during each study visit, and to return to the study center for the final assessment as specified in this protocol.

Exclusion criteria

Exclusion Criteria:

  • The patient has been treated with intramuscular or intravenous (iv) pulse (ie, 250 to 1000 mg iv total daily dose of methylprednisolone) within 4 weeks of the 1st dose of study drug. The use of intra-articular steroids may be allowed after consultation with the medical expert.
  • The patient has received tacrolimus, cyclosporin A, or iv immunoglobulins (IVIG) within 3 months of the 1st dose of study drug.
  • The patient has received cyclophosphamide within 6 months prior to the 1st dose of study drug.
  • The patient has been treated for SLE with agents such as fusion proteins, therapeutic proteins, or monoclonal antibodies or antibody fragments, within 6 months of the 1st dose of study drug.
  • The patient has received B-cell depleting agents such as rituximab, belimumab or epratuzumab within one year of the 1st dose and has not yet normalized the B-cell count (ie, CD20+ B-cell count is less than normal range and the absolute lymphocyte count [ALC] is less than normal range).
  • The patient has (NYHA) Class III or IV congestive heart failure.
  • The patient has an estimated (eGFR) of less than 30 mL/min/1.73 m2 (via Modification of Diet in Renal Disease [MDRD] equation).
  • The patient has an (AST) or alanine aminotransferase (ALT) value greater than 2 times the (ULN) or a total level greater than 1.5 times ULN.
  • The patient has a planned immunization with a live or within 3 months prior to administration of the 1st dose of study drug and for 3 months after administration of the last dose of study drug.
  • The patient has any abnormalities on that are not related to SLE, as determined by the investigator. Patients with stable ECG changes without evidence of active cardiovascular disease may participate at the discretion of the investigator and medical monitor.
  • The patient has an ongoing active systemic infection requiring treatment or a history of severe infection, such as hepatitis or pneumonia, in the 3 months prior to administration of the 1st dose of study drug. Less severe infections in the 3 months prior to administration of the 1st dose of study drug are permitted at the discretion of the investigator and medical monitor.
  • The patient has any concomitant medical condition unrelated to SLE that may interfere with his or her safety or with evaluation of the study drug, as determined by the investigator.
  • The patient has a history of a medical condition other than SLE that has required treatment with oral corticosteroids in excess of 80 mg of prednisone equivalent/week within 3 months of the 1st dose of study drug.
  • The patient has a positive test result for surface antigen (HBsAg) or virus antibody (HCV Ab).
  • The patient has a known positive history of antibodies to (HIV) or HIV disease or other state (eg, agammaglobulinemia, etc).
  • The patient has a history of alcohol or substance dependence or abuse (with the exception of nicotine),according to the of the American Psychiatric Association, Fourth Edition, Text Revision (DSM-IV-TR), within 3 months of the screening visit or has current substance abuse.
  • The patient has a history of severe allergic reactions to or to any component of the study drug or placebo.
  • The patient has undergone or is undergoing treatment with another drug for the treatment of lupus within 6 months prior to the 1st dose of study drug or has received any other investigational drug for any other condition within 4 weeks prior to the 1st dose of study drug.
  • The patient has previously participated in a ImmuPharma- or ImmuPharma-sponsored clinical study with IPP-201101.
  • The patient is a pregnant or lactating woman. (Any women becoming pregnant during the study will be withdrawn from the study.)
  • The patient is unlikely to comply with the study protocol or is unsuitable for any other reason, as judged by the investigator or medical monitor.
Terms in these criteria, in plain language(20)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

Postmenopausal

Periods have stopped for good: usually no period for 12 months in a row without another medical reason, sometimes confirmed by a blood test (FSH).

Childbearing potential

Able to become pregnant: from the first period until menopause, unless permanently unable to through surgery (removal of the womb, or of both ovaries or both fallopian tubes).

Criteria for people of childbearing potential usually ask for a negative pregnancy test and for contraception during the study and for a time after it.

Contraception

Ways of preventing pregnancy. “Highly effective” methods fail less than 1% of the time a year when used correctly — for example an IUD or an implant.

Criteria usually say which methods count and how long to keep using them after the last dose, sometimes for male participants too. Some studies accept a partner’s vasectomy if it was confirmed successful and that person is the participant’s only sexual partner.

Corticosteroids (steroids)

Anti-inflammatory medicines such as prednisone, prednisolone and dexamethasone — not the anabolic steroids used for muscle.

Studies differ in what they allow: check which steroid medicines, routes (tablets, injections, creams, inhalers, eye drops) and doses this study accepts.

NYHA class (heart failure)

The New York Heart Association’s four classes of how much heart failure limits physical activity.

