Last reviewed · How we verify

NCT03656562

Study the Efficacy and Safety of VAY736 and CFZ533 in SLE Patients

Completed Phase 2 Results posted Last updated 7 October 2025
What this trial tests

Phase 2 trial testing VAY736 in Systemic Lupus Erythematosus (SLE) in 107 participants. Completed in 28 April 2025.

Timeline
19 December 2018
Primary endpoint
27 July 2022
28 April 2025

Quick facts

Lead sponsorNovartis Pharmaceuticals
PhasePhase 2
StatusCompleted
Study typeINTERVENTIONAL
Allocationrandomized
Designparallel
Maskingtriple
Primary purposetreatment
Enrollment107
Start date19 December 2018
Primary completion27 July 2022
Estimated completion28 April 2025
Sites31 locations across France, Japan, Russia, Taiwan, Germany, Hungary, Israel, Poland

Drugs / interventions tested

Conditions studied

Sponsor

Novartis Pharmaceuticals — full company profile →

Who can join

Adults 18 to 75, any sex, with Systemic Lupus Erythematosus (SLE). 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.

Percentage of Participants With SLE Responder Index (SRI)-4 Response Status at Week 29 With Reduced Steroid Dose Maintained Between Weeks 17 and 29 Primary · Baseline, Week 17 to Week 29

The primary endpoint is a composite of SRI-4 response at Week 29 with sustained reduction in oral corticosteroid from Week 17 through Week 29. Patients taking other rescue medication or prohibited medication or drop out before Week 29 were considered non-responders. SRI-4 response is defined as below: * having \>= 4 points reduction from baseline in Systemic Lupus Erythematosus Disease Activity Index 2000 (SLEDAI-2K) score (score is 0 to 105; a higher score indicating more severe disease) AND * no new British Isles Lupus Activity Group (BILAG)-2004 A organ domain score and no more than one n

GroupValue95% CI
Cohort 1 VAY73615
Cohort 1 VAY736 Placebo3
Cohort 2 CFZ5338
Cohort 2 CFZ533 Placebo6
Changes Between Baseline and Week 29 in the Physicians' Global Assessment (PhGA) Visual Analog Scale (VAS) Assessing Patient's Overall Disease Activity Secondary · Baseline, Week 5, Week 9, Week 13, Week 17, Week 21, Week 25, Week 29

The Physician's global assessment (PhGA-VAS) of disease activity was performed using 100 mm VAS ranging from "no disease activity" (score 0) to "maximal disease activity" (score 100), after the question on how well the patient was doing with the disease considering all aspects affected by the disease. The investigator was then measuring the distance in mm from the left edge of the scale and entering the value.

Week 5
GroupValue95% CI
Cohort 1 VAY736-7.6± 14.27
Cohort 1 VAY736 Placebo-5.6± 13.76
Cohort 2 CFZ533-8.3± 12.04
Cohort 2 CFZ533 Placebo-12.5± 15.94
Week 9
GroupValue95% CI
Cohort 1 VAY736-17.4± 18.72
Cohort 1 VAY736 Placebo-10.9± 13.54
Cohort 2 CFZ533-9.3± 15.73
Cohort 2 CFZ533 Placebo-13.7± 18.43
Week 13
GroupValue95% CI
Cohort 1 VAY736-23.0± 19.51
Cohort 1 VAY736 Placebo-13.6± 16.72
Cohort 2 CFZ533-19.4± 16.70
Cohort 2 CFZ533 Placebo-20.3± 19.26
Week 17
GroupValue95% CI
Cohort 1 VAY736-26.2± 19.14
Cohort 1 VAY736 Placebo-14.2± 16.38
Cohort 2 CFZ533-21.9± 21.81
Cohort 2 CFZ533 Placebo-22.2± 20.10
Week 21
GroupValue95% CI
Cohort 1 VAY736-28.1± 20.27
Cohort 1 VAY736 Placebo-17.9± 16.24
Cohort 2 CFZ533-26.1± 23.15
Cohort 2 CFZ533 Placebo-24.1± 17.71
Week 25
GroupValue95% CI
Cohort 1 VAY736-33.2± 19.63
Cohort 1 VAY736 Placebo-18.6± 17.62
Cohort 2 CFZ533-28.5± 22.92
Cohort 2 CFZ533 Placebo-24.6± 19.12
Week 29
GroupValue95% CI
Cohort 1 VAY736-32.8± 20.74
Cohort 1 VAY736 Placebo-19.4± 16.04
Cohort 2 CFZ533-28.7± 22.89
Cohort 2 CFZ533 Placebo-24.5± 19.25
Changes Between Baseline and Week 29 in the Patient's Global Assessment (PGA) Visual Analog Scale (VAS) Assessing Patient's Global Disease Activity Secondary · Baseline, Week 5, Week 9, Week 13, Week 17, Week 21, Week 25, Week 29

