Skip to content

Study of VIB7734 for the Treatment of Moderate to Severely Active SLE

A Phase 2 Randomized, Double-Blind, Placebo-Controlled Efficacy and Safety Study of VIB7734 for the Treatment of Moderate to Severely Active Systemic Lupus Erythematosus

Status
Completed
Phases
Phase 2
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT04925934
Acronym
RECAST SLE
Enrollment
214
Registered
2021-06-14
Start date
2021-05-28
Completion date
2023-06-09
Last updated
2024-07-23

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Lupus Erythematosus, Systemic

Brief summary

A Phase 2 Randomized, Double-Blind, Placebo-Controlled Efficacy and Safety Study of VIB7734 for the Treatment of Moderate to Severely Active Systemic Lupus Erythematosus in approximately 195 participants. The study duration will be 48 weeks, with a safety follow-up through week 56.There will be 3 parallel arms - 2 active treatment and 1 placebo.

Interventions

VIB7734

OTHERPlacebo

Placebo

Sponsors

Amgen
Lead SponsorINDUSTRY

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
DOUBLE (Subject, Investigator)

Intervention model description

Randomized, double-blind, placebo-controlled, parallel-arm study

Eligibility

Sex/Gender
ALL
Age
18 Years to 70 Years
Healthy volunteers
No

Inclusion criteria

* Age ≥ 18 years to ≤ 70 years * Willing and able to understand and provide written informed consent. * Fulfill the 2019 European League Against Rheumatism/American College of Rheumatology Classification Criteria for SLE * Disease duration of at least 6 months * Active SLE as indicated by presence of all the following: 1. SLEDAI-2K total score ≥ 6 at Screening, excluding fever, SLE headache, or organic brain syndrome. 2. SLEDAI-2K total score ≥ 4, excluding points attributable to any urine or laboratory results, immunologic measures, fever, SLE headache, or organic brain syndrome at Screening and Baseline (Day 1). 3. At least one of the following BILAG 2004 Index levels of disease at Screening: * BILAG A disease in ≥ 1 organ system * BILAG B disease in ≥ 2 organ systems d. PGA score ≥ 1 on a 0 to 3 visual analog scale (VAS) at Screening Have at least one of the following at Screening per central lab: * ANA ≥ 1:80 * Anti-dsDNA antibodies elevated to above normal range as established by the central laboratory (ie, positive results) * Anti-Smith antibodies elevated to above normal (ie, positive results) Ongoing treatment for SLE 1. Treatment with one or more disease-modifying anti-rheumatic drug (DMARD) or immunosuppressive medication: Any of the following medications each administered at conventional anti-rheumatic doses for treatment of SLE for at least 12 weeks before Screening (unless discontinued or dose adjusted for documented drug-related toxicity or size/weight), and at a stable dose (including route of administration) for a minimum of 8 weeks prior to Screening and maintained through Baseline (Day 1): 2. Treatment with OGC monotherapy (without the concomitant use of DMARDs or immunosuppressants): * Average daily dose of PO prednisone ≥ 10 mg but ≤ 40 mg (or prednisone equivalent) for a minimum of 4 weeks prior to Screening and a stable dose for minimum of 2 weeks prior to Screening. The dose of OGC must be kept for a minimum of 2 weeks prior to Randomization. Daily dosing or alternate day dosing of PO prednisone or equivalent is allowed. * Women of childbearing potential must have a negative serum pregnancy test at screening and a negative urine pregnancy test at Randomization. * Non-sterilized male participants who are sexually active with a woman partner of childbearing potential must agree to use a condom with spermicide from Randomization and until 3 months (approximately 5 half-lives) after receipt of the last dose.

Exclusion criteria

* Any condition that, in the opinion of the Investigator, or the Sponsor/Central Review Committee, would interfere with the evaluation of the IP or interpretation of participant safety or study results (including borderline disease activity) * History of allergy, hypersensitivity reaction, or anaphylaxis to any component of the IP or a previous mAb or human Ig therapy * Active LN or active severe or unstable neuropsychiatric SLE * Current diagnosis of non-SLE vasculitis syndrome, mixed connective tissue disease, or rheumatic (overlap) syndrome * Participation in another clinical study with an investigational drug within 4 weeks before Day 1 * Breastfeeding or pregnant women or women who intend to become pregnant anytime from signing the ICF through 6 months after receiving the last dose of IP * Major surgery within 8 weeks prior to Screening or elective surgery planned from Screening through Day 393. * Spontaneous or induced abortion, still or live birth, or pregnancy ≤ 4 weeks before Screening * Known history of a primary immunodeficiency or an underlying condition such as known human immunodeficiency virus (HIV) infection * Hepatitis B, Hepatitis C, active TB, any severe herpes infection, clinically active infection, or opportunistic infection * History of clinically significant cardiac disease including unstable angina; and/or myocardial infarction and/or congestive heart failure within 6 months prior to Randomization. * History of cancer within the past 5 years except, in situ carcinoma of the cervix, cutaneous basal cell or squamous cell carcinoma with curative therapy. * Receipt of a live-attenuated vaccine within 4 weeks before Day 1 Administration of inactivated (killed) vaccines is acceptable * The use of immunosuppressants, biologics and DMARDS within the protocol defined washout periods

Design outcomes

Primary

MeasureTime frameDescription
Number of Participants Achieving a BILAG-2004 Index-based Combined Lupus Assessment (BICLA) Response and an OGC Dose ≤ 7.5 mg/Day and ≤ Baseline Dose of Prednisone or Equivalent at Week 48Week 48A BICLA response required improvement in all domains affected at baseline, assessed by the BILAG 2004, no worsening of other BILAG 2004 domains, no worsening of SLEDAI-2K or PGA scores compared with baseline, no use of restricted medications beyond the protocol-allowed threshold, and no discontinuation of IP.

