New hope for lupus patients: two experimental drugs show promise in reducing disease activity
NCT ID NCT03656562
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study tested two experimental drugs, VAY736 and CFZ533, in 107 adults with systemic lupus erythematosus (SLE). The goal was to see if these drugs could reduce lupus symptoms and allow patients to lower their steroid use. Participants received either one of the drugs or a placebo, and researchers measured disease activity and safety over several months.
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Study facts
What this study's own registry entry says, in plain language.
- Phase
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Phase 2
Tests whether the treatment actually works, and watches for side effects, in a larger group.
- Participants
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107 people
The number who actually took part.
- Started
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Dec 2018
- Finished
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Apr 2025
- 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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18 to 75 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: * Written informed consent must be obtained before any assessment is performed * Fulfill ≥4 of the 11 American College of Rheumatology 1997 classification criteria for SLE * Patient diagnosed with SLE for at least 6 months prior to screening * Elevated serum titers at screening of ANA (≥1:80) of a pattern consistent with an SLE diagnosis, including at a minimum either anti-double stranded DNA (anti-ds DNA) or anti-Ro (SSA) or anti-La (SSB) or anti-nuclear ribonucleoprotein (anti-RNP) or anti-Smith (anti-Sm) * Currently receiving corticosteroids and/or anti-malarial and/or thalidomide treatment and/or another DMARD on a stable dose according to protocol requirements * SLEDAI-2K score of ≥6 at screening * BILAG 2004 score of one "A" score either in the mucocutaneous or in the musculoskeletal domain or one "B" score in either the mucocutaneous or musculoskeletal domain and at least one "A" or "B" score in a second domain at screening * Weigh at least 40 kg at screening Exclusion Criteria: Cohort 2 (CFZ533/Placebo) only: * Patients who are at significant risk for thromboembolic events based on the following: * History of either thrombosis or 3 or more spontaneous abortions * Presence of lupus anticoagulant or significantly prolonged activated partial thromboplastin time (aPTT) consistent with co-existent anti-phospholipid syndrome and without concurrent prophylactic treatment with aspirin or anticoagulants as per local standard of care All Cohorts: * History of receiving prior to screening: * Within 12 weeks: i.v. corticosteroids, calcineurin inhibitors or other oral DMARD * Within 24 weeks: cyclophosphamide or biologics such as intravenous Ig, plasmapheresis, anti-TNF-a mAb, CTLA4-Fc Ig (abatacept) or BAFF targeting agents (e.g., belimumab) * Any B-cell depleting therapies (e.g., anti-CD20 mAb, anti-CD22 mAb, anti-CD52 mAb) or TACI-Ig (atacicept) administered within 52 weeks prior to screening, and a B-cell count \<50 cells/μ at the time of screening * Evidence of past exposure to tuberculosis as assessed by Quantiferon testing at screening * Presence of human immunodeficiency virus (HIV) infection at screening * Severe organ dysfunction or life threatening disease; ECOG performance status \> 1 at screening * Presence of WHO Class III-IV renal involvement with proliferative disease Presence of severe lupus kidney disease as defined by proteinuria above 6 g/day or equivalent using spot urine protein creatinine ratio, or serum creatinine greater than 2.5 mg/dL (221.05 μmol/L), or requiring immune suppressive induction or maintenance treatment exceeding protocol defined limits * Active viral, bacterial or other infections at the time of screening or enrollment * Receipt of live/attenuated vaccine within a 2-month period before first dosing * Uncontrolled, co-existing serious disease, e.g., uncontrolled hypertension, heart failure, type I diabetes, thyroid disease within 3 months prior to first dosing, or significant, unresolved illness within 2 weeks prior to first dosing * History of hypersensitivity to drugs of similar chemical class * Chronic infection with hepatitis B (HBV) or hepatitis C (HCV). Subjects who are HBsAg negative and HBcAb positive are excluded unless negative for HBV DNA. Once past screening and enrolled into study, requirements for monitoring and antiviral treatment are enacted. Subjects with a positive HCV antibody test should have HCV RNA levels measured. Subjects with positive (detectable) HCV RNA should be excluded.
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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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Novartis Investigative Site
Caba, C1015ABO, Argentina
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Novartis Investigative Site
Clayton, Victoria, 3168, Australia
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Novartis Investigative Site
Guangzhou, Guangdong, 510000, China
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Novartis Investigative Site
Nanjing, Jiangsu, 210008, China
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Novartis Investigative Site
Shanghai, 200127, China
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Novartis Investigative Site
Prague, 128 00, Czechia
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Novartis Investigative Site
Pessac, 33604, France
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Novartis Investigative Site
Freiburg im Breisgau, Baden-Wurttemberg, 79106, Germany
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Novartis Investigative Site
Berlin, 10117, Germany
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Novartis Investigative Site
Debrecen, Hajdu Bihar Megye, 4032, Hungary
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Novartis Investigative Site
Budapest, 1023, Hungary
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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, 4600001, Japan
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Novartis Investigative Site
Chuo Ku, Tokyo, 104-8560, Japan
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Novartis Investigative Site
Shinjuku Ku, Tokyo, 162-8655, Japan
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Novartis Investigative Site
Shinjuku-ku, Tokyo, 1608582, Japan
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Novartis Investigative Site
Bydgoszcz, 85-168, Poland
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Novartis Investigative Site
Poznan, 60-218, Poland
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Novartis Investigative Site
Warsaw, 00-874, Poland
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Novartis Investigative Site
Moscow, 115522, Russia
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Novartis Investigative Site
Saint Petersburg, 194044, Russia
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Novartis Investigative Site
Yekaterinburg, 620144, Russia
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Novartis Investigative Site
Gwangju, 61469, South Korea
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Novartis Investigative Site
Barcelona, 08035, Spain
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Novartis Investigative Site
Barcelona, 08041, Spain
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Novartis Investigative Site
Taichung, Taiwan ROC, 40201, 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
Bangkok, 10400, Thailand
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Novartis Investigative Site
Bangkok, 10700, Thailand
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