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RecruitingNCT07049653ROSEUpdated Sep 18, 2026

Anifrolumab Pregnancy Study

An observational study in Systemic Lupus Erythematosus, sponsored by AstraZeneca. Recruiting at 1 site in United States. Open to female participants aged 18 Years to 130 Years. Per ClinicalTrials.gov, last updated 2026-09-18.

Sponsored by AstraZeneca · Observational

From the registry’s dates

  • Started Jun 2026; still recruiting 4 months later.
Study type
Observational
Model
Cohort
Time perspective
Retrospective
Enrollment
500
Ages
18 Years to 130 Years
Sex
Female
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Study summary

This is a non-interventional multi-database post-authorisation study to assess pregnancy-related safety data from women with SLE exposed to Anifrolumab.

Read the detailed description

The aim of this study is to describe congenital malformations, adverse pregnancy and birth outcomes in pregnancies/offspring from women with moderate/severe SLE exposed to anifrolumab during pregnancy and to compare with outcomes in women with moderate/severe SLE who are exposed to other standard of care but not anifrolumab. Adverse outcomes related to infant growth up to one year of age will also be investigated.

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Conditions studied

  • Systemic Lupus Erythematosus

Keywords

  • pregnancy, anifrolumab, SLE
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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 planned enrollment of 500 is above the median of 140 across 283 observational studies indexed under Lupus Erythematosus, Systemic.

Browse Lupus Erythematosus, Systemic studies →

Lead sponsor

AstraZeneca is the lead sponsor of 3,429 studies on the registry; 270 are open to participants now.

Of its 357 completed or terminated interventional studies of FDA-regulated products, 173 (48%) have results posted.

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

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Who can participate

Ages eligible
18 Years to 130 Years
Sexes eligible
Female
Accepts healthy volunteers
No
Sampling method
Non-probability sample

Study population

The population will encompass women with SLE of child-bearing potential age (15-49 years old) who start anifrolumab or other selected SLE treatments.

For the safety outcomes analyses the study population will include pregnant women and their infant born anytime during the study period.

Inclusion criteria

  • Women with a continuous enrolment in the database for ≥ 12 months prior to LMP2
  • Women diagnosed with SLE before pregnancy
  • Women exposed to anifrolumab (polytherapy, added to SLE SOC) during pregnancy and/or 16-week period prior to LMP2

Exclusion criteria

Exclusion criteria for EXPOSED SOURCE POPULATION:

- Pregnancies whose date of conception cannot be established

Inclusion criteria for UNEXPOSED SOURCE POPULATION:

  • Women with a continuous enrolment in the database for ≥ 12 months prior to LMP2
  • Women diagnosed with SLE before pregnancy
  • Women treated with SLE SOC during pregnancy

Exclusion criteria for UNEXPOSED SOURCE POPULATION:

  • Women treated with anifrolumab during pregnancy and/or 16-week period prior to LMP2
  • Pregnancies whose date of conception cannot be established

Inclusion criteria for EXPOSED and UNEXPOSED STUDY POPULATION:

- Women with moderate/severe SLE

Exclusion criteria for EXPOSED and UNEXPOSED STUDY POPULATION:

  • Women with a history of CM or chromosomal abnormalities (according to available records), before delivery
  • Women prescribed a confirmed teratogenic drug prior to LMP2 with a time period of 5-half-lives of relevant drug or during pregnancy
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Study design

Observational model
Cohort
Time perspective
Retrospective
Enrollment
500 participants (estimated)
Patient registry
No

Groups and cohorts

  • Exposed cohort

    Pregnant individuals with a diagnosis of SLE who are exposed to anifrolumab at any time during pregnancy

  • Unexposed cohort

    Pregnant individuals with a diagnosis of moderate/severe SLE who are not exposed to anifrolumab at any time during pregnancy but who are exposed to other products for the treatment of SLE

06

What researchers measure

Primary outcomes

  1. Risk of major congenital malformations (MCM)

    Describe and estimate the risk of MCM in live and non-live offspring from the women who had moderate/severe SLE and were exposed to anifrolumab during the first trimester of pregnancy or exposed to SOC and unexposed to anifrolumab during the first trimester of pregnancy

    Time frame: From date of conception (DOC) to pregnancy outcome for fetal losses or 12 months of infant age for live births

