Phase III study to assess the safety and efficacy of Upadacitinib in study participants with moderate to severe active systemic lupus erythematosus (SLE)
Zusammenfassung der Studie
Systemic lupus erythematosus (SLE) is an immune-mediated disease associated with inflammation of multiple organ systems. This study evaluates the safety and efficacy of Upadacitinib in treating adult study participants with moderate to severe active SLE. Adverse events and changes in disease activity will be assessed. Upadacitinib is a drug approved for rheumatoid arthritis, psoriatic arthritis, and axial spondyloarthritis, and is currently being developed for the treatment of SLE. This study is double-blind, meaning that neither the study participants nor the investigators know who is receiving Upadacitinib and who is receiving placebo (no active ingredient). This study consists of 3 sub-studies. In Study 1 and Study 2, the study doctors assigned participants to one of two so-called treatment arms. Each group receives a different treatment. There is a 1:2 chance that study participants will receive a placebo. Suitable participants from Study 1 and Study 2 will be enrolled in Study 3 at Week 52 and will receive specific doses of Upadacitinib based on disease activity and their original treatment assignment in Study 1 or 2. Approximately 500 patients diagnosed with SLE will be enrolled at about 320 study centers worldwide in Study 1 and Study 2.
(BASEC)
Untersuchte Intervention
Study participants will receive Upadacitinib tablets to take once daily for 52 weeks or corresponding placebo in Study 1 and Study 2. Suitable participants from Study 1 and Study 2 will receive Upadacitinib tablets to take once daily for 52 weeks in Study 3.
(BASEC)
Untersuchte Krankheit(en)
Systemic lupus erythematosus (SLE)
(BASEC)
- Clinical diagnosis of systemic lupus erythematosus (SLE) at least 24 weeks prior to screening according to the definition of the SLE classification criteria of the European Alliance of Associations for Rheumatology (EULAR)/American College of Rheumatology (ACR) 2019 - Meet at least one of the following criteria at screening: 1- Positive antinuclear antibodies (ANA) 2- Positive anti-double-stranded DNA (dsDNA) 3- Positive anti-Smith - hSLEDAI (hybrid systemic lupus erythematosus disease activity index) >= 6, with >= 4 points being clinical (not based on laboratory criteria), independently determined at screening. The clinical hSLEDAI score (not based on laboratory criteria) must be confirmed at the baseline visit as >= 4. Lupus headaches or organic brain syndrome do not count towards the hSLEDAI points required for participation, but should be documented on the hSLEDAI if present. - Physician's global assessment (PhGA) >= 1 in the screening phase - Stable background therapy for >= 30 days prior to baseline (except for oral corticosteroids, which must have a stable dose for at least 14 days prior to baseline) with: a) Antimalarial drug(s) (Hydroxychloroquine <= 400 mg once daily, Chloroquine <= 500 mg once daily, Quinacrine <= 100 mg once daily) and/or Prednisone (or prednisone equivalent) (<= 20 mg once daily) and/or at most one of the following medications: Azathioprine (<= 150 mg once daily) b) Mycophenolate mofetil (<= 2 g once daily), Mycophenolate sodium <= 1,440 mg once daily c) Leflunomide (<= 20 mg once daily) d) Cyclosporine, Tacrolimus, Voclosporin (<= 23.7 mg twice daily) e) Methotrexate (<= 25 mg once weekly) or Mizoribine (<= 150 mg once daily) (BASEC)
Ausschlusskriterien
- Clinically relevant or significant abnormalities on ECG at screening. - Planned elective procedure that would affect study procedures or assessments until completion of assessments at Week 52. (BASEC)
Studienstandort
Basel, Bern, St Gallen
(BASEC)
Sponsor
AbbVie Inc. North Chicago USA AbbVie AG Cham Switzerland
(BASEC)
Kontakt für weitere Auskünfte zur Studie
Kontaktperson Schweiz
Franzisca Rusca
+41 41 399 16 89
medinfo.ch@clutterabbvie.comAbbVie Medical Information
(BASEC)
Wissenschaftliche Auskünfte
nicht verfügbar
Name der bewilligenden Ethikkommission (bei multizentrischen Studien nur die Leitkommission)
Ethikkommission Ostschweiz EKOS
(BASEC)
Datum der Bewilligung durch die Ethikkommission
22.08.2023
(BASEC)
ICTRP Studien-ID
nicht verfügbar
Offizieller Titel (Genehmigt von der Ethikkommission)
A Phase 3 Program to Evaluate the Safety and Efficacy of Upadacitinib in Subjects with Moderately to Severely Active SLE (BASEC)
Wissenschaftlicher Titel
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Öffentlicher Titel
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Untersuchte Krankheit(en)
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Untersuchte Intervention
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Studientyp
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Studiendesign
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Ein-/Ausschlusskriterien
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Primäre und sekundäre Endpunkte
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Registrierungsdatum
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Einschluss des ersten Teilnehmers
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Sekundäre Sponsoren
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Ergebnisse der Studie
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