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CFZ533

Phase 2

Graves' Disease | Small molecule | Endocrine |Novartis AG|Last Updated: May 18, 2026

Success Probability

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Trial Design

UNCONTROLLED
Total Trials1
Total Enrollment15

FDA Designations

No designations recorded

Clinical trial landscape

CFZ533 · 8 trials · 8 indications

Phase 2 6Phase 1 2
NCT04129528Study of Safety and Efficacy of CFZ533 in Type 1 Diabetes Pediatric and Young Adult SubjectsType 1 Diabetes Mellitus
COMPLETED44 Analytics
NCT03905525Study of Safety and Efficacy of Multiple Doses of CFZ533 in Two Distinct Populations of Patients With Sjogren's SyndromeSjögren Syndrome
COMPLETED273 Analytics
NCT03827798Study of Efficacy and Safety of Investigational Treatments in Patients With Moderate to Severe Hidradenitis SuppurativaHidradenitis Suppurativa
ACTIVE NOT_RECRUITING248 Analytics
NCT03610516Safety, Pharmacokinetics and Preliminary Efficacy Study of CFZ533 in Patients With Lupus Nephritis.Lupus Nephritis
COMPLETED57 Analytics
NCT02713256A Study to Evaluate the Safety and Effect of CFZ533 on Patients With Graves' DiseaseGraves' Disease
COMPLETED15 Analytics
NCT02565576Safety,Tolerability,Pharmacokinetics and Efficacy of CFZ533 in Moderate to Severe Myasthenia GravisMyasthenia Gravis, Generalized
COMPLETED44 Analytics
PHASE2COMPLETED
Study of Safety and Efficacy of CFZ533 in Type 1 Diabetes Pediatric and Young Adult Subjects
Type 1 Diabetes MellitusUnlock trial analytics
PHASE2COMPLETED
Study of Safety and Efficacy of Multiple Doses of CFZ533 in Two Distinct Populations of Patients With Sjogren's Syndrome
Sjögren SyndromeUnlock trial analytics
PHASE2ACTIVE NOT_RECRUITING
Study of Efficacy and Safety of Investigational Treatments in Patients With Moderate to Severe Hidradenitis Suppurativa
Hidradenitis SuppurativaUnlock trial analytics
PHASE2COMPLETED
Safety, Pharmacokinetics and Preliminary Efficacy Study of CFZ533 in Patients With Lupus Nephritis.
Lupus NephritisUnlock trial analytics
PHASE2COMPLETED
A Study to Evaluate the Safety and Effect of CFZ533 on Patients With Graves' Disease
Graves' DiseaseUnlock trial analytics
PHASE2COMPLETED
Safety,Tolerability,Pharmacokinetics and Efficacy of CFZ533 in Moderate to Severe Myasthenia Gravis
Myasthenia Gravis, GeneralizedUnlock trial analytics

Study Endpoints

Primary Endpoints

Number of Participants With Treatment Emergent Adverse Events (AEs) and Serious Adverse Events (SAEs) During the On-treatment Period
Adverse events were reported from first dose of study treatment to 98 days after last dose, up to a maximum duration of approximately 65 weeks.

Number of participants with treatment emergent AEs (any AE regardless of seriousness), AEs led to study treatment discontinuation, and SAEs. On-treatment period is defined as from date of first administration of study treatment to 98 days after date of last administration of study treatment (including start and stop date).

Normalized Stimulated C-peptide Area Under the Curve (AUC) at Week 52
At Week 52, 10 min prior to ingestion, at start of ingestion, and at 15, 30, 60, 90, and 120 min after consumption of the liquid meal.

The mixed meal tolerance test (MMTT) has appropriate sensitivity to detect residual insulin secretion and beta cell function. In the MMTT, following an 8-10 hour overnight fast, a weight-based liquid meal provided as 6 mL/kg (maximum 360 mL) of mixed meal, ingested over 5 min with timed blood samples for glucose and C peptide determination obtained 10 min prior to ingestion (t = -10), at baseline (t = 0), and at 15, 30, 60, 90, and 120 min after consumption of the liquid meal. The time collections for post load samples are based on the start time of the mixed meal. Stimulated C-peptide AUC by the standard MMTT, normalized by the duration of measurements, was analyzed with a mixed model repeated measures analysis.

