A Study to Evaluate the Efficacy and Safety of BIIB059 (Litifilimab) in Adult Participants With Active Systemic Lupus Erythematosus Receiving Background Nonbiologic Lupus Standard of Care (TOPAZ-2)
Lupus Erythematosus, Systemic
About this trial
This is an interventional treatment trial for Lupus Erythematosus, Systemic focused on measuring Lupus, SLE, CLE
Eligibility Criteria
Key Inclusion Criteria:
- Participant must be diagnosed with SLE at least 24 weeks prior to screening and must meet the 2019 European League Against Rheumatism (EULAR)/American College of Rheumatology (ACR) classification criteria for SLE, at screening by a qualified physician.
- Participant has a modified Systemic Lupus Erythematosus Disease Activity Index-200 (SLEDAI-2K) score ≥6 (excluding alopecia, fever, lupus-related headache, and organic brain syndrome) at screening (adjudicated).
- Participant has a modified clinical SLEDAI-2K score ≥4 (excluding anti-dsDNA, low complement component 3 [C3] and/or complement component 4 [C4], alopecia, fever, lupus-related headache, and organic brain syndrome) at screening (adjudicated) and randomization.
- Participant has BILAG-2004 grade A in ≥1 organ system or BILAG-2004 grade B in ≥2 organ systems at screening (adjudicated) and randomization.
Participants must be treated with one of the following background nonbiologic lupus SOC therapies, initiated ≥12 weeks prior to screening and at stable dose ≥4 weeks prior to randomization:
- Antimalarials as stand-alone treatment
- Antimalarial treatment in combination with OCS and/or immunosuppressants
- Treatment with OCS and/or immunosuppressants.
Key Exclusion Criteria:
- History of or positive test result for human immunodeficiency virus (HIV).
- Current hepatitis C infection (defined as positive hepatitis C virus [HCV] antibody and detectable HCV ribonucleic acid [RNA]).
- Current hepatitis B infection (defined as positive for hepatitis B surface antigen [HBsAg] and/or total hepatitis B core antibody [anti-HBc]).
- History of severe herpes infection.
- Presence of uncontrolled or New York Heart Association class III or IV congestive heart failure.
- Active severe lupus nephritis where, in the opinion of the investigator, protocol-specified SOC is insufficient and use of a more aggressive therapeutic approach, such as adding intravenous (IV) cyclophosphamide and/or high-dose IV pulse corticosteroid therapy or other treatments not permitted in the protocol, is indicated; or urine protein-creatinine ratio >2.0 or severe chronic kidney disease (estimated glomerular filtration rate <30 milliliters per minute per 1.73 meter square [mL/min/1.73 m^2]) calculated using the abbreviated Modification of Diet in Renal Disease equation.
- Any active skin conditions other than cutaneous lupus erythematosus (CLE) that may interfere with the study assessment of CLE such as but not limited to psoriasis, dermatomyositis, systemic sclerosis, non-LE skin lupus manifestation or drug-induced lupus.
- History or current diagnosis of a clinically significant non-SLE-related vasculitis syndrome.
- Active neuropsychiatric SLE.
- Use of oral prednisone (or equivalent) above 20 mg/day.
NOTE: Other protocol defined Inclusion/Exclusion criteria may apply.
