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Trial · NCT03843125

A Study of Baricitinib in Participants With Systemic Lupus Erythematosus (SLE)

NCT03843125, Phase 3, Terminated, Eli Lilly and Company; results first posted 2023-05-16

3 sourcestrials-2026-11-12-0.5.0

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ConductScience Library. A Study of Baricitinib in Participants With Systemic Lupus Erythematosus (SLE). Trials, record NCT03843125. Release trials-2026-11-12-0.5.0, 12 Nov 2026. https://conductscience.org/library/trials/NCT03843125

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Trial

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

Title
A Study of Baricitinib in Participants With Systemic Lupus Erythematosus (SLE)
NCT number
NCT03843125
Status
Terminated
Phases
Phase 3
Enrollment
1,147 participants, actual
Lead sponsor
Eli Lilly and Company
Conditions
Systemic Lupus Erythematosus
Interventions
Baricitinib, Placebo
First posted
2019-02-15
Last updated
2023-05-16
Other registries' IDs
eudract:2017-005028-11
Results first posted
2023-05-16
Limitations and caveats
This study was terminated due to insufficient evidence to support a positive benefit: risk profile. Safety findings were consistent with previously published OLUMIANT data.

Source ClinicalTrials.gov

Registered outcomes14

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

ListOutcomeTime frameDescription
PrimaryPercentage of Participants With Treatment-Emergent Adverse Events (TEAEs)Week 134
Percentage of participants with TEAEs. A treatment-emergent AE (TEAE) is defined as an event that first occurred or worsened in severity after the first dose of study treatment in Study JAIM and on or prior to the last visit date during the analysis period. The analysis period is defined as the treatment period plus up to 30 days off-drug follow-up time. A summary of serious and other non-serious adverse events, regardless of causality, is located in the Reported Adverse Events module.
PrimaryPercentage of Participants With Adverse Events of Special Interest (AESIs)Week 134
Percentage of Participants with AESIs. AESI consisted of infections, positively adjudicated arterial thromboembolic events (ATE), positively adjudicated venous thromboembolic events (VTE), positively adjudicated major adverse cardiovascular events (MACE), other positively adjudicated cardiovascular events, death, anaphylactic reactions, hypersensitivity, angioedema, and malignancies.
PrimaryPercentage of Participants With Serious Adverse Events (SAEs)Week 134
Percentage of participants with SAEs. An SAE is any AE from this study that results in one of the following outcomes: Death; Initial or prolonged inpatient hospitalization; A life-threatening experience (that is, immediate risk of dying); Persistent or significant disability/incapacity; Congenital anomaly/birth defect; Important medical events that may not be immediately life-threatening or result in death or hospitalization, but may jeopardize the patient or may require intervention to prevent one of the other outcomes listed in the definition above. A summary of all SAE's, regardless of causality, is located in the Reported Adverse Events section.
PrimaryPercentage of Participants With Temporary Investigational Product InterruptionsWeek 134Percentage of participants with temporary investigational product interruptions.
PrimaryPercentage of Participants With Permanent Investigational Product DiscontinuationsWeek 134Percentage of participants with permanent investigational product discontinuations.
SecondaryPercentage of Participants Achieving a Systemic Lupus Erythematosus Responder Index 4 (SRI-4) ResponseWeek 134
SRI-4 response defined as 1)greater than or equal to 4-point reduction in Systemic Lupus Erythematosus Disease Activity Index 2000 (SLEDAI-2K) total score 2)no new British Isles Lupus Assessment Group (BILAG) A and no more than 1 new BILAG B domain score and 3)no worsening in Physician Global Assessment (PGA) of Disease Activity (worsening defined as an increase of \>=0.3 from baseline on a 0-3 visual analogue scale). SLEDAI-2K assessment consists of 24 items with total score of 0(no symptoms) to 105 (presence of all defined symptoms) with higher scores representing increased disease activity. BILAG Index: assessing clinical signs, symptoms,or laboratory parameters related to Systemic Lupus Erythematosus (SLE),divided into 9 organ systems. For each organ system A=severe disease,B=moderate disease,C=mild stable disease,D=inactive,but previously active,E=inactive and never affected. PGA assesses disease activity on a visual analogue scale from 0 to 3 (1=mild, 2=moderate, 3=severe).
SecondaryPercentage of Participants Achieving a Lupus Low Disease Activity State (LLDAS)Week 48
Percentage of participants achieving a LLDAS. The LLDAS is a composite measure designed to identify patients achieving a state of low disease activity. The LLDAS response criteria were: (1) SLEDAI-2K \<=4, with no activity in major organ systems (CNS, vascular, renal, cardiorespiratory and constitutional); where "no activity" is defined as all items of SLEDAI-2K within these major organ systems equal to 0. (2) no new features of lupus disease activity compared to previous occurred visit, where the "new feature" is defined as any of the SLEDAI-2K 24 items changed from 0 to greater than 0; (3) PGA (scale 0-3), \<=1; (4) current prednisolone (or equivalent) dose \<=7.5 mg daily.
SecondaryChange From Baseline in Prednisone DoseBaseline through Week 48Change from baseline in prednisone dose.
SecondaryAnnualized Safety of Estrogens in Lupus Erythematosus National Assessment (SELENA)-Systemic Lupus Erythematosus Disease Activity Index (SLEDAI) Flare Index Flare RateBaseline through Week 48
The SELENA-SLEDAI tool is a cumulative and weighted index used to assess disease activity across 24 different disease descriptors in patients with lupus. A patient's SELENA-SLEDAI total score is the sum of all marked lupus related descriptors (seizure, psychosis, organic brain syndrome, visual disturbance, cranial nerve disorder, lupus headache, cerebrovascular accident, vasculitis, arthritis, myositis, urinary casts, hematuria, proteinuria, pyuria, new rash, alopecia, mucosal ulcers, pleurisy, pericarditis, low complement, increased DNA binding, fever, thrombocytopenia, leukopenia). A total score can fall between 0 and 105, with a higher score representing a more significant degree of disease activity. The annualized flare rate is calculated as the number of flares divided by the flare exposure time in days multiplied with 365.25.
SecondaryPercentage of Participants With Cutaneous Lupus Erythematosus Disease Area and Severity Index (CLASI) Total Activity Score ≥10 at Baseline With ≥50% Reduction in CLASI Total Activity ScoreWeek 48
The CLASI is a single-page tool that separately quantifies disease activity and damage. For the activity score, points are given for the presence of erythema, scale, mucous membrane lesions, recent hair loss, and inflammatory alopecia. The total score represents the sum of the individual scores and ranges from 0 to 70. Higher scores are awarded for more severe manifestations.

