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Trial · NCT02446899

Efficacy and Safety of Anifrolumab Compared to Placebo in Adult Subjects With Active Systemic Lupus Erythematosus

NCT02446899, Phase 3, Completed, AstraZeneca; results first posted 2020-03-18

3 sourcestrials-2026-11-12-0.5.0

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ConductScience Library. Efficacy and Safety of Anifrolumab Compared to Placebo in Adult Subjects With Active Systemic Lupus Erythematosus. Trials, record NCT02446899. Release trials-2026-11-12-0.5.0, 12 Nov 2026. https://conductscience.org/library/trials/NCT02446899

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Trial

As registered on ClinicalTrials.gov, in the graph's capture of the registry.

Title
Efficacy and Safety of Anifrolumab Compared to Placebo in Adult Subjects With Active Systemic Lupus Erythematosus
NCT number
NCT02446899
Status
Completed
Phases
Phase 3
Enrollment
373 participants, actual
Lead sponsor
AstraZeneca
Conditions
Active Systemic Lupus Erythematosus
Interventions
Anifrolumab, Placebo
First posted
2015-05-18
Last updated
2023-01-10
Results first posted
2020-03-18

Source ClinicalTrials.gov

Registered outcomes10

Each outcome the trial registered, primary first, in ClinicalTrials.gov's words.