Sites / Locations
- University of Alabama Birmingham
- Arizona Arthritis & Rheumatology Associates, P.C.Recruiting
- Valerius Medical GroupRecruiting
- Kotha
- RASF - Clinical Research CenterRecruiting
- University of Florida GainesvilleRecruiting
- University of Miami Miller School of MedicineRecruiting
- Clinical Research of West Florida, Inc.Recruiting
- The Emory Clinic Emory UniversityRecruiting
- Arthritis Center of North GeorgiaRecruiting
- Rush University Medical Center
- LSU Health Sciences Center
- Boston University School of MedicineRecruiting
- University of MassachusettsRecruiting
- Saint Louis RheumatologyRecruiting
- Arthritis & Osteoporosis Associates, PARecruiting
- Arthritis and Osteoporosis Associates of New MexicoRecruiting
- DJL Clinical Research, PLLCRecruiting
- Carolina Arthritis AssociatesRecruiting
- University of CincinnatiRecruiting
- STAT ResearchRecruiting
- Piedmont Arthritis Clinic, P.A.Recruiting
- Low Country Rheumatology, PARecruiting
- West Tennessee Research InstituteRecruiting
- Office of John P. Lavery M.D., PARecruiting
- Tekton ResearchRecruiting
- Precision Comprehensive Clinical Research SolutionsRecruiting
- The University of Texas Health
- SouthWest Rheumatology Research, LLCRecruiting
- Sun Research Institute, LLCRecruiting
- Swedish Medical CenterRecruiting
- Hospital General de Agudos Dr. J. M. Ramos MejiaRecruiting
- Centro Privado de Medicina Familiar - Mind Out ResearchRecruiting
- APRILLUS Asistencia e Investigacion
- CINME - Centro De Investigaciones Metabolicas
- Hospital Italiano de La PlataRecruiting
- Hospital Italiano de La PlataRecruiting
- Centro de Investigaciones Medicas Mar del PlataRecruiting
- Instituto de Investigaciones Clinicas QuilmesRecruiting
- Centro Dermatologico SchejtmanRecruiting
- Centro de Investigaciones Medicas TucumanRecruiting
- Investigaciones Clinicas TucumanRecruiting
- Investigaciones Clinicas TucumanRecruiting
- STAT Research S.A.Recruiting
- Centro Privado de Medicina Familiar - Mind Out ResearchRecruiting
- Instituto de ReumatologiaRecruiting
- CER San Juan Centro Polivalente de Asistencia e Inv. ClinicaRecruiting
- UZ LeuvenRecruiting
- CHU de LiègeRecruiting
- The Waterside ClinicRecruiting
- Hamilton Health Sciences Corporation
- University of Toronto
- Shenzhen People's HospitalRecruiting
- Hainan General HospitalRecruiting
- EC of Union Hospital Tongji Medical College Huazhong University of Science and TechnologyRecruiting
- Xiangya Hospital, Central South UniversityRecruiting
- The 2nd Xiangya Hospital of Central South UniversityRecruiting
- ZhuZhou Central HospitalRecruiting
- The Second Affiliated Hospital of Nanchang UniversityRecruiting
- Jiangxi Pingxiang People's HospitalRecruiting
- The First Hospital of Jilin University
- Jiujiang No.1 People's HospitalRecruiting
- Binzhou Medical University HospitalRecruiting
- Renji Hospital Shanghai Jiaotong University School of Medicine - West BranchRecruiting
- Ruijin Hospital of Shanghai Jiaotong University School of MedicineRecruiting
- The First Affiliated Hospital of Chengdu Medical CollegeRecruiting
- Tianjin Medical University General HospitalRecruiting
- People's Hospital of Xinjiang Uighur Autonomous Region
- The First Affiliated Hospital of Ningbo UniversityRecruiting
- Wenzhou People's HospitalRecruiting
- Beijing Chaoyang Hospital, Capital Medical UniversityRecruiting
- Peking Union Medical College HospitalRecruiting
- The Third Affiliated Hospital, Sun Yat-sen University
- Centro de Investigacion Medico Asistencial S.A.SRecruiting
- Clínica de la Costa Ltda.Recruiting
- Centro de Investigacion en Reumatologia y Especialidades Medicas CIREEM S.A.S.Recruiting
- Servimed S.A.S.Recruiting
- IPS Centro Medico Julián Coronel S.A.
- Preventive Care LtdaRecruiting
- Fundacion Centro de Investigaciones Clinica Ips Cardiomet Pereira
- Healthy Medical CenterRecruiting
- Fakultni nemocnice Brno
- Revmatologie s.r.o.Recruiting
- Fakultni nemocnice OlomoucRecruiting
- ARTHROHELP s.r.o.
- Universitaetsmedizin GoettingenRecruiting
- Medizinische Hochschule HannoverRecruiting
- Universitaetsklinikum KoelnRecruiting
- Universitaetsmedizin der Johannes Gutenberg-Universitaet MainzRecruiting
- Obudai Egeszsegugyi Centrum Kft.