Secondary

MeasureTime frameDescription
Number of Participants Achieving an SLE Responder Index (SRI)-4 Response and an OGC Dose ≤ 7.5 mg/Day and ≤ Baseline Dose of Prednisone or Equivalent at Week 48Week 48The SRI-4 measures reduction in SLE disease activity and it is a composite measure that includes the SLEDAI-2K, BILAG-2004, and PGA. SRI responder was defined by meeting all of the following criteria: 1) Reduction of ≥4 points from baseline in SLEDAI-2K score; 2) no new BILAG A or no more than 1 new BILAG B disease activity scores and 3) no worsening (defined as an increase of ≥0.3 points \[0-3 scale\] from baseline) in the PGA.
Number of Participants With an OGC Dose ≥ 10 mg/Day of Prednisone or Equivalent at Baseline Who Maintained an OGC Dose ≤ 7.5 mg/Day From Week 36 Through Week 48Week 36 up to Week 48Maintenance of OGC reduction from Week 36 to Week 48 was defined by meeting all the following criteria: 1. Achieved an OGC dose of ≤ 7.5 mg/day prednisone or equivalent at Week 36 2. Maintained an OGC dose of ≤ 7.5 mg/day from Week 36 through Week 48 3. No use of restricted medications beyond the protocol-allowed threshold before assessment 4. No discontinuation of IP before assessment
Number of Participants Achieving Lupus Low Disease Activity State (LLDAS) at Week 48Week 48LLDAS was defined by meeting all of the following criteria: 1. SLEDAI-2K ≤ 4, with no activity in major organ systems (renal, central nervous system, cardiopulmonary, vasculitis, fever) and no hemolytic anemia or gastrointestinal activity measured as maintaining a D (no disease activity but suggests the system had previously been affected) or E (no current or previous disease activity) score in BILAG Gastrointestinal Body System 2. No new lupus disease activity compared with the previous 3. Physician's Global Assessment of Disease Activity ≤ 1 on a 3-point visual analog scale from no disease activity to severe disease activity 4. A current prednisolone (or equivalent) dose ≤ 7.5 mg daily 5. Well-tolerated standard maintenance doses of immunosuppressive drugs and approved biological agents
Serum Concentration of DaxdilimabBaseline, Week 4, Week 8, Week 12, Week 16, Week 20, Week 24, Week 28, Week 32, Week 36, Week 40, Week 44, Week 48
Number of Participants With a Cutaneous Lupus Erythematosus Disease Area and Severity Index-Activity (CLASI-A) Score ≥ 10 at Baseline Achieving ≥ 50% Reduction From Baseline in CLASI-A Score at Week 12Week 12The CLASI-A evaluates erythema (0-3 \[higher scores indicate more severe redness\]), scale/hypertrophy (0-2 \[higher scores indicate more extensive scaling/thickening\]), mucous membrane lesions (0 \[absent\] or 1 \[present\]), recent hair loss (0 \[absent\] or 1 \[present\]), and non-scarring alopecia (0-3 \[(higher scores indicate more extensive hair loss without scarring\]) at 13 anatomical sites on the skin. Total score is calculated by summing scores across all anatomical locations for each parameter. Higher total scores indicate greater disease activity and severity in SLE. Reduction of 50% in CLASI-A score was defined by meeting all the following conditions: 1. A ≥ 50% reduction of CLASI-A score at Week 12 as compared to baseline. 2. No use of restricted medications beyond the protocol-allowed threshold before assessment. 3. No discontinuation of IP.
Change From Baseline in Plasmacytoid Dendritic Cell (pDCs) Expression in BloodBaseline, Week 4, Week 8, Week 12, Week 20, Week 24, Week 32, Week 36, Week 44, Week 48, Week 52, Week 56
Number of Participants Who Experienced Treatment-emergent Adverse Events (TEAEs)Up to Week 56An adverse event (AE) is any untoward medical occurrence associated with the use of an intervention in humans whether or not it is considered intervention-related. TEAEs are AEs that started on or after the first dose of IP. An AE was considered serious (SAE) if it resulted in any of the following outcomes: death, a life-threatening AE, inpatient hospitalization or prolonged existing hospitalization, a persistent or significant incapacity or substantial disruption of the ability to conduct normal life functions, a congenital abnormality/birth defect, or an important medical event. AE severity was rated according to the Common Terminology Criteria for Adverse Events (CTCAE) Version 5.0: grade 1 (mild), grade 2 (moderate), grade 3 (severe), grade 4 (life-threatening), grade 5 (death).
Number of Participants Who Experienced AEs of Special Interest (AESI)Up to Week 56An AESI is an AE of scientific and medical interest specific to understanding of the IP and may require close monitoring and collection of additional information by the Investigator. AESIs for this study included: 1. Hypersensitivity reaction, including anaphylaxis. 2. Severe (Grade 3 or higher) viral infections/reactivations. 3. Opportunistic infection. 4. Malignancy (except non-melanoma skin cancer).
Number of Participants With Anti-drug Antibodies (ADA) to DaxdilimabBaseline to Week 56A baseline ADA-positive participant was defined as a participant who had an ADA positive sample at baseline. ADA incidence is the number of the participants ADA positive post-Baseline only or who boosted their preexisting ADA (≥ 4 × Baseline level) during the trial. Persistent positive was defined as ADA positive at ≥ 2 post-Baseline assessments (with ≥ 16 weeks between first and last positive) or positive at last post-Baseline assessment. Transient positive was defined as ADA post-Baseline positive but did not fulfill the criteria of persistent positive.

Countries

Argentina, Greece, India, Mexico, Poland, Russia, Serbia, Spain, Taiwan, Ukraine, United States

Participant flow

Recruitment details

Participants with systemic lupus erythematosus (SLE) were enrolled at 68 sites in the United States, Argentina, Greece, India, Mexico, Poland, Serbia, Spain, Taiwan, Ukraine and Russia between May 2021 and June 2023.

Pre-assignment details

Participants were randomized in a 1:1:1 ratio to take daxdilimab 200 mg every 4 weeks (Q4W) subcutaneously (SC), daxdilimab 200 mg every 12 weeks (Q12W) SC (with an additional 200 mg SC dose at Week 4) or matching placebo Q4W SC. Duration of treatment was up to 48 weeks. Randomization was stratified by SLE Disease Activity Index 2000 (SLEDAI-2K) total score at screening (≥ 10 or \< 10) and prednisone or equivalent oral glucocorticoid (OGC) dose at baseline (≥ 10 mg/day or \< 10 mg/day).