ListOutcomeTime frameDescription
PrimaryNumber of Participants Who Achieved the British Isles Lupus Assessment Group Based Composite Lupus Assessment (BICLA) Response at Week 52Baseline; Week 52
Composite endpoint BICLA was defined by meeting all of the following criteria: * Reduction of all baseline British Isles Lupus Assessment Group (BILAG)-2004 A to B/C/D and baseline BILAG-2004 B to C/D, and no BILAG-2004 worsening in other organ systems, as defined by ≥1 new BILAG-2004 A or ≥2 new BILAG-2004 B * No worsening from baseline in Systemic Lupus Erythematosus Disease Activity Index 2000 (SLEDAI-2K), where worsening is defined as an increase from baseline of \>0 points in SLEDAI-2K * No worsening from baseline in participants' lupus disease activity, where worsening is defined by an increase ≥0.30 points on a 3-point Physician's Global Assessment (PGA) visual analogue scale (VAS) * No discontinuation of investigational product * No use of restricted medications beyond the protocol allowed threshold before assessment
SecondaryNumber of Participants Who Achieved the British Isles Lupus Assessment Group Based Composite Lupus Assessment (BICLA) Response at Week 52 in the IFN Test-High Sub-groupBaseline; Week 52
Defined by meeting all of the following criteria: * Reduction of all baseline British Isles Lupus Assessment Group (BILAG)-2004 A to B/C/D and baseline BILAG-2004 B to C/D, and no BILAG-2004 worsening in other organ systems, as defined by ≥1 new BILAG-2004 A or ≥2 new BILAG-2004 B * No worsening from baseline in Systemic Lupus Erythematosus Disease Activity Index 2000 (SLEDAI-2K), where worsening is defined as an increase from baseline to \>0 points in SLEDAI-2K * No worsening from baseline in participants' lupus disease activity, where worsening is defined by an increase ≥0.30 points on a 3-point Physician's Global Assessment (PGA) visual analogue scale (VAS) * No discontinuation of investigational product * No use of restricted medications beyond the protocol allowed threshold before assessment
SecondaryNumber of Participants Who Achieved and Maintained an Oral Corticosteroids (OCS) Dose of ≤7.5 mg/Day at Week 52 in the Sub-Group of Participants With Baseline OCS ≥10 mg/DayWeek 40; Week 52
Maintained OCS reduction was defined by meeting all of the following criteria: * Achieve an OCS dose of ≤7.5 mg/day prednisone or equivalent by Week 40 * Maintain an OCS dose ≤7.5 mg/day prednisone or equivalent from Week 40 to Week 52 * No discontinuation of investigational product * No use of restricted medications beyond the protocol allowed threshold before assessment
Secondary
Number of Participants With a ≥50% Reduction in Cutaneous Lupus Erythematosus Disease Area and Severity Index (CLASI) Activity Score at Week 12 in The Sub-Group of Participants With Baseline CLASI Activity Score of ≥10
Baseline; Week 12
50% reduction in CLASI activity score compared to baseline was defined by meeting all of the following criteria: * Achieve ≥50% reduction of CLASI activity score at Week 12 compared to baseline * No discontinuation of investigational product * No use of restricted medications beyond the protocol allowed threshold before assessment
SecondaryNumber of Participants With ≥50% Reduction in Joint Counts at Week 52 in The Sub-group of Participants With ≥6 Swollen and ≥6 Tender Joints at BaselineBaseline; Week 52
50% reduction in the number of swollen and tender joints compared to baseline was defined by meeting all of the following criteria: * Achieve ≥50% reduction from baseline in the number of swollen and tender joints, separately * No discontinuation of investigational product * No use of restricted medications beyond the protocol allowed threshold before assessment
SecondaryAnnualised Flare Rate Through 52 WeeksBaseline to Week 52
A flare was defined as either 1 or more new British Isle Lupus Assessment Group (BILAG-2004) A or 2 or more new BILAG-2004 B items compared to the previous visit. The occurrence of a new flare was checked for each available visit versus the previous available visit up to Week 52. If no new flares occurred, the number of flares was set to 0. Otherwise all flares were counted leading to the maximum number of flares of 13. The annualized flare rate was calculated as the number of flares divided by the flare exposure time in days multiplied with 365.25 (1 year). The flare exposure time is the time up to Week 52 (date of BILAG-2004 assessment at Week 52) or up to the date of last available BILAG-2004 assessment.
SecondaryNumber of Participants With One or More Adverse Events (AEs)Baseline to end of study (Maximum of 60 weeks)
An AE is the development of an undesirable medical condition or the deterioration of a pre-existing medical condition following or during exposure to a pharmaceutical product, whether or not considered causally related to the product. AEs were collected throughout the duration of the study, from baseline until end of follow-up (a maximum of 12 weeks post last dose \[Week 48\]), or until Week 52 for participants who enrolled onto the long term extension (LTE). The reported value is inclusive of serious and non-serious AEs.
SecondaryNumber of Participants With One or More Adverse Events of Special Interest (AESIs)Baseline to end of study (Maximum of 60 weeks)
An AESI is an adverse event (AE) of scientific and medical concern specific to understanding biologics. An AESI may be serious or non-serious. AESI are serious infections, including non-opportunistic serious infections, opportunistic infections, anaphylaxis, malignancy, herpes zoster, tuberculosis (TB) (including latent TB), influenza, vasculitis (non-systemic lupus erythematosus \[SLE\]), and major adverse cardiovascular events (MACE) (including stroke, myocardial infarction \[MI\], or cardiovascular death). AESIs were collected throughout the study, from baseline until end of follow-up (a maximum of 12 weeks post last dose \[Week 48\]), or until Week 52 for participants who enrolled onto the long term extension (LTE).
SecondaryNumber of Participants With a Potentially Clinically Important Change From Baseline in Vital Sign MeasurementsBaseline to end of study (Maximum of 60 weeks)
Vital sign measurements included oral temperature, blood pressure (BP), pulse rate, and respiratory rate. Vital signs were collected throughout the duration of the study, from baseline until end of follow-up (a maximum of 12 weeks post last dose \[Week 48\]), or until Week 52 for participants who enrolled onto the long term extension (LTE).
SecondaryNumber of Participants With a Potentially Clinically Important Change From Baseline in Clinical Laboratory TestsBaseline to end of study (Maximum of 60 weeks)
Clinical laboratory tests were analyzed in a central clinical laboratory and included hematology, serum chemistry and urinalysis tests. Laboratory values were collected throughout the duration of the study, from baseline until end of follow-up (a maximum of 12 weeks post last dose \[Week 48\]), or until Week 52 for participants who enrolled onto the long term extension (LTE).

