Phase 2
Completed N=214
Study of VIB7734 for the Treatment of Moderate to Severely Active SLE
Lupus Erythematosus, Systemic
Source: ClinicalTrials.gov NCT04925934 ↗
Enrolled (actual)
214
Serious AEs
12.2%
Results posted
Jul 2024
Primary outcomePrimary: Number of Participants Achieving a BILAG-2004 Index-based Combined Lupus Assessment (BICLA) Response and an OGC Dose ≤ 7.5 mg/Day and ≤ Baseline Dose of Prednisone or Equivalent at Week 48 — 25; 29; 27 Participants — p==0.7474
Summary
A Phase 2 Randomized, Double-Blind, Placebo-Controlled Efficacy and Safety Study of VIB7734 for the Treatment of Moderate to Severely Active Systemic Lupus Erythematosus in approximately 195 participants. The study duration will be 48 weeks, with a safety follow-up through week 56.There will be 3 parallel arms - 2 active treatment and 1 placebo.
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY Number of Participants Achieving a BILAG-2004 Index-based Combined Lupus Assessment (BICLA) Response and an OGC Dose ≤ 7.5 mg/Day and ≤ Baseline Dose of Prednisone or Equivalent at Week 48 |
25; 29; 27 | =0.7474 |
| SECONDARY Number of Participants With a Cutaneous Lupus Erythematosus Disease Area and Severity Index-Activity (CLASI-A) Score ≥ 10 at Baseline Achieving ≥ 50% Reduction From Baseline in CLASI-A Score at Week 12 |
1; 4; 5 | =0.1626 |
| SECONDARY Number of Participants Achieving an SLE Responder Index (SRI)-4 Response and an OGC Dose ≤ 7.5 mg/Day and ≤ Baseline Dose of Prednisone or Equivalent at Week 48 |
26; 34; 30 | =0.3220 |
| SECONDARY Number of Participants With an OGC Dose ≥ 10 mg/Day of Prednisone or Equivalent at Baseline Who Maintained an OGC Dose ≤ 7.5 mg/Day From Week 36 Through Week 48 |
20; 27; 26 | =0.2805 |
| SECONDARY Number of Participants Achieving Lupus Low Disease Activity State (LLDAS) at Week 48 |
11; 23; 15 | =0.0370 sig |
| SECONDARY Serum Concentration of Daxdilimab |
0.011; 0.008; 3.319; 3.301; 4.714; 4.643 | — |
| SECONDARY Number of Participants With Anti-drug Antibodies (ADA) to Daxdilimab |
47; 59; 56; 14; 6; 6 | — |
| SECONDARY Change From Baseline in Plasmacytoid Dendritic Cell (pDCs) Expression in Blood |
2.5068; 2.2960; 1.9195; -0.2324; -1.4240; -1.2903 | — |
| SECONDARY Number of Participants Who Experienced Treatment-emergent Adverse Events (TEAEs) |
49; 49; 58; 10; 17; 17 | — |
| SECONDARY Number of Participants Who Experienced AEs of Special Interest (AESI) |
1; 0; 1; 1; 1; 1 | — |
Eligibility Criteria
Inclusion Criteria
- Age ≥ 18 years to ≤ 70 years
- Willing and able to understand and provide written informed consent.
- Fulfill the 2019 European League Against Rheumatism/American College of Rheumatology Classification Criteria for SLE
- Disease duration of at least 6 months
- Active SLE as indicated by presence of all the following:
- SLEDAI-2K total score ≥ 6 at Screening, excluding fever, SLE headache, or organic brain syndrome.
- SLEDAI-2K total score ≥ 4, excluding points attributable to any urine or laboratory results, immunologic measures, fever, SLE headache, or organic brain syndrome at Screening and Baseline (Day 1).
- At least one of the following BILAG 2004 Index levels of disease at Screening:
- BILAG A disease in ≥ 1 organ system
- BILAG B disease in ≥ 2 organ systems d. PGA score ≥ 1 on a 0 to 3 visual analog scale (VAS) at Screening
Have at least one of the following at Screening per central lab:
- ANA ≥ 1:80
- Anti-dsDNA antibodies elevated to above normal range as established by the central laboratory (ie, positive results)
- Anti-Smith antibodies elevated to above normal (ie, positive results) Ongoing treatment for SLE
- Treatment with one or more disease-modifying anti-rheumatic drug (DMARD) or immunosuppressive medication: Any of the following medications each administered at conventional anti-rheumatic doses for treatment of SLE for at least 12 weeks before Screening (unless discontinued or dose adjusted for documented drug-related toxicity or size/weight), and at a stable dose (including route of administration) for a minimum of 8 weeks prior to Screening and maintained through Baseline (Day 1):
- Treatment with OGC monotherapy (without the concomitant use of DMARDs or immunosuppressants):
- Average daily dose of PO prednisone ≥ 10 mg but ≤ 40 mg (or prednisone equivalent) for a minimum of 4 weeks prior to Screening and a stable dose for minimum of 2 weeks prior to Screening. The dose of OGC must be kept for a minimum of 2 weeks prior to Randomization. Daily dosing or alternate day dosing of PO prednisone or equivalent is allowed.
- Women of childbearing potential must have a negative serum pregnancy test at screening and a negative urine pregnancy test at Randomization.
- Non-sterilized male participants who are sexually active with a woman partner of childbearing potential must agree to use a condom with spermicide from Randomization and until 3 months (approximately 5 half-lives) after receipt of the last dose.
Exclusion Criteria
- Any condition that, in the opinion of the Investigator, or the Sponsor/Central Review Committee, would interfere with the evaluation of the IP or interpretation of participant safety or study results (including borderline disease activity)
- History of allergy, hypersensitivity reaction, or anaphylaxis to any component of the IP or a previous mAb or human Ig therapy
- Active LN or active severe or unstable neuropsychiatric SLE
- Current diagnosis of non-SLE vasculitis syndrome, mixed connective tissue disease, or rheumatic (overlap) syndrome
- Participation in another clinical study with an investigational drug within 4 weeks before Day 1
- Breastfeeding or pregnant women or women who intend to become pregnant anytime from signing the ICF through 6 months after receiving the last dose of IP
- Major surgery within 8 weeks prior to Screening or elective surgery planned from Screening through Day 393.
- Spontaneous or induced abortion, still or live birth, or pregnancy ≤ 4 weeks before Screening
- Known history of a primary immunodeficiency or an underlying condition such as known human immunodeficiency virus (HIV) infection
- Hepatitis B, Hepatitis C, active TB, any severe herpes infection, clinically active infection, or opportunistic infection
- History of clinically significant cardiac disease including unstable angina; and/or myocardial infarction and/or congestive heart failure within 6 months prior to Randomization.
- History of cancer within the past
Data sourced from ClinicalTrials.gov (NCT04925934). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication. Informational only — not medical advice.