Participants by arm

ArmCount
Placebo
Participants were randomized to receive matching placebo Q4W SC for a treatment period up to 48 weeks.
71
Daxdilimab 200 mg Q4W
Participants were randomized to receive daxdilimab 200 mg Q4W for a treatment period up to 48 weeks.
72
Daxdilimab 200 mg Q12W
Participants were randomized to receive daxdilimab 200 mg Q12W (with an additional 200 mg SC dose at Week 4) for a treatment period up to 48 weeks.
71
Total214

Withdrawals & dropouts

PeriodReasonFG000FG001FG002
Overall StudyAdverse Event100
Overall StudyDeath010
Overall StudyEastern European Conflict732
Overall StudyLost to Follow-up201
Overall StudyOther222
Overall StudyWithdrawal by Subject859

Baseline characteristics

CharacteristicPlaceboTotalDaxdilimab 200 mg Q12WDaxdilimab 200 mg Q4W
Age, Continuous41.0 years
STANDARD_DEVIATION 11
43.6 years
STANDARD_DEVIATION 12
45.3 years
STANDARD_DEVIATION 11.6
44.5 years
STANDARD_DEVIATION 13.1
British Isles Lupus Assessment Group (BILAG)-2004 Score19.2 scores on a scale
STANDARD_DEVIATION 4.7
19.5 scores on a scale
STANDARD_DEVIATION 4.9
19.8 scores on a scale
STANDARD_DEVIATION 5.5
19.5 scores on a scale
STANDARD_DEVIATION 4.6
Number of Participants Within Each OGC Stratification Dose Level
< 10 mg/day
36 number of participants107 number of participants36 number of participants35 number of participants
Number of Participants Within Each OGC Stratification Dose Level
≥ 10 mg/day
35 number of participants107 number of participants35 number of participants37 number of participants
Physician Global Assessment (PGA) Score1.89 Score
STANDARD_DEVIATION 0.37
1.91 Score
STANDARD_DEVIATION 0.37
1.90 Score
STANDARD_DEVIATION 0.41
1.96 Score
STANDARD_DEVIATION 0.32
Race/Ethnicity, Customized
American Indian or Alaskan Native
2 participants4 participants0 participants2 participants
Race/Ethnicity, Customized
Asian
9 participants26 participants10 participants7 participants
Race/Ethnicity, Customized
Black or African American
4 participants18 participants6 participants8 participants
Race/Ethnicity, Customized
Hispanic or Latino
25 participants79 participants27 participants27 participants
Race/Ethnicity, Customized
Multiple categories checked
1 participants1 participants0 participants0 participants
Race/Ethnicity, Customized
Not Hispanic or Latino
46 participants135 participants44 participants45 participants
Race/Ethnicity, Customized
Other
1 participants11 participants4 participants6 participants
Race/Ethnicity, Customized
White
54 participants154 participants51 participants49 participants
Sex: Female, Male
Female
67 Participants200 Participants66 Participants67 Participants
Sex: Female, Male
Male
4 Participants14 Participants5 Participants5 Participants
SLEDAI-2K Score9.9 Score
STANDARD_DEVIATION 2.8
10.2 Score
STANDARD_DEVIATION 3.3
10.1 Score
STANDARD_DEVIATION 2.9
10.6 Score
STANDARD_DEVIATION 4

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
EG002
affected / at risk
deaths
Total, all-cause mortality
0 / 711 / 720 / 71
other
Total, other adverse events
17 / 7130 / 7229 / 71
serious
Total, serious adverse events
8 / 719 / 729 / 71

Outcome results

Primary

Number of Participants Achieving a BILAG-2004 Index-based Combined Lupus Assessment (BICLA) Response and an OGC Dose ≤ 7.5 mg/Day and ≤ Baseline Dose of Prednisone or Equivalent at Week 48

A BICLA response required improvement in all domains affected at baseline, assessed by the BILAG 2004, no worsening of other BILAG 2004 domains, no worsening of SLEDAI-2K or PGA scores compared with baseline, no use of restricted medications beyond the protocol-allowed threshold, and no discontinuation of IP.

Time frame: Week 48

Population: FAS: included all randomized participants who received any dose of IP. Participants were analyzed according to the treatment randomized.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
PlaceboNumber of Participants Achieving a BILAG-2004 Index-based Combined Lupus Assessment (BICLA) Response and an OGC Dose ≤ 7.5 mg/Day and ≤ Baseline Dose of Prednisone or Equivalent at Week 4825 Participants
Daxdilimab 200 mg Q4WNumber of Participants Achieving a BILAG-2004 Index-based Combined Lupus Assessment (BICLA) Response and an OGC Dose ≤ 7.5 mg/Day and ≤ Baseline Dose of Prednisone or Equivalent at Week 4829 Participants
Daxdilimab 200 mg Q12WNumber of Participants Achieving a BILAG-2004 Index-based Combined Lupus Assessment (BICLA) Response and an OGC Dose ≤ 7.5 mg/Day and ≤ Baseline Dose of Prednisone or Equivalent at Week 4827 Participants
Comparison: Adjusted response rate, rate difference and p-value are from logistic regression analysis with treatment and randomization stratification factors in the model.p-value: =0.747490% CI: [-11.4, 17]Regression, Logistic
Comparison: Adjusted response rate, rate difference and p-value are from logistic regression analysis with treatment and randomization stratification factors in the model.p-value: =0.994290% CI: [-14.2, 14.1]Regression, Logistic
Secondary

Change From Baseline in Plasmacytoid Dendritic Cell (pDCs) Expression in Blood

Time frame: Baseline, Week 4, Week 8, Week 12, Week 20, Week 24, Week 32, Week 36, Week 44, Week 48, Week 52, Week 56

Population: SAS: included all participants who received any dose of IP. Participants were analyzed according to the treatment that they received. Only participants with available data were included in the analysis.

