New lupus drug shows promise in major trial
NCT ID NCT05639114
First seen Jun 27, 2026 · Last updated Aug 21, 2026 · Updated 2 times
Summary
This study tests a new drug called ianalumab for people with active systemic lupus erythematosus (SLE), a chronic autoimmune disease. About 436 participants receive either ianalumab or a placebo as a shot under the skin, once a month or once every three months, along with their usual treatments. The goal is to see if ianalumab can better control lupus activity and reduce flares compared to placebo.
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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436 people
The number who actually took part.
- Started
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Mar 2023
- Expected to finish
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Mar 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
League City, Texas, 77573, United States
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Accurate Clinical Research Research
Baytown, Texas, 77521, United States
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Chicago Clinical Research Inst
Chicago, Illinois, 60607, United States
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Clinical Res Of W Florida
Clearwater, Florida, 33765, United States
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Clinical Research of West Florida Inc
Tampa, Florida, 33603, United States
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Epic Medical Research
Red Oak, Texas, 75154, United States
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GNP Research
Cooper City, Florida, 33024, United States
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Henry Ford Health
Detroit, Michigan, 48202, United States
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Lake Cumberland Rheumatology and In
New Albany, Indiana, 47150, United States
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Millennium Clinical Trials
Westlake Village, California, 91361, United States
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Novartis Investigative Site
San Miguel, Tucumán Province, T4000CBC, Argentina
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Novartis Investigative Site
San Miguel de Tucumán, T4000AXL, Argentina
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Novartis Investigative Site
Fortaleza, Ceará, 60125-025, Brazil
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Novartis Investigative Site
Vitória, Espírito Santo, 29055-450, Brazil
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Novartis Investigative Site
Salvador, Estado de Bahia, 40150-150, Brazil
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Novartis Investigative Site
Salvador, Estado de Bahia, 40444-130, Brazil
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Novartis Investigative Site
Belo Horizonte, Minas Gerais, 30150-221, Brazil
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Novartis Investigative Site
Curitiba, Paraná, 80030-110, Brazil
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Novartis Investigative Site
Recife, Pernambuco, 50740-900, Brazil
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Novartis Investigative Site
Niterói, Rio de Janeiro, 24020-096, Brazil
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Novartis Investigative Site
Rio de Janeiro, Rio de Janeiro, 22211-230, Brazil
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Novartis Investigative Site
Barretos, São Paulo, 14784-400, Brazil
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Novartis Investigative Site
São Paulo, São Paulo, 01244-030, Brazil
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Novartis Investigative Site
São Paulo, São Paulo, 04038-002, Brazil
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Novartis Investigative Site
Salvador, 40323-010, Brazil
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Novartis Investigative Site
Plovdiv, Bulgaria, 4002, Bulgaria
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Novartis Investigative Site
Rousse, 7002, Bulgaria
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Novartis Investigative Site
Sofia, 1680, Bulgaria
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Novartis Investigative Site
Calgary, Alberta, T2N 4Z6, Canada
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Novartis Investigative Site
Vancouver, British Columbia, V5Z 1L7, Canada
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Novartis Investigative Site
Toronto, Ontario, M5T 2S8, Canada
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Novartis Investigative Site
Rimouski, Quebec, G5L 5T1, Canada
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Novartis Investigative Site
Guangzhou, Guangdong, 510000, China
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Novartis Investigative Site
Guangzhou, Guangdong, 510080, China
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Novartis Investigative Site
Shantou, Guangdong, 515000, China
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Novartis Investigative Site
Haikou, Hainan, 570311, China
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Novartis Investigative Site
Zhuzhou, Hunan, 412000, China
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Novartis Investigative Site
Nanjing, Jiangsu, 210008, China
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Novartis Investigative Site
Suzhou, Jiangsu, 215004, China
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Novartis Investigative Site
Nanchang, Jiangxi, 330006, China
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Novartis Investigative Site
Pingxiang, Jiangxi, 337000, China
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Novartis Investigative Site
Changchun, Jilin, 130021, China
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Novartis Investigative Site
Linyi, Shandong, 276000, China
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Novartis Investigative Site
Chengdu, Sichuan, 610041, China
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Novartis Investigative Site
Ürümqi, Xinjiang, 830001, China
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Novartis Investigative Site
Ningbo, Zhejiang, 315016, China
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Novartis Investigative Site
Wenzhou, Zhejiang, 325000, China
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Novartis Investigative Site
Beijing, 100069, China
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Novartis Investigative Site
Beijing, 100730, China
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Novartis Investigative Site
Shanghai, 200127, China
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Novartis Investigative Site
Xinxiang, 453099, China
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Novartis Investigative Site
Barranquilla, Atlántico, 080020, 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
Brno, 638 00, Czechia
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Novartis Investigative Site
Prague, 128 00, Czechia
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Novartis Investigative Site
Uherské Hradiště, 686 01, Czechia
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Novartis Investigative Site
Guatemala City, Departamento de Guatemala, 01010, Guatemala
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Novartis Investigative Site
Guatemala City, Departamento de Guatemala, 01011, Guatemala
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Novartis Investigative Site
Guatemala City, 01010, Guatemala
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Novartis Investigative Site
Székesfehérvár, Fejér, 8000, Hungary
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Novartis Investigative Site
Budapest, 1083, Hungary
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Novartis Investigative Site
Budapest, 1134, Hungary
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Novartis Investigative Site
Gyula, 5700, Hungary
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Novartis Investigative Site
Zalaegerszeg, 8900, Hungary