Outcomes14

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

TypeOutcomeTime framePopulationUnitsMeasured as
PRIMARYPercentage of Participants With Treatment-Emergent Adverse Events (TEAEs)Week 134All participants who received at least one dose of study drug.Percentage of ParticipantsNUMBER
PRIMARYPercentage of Participants With Adverse Events of Special Interest (AESIs)Week 134All participants who received at least one dose of study drug.Percentage of participantsNUMBER
PRIMARYPercentage of Participants With Serious Adverse Events (SAEs)Week 134All participants who received at least one dose of study drug.Percentage of ParticipantsNUMBER
PRIMARYPercentage of Participants With Temporary Investigational Product InterruptionsWeek 134All participants who received at least one dose of study drug.Percentage of ParticipantsNUMBER
PRIMARYPercentage of Participants With Permanent Investigational Product DiscontinuationsWeek 134All participants who received at least one dose of study drug.Percentage of ParticipantsNUMBER
SECONDARYPercentage of Participants Achieving a Systemic Lupus Erythematosus Responder Index 4 (SRI-4) ResponseWeek 134All randomized participants who had SLEDAI-2K score of \>=4 at baseline.Percentage of participantsNUMBER
SECONDARYPercentage of Participants Achieving a Lupus Low Disease Activity State (LLDAS)Week 48
All participants who received at least one dose of study drug and had SLEDAI-2K score of \>=4 at baseline. Due to early termination of the study, this population consisted of participants who completed Week 48 treatment, or discontinued treatment prior to Week 48 (but not due to study termination).
Percentage of participantsNUMBER
SECONDARYChange From Baseline in Prednisone DoseBaseline through Week 48
Due to early termination of the study, this population consisted of participants who completed Week 48 treatment, or discontinued treatment prior to Week 48 (but not due to study termination). Participants having values for this outcome were included.
milligrams (mg)LEAST_SQUARES_MEAN
SECONDARYAnnualized Safety of Estrogens in Lupus Erythematosus National Assessment (SELENA)-Systemic Lupus Erythematosus Disease Activity Index (SLEDAI) Flare Index Flare RateBaseline through Week 48
Due to early termination of the study, this population consisted of participants who completed Week 48 treatment, or discontinued treatment prior to Week 48 (but not due to study termination). Participants having values for this outcome were included.
flares per yearNUMBER
SECONDARYPercentage of Participants With Cutaneous Lupus Erythematosus Disease Area and Severity Index (CLASI) Total Activity Score ≥10 at Baseline With ≥50% Reduction in CLASI Total Activity ScoreWeek 48
All participants with CLASI Total Activity Score \>= 10 at baseline. Due to early termination of the study, this population consisted of participants who completed Week 48 treatment, or discontinued treatment prior to Week 48 (but not due to study termination).
Percentage of participantsNUMBER

