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Litifilimab

Phase 3

Lupus Erythematosus, Systemic | Small molecule | Immunology |Biogen Inc.|Last Updated: Jul 16, 2026

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Trial Design
RandomizedDouble-BlindPLACEBO_CONTROLLEDDMC
Total Trials2
Total Enrollment1,110
FDA Designations
BREAKTHROUGH_THERAPY
Clinical trial landscape

Litifilimab · 5 trials · 5 indications

Phase 3 3Phase 2 1Phase 1 1
NCT05352919An Extension Study to Learn More About the Long-Term Safety of Litifilimab (BIIB059) Injections and Whether They Can Improve Symptoms of Adult Participants Who Have Systemic Lupus ErythematosusSystemic Lupus Erythematosus (SLE)
ENROLLING BY_INVITATION864 Analytics
NCT04961567A Study to Learn About the Safety of Litifilimab (BIIB059) Injections and Whether They Can Improve Symptoms of Adult Participants Who Have Systemic Lupus ErythematosusLupus Erythematosus, Systemic
ACTIVE NOT_RECRUITING562 Analytics
NCT04895241A Study to Learn About the Safety of Litifilimab (BIIB059) Injections and Whether They Can Improve Symptoms of Adult Participants Who Have Systemic Lupus ErythematosusLupus Erythematosus, Systemic
ACTIVE NOT_RECRUITING548 Analytics
PHASE3ENROLLING BY_INVITATION
An Extension Study to Learn More About the Long-Term Safety of Litifilimab (BIIB059) Injections and Whether They Can Improve Symptoms of Adult Participants Who Have Systemic Lupus Erythematosus
Systemic Lupus Erythematosus (SLE)Unlock trial analytics
PHASE3ACTIVE NOT_RECRUITING
A Study to Learn About the Safety of Litifilimab (BIIB059) Injections and Whether They Can Improve Symptoms of Adult Participants Who Have Systemic Lupus Erythematosus
Lupus Erythematosus, SystemicUnlock trial analytics
PHASE3ACTIVE NOT_RECRUITING
A Study to Learn About the Safety of Litifilimab (BIIB059) Injections and Whether They Can Improve Symptoms of Adult Participants Who Have Systemic Lupus Erythematosus
Lupus Erythematosus, SystemicUnlock trial analytics
Study Endpoints
Primary Endpoints
Number of Participants with Treatment Emergent Adverse Events (TEAEs)
Up to Week 180

An adverse event (AE) is any untoward medical occurrence in a participant or clinical investigation participant administered a pharmaceutical product and that does not necessarily have a causal relationship with this treatment. An AE can therefore be any unfavorable and unintended sign, symptom, or disease temporally associated with the use of a medicinal (investigational) product, whether or not related to the medicinal (investigational) product. A TEAE is an AE that started or worsened in severity after the first dose of study treatment through 28 days after the last dose of study treatment or end of study (EOS) date, whichever comes earlier.

Number of Participants with Serious Adverse Events (SAEs)
Up to Week 180

An SAE is any untoward medical occurrence that at any dose results in death, in the view of the Investigator, places the participant at immediate risk of death (a life threatening event), requires inpatient hospitalization or prolongation of existing hospitalization, results in persistent or significant disability/incapacity, results in a congenital anomaly/birth defect, and is a medically important event.

Percentage of Participants Who Achieved a Systemic Lupus Erythematosus Responder Index of 4 (SRI-4) Response at Week 52
Week 52

An SRI-4 response is a composite endpoint defined by the following criteria: * Reduction from baseline of ≥4 points in Systemic Lupus Erythematosus Disease Activity Index 2000 (SLEDAI-2K). * No new organ system affected as defined by no new organ system with British Isles Lupus Assessment Group-2004 (BILAG-2004) grade A and no more than 1 new organ system with BILAG-2004 grade B compared with baseline. * No worsening from baseline in lupus disease activity as defined by \<0.3-point increase on 3-point Physician's Global Assessment (PGA) - Visual Analog Scale (VAS). * No violation to protocol-specified medication rules.