I
No limits: ordinary activity causes no undue tiredness or breathlessness.
II
Slight limits: comfortable at rest, ordinary activity causes symptoms.
III
Marked limits: comfortable at rest, less than ordinary activity causes symptoms.
IV
Symptoms even at rest; any activity makes them worse.

Studies set their own limit — many outside heart failure leave out class III–IV, while heart failure studies may ask for a particular class. Check the class this study names.

GFR and eGFR (kidney filtering)

GFR (glomerular filtration rate) is how much blood the kidneys filter each minute. It is usually estimated from a blood test — eGFR, by formulas such as CKD-EPI or MDRD — and some studies ask for it to be measured directly instead. Usually given in mL/min/1.73 m².

Check the method, the units and the minimum the study states. A value of 90 or above is in the normal-or-high range, but kidney damage can show in other tests too.

ALT and AST (liver enzymes)

Two enzymes measured in a routine blood test of the liver. Higher levels can mean the liver is under strain or damaged. SGPT and SGOT are older names for ALT and AST.

Criteria usually give a limit as a multiple of the upper limit of normal (ULN), often higher when cancer has spread to the liver.

ULN (upper limit of normal)

The top of the normal range for a blood test, as set by the laboratory that runs it. Each lab prints its own range next to your result.

“≤ 2.5 × ULN” means the result can be up to two and a half times that top value.

Bilirubin

A yellow substance made when red blood cells are broken down, which the liver clears. A high level can mean a problem with the liver or the bile ducts.

Criteria often allow more for people with Gilbert’s syndrome, a harmless inherited condition that raises bilirubin.

Live vaccines

Vaccines made with a weakened form of the germ, such as measles–mumps–rubella (MMR), chickenpox and yellow fever. They can be risky when the immune system is weakened. Flu injections are not live; the nasal flu spray is.

Clinically significant

Judged by the study doctor to matter for your health or for the study. It is a doctor’s decision, so ask the study team if you are unsure whether something counts.

ECG (electrocardiogram)

A recording of the heart’s electrical activity, taken with stickers on the chest, arms and legs. It takes a few minutes and does not hurt.

Hepatitis B tests

Hepatitis B is a virus that infects the liver. These are separate tests: HBsAg positive usually means a current infection (a recent vaccination can briefly cause it too); total anti-HBc (HBcAb) positive means an infection now or in the past; HBV DNA measures how much virus is in the blood.

Some studies accept a past infection if HBV DNA is undetectable, sometimes with antiviral medicine during the study. Check what this study allows.

Hepatitis C tests

Hepatitis C is a virus that infects the liver. An HCV antibody test can stay positive after an infection has cleared (and is occasionally positive without one); an HCV RNA test shows whether the virus is there now.

After treatment, hepatitis C counts as cured when HCV RNA is still undetectable 12 weeks or more after the treatment ended. Studies often accept people cured this way.

HIV

The human immunodeficiency virus, which weakens the immune system.

Many studies now accept people whose HIV is controlled on treatment, judged by the viral load and the CD4 count. Check the limits this study sets.

Immunosuppression

A weakened immune system. It can come from an illness, such as HIV or some blood cancers, or from medicines that turn the immune system down, for example after an organ transplant or for an autoimmune disease; steroids at higher doses count.

Read whether the line is about a condition or about medicines, and which medicines and doses it means.

DSM diagnostic criteria

The American Psychiatric Association’s manual of mental health diagnoses. DSM-5 (2013, revised as DSM-5-TR in 2022) replaced DSM-IV, and some studies still name the older edition. “Meets DSM criteria for …” means diagnosed by that edition’s diagnostic criteria, usually by a clinician in an interview.

Hypersensitivity

An allergy, or another reaction of the immune system, to a substance. “Hypersensitivity to the study drug” means a known allergic reaction to it — not every side effect a medicine can have.

Investigational drug or device

A drug or device being studied in a clinical trial.

It may be new, or already approved and being studied for another use, dose or form. Criteria often leave out people who took part in another study of one within a recent period, commonly 30 days or five half-lives.

05

Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
202 participants (actual)

Study arms

  • Active comparator
    IPP-201101 200-mcg plus SOC

    Patients randomly assigned to IPP-201101 will be administered a dosage of 200 mcg subcutaneously (sc) every 4 weeks for 48 weeks (a total of 13 doses will be administered).

    Drug: IPP-201101 · Other: Standard of Care

  • Placebo comparator
    PLACEBO plus SOC

    Patients randomly assigned to placebo will be administered placebo subcutaneously (sc) every 4 weeks for 48 weeks (a total of 13 doses will be administered).

