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A Study to Evaluate the Efficacy and Safety of Dapirolizumab Pegol in Study Participants With Moderately to Severely Active Systemic Lupus Erythematosus

RecruitingPhase 3

A Multicenter, Randomized, Double-Blind, Placebo-Controlled, Parallel-Group Study to Evaluate the Efficacy and Safety of Dapirolizumab Pegol in Study Participants With Moderately to Severely Active Systemic Lupus Erythematosus

Who can join

Ages 16 and older · All sexes

Full eligibility criteria
Inclusion Criteria:

* Study participant must be ≥16 years of age, (≥18 years of age for China), unless restricted by local regulation, at the time of signing the Informed Consent form (ICF)
* Study participants who have moderate to severe disease activity due to either persisting active systemic lupus erythematosus (SLE) or due to an acute worsening of SLE in the scope of frequent relapsing-remitting SLE despite stable standard of care(SOC) medication defined as:

  a. Diagnosed with SLE at least 24 weeks before the Screening Visit by a qualified physician b. Classified by 2019 SLE European League Against Rheumatism/American College of Rheumatology (EULAR/ACR) classification criteria for SLE c. With serological evidence for SLE at Screening as demonstrated by at least 1 of the following: i) Evidence for anti-dsDNA (defined as evidence for anti-dsDNA antibodies in central laboratory) ii) Either complement C3 \<lower limit of normal (LLN) OR complement C4 \<LLN as measured by central laboratory iii) Antinuclear antibodies with a titer of at least 1:80 confirmed by central laboratory in combination with evidence of at least 1 of the following SLE typical autoantibodies:
  1. Anti-Smith (anti-Sm) antibodies (central laboratory or source verifiable history)
  2. Anti-Sjögren's syndrome antibody A (Anti-SSA) (Ro)/Anti-Sjögren's syndrome antibody B (anti-SSB) (La) autoantibodies (central laboratory)
  3. Historical evidence for anti-dsDNA antibodies
  4. Anti-ribonucleoprotein (RNP) autoantibodies (central laboratory) d. Moderately to severely active defined as:

     * British Isles Lupus Assessment Group Disease Activity Index 2004 (BILAG 2004) Grade B in ≥2 organ systems and/or a BILAG 2004 Grade A in ≥1 organ systems at Screening and Baseline Visit AND
     * Systemic Lupus Erythematosus Disease Activity Index 2000 (SLEDAI-2K) ≥6 at the Screening Visit AND
     * SLEDAI-2K without labs ≥4 at Baseline Visit e. Receiving the following standard of care (SOC) medications at stable dose:
     * Antimalarial treatment in combination with glucocorticoids and/or immunosuppressants or as stand-alone treatment if justified OR
     * Treatment with glucocorticoids and/or immunosuppressants if antimalarial treatment is not appropriate (ie, there is documented intolerance in medical history, documented lack of efficacy, contraindications, or lack of availability)

     Exclusion Criteria:
* Study participant has any medical or psychiatric condition (including conditions due to neuropsychiatric SLE) that, in the opinion of the Investigator, could jeopardize or would compromise the study participant's ability to participate in this study. This includes study participants with a life-threatening condition
* Study participant has a history of an anaphylactic reaction to parenteral administration of contrast agents, human or murine proteins, or monoclonal antibodies. This includes systemic reactions due to latex allergy
* Study participant has a history of malignancy, except the following treated cancers: cervical carcinoma in situ (after complete resection \[eg, curettage, electrodesiccation\] not later than 4 weeks prior to the Screening Visit \[V1\]), basal cell carcinoma, or dermatological squamous cell carcinoma
* Study participant has a mixed connective tissue disease, scleroderma, and/or overlap syndrome of these diseases with SLE
* Study participant has evidence of human immunodeficiency virus (HIV) infection, agammaglobulinemias, T-cell deficiencies, or human T-cell lymphotropic virus-1 infection at any time prior to or during the study
* Study participant has clinically significant active or latent infection
* Study participant had a reactivated latent infection (eg, cytomegalovirus, herpes simplex virus, or herpes zoster infection) or opportunistic infection (including but not limited to, pneumocystis, cytomegalovirus, or severe herpes zoster infection) within 12 weeks prior to the first study medication infusion (Visit 2) or is currently receiving suppressive therapy for an opportunistic infection
* Study participants who have received live/live attenuated vaccines within 6 weeks prior to the first study medication infusion
* Study participant has used the prohibited medications within the time frame (Wash-Out Period) listed in the Protocol
* Study participant has previously been randomized within this study or has previously been assigned to treatment with dapirolizumab pegol (DZP) in a study evaluating DZP
* Study participant has participated in another study of an investigational medicinal product (IMP) within the previous 12 weeks or 5 half-lives of the IMP whatever is longer, or is currently participating in another study of an IMP
* Study participant has chronic kidney failure stage 4, manifested by estimated glomerular filtration rate (eGFR) \<30 mL/min/1.73m2, or serum creatinine \>2.5 mg/dL, or participant has proteinuria \>3g/day, or protein:creatinine ratio \>340 mg/mmol at the Screening Visit

