New lupus drug shows promise in major trial
NCT ID NCT05624749
First seen Jun 27, 2026 · Last updated Aug 21, 2026 · Updated 2 times
Summary
This phase 3 study tests whether adding a monthly injection of ianalumab to standard lupus treatments helps control active disease better than placebo. About 288 people aged 12 and older with systemic lupus erythematosus (SLE) are taking part. The main goal is to see if ianalumab reduces lupus activity without causing serious flares. This is not a cure, but aims to improve disease control.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Phase 3
Large-scale testing in a bigger group. Usually the last step before a treatment can be approved.
- Participants
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288 people
The number who actually took part.
- Started
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Apr 2023
- Expected to finish
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Apr 2029
An estimate. End dates often move.
- Lead sponsor
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A company
The lead sponsor is a pharmaceutical, biotech, or medical-device company.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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12 to 100 years
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Male and female participants aged 12 years or older at the time of screening, or limited to 18 years or older in European Economic Area countries and other countries where inclusion of participants below 18 years is not allowed. * Diagnosis of systemic lupus erythematosus meeting the 2019 European League Against Rheumatism/American College of Rheumatology (EULAR/ACR) SLE classification criteria at least 6 months prior to screening. * Elevated serum titers at screening of anti-nuclear antibodies ≥ 1:80 as determined by a central laboratory with a SLE-typical fluorescence pattern. * Currently receiving CS and/or anti-malarial treatment and/or another disease-modifying antirheumatic drug (DMARD) as specified in the protocol. * SLEDAI-2K criteria at screening: SLEDAI-2K score ≥ 6 points, excluding points attributed to "fever", "lupus headache", "alopecia", and "organic brain syndrome" * BILAG-2004 disease activity level at screening of at least 1 of the following: * BILAG-2004 level 'A' disease in ≥ 1 organ system, Or * BILAG-2004 level 'B' disease in ≥ 2 organ systems * Weigh at least 35 kg at screening Exclusion Criteria: * Prior treatment with ianalumab * History of receiving following treatment I) high dose CS, calcineurin inhibitors, JAK or other kinase inhibitors or other DMARD (except as listed in inclusion criteria) administered within 12 weeks prior to screening II) cyclophosphamide or biologics such as immunoglobulins (intravenous or s.c.), plasmapheresis, anti-type I interferon receptor biologic agents, anti-CD40 agents, CTLA4-Fc Ig or B-cell activating factor (BAFF)-targeting agents administered within 24 weeks prior to screening; belimumab administered within 12 weeks prior to screening. III) any B cell-depleting therapies, other than ianalumab administered within 36 weeks prior to randomization or as long as B cell count is less than the lower limit of normal or baseline value prior to receipt of B cell-depleting therapy (whichever is lower). IV) Traditional Chinese medicines administered within 30 days prior to randomization * Active viral, bacterial or other infections requiring intravenous or intramuscular treatment for clinically significant infection * Chronic infection with hepatitis B virus (HBV) or hepatitis C virus (HCV) * Evidence of active tuberculosis infection * History of primary or secondary immunodeficiency, including a positive human immunodeficiency virus (HIV) test result at screening * Any one of the following abnormal laboratory values prior to randomization: * Platelets \< 25000/ mm\^3 (\< 25 x 10\^3/ μL) * Hemoglobin (Hgb) \< 8.0 g/dL (\< 5 mmol/L), or \< 7.0 g/dL (\< 4.3 mmol/L) if related to participant's SLE such as in active hemolytic anaemia * Absolute neutrophil count (ANC) (\< 0.8 x 10\^3/ μL) * Severe organ dysfunction or life-threatening disease at screening * Presence of severe lupus kidney disease as defined by proteinuria above 2 g/day or equivalent using spot urine protein creatinine ratio, or serum creatinine greater than 2.0 mg/dL (176.84 µmol/L), or requiring immune-suppressive induction or maintenance treatment at screening * Receipt of live/attenuated vaccine within a 4-week period before first dosing * Any uncontrolled, co-existing serious disease, which in the opinion of the investigator will place the participant at risk for participation or interfere with evaluation for SLE-related symptoms * Non-lupus conditions such as asthma, gout or urticaria, requiring intermittent or chronic treatment with systemic CS * History of malignancy of any organ system other than localized basal cell carcinoma of the skin or in situ cervical cancer * Pregnant or nursing (lactating) women. * Women of child-bearing potential (WOCBP), defined as all women physiologically capable of becoming pregnant, unless they are using highly effective methods of contraception while on study treatment and for 6 months after stopping of investigational drug. * Any surgical, medical, psychiatric or additional physical condition that may jeopardize participation in this study
