Systemic Lupus ErythematosusPhase 3BLISS-76NCT00410384
A Study of Belimumab in Subjects With Systemic Lupus Erythematosus
A Phase 3 study testing Belimumab 1 mg/kg and Belimumab 10 mg/kg in people with Systemic Lupus Erythematosus, run by Human Genome Sciences Inc. at 146 sites in 19 countries.
Trial summary
The purpose of this study is to evaluate the efficacy, safety, tolerability, and impact on quality of life of two different doses of belimumab administered in addition to standard therapy in subjects with active, autoantibody-positive systemic lupus erythematosus (SLE) disease. Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Systemic Lupus Erythematosus
- What is being tested?
- Belimumab 1 mg/kg and Belimumab 10 mg/kg
- Type of treatment
- Injection or infusion
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 819 participants
- Where
- 146 sitesin 19 countries
- Study dates
- Dec 2006to Mar 2010
- Phase
- Phase 3
- Are there results?
- Yes, posted in the registrySummary in the doctors' view
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 years and older
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Clinical diagnosis of SLE by ACR criteria.
- Active SLE disease.
- Autoantibody-positive.
- On stable SLE treatment regimen.
Who cannot join
- Pregnant or nursing
- Have received treatment with any B cell targeted therapy.
- Have received treatment with a biological investigational agent in the past year.
- Have received IV cyclophosphamide within 180 days of Day 0.
- Have severe lupus kidney disease.
- Have active central nervous system (CNS) lupus.
Show all 9Show fewer
- Have required management of acute or chronic infections within the past 60 days.
- Have current drug or alcohol abuse or dependence.
- Have a historically positive test or test positive at screening for HIV, hepatitis B, or hepatitis C.
Trial locations and contacts
146 sites in 19 countries.
146 sites in 19 countries
United States67 sites
University of Michigan Medical Center - Regents of University of Michigan
Ann Arbor, Michigan, 48109-0358
Arthritis Clinic of Northern Virginia, P.C.
Arlington, Virginia, 22205
Emory University
Atlanta, Georgia, 30303
Walter Chase
Austin, Texas, 78705
Arthritis and Rheumatic Disease Specialties
Aventura, Florida, 33180
Johns Hopkins University
Baltimore, Maryland, 21205
Ochsner Clinic Foundation
Baton Rouge, Louisiana, 70809
East Penn Rheumatology Associates
Bethlehem, Pennsylvania, 18015
University of Alabama at Birmingham
Birmingham, Alabama, 35249
Selah Medical Clinical Research Unit
Boise, Idaho, 83704
Tufts - New England Medical Center
Boston, Massachusetts, 02111
SUNY-Downstate Medical Center
Brooklyn, New York, 11203
University of North Carolina at Chapel Hill
Chapel Hill, North Carolina, 27599-7600
Low Country Rheumatology, PA/Low Country Research Center
Charleston, South Carolina, 29406
Medical University of South Carolina
Charleston, South Carolina, 29425
Rheumatology Associates, SC
Chicago, Illinois, 60612
University of Chicago Hospitals
Chicago, Illinois, 60637
Arthritis Associates of Colorado Springs
Colorado Springs, Colorado, 80910
Ohio State University
Columbus, Ohio, 43210
Osteoporosis and Clinical Trials Center
Cumberland, Maryland, 21502
University of Texas - Southwestern Medical Center
Dallas, Texas, 75390-8884
STAT Research, Inc.
Dayton, Ohio, 45408
Stafford Medical Associates, PA
Dover, New Hampshire, 03820
Altoona Center for Clinical Research
Duncanville, Pennsylvania, 16635
Texas Tech University Health Sciences Center
El Paso, Texas, 79905
Physicians East, PA
Greenville, North Carolina, 27834
Palmetto Clinical Trial at Piedmont Arthritis Clinic
Greenville, South Carolina, 29601
Osteoporosis & Clinical Trials Center
Hagerstown, Maryland, 21740
The Rheumatic Disease Clinical Research Center
Houston, Texas, 77004
Accurate Clinical Research
Houston, Texas, 77034
Houston Institute for Clinical Research
Houston, Texas, 77074
Talbert Medical Group
Huntington Beach, California, 92646
Kansas University Medical Center
Kansas City, Kansas, 66160
North Shore-LIJ Health System/Rheumatology and Allergy Clinic
Lake Success, New York, 11042
Fiechtner Research, Inc.
Lansing, Michigan, 48910
Valerius Medical Group & Research Ctr of Greater Long Beach, Inc.