ArmMeasureGroupValue (MEAN)Dispersion
PlaceboChange From Baseline in Plasmacytoid Dendritic Cell (pDCs) Expression in BloodWeek 120.0275 cells/uLStandard Deviation 1.758
PlaceboChange From Baseline in Plasmacytoid Dendritic Cell (pDCs) Expression in BloodWeek 44-0.3194 cells/uLStandard Deviation 1.6347
PlaceboChange From Baseline in Plasmacytoid Dendritic Cell (pDCs) Expression in BloodWeek 4-0.2324 cells/uLStandard Deviation 1.8194
PlaceboChange From Baseline in Plasmacytoid Dendritic Cell (pDCs) Expression in BloodWeek 480.1973 cells/uLStandard Deviation 2.4112
PlaceboChange From Baseline in Plasmacytoid Dendritic Cell (pDCs) Expression in BloodWeek 520.1483 cells/uLStandard Deviation 3.7955
PlaceboChange From Baseline in Plasmacytoid Dendritic Cell (pDCs) Expression in BloodWeek 56-2.0823 cells/uLStandard Deviation 3.9807
PlaceboChange From Baseline in Plasmacytoid Dendritic Cell (pDCs) Expression in BloodWeek 20285.1519 cells/uLStandard Deviation 1613.566
PlaceboChange From Baseline in Plasmacytoid Dendritic Cell (pDCs) Expression in BloodBaseline2.5068 cells/uLStandard Deviation 1.8486
PlaceboChange From Baseline in Plasmacytoid Dendritic Cell (pDCs) Expression in BloodWeek 8-0.4608 cells/uLStandard Deviation 1.4125
PlaceboChange From Baseline in Plasmacytoid Dendritic Cell (pDCs) Expression in BloodWeek 24-0.3911 cells/uLStandard Deviation 1.7344
PlaceboChange From Baseline in Plasmacytoid Dendritic Cell (pDCs) Expression in BloodWeek 320.3513 cells/uLStandard Deviation 1.7855
PlaceboChange From Baseline in Plasmacytoid Dendritic Cell (pDCs) Expression in BloodWeek 36-0.1274 cells/uLStandard Deviation 1.6962
Daxdilimab 200 mg Q4WChange From Baseline in Plasmacytoid Dendritic Cell (pDCs) Expression in BloodWeek 32-1.3367 cells/uLStandard Deviation 1.5678
Daxdilimab 200 mg Q4WChange From Baseline in Plasmacytoid Dendritic Cell (pDCs) Expression in BloodWeek 8-1.5194 cells/uLStandard Deviation 1.7555
Daxdilimab 200 mg Q4WChange From Baseline in Plasmacytoid Dendritic Cell (pDCs) Expression in BloodWeek 44-1.6540 cells/uLStandard Deviation 1.6184
Daxdilimab 200 mg Q4WChange From Baseline in Plasmacytoid Dendritic Cell (pDCs) Expression in BloodWeek 20-1.5131 cells/uLStandard Deviation 1.6837
Daxdilimab 200 mg Q4WChange From Baseline in Plasmacytoid Dendritic Cell (pDCs) Expression in BloodWeek 48-1.4608 cells/uLStandard Deviation 1.5647
Daxdilimab 200 mg Q4WChange From Baseline in Plasmacytoid Dendritic Cell (pDCs) Expression in BloodBaseline2.2960 cells/uLStandard Deviation 1.7457
Daxdilimab 200 mg Q4WChange From Baseline in Plasmacytoid Dendritic Cell (pDCs) Expression in BloodWeek 52-0.4353 cells/uLStandard Deviation 0.5127
Daxdilimab 200 mg Q4WChange From Baseline in Plasmacytoid Dendritic Cell (pDCs) Expression in BloodWeek 4-1.4240 cells/uLStandard Deviation 1.9493
Daxdilimab 200 mg Q4WChange From Baseline in Plasmacytoid Dendritic Cell (pDCs) Expression in BloodWeek 24-1.5974 cells/uLStandard Deviation 1.7705
Daxdilimab 200 mg Q4WChange From Baseline in Plasmacytoid Dendritic Cell (pDCs) Expression in BloodWeek 56-2.3137 cells/uLStandard Deviation 3.2514
Daxdilimab 200 mg Q4WChange From Baseline in Plasmacytoid Dendritic Cell (pDCs) Expression in BloodWeek 12-1.5164 cells/uLStandard Deviation 1.818
Daxdilimab 200 mg Q4WChange From Baseline in Plasmacytoid Dendritic Cell (pDCs) Expression in BloodWeek 36-1.4614 cells/uLStandard Deviation 1.7634
Daxdilimab 200 mg Q12WChange From Baseline in Plasmacytoid Dendritic Cell (pDCs) Expression in BloodWeek 24-0.5507 cells/uLStandard Deviation 1.309
Daxdilimab 200 mg Q12WChange From Baseline in Plasmacytoid Dendritic Cell (pDCs) Expression in BloodWeek 12-1.1134 cells/uLStandard Deviation 1.529
Daxdilimab 200 mg Q12WChange From Baseline in Plasmacytoid Dendritic Cell (pDCs) Expression in BloodWeek 48-0.7964 cells/uLStandard Deviation 1.0055
Daxdilimab 200 mg Q12WChange From Baseline in Plasmacytoid Dendritic Cell (pDCs) Expression in BloodBaseline1.9195 cells/uLStandard Deviation 1.199
Daxdilimab 200 mg Q12WChange From Baseline in Plasmacytoid Dendritic Cell (pDCs) Expression in BloodWeek 4-1.2903 cells/uLStandard Deviation 1.2201
Daxdilimab 200 mg Q12WChange From Baseline in Plasmacytoid Dendritic Cell (pDCs) Expression in BloodWeek 20-1.0320 cells/uLStandard Deviation 1.1063
Daxdilimab 200 mg Q12WChange From Baseline in Plasmacytoid Dendritic Cell (pDCs) Expression in BloodWeek 8-1.1486 cells/uLStandard Deviation 1.209
Daxdilimab 200 mg Q12WChange From Baseline in Plasmacytoid Dendritic Cell (pDCs) Expression in BloodWeek 32-0.8496 cells/uLStandard Deviation 1.2403
Daxdilimab 200 mg Q12WChange From Baseline in Plasmacytoid Dendritic Cell (pDCs) Expression in BloodWeek 36-0.9131 cells/uLStandard Deviation 0.9845
Daxdilimab 200 mg Q12WChange From Baseline in Plasmacytoid Dendritic Cell (pDCs) Expression in BloodWeek 44-1.1322 cells/uLStandard Deviation 1.3782
Daxdilimab 200 mg Q12WChange From Baseline in Plasmacytoid Dendritic Cell (pDCs) Expression in BloodWeek 520.0149 cells/uLStandard Deviation 0.7999
Daxdilimab 200 mg Q12WChange From Baseline in Plasmacytoid Dendritic Cell (pDCs) Expression in BloodWeek 56-0.7056 cells/uLStandard Deviation 0.6729
Secondary