About the study

The purpose of this study is to evaluate the ability of dapirolizumab pegol (DZP) as an add-on treatment to standard of care (SOC) medication to achieve clinically relevant long term improvement of moderate to severe disease activity.

What is being tested

Sponsor: UCB Biopharma SRL · Participants: 450 · Started: Nov 21, 2024

Contact the study team

Official record on ClinicalTrials.gov — NCT06617325

Locations in the U.S.

ArizonaSl0044 50058, Avondale
Sl0044 50550, Chandler
Sl0044 50713, Gilbert
Sl0044 50662, Glendale
Sl0044 50052, Phoenix
Sl0044 50677, Scottsdale
ArkansasSl0044 50670, Searcy
CaliforniaSl0044 50737, Beverly Hills
Sl0044 50775, Beverly Hills
Sl0044 50257, La Jolla
Sl0044 50275, La Palma
Sl0044 50755, Los Alamitos
Sl0044 50258, Los Angeles
Sl0044 50725, Menifee
Sl0044 50340, Orange
Sl0044 50316, San Leandro
ColoradoSl0044 50719, Aurora
FloridaSl0044 50239, Brandon
Sl0044 50630, Clearwater
Sl0044 50751, Coral Gables
Sl0044 50362, Gainesville
Sl0044 50766, Hollywood
Sl0044 50763, Margate
Sl0044 50681, Miami
Sl0044 50735, Miami
Sl0044 50747, Miami
Sl0044 50324, Plantation
Sl0044 50698, Tampa
Sl0044 50585, Winter Park
GeorgiaSl0044 50566, Gainesville
Sl0044 50659, Marietta
IllinoisSl0044 50699, Chicago
Sl0044 50717, Willowbrook
IndianaSl0044 50748, New Albany
IowaSl0044 50319, Iowa City
KansasSl0044 50074, Kansas City
KentuckySl0044 50586, Louisville
LouisianaSl0044 50023, Baton Rouge
Sl0044 50285, Lake Charles
Sl0044 50660, New Orleans
MarylandSl0044 50730, Rockville
MichiganSl0044 50219, Detroit
MissouriSl0044 50682, Kansas City
New YorkSl0044 50010, Brooklyn
Sl0044 50264, Manhasset
Sl0044 50077, New York
Sl0044 50241, Syracuse
North CarolinaSl0044 50238, Charlotte
PennsylvaniaSl0044 50365, Pittsburgh
TennesseeSl0044 50001, Jackson
Sl0044 50693, Murfreesboro
TexasSl0044 50738, Bellaire
Sl0044 50781, El Paso
Sl0044 50673, Fort Worth
Sl0044 50562, Frisco
Sl0044 50773, Grapevine
Sl0044 50688, Houston
Sl0044 50696, Houston
Sl0044 50723, Houston
Sl0044 50718, Mansfield
Sl0044 50036, Mesquite
WashingtonSl0044 50061, Spokane Valley

Conditions

From ClinicalTrials.gov, data retrieved Sep 30, 2026. Each study sets its own eligibility; the study team decides who can join.