Outcomes10

Each outcome the trial posted results for, in ClinicalTrials.gov's words.

TypeOutcomeTime framePopulationUnitsMeasured as
PRIMARYNumber of Participants Who Achieved the British Isles Lupus Assessment Group Based Composite Lupus Assessment (BICLA) Response at Week 52Baseline; Week 52Full Analysis Set: All participants who were randomized and received at least one dose of study drug.ParticipantsCOUNT_OF_PARTICIPANTS
SECONDARYNumber of Participants Who Achieved the British Isles Lupus Assessment Group Based Composite Lupus Assessment (BICLA) Response at Week 52 in the IFN Test-High Sub-groupBaseline; Week 52Full Analysis Set: All participants who were randomized and received at least one dose of study drug, with a high interferon (IFN) test result at baseline.ParticipantsCOUNT_OF_PARTICIPANTS
SECONDARYNumber of Participants Who Achieved and Maintained an Oral Corticosteroids (OCS) Dose of ≤7.5 mg/Day at Week 52 in the Sub-Group of Participants With Baseline OCS ≥10 mg/DayWeek 40; Week 52Full Analysis Set: All participants who were randomized and received at least one dose of study drug, who had a baseline OCS dose of ≥10 mg/day.ParticipantsCOUNT_OF_PARTICIPANTS
SECONDARY
Number of Participants With a ≥50% Reduction in Cutaneous Lupus Erythematosus Disease Area and Severity Index (CLASI) Activity Score at Week 12 in The Sub-Group of Participants With Baseline CLASI Activity Score of ≥10
Baseline; Week 12Full Analysis Set: All participants who were randomized and received at least one dose of study drug, and who had a CLASI activity score of ≥10 at baseline.ParticipantsCOUNT_OF_PARTICIPANTS
SECONDARYNumber of Participants With ≥50% Reduction in Joint Counts at Week 52 in The Sub-group of Participants With ≥6 Swollen and ≥6 Tender Joints at BaselineBaseline; Week 52Full Analysis Set: All participants who were randomized and received at least one dose of study drug, and who had ≥6 swollen and ≥6 tender joints at baseline.ParticipantsCOUNT_OF_PARTICIPANTS
SECONDARYAnnualised Flare Rate Through 52 WeeksBaseline to Week 52Full Analysis Set: All participants who were randomized and received at least one dose of study drug.Annualized flare rate ratioNUMBER
SECONDARYNumber of Participants With One or More Adverse Events (AEs)Baseline to end of study (Maximum of 60 weeks)Full Analysis Set: All participants who were randomized and received at least one dose of study drug.ParticipantsCOUNT_OF_PARTICIPANTS
SECONDARYNumber of Participants With One or More Adverse Events of Special Interest (AESIs)Baseline to end of study (Maximum of 60 weeks)Full Analysis Set: All participants who were randomized and received at least one dose of study drug.ParticipantsCOUNT_OF_PARTICIPANTS
SECONDARYNumber of Participants With a Potentially Clinically Important Change From Baseline in Vital Sign MeasurementsBaseline to end of study (Maximum of 60 weeks)Full Analysis Set: All participants who were randomized and received at least one dose of study drug.ParticipantsCOUNT_OF_PARTICIPANTS
SECONDARYNumber of Participants With a Potentially Clinically Important Change From Baseline in Clinical Laboratory TestsBaseline to end of study (Maximum of 60 weeks)Full Analysis Set: All participants who were randomized and received at least one dose of study drug.ParticipantsCOUNT_OF_PARTICIPANTS

Results by group20

Each measurement the trial posted, group by group, in the words and numbers it posted.