Number of Participants Achieving an SLE Responder Index (SRI)-4 Response and an OGC Dose ≤ 7.5 mg/Day and ≤ Baseline Dose of Prednisone or Equivalent at Week 48

The SRI-4 measures reduction in SLE disease activity and it is a composite measure that includes the SLEDAI-2K, BILAG-2004, and PGA. SRI responder was defined by meeting all of the following criteria: 1) Reduction of ≥4 points from baseline in SLEDAI-2K score; 2) no new BILAG A or no more than 1 new BILAG B disease activity scores and 3) no worsening (defined as an increase of ≥0.3 points \[0-3 scale\] from baseline) in the PGA.

Time frame: Week 48

Population: FAS: included all randomized participants who received any dose of IP. Participants were analyzed according to the treatment randomized.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
PlaceboNumber of Participants Achieving an SLE Responder Index (SRI)-4 Response and an OGC Dose ≤ 7.5 mg/Day and ≤ Baseline Dose of Prednisone or Equivalent at Week 4826 Participants
Daxdilimab 200 mg Q4WNumber of Participants Achieving an SLE Responder Index (SRI)-4 Response and an OGC Dose ≤ 7.5 mg/Day and ≤ Baseline Dose of Prednisone or Equivalent at Week 4834 Participants
Daxdilimab 200 mg Q12WNumber of Participants Achieving an SLE Responder Index (SRI)-4 Response and an OGC Dose ≤ 7.5 mg/Day and ≤ Baseline Dose of Prednisone or Equivalent at Week 4830 Participants
Comparison: Adjusted response rate, rate difference and p-value are from logistic regression analysis with treatment and randomization stratification factors in the model.p-value: =0.32290% CI: [-5.6, 22.7]Regression, Logistic
Comparison: Adjusted response rate, rate difference and p-value are from logistic regression analysis with treatment and randomization stratification factors in the model.p-value: =0.736490% CI: [-11.2, 17]Regression, Logistic
Secondary

Number of Participants Achieving Lupus Low Disease Activity State (LLDAS) at Week 48

LLDAS was defined by meeting all of the following criteria: 1. SLEDAI-2K ≤ 4, with no activity in major organ systems (renal, central nervous system, cardiopulmonary, vasculitis, fever) and no hemolytic anemia or gastrointestinal activity measured as maintaining a D (no disease activity but suggests the system had previously been affected) or E (no current or previous disease activity) score in BILAG Gastrointestinal Body System 2. No new lupus disease activity compared with the previous 3. Physician's Global Assessment of Disease Activity ≤ 1 on a 3-point visual analog scale from no disease activity to severe disease activity 4. A current prednisolone (or equivalent) dose ≤ 7.5 mg daily 5. Well-tolerated standard maintenance doses of immunosuppressive drugs and approved biological agents

Time frame: Week 48

Population: FAS: included all randomized participants who received any dose of IP. Participants were analyzed according to the treatment randomized.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
PlaceboNumber of Participants Achieving Lupus Low Disease Activity State (LLDAS) at Week 4811 Participants
Daxdilimab 200 mg Q4WNumber of Participants Achieving Lupus Low Disease Activity State (LLDAS) at Week 4823 Participants
Daxdilimab 200 mg Q12WNumber of Participants Achieving Lupus Low Disease Activity State (LLDAS) at Week 4815 Participants
Comparison: Adjusted response rate, rate difference and p-value are from logistic regression analysis with treatment and randomization stratification factors in the model.p-value: =0.03790% CI: [4, 29]Regression, Logistic
Comparison: Adjusted response rate, rate difference and p-value are from logistic regression analysis with treatment and randomization stratification factors in the model.p-value: =0.493990% CI: [-6.7, 16.4]Regression, Logistic
Secondary

Number of Participants Who Experienced AEs of Special Interest (AESI)

An AESI is an AE of scientific and medical interest specific to understanding of the IP and may require close monitoring and collection of additional information by the Investigator. AESIs for this study included: 1. Hypersensitivity reaction, including anaphylaxis. 2. Severe (Grade 3 or higher) viral infections/reactivations. 3. Opportunistic infection. 4. Malignancy (except non-melanoma skin cancer).

Time frame: Up to Week 56

Population: SAS: included all participants who received any dose of IP. Participants were analyzed according to the treatment that they received.

