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A Study Evaluating the Efficacy and Safety of Afimetoran Compared With Placebo in Participants With Active Systemic Lupus Erythematosus (SLE)

Phase 2
Active, not recruiting
Conditions
Systemic Lupus Erythematosus
Interventions
Other: Placebo
Registration Number
NCT04895696
Lead Sponsor
Bristol-Myers Squibb
Brief Summary

The purpose of this study is to evaluate the effectiveness, safety and tolerability of Afimetoran in participants with active Systemic Lupus Erythematosus (SLE). The extension period will provide additional long-term safety and efficacy data and enable those participants initially randomized to placebo to receive treatment with Afimetoran.

Detailed Description

Not available

Recruitment & Eligibility

Status
ACTIVE_NOT_RECRUITING
Sex
All
Target Recruitment
268
Inclusion Criteria
  • Diagnosed ≥ 12 weeks before the screening visit and qualify as having SLE according to the SLE International Collaborating Clinics (SLICC) Classification Criteria at the screening visit
  • Test positive, as determined by the central laboratory, for at least one of the following lupus related autoantibodies at the time of screening: antinuclear antibody ≥ 1:80, anti-double-stranded deoxyribonucleic acid (dsDNA) antibody, or anti-Smith antibody.
  • Have a total Hybrid Systemic Lupus Erythematosus Disease Activity Index (SLEDAI) score ≥ 6 points and clinical Hybrid SLEDAI score ≥ 4 points with joint involvement and/or rash
Exclusion Criteria
  • Active severe lupus nephritis (LN) as assessed by the investigator
  • Active or unstable neuropsychiatric lupus manifestations defined by the Hybrid SLEDAI
  • Diagnosis of Mixed Connective Tissue Disease for which the predominant diagnosis is not SLE
  • Antiphospholipid Syndrome

Other protocol-defined inclusion/exclusion criteria apply

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Afimetoran: Dose 1Afimetoran-
PlaceboPlacebo-
Afimetoran: Dose 2Afimetoran-
Afimetoran: Dose 3Afimetoran-
Primary Outcome Measures
NameTimeMethod
Proportion of participants that achieve an SLE (Systemic Lupus Erythematosus) Responder Index (4) (SRI(4)) response at Week 48Up to 48 Weeks
Secondary Outcome Measures
NameTimeMethod
Number of participants with clinical laboratory abnormalitiesUp to 100 Weeks
Number of participants with vital sign abnormalitiesUp to 100 Weeks
Proportion of participants who achieve a Lupus Low Disease Activity State (LLDAS) response at Week 24 and Week 48Up to 48 Weeks
Mean change from baseline in swollen joint count using the 28-joint count at Week 24 and Week 48 in participants with ≥ 2 swollen joints at baselineUp to 48 Weeks
Change from baseline in PGA score of disease activity at Week 24 and Week 48Up to 48 Weeks

PGA = Physician Global Assessment of disease activity (score of "0" indicating no disease activity and higher scores indicating higher disease activity)

Proportion of participants who achieve CS reduction or maintenance to ≤ 7.5 mg per day at Week 48Up to 48 Weeks
Number of participants with Adverse Events (AEs)Up to 100 Weeks
Number of participants with physical examination abnormalitiesUp to 100 Weeks
Number of participants with electrocardiogram (ECG) abnormalitiesUp to 52 Weeks
Proportion of participants who achieve an SRI(4) response at Week 24Up to 24 Weeks
Proportion of participants with a Cutaneous Lupus Erythematosus Disease Area and Severity Index; Activity (CLASI-A) score ≥ 10 at baseline who achieve a decrease of ≥ 50% from baseline CLASI-A score (CLASI-50) response at Week 24 and Week 48Up to 48 Weeks
Proportion of participants with 6 or more swollen joints and 6 or more tender joints at baseline who achieve a ≥ 50% reduction from baseline in both swollen and tender joints at Week 24 and Week 48Up to 48 Weeks
Mean change from baseline in tender joint count at Week 24 and Week 48 using the 28- joint count in participants with ≥ 2 tender joints at baselineUp to 48 Weeks
Change in participant reported disease activity from baseline to Week 24 and Week 48 according to the 36-item Short Form Health Questionnaire (SF-36)Up to 48 Weeks

The SF-36 was designed as an indicator of health status in population surveys, and health policy evaluations, and for use as an outcome measure in clinical practice and research. Scores for each domain range from 0 to 100, with high scores indicating a better health status.

Number of participants with Serious Adverse Events (SAEs)Up to 100 Weeks
Proportion of participants that achieve a British Isles Lupus Assessment Group (BILAG)-based Combine Lupus Assessment (BICLA) response at Week 24 and Week 48Up to 48 Weeks

Trial Locations

Locations (147)

Local Institution - 0100

🇺🇸

Birmingham, Alabama, United States

Local Institution - 0123

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Huntington Beach, California, United States

Local Institution - 0170

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La Jolla, California, United States

Local Institution - 0159

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La Palma, California, United States

Local Institution - 0172

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San Diego, California, United States

Local Institution - 0164

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Woodland Hills, California, United States

Local Institution - 0121

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Clearwater, Florida, United States

Local Institution - 0167

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Kissimmee, Florida, United States

Local Institution - 0122

🇺🇸

Orlando, Florida, United States

Local Institution - 0173

🇺🇸

Ormond Beach, Florida, United States

Scroll for more (137 remaining)
Local Institution - 0100
🇺🇸Birmingham, Alabama, United States

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