OutcomeGroupCategoryValueSpreadUnits
Number of Participants Who Achieved the British Isles Lupus Assessment Group Based Composite Lupus Assessment (BICLA) Response at Week 52Anifrolumab 300 mg86Participants
Number of Participants Who Achieved the British Isles Lupus Assessment Group Based Composite Lupus Assessment (BICLA) Response at Week 52Placebo57Participants
Number of Participants Who Achieved the British Isles Lupus Assessment Group Based Composite Lupus Assessment (BICLA) Response at Week 52 in the IFN Test-High Sub-groupAnifrolumab 300 mg72Participants
Number of Participants Who Achieved the British Isles Lupus Assessment Group Based Composite Lupus Assessment (BICLA) Response at Week 52 in the IFN Test-High Sub-groupPlacebo46Participants
Number of Participants Who Achieved and Maintained an Oral Corticosteroids (OCS) Dose of ≤7.5 mg/Day at Week 52 in the Sub-Group of Participants With Baseline OCS ≥10 mg/DayAnifrolumab 300 mg45Participants
Number of Participants Who Achieved and Maintained an Oral Corticosteroids (OCS) Dose of ≤7.5 mg/Day at Week 52 in the Sub-Group of Participants With Baseline OCS ≥10 mg/DayPlacebo25Participants
Number of Participants With a ≥50% Reduction in Cutaneous Lupus Erythematosus Disease Area and Severity Index (CLASI) Activity Score at Week 12 in The Sub-Group of Participants With Baseline CLASI Activity Score of ≥10
Anifrolumab 300 mg24Participants
Number of Participants With a ≥50% Reduction in Cutaneous Lupus Erythematosus Disease Area and Severity Index (CLASI) Activity Score at Week 12 in The Sub-Group of Participants With Baseline CLASI Activity Score of ≥10
Placebo10Participants
Number of Participants With ≥50% Reduction in Joint Counts at Week 52 in The Sub-group of Participants With ≥6 Swollen and ≥6 Tender Joints at BaselineAnifrolumab 300 mg30Participants
Number of Participants With ≥50% Reduction in Joint Counts at Week 52 in The Sub-group of Participants With ≥6 Swollen and ≥6 Tender Joints at BaselinePlacebo34Participants

Participant flow8

How many started, completed or left each group, period by period.

PeriodMilestoneGroupParticipantsUnits counted
Overall StudySTARTEDAnifrolumab 300 mg181
Overall StudySTARTEDPlacebo184
Overall StudyReceived Study DrugAnifrolumab 300 mg180
Overall StudyReceived Study DrugPlacebo182
Overall StudyCOMPLETEDAnifrolumab 300 mg156
Overall StudyCOMPLETEDPlacebo136
Overall StudyNOT COMPLETEDAnifrolumab 300 mg25
Overall StudyNOT COMPLETEDPlacebo48

Adverse events120

Each adverse event the trial posted, group by group: the participants affected out of those at risk.

TypeEventOrgan systemGroupAffectedAt riskEvents
otherNauseaGastrointestinal disordersAnifrolumab 300 mg71807
otherNauseaGastrointestinal disordersPlacebo1018211
otherBronchitisInfections and infestationsAnifrolumab 300 mg2318031
otherBronchitisInfections and infestationsPlacebo81828
otherHerpes zosterInfections and infestationsAnifrolumab 300 mg1218012
otherHerpes zosterInfections and infestationsPlacebo31823
otherNasopharyngitisInfections and infestationsAnifrolumab 300 mg2818042
otherNasopharyngitisInfections and infestationsPlacebo2318231
otherSinusitisInfections and infestationsAnifrolumab 300 mg1318021
otherSinusitisInfections and infestationsPlacebo918210

Adverse event totals6

The totals the trial posted for each group.

TotalGroupAffectedAt risk
Total, all-cause mortalityAnifrolumab 300 mg1180
Total, all-cause mortalityPlacebo0182
Total, other adverse eventsAnifrolumab 300 mg125180
Total, other adverse eventsPlacebo99182
Total, serious adverse eventsAnifrolumab 300 mg16180
Total, serious adverse eventsPlacebo34182

Papers10

The papers the trial lists on ClinicalTrials.gov.