The patient's global assessment of disease activity was performed using a Visual Analogue Scale (VAS) of 100 mm ranging from "no disease activity" (score 0) to "severe disease activity" (score 100), after the question on how well the patient was doing with the disease considering all aspects affected by the disease. The investigator was then measuring the distance in mm from the left edge of the scale and entering the value.

Week 5
GroupValue95% CI
Cohort 1 VAY736-9.0± 23.14
Cohort 1 VAY736 Placebo-4.8± 13.60
Cohort 2 CFZ533-9.8± 20.63
Cohort 2 CFZ533 Placebo-3.8± 19.33
Week 9
GroupValue95% CI
Cohort 1 VAY736-12.5± 21.35
Cohort 1 VAY736 Placebo-12.2± 15.62
Cohort 2 CFZ533-17.9± 30.22
Cohort 2 CFZ533 Placebo0.1± 20.52
Week 13
GroupValue95% CI
Cohort 1 VAY736-15.7± 21.69
Cohort 1 VAY736 Placebo-8.8± 17.75
Cohort 2 CFZ533-21.8± 31.01
Cohort 2 CFZ533 Placebo-0.1± 22.10
Week 17
GroupValue95% CI
Cohort 1 VAY736-12.7± 24.19
Cohort 1 VAY736 Placebo-8.0± 19.27
Cohort 2 CFZ533-26.7± 28.92
Cohort 2 CFZ533 Placebo1.6± 19.05
Week 21
GroupValue95% CI
Cohort 1 VAY736-15.1± 24.82
Cohort 1 VAY736 Placebo-9.5± 24.88
Cohort 2 CFZ533-27.2± 31.92
Cohort 2 CFZ533 Placebo-0.5± 24.79
Week 25
GroupValue95% CI
Cohort 1 VAY736-18.0± 19.91
Cohort 1 VAY736 Placebo-10.4± 21.33
Cohort 2 CFZ533-27.0± 30.58
Cohort 2 CFZ533 Placebo1.1± 25.62
Week 29
GroupValue95% CI
Cohort 1 VAY736-18.1± 21.81
Cohort 1 VAY736 Placebo-9.0± 24.64
Cohort 2 CFZ533-27.8± 33.41
Cohort 2 CFZ533 Placebo-1.9± 25.06

Adverse events — posted to ClinicalTrials.gov

Time frame: Treatment-emergent adverse events are presented for the double-blind treatment period (from first dose of study treatment until Week 25) and for the open-label period (Week 29 until Week 49), including AE in follow-up period up to the cut-off date.. Reporting threshold: 5%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

