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A IMMA Master Protocol: A Study of LY3361237 in Participants With at Least Moderately Active Systemic Lupus Erythematosus

Phase 2
Terminated
Conditions
Systemic Lupus Erythematosus
Interventions
Drug: Placebo
Registration Number
NCT05123586
Lead Sponsor
Eli Lilly and Company
Brief Summary

The main purpose of this study is to assess the efficacy and safety of LY3361237 in participants with at least moderately active systemic lupus erythematosus (SLE). Study will last up to 34 weeks and may include up to 15 visits.

Detailed Description

Not available

Recruitment & Eligibility

Status
TERMINATED
Sex
All
Target Recruitment
85
Inclusion Criteria
  • Are diagnosed with SLE at least 24 weeks before Day 1 of study
  • Have documentation of having a score of 10 or more points on the European League Against Rheumatism (EULAR)/American College of Rheumatology (ACR) 2019 classification criteria for SLE
  • Have a SLEDAI-2K score ≥6 at screening (Day 1) and clinical Systemic Lupus Erythematosus Disease Activity Index 2000 (SLEDAI-2K) score ≥4 (not including any items related to laboratory values) at randomization (Day 2)
  • Must be receiving at least 1 background standard-of-care medication for SLE
Exclusion Criteria
  • Participants are excluded if they have received any of the following medications or therapies within the indicated timeframe prior to the randomization visit (Day 2).
  • Are currently receiving oral corticosteroids at doses >20 mg per day of prednisone (or equivalent) or have adjusted the dosage of corticosteroids within 2 weeks before starting study treatment
  • Have received parenteral corticosteroids within 12 weeks before starting study treatment or are expected to require parenteral corticosteroids during the study
  • Have a current or recent acute, active infection
  • Have had a serious, chronic, recurring conditions of herpes simplex, herpes zoster, recurring cellulitis, chronic osteomyelitis)
  • Have human immunodeficiency virus (HIV) infection, hepatitis B virus (HBV), hepatitis C infection (HCV), active tuberculosis (TB)
  • Have active fibromyalgia or active occurrence of an inflammatory condition that, in the investigator's opinion, would make it difficult to appropriately assess SLE activity for the purposes of this study
  • Have experienced a cardiac event within 24 weeks to 12 months prior to screening
  • Have a history of clinically significant or uncontrolled illness that in the opinion of the investigator could put the participant at risk to participate in the study
  • Are, in the judgment of the investigator, actively suicidal and therefore deemed to be at significant risk for suicide
  • Are pregnant or are intending to become pregnant or to breastfeed at any time in the study

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
LY3361237LY3361237Participants are administered LY3361237 subcutaneously (SC) and standard of care (SOC)
PlaceboPlaceboPlacebo administered SC and SOC given at matching intervals
Primary Outcome Measures
NameTimeMethod
Percentage of Participants With Arthritis and/or Rash at Baseline Who Achieve Remission of Arthritis and/or RashWeek 24

Remission of arthritis and/or rash is defined by the following: if only arthritis is present at baseline, then the primary endpoint is met if arthritis is absent at Week 24; if only rash is present at baseline, then the primary endpoint is met if rash is absent at Week 24; if both arthritis and rash are present at baseline, then the primary endpoint is met if either arthritis, or rash, or both arthritis and rash are absent at Week 24.

Secondary Outcome Measures
NameTimeMethod
Percentage of Participants Who Achieve Systemic Lupus Erythematosus Disease Activity Index-4 (SLEDAI-4) ResponseWeek 24

Percentage of participants who achieved SLEDAI-4 response was assessed. A SLEDAI-4 response is defined as a ≥ 4-point reduction in Systemic Lupus Erythematosus Disease Activity Index 2000 (SLEDAI-2K) score from baseline. The SLEDAI-2K score range is from a minimum of 0 to a maximum of 105 (higher scores represent higher disease activity).

Percentage of Participants Who Achieve Systemic Lupus Erythematosus Responder Index-4 (SRI-4 Response)Week 24

Percentage of participants who achieved SRI-4 response was assessed. SRI-4 measures reduction in SLE disease activity and is a composite measure that includes the SLE Disease Activity Index (SLEDAI-2K), British Isles Lupus Activity Group (BILAG) 2004 and Physician Global Assessment. It is defined as: 1) Reduction of ≥4 points from baseline in Systemic Lupus Erythematosus Disease Activity Index 2000 (SLEDAI-2K) score; 2) no new British Isles Lupus Assessment Group (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 \[10 mm\] from baseline) in the Physician's Global Assessment of Disease Activity. The score range is from 0 to 100, with higher scores indicating greater disease activity.

Pharmacokinetics (PK): Steady-state Trough Serum Concentration of LY3361237 at Week 24Week 24

PK: Steady-state trough serum concentration of LY3361237 at Week 24 was assessed.

Trial Locations

Locations (47)

Arizona Arthritis & Rheumatology Associates, P. C.

🇺🇸

Mesa, Arizona, United States

Arizona Arthritis & Rheumatology Associates

🇺🇸

Phoenix, Arizona, United States

Arizona Arthritis & Rheumatology Research - Sun City

🇺🇸

Sun City, Arizona, United States

Newport Huntington Med Grp

🇺🇸

Huntington Beach, California, United States

Desert Medical Advances

🇺🇸

Rancho Mirage, California, United States

Clinical Research of West Florida, Inc. (Clearwater)

🇺🇸

Clearwater, Florida, United States

Ezy Medical Research

🇺🇸

Miami, Florida, United States

Clinical Research of West Florida

🇺🇸

Tampa, Florida, United States

Atlanta Research Center for Rheumatology

🇺🇸

Marietta, Georgia, United States

Qualmedica Research, LLC

🇺🇸

Evansville, Indiana, United States

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Arizona Arthritis & Rheumatology Associates, P. C.
🇺🇸Mesa, Arizona, United States

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