PMIDListed asSource
31851795DERIVEDPubMed
33687069DERIVEDPubMed
33913260DERIVEDPubMed
33977796DERIVEDPubMed
34528084DERIVEDPubMed
35157371DERIVEDPubMed
35338035DERIVEDPubMed
35580976DERIVEDPubMed
36018235DERIVEDPubMed
36690388DERIVEDPubMed

Grants0

The grants NIH RePORTER links to the trial, newest funded first: NIH's, and some of AHRQ's, CDC's, FDA's and VA's. Each shows its title, principal investigators, organization and funder in its newest year.

None in this release.

Trial comparisons11

Comparisons of the trial's two groups, calculated by ConductScience from the counts it posted.

ComparisonSource
Anifrolumab 300 mg vs Placebo: Number of Participants With ≥50% Reduction in Joint Counts at Week 52 in The Sub-group of Participants With ≥6 Swollen and ≥6 Tender Joints at BaselineTrial comparisons
Anifrolumab 300 mg vs Placebo: Number of Participants Who Achieved and Maintained an Oral Corticosteroids (OCS) Dose of ≤7.5 mg/Day at Week 52 in the Sub-Group of Participants With Baseline OCS ≥10 mg/Day
Trial comparisons
Anifrolumab 300 mg vs Placebo: Number of Participants With a Potentially Clinically Important Change From Baseline in Vital Sign MeasurementsTrial comparisons
Anifrolumab 300 mg vs Placebo: Number of Participants Who Achieved the British Isles Lupus Assessment Group Based Composite Lupus Assessment (BICLA) Response at Week 52 in the IFN Test-High Sub-groupTrial comparisons
Anifrolumab 300 mg vs Placebo: Number of Participants With a Potentially Clinically Important Change From Baseline in Clinical Laboratory TestsTrial comparisons
Anifrolumab 300 mg vs Placebo: Number of Participants With One or More Adverse Events (AEs)Trial comparisons
Anifrolumab 300 mg vs Placebo: Number of Participants Who Achieved the British Isles Lupus Assessment Group Based Composite Lupus Assessment (BICLA) Response at Week 52Trial comparisons
Anifrolumab 300 mg vs Placebo: Number of Participants With One or More Adverse Events of Special Interest (AESIs)Trial comparisons
Anifrolumab 300 mg vs Placebo: Number of Participants With a ≥50% Reduction in Cutaneous Lupus Erythematosus Disease Area and Severity Index (CLASI) Activity Score at Week 12 in The Sub-Group of Participants With Baseline CLASI Activity Score of ≥10
Trial comparisons
Anifrolumab 300 mg vs Placebo: deaths from any causeTrial comparisons

Tests0

The ConductCognition tests this trial's registered outcomes name, as ScienceGraph matched them in trial-tests-2026-11-12-0.2.1.

None in this release.

Data dates

The day each source was copied for this release.

ClinicalTrials.gov
2026-11-12
ClinicalTrials.gov
Results, from AACT
2026-03-23
AACT
NIH grant links
2026-11-13
NIH RePORTER

Sources 3

  • ClinicalTrials.gov's posted results, through CTTI's AACTFreely available. Acknowledgement requested
  • ClinicalTrials.govNo license stated
  • NIH RePORTER's clinical studies and project filesPublic domain
Each source's terms
  • ClinicalTrials.gov's posted results, through CTTI's AACTClinicalTrials.gov data via Aggregate Analysis of ClinicalTrials.gov (AACT), CTTI. CTTI makes its materials freely available and requests acknowledgement. https://aact.ctti-clinicaltrials.org/documentation/299
  • ClinicalTrials.govnone stated
  • NIH RePORTER's clinical studies and project filesPublic domain (NIH RePORTER)

ClinicalTrials.gov's data carry an international copyright outside the United States: https://clinicaltrials.gov/about-site/terms-conditions.

For software

Read this trial from software.

The record and each of its lists are JSON, twenty rows a page. No key.

GET https://conductscience.org/api/trials/v1/NCT02446899

GET https://conductscience.org/api/trials/v1/NCT02446899/events?page=2