VAY736 (Double-blind)
Serious: 1/34 (3%)
Deaths: 0/34
VAY736 Placebo (Double-blind)
Serious: 4/33 (12%)
Deaths: 0/33
CFZ533 (Double-blind)
Serious: 0/20 (0%)
Deaths: 0/20
CFZ533 Placebo (Double-blind)
Serious: 1/20 (5%)
Deaths: 0/20
All Patients (Double-blind)
Serious: 6/107 (6%)
Deaths: 0/107
VAY736/VAY736 (Open-label)
Serious: 5/31 (16%)
Deaths: 0/31
VAY736 Placebo/VAY736 (Open-label)
Serious: 3/31 (10%)
Deaths: 0/31
CFZ533/CFZ533 (Open-label)
Serious: 0/20 (0%)
Deaths: 0/20
CFZ533 Placebo/CFZ533 (Open-label)
Serious: 3/16 (19%)
Deaths: 0/16
All Patients (Open-label)
Serious: 11/98 (11%)
Deaths: 0/98

Serious adverse events (23 terms)

ReactionSystemVAY736 (Double-blind)VAY736 Placebo (Double-bli…CFZ533 (Double-blind)CFZ533 Placebo (Double-bli…All Patients (Double-blind)VAY736/VAY736 (Open-label)VAY736 Placebo/VAY736 (Ope…CFZ533/CFZ533 (Open-label)CFZ533 Placebo/CFZ533 (Ope…All Patients (Open-label)
Acute myocardial infarctionCardiac disorders
Vertigo positionalEar and labyrinth disorders
PancreatitisGastrointestinal disorders
Cytomegalovirus viraemiaInfections and infestations
Herpes zosterInfections and infestations
Pneumocystis jirovecii pneumoniaInfections and infestations
PneumoniaInfections and infestations
Pneumonia bacterialInfections and infestations
Pneumonia cytomegaloviralInfections and infestations
PyelonephritisInfections and infestations
Salmonella bacteraemiaInfections and infestations
Head injuryInjury, poisoning and procedural complications
Jaw fractureInjury, poisoning and procedural complications
Meniscus injuryInjury, poisoning and procedural complications
Spinal compression fractureInjury, poisoning and procedural complications
Spinal stenosisMusculoskeletal and connective tissue disorders
Systemic lupus erythematosusMusculoskeletal and connective tissue disorders
Gastric cancerNeoplasms benign, malignant and unspecified (incl cysts and polyps)
Central nervous system vasculitisNervous system disorders
SyncopeNervous system disorders
Renal impairmentRenal and urinary disorders
Ovarian cystReproductive system and breast disorders
Respiratory failureRespiratory, thoracic and mediastinal disorders
Other adverse events (47 terms — click to expand)

ReactionSystemVAY736 (Double-blind)VAY736 Placebo (Double-bli…CFZ533 (Double-blind)CFZ533 Placebo (Double-bli…All Patients (Double-blind)VAY736/VAY736 (Open-label)VAY736 Placebo/VAY736 (Ope…CFZ533/CFZ533 (Open-label)CFZ533 Placebo/CFZ533 (Ope…All Patients (Open-label)
NasopharyngitisInfections and infestations
Injection site reactionGeneral disorders
HeadacheNervous system disorders
Upper respiratory tract infectionInfections and infestations
COVID-19Infections and infestations
DiarrhoeaGastrointestinal disorders
GastroenteritisInfections and infestations
Urinary tract infectionInfections and infestations
InsomniaPsychiatric disorders
LeukopeniaBlood and lymphatic system disorders
PyrexiaGeneral disorders
Injection related reactionInjury, poisoning and procedural complications
DizzinessNervous system disorders
Dry eyeEye disorders
BronchitisInfections and infestations
CellulitisInfections and infestations
Herpes zosterInfections and infestations
Oral herpesInfections and infestations
HypertriglyceridaemiaMetabolism and nutrition disorders
Back painMusculoskeletal and connective tissue disorders
CoughRespiratory, thoracic and mediastinal disorders
AnaemiaBlood and lymphatic system disorders
NeutropeniaBlood and lymphatic system disorders
VertigoEar and labyrinth disorders
CataractEye disorders
DyspepsiaGastrointestinal disorders
Gastrooesophageal reflux diseaseGastrointestinal disorders
NauseaGastrointestinal disorders
CystitisInfections and infestations
PharyngitisInfections and infestations
Blood immunoglobulin M decreasedInvestigations
HyperuricaemiaMetabolism and nutrition disorders
ArthralgiaMusculoskeletal and connective tissue disorders
Oropharyngeal painRespiratory, thoracic and mediastinal disorders
AcneSkin and subcutaneous tissue disorders
Dermatitis contactSkin and subcutaneous tissue disorders
HypertensionVascular disorders
Abdominal painGastrointestinal disorders
BacteraemiaInfections and infestations
Cytomegalovirus viraemiaInfections and infestations

