Efficacy and Safety of AMG 570 in Subjects With Active Systemic Lupus Erythematosus (SLE)
Systemic Lupus Erythematosus (SLE)
About this trial
This is an interventional treatment trial for Systemic Lupus Erythematosus (SLE) focused on measuring Standard of Care therapies, Oral Corticosteroids, Inmunosuppressants, Immunomodulators, Systemic Lupus Erythematosus, B cell Activating Factor (BAFF), Inducible T cell costimulator ligand (ICOSL)
Eligibility Criteria
Inclusion Criteria Screening Visit:
- Subject has provided informed consent prior to initiation of any study-specific activities/procedures.
- Age ≥ 18 years to ≤ 75 years at screening visit.
- Fulfills classification criteria for SLE according to the 2019 European League Against Rheumatism (EULAR)/American College of Rheumatology (ACR) classification criteria for SLE (Aringer et al, 2019), with antinuclear antibody ≥ 1:80 by immunofluorescence on Hep-2 cells being present at screening.
- Hybrid SLEDAI score ≥ 6 points with a "Clinical" hSLEDAI score ≥ 4 points. The "Clinical" hSLEDAI is the hSLEDAI assessment score without the inclusion of points attributable to laboratory results, including urine or immunologic parameters.
Additional protocol-specific rules are applied at screening and throughout the study, as follows:
- Arthritis: Arthritis (at least 3 tender and swollen joints) must involve joints in the hands or wrists for the hSLEDAI scoring.
- Alopecia: Subjects should have hair loss without scarring; should neither have alopecia areata nor androgenic alopecia; and should have a CLASI activity score for alopecia ≥ 2.
- Oral ulcers: Ulcers location and appearance must be documented by the investigator.
- Scleritis and Episcleritis: the presence of stable SLE-related scleritis and episcleritis must be documented by an ophthalmologist and other causes excluded.
- Renal: subjects with urine protein/creatinine ratio < 3000 mg/g (or equivalent method) in a clear catch spot urine sample can enroll and be scored in the hSLEDAI, provided the subject has a clinical hSLEDAI ≥ 4 and did not receive induction treatment for nephritis within the last year.
- Pleurisy and Pericarditis: symptoms of pleurisy and pericarditis must be accompanied by objective findings to be scored in the hSLEDAI.
Unless there is a documented intolerance, subjects must be taking:
- Only 1 of the following SLE treatments: anti-malarial (hydroxychloroquine, chloroquine, or quinacrine), azathioprine, methotrexate, leflunomide, mycophenolate mofetil/acid mycophenolic, or dapsone.
OR
• 2 of the above-mentioned SLE treatments in which 1 must be anti-malarial (hydroxychloroquine, chloroquine, or quinacrine).
- Treatment should be taken for ≥ 12 weeks prior to screening and must be a stable dose for ≥ 8 weeks prior to screening.
- For subjects taking OCS, dose must be ≤ 20 mg/day of prednisone or OCS equivalent, and the dose must be stable at baseline visit for ≥ 2 weeks prior to screening visit.
Exclusion Criteria Screening Visit
Subjects are excluded from the study if any of the following criteria apply:
Disease Related
- Urine protein creatinine ratio ≥ 3000 mg/g (or equivalent) at screening or induction therapy for lupus nephritis within 1 year prior to screening visit.
- Active CNS lupus within 1 year prior to screening including, but not limited to, aseptic meningitis, ataxia, CNS vasculitis, cranial neuropathy, demyelinating syndrome, optic neuritis, psychosis, seizures, or transverse myelitis.
Sites / Locations
- University of Alabama at Birmingham
- Imaging Endpoints
- Medvin Clinical Research
- Southern California Permanente Medical Group
- University of California San Diego
- University of California Los Angeles
- Stanford University Hospitals and Clinics
- TriWest Research Associates
- University of Colorado Denver
- Yale University
- Centre for Rheumatology Immunology and Arthritis
- University of Florida
- Lakes Research LLC
- Heuer Medical Doctor Research LLC
- Southwest Florida Clinical Research Center
- AdventHealth Medical Group
- Piedmont Atlanta Hospital
- The Emory Clinic
- Clinic of Robert Hozman, MD - Clinical Investigational Specialists, Inc
- Ochsner Clinic Foundation
- University of Maryland School of Medicine Division of Rheumatology
- Feinstein Institute for Medical Research
- New York University Langone Orthopedic Center
- Hospital For Special Surgery
- Columbia University Medical Center
- SUNY Upstate Medical University
- Joint and Muscle Research Institute
- DJL Clinical Research PLLC
- Arthritis and Rheumatology Center of Oklahoma PLLC
- The Oklahoma Center for Arthritis Therapy and Research Inc
- Penn State Milton South Hershey Medical Center
- University of Pennsylvania
- Medical University of South Carolina
- Articularis Healthcare Group Inc dba Low Country Rheumatology
- Vanderbilt University Medical Center
- Austin Regional Clinic Specialty Research
- Trinity Universal Research Associates, Inc
- Rheumatic Disease Clinical Research Center LLC
- Southwest Rheumatology
- Dom Centro de Reumatologia
- Fundacion Respirar - Centro Medico Dra De Salvo