Cohort 1: Change in EULAR Sjögren Syndrome Disease Activity Index (ESSDAI) Score From Baseline at 24 Weeks as Compared to Placebo
Baseline, Week 24

ESSDAI is a validated disease outcome measure for SjS that contains 12 organ-specific domains contributing to disease activity. For each domain, features of disease activity are scored in 3 or 4 levels according to their severity. These scores are then summed across the 12 domains in a weighted manner to provide the total score. The domains (weights) are as follows: constitutional (3), lymphadenopathy (4), glandular (2), articular (2), cutaneous (3), pulmonary (5), renal (5), muscular (6), peripheral nervous system (PNS) (5), central nervous system (CNS) (5), hematological (2) and biological (1). The total score may vary between 0-123. It is considered low activity an ESSDAI \< 5; moderate activity 5-13, and high activity if ESSDAI is \>= 14.

Cohort 2: Change in EULAR Sjögren Syndrome Patient Reported Index (ESSPRI) Score From Baseline at 24 Weeks as Compared to Placebo.
Baseline, Week 24

The ESSPRI is a self-evaluation index for measuring symptoms including pain, fatigue and dryness. Each symptom was measured with a single 0 (no symptoms) to 10 (severe symptoms) numerical scale and the final ESSPRI score is calculated by averaging these domains with a maximum severity score of 10.

Percentage of Participants Achieving Clinical Response Measured by Simplified Hidradenitis Suppurativa (sHiSCR)
Baseline, Week 16

sHiSCR was defined as at least a 50 percent (%) reduction in abscess and inflammatory nodule (AN) counts, and no increase in draining fistula count related to baseline. The primary variable was modeled with the binomial distribution. A neutral non-informative Beta (1/3, 1/3) distribution was used as the prior for the response rate for all treatment groups. Based on the priors and the observed primary outcome, posterior distributions for the response rate for the investigational treatment and pooled placebo groups were computed respectively. At the time of the statistical comparison for cohorts A, B, and C, the placebo data for cohorts D and E were incomplete and therefore excluded. Similarly, during the comparison for cohort D, the placebo data for cohort E was still pending and was not included.

Number of Participants With Treatment Emergent Adverse Events (AEs) and Serious Adverse Events (SAEs)
Adverse events were reported from first dose of study treatment until end of study treatment plus follow up period, up to a maximum duration of approximately 49 weeks.

Number of participants with treatment emergent AEs (any AE regardless of seriousness), AEs led to study treatment discontinuation, SAEs and SAEs led to study treatment discontinuation.

Ratio to Baseline in Urinary Protein Creatinine Ratio (UPCR)
Baseline, Day 169

A urine protein creatinine ratio (UPCR) test is a urine test. It measures the levels of protein and creatinine in urine. UPCR was assessed using the first morning void if available at a visit otherwise using the clinic spot sample, and was expressed as protein/creatinine (mg/mmol). High UPCR values can be a sign of kidney disease. An UPCR ratio to baseline \<1 indicates improvement from baseline.

Percentage of Participants Whose Thyroid Stimulating Hormone (TSH) Levels Normalize After 12 Week Treatment
12 week (DAY 85)

Normalization of TSH is defined as TSH level greater than 0.35 mU/L after 12 week treatment (Day 85)

Percentage of Participants Whose Total Triiodothyronine (Total T3) Levels Decrease After 12 Week Treatment
12 week (DAY 85)

Percentage of participants whose total triiodothyronine (total T3) levels decrease after 12 week treatment. A decrease is when total T3 level is below Upper limit of normal (ULN) ≤ 2.79 nmol/L

Percentage of Participants Whose Free Thyroxine (Free T4) Levels Decrease After 12 Week Treatment
12 week (DAY 85)

Percentage of participants whose free thyroxine (free T4) levels decrease after 12 weeks of treatment (DAY85). A decrease is when free T4 level is below Upper limit of normal (ULN) ≤ 22.7 pmol/L)