Most-reported serious reactions: Acute myocardial infarction, Vertigo positional, Pancreatitis, Cytomegalovirus viraemia, Herpes zoster, Pneumocystis jirovecii pneumonia, Pneumonia, Pneumonia bacterial.

Data from ClinicalTrials.gov NCT03656562 adverse events section.

Sponsor's own description

This study is designed to evaluate the safety, tolerability, pharmacokinetics and therapeutic efficacy of treatment with either VAY736 (ianalumab) or CFZ533 (iscalimab) in patients with systemic lupus erythematosus (SLE) to enable further development of these compounds as treatment in this disease population

Publications & conference data

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

  1. B cell depletion therapies in autoimmune disease: advances and mechanistic insights.
    Lee DSW, Rojas OL, Gommerman JL. · · 2021 · cited 496× · PMID 33324003 · DOI 10.1038/s41573-020-00092-2
  2. Molecular basis and therapeutic implications of CD40/CD40L immune checkpoint.
    Tang T, Cheng X, Truong B, Sun L, et al · · 2021 · cited 201× · PMID 33091428 · DOI 10.1016/j.pharmthera.2020.107709
  3. 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
  4. Atherosclerosis With Immune Checkpoint Inhibitor Therapy: Evidence, Diagnosis, and Management: <i>JACC: CardioOncology</i> State-of-the-Art Review.
    Suero-Abreu GA, Zanni MV, Neilan TG. · · 2022 · cited 67× · PMID 36636438 · DOI 10.1016/j.jaccao.2022.11.011
  5. Emerging Therapies in Immune Thrombocytopenia.
    Audia S, Bonnotte B, Bonnotte B. · · 2021 · cited 44× · PMID 33801294 · DOI 10.3390/jcm10051004
  6. Cytokines as Biomarkers in Systemic Lupus Erythematosus: Value for Diagnosis and Drug Therapy.
    Idborg H, Oke V. · · 2021 · cited 40× · PMID 34768756 · DOI 10.3390/ijms222111327
  7. Systemic lupus erythematosus: pathogenesis and targeted therapy.
    Su X, Yu H, Lei Q, Chen X, et al · · 2024 · cited 33× · PMID 39472388 · DOI 10.1186/s43556-024-00217-8
  8. Targeting TNF/TNFR superfamilies in immune-mediated inflammatory diseases.
    Veerasubramanian PK, Wynn TA, Quan J, Karlsson FJ. · · 2024 · cited 26× · PMID 39297883 · DOI 10.1084/jem.20240806

Verify or expand the search:

Other trials of VAY736

Trials testing the same drug.

Other recruiting trials for Systemic Lupus Erythematosus (SLE)

Currently open trials in the same condition.

Other Novartis Pharmaceuticals trials

Trials by the same sponsor.

Verify against primary sources

Data sources for this page

Drug Landscape aggregates and links these public records for informational use only. Always verify against the primary source before clinical or regulatory decisions. Canonical URL: https://druglandscape.com/trial/NCT03656562.

Primary sources · FDA · ClinicalTrials.gov · EMA · SEC EDGAR · ChEMBL · Wikidata · full sourcing