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NCT02794285: TULIP SLE LTE

Long Term Safety of Anifrolumab in Adult Subjects With Active Systemic Lupus Erythematosus

Completed Phase 3 Results posted Last updated 13 January 2023
What this trial tests

Phase 3 trial testing Anifrolumab in Active Systemic Lupus Erythematosus in 559 participants. Completed in 21 December 2021.

Timeline
30 June 2016
Primary endpoint
21 December 2021
21 December 2021

Quick facts

Lead sponsorAstraZeneca
PhasePhase 3
StatusCompleted
Study typeINTERVENTIONAL
Allocationrandomized
Designparallel
Maskingquadruple
Primary purposetreatment
Enrollment559
Start date30 June 2016
Primary completion21 December 2021
Estimated completion21 December 2021
Sites175 locations across Colombia, Japan, Taiwan, Poland, South Korea, Russia, Mexico, Lithuania

Drugs / interventions tested

Conditions studied

Sponsor

AstraZeneca — full company profile →

Who can join

Adults 18 to 70, any sex, with Active Systemic Lupus Erythematosus. Patients with the condition only — healthy volunteers not accepted.

Results — posted to ClinicalTrials.gov

Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.

Exposure-adjusted Incidence Rates (EAIRs) of Adverse Events of Special Interest (AESIs) Primary · Up to a maximum of 1114 days

The event rate per 100 participant years was defined as the number of participants with an event divided by the sum of exposure time during the LTE study (including follow-up) in days for all participants in the analysis set multiplied by 365.25 days/year multiplied by 100. The exposure in a time period for each participant was calculated as end of period - start of period + 1. EAIRs of AESIs are presented as event rate per 100 participant years. The following AESIs were pre-defined: * Non-opportunistic serious infections * Opportunistic infections * Anaphylaxis * Malignancy * Herpes zoster

GroupValue95% CI
Randomised Anifrolumab 300 mg11.0
Placebo Feeder + Placebo LTE9.6
Placebo Feeder + Anifrolumab 300 mg LTE12.9
Anifrolumab 150 mg Feeder + Anifrolumab 300 mg LTE12.5
EAIRs of Serious Adverse Events (SAEs) Primary · Up to a maximum of 1114 days

EAIRs of SAEs are presented as event rate per 100 participant years. An SAE was an AE occurring during any study phase that fulfils 1 or more of the following criteria: * Results in death * Is immediately life-threatening * Requires in-patient hospitalisation or prolongation of existing hospitalisation * Results in persistent or significant disability/incapacity or substantial disruption of the ability to conduct normal life functions * Is a congenital abnormality or birth defect * Is an important medical event that may jeopardise the participant or may require medical intervention to preven

GroupValue95% CI
Randomised Anifrolumab 300 mg8.5
Placebo Feeder + Placebo LTE11.2
Placebo Feeder + Anifrolumab 300 mg LTE10.1
Anifrolumab 150 mg Feeder + Anifrolumab 300 mg LTE10.7

Adverse events — posted to ClinicalTrials.gov

Time frame: Day 1 up to until follow-up visit 2 (Week 164). Reporting threshold: 5%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Randomised Anifrolumab 300 mg
Serious: 56/257 (22%)
Deaths: 3/257
Placebo Feeder + Placebo LTE
Serious: 27/112 (24%)
Deaths: 1/112
Placebo Feeder + Anifrolumab 300 mg LTE
Serious: 26/111 (23%)
Deaths: 3/111
Anifrolumab 150 mg Feeder + Anifrolumab 300 mg LTE
Serious: 14/67 (21%)
Deaths: 2/67

Serious adverse events (119 terms)

ReactionSystemRandomised Anifrolumab 300…Placebo Feeder + Placebo LTEPlacebo Feeder + Anifrolum…Anifrolumab 150 mg Feeder …
Herpes zosterInfections and infestations
PneumoniaInfections and infestations
Systemic lupus erythematosusMusculoskeletal and connective tissue disorders
COVID-19Infections and infestations
COVID-19 pneumoniaInfections and infestations
PyelonephritisInfections and infestations
Urinary tract infectionInfections and infestations
GastroenteritisInfections and infestations
BronchitisInfections and infestations
Uterine leiomyomaNeoplasms benign, malignant and unspecified (incl cysts and polyps)
ThrombocytopeniaBlood and lymphatic system disorders
Cerebral infarctionNervous system disorders
Post herpetic neuralgiaNervous system disorders
Myocardial ischaemiaCardiac disorders
Acute kidney injuryRenal and urinary disorders
Non-cardiac chest painGeneral disorders
Dengue feverInfections and infestations
DiverticulitisInfections and infestations
Herpes zoster disseminatedInfections and infestations
InfluenzaInfections and infestations
Ophthalmic herpes zosterInfections and infestations
Pelvic inflammatory diseaseInfections and infestations
Pharyngitis streptococcalInfections and infestations
Pneumonia bacterialInfections and infestations
Streptococcal urinary tract infectionInfections and infestations
Other adverse events (27 terms — click to expand)