Long Beach, California, 90806
University of Southern California
Los Angeles, California, 90033
Wallace Rheumatic Study Center
Los Angeles, California, 90048
UCLA Rheumatology
Los Angeles, California, 90095
Kentuckiana Center for Better Bone and Joint Health
Louisville, Kentucky, 40202
Feinstein Institute
Manhasset, New York, 11030
University of Miami-Division of Rheumatology and Immunology
Miami, Florida, 03136
Medical Specialists Clinical Research
Munster, Indiana, 46321
Hopital for Joint Diseases
New York, New York, 10003
Hospital for Special Surgery
New York, New York, 10021
Oklahoma Medical Research Center
Oklahoma City, Oklahoma, 74104
Gundersen Clinic, Ltd.
Onalaska, Wisconsin, 54650
Rheumatology Associates of Central Florida
Orlando, Florida, 32806
Arizona Arthritis and Rheumatology Research, PPLC
Paradise Valley, Arizona, 85253
University of Pittsburgh
Pittsburgh, Pennsylvania, 15213
AAIR Research Center
Rochester, New York, 14618
Rheumatology Clinic
Salt Lake City, Utah, 84124
Arthritis Center of South Texas
San Antonio, Texas, 78232
Arthritis Care Center, Inc.
San Jose, California, 95126
The Seattle Arthritis Clinic
Seattle, Washington, 98133
Rheumatology Associates
Smithtown, New York, 11787
Arthritis Northwest, PLLC
Spokane, Washington, 99204
Washington University School of Medicine
St Louis, Missouri, 63110
Texas Research Center
Sugar Land, Texas, 77479
Southwest Florida Clinical Research Center
Tampa, Florida, 33609
Tampa Medical Group, P.A.
Tampa, Florida, 33614
Montefiore Medical Center
The Bronx, New York, 10461
The University of Arizona Arthritis Center
Tucson, Arizona, 85724
Oklahoma Center For Arthritis Therapy & Research
Tulsa, Oklahoma, 74104
Inland Rheumatic Disease Specialties
Upland, California, 91786
Washington Hospital Center
Washington D.C., District of Columbia, 20010
Wake Forest University Health Services
Winston-Salem, North Carolina, 27157
Germany13 sites
Kerckhoff-Klink Bad Nauheim
Bad Nauheim, 61231
Schlossparkklinik
Berlin, 10589
Charite
Berlin, 13353
Uniklinik Dusseldorf-Klinik for Endokrinologie, Diabetologie and Rheumatologie Klinik
Düsseldorf, 40225
FA Universitat Erlangen Nurnberg
Erlangen, 91054
Universitatsklinikum Frankfurt
Frankfurt, 60590
Medizinische Universitatsklinik
Freiburg im Breisgau, 79106
Medizinische Hochschule Hannover
Hanover, 30625
Friedrich Schiller Universitat
Jena, 07740
Universitatsklinik Schleswig-Holstein, Campus Kiel
Kiel, 24105
Universitatsklinikum Leipzig
Leipzig, 04103
Universitatsklinik Mainz
Mainz, 55131
Universitatsklinikum Tubingen
Tübingen, 72076
Israel8 sites
Soroka University Medical Center
Beersheba, 84101
B'nai-Zion Medical Center
Haifa, 31048
Rambam Medical Center
Haifa, 31096
Carmel Medical Center
Haifa, 34362
Beilinson Hospital, Rabin Medical Center
Petah Tikva, 49100
Sheba Medical Center
Ramat Gan, 52621
Kaplan Medical Center
Rehovot, 76100
Tel-Aviv Saurasky Medical Center
Tel Aviv, 64239
Italy8 sites
A. O. Ospedaliera-Universitaria Arcispedale
Ferrara, 44100
A.O. Ospedale San Carlo Borromeo
Milan, 20153
Policlinico di Modena
Modena, 41100
Policlinico Universitario of Padova
Padova, 35128
A.O. San Camillo
Rome, 00152
Policlinico Umberto 1
Rome, 00161
U.O. di reumatologia Presidio Ospedaliero di Scafati
Scafati, 84018
Azienda Ospedaliero University-Santa Maria della Misericordia
Udine, 33100
Mexico7 sites
Hospital Civil de Guadalajara "Fray Antonio Alcalde"
Guadalajara, 45235
Instituto Jalisciense de Investigacion Clinica
Jalisco, 44100
Hospital General de México
Mexico City, 06726
Hospital Regional 1o de Octubre - ISSSTE