- Del-pesti Centrumkorhaz - Orszagos Hematologiai es Infektologiai IntezetRecruiting
- Del-pesti Centrumkorhaz - Orszagos Hematologiai es Infektologiai IntezetRecruiting
- Egyesitett Szt. Istvan
- Bekes Varmegyei Kozponti KorhazRecruiting
- Vita Verum Medical Egeszsegugyi Szolgaltato Bt.Recruiting
- Vital Medical CenterRecruiting
- Rambam Health Care CenterRecruiting
- Meir Medical CenterRecruiting
- Rabin Medical Center-Beilinson CampusRecruiting
- Chaim Sheba Medical CenterRecruiting
- Tel Aviv Sourasky Medical CenterRecruiting
- Research Site
- Azienda Ospedaliera San Camillo ForlaniniRecruiting
- Ospedale M. ScarlatoRecruiting
- Azienda Socio Sanitaria Territoriale degli Spedali Civili di Brescia (Presidio Spedali Civili)Recruiting
- Azienda Socio Sanitaria Territ
- Azienda Ospedaliera di PadovaRecruiting
- Azienda Ospedaliero Universitaria PisanaRecruiting
- Università Campus Bio-Medico di RomaRecruiting
- Azienda Ospedaliera Universitaria Policlinico Umberto I - Università di Roma La SapienzaRecruiting
- Tokyo Medical and Dental University HospitalRecruiting
- NHO Chibahigashi National HospitalRecruiting
- St. Luke's International HospitalRecruiting
- KKR Hamanomachi HospitalRecruiting
- NHO Kyushu Medical CenterRecruiting
- Japanese Red Cross Society Himeji HospitalRecruiting
- Hiroshima University HospitalRecruiting
- Saitama Medical University HospitalRecruiting
- Nihon University Itabashi HospitalRecruiting
- NHO Osaka Minami Medical CenterRecruiting
- St. Mariana University HospitalRecruiting
- Kagawa University HospitalRecruiting
- Hospital of the University of Occupational and Environmental Health, JapanRecruiting
- Kobe University HospitalRecruiting
- Kobe City Medical Center General HospitalRecruiting
- Japanese Red Cross Kumamoto HospitalRecruiting
- Toho University Ohashi Medical CenterRecruiting
- Nagasaki University HospitalRecruiting
- JCHO Chukyo HospitalRecruiting
- Chibaken Saiseikai Narashino HospitalRecruiting
- Kindai University HospitalRecruiting
- Kitano HospitalRecruiting
- Toho University Omori Medical CenterRecruiting
- Kitasato University HospitalRecruiting
- Tonan HospitalRecruiting
- Tohoku University HospitalRecruiting
- National Center for Global Health and MedicineRecruiting
- Osaka Medical and Pharmaceutical University HospitalRecruiting
- Keio University HospitalRecruiting
- Fujita Health University HospitalRecruiting
- NHO Yokohama Medical CenterRecruiting
- Yokohama City University CenterRecruiting
- Amsterdam UMC, Locatie VUMCRecruiting
- Universitair Medisch Centrum GroningenRecruiting
- Maastricht Univ Med Centre
- UMC UtrechtRecruiting
- Centro ReumatologicoRecruiting
- S.C Centrul Medical de Diagnostic si Tratament Ambulator Neomed S.R.LRecruiting
- S.C Dental Health Care SRLRecruiting
- Spitalul Clinic Judetean de Urgenta Cluj NapocaRecruiting
- S.C.Centrul Medical Unirea SRLRecruiting
- Spitalul Judetean de Urgenta "Sf. Ioan cel Nou" Suceava
- S.C Centrul Medical Unirea SRLRecruiting
- Institute of RheumatologyRecruiting
- Institute of RheumatologyRecruiting
- University Clinical Center of SerbiaRecruiting
- University Clinical Center of SerbiaRecruiting
- Clinical Hospital Center Bezanijska kosaRecruiting
- Institute of Treatment and Rehabilitation "Niska Banja"Recruiting
- Whipps Cross University HospitalRecruiting
- Guy's HospitalRecruiting
- Doncaster Royal InfirmaryRecruiting
- Cannock Chase HospitalRecruiting
- Royal Infirmary of Edinburgh
Arms of the Study
Arm 1
Arm 2
Arm 3
Experimental
Experimental
Placebo Comparator
BIIB059 High Dose
BIIB059 Low Dose
Placebo
Participants who are receiving background nonbiologic lupus SOC therapy will receive high dose of BIIB059, subcutaneously (SC), every 4 weeks (Q4W), up to Week 48 with an additional dose at Week 2.
Participants who are receiving background nonbiologic lupus SOC therapy will receive low dose of BIIB059, SC Q4W, up to Week 48 with an additional dose at Week 2.
Participants who are receiving background nonbiologic lupus SOC therapy will receive BIIB059 matching placebo, SC Q4W, up to Week 48 with an additional dose at Week 2.