Systemic Lupus ErythematosusPhase 3BLISS-SCNCT01484496
A Study of Belimumab Administered Subcutaneously in Subjects With Systemic Lupus Erythematosus (SLE)
A Phase 3 study testing Belimumab 200 mg SC and Standard therapy in people with Systemic Lupus Erythematosus, run by Human Genome Sciences Inc., a GSK Company at 207 sites in 31 countries.
Trial summary
The purpose of this study is to evaluate the efficacy, safety and tolerability of belimumab administered subcutaneously (SC) to adult subjects with Systemic Lupus Erythematosus (SLE). 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 200 mg SC and Standard therapy
- Type of treatment
- Injection or infusion
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 839 participants
- Where
- 207 sitesin 31 countries
- Study dates
- 16 Nov 2011to 1 Oct 2015
- 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
- At least 18 years of age.
- Clinical diagnosis of Systemic Lupus Erythematosus (SLE) by ACR criteria.
- Active SLE disease.
- Autoantibody-positive.
- On stable SLE treatment regimen which may include corticosteroids (for example, prednisone), antimalarial (for example, hydroxychloroquine) and/or immunosuppressants (for example, azathioprine, methotrexate, mycophenolate, etc.)
Who cannot join
- Pregnant or nursing.
- Have received treatment with any B cell targeted therapy (for example, rituximab or belimumab).
- Have received treatment an investigational biological agent in the past year.
- Have received intravenous (IV) cyclophosphamide within 90 days of Day 0.
- Have severe active lupus kidney disease.
- Have severe active central nervous system (CNS) lupus.
Show all 10Show fewer
- Have required management of acute or chronic infections within the past 60 days.
- Have current drug or alcohol abuse or dependence.
- Have a positive test for human immunodeficiency virus (HIV), hepatitis B, or hepatitis C.
- Have a history of hypersensitivity reactions to contrast agents or biological medicines.
Trial locations and contacts
207 sites in 31 countries.
207 sites in 31 countries
United States82 sites
GSK Investigational Site
Arlington, Virginia, 22205-3606
GSK Investigational Site
Atlanta, Georgia, 30303
GSK Investigational Site
Atlanta, Georgia, 30342
GSK Investigational Site
Austin, Texas, 78705
GSK Investigational Site
Austin, Texas, 78758
GSK Investigational Site
Aventura, Florida, 33180
GSK Investigational Site
Baltimore, Maryland, 21205
GSK Investigational Site
Baton Rouge, Louisiana, 70809
GSK Investigational Site
Bethlehem, Pennsylvania, 18015
GSK Investigational Site
Birmingham, Alabama, 35294
GSK Investigational Site
Boca Raton, Florida, 33432
GSK Investigational Site
Boca Raton, Florida, 33486
GSK Investigational Site
Boise, Idaho, 83704
GSK Investigational Site
Boston, Massachusetts, 02115
GSK Investigational Site
Boston, Massachusetts, 02118
GSK Investigational Site
Bridgeport, Connecticut, 06606
GSK Investigational Site
Brooklyn, New York, 11203
GSK Investigational Site
Chapel Hill, North Carolina, 27599-7280
GSK Investigational Site
Charleston, South Carolina, 29406
GSK Investigational Site
Charleston, South Carolina, 29425
GSK Investigational Site
Charlotte, North Carolina, 28207
GSK Investigational Site
Charlotte, North Carolina, 28210
GSK Investigational Site
Cleveland, Ohio, 44109
GSK Investigational Site
Columbus, Ohio, 43203
GSK Investigational Site
Coral Gables, Florida, 33134
GSK Investigational Site
Cumberland, Maryland, 21502
GSK Investigational Site
Dallas, Texas, 75231
GSK Investigational Site
Dayton, Ohio, 45417
GSK Investigational Site
Detroit, Michigan, 48202
GSK Investigational Site
Duluth, Georgia, 30096
GSK Investigational Site
Duncansville, Pennsylvania, 16635
GSK Investigational Site
Durham, North Carolina, 27710
GSK Investigational Site
Fort Lauderdale, Florida, 33334
GSK Investigational Site
Greenville, North Carolina, 27834
GSK Investigational Site