Mexico City, 07760
Insituto Nacional de Ciencias Medicas y Nutricion Salvador Zubirin
Mexico City, 14000
Hospital Central de S.L.P. "Iganico Morones Prieto"
San Luis Potosí City, 78240
Instituto de Seguridad Social del Estado de Mexico y Municipios
Toluca, 52170
Poland6 sites
Szpital Uniwerytecki nr Zim. dr. Jana Biziela
Bydgoszcz, 85-168
Szpital Specjalistyczny Sw. Lukasza
Gmina Końskie, 26-200
Malopolskie Centrum Medyczne
Krakow, 30-510
Gabinety Profesorow Osrodek Baden Klinicznych
Lublin, 20-022
Klinika Reumatologii im Prof. Eleonory Reicher
Warsaw, 02-637
Akademicki Szpital Klinika Reumatologii Chorob Wewnetrznych
Wroclaw, 50-556
Spain6 sites
Hospital La Vall d'Hebron
Barcelona, 08035
Hospital Clinic i Provincial Barcelona
Barcelona, 08036
Hospital Universitario San Cecilio
Granada, 18012
Hospital Universitario La Paz
Madrid, 28046
Hospital Regional Universitario de SAS - Carlos Haya
Málaga, 29010
Hospital Son Dureta
Mallorca, 07014
France5 sites
CHU Hospital de Bicetre
Le Kremlin-Bicêtre, 94270
Hospital Huriez
Lille, 59037
Nouvel Hospital Civil - Medecine Interne et Immunologie Clinique
Stasbourg, 67091
Hospital FOCH
Suresnes, 92151
Centre Hospitalier Universitarie (CHU) - PURPAA
Toulouse, 31059
Czechia4 sites
University Hospital Brno
Brno, 62500
University Hospital Hradec Kralove
Hradec Králové, 50005
University Hospital Olomouc
Olomouc, 77520
Institute of Rheumatology
Prague, 12850
Netherlands4 sites
Leiden University Medical Center
Leiden, 2333ZA
University Medical Center Maastricht
Maastricht, 6229HX
Erasmus Medical Center
Rotterdam, 3015CE
Ikazia Ziekenhuis
Rotterdam, 3083AN
Belgium3 sites
Cliniques Universitaires
Brussels, 1200
University Hospital
Leuven, 3000
CHU Sart Tilman
Liège, 4000
Canada3 sites
McGill University Health Centre, Montreal General Hospital
Montreal, H3G 1A4
Toronto Western Hospital
Toronto, Ontario, M5T 2S8
Centre for Prognosis Studies in Rheaumatic Diseases
Toronto, Ontario, M5T2S8
Austria2 sites
Universitatsklinik fur innere Medizin
Graz, 8036
Rheumazentrum Favoriten
Vienna, 1100
Puerto Rico2 sites
Ponce School of Medicine
Ponce, 00716
University of Puerto Rico Medical Center
Rio Piedras, 00935
Romania2 sites
Spitalul Clinic "Sf Maria"
Bucharest, 011170
Spitalul Clinic Colentina
Bucharest, 020125
Sweden2 sites
Sahlgrensja University Hospital
Gothenburg, 41345
Karolinska Universitetssjukhuset
Stockholm, 17176
United Kingdom2 sites
St. Thomas Hospital
London, SE17EH
Freeman Hospital
Newcastle upon Tyne, NE77DN
About this study
Official title: A Phase 3, Multi-Center, Randomized, Double-Blind, Placebo-Controlled, 76-Week Study to Evaluate the Efficacy and Safety of Belimumab (HGS1006, LymphoStat-B™), a Fully Human Monoclonal Anti-BLyS Antibody, in Subjects With Systemic Lupus Erythematosus (SLE)
The purpose of this study is to evaluate the efficacy, safety, tolerability, and impact on quality of life of two different doses of belimumab administered in addition to standard therapy in subjects with active, autoantibody-positive systemic lupus erythematosus (SLE) disease.
- Conditions
- Systemic Lupus Erythematosus
- Being tested
- Placebo, Belimumab 1 mg/kg, Belimumab 10 mg/kg
- Keywords
- Antibodies, Autoimmune Diseases, Systemic Lupus Erythematosus, SLE, Belimumab, Lupus
- Medical subject headings
- Lupus Erythematosus, Systemic, Autoimmune Diseases
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
PlaceboDrug
Placebo IV plus standard therapy; placebo administered on Days 0, 14, 28, and every 28 days thereafter through 72 weeks.