ReactionSystemRandomised Anifrolumab 300…Placebo Feeder + Placebo LTEPlacebo Feeder + Anifrolum…Anifrolumab 150 mg Feeder …
NasopharyngitisInfections and infestations
Urinary tract infectionInfections and infestations
Upper respiratory tract infectionInfections and infestations
BronchitisInfections and infestations
HeadacheNervous system disorders
SinusitisInfections and infestations
ArthralgiaMusculoskeletal and connective tissue disorders
PharyngitisInfections and infestations
Oral herpesInfections and infestations
CoughRespiratory, thoracic and mediastinal disorders
DiarrhoeaGastrointestinal disorders
Back painMusculoskeletal and connective tissue disorders
Infusion related reactionInjury, poisoning and procedural complications
Herpes zosterInfections and infestations
Latent tuberculosisInfections and infestations
InfluenzaInfections and infestations
GastroenteritisInfections and infestations
HypertensionVascular disorders
NauseaGastrointestinal disorders
Systemic lupus erythematosusMusculoskeletal and connective tissue disorders
FallInjury, poisoning and procedural complications
ContusionInjury, poisoning and procedural complications
DepressionPsychiatric disorders
InsomniaPsychiatric disorders
DizzinessNervous system disorders
Abdominal pain upperGastrointestinal disorders
ConstipationGastrointestinal disorders

Most-reported serious reactions: Herpes zoster, Pneumonia, Systemic lupus erythematosus, COVID-19, COVID-19 pneumonia, Pyelonephritis, Urinary tract infection, Gastroenteritis.

Data from ClinicalTrials.gov NCT02794285 adverse events section.

Sponsor's own description

The purpose of this study is to characterise long-term safety and tolerability of intravenous anifrolumab.

Publications & conference data

8 peer-reviewed publications reference this trial (live from Europe PMC):

  1. Antibodies to watch in 2020.
    Kaplon H, Muralidharan M, Schneider Z, Reichert JM. · · 2020 · cited 332× · PMID 31847708 · DOI 10.1080/19420862.2019.1703531
  2. Plasmacytoid dendritic cell biology and its role in immune-mediated diseases.
    Ye Y, Gaugler B, Mohty M, Malard F. · · 2020 · cited 107× · PMID 32489664 · DOI 10.1002/cti2.1139
  3. A Randomized, Placebo-Controlled Phase III Extension Trial of the Long-Term Safety and Tolerability of Anifrolumab in Active Systemic Lupus Erythematosus.
    Kalunian KC, Furie R, Morand EF, Bruce IN, et al · · 2023 · cited 86× · PMID 36369793 · DOI 10.1002/art.42392
  4. Systemic lupus erythematosus: updated insights on the pathogenesis, diagnosis, prevention and therapeutics.
    Dai X, Fan Y, Zhao X. · · 2025 · cited 78× · PMID 40097390 · DOI 10.1038/s41392-025-02168-0
  5. Spotlight on anifrolumab and its potential for the treatment of moderate-to-severe systemic lupus erythematosus: evidence to date.
    Felten R, Scher F, Sagez F, Chasset F, et al · · 2019 · cited 37× · PMID 31190735 · DOI 10.2147/dddt.s170969
  6. Research and therapeutics-traditional and emerging therapies in systemic lupus erythematosus.
    Davis LS, Reimold AM. · · 2017 · cited 37× · PMID 28375452 · DOI 10.1093/rheumatology/kew417
  7. Type I Interferons in Systemic Lupus Erythematosus: A Journey from Bench to Bedside.
    Sim TM, Ong SJ, Mak A, Tay SH. · · 2022 · cited 36× · PMID 35269647 · DOI 10.3390/ijms23052505
  8. Recent advances in the management of systemic lupus erythematosus.
    Sciascia S, Radin M, Roccatello D, Sanna G, et al · · 2018 · cited 19× · PMID 30026918 · DOI 10.12688/f1000research.13941.1

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