Parts A: Percentage of Participants who Achieve a Cutaneous Lupus Activity of Physician's Global Assessment-Revised (CLA-IGA-R) Erythema Score of 0 or 1
Week 16
Part B: Percentage of Participants who Achieve Cutaneous Lupus Erythematosus Disease Area and Severity Index Activity Score (CLASI-70) Response, Defined as ≥ 70% Decrease in CLASI-A Score From Baseline
Baseline to Week 24
Part 1 and 2: Maximum Observed Concentration (Cmax) of Litifilimab
Pre-dose and at multiple timepoints up to Week 22
Part 1 and 2: Area Under the Concentration-Time Curve From Time 0 to Infinity (AUC0-inf)
Pre-dose and at multiple timepoints up to Week 22
Secondary Endpoints
Percentage of Participants who Achieved an Systemic Lupus Erythematosus Responder Index (SRI)-4 Response
Up to Week 180
Percentage of Participants With at Least 4 Joints (Both Swollen and Tender) at Baseline who Achieved a Joint-50 Response
Up to Week 180
Percentage of Participants With a Cutaneous Lupus Erythematosus Disease Area and Severity Index - Activity (CLASI-A) Score ≥10 at Baseline who Achieved a CLASI-50, CLASI-70, and CLASI-90 Response
Up to Week 180
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Study Design & Arms
AllocationRANDOMIZED
MaskingQUADRUPLE
ModelPARALLEL
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
Litifilimab Low DoseEXPERIMENTALParticipants who are receiving background nonbiologic lupus standard of care (SOC) therapy and received litifilimab low dose, subcutaneously (SC), every 4 weeks (Q4W) during the parent Phase 3 studies (i.e. studies 230LE303 \[NCT04895241\] or 230LE304 \[NCT04961567\]) will continue to receive litifilimab low dose, SC, Q4W from Day 1 up to 152 weeks with an additional dose of litifilimab-matching placebo at Week 2. Participants who are receiving background nonbiologic lupus SOC therapy and received litifilimab-matching placebo in the parent Phase 3 studies (i.e. studies 230LE303 \[NCT04895241\] or 230LE304 \[NCT04961567\]) will be randomized to receive litifilimab low dose, SC, Q4W from Day 1 up to 152 weeks with an additional dose at Week 2.
Litifilimab High DoseEXPERIMENTALParticipants who are receiving background nonbiologic lupus SOC therapy and received litifilimab high dose, SC, Q4W during the parent Phase 3 studies (i.e. studies 230LE303 \[NCT04895241\] or 230LE304 \[NCT04961567\]) will continue to receive litifilimab high dose, SC, Q4W from Day 1 up to 152 weeks with an additional dose of litifilimab-matching placebo at Week 2. Participants who are receiving background nonbiologic lupus SOC therapy and received litifilimab-matching placebo in the parent Phase 3 studies (i.e. studies 230LE303 \[NCT04895241\] or 230LE304 \[NCT04961567\]) will be randomized to receive litifilimab high dose, SC, Q4W from Day 1 up to 152 weeks with an additional dose at Week 2.
PlaceboPLACEBO_COMPARATORParticipants who are receiving background nonbiologic lupus SOC therapy will receive litifilimab-matching placebo, SC Q4W, up to Week 48 with an additional dose at Week 2.
Part A (Phase 2): LitifilimabEXPERIMENTALParticipants will receive litifilimab subcutaneously (SC) once every 4 weeks (Q4W) from Week 0 to Week 20, with an additional dose of litifilimab at Week 2 during the double-blind placebo-controlled (DBPC) treatment period. Following the DBPC treatment period, participants will receive litifilimab during the extended treatment period (ETP) from Week 24 to Week 48, with an additional dose of litifilimab-matching placebo at Week 26.
Part A (Phase 2): PlaceboPLACEBO_COMPARATORParticipants will receive litifilimab-matching placebo SC Q4W from Week 0 to Week 20, with an additional dose of litifilimab-matching placebo at Week 2 during the DBPC treatment period. Following the DBPC treatment period, participants will receive litifilimab during the ETP from Week 24 to Week 48, with an additional dose of litifilimab at Week 26.
Part B (Phase 3): LitifilimabEXPERIMENTALParticipants will receive litifilimab SC Q4W from Week 0 to Week 20, with an additional dose of litifilimab at Week 2 during the DBPC treatment period. Following the DBPC treatment period, participants will receive litifilimab during the ETP from Week 24 to Week 48, with an additional dose of litifilimab-matching placebo at Week 26.
Part B (Phase 3): PlaceboPLACEBO_COMPARATORParticipants will receive litifilimab-matching placebo SC Q4W from Week 0 to Week 20, with an additional dose of litifilimab-matching placebo at Week 2 during the DBPC treatment period. Following the DBPC treatment period, participants will receive litifilimab during the ETP from Week 24 to Week 48, with an additional dose of litifilimab at Week 26.
Part 1: AI versus PFSEXPERIMENTALParticipants will receive SC dose of litifilimab injection via AI or PFS on Day 1 of the study.
Part 2: OBI versus PFSEXPERIMENTALParticipants will receive SC dose of litifilimab injection via OBI or PFS on Day 1 of the study.
Interventions
NameTypeDescription
LitifilimabDRUGAdministered as specified in the treatment arm.
Litifilimab-matching placeboDRUGAdministered as specified in the treatment arm.
PlaceboDRUGAdministered as specified in the treatment arm.
AIDEVICEAdministered as specified in the treatment arm.
OBIDEVICEAdministered as specified in the treatment arm.
PFSDEVICEAdministered as specified in the treatment arm.
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Eligibility Criteria
Age Range18 Years to N/A
SexALL
Healthy VolunteersNo
Study Sites195