Belimumab 1 mg/kgDrug
Also called LymphoStat-B™, belimumab
Belimumab 1 mg/kg IV plus standard therapy; belimumab 1 mg/kg administered on Days 0, 14, 28, and every 28 days thereafter through 72 weeks.
Belimumab 10 mg/kgDrug
Also called LymphoStat-B™, belimumab
Belimumab 10 mg/kg IV plus standard therapy; belimumab 10 mg/kg administered on Days 0, 14, 28, and every 28 days thereafter through 72 weeks.
| Study group | Role | What they receive |
|---|---|---|
| Placebo | Placebo comparator | Placebo Receives: Drug: Placebo |
| Belimumab 1 mg/kg | Experimental | Belimumab 1 mg/kg Receives: Drug: Belimumab 1 mg/kg |
| Belimumab 10 mg/kg | Experimental | Belimumab 10 mg/kg Receives: Drug: Belimumab 10 mg/kg |
What is being measured
The primary outcome is the main question the study is designed to answer.
SLE Responder Index (SRI) Response Rate at Week 52
Percentage of subjects with a ≥ 4 point reduction from baseline in SELENA SLEDAI score, and no worsening (increase of < 0.30 points from baseline) in PGA, and no new BILAG A organ domain score or 2 new BILAG B organ domain scores compared with baseline.
SELENA SLEDAI is calculated from 24 individual descriptors; 0 indicates inactive disease and the maximum theoretical score is 105; scores > 20 are rare. PGA is a visual analog scale scored from 0 to 3 (1=mild, 2=moderate, 3=severe). BILAG uses a single score for each of the 8 organ domains; range is from severe to no disease (A to E).
Measured: Baseline, 52 Weeks
Secondary outcomes (5)
SRI Response Rate at Week 76
Percentage of subjects with a ≥ 4 point reduction from baseline in SELENA SLEDAI score, and no worsening (increase of < 0.30 points from baseline) in PGA, and no new BILAG A organ domain score or 2 new BILAG B organ domain scores compared with baseline.
SELENA SLEDAI is calculated from 24 individual descriptors; 0 indicates inactive disease and the maximum theoretical score is 105; scores > 20 are rare. PGA is a visual analog scale scored from 0 to 3 (1=mild, 2=moderate, 3=severe). BILAG uses a single score for each of the 8 organ domains; range is from severe to no disease (A to E).
Measured: Baseline, 76 Weeks
Percent of Subjects With a ≥ 4 Point Reduction From Baseline in SELENA SLEDAI Score at Week 52.
Measured: Baseline, 52 Weeks
Mean Change in Physician's Global Assessment (PGA) at Week 24.
The PGA is a visual analog scale scored from 0 to 3. A score of 1 corresponds to mild lupus disease activity. A score of 2 correlates with moderate disease activity and a score of 3 with severe disease activity.
Measured: Baseline, 24 Weeks
Mean Change From Baseline in Medical Outcomes 36-Item Short Form Health Survey (SF-36) Physical Component Summary Score (PCS) at Week 24.
The SF-36 is a generic health related quality of life (HRQOL) measurement. The survey includes 36 questions grouped to 8 domains and 2 summary measures (physical and mental health component, PCS and MCS, respectively) assessing HRQOL. Responses are scored according to the SF-36v2™ manual. A score is calculated for each SF-36 domain based on the patient's response to each question within it. This is then transformed to a scale ranging from 0 (worst) to 100 (best) points. The PCS is norm-based where the mean=50 and standard deviation (SD)=10. Higher scores represent better physical health.
Measured: Baseline, 24 Weeks
Percent of Subjects Whose Average Prednisone Dose Has Been Reduced by ≥ 25% From Baseline to ≤ 7.5 mg/Day During Weeks 40 Through 52
Measured: Baseline, Weeks 40-52
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted12 Dec 2006 (estimated)
- Study startDec 2006
- Primary completionSep 2009
- Study completionMar 2010
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Posted resultsParticipant flow, outcome measures and adverse events reported by the sponsor.
- Publications (25)Papers the sponsor has linked to this study.
- Other trials for Systemic Lupus ErythematosusStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase 3
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Double blind
- Who is masked
- Participant, Investigator
- Enrolment
- 819 participants (actual)
Sponsor and investigators
- Lead sponsor
- Human Genome Sciences Inc.
- Sponsor type
- Industry (pharma, biotech, devices)
- Collaborators
- GlaxoSmithKline
- Responsible party
- Sponsor
- Investigators
- GSK Clinical Trials, Study director, Human Genome Sciences Inc.