- Instituto de Investigaciones Clinicas Quilmes
- Instituto Medico de Alta Complejidad San Isidro
- Hospital Militar Central - Cirujano Mayor Dr Cosme Argerich
- Centro Medico Privado de Reumatologia
- Clinical Mayo - Clinica Mayo de Urgencias Medicas Cruz Blanca S.R.L
- CER San Juan - Centro Polivalente de Asistencia e Investigacion Clinica
- Holdsworth House Medical Practice
- The Queen Elizabeth Hospital
- Multiprofile Hospital for Active Treatment Trimontium OOD
- University Multiprofile Hospital for Active Treatment - Kaspela EOOD
- University Multiprofile Hospital for Active Treatment Sveti Georgi EAD
- Medical Center Excelsior OOD
- Medical Center Academy EOOD
- University Multiprofile Hospital for Active Treatment Sveti Ivan Rilski EAD
- Medical Centre Synexus Sofia EOOD
- Medical Centre Synexus Sofia EOOD - Branch Stara Zagora
- University of Calgary Cumming School of Medicine
- Shared Health Inc. operating the Health Sciences Centre Winnipeg
- Groupe de recherche en maladies osseuses Incorporated
- Synexus Czech sro
- Revmatologicky ustav
- Centre Hospitalier Universitaire de Bordeaux - Hopital Pellegrin
- CHU Hôpital Côte de Nacre
- Centre Hospitalier Universitaire Dijon Bourgogne - Hopital Francois Mitterrand
- Centre Hospitalier Régional Universitaire de Lille - Hôpital Claude Huriez
- Hopital Pitie-Salpetriere
- Centre Hospitalier Universitaire de Reims - Hopital Robert Debre
- Centre Hospitalier Universitaire de Strasbourg - Nouvel hopital civil
- Centre Hospitalier Universitaire de Toulouse - Hopital Rangueil
- Centre Hospitalier Universitaire de Toulouse - Hopital Purpan
- Johannes Gutenberg Universitaet Mainz
- Universitätsklinikum Leipzig AöR
- Laiko General Hospital
- Attiko Hospital
- University Hospital of Heraklion
- General University Hospital of Patras Panagia i Voithia
- Tuen Mun Hospital
- Debreceni Egyetem Klinikai Kozpont
- Bekes Megyei Kozponti Korhaz Pandy Kalman Tagkorhaz
- Vita Verum Medical Bt
- IRCCS Ospedale San Raffaele
- Azienda Ospedaliera Universitaria Pisana
- Policlinico Universitario Agostino Gemelli
- IRCCS Istituto Clinico Humanitas
- National Hospital Organization Chibahigashi National Hospital
- Juntendo University Urayasu Hospital
- Hospital of the University of Occupational and Environmental Health Japan
- Gifu University Hospital
- Sapporo City General Hospital
- Hokkaido University Hospital
- Kobe University Hospital
- Kanazawa University Hospital
- National University Corporation Tohoku University Tohoku University Hospital
- Shinshu University Hospital
- Nagasaki University Hospital
- National Hospital Organization Nagasaki Medical Center
- Sasebo Chuo Hospital
- Kurashiki Medical Clinic
- Okayama University Hospital
- Seirei Hamamatsu General Hospital
- Juntendo University Hospital
- The University of Tokyo Hospital
- St Lukes International Hospital
- National Hospital Organization Tokyo Medical Center
- Keio University Hospital
- Keimyung University Dongsan Hospital
- Seoul National University Hospital
- Ewha Womans University Mokdong Hospital
- Ajou University Hospital
- Centro Medico del Angel SC
- Centro de Investigacion en Artritis y Osteoporosis SC
- Morales Vargas Centro de Investigacion SC
- Centro Integral en Reumatologia SA de CV
- Centro Peninsular de Investigación Clínica
- Centro Mexicano de Desarrollo de Estudios Clinicos
- Synexus Polska Spzoo
- Synexus Polska Spzoo
- Synexus Polska Spzoo
- Silmedic Spzoo
- Tomed Tomasz Miszalski-Jamka Centrum Medyczne
- Synexus Polska Spzoo
- Somed cr
- 1 Wojskowy Szpital Kliniczny z Poliklinika Samodzielny Publiczny Zaklad Opieki Zdrowotnej
- Clinical Best Solutions Spolka z ograniczona odpowiedzialnoscia Spolka komandytowa
- Synexus Polska Spzoo
- Sanus Szpital Specjalistyczny Spzoo
- SOMED CR
- Synexus Polska Spolka z ograniczona odpowiedzialnoscia
- Futuremeds spolka z ograniczona odpowiedzialnoscia
- Synexus Polska Spzoo
- Hospital Garcia de Orta, EPE
- Centro Hospitalar de Lisboa Ocidental, EPE - Hospital Egas Moniz
- Centro Hospitalar Universitario de Lisboa Norte, EPE - Hospital de Santa Maria
- Centro Hospitalar do Porto EPE - Hospital de Santo Antonio
- Centro Hospitalar Universtario de Sao Joao, EPE
- State Budget Medical Institution Sverdlovsk Regional Clinical Hospital N1
- Limited liability company Scientific Research Medical Complex Your Health
- LLC Medical Center Maksimum Zdorovia
- LLC Medical center Revma Med
- FSBSI SRI of Rheumatology na V A Nasonova
- LLC Center of medicine Healthy family
- LLC Center of general medicine
- LLC Medical Sanitary Unit №157
- Hospital Infanta Luisa
- Hospital Universitari Vall d Hebron
- Complexo Hospitalario Universitario A Coruña
Arms of the Study
Arm 1
Arm 2
Arm 3
Arm 4
Experimental
Experimental
Experimental
Placebo Comparator
Rozibafusp Alfa, Dose A
Rozibafusp Alfa, Dose B
Rozibafusp Alfa, Dose C
Placebo for Rozibafusp Alfa
Investigational product solution in vial
Investigational product solution in vial
Investigational product solution in vial
Placebo Investigational product solution in vial