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Novartis Investigative Site
Haifa, 3109601, Israel
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Novartis Investigative Site
Ramat Gan, 5265601, Israel
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Novartis Investigative Site
Nagoya, Aichi-ken, 4578510, Japan
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Novartis Investigative Site
Nagoya, Aichi-ken, 4578511, Japan
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Novartis Investigative Site
Sapporo, Hokkaido, 060-8648, Japan
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Novartis Investigative Site
Yokohama, Kanagawa, 222-0036, Japan
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Novartis Investigative Site
Yokohama, Kanagawa, 236-0004, Japan
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Novartis Investigative Site
Sendai, Miyagi, 9838512, Japan
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Novartis Investigative Site
Bunkyo Ku, Tokyo, 113-8655, Japan
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Novartis Investigative Site
Bunkyo Ku, Tokyo, 1138431, Japan
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Novartis Investigative Site
Bunkyo-ku, Tokyo, 1138519, Japan
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Novartis Investigative Site
Chuo Ku, Tokyo, 104-8560, Japan
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Novartis Investigative Site
Fuchū, Tokyo, 1838524, Japan
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Novartis Investigative Site
Itabashi-ku, Tokyo, 1738610, Japan
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Novartis Investigative Site
Meguro City, Tokyo, 153-8515, Japan
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Novartis Investigative Site
Shinjuku-ku, Tokyo, 1608582, Japan
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Novartis Investigative Site
Fukuoka, 8128582, Japan
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Novartis Investigative Site
Miyazaki, 889-1692, Japan
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Novartis Investigative Site
Osaka, 5458586, Japan
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Novartis Investigative Site
Wroclaw, Lower Silesian Voivodeship, 52-210, Poland
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Novartis Investigative Site
Bydgoszcz, 85-065, Poland
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Novartis Investigative Site
Bydgoszcz, 85-168, Poland
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Novartis Investigative Site
Bytom, 41 902, Poland
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Novartis Investigative Site
Lodz, 90-338, Poland
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Novartis Investigative Site
Warsaw, 00-874, Poland
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Novartis Investigative Site
Warsaw, 04-141, Poland
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Novartis Investigative Site
Braga, 4710243, Portugal
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Novartis Investigative Site
Lisbon, 1050-034, Portugal
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Novartis Investigative Site
Lisbon, 1349-019, Portugal
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Novartis Investigative Site
Lisbon, 1649-035, Portugal
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Novartis Investigative Site
Vila Nova de Gaia, 4434-502, Portugal
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Novartis Investigative Site
Bratislava, 811 08, Slovakia
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Novartis Investigative Site
Košice, 040 01, Slovakia
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Novartis Investigative Site
Košice, 040 11, Slovakia
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Novartis Investigative Site
Pretoria, Gauteng, 0002, South Africa
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Novartis Investigative Site
Cape Town, Western Cape, 7405, South Africa
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Novartis Investigative Site
Cape Town, Western Cape, 7500, South Africa
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Novartis Investigative Site
Somerset West, Western Cape, 7130, South Africa
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Novartis Investigative Site
Umhlanga, 4320, South Africa
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Novartis Investigative Site
Santiago Compostela, A Coruna, 15706, Spain
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Novartis Investigative Site
Elche, Alicante, 03203, Spain
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Novartis Investigative Site
Badalona, Barcelona, 08916, Spain
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Novartis Investigative Site
Santander, Cantabria, 39008, Spain
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Novartis Investigative Site
Barcelona, Catalonia, 08003, Spain
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Novartis Investigative Site
San Sebastian Reyes, Madrid, 28702, Spain
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Novartis Investigative Site
Pamplona, Navarre, 31008, Spain
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Novartis Investigative Site
Vigo, Pontevedra, 36214, Spain
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Novartis Investigative Site
Barcelona, 08035, Spain
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Novartis Investigative Site
Madrid, 28034, Spain
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Novartis Investigative Site
Valencia, 46014, Spain
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Novartis Investigative Site
Valladolid, 47012, Spain
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Novartis Investigative Site
Songkhla, Hat Yai, 90110, Thailand
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Novartis Investigative Site
Muang, Thailand, 12120, Thailand
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Novartis Investigative Site
Bangkok, 10400, Thailand
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Novartis Investigative Site
Bangkok, 10700, Thailand
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Novartis Investigative Site
Ankara, Bilkent Cankaya, 06800, Turkey (Türkiye)
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Novartis Investigative Site
Ankara, Etlik, 06010, Turkey (Türkiye)
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Novartis Investigative Site
Istanbul, Umraniye, 34766, Turkey (Türkiye)
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Novel Research LLC
Bellaire, Texas, 77401, United States
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Paramount Med Rsrch and Consult LLC
Middleburg Heights, Ohio, 44130, United States
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Parris and Associates Rheumatology
Lawrenceville, Georgia, 30044, United States
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Pinnacle Research Group Llc
Anniston, Alabama, 36207, United States
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Providence Medical Center
Burbank, California, 91505, United States
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Robert A Hozman MD SC
Skokie, Illinois, 60076, United States
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Sahni Rheumatology and Therapy
West Long Branch, New Jersey, 07764, United States
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Shelby Research LLC
Memphis, Tennessee, 38119, United States
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University Of Pittsburgh
Pittsburgh, Pennsylvania, 15213, United States
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University of California San Diego
La Jolla, California, 92093, United States
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University of Colorado
Aurora, Colorado, 80045, United States
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Yale University School Of Medicine
New Haven, Connecticut, 06520, United States
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Other studies related to the condition(s) this trial covers.
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