    Drug: Placebo · Other: Standard of Care

Interventions

  • Also known as: Lupuzor, regiremod

  • DrugPlacebo
  • OtherStandard of Care
06

What researchers measure

Primary outcomes

  1. Assessment of Systemic Lupus Erythematosus Responder Index (SRI) at Week 52

    A Systemic lupus erythematosus Responder Index (SRI) response is defined as a reduction from baseline in the Systemic Lupus Erythematosus Disease Activity Index 2000 (SLEDAI-2K) score of at least 4 points, no worsening in Physician's Global Assessment (PhGA) (with worsening defined as an increase in PhGA of more than 0.30 point from baseline), no new British Isles Lupus Assessment Group A (BILAG A) body system score, and no more than 1 new BILAG B body system score from baseline. The decrease of 4 points of the SRI is considered as better ouctome.

    Time frame: At week 52

07

Results

Posted Apr 11, 2019

Participant flow

Participant flow — Overall Study
MilestoneIPP-201101 200-mcg Plus SOCPLACEBO Plus SOC
Started101101
Completed7776
Not completed2425

Outcome measures

PrimaryAssessment of Systemic Lupus Erythematosus Responder Index (SRI) at Week 52

A Systemic lupus erythematosus Responder Index (SRI) response is defined as a reduction from baseline in the Systemic Lupus Erythematosus Disease Activity Index 2000 (SLEDAI-2K) score of at least 4 points, no worsening in Physician's Global Assessment (PhGA) (with worsening defined as an increase in PhGA of more than 0.30 point from baseline), no new British Isles Lupus Assessment Group A (BILAG A) body system score, and no more than 1 new BILAG B body system score from baseline. The decrease of 4 points of the SRI is considered as better ouctome.

Time frame:
At week 52
Reported as:
Number · percentage of patient responder
Assessment of Systemic Lupus Erythematosus Responder Index (SRI) at Week 52
percentage of patient responderIPP-201101 200-mcg Plus SOCPLACEBO Plus SOC
Assessment of Systemic Lupus Erythematosus Responder Index (SRI) at Week 5252.544.6
Statistical analysis
  • IPP-201101 200-mcg Plus SOC vs PLACEBO Plus SOC · Chi-squared · p = 0.2631
Post-hocProportion of Responders of EU Patients Having Anti-dsDNA ar Randomization

EU patients who had an assessment of "Yes" for anti-dsDNA at randomization and responders at week 52

Time frame:
At week 52
Reported as:
Number · percentage of patient responder
Proportion of Responders of EU Patients Having Anti-dsDNA ar Randomization
percentage of patient responderIPP-201101 200-mcg Plus SOCPLACEBO Plus SOC
Proportion of Responders of EU Patients Having Anti-dsDNA ar Randomization61.547.3

Adverse events

Collected over Adverse event collection was done during 52 weeks for each patient.. Non-serious events are listed at a 5% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
IPP-201101 200-mcg Plus SOC0/101 (0%)13/101 (12.9%)94/101 (93.1%)
PLACEBO Plus SOC0/101 (0%)16/101 (15.8%)96/101 (95%)
Most frequent serious events
Showing 10 of 38
Most frequent serious events
EventIPP-201101 200-mcg Plus SOCPLACEBO Plus SOC
PregnancyPregnancy, puerperium and perinatal conditions1/1013/101
HypertensionVascular disorders0/1012/101
AnemiaBlood and lymphatic system disorders2/1011/101
Systemic lupus erythematosusMusculoskeletal and connective tissue disorders1/1012/101
Deep vein thrombosisVascular disorders0/1011/101
Mesothelioma malignantNeoplasms benign, malignant and unspecified (incl cysts and polyps)1/1010/101
Uterine leiomyomaNeoplasms benign, malignant and unspecified (incl cysts and polyps)1/1010/101
face EdemaGeneral disorders1/1010/101
depressionPsychiatric disorders0/1011/101
Pelvic fluid collectionReproductive system and breast disorders1/1010/101
Most frequent other events
Showing 10 of 23
Most frequent other events
EventIPP-201101 200-mcg Plus SOCPLACEBO Plus SOC
Upper respiratory tract infectionInfections and infestations20/10128/101
Urinary tract infectionInfections and infestations23/10110/101
HeadacheNervous system disorders12/10117/101
ArthritisMusculoskeletal and connective tissue disorders15/10114/101
AlopeciaSkin and subcutaneous tissue disorders12/10113/101
ArthralgiaMusculoskeletal and connective tissue disorders12/10113/101
RashSkin and subcutaneous tissue disorders12/1018/101
Systemic lupus erythematosusMusculoskeletal and connective tissue disorders2/10110/101
Back painMusculoskeletal and connective tissue disorders9/1019/101
LeukopeniaRespiratory, thoracic and mediastinal disorders8/1017/101

