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Monoclonal Antibodies
Anifrolumab for Lupus (NAIVE Trial)
Phase < 1
Recruiting
Led By Cristina Arriens, M.D.
Research Sponsored by Oklahoma Medical Research Foundation
Eligibility Criteria Checklist
Specific guidelines that determine who can or cannot participate in a clinical trial Must have
Have moderate to severely active signs or symptoms defined as an SLE Disease Activity Index (SLEDAI) score of at least 6 or at least one moderately to severely active manifestation scoring B or A on British Isles Lupus Assessment Group (BILAG) Index
Be older than 18 years old
Must not have
Persistent toxicities as per Common Terminology Criteria for Adverse Events (CTCAE) that is > grade 2 and caused by current treatments
Any history of severe COVID-19 infection (e.g. requiring hospitalization, intensive care unit (ICU) care or assisted ventilation) or any prior COVID-19 infection with unresolved sequelae
Timeline
Screening 3 weeks
Treatment Varies
Follow Up 6 weeks after vaccination (8 weeks after baseline)
Summary
This trial examines the effects of a new drug on SLE patients' disease activity, immune system, and response to a flu vaccine. 10 patients will get the drug and 10 won't, to compare.
Who is the study for?
This trial is for adults aged 18-70 with moderate to severely active Systemic Lupus Erythematosus (SLE), as indicated by specific disease activity scores. Participants may be on stable doses of certain lupus medications, including steroids and antimalarials. Women must use two forms of contraception, men must use condoms, and participants cannot be pregnant or have had recent severe infections or cancer.
What is being tested?
The study tests the effects of anifrolumab in addition to standard lupus care versus standard care alone on SLE disease activity and response to the flu vaccine. It involves 20 patients: half will receive anifrolumab plus standard treatments; the other half will only get standard treatments. All participants will be vaccinated against influenza.
What are the potential side effects?
Potential side effects are not explicitly listed but could include reactions related to immune system changes due to anifrolumab, such as infusion reactions or increased susceptibility to infections. Standard care side effects depend on the specific medications used but can range from stomach issues to changes in blood counts.
Eligibility Criteria
Inclusion Criteria
You may be eligible if you check “Yes” for the criteria belowSelect...
My lupus is active, with a SLEDAI score of 6 or more, or a BILAG score of A or B.
Exclusion Criteria
You may be eligible for the trial if you check “No” for criteria below:Select...
I have lasting side effects from treatment that are moderate to severe.
Select...
I have never had severe COVID-19 requiring hospital care or have any lasting effects from a past infection.
Select...
I haven't had major surgery in the last 8 weeks and don't plan any during the study.
Select...
I have received the 2020-2021 flu vaccine.
Timeline
Screening ~ 3 weeks3 visits
Treatment ~ Varies
Follow Up ~ 6 weeks after vaccination (8 weeks after baseline)
Screening ~ 3 weeks
Treatment ~ Varies
Follow Up ~6 weeks after vaccination (8 weeks after baseline)
Treatment Details
Study Objectives
Study objectives can provide a clearer picture of what you can expect from a treatment.Primary study objectives
Change in immune response to quadrivalent flu vaccine
Secondary study objectives
Proportion of patients who develop changes in autoantibodies after immunization with quadrivalent flu vaccine
Proportion of patients who develop flares after immunization with quadrivalent flu vaccine
Side effects data
From 2018 Phase 3 trial • 373 Patients • NCT0244689923%
Upper respiratory tract infection
16%
Nasopharyngitis
14%
Infusion related reaction
13%
Bronchitis
12%
Urinary tract infection
7%
Herpes zoster
7%
Sinusitis
6%
Cough
6%
Headache
6%
Back pain
6%
Arthralgia
4%
Nausea
2%
Pneumonia
1%
Lip squamous cell carcinoma
1%
Cervical dysplasia
1%
Angioedema
1%
Hypoaesthesia
1%
Acute coronary syndrome
1%
Chilaiditi's syndrome
1%
Hypersensitivity
1%
Appendicitis
1%
Diverticulitis
1%
Gastroenteritis viral
1%
Fall
1%
Nephrolithiasis
1%
Traumatic fracture
1%
Blood creatinine increased
1%
Osteonecrosis
1%
Systemic lupus erythematosus
100%
80%
60%
40%
20%
0%
Study treatment Arm
Anifrolumab 300 mg
Placebo
Trial Design
2Treatment groups
Experimental Treatment
Placebo Group
Group I: Anifrolumab plus Standard of CareExperimental Treatment1 Intervention
Anifrolumab will be added to Standard of Care Treatments for SLE
Group II: Standard of CarePlacebo Group1 Intervention
Standard of Care Treatments for SLE
Treatment
First Studied
Drug Approval Stage
How many patients have taken this drug
Anifrolumab
2015
Completed Phase 3
~1990
Find a Location
Who is running the clinical trial?
Piedmont Heart Institute, Inc., Atlanta, GAIndustry Sponsor
4 Previous Clinical Trials
1,791 Total Patients Enrolled
NYU Langone HealthOTHER
1,415 Previous Clinical Trials
856,183 Total Patients Enrolled
Yale UniversityOTHER
1,930 Previous Clinical Trials
3,033,438 Total Patients Enrolled
Columbia UniversityOTHER
1,498 Previous Clinical Trials
2,768,961 Total Patients Enrolled
Oklahoma Medical Research FoundationLead Sponsor
22 Previous Clinical Trials
8,312 Total Patients Enrolled
Cristina Arriens, M.D.Principal InvestigatorClinical Assistant Member
Joan T Merrill, M.D.Study DirectorMember
Media Library
Eligibility Criteria:
This trial includes the following eligibility criteria:- I haven't taken any restricted medications recently.I have kidney inflammation and recent tests show stable kidney function.I will use a condom during sex from the start of the trial until 12 weeks after the last dose.I have been on a stable dose of an immunosuppressant for at least 8 weeks.I have lasting side effects from treatment that are moderate to severe.My last Pap smear was normal and done within the last 2 years.I have received specific treatments.I haven't been hospitalized for an infection or taken strong antibiotics recently, and I still have my spleen.I have been on a stable dose of up to 30 mg of prednisone (or similar) daily for at least two weeks.My lupus is active, with a SLEDAI score of 6 or more, or a BILAG score of A or B.I have never had severe COVID-19 requiring hospital care or have any lasting effects from a past infection.I am using NSAIDs or topical/ocular steroids or calcineurin inhibitors.I haven't had major surgery in the last 8 weeks and don't plan any during the study.I am between 18 and 70 years old.I am using two forms of birth control, one being a barrier method, or I am surgically sterile.I have been on a stable dose of antimalarial treatment for at least two months.I do not have any current infections.I have received the 2020-2021 flu vaccine.My lupus is causing life-threatening issues to my organs.
Research Study Groups:
This trial has the following groups:- Group 1: Anifrolumab plus Standard of Care
- Group 2: Standard of Care
Awards:
This trial has 0 awards, including:Timeline:
This trial has the following timeline:- Screening: It may take up to 3 Weeks to process to see if you qualify in this trial.
- Treatment: The duration you will receive the treatment varies.
- Follow Ups: You may be asked to continue sharing information regarding the trial for 6 Months after you stop receiving the treatment.