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT00410384
- Sponsor's protocol ID
- HGS1006-C1056
- Other IDs
- BLISS-76, 110751
- Acronym
- BLISS-76
- Status last verified
- Dec 2016
- First submitted
- 8 Dec 2006
- Last updated
- 1 Feb 2017
- Results posted
- Yes, on ClinicalTrials.gov
- Data monitoring committee
- Yes
- Individual data sharing
- Yes: Patient-level data for this study will be made available through www.clinicalstudydatarequest.com following the timelines and process described on this site.
Publications
Botto J, Cetrez N, Nikolopoulos D, Regardt M, Heintz E, Lindblom J, Parodis I. Predicting EQ-5D full health state in systemic lupus erythematosus using machine learning algorithms. Rheumatol Adv Pract. 2025 Apr 18;9(2):rkaf032. doi: 10.1093/rap/rkaf032. eCollection 2025.
PubMed 40256631Parodis I, Lindblom J, Levy RA, Zen M, Cetrez N, Gomez A, Oon S, Henning C, Khamashta M, Quasny HA, Chauhan D, Askanase A, van Vollenhoven R, Nikpour M. Attainment of remission and low disease activity after treatment with belimumab in patients with systemic lupus erythematosus: a post-hoc analysis of pooled data from five randomised clinical trials. Lancet Rheumatol. 2024 Nov;6(11):e751-e761. doi: 10.1016/S2665-9913(24)00162-0. Epub 2024 Aug 26.
PubMed 39208825Nikolopoulos D, Cetrez N, Lindblom J, Parodis I. Neuropsychiatric involvement in systemic lupus erythematosus contributes to organ damage beyond the nervous system: a post-hoc analysis of 5 phase III randomized clinical trials. Rheumatol Int. 2024 Sep;44(9):1679-1689. doi: 10.1007/s00296-024-05667-5. Epub 2024 Aug 8.
PubMed 39115551Arends EJ, Zlei M, Tipton CM, Cotic J, Osmani Z, de Bie FJ, Kamerling SWA, van Maurik A, Dimelow R, Gregan YI, Fox NL, Rabelink TJ, Roth DA, Sanz I, van Dongen JJM, van Kooten C, Teng YKO. Disruption of memory B-cell trafficking by belimumab in patients with systemic lupus erythematosus. Rheumatology (Oxford). 2024 Sep 1;63(9):2387-2398. doi: 10.1093/rheumatology/keae286.
PubMed 38775637Rendas-Baum R, Chen WH, Gairy K, Anderson S, Henning C, Hammer A, Kosinski M. SF-36v2 and FACIT-Fatigue quality of life improvements with organ-specific SELENA-SLEDAI response and belimumab treatment in patients with systemic lupus erythematosus. Lupus Sci Med. 2024 May 8;11(1):e001118. doi: 10.1136/lupus-2023-001118.
PubMed 38724182Jesus D, Henriques C, Matos A, Doria A, Ines LS. Systemic Lupus Erythematosus Disease Activity Score Remission and Low Disease Activity States Discriminate Drug From Placebo and Better Health-Related Quality of Life. Arthritis Care Res (Hoboken). 2024 Jun;76(6):788-795. doi: 10.1002/acr.25305. Epub 2024 Feb 29.
PubMed 38258369Jagerback S, Gomez A, Parodis I. Predictors of renal flares in systemic lupus erythematosus: a post-hoc analysis of four phase III clinical trials of belimumab. Rheumatology (Oxford). 2025 Feb 1;64(2):623-631. doi: 10.1093/rheumatology/keae023.
PubMed 38216728Gomez A, Jagerback S, Sjowall C, Parodis I. Belimumab and antimalarials combined against renal flares in patients treated for extra-renal systemic lupus erythematosus: results from 4 phase III clinical trials. Rheumatology (Oxford). 2024 Feb 1;63(2):338-348. doi: 10.1093/rheumatology/kead253.
PubMed 37228028Emamikia S, Oon S, Gomez A, Lindblom J, Borg A, Enman Y, Morand E, Grannas D, van Vollenhoven RF, Nikpour M, Parodis I. Impact of remission and low disease activity on health-related quality of life in patients with systemic lupus erythematosus. Rheumatology (Oxford). 2022 Nov 28;61(12):4752-4762. doi: 10.1093/rheumatology/keac185.
PubMed 35302581Gupta SV, Fanget MC, MacLauchlin C, Clausen VA, Li J, Cloutier D, Shen L, Robbie GJ, Mogalian E. Clinical and Preclinical Single-Dose Pharmacokinetics of VIR-2218, an RNAi Therapeutic Targeting HBV Infection. Drugs R D. 2021 Dec;21(4):455-465. doi: 10.1007/s40268-021-00369-w. Epub 2021 Nov 6.
PubMed 34741731Zhou X, Lee TI, Zhu M, Ma P. Prediction of Belimumab Pharmacokinetics in Chinese Pediatric Patients with Systemic Lupus Erythematosus. Drugs R D. 2021 Dec;21(4):407-417. doi: 10.1007/s40268-021-00363-2. Epub 2021 Oct 9.
PubMed 34628605Brunner HI, Abud-Mendoza C, Mori M, Pilkington CA, Syed R, Takei S, Viola DO, Furie RA, Navarra S, Zhang F, Bass DL, Eriksson G, Hammer AE, Ji BN, Okily M, Roth DA, Quasny H, Ruperto N. Efficacy and safety of belimumab in paediatric and adult patients with systemic lupus erythematosus: an across-study comparison. RMD Open. 2021 Sep;7(3):e001747. doi: 10.1136/rmdopen-2021-001747.
PubMed 34531304Rendas-Baum R, Baranwal N, Joshi AV, Park J, Kosinski M. Psychometric properties of FACIT-Fatigue in systemic lupus erythematosus: a pooled analysis of three phase 3 randomised, double-blind, parallel-group controlled studies (BLISS-SC, BLISS-52, BLISS-76). J Patient Rep Outcomes. 2021 Apr 8;5(1):33. doi: 10.1186/s41687-021-00298-x.
PubMed 33830377Maslen T, Bruce IN, D'Cruz D, Ianosev M, Bass DL, Wilkinson C, Roth DA. Efficacy of belimumab in two serologically distinct high disease activity subgroups of patients with systemic lupus erythematosus: post-hoc analysis of data from the phase III programme. Lupus Sci Med. 2021 Feb;8(1):e000459. doi: 10.1136/lupus-2020-000459.
PubMed 33568389Gomez A, Hani Butrus F, Johansson P, Akerstrom E, Soukka S, Emamikia S, Enman Y, Pettersson S, Parodis I. Impact of overweight and obesity on patient-reported health-related quality of life in systemic lupus erythematosus. Rheumatology (Oxford). 2021 Mar 2;60(3):1260-1272. doi: 10.1093/rheumatology/keaa453.
PubMed 32918459
Study at a glance
From the registry record, last updated by the sponsor on 1 Feb 2017. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Phase 3, Multi-Center, Randomized, Double-Blind, Placebo-Controlled, 76-Week Study to Evaluate the Efficacy and Safety of Belimumab (HGS1006, LymphoStat-B™), a Fully Human Monoclonal Anti-BLyS Antibody, in Subjects With Systemic Lupus Erythematosus (SLE)
- ClinicalTrials.gov ID
- NCT00410384
- Acronym / sponsor ID
- BLISS-76 / HGS1006-C1056
- Conditions
- Systemic Lupus Erythematosus
- Keywords
- Antibodies, Autoimmune Diseases, Systemic Lupus Erythematosus, SLE, Belimumab, Lupus
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 819 participants (actual)
- Lead sponsor
- Human Genome Sciences Inc.Industry (pharma, biotech, devices)
- Collaborators
- GlaxoSmithKline
- Study start
- Dec 2006
- Primary completion
- Sep 2009 (actual)
- Study completion
- Mar 2010 (actual)
- First posted
- 12 Dec 2006 (estimated)
- Results
- Posted 5 May 2011
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The purpose of this study is to evaluate the efficacy, safety, tolerability, and impact on quality of life of two different doses of belimumab administered in addition to standard therapy in subjects with active, autoantibody-positive systemic lupus erythematosus (SLE) disease.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Double blind (participant, investigator)
- Number of arms
- 3
| Arm | Type | Receives |
|---|---|---|
| Placebo | Placebo comparator | Drug: PlaceboPlacebo |
| Belimumab 1 mg/kg | Experimental | Drug: Belimumab 1 mg/kgBelimumab 1 mg/kg |
| Belimumab 10 mg/kg | Experimental | Drug: Belimumab 10 mg/kgBelimumab 10 mg/kg |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (4 listed)
- Clinical diagnosis of SLE by ACR criteria.
- Active SLE disease.
- Autoantibody-positive.
- On stable SLE treatment regimen.