Greenville, South Carolina, 29601
GSK Investigational Site
Hagerstown, Maryland, 21740
GSK Investigational Site
Houston, Texas, 77004
GSK Investigational Site
Houston, Texas, 77008
GSK Investigational Site
Houston, Texas, 77034
GSK Investigational Site
Houston, Texas, 77074
GSK Investigational Site
Jackson, Mississippi, 39202
GSK Investigational Site
Jackson, Tennessee, 38305
GSK Investigational Site
Jonesboro, Arkansas, 72401
GSK Investigational Site
La Jolla, California, 92037-0943
GSK Investigational Site
Lake Success, New York, 11042
GSK Investigational Site
Las Cruces, New Mexico, 88011
GSK Investigational Site
Lawrenceville, Georgia, 30045
GSK Investigational Site
Long Beach, California, 90806
GSK Investigational Site
Los Angeles, California, 90033
GSK Investigational Site
Manhasset, New York, 11030
GSK Investigational Site
Marietta, Georgia, 30060
GSK Investigational Site
Memphis, Tennessee, 38119
GSK Investigational Site
Miami, Florida, 33136
GSK Investigational Site
Milwaukee, Wisconsin, 53226
GSK Investigational Site
Nassau Bay, Texas, 77058
GSK Investigational Site
New Orleans, Louisiana, 70121
GSK Investigational Site
New York, New York, 10016
GSK Investigational Site
Oklahoma City, Oklahoma, 73103
GSK Investigational Site
Orangeburg, South Carolina, 29118
GSK Investigational Site
Orlando, Florida, 32804
GSK Investigational Site
Orlando, Florida, 32806-6264
GSK Investigational Site
Pennsylvania, Wyoming, 19610
GSK Investigational Site
Peoria, Arizona, 85381
GSK Investigational Site
Plantation, Florida, 33324
GSK Investigational Site
Royalty, Texas, 75013
GSK Investigational Site
Saint Clair Shores, Michigan, 48081
GSK Investigational Site
San Diego, California, 92120
GSK Investigational Site
San Francisco, California, 94118
GSK Investigational Site
San Jose, California, 95126-1650
GSK Investigational Site
San Leandro, California, 94578
GSK Investigational Site
Seattle, Washington, 98133
GSK Investigational Site
Smithtown, New York, 11787
GSK Investigational Site
Springfield, Illinois, 62704
GSK Investigational Site
St Louis, Missouri, 63110
GSK Investigational Site
Tampa, Florida, 33614
GSK Investigational Site
Toledo, Ohio, 43614
GSK Investigational Site
Tucson, Arizona, 85712
GSK Investigational Site
Tucson, Arizona, 85724
GSK Investigational Site
Tulsa, Oklahoma, 74104
GSK Investigational Site
Tustin, California, 92780
GSK Investigational Site
Upland, California, 91786
GSK Investigational Site
Wyomissing, Pennsylvania, 19610
Japan11 sites
GSK Investigational Site
Fukuoka, 807-8555
GSK Investigational Site
Fukuoka, 810-8563
GSK Investigational Site
Hokkaido, 060-8604
GSK Investigational Site
Hokkaido, 060-8648
GSK Investigational Site
Miyagi, 980-8574
GSK Investigational Site
Nagasaki, 857-1195
GSK Investigational Site
Okinawa, 901-0243
GSK Investigational Site
Shizuoka, 430-8558
GSK Investigational Site
Tokyo, 104-8560
GSK Investigational Site
Tokyo, 160-8582
GSK Investigational Site
Tokyo, 162-8655
Brazil8 sites
GSK Investigational Site
Cuiabá, Mato Grosso, 78005-000
GSK Investigational Site
Curitiba, Paraná, 80440-080
GSK Investigational Site
Juiz de Fora, Minas Gerais, 36038-330
GSK Investigational Site
Porto Alegre, Rio Grande do Sul, 90035-903
GSK Investigational Site
Porto Alegre, Rio Grande do Sul, 90110-270
GSK Investigational Site
Rio de Janeiro, 21941-913
GSK Investigational Site
Salvador, 40050-410
GSK Investigational Site
São Paulo, 04032-060
Philippines8 sites
GSK Investigational Site
Cebu City, 6000
GSK Investigational Site
Davao City, 8000
GSK Investigational Site
Iloilo City, 5000
GSK Investigational Site
Las Piñas, 1740
GSK Investigational Site
Manila, 1000
GSK Investigational Site
Manila, 1015
GSK Investigational Site
Quezon City, 1102
GSK Investigational Site
Quezon City, 1118
Germany7 sites
GSK Investigational Site
Bad Nauheim, Hesse, 61231
GSK Investigational Site
Düsseldorf, North Rhine-Westphalia, 40225
GSK Investