A Study to Investigate the Safety and Efficacy of Elsubrutinib and Upadacitinib Given Alone or in Combination in Participants With Moderately to Severely Active Systemic Lupus Erythematosus (SLE) (SLEek)
Systemic Lupus Erythematosus (SLE)
About this trial
This is an interventional treatment trial for Systemic Lupus Erythematosus (SLE) focused on measuring Systemic Lupus Erythematosus (SLE), ABBV-105, Upadacitinib, ABBV-599, Elsubrutinib
Eligibility Criteria
Inclusion Criteria:
- Participant has clinical diagnosis of SLE at least 24 weeks prior to screening, meeting at least 4 of the 11 revised Criteria for Classification of SLE according to the 1997 Update of the 1982 American College of Rheumatology (ACR) OR meeting at least 4 of the 2012 SLICC classification criteria, including at least 1 clinical criterion and 1 immunologic criterion.
At Screening, must have at least one of the following:
- antinuclear antibody(ANA)+ (titer >= 1:80).
- anti-dsDNA+.
- anti-Smith+.
SLEDAI-2K >= 6 despite background therapy as reported and independently adjudicated (clinical score >= 4, excluding lupus headache and/or organic brain syndrome) at Screening.
- If 4 points of the required entry points are for arthritis, there must also be a minimum of 3 tender and 3 swollen joints.
- If participant has rash and PI considers it to be attributable to SLE, participant must consent to skin photograph collection for adjudication.
- Score must be re-confirmed at the Baseline visit.
- Physician's Global Assessment (PhGA) >= 1 during screening period.
Must be on background treatment, stable for 30 days, at Baseline and throughout the study with antimalarial(s), prednisone (or prednisone equivalent) (<=20 mg), azathioprine (<= 150 mg), mycophenolate (<2 g), leflunomide (<=20 mg), cyclosporine, tacrolimus, and/or methotrexate (MTX) (<=20 mg).
- No combinations of the above with immunomodulators other than prednisone (or equivalents) and antimalarials.
Exclusion Criteria:
- Participant using intravenous (IV) or intramuscular (IM) corticosteroids greater than or equal to a 40 mg prednisone-equivalent bolus within 30 days of planned randomization.
Sites / Locations
- Arizona Arthritis & Rheumatology Research, PLLC /ID# 214522
- AZ Arthritis and Rheumotology Research, PLLC /ID# 211329
- AZ Arthritis and Rheumotology Research, PLLC /ID# 214267
- Arthritis and Rheumatism Associates /ID# 211411
- Wallace Rheumatic Studies Center, LLC /ID# 211600
- Arthritis & Osteo Medical Ctr /ID# 228235
- Valerius Medical Group & Research Center /ID# 211599
- East Bay Rheumatology Medical /ID# 211638
- The Lundquist Institute at Harbor-UCLA Medical Center /ID# 213402
- Medvin Clinical Research /ID# 211996
- Inland Rheum Clin Trials Inc. /ID# 213617
- University of Colorado Hospital /ID# 211314
- Yale University /ID# 212824
- Medstar Health Research Institute /ID# 213335
- Arthritis & Rheumatic Disease Specialties /ID# 214052
- LeJenue Research Associates /ID# 212327
- Ctr Arthritis & Rheumatic Dise /ID# 212326
- Millennium Research /ID# 219099
- IRIS Research and Development, LLC /ID# 213053
- West Broward Rheumatology Associates /ID# 211881
- BayCare Medical Group, Inc. /ID# 218818
- Affinity Clinical Research /ID# 211496
- Deerbrook Medical Associates /ID# 212251
- Qualmedica Research, LLC /ID# 214765
- University of Iowa Hospitals and Clinics /ID# 215246
- The Center for Rheumatology and Bone Research /ID# 211610
- Beth Israel Deaconess Medical Center /ID# 212321
- Henry Ford Health System /ID# 211676
- June DO, PC /ID# 211674
- West County Rheumatology /ID# 225051
- NYU Langone Ambulatory Care Brooklyn Heights /ID# 211548
- NYU Langone Orthopedic Center /ID# 213620
- Ohio State University - Wexner Medical Center /ID# 211636
- STAT Research, Inc. /ID# 211404
- Premier Rheumatology of Oklahoma /ID# 213850
- Allegheny Health Network Research Institute /ID# 211607
- Univ TN Health Sciences Ctr /ID# 212177
- Dr. Ramesh Gupta /ID# 213381
- Tekton Research, Inc. /ID# 211521
- Tekton Research, Inc. /ID# 214182
- Trinity Universal Research Associates - Carrollton /ID# 211527
- Accurate Clinical Management /ID# 213571
- West Texas Clinical Research /ID# 211529
- SW Rheumatology Res. LLC /ID# 211520
- Carilion Clinic /ID# 213500
- Virginia Mason Medical Center /ID# 211457
- Rheumatology and Pulmonary Clinic /ID# 211398
- Hospital Militar Central Cirujano Mayor Dr. Cosme Argerich /ID# 221685
- Hospital Interzonal General de Agudos General Jose de San Martin /ID# 211679
- CER Instituto Medico /ID# 222757
- Aprillus Asistencia e Investigacion /ID# 211630
- Centro de Enfermedades del Hígado y Aparato Digestivo /ID# 211634
- Instituto CAICI S.R.L /ID# 211633
- Centro de Investigaciones Medicas Tucuman /ID# 212714
- Investigaciones Clinicas Tucuman /ID# 211942
- Hospital Cordoba /ID# 212200
- Emeritus Research Sydney /ID# 222983
- Royal North Shore Hospital /ID# 222982
- Royal Brisbane and Women's Hospital /ID# 212667
- Rheumatology Research Unit Sunshine Coast /ID# 211902
- Griffith University /ID# 223543
- The Queen Elizabeth Hospital /ID# 211901
- Emeritus Research /ID# 211903
- Monash Medical Centre /ID# 212313
- St Vincent's Hospital Melbourne /ID# 212311
- UMHAT Kaspela EOOD /ID# 223141
- UMHAT Sveti Ivan Rilski /ID# 223139
- UMHAT Sveti Ivan Rilski /ID# 223140
- Hamilton Health Sciences - McMaster University Medical Centre /ID# 212662
- St. Josephs Health Care Centre /ID# 212331
- Toronto Western Hospital /ID# 213336
- Diex Recherche Sherbrooke Inc. /ID# 217734
- Anhui Provincial Hospital /ID# 211812
- Peking Union Medical College Hospital /ID# 211614
- Guangdong Provincial People's Hospital /ID# 211811
- Xiangya Hospital Central South University /ID# 212919
- Jiangsu Province Hospital /ID# 211818
- Huashan Hospital, Fudan University /ID# 213976
- Shanghai Changhai Hospital /ID# 211819
- People's Hospital of Xinjiang /ID# 211821
- Centro Integral de Reumatologia del Caribe Circaribe SAS /ID# 211894
- Centro de Investigacion en Reumatologia y Especialidades Medicas- CIREEM SAS /ID# 211895
- Preventive Care Sas /Id# 211896
- Healthy Medical Center SAS /ID# 211899
- Clinica Universitaria Bolivari /ID# 211897
- CHRU Lille - Hopital Claude Huriez /ID# 211829
- CHU Bordeaux - Hopital Pellegrin /ID# 211832
- AP-HP - Hôpital Bicêtre /ID# 211968
- Hopital Pitie Salpetriere /ID# 211831
- CHU Strasbourg - Hopital Civil /ID# 211981
- Universitaetsklinikum Duesseldorf /ID# 212408
- Universitaetsklinikum Schleswig-Holstein Campus Kiel /ID# 212674
- Charite Universitaetsmedizin Berlin - Campus Mitte /ID# 211988
- Universitaetsklinikum Carl Gustav Carus an der TU Dresden /ID# 212770
- Debreceni Egyetem Klinikai Kozpont /ID# 212042
- Vital Medical Center Orvosi es Fogaszati Kozpont /ID# 212796
- Orszagos Reumatologiai es Fizioterapias Intezet /ID# 211827
- Bekes Megyei Kozponti Korhaz Pandy Kalman Tagkorhaz /ID# 216971
- Azienda Ospedaliero-Universitaria di Ferrara-Arcispedale Sant Anna /ID# 211861
- Azienda Ospedaliero-Universitaria Policlinico Umberto I /ID# 212195
- ASST Gaetano Pini/Presidio Ospedaliero Pini /ID# 215063
- Azienda Ospedaliera Universitaria Friuli Centrale/Presidio Ospedaliero Universit /ID# 211858
- Chukyo Hospital /ID# 222625
- NHO Nagoya Medical Center /ID# 213974
- Hamanomachi Hospital /ID# 213696
- Hospital of the University of Occupational and Environmental Health, Japan /ID# 217548
- Fukushima Medical University Hospital /ID# 213913
- Hiroshima Red Cross Hospital & Atomic-bomb Survivors Hospital /ID# 213694
- National Hospital Organization Asahikawa Medical Center /ID# 213846
- Tomakomai City Hospital /ID# 214234
- Kita-harima Medical Center /ID# 215474
- EIRAKU Internal Medicine Clinic /ID# 215419
- Yokohama Rosai Hospital /ID# 213690
- Kumamoto Shinto General Hospital /ID# 215347
- Tohoku University Hospital /ID# 213693
- Shinshu University Hospital /ID# 213853
- Nagano Red Cross Hospital /ID# 214572
- Saitama Medical Center /ID# 213687
- Keio University Hospital /ID# 216347
- Ajou University Hospital /ID# 211692
- KonKuk University Medical Center /ID# 213410
- Chonnam National University Hospital /ID# 211695
- Inha University Hospital /ID# 211691
- Seoul National University Hospital /ID# 211740
- RM Pharma Specialists S.A de C.V. /ID# 211879
- CINTRE, Centro de Investigación y Tratamiento Reumatológico SC /ID# 211875
- Morales Vargas Centro de Investigacion S.C. /ID# 212946
- Centro Integral en Reumatologia S.A de C.V /ID# 211876
- Centro de Estudios de Investigación Básica y Clínica, S.C. /ID# 212532
- Centro de Alta Especialidad en Reumatología e Investigación del Potosí, SC /ID# 212737
- Medical Care & Research SA de CV /ID# 212682
- Vrije Universiteit Medisch Centrum /ID# 214424
- Leids Universitair Medisch Centrum /ID# 214413
- Universitair Medisch Centrum Utrecht /ID# 214415
- Middlemore Clinical Trials /ID# 213504
- North Shore Hospital /ID# 213506
- Waikato Hospital /ID# 213505
- WroMedica I. Bielicka, A. Strzalkowska s.c. /ID# 212482
- Centrum Nowoczesnych Terapii Dobry Lekarz Sp. z o.o. /ID# 212146
- Centrum Medyczne Pratia Warszawa /ID# 218176
- Ortopedyczno-Rehabilitacyjny Szpital Kliniczny im. Wiktora Degi /ID# 212483
- GCM Medical Group PSC /ID# 211251
- Mindful Medical Research /ID# 213384
- HUA - Txagorritxu /ID# 212520
- Consorci Corporacio Sanitaria Parc Tauli Sabadell /ID# 212145
- Hospital Universitario Basurto /ID# 212722
- Hospital Universitario de Galdakao /ID# 212803
- Hospital Universitario A Coruna - CHUAC /ID# 211719
- Hospital Universitario 12 de Octubre /ID# 211757
- Hospital Universitario Virgen de Valme /ID# 212721
- Hospital Universitario y Politecnico La Fe /ID# 211720
- China Medical University Hospital /ID# 212179
- Taichung Veterans General Hospital /ID# 211957
- National Taiwan University Hospital /ID# 211752
- Taipei Medical University Hospital /ID# 221600
- Taipei Veterans General Hosp /ID# 212216
- Linkou Chang Gung Memorial Hospital /ID# 211751
- Guys and St Thomas NHS Foundation Trust /ID# 211931
- Cambridge University Hospitals NHS Foundation Trust /ID# 213189
- Manchester University NHS Foundation Trust /ID# 211838
Arms of the Study
Arm 1
Arm 2
Arm 3
Arm 4
Arm 5
Placebo Comparator
Experimental
Experimental
Experimental
Experimental
Elsubrutinib placebo/upadacitinib placebo
ABBV-599 High Dose (Elsubrutinib 60 mg/upadacitinib 30 mg)
Elsubrutinib placebo/upadacitinib 30 mg
ABBV-599 Low Dose (Elsubrutinib 60 mg/upadacitinib 15 mg)
Elsubrutinib 60 mg/upadacitinib placebo
Placebo capsule for elsubrutinib once a day by mouth for up to 48 weeks; placebo film-coated tablet for upadacitinib once a day by mouth for up to 48 weeks
60 mg elsubrutinib capsule once a day by mouth for up to 48 weeks; 30 mg upadacitinib film-coated tablet once a day by mouth for up to 48 weeks
Placebo capsule for elsubrutinib once a day by mouth for up to 48 weeks; 30 mg upadacitinib film-coated tablet once a day by mouth for up to 48 weeks
60 mg elsubrutinib capsule once a day by mouth for up to 24 weeks; 15 mg upadacitinib film-coated tablet once a day by mouth for up to 24 weeks
60 mg elsubrutinib capsule once a day by mouth for up to 24 weeks; placebo film-coated tablet for upadacitinib once a day by mouth for up to 24 weeks