  2. Relative risk of MCM

    Estimate the relative risk of MCM in live and non-live offspring from the women who had moderate/severe SLE and were exposed to anifrolumab during the first trimester of pregnancy or exposed to SOC and unexposed to anifrolumab during the first trimester of pregnancy

    Time frame: From date of conception (DOC) to pregnancy outcome for fetal losses or 12 months of infant age for live births

  3. Risk of select pregnancy loss outcomes

    Describe and estimate the risk of select pregnancy loss outcomes (composite of spontaneous abortion and stillbirth) in all pregnancies from women who had moderate/severe SLE and were exposed or unexposed to anifrolumab during pregnancy

    Time frame: At delivery/birth

  4. Relative risk of select pregnancy loss outcomes

    Estimate the relative risk of select pregnancy loss outcomes (composite of spontaneous abortion and stillbirth) in pregnancies from women who had moderate/severe SLE and were exposed or unexposed to anifrolumab during pregnancy

    Time frame: At delivery/birth

Secondary outcomes

  1. Demographic and clinical characteristics

    Describe the demographic and clinical characteristics of the live and non-live offspring and their mothers who had moderate/severe SLE and were exposed or unexposed to anifrolumab during the first trimester of pregnancy or anytime during pregnancy

    Time frame: From date of conception (DOC) to pregnancy outcome for fetal losses or 12 months of infant age for live births

  2. Risk of minor congenital malformations (mCM)

    Describe and estimate the risk of mCM in live and non-live offspring from women with moderate/severe SLE who were exposed or unexposed to anifrolumab during pregnancy

    Time frame: From date of conception (DOC) to pregnancy outcome for fetal losses or 12 months of infant age for live births

  3. Relative risk of mCM

    Estimate the relative risk of mCM in live and non-live offspring from women who had moderate/severe SLE and were exposed or unexposed to anifrolumab during pregnancy

    Time frame: From date of conception (DOC) to pregnancy outcome for fetal losses or 12 months of infant age for live births

  4. Risk of adverse pregnancy outcomes

    Describe and estimate the risk of adverse pregnancy outcomes (ectopic pregnancy, spontaneous abortion, elective termination of pregnancy, stillbirth, infections requiring hospitalisation during pregnancy, emergency caesarean section) in all pregnancies from women who had moderate/severe SLE and were exposed or unexposed to anifrolumab during pregnancy

    Time frame: At delivery/birth

  5. Relative risk of adverse pregnancy outcomes

    Estimate the relative risk of adverse pregnancy outcomes (ectopic pregnancy, spontaneous abortion, elective termination of pregnancy, stillbirth, infections requiring hospitalisation during pregnancy, emergency caesarean section) in pregnancies from women who had moderate/severe SLE and were exposed or unexposed to anifrolumab during pregnancy

    Time frame: At delivery/birth

  6. Risk of adverse birth outcomes

    Describe and estimate the risk of adverse birth outcomes (preterm birth, small for gestational age (SGA)) in live offspring from women who had moderate/severe SLE and were exposed or unexposed to anifrolumab during pregnancy

    Time frame: At delivery/birth

  7. Relative risk of adverse birth outcomes

    Estimate the relative risk of adverse birth outcomes (preterm birth, small for gestational age (SGA)) in live offspring from women who had moderate/severe SLE and were exposed or unexposed to anifrolumab during pregnancy

    Time frame: At delivery/birth

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Study locations

1 of 1 sites recruiting
  • Research Site
    Cary, North Carolina 27513, United States
    Recruiting
08

References and documents

Individual participant data

Plan to share: Yes — Qualified researchers can request access to anonymized individual patient-level data from AstraZeneca group of companies sponsored clinical trials via the request portal Vivli.org. All requests will be evaluated as per the AZ disclosure commitment: https://astrazenecagrouptrials.pharmacm.com/ST/Submission/Disclosure. Yes, indicates that AZ are accepting requests for IPD, but this does not mean all requests will be shared.

Supporting information: Study protocol, Sap

No publications or documents are linked to this record.

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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Sep 18, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT07049653
Lead sponsor
AstraZeneca
Collaborators
IQVIA Pty Ltd
Responsible party
Sponsor
First posted
Jul 3, 2025
Start date
Jun 4, 2026
Primary completion
Dec 10, 2030 (estimated)
Completion
Dec 10, 2030 (estimated)
Last update
Sep 18, 2026

Study contacts

AstraZeneca Clinical Study Information Center
Contact
information.center@astrazeneca.com
1-877-240-9479

Oversight

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

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