Mean Change From Baseline in the Quantitative Myastenia Gravis (QMG) Score at Week 25. Posterior Median Was Used as Measure Type.
week 25

QMG score is an established validated measure of disease severity used in MG trials (Jaretzki et al 2000). The scoring system is based on quantitative testing of sentinel muscle groups by means of a 4 point scale ranging from 0 (no symptoms) to 3 (severe symptoms). The scale measures ocular, bulbar, respiratory, and limb function, grading each finding, and the total score ranges from 0 (no myasthenic findings) to 39 (maximal myasthenic deficits) (Sharshar et al 2000, Bedlack et al 2005).

Mean Cmax Pharmacokinetic Parameter- Part I
Day 1

Pharmacokinetics as defined by the systemic concentrations and Cmax of certain immunosuppressant medications used in Part I

Mean Tmax Pharmacokinetic Parameter - Part I
Day 1

Quantify pharmacokinetics of CFZ533 in combination with MMF, CS, and tacrolimus in de novo renal transplant patients during the treatment and follow-up periods.

Mean AUClast Pharmacokinetic Parameter - Part I
Day 1

Quantify pharmacokinetics of CFZ533 in combination with MMF, CS, and tacrolimus in de novo renal transplant patients during the treatment and follow-up periods.

Efficacy as Defined by the Frequency and Severity (Banff Classification) of Treated Biopsy Proven Acute Rejection (tBPAR) Adjudicated Data - Part II
3, 6, 9, and 12 months

To assess the activity of the investigational arm as compared to the standard of care control arm in de novo renal transplant patients as measured by the frequency and severity of tBPAR as measured on the Banff classification scale. An adjudication was performed on all on cause renal biopsies by an independent expert committee blinded to therapy.

Number of patients with adverse events as a measure of safety and tolerability
7 months

Secondary Endpoints

Maximum Plasma Concentration (Cmax) of CFZ533 After Intravenous (IV) Administration
Day 1: Pre-dose and 90 minutes after the start of the IV infusion (duration of the infusion is 30 minutes).
Trough Plasma Concentration (Ctrough) of CFZ533
Pre-dose at: Day 1, Week 4, Week 8, Week 12, Week 16, Week 20, Week 24, Week 28, Week 32, Week 36, Week 40, Week 44, Week 48, Week 52, Week 56, Week 60, Week 64, Week 68, Week 72.
Time to Reach Maximum Plasma Concentration (Tmax) of CFZ533 After IV Administration
Day 1: Pre-dose and 90 minutes after the start of the IV infusion (duration of the infusion is 30 minutes).
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Study Design & Arms