Key exclusion criteria (9 listed)
- Pregnant or nursing
- Have received treatment with any B cell targeted therapy.
- Have received treatment with a biological investigational agent in the past year.
- Have received IV cyclophosphamide within 180 days of Day 0.
- Have severe lupus kidney disease.
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| PlaceboPlacebo IV plus standard therapy; placebo administered on Days 0, 14, 28, and every 28 days thereafter through 72 weeks. | Drug | Placebo |
| Belimumab 1 mg/kgAlso: LymphoStat-B™, belimumabBelimumab 1 mg/kg IV plus standard therapy; belimumab 1 mg/kg administered on Days 0, 14, 28, and every 28 days thereafter through 72 weeks. | Drug | Belimumab 1 mg/kg |
| Belimumab 10 mg/kgAlso: LymphoStat-B™, belimumabBelimumab 10 mg/kg IV plus standard therapy; belimumab 10 mg/kg administered on Days 0, 14, 28, and every 28 days thereafter through 72 weeks. | Drug | Belimumab 10 mg/kg |
Primary outcome
SLE Responder Index (SRI) Response Rate at Week 52
Time frame: Baseline, 52 Weeks
Percentage of subjects with a ≥ 4 point reduction from baseline in SELENA SLEDAI score, and no worsening (increase of < 0.30 points from baseline) in PGA, and no new BILAG A organ domain score or 2 new BILAG B organ domain scores compared with baseline. SELENA SLEDAI is calculated from 24 individual descriptors; 0 indicates inactive disease and the maximum theoretical score is 105; scores > 20 are rare. PGA is a visual analog scale scored from 0 to 3 (1=mild, 2=moderate, 3=severe). BILAG uses a single score for each of the 8 organ domains; range is from severe to no disease (A to E).
5 secondary outcomes
SRI Response Rate at Week 76
Time frame: Baseline, 76 Weeks
Percent of Subjects With a ≥ 4 Point Reduction From Baseline in SELENA SLEDAI Score at Week 52.
Time frame: Baseline, 52 Weeks
Mean Change in Physician's Global Assessment (PGA) at Week 24.
Time frame: Baseline, 24 Weeks
Mean Change From Baseline in Medical Outcomes 36-Item Short Form Health Survey (SF-36) Physical Component Summary Score (PCS) at Week 24.
Time frame: Baseline, 24 Weeks
Percent of Subjects Whose Average Prednisone Dose Has Been Reduced by ≥ 25% From Baseline to ≤ 7.5 mg/Day During Weeks 40 Through 52
Time frame: Baseline, Weeks 40-52
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 1 Feb 2017.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Derived from this study: PubMed 40256631Botto J, Cetrez N, Nikolopoulos D, Regardt M, Heintz E, Lindblom J, Parodis I. Predicting EQ-5D full health state in systemic lupus erythematosus using machine learning algorithms. Rheumatol Adv Pract. 2025 Apr 18;9(2):rkaf032. doi: 10.1093/rap/rkaf032. eCollection 2025.
- Derived from this study: PubMed 39208825Parodis I, Lindblom J, Levy RA, Zen M, Cetrez N, Gomez A, Oon S, Henning C, Khamashta M, Quasny HA, Chauhan D, Askanase A, van Vollenhoven R, Nikpour M. Attainment of remission and low disease activity after treatment with belimumab in patients with systemic lupus erythematosus: a post-hoc analysis of pooled data from five randomised clinical trials. Lancet Rheumatol. 2024 Nov;6(11):e751-e761. doi: 10.1016/S2665-9913(24)00162-0. Epub 2024 Aug 26.
- Derived from this study: PubMed 39115551Nikolopoulos D, Cetrez N, Lindblom J, Parodis I. Neuropsychiatric involvement in systemic lupus erythematosus contributes to organ damage beyond the nervous system: a post-hoc analysis of 5 phase III randomized clinical trials. Rheumatol Int. 2024 Sep;44(9):1679-1689. doi: 10.1007/s00296-024-05667-5. Epub 2024 Aug 8.
- Derived from this study: PubMed 38775637Arends EJ, Zlei M, Tipton CM, Cotic J, Osmani Z, de Bie FJ, Kamerling SWA, van Maurik A, Dimelow R, Gregan YI, Fox NL, Rabelink TJ, Roth DA, Sanz I, van Dongen JJM, van Kooten C, Teng YKO. Disruption of memory B-cell trafficking by belimumab in patients with systemic lupus erythematosus. Rheumatology (Oxford). 2024 Sep 1;63(9):2387-2398. doi: 10.1093/rheumatology/keae286.