Baseline characteristics

Age, Categorical
Age, Categorical(Participants)IPP-201101 200-mcg Plus SOCPLACEBO Plus SOCTotal
<=18 years000
Between 18 and 65 years101101202
>=65 years000
Sex: Female, Male
Sex: Female, Male(Participants)IPP-201101 200-mcg Plus SOCPLACEBO Plus SOCTotal
Female9692188
Male5914
Race/Ethnicity, Customized
Race/Ethnicity, Customized(Participants)IPP-201101 200-mcg Plus SOCPLACEBO Plus SOCTotal
Not Hispanic or Latino8884172
Hispanic or Latino131932
Region of Enrollment
Region of Enrollment(Participants)IPP-201101 200-mcg Plus SOCPLACEBO Plus SOCTotal
Hungary91524
United States363773
Czechia10515
Poland122032
France347
Mauritius272249
Germany314
08

Study locations

30 sites
  • WALLACE
    Los Angeles, California, United States
  • East Bay Rheumatology Medical
    San Leandro, California, United States
  • Denver Arthritis Clinic
    Denver, Colorado, United States
  • Arthritis and Rheumatic Disease Specialties
    Aventura, Florida, United States
  • McILwain Medical Group
    Tampa, Florida 33614, United States
  • Arthritis Research & Treatment Center
    Stockbridge, Georgia, United States
  • Innovative Health Research
    Las Vegas, Nevada, United States
  • Thurston Arthritis Research Center
    Chapel Hill, North Carolina, United States
  • DJL Clinical Research, PLLC
    Charlotte, North Carolina, United States
  • Revmatologie s.r.o.
    Brno, Czechia
  • Revmatologický ústav v Praze
    Praha, 128 50, Czechia
  • CHU Felix Guyon
    Saint-Denis, La Réunion, France
  • Hopital Haut Lévêque
    Bordeaux, France
  • Hôpital européen
    Marseille, France
  • GHR Mulhouse Sud-Alsace
    Mulhouse, France
  • Hôpital Cochin
    Paris, France
  • CHU Strasbourg Hôpital de Hautepierre
    Strasbourg, France
  • CHU Strasbourg Nouvel Hôpital Civil
    Strasbourg, France
  • Schlosspark-Klinik Berlin
    Berlin, Germany
  • Clinic for Rheumatology and Internal Medicine
    Freiburg, Germany
  • Egyesitett Szt.István és Szt. László Kórház
    Budapest, 1097, Hungary
  • University of Debrecen Medical Center Department of Clinical Immunology
    Debrecen, Hungary
  • Synexus Gyula AS
    Gyula, 5700, Hungary
  • Mentaház Magánorvosi Központ Kft.
    Székesfehérvár, 8000, Hungary
  • Cap Research
    Phoenix, Mauritius
  • Centrum Medyczne Plejady
    Krakow, Poland
  • Krakowskie Centrum Medyczne
    Kraków, Poland
  • Centrum Medyczne Hetmańska
    Poznan, Poland
  • Centrum Medyczne Oporow
    Wroclaw, Poland
  • Latin Clinical Trial Center
    San Juan, 00909, Puerto Rico
09

References and documents

Study documents

PDFs hosted by the registry, ClinicalTrials.gov.

Individual participant data

Plan to share: No

10

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Ran from Mar 2015 to primary completion in Jan 2018, 34 months.

Results were first posted in Apr 2019, 1 year 3 months after primary completion.

Of 53 phase 3 interventional studies under Lupus Erythematosus, Systemic, half reached primary completion within 51 months of starting (the median), counting those still running; a quarter within 38 and three quarters within 84. This study's 34 months is below that.

How these figures are worked out, and which studies are left out of them.

Registered
Jul 17, 2015
First posted
Jul 22, 2015
StartActual
Mar 2015
Primary completionActual
Jan 2018
CompletionActual
Jan 2018
Results first posted
Apr 11, 2019
Last update
Apr 11, 2019
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Apr 11, 2019, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT02504645
Lead sponsor
ImmuPharma
Responsible party
Sponsor
First posted
Jul 22, 2015
Start date
Mar 2015
Primary completion
Jan 2018
Completion
Jan 2018
Results posted
Apr 11, 2019
Last update
Apr 11, 2019

Study contacts

Daniel WALLACE
principal investigator · Wallace Rheumatic Studies Center LLC

Oversight

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

Not currently enrolling

This study is completed, as verified in Apr 2019. You cannot join it, but the record below documents what was studied.

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