AllocationRANDOMIZED
MaskingQUADRUPLE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
CFZ533ACTIVE_COMPARATORRandomized in a 2:1 ratio: 2 Active / 1 Placebo
PlaceboPLACEBO_COMPARATORSimilar in appearance to active study drug
Cohort 1 / Arm AEXPERIMENTAL3 weekly subcutaneous (s.c.) loading doses of iscalimab were 600 mg on Weeks 0, 1 and 2. From Week 2 and up to Week 46 (last dose), iscalimab was administered s.c. bi-weekly at 600 mg. To maintain blinding in Period 2, placebo was administered at Week 25.
Cohort 1 / Arm BEXPERIMENTAL3 weekly subcutaneous (s.c.) loading doses of iscalimab were 600 mg on Week 0, and 300 mg on Week 1 and Week 2. From Week 2 and up to Week 46 (last dose), iscalimab was administered s.c. bi-weekly at 300 mg. To maintain blinding in Period 2, placebo was administered at Week 25.
Cohort 1 / Arm CEXPERIMENTAL3 weekly subcutaneous (s.c.) loading doses of iscalimab were 600 mg on Week 0, and 150 mg on Week 1 and Week 2. From Week 2 and up to Week 46 (last dose), iscalimab was administered s.c. bi-weekly at 150 mg. To maintain blinding in Period 2, placebo was administered at Week 25.
Cohort 1 / Arm D (Period 1)PLACEBO_COMPARATORPlacebo treatment is administered subcutaneous (s.c.) weekly for the first 3 doses, then bi-weekly from Week 2 to Week 22 in Period 1.
Cohort 1 / Arm D1 (Period 2)EXPERIMENTALPeriod 2: 3 weekly subcutaneous (s.c.) loading doses of 600 mg iscalimab on Week 24, 25 and 26. After Week 26 and up to Week 46 (last dose), iscalimab was administered bi-weekly at 600 mg.
Cohort 2 / Arm EEXPERIMENTAL3 weekly subcutaneous (s.c.) loading doses of iscalimab were 600 mg on Week 0, 1 and 2. From Week 2 and up to Week 46 (last dose), iscalimab was administered s.c. bi-weekly at 600 mg. To maintain blinding in Period 2, placebo was administered at Week 25.
Cohort 2 / Arm F (Period 1)PLACEBO_COMPARATORPlacebo treatment was administered subcutaneous (s.c.) weekly for the first 3 doses, then bi-weekly from Week 2 to Week 22 in Period 1.
Cohort 2 / Arm F1 (Period 2)EXPERIMENTALPeriod 2: 3 weekly subcutaneous (s.c.) loading doses of iscalimab: 600 mg on Week 24, and 300 mg on Week 25 and Week 26. After Week 26, iscalimab was administered s.c. bi-weekly at 300 mg.
Cohort A - CFZ533 600 mgEXPERIMENTALCFZ533 600 mg administered subcutaneous (s.c) weekly for 4 weeks, followed by bi-weekly until Week 15.
Cohort B - LYS006 20 mgEXPERIMENTALLYS006 20 mg administered orally twice per day until Week 16.
Cohort A - Placebo to CFZ533PLACEBO_COMPARATORPlacebo administered subcutaneous (s.c) weekly for 4 weeks, followed by bi-weekly until Week 15.
Cohort B - Placebo to LYS006PLACEBO_COMPARATORPlacebo administered orally twice per day until Week 16.
Cohort C - MAS825 300 mgEXPERIMENTALMAS825 300 mg administered s.c. bi-weekly for 4 weeks, followed by monthly until Week 13.
Cohort C - Placebo to MAS825PLACEBO_COMPARATORPlacebo administered s.c. bi-weekly for 4 weeks, followed by monthly until Week 13.
Cohort D - LOU064 25mgEXPERIMENTALLOU064 25 mg administered orally twice per day until Week 16.
Cohort D - LOU064 100mgEXPERIMENTALLOU064 100 mg administered orally twice per day until Week 16.
Cohort D - Placebo to LOU064PLACEBO_COMPARATORPlacebo administered orally twice per day until Week 16.
Cohort E - VAY736 300 mgEXPERIMENTALVAY736 300 mg administered s.c every 4 weeks until Week 13.
Cohort E - Placebo to VAY736PLACEBO_COMPARATORPlacebo administered s.c every 4 weeks until Week 13.
CFZ533 10mg/kgEXPERIMENTALCFZ533 intravenously over approximately one hour
Regimen AEXPERIMENTALCFZ533 administered with the contemporary standard of care (SoC) consists of concentration-controlled tacrolimus (Tac), combined with mycophenolate mofetil (MMF) and corticosteroids (CS).
Regimen BEXPERIMENTALCFZ533 administered with mycophenolate mofetil (MMF) and corticosteroids (CS) with anti-IL2 induction
Regimen CACTIVE_COMPARATORStandard of care (SoC) \[concentration-controlled tacrolimus (Tac) combined with mycophenolate mofetil (MMF) and corticosteroids (CS) with anti-IL2 induction\]
CFZ533 in healthy volunteersEXPERIMENTALCFZ533 single dose in healthy volunteers
CFZ533 in rheumatoid arthritis patientsEXPERIMENTALCFZ533 single dose in rheumatoid arthritis patients