- Derived from this study: PubMed 38724182Rendas-Baum R, Chen WH, Gairy K, Anderson S, Henning C, Hammer A, Kosinski M. SF-36v2 and FACIT-Fatigue quality of life improvements with organ-specific SELENA-SLEDAI response and belimumab treatment in patients with systemic lupus erythematosus. Lupus Sci Med. 2024 May 8;11(1):e001118. doi: 10.1136/lupus-2023-001118.
- Derived from this study: PubMed 38258369Jesus D, Henriques C, Matos A, Doria A, Ines LS. Systemic Lupus Erythematosus Disease Activity Score Remission and Low Disease Activity States Discriminate Drug From Placebo and Better Health-Related Quality of Life. Arthritis Care Res (Hoboken). 2024 Jun;76(6):788-795. doi: 10.1002/acr.25305. Epub 2024 Feb 29.
- Derived from this study: PubMed 38216728Jagerback S, Gomez A, Parodis I. Predictors of renal flares in systemic lupus erythematosus: a post-hoc analysis of four phase III clinical trials of belimumab. Rheumatology (Oxford). 2025 Feb 1;64(2):623-631. doi: 10.1093/rheumatology/keae023.
- Derived from this study: PubMed 37228028Gomez A, Jagerback S, Sjowall C, Parodis I. Belimumab and antimalarials combined against renal flares in patients treated for extra-renal systemic lupus erythematosus: results from 4 phase III clinical trials. Rheumatology (Oxford). 2024 Feb 1;63(2):338-348. doi: 10.1093/rheumatology/kead253.
- Derived from this study: PubMed 35302581Emamikia S, Oon S, Gomez A, Lindblom J, Borg A, Enman Y, Morand E, Grannas D, van Vollenhoven RF, Nikpour M, Parodis I. Impact of remission and low disease activity on health-related quality of life in patients with systemic lupus erythematosus. Rheumatology (Oxford). 2022 Nov 28;61(12):4752-4762. doi: 10.1093/rheumatology/keac185.
- Derived from this study: PubMed 34741731Gupta SV, Fanget MC, MacLauchlin C, Clausen VA, Li J, Cloutier D, Shen L, Robbie GJ, Mogalian E. Clinical and Preclinical Single-Dose Pharmacokinetics of VIR-2218, an RNAi Therapeutic Targeting HBV Infection. Drugs R D. 2021 Dec;21(4):455-465. doi: 10.1007/s40268-021-00369-w. Epub 2021 Nov 6.
- Derived from this study: PubMed 34628605Zhou X, Lee TI, Zhu M, Ma P. Prediction of Belimumab Pharmacokinetics in Chinese Pediatric Patients with Systemic Lupus Erythematosus. Drugs R D. 2021 Dec;21(4):407-417. doi: 10.1007/s40268-021-00363-2. Epub 2021 Oct 9.
- Derived from this study: PubMed 34531304Brunner HI, Abud-Mendoza C, Mori M, Pilkington CA, Syed R, Takei S, Viola DO, Furie RA, Navarra S, Zhang F, Bass DL, Eriksson G, Hammer AE, Ji BN, Okily M, Roth DA, Quasny H, Ruperto N. Efficacy and safety of belimumab in paediatric and adult patients with systemic lupus erythematosus: an across-study comparison. RMD Open. 2021 Sep;7(3):e001747. doi: 10.1136/rmdopen-2021-001747.
- Researchers can use this site to request access to anonymised patient level data and/or supporting documents from clinical studies to conduct further research.Link provided by the sponsor.
- Individual participant dataSharing planned: Yes. Patient-level data for this study will be made available through www.clinicalstudydatarequest.com following the timelines and process described on this site.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
GSK Clinical Trials study director
Human Genome Sciences Inc.
146 sites in 19 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing Belimumab 1 mg/kg and Belimumab 10 mg/kg in people with Systemic Lupus Erythematosus, run by Human Genome Sciences Inc. at 146 sites in 19 countries.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 4 inclusion and 9 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 1 Feb 2017. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 146 sites in United States, Germany, Israel, Italy, Mexico and 14 more countries. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
What does this phase mean?
Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
Yes. Results are posted in the registry (first posted 5 May 2011). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
SLE Responder Index (SRI) Response Rate at Week 52 (time frame: Baseline, 52 Weeks). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT00410384, which also lists 25 linked publications.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 1 Feb 2017.