Results by group92

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

OutcomeGroupCategoryValueSpreadUnits
Percentage of Participants With Treatment-Emergent Adverse Events (TEAEs)2 mg Baricitinib61.9Percentage of Participants
Percentage of Participants With Treatment-Emergent Adverse Events (TEAEs)4 mg Baricitinib68.8Percentage of Participants
Percentage of Participants With Treatment-Emergent Adverse Events (TEAEs)Placebo to 2 mg Baricitinib65.1Percentage of Participants
Percentage of Participants With Treatment-Emergent Adverse Events (TEAEs)Placebo to 4 mg Baricitinib64.4Percentage of Participants
Percentage of Participants With Adverse Events of Special Interest (AESIs)2 mg BaricitinibInfections38.4Percentage of participants
Percentage of Participants With Adverse Events of Special Interest (AESIs)4 mg BaricitinibInfections42.1Percentage of participants
Percentage of Participants With Adverse Events of Special Interest (AESIs)Placebo to 2 mg BaricitinibInfections36.5Percentage of participants
Percentage of Participants With Adverse Events of Special Interest (AESIs)Placebo to 4 mg BaricitinibInfections35.1Percentage of participants
Percentage of Participants With Adverse Events of Special Interest (AESIs)2 mg BaricitinibPositively adjudicated ATE0.3Percentage of participants
Percentage of Participants With Adverse Events of Special Interest (AESIs)4 mg BaricitinibPositively adjudicated ATE0.8Percentage of participants

Participant flow16

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

PeriodMilestoneGroupParticipantsUnits counted
Overall StudySTARTED2 Milligrams (mg) Baricitinib388
Overall StudySTARTED4 mg Baricitinib379
Overall StudySTARTEDPlacebo to 2 mg Baricitinib189
Overall StudySTARTEDPlacebo to 4 mg Baricitinib191
Overall StudySafety Population2 Milligrams (mg) Baricitinib388
Overall StudySafety Population4 mg Baricitinib378
Overall StudySafety PopulationPlacebo to 2 mg Baricitinib189
Overall StudySafety PopulationPlacebo to 4 mg Baricitinib191
Overall StudyCOMPLETED2 Milligrams (mg) Baricitinib0
Overall StudyCOMPLETED4 mg Baricitinib0

Adverse events556

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

TypeEventOrgan systemGroupAffectedAt riskEvents
otherCovid-19Infections and infestations2 mg Baricitinib3538835
otherCovid-19Infections and infestations4 mg Baricitinib3237833
otherCovid-19Infections and infestationsPlacebo to 2 mg Baricitinib2118922
otherCovid-19Infections and infestationsPlacebo to 4 mg Baricitinib2319125
otherUrinary tract infectionInfections and infestations2 mg Baricitinib2038828
otherUrinary tract infectionInfections and infestations4 mg Baricitinib2237827
otherUrinary tract infectionInfections and infestationsPlacebo to 2 mg Baricitinib1718919
otherUrinary tract infectionInfections and infestationsPlacebo to 4 mg Baricitinib71918
seriousImmune thrombocytopeniaBlood and lymphatic system disorders2 mg Baricitinib13881
seriousImmune thrombocytopeniaBlood and lymphatic system disorders4 mg Baricitinib03780

Adverse event totals12

The totals the trial posted for each group.

TotalGroupAffectedAt risk
Total, all-cause mortality2 mg Baricitinib0388
Total, all-cause mortality4 mg Baricitinib6378
Total, all-cause mortalityPlacebo to 2 mg Baricitinib2189
Total, all-cause mortalityPlacebo to 4 mg Baricitinib0191
Total, other adverse events2 mg Baricitinib54388
Total, other adverse events4 mg Baricitinib54378
Total, other adverse eventsPlacebo to 2 mg Baricitinib35189
Total, other adverse eventsPlacebo to 4 mg Baricitinib29191
Total, serious adverse events2 mg Baricitinib43388
Total, serious adverse events4 mg Baricitinib53378

Papers0

The papers the trial lists on ClinicalTrials.gov.

None in this release.

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 comparisons0

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

None in this release.

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/NCT03843125

GET https://conductscience.org/api/trials/v1/NCT03843125/results?page=2