Interventions

NameTypeDescription
CFZ533DRUGFirst dose is administered via intravenous infusion, subsequent doses are administered subcutaneously.
PlaceboOTHERPlacebo for active drug
Placebo to CFZ533DRUGPlacebo administered subcutaneous (s.c) weekly for 4 weeks, followed by bi-weekly until Week 15.
LYS006DRUGLYS006 20 mg administered orally twice per day until Week 16.
Placebo to LYS006DRUGPlacebo administered orally twice per day until Week 16.
MAS825DRUGMAS825 300 mg administered s.c. bi-weekly for 4 weeks, followed by monthly until Week 13.
Placebo to MAS825DRUGPlacebo administered s.c. bi-weekly for 4 weeks, followed by monthly until Week 13.
LOU064 25mgDRUGLOU064 25 mg administered orally twice per day until Week 16.
LOU064 100mgDRUGLOU064 100 mg administered orally twice per day until Week 16.
Placebo to LOU064DRUGPlacebo administered orally twice per day until Week 16.
VAY736DRUGVAY736 300 mg administered s.c every 4 weeks until Week 13.
Placebo to VAY736DRUGPlacebo administered s.c every 4 weeks until Week 13.
Tacrolimus (Tac)DRUG -
Mycophenolate mofetil (MMF)DRUG -
Corticosteroids (CS)DRUG -
anti-IL2 InductionBIOLOGICAL -
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Eligibility Criteria

Age Range12 Years to 21 Years
SexALL
Healthy VolunteersNo
Study Sites12

Inclusion Criteria: 1. Written informed consent, and if needed assent from the child on the trial, must be obtained before any assessment is performed. 2. Males and females aged between 12 and 21 years (inclusive, and enrolled in stages) at screening. 3. Body weight range from 30 to 125 kg (inclusi...

Countries:BelgiumGermanyItalySloveniaSpainUnited KingdomUnited StatesArgentinaAustraliaAustriaBrazilCanadaChileColombiaFranceGreeceHungaryIsraelJapanNetherlandsPortugalRomaniaRussiaSouth KoreaSwedenTurkey (Türkiye)CzechiaDenmarkIcelandChinaHong KongTaiwanTunisia
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Recent Changes (Last 90 Days)

MEDIUMJun 18, 2026NCT03905525TRIAL_REMOVED: changed
MEDIUMJun 18, 2026NCT03905525TRIAL_REMOVED: changed
MEDIUMJun 18, 2026NCT03905525TRIAL_REMOVED: changed
MEDIUMJun 18, 2026NCT03905525TRIAL_REMOVED: changed

Frequently asked questions about CFZ533

What is CFZ533 used for?

CFZ533 is an investigational small molecule being developed by Novartis for multiple indications including hidradenitis suppurativa, type 1 diabetes mellitus, Graves' disease, rheumatoid arthritis, kidney transplantation, and generalized myasthenia gravis. It is currently in Phase 2 clinical development for these conditions.

What does CFZ533 target?

CFZ533 targets CD40, a costimulatory molecule on immune cells. By modulating CD40 signaling, it aims to regulate immune responses involved in autoimmune and inflammatory diseases. This mechanism is being studied across several indications, including rheumatoid arthritis and kidney transplantation.

Who makes CFZ533?

CFZ533 is developed by Novartis AG, a global pharmaceutical company listed on the New York Stock Exchange under the ticker symbol NVS. Novartis is conducting clinical trials to evaluate the safety and efficacy of CFZ533 across multiple therapeutic areas.

What phase is CFZ533 in?

CFZ533 is in Phase 2 clinical development. It has completed Phase 1 and Phase 2 trials in conditions such as rheumatoid arthritis, kidney transplantation, and myasthenia gravis, and is currently in an active Phase 2 trial for hidradenitis suppurativa.

What clinical trials is CFZ533 in?

CFZ533 has been studied in several clinical trials. Completed trials include NCT02089087 in rheumatoid arthritis, NCT02217410 in kidney transplantation, and NCT02565576 in myasthenia gravis. An active Phase 2 trial, NCT03827798, is evaluating CFZ533 in hidradenitis suppurativa.

Is CFZ533 FDA approved?

CFZ533 is not FDA approved. It is an investigational drug currently in Phase 2 clinical trials. Novartis is evaluating its safety and efficacy for multiple indications, but it has not yet received regulatory approval for any use.