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
PlaceboNumber of Participants Who Experienced AEs of Special Interest (AESI)Opportunistic infection1 Participants
PlaceboNumber of Participants Who Experienced AEs of Special Interest (AESI)Hypersensitivity Reaction Including Anaphylaxis1 Participants
PlaceboNumber of Participants Who Experienced AEs of Special Interest (AESI)Viral infection/Reactivation10 Participants
Daxdilimab 200 mg Q4WNumber of Participants Who Experienced AEs of Special Interest (AESI)Opportunistic infection1 Participants
Daxdilimab 200 mg Q4WNumber of Participants Who Experienced AEs of Special Interest (AESI)Hypersensitivity Reaction Including Anaphylaxis0 Participants
Daxdilimab 200 mg Q4WNumber of Participants Who Experienced AEs of Special Interest (AESI)Viral infection/Reactivation6 Participants
Daxdilimab 200 mg Q12WNumber of Participants Who Experienced AEs of Special Interest (AESI)Hypersensitivity Reaction Including Anaphylaxis1 Participants
Daxdilimab 200 mg Q12WNumber of Participants Who Experienced AEs of Special Interest (AESI)Viral infection/Reactivation7 Participants
Daxdilimab 200 mg Q12WNumber of Participants Who Experienced AEs of Special Interest (AESI)Opportunistic infection1 Participants
Secondary

Number of Participants Who Experienced Treatment-emergent Adverse Events (TEAEs)

An adverse event (AE) is any untoward medical occurrence associated with the use of an intervention in humans whether or not it is considered intervention-related. TEAEs are AEs that started on or after the first dose of IP. An AE was considered serious (SAE) if it resulted in any of the following outcomes: death, a life-threatening AE, inpatient hospitalization or prolonged existing hospitalization, a persistent or significant incapacity or substantial disruption of the ability to conduct normal life functions, a congenital abnormality/birth defect, or an important medical event. AE severity was rated according to the Common Terminology Criteria for Adverse Events (CTCAE) Version 5.0: grade 1 (mild), grade 2 (moderate), grade 3 (severe), grade 4 (life-threatening), grade 5 (death).

Time frame: Up to Week 56

Population: SAS: included all participants who received any dose of IP. Participants were analyzed according to the treatment that they received.

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
PlaceboNumber of Participants Who Experienced Treatment-emergent Adverse Events (TEAEs)TEAEs49 Participants
PlaceboNumber of Participants Who Experienced Treatment-emergent Adverse Events (TEAEs)Treatment-related TEAEs10 Participants
PlaceboNumber of Participants Who Experienced Treatment-emergent Adverse Events (TEAEs)AEs Grade 3 or higher5 Participants
PlaceboNumber of Participants Who Experienced Treatment-emergent Adverse Events (TEAEs)SAEs8 Participants
PlaceboNumber of Participants Who Experienced Treatment-emergent Adverse Events (TEAEs)Treatment-related SAEs0 Participants
PlaceboNumber of Participants Who Experienced Treatment-emergent Adverse Events (TEAEs)AEs Resulting in Death0 Participants
Daxdilimab 200 mg Q4WNumber of Participants Who Experienced Treatment-emergent Adverse Events (TEAEs)AEs Resulting in Death1 Participants
Daxdilimab 200 mg Q4WNumber of Participants Who Experienced Treatment-emergent Adverse Events (TEAEs)TEAEs49 Participants
Daxdilimab 200 mg Q4WNumber of Participants Who Experienced Treatment-emergent Adverse Events (TEAEs)SAEs9 Participants
Daxdilimab 200 mg Q4WNumber of Participants Who Experienced Treatment-emergent Adverse Events (TEAEs)Treatment-related SAEs1 Participants
Daxdilimab 200 mg Q4WNumber of Participants Who Experienced Treatment-emergent Adverse Events (TEAEs)Treatment-related TEAEs17 Participants
Daxdilimab 200 mg Q4WNumber of Participants Who Experienced Treatment-emergent Adverse Events (TEAEs)AEs Grade 3 or higher8 Participants
Daxdilimab 200 mg Q12WNumber of Participants Who Experienced Treatment-emergent Adverse Events (TEAEs)Treatment-related TEAEs17 Participants
Daxdilimab 200 mg Q12WNumber of Participants Who Experienced Treatment-emergent Adverse Events (TEAEs)AEs Grade 3 or higher9 Participants
Daxdilimab 200 mg Q12WNumber of Participants Who Experienced Treatment-emergent Adverse Events (TEAEs)AEs Resulting in Death0 Participants
Daxdilimab 200 mg Q12WNumber of Participants Who Experienced Treatment-emergent Adverse Events (TEAEs)SAEs9 Participants
Daxdilimab 200 mg Q12WNumber of Participants Who Experienced Treatment-emergent Adverse Events (TEAEs)TEAEs58 Participants
Daxdilimab 200 mg Q12WNumber of Participants Who Experienced Treatment-emergent Adverse Events (TEAEs)Treatment-related SAEs0 Participants
Secondary

Number of Participants With a Cutaneous Lupus Erythematosus Disease Area and Severity Index-Activity (CLASI-A) Score ≥ 10 at Baseline Achieving ≥ 50% Reduction From Baseline in CLASI-A Score at Week 12

The CLASI-A evaluates erythema (0-3 \[higher scores indicate more severe redness\]), scale/hypertrophy (0-2 \[higher scores indicate more extensive scaling/thickening\]), mucous membrane lesions (0 \[absent\] or 1 \[present\]), recent hair loss (0 \[absent\] or 1 \[present\]), and non-scarring alopecia (0-3 \[(higher scores indicate more extensive hair loss without scarring\]) at 13 anatomical sites on the skin. Total score is calculated by summing scores across all anatomical locations for each parameter. Higher total scores indicate greater disease activity and severity in SLE. Reduction of 50% in CLASI-A score was defined by meeting all the following conditions: 1. A ≥ 50% reduction of CLASI-A score at Week 12 as compared to baseline. 2. No use of restricted medications beyond the protocol-allowed threshold before assessment. 3. No discontinuation of IP.

