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Atacicept

Phase 2

Lupus Erythematosus, Systemic | Small molecule | Immunology |Merck & Company, Inc.|Last Updated: Mar 14, 2016

Success Probability
Approval Probability 71%
TA Base Rate26%
Adjusted LOA41%
ML RiskLOW_RISK
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Market & Valuation
rNPV $3.2B
Market Size $9.4B
Revenue Basis $1.6B
Competitors 6
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Trial Design
RandomizedDouble-BlindPLACEBO_CONTROLLEDBiomarker
Total Trials1
Total Enrollment461
FDA Designations
No designations recorded
Clinical Trials (1)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT00624338Atacicept Phase 2/3 in Generalized Systemic Lupus Erythematosus (APRIL-SLE)PHASE2 COMPLETED 461Jan 1, 2008Oct 1, 2012Mar 14, 2016113 United States, Argentina +27
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Study Endpoints
Primary Endpoints
Percentage of Participants Experiencing a New Flare as Defined by British Isles Lupus Assessment Group (BILAG) Score A or B
From screening up to Week 52

A flare was defined as having an adjudicated BILAG A or B score in any of the 8 organ systems during treatment, or imputed for participants who had premature treatment discontinuation. Discontinuations due to sponsor termination of the atacicept 150 mg group were not imputed as flares in this analysis. The BILAG disease activity index evaluates systemic lupus erythematosus (SLE) activity in 8 organ systems, using a separate alphabetic score (A to E) assigned to each organ system defined as follows. BILAG A: Disease sufficiently active requiring disease-modifying treatment (prednisone greater than 20 mg daily or immunosuppressants); BILAG B: Disease less active than in "A", mild reversible problems requiring only symptomatic therapy such as antimalarials, non-steroidal anti-inflammatory drugs (NSAIDs), or prednisone less than 20 mg day; BILAG C: Stable mild disease; BILAG D: System previously affected but now inactive; BILAG E: System never involved.

Secondary Endpoints
Time to First New Flare as Defined by BILAG Score A or B
From screening up to Week 52
Percentage of Participants Experiencing a New Flare as Defined by BILAG Score A or B During Initial 24 Weeks
From screening up to Week 24
Percentage of Participants Within Ordinal Response Categories for British Isles Lupus Assessment Group (BILAG) Flares
Week 52
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Study Design & Arms
AllocationRANDOMIZED
MaskingQUADRUPLE
ModelPARALLEL
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
Atacicept 75 mgEXPERIMENTAL -
Atacicept 150 mgEXPERIMENTAL -
PlaceboPLACEBO_COMPARATOR -
Interventions
NameTypeDescription
Atacicept 75 mgDRUG75 milligram (mg) atacicept injection will be administered subcutaneously twice weekly during initial loading period for 4 weeks followed by once weekly during maintenance period for subsequent 48 weeks.
Atacicept 150 mgDRUG150 mg atacicept injection will be administered subcutaneously twice weekly during initial loading period for 4 weeks followed by once weekly during maintenance period for subsequent 48 weeks.
Placebo ComparatorOTHERPlacebo matched to atacicept injection will be administered subcutaneously twice weekly during initial loading period for 4 weeks followed by once weekly during maintenance period for subsequent 48 weeks.
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Eligibility Criteria
Age Range16 Years — N/A
SexALL
Healthy VolunteersNo
Study Sites113

Inclusion Criteria: * Male or female 16 years of age or older * Disease history of at least six months meeting at least 4 out of the 11 American College of Rheumatology (ACR) criteria for SLE * Active SLE with at least one British Isles Lupus Assessment Group (BILAG) flare A or B at screening requi...

Countries:United StatesArgentinaAustraliaAustriaBulgariaCroatiaCzechiaFranceGermanyGreeceIndiaIsraelLatviaLebanonLithuaniaMalaysiaMexicoNetherlandsPhilippinesPolandRussiaSerbiaSouth AfricaSouth KoreaSpainSwitzerlandTaiwanUkraineUnited Kingdom
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