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
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Accurate Clinical Research
Lake Charles, Louisiana, 70601, United States
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Advanced Medical Research
La Palma, California, 90623, United States
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Ahmed Arif Medical Research Center
Grand Blanc, Michigan, 48439, United States
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Bluegrass Community Research Inc
Lexington, Kentucky, 40504, United States
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Emory University
Atlanta, Georgia, 30307, United States
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Homestead Assoc In Research Inc
Homestead, Florida, 33033, United States
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IRIS Research and Development
Plantation, Florida, 33324, United States
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Novartis Investigative Site
La Plata, Buenos Aires, B1900AWT, Argentina
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Novartis Investigative Site
Quilmes, Buenos Aires, 1878, Argentina
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Novartis Investigative Site
San Miguel, Buenos Aires, B1663GKT, Argentina
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Novartis Investigative Site
San Miguel, Tucumán Province, T4000CBC, Argentina
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Novartis Investigative Site
Caba, C1015ABO, Argentina
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Novartis Investigative Site
Caba, C1427CCL, Argentina
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Novartis Investigative Site
San Miguel de Tucumán, T4000AXL, Argentina
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Novartis Investigative Site
Maroochydore, Queensland, 4558, Australia
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Novartis Investigative Site
St Leonards, 2065, Australia
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Novartis Investigative Site
Concepción, Biobio, 4070280, Chile
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Novartis Investigative Site
Valdivia, Los Ríos Region, 5110683, Chile
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Novartis Investigative Site
Santiago, RM, 7500588, Chile
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Novartis Investigative Site
Santiago, Santiago Metropolitan, 7500710, Chile
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Novartis Investigative Site
Medellín, Antioquia, 050001, Colombia
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Novartis Investigative Site
Barranquilla, Atlántico, 080002, Colombia
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Novartis Investigative Site
Barranquilla, Atlántico, 080020, Colombia
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Novartis Investigative Site
Chía, Cundinamarca, 250001, Colombia
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Novartis Investigative Site
Bucaramanga, Santander Department, 680003, Colombia
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Novartis Investigative Site
Cali, Valle del Cauca Department, 760046, Colombia
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Novartis Investigative Site
Bogotá, 111211, Colombia
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Novartis Investigative Site
Montpellier, 34295, France
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Novartis Investigative Site
Paris, 75013, France
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Novartis Investigative Site
Paris, 75014, France
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Novartis Investigative Site
Paris, 75018, France
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Novartis Investigative Site
Toulouse, 31054, France
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Novartis Investigative Site
Toulouse, 31059, France
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Novartis Investigative Site
Tours, 37044, France
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Novartis Investigative Site
Freiburg im Breisgau, Baden-Wurttemberg, 79106, Germany
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Novartis Investigative Site
Cologne, North Rhine-Westphalia, 50937, Germany
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Novartis Investigative Site
Leipzig, Saxony, 04103, Germany
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Novartis Investigative Site
Herne, 44649, Germany
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Novartis Investigative Site
Mainz, 55131, Germany
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Novartis Investigative Site
Ahmedabad, Gujarat, 380006, India
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Novartis Investigative Site
Ahmedabad, Gujarat, 380015, India
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Novartis Investigative Site
Kozhikode, Kerala, 673008, India
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Novartis Investigative Site
Kolhāpur, Maharashtra, 416001, India
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Novartis Investigative Site
Nagpur, Maharashtra, 441108, India
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Novartis Investigative Site