Time frame: Week 12

Population: FAS: included all randomized participants who received any dose of IP. Participants were analyzed according to the treatment randomized. Only participants with a CLASI-A score ≥ 10 at baseline were included in the analysis.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
PlaceboNumber of Participants With a Cutaneous Lupus Erythematosus Disease Area and Severity Index-Activity (CLASI-A) Score ≥ 10 at Baseline Achieving ≥ 50% Reduction From Baseline in CLASI-A Score at Week 121 Participants
Daxdilimab 200 mg Q4WNumber of Participants With a Cutaneous Lupus Erythematosus Disease Area and Severity Index-Activity (CLASI-A) Score ≥ 10 at Baseline Achieving ≥ 50% Reduction From Baseline in CLASI-A Score at Week 124 Participants
Daxdilimab 200 mg Q12WNumber of Participants With a Cutaneous Lupus Erythematosus Disease Area and Severity Index-Activity (CLASI-A) Score ≥ 10 at Baseline Achieving ≥ 50% Reduction From Baseline in CLASI-A Score at Week 125 Participants
Comparison: Adjusted response rate, rate difference and p-value are from logistic regression analysis with treatment, randomization stratification factors and Baseline CLASI-A score in the model.p-value: =0.162690% CI: [-0.3, 74.7]Regression, Logistic
Comparison: Adjusted response rate, rate difference and p-value are from logistic regression analysis with treatment, randomization stratification factors and Baseline CLASI-A score in the model.p-value: =0.287390% CI: [-7.5, 55.8]Regression, Logistic
Secondary

Number of Participants With an OGC Dose ≥ 10 mg/Day of Prednisone or Equivalent at Baseline Who Maintained an OGC Dose ≤ 7.5 mg/Day From Week 36 Through Week 48

Maintenance of OGC reduction from Week 36 to Week 48 was defined by meeting all the following criteria: 1. Achieved an OGC dose of ≤ 7.5 mg/day prednisone or equivalent at Week 36 2. Maintained an OGC dose of ≤ 7.5 mg/day from Week 36 through Week 48 3. No use of restricted medications beyond the protocol-allowed threshold before assessment 4. No discontinuation of IP before assessment

Time frame: Week 36 up to Week 48

Population: FAS: included all randomized participants who received any dose of IP. Participants were analyzed according to the treatment randomized. Data excludes participants from Russia and Ukraine sites. Only participants with an OGC dose ≥ 10 mg/day of prednisone or equivalent at baseline were included in the analysis.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
PlaceboNumber of Participants With an OGC Dose ≥ 10 mg/Day of Prednisone or Equivalent at Baseline Who Maintained an OGC Dose ≤ 7.5 mg/Day From Week 36 Through Week 4820 Participants
Daxdilimab 200 mg Q4WNumber of Participants With an OGC Dose ≥ 10 mg/Day of Prednisone or Equivalent at Baseline Who Maintained an OGC Dose ≤ 7.5 mg/Day From Week 36 Through Week 4827 Participants
Daxdilimab 200 mg Q12WNumber of Participants With an OGC Dose ≥ 10 mg/Day of Prednisone or Equivalent at Baseline Who Maintained an OGC Dose ≤ 7.5 mg/Day From Week 36 Through Week 4826 Participants
Comparison: Adjusted response rate, rate difference and p-value are from logistic regression analysis with treatment, stratification factors (SLEDAI-2K only) and Baseline OGC dose included in the model.p-value: =0.280590% CI: [-6.1, 29.4]Regression, Logistic
Comparison: Adjusted response rate, rate difference and p-value are from logistic regression analysis with treatment, stratification factors (SLEDAI-2K only) and Baseline OGC dose included in the model.p-value: =0.392690% CI: [-8.6, 27.3]Regression, Logistic
Secondary

Number of Participants With Anti-drug Antibodies (ADA) to Daxdilimab

A baseline ADA-positive participant was defined as a participant who had an ADA positive sample at baseline. ADA incidence is the number of the participants ADA positive post-Baseline only or who boosted their preexisting ADA (≥ 4 × Baseline level) during the trial. Persistent positive was defined as ADA positive at ≥ 2 post-Baseline assessments (with ≥ 16 weeks between first and last positive) or positive at last post-Baseline assessment. Transient positive was defined as ADA post-Baseline positive but did not fulfill the criteria of persistent positive.

Time frame: Baseline to Week 56

Population: Safety analysis set (SAS): included all participants who received any dose of IP. Participants were analyzed according to the treatment that they received.

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
PlaceboNumber of Participants With Anti-drug Antibodies (ADA) to DaxdilimabBoth Baseline and post-Baseline positive10 Participants
PlaceboNumber of Participants With Anti-drug Antibodies (ADA) to DaxdilimabADA not detected (negative) on trial47 Participants
PlaceboNumber of Participants With Anti-drug Antibodies (ADA) to DaxdilimabOnly post-Baseline positive13 Participants
PlaceboNumber of Participants With Anti-drug Antibodies (ADA) to DaxdilimabOnly Baseline positive1 Participants
PlaceboNumber of Participants With Anti-drug Antibodies (ADA) to DaxdilimabADA incidence14 Participants
PlaceboNumber of Participants With Anti-drug Antibodies (ADA) to DaxdilimabTransient positive4 Participants
PlaceboNumber of Participants With Anti-drug Antibodies (ADA) to DaxdilimabPersistent positive19 Participants
PlaceboNumber of Participants With Anti-drug Antibodies (ADA) to DaxdilimabBoosted ADA (≥ 4 × Baseline level)1 Participants
PlaceboNumber of Participants With Anti-drug Antibodies (ADA) to DaxdilimabADA detected (positive) on trial: ADA prevalence24 Participants
Daxdilimab 200 mg Q4WNumber of Participants With Anti-drug Antibodies (ADA) to DaxdilimabADA not detected (negative) on trial59 Participants
Daxdilimab 200 mg Q4WNumber of Participants With Anti-drug Antibodies (ADA) to DaxdilimabADA incidence6 Participants
Daxdilimab 200 mg Q4WNumber of Participants With Anti-drug Antibodies (ADA) to DaxdilimabBoosted ADA (≥ 4 × Baseline level)2 Participants
Daxdilimab 200 mg Q4WNumber of Participants With Anti-drug Antibodies (ADA) to DaxdilimabADA detected (positive) on trial: ADA prevalence13 Participants
Daxdilimab 200 mg Q4WNumber of Participants With Anti-drug Antibodies (ADA) to DaxdilimabOnly Baseline positive5 Participants
Daxdilimab 200 mg Q4WNumber of Participants With Anti-drug Antibodies (ADA) to DaxdilimabOnly post-Baseline positive4 Participants
Daxdilimab 200 mg Q4WNumber of Participants With Anti-drug Antibodies (ADA) to DaxdilimabBoth Baseline and post-Baseline positive4 Participants
Daxdilimab 200 mg Q4WNumber of Participants With Anti-drug Antibodies (ADA) to DaxdilimabPersistent positive8 Participants
Daxdilimab 200 mg Q4WNumber of Participants With Anti-drug Antibodies (ADA) to DaxdilimabTransient positive0 Participants
Daxdilimab 200 mg Q12WNumber of Participants With Anti-drug Antibodies (ADA) to DaxdilimabBoosted ADA (≥ 4 × Baseline level)2 Participants
Daxdilimab 200 mg Q12WNumber of Participants With Anti-drug Antibodies (ADA) to DaxdilimabADA not detected (negative) on trial56 Participants
Daxdilimab 200 mg Q12WNumber of Participants With Anti-drug Antibodies (ADA) to DaxdilimabBoth Baseline and post-Baseline positive6 Participants
Daxdilimab 200 mg Q12WNumber of Participants With Anti-drug Antibodies (ADA) to DaxdilimabADA incidence6 Participants
Daxdilimab 200 mg Q12WNumber of Participants With Anti-drug Antibodies (ADA) to DaxdilimabTransient positive2 Participants
Daxdilimab 200 mg Q12WNumber of Participants With Anti-drug Antibodies (ADA) to DaxdilimabOnly Baseline positive5 Participants
Daxdilimab 200 mg Q12WNumber of Participants With Anti-drug Antibodies (ADA) to DaxdilimabADA detected (positive) on trial: ADA prevalence15 Participants
Daxdilimab 200 mg Q12WNumber of Participants With Anti-drug Antibodies (ADA) to DaxdilimabPersistent positive8 Participants
Daxdilimab 200 mg Q12WNumber of Participants With Anti-drug Antibodies (ADA) to DaxdilimabOnly post-Baseline positive4 Participants
Secondary

