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Sifalimumab

Phase 2

Systemic Lupus Erythematosus | Small molecule | Immunology |AstraZeneca PLC|Last Updated: Apr 19, 2018

Success Probability

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Trial Design

RandomizedDouble-BlindPLACEBO_CONTROLLEDDMC
Total Trials2
Total Enrollment952

FDA Designations

No designations recorded

Clinical trial landscape

Sifalimumab · 2 trials · 1 indication

Phase 2 2
NCT01283139A Study to Evaluate the Efficacy and Safety of Sifalimumab in Adults With Systemic Lupus ErythematosusSystemic Lupus Erythematosus
COMPLETED834 Analytics
NCT00979654A Study to Evaluate the Long-Term Safety of MEDI-545 in Adult Participants With Systemic Lupus Erythematosus or MyositisSystemic Lupus Erythematosus
COMPLETED118 Analytics
PHASE2COMPLETED
A Study to Evaluate the Efficacy and Safety of Sifalimumab in Adults With Systemic Lupus Erythematosus
Systemic Lupus ErythematosusUnlock trial analytics
PHASE2COMPLETED
A Study to Evaluate the Long-Term Safety of MEDI-545 in Adult Participants With Systemic Lupus Erythematosus or Myositis
Systemic Lupus ErythematosusUnlock trial analytics

Study Endpoints

Primary Endpoints

Percentage of Participants Achieving a Response in Systemic Lupus Erythematosus Responder Index 4 (SRI [4])
Day 365

SRI (4) responder is defined as: 1) a reduction in baseline Systemic Lupus Erythematosus Disease Activity Index 2000 (SLEDAI-2K) disease activity score of greater than or equal to (\>=) 4 points (with increased deoxyribonucleic acid \[DNA\] binding item of SLEDAI-2K score based on the ANA Multi-Lyte® ANA-II Plus Test System); 2) no worsening in Physician Global Assessment (MDGA) (worsening is defined as an increase of \>=0.3 from baseline on a 0-3 visual analogue scale) and 3) no worsening in British Isles Lupus Assessment Group (BILAG-2004) (worsening is defined as at least 1 new 'A' score or 2 new 'B' scores on the BILAG-2004 compared with baseline).

Percentage of Participants Achieving a Positive Response in SRI (4) in 4-Gene Interferon Test High Participants
Day 365

SRI (4) responder is defined as: 1) a reduction in baseline SLEDAI-2K disease activity score of \>=4 points (with increased DNA binding item of SLEDAI-2K score based on the ANA Multi-Lyte® ANA-II Plus Test System); 2) no worsening in Physician Global Assessment (MDGA) (worsening is defined as an increase of \>=0.3 from baseline on a 0-3 visual analogue scale) and 3) no worsening in BILAG-2004 (worsening is defined as at least 1 new 'A' score or 2 new 'B' scores on the BILAG-2004 compared with baseline).

Number of Participants With Treatment Emergent Adverse Events (TEAEs) and Treatment Emergent Serious Adverse Events (TESAEs)
From start of study drug administration until week 182

An adverse event (AE) was any untoward medical occurrence attributed to study drug in a participant who received investigational product. A serious adverse event (SAE) was an AE resulting in any of the following outcomes or deemed significant for any other reason: death; initial or prolonged inpatient hospitalization; life-threatening experience (immediate risk of dying); persistent or significant disability/incapacity; congenital anomaly. Treatment-emergent were events between administration of investigational product and 30 days after the last dose of study drug that were absent before treatment or that worsened relative to pre-treatment state.

Secondary Endpoints

Percentage of Participants on Greater Than or Equal to 10 mg/Day Oral Prednisone (or Equivalent) at Baseline Who Were Able to Reduce to Less Than or Equal to (<=) 7.5 mg/Day
Day 365
Percentage of Participants With a Cutaneous Lupus Erythematosus Disease Activity and Severity Index (CLASI) Activity Score Greater Than or Equal to (>=) 10 at Baseline Who Achieved a >= 4-point Reduction
Day 365
Percentage of Participants Who Achieved a Greater Than 3-Point Improvement in the Functional Assessment of Chronic Illness Therapy (FACIT)-Fatigue Scale
Day 365
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Study Design & Arms

AllocationRANDOMIZED
MaskingDOUBLE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
Sifalimumab 200 milligram (mg)EXPERIMENTALSifalimumab 200 milligram (mg) will be administered intravenously every 2 weeks for 4 weeks and then monthly for 44 weeks for a total of 14 doses.
Sifalimumab 600 mgEXPERIMENTALSifalimumab 600 mg will be administered intravenously every 2 weeks for 4 weeks and then monthly for 44 weeks for a total of 14 doses.
Sifalimumab 1,200 mgEXPERIMENTALSifalimumab 1,200 mg will be administered intravenously every 2 weeks for 4 weeks and then monthly for 44 weeks for a total of 14 doses.
PlaceboPLACEBO_COMPARATORPlacebo matching to sifalimumab will be administered intravenously at a fixed dose every 2 weeks for 4 weeks and then monthly for 44 weeks for a total of 14 doses.
Sifalimumab (MEDI-545) 500 or 600 milligram (mg)EXPERIMENTALAll participants will receive intravenous (IV) sifalimumab as fixed dose of 500 mg every 2 weeks (Q2W) on Day 1, Week 2, and Week 4, then every 4 weeks (Q4W) thereafter for a total of 156 weeks. The initial fixed dose of 500 mg is increased to 600 mg with subsequent protocol amendment.

Interventions

NameTypeDescription
Sifalimumab 200 mgBIOLOGICALSifalimumab 200 mg intravenously every 2 weeks for 4 weeks and then monthly for 44 weeks for a total of 14 doses.
Sifalimumab 600 mgBIOLOGICALSifalimumab 600 mg intravenously every 2 weeks for 4 weeks and then monthly for 44 weeks for a total of 14 doses.
Sifalimumab 1,200 mgBIOLOGICALSifalimumab 1,200 mg intravenously every 2 weeks for 4 weeks and then monthly for 44 weeks for a total of 14 doses.
PlaceboOTHERIV Placebo every 2 weeks for 4 weeks and then monthly for 44 weeks
SifalimumabDRUGAll participants will receive intravenous (IV) sifalimumab as fixed dose of 500 mg every 2 weeks (Q2W) on Day 1, Week 2, and Week 4, then every 4 weeks (Q4W) thereafter for a total of 156 weeks. The initial fixed dose of 500 mg is increased to 600 mg with subsequent protocol amendment.
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Eligibility Criteria

Age Range18 Years to 75 Years
SexALL
Healthy VolunteersNo
Study Sites107

Inclusion Criteria: - Fulfills at least 4 of American College of Rheumatology (ACR) criteria for systemic lupus erythematosus (SLE) including a positive antinuclear antibody (ANA) or elevated ds-deoxyribonucleic acid (DNA) or Sm antibody at screening - Disease history of SLE greater than or equal to...

Countries:United StatesArgentinaBrazilBulgariaCanadaChileFranceGermanyHungaryIndiaItalyJamaicaMexicoNetherlandsPeruPhilippinesPolandRomaniaSouth AfricaSpainThailandUnited Kingdom
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Frequently asked questions about Sifalimumab

What is Sifalimumab used for?

Sifalimumab is an investigational drug being studied for the treatment of Systemic Lupus Erythematosus (SLE). It is being developed by AstraZeneca PLC (ticker: AZN). As of now, it is in Phase 2 clinical development and is not yet approved by regulatory authorities.

What does Sifalimumab target?

Sifalimumab is a small molecule being developed for Systemic Lupus Erythematosus. The specific molecular target of Sifalimumab has not been disclosed in the available information. It is currently in Phase 2 clinical trials to evaluate its efficacy and safety in patients with SLE.

Who makes Sifalimumab?

Sifalimumab is being developed by AstraZeneca PLC, a multinational pharmaceutical company listed on the stock exchange under the ticker AZN. The drug is currently in Phase 2 clinical development for the treatment of Systemic Lupus Erythematosus.

What phase is Sifalimumab in?

Sifalimumab is in Phase 2 clinical development. It has completed two Phase 2 trials, with a total enrollment of 952 participants. Both trials were randomized, double-blind, and placebo-controlled. The drug is still investigational and has not received FDA approval.

What clinical trials is Sifalimumab in?

Sifalimumab has been studied in two completed Phase 2 clinical trials. The first, NCT00979654, evaluated long-term safety in 118 adults with SLE or myositis. The second, NCT01283139, assessed efficacy and safety in 834 adults with SLE. Both trials were completed and included participants from multiple countries.

Is Sifalimumab the same as MEDI-545?

Sifalimumab is also known as MEDI-545. The clinical trial NCT00979654, which evaluated the long-term safety of MEDI-545 in adults with Systemic Lupus Erythematosus or myositis, is one of the trials for Sifalimumab. This alternative name is used in some clinical research contexts.