Nashik, Maharashtra, 422101, India
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Novartis Investigative Site
Pune, Maharashtra, 411001, India
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Novartis Investigative Site
Pune, Maharashtra, 411007, India
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Novartis Investigative Site
New Delhi, National Capital Territory of Delhi, 110060, India
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Novartis Investigative Site
New Delhi, New Delhi, 110029, India
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Novartis Investigative Site
Dehradun, Uttarakhand, 248001, India
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Novartis Investigative Site
New Delhi, 110075, India
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Novartis Investigative Site
Ancona, AN, 60020, Italy
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Novartis Investigative Site
Cona, FE, 44124, Italy
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Novartis Investigative Site
Padova, PD, 35128, Italy
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Novartis Investigative Site
Pisa, PI, 56126, Italy
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Novartis Investigative Site
Roma, RM, 00152, Italy
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Novartis Investigative Site
Torino, TO, 10128, Italy
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Novartis Investigative Site
Seremban, Negeri Sembilan, 70300, Malaysia
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Novartis Investigative Site
Ipoh, Perak, 30450, Malaysia
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Novartis Investigative Site
Kuala Lumpur, 59100, Malaysia
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Novartis Investigative Site
Selangor Darul Ehsan, 68100, Malaysia
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Novartis Investigative Site
León, Guanajuato, 37160, Mexico
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Novartis Investigative Site
Guadalajara, Jalisco, 44160, Mexico
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Novartis Investigative Site
Mexico City, Mexico City, 06700, Mexico
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Novartis Investigative Site
Morelia, Michoacán, 58000, Mexico
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Novartis Investigative Site
Mérida, Yucatán, 97000, Mexico
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Novartis Investigative Site
Mérida, Yucatán, 97070, Mexico
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Novartis Investigative Site
México, 07760, Mexico
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Novartis Investigative Site
Cluj-Napoca, Cluj, 400006, Romania
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Novartis Investigative Site
Brasov, 500283, Romania
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Novartis Investigative Site
Bucharest, 011172, Romania
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Novartis Investigative Site
Gwangju Gwangyeoksi, Gwangju, 61748, South Korea
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Novartis Investigative Site
Seoul, 04763, South Korea
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Novartis Investigative Site
Seoul, 06591, South Korea
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Novartis Investigative Site
Kaohsiung City, 833, Taiwan
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Novartis Investigative Site
Taichung, 40447, Taiwan
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Novartis Investigative Site
Taichung, 407219, Taiwan
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Novartis Investigative Site
Taipei, 10002, Taiwan
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Novartis Investigative Site
Taipei, 11217, Taiwan
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Novartis Investigative Site
Taoyuan, 33305, Taiwan
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Novartis Investigative Site
Leeds, West Yorkshire, LS7 4SA, United Kingdom
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Novartis Investigative Site
Doncaster, DN2 5LT, United Kingdom
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Novel Research LLC
Bellaire, Texas, 77401, United States
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Pinnacle Research Group LLC
Anniston, Alabama, 36207-5710, United States
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UMC New Orleans
New Orleans, Louisiana, 70112, United States
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University Of Maryland
Baltimore, Maryland, 21201, United States
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University of California LA
Los Angeles, California, 90095, United States
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Washington Univ School Of Medicine
St Louis, Missouri, 63110, United States
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West Tennessee Research Institute
Jackson, Tennessee, 38305, United States
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Willow Rheumatology Wellness
Willowbrook, Illinois, 60527, United States
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Other studies related to the condition(s) this trial covers.
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