Serum Concentration of Daxdilimab

Time frame: Baseline, Week 4, Week 8, Week 12, Week 16, Week 20, Week 24, Week 28, Week 32, Week 36, Week 40, Week 44, Week 48

Population: Pharmacokinetic (PK) analysis set: included all participants who received any dose of daxdilimab in the study and had at least 1 quantifiable serum PK observation post-first dose. Participants were analyzed according to the treatment that they received.

ArmMeasureGroupValue (MEAN)Dispersion
Daxdilimab 200 mg Q4WSerum Concentration of DaxdilimabWeek 205.884 ug/mLStandard Deviation 4.451
Daxdilimab 200 mg Q4WSerum Concentration of DaxdilimabWeek 245.539 ug/mLStandard Deviation 4.224
Daxdilimab 200 mg Q4WSerum Concentration of DaxdilimabWeek 284.855 ug/mLStandard Deviation 3.743
Daxdilimab 200 mg Q4WSerum Concentration of DaxdilimabWeek 324.951 ug/mLStandard Deviation 4.047
Daxdilimab 200 mg Q4WSerum Concentration of DaxdilimabWeek 365.321 ug/mLStandard Deviation 4.309
Daxdilimab 200 mg Q4WSerum Concentration of DaxdilimabWeek 404.652 ug/mLStandard Deviation 3.426
Daxdilimab 200 mg Q4WSerum Concentration of DaxdilimabWeek 444.908 ug/mLStandard Deviation 3.78
Daxdilimab 200 mg Q4WSerum Concentration of DaxdilimabWeek 485.543 ug/mLStandard Deviation 4.637
Daxdilimab 200 mg Q4WSerum Concentration of DaxdilimabWeek 43.319 ug/mLStandard Deviation 1.972
Daxdilimab 200 mg Q4WSerum Concentration of DaxdilimabWeek 84.714 ug/mLStandard Deviation 3.079
Daxdilimab 200 mg Q4WSerum Concentration of DaxdilimabWeek 125.344 ug/mLStandard Deviation 3.624
Daxdilimab 200 mg Q4WSerum Concentration of DaxdilimabWeek 165.035 ug/mLStandard Deviation 3.377
Daxdilimab 200 mg Q4WSerum Concentration of DaxdilimabBaseline0.011 ug/mLStandard Deviation 0.026
Daxdilimab 200 mg Q12WSerum Concentration of DaxdilimabWeek 121.372 ug/mLStandard Deviation 1.189
Daxdilimab 200 mg Q12WSerum Concentration of DaxdilimabBaseline0.008 ug/mLStandard Deviation 0.004
Daxdilimab 200 mg Q12WSerum Concentration of DaxdilimabWeek 201.239 ug/mLStandard Deviation 1.097
Daxdilimab 200 mg Q12WSerum Concentration of DaxdilimabWeek 441.115 ug/mLStandard Deviation 1.378
Daxdilimab 200 mg Q12WSerum Concentration of DaxdilimabWeek 240.530 ug/mLStandard Deviation 0.922
Daxdilimab 200 mg Q12WSerum Concentration of DaxdilimabWeek 84.643 ug/mLStandard Deviation 2.708
Daxdilimab 200 mg Q12WSerum Concentration of DaxdilimabWeek 283.590 ug/mLStandard Deviation 2.522
Daxdilimab 200 mg Q12WSerum Concentration of DaxdilimabWeek 480.406 ug/mLStandard Deviation 0.585
Daxdilimab 200 mg Q12WSerum Concentration of DaxdilimabWeek 321.096 ug/mLStandard Deviation 1.151
Daxdilimab 200 mg Q12WSerum Concentration of DaxdilimabWeek 164.268 ug/mLStandard Deviation 2.72
Daxdilimab 200 mg Q12WSerum Concentration of DaxdilimabWeek 360.366 ug/mLStandard Deviation 0.471
Daxdilimab 200 mg Q12WSerum Concentration of DaxdilimabWeek 43.301 ug/mLStandard Deviation 1.718
Daxdilimab 200 mg Q12WSerum Concentration of DaxdilimabWeek 403.439 ug/mLStandard Deviation 2.534

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026