Key Inclusion Criteria: * Participants who completed 1 of the 52-week of the double-blind placebo-controlled, parent Phase 3 studies (230LE303 (NCT04895241) and 230LE304 (NCT04961567)) on study treatments with either litifilimab or placebo to Week 48 and attended the last study assessment visit at ...

Countries:United StatesArgentinaBelgiumBrazilBulgariaCanadaChileChinaColombiaCzechiaFranceGreeceHungaryIsraelItalyJapanMexicoPeruPhilippinesPolandPuerto RicoRomaniaSerbiaSouth KoreaSpainTaiwanUnited KingdomGermanyNetherlandsAustraliaSwedenPortugalSaudi ArabiaSlovakiaSwitzerlandUkraine
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Recent Changes (Last 90 Days)
LOWJul 17, 2026NCT05352919lastUpdatePostDate: changed
LOWJul 17, 2026NCT05531565lastUpdatePostDate: changed
LOWJul 17, 2026NCT05352919lastUpdatePostDate: changed
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LOWJul 17, 2026NCT05531565lastUpdatePostDate: changed
LOWJul 13, 2026NCT05352919lastUpdatePostDate: changed
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LOWJul 13, 2026NCT05352919lastUpdatePostDate: changed
LOWJul 13, 2026NCT05531565lastUpdatePostDate: changed
LOWJul 6, 2026NCT05531565lastUpdatePostDate: changed
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MEDIUMJun 26, 2026NCT06741657TRIAL_REMOVED: changed
MEDIUMJun 26, 2026NCT06741657TRIAL_REMOVED: changed
MEDIUMJun 26, 2026NCT06741657TRIAL_REMOVED: changed
LOWJun 25, 2026NCT05531565lastUpdatePostDate: changed
LOWJun 25, 2026NCT05531565lastUpdatePostDate: changed
LOWJun 25, 2026NCT05531565lastUpdatePostDate: changed
LOWJun 22, 2026NCT05531565lastUpdatePostDate: changed
LOWJun 22, 2026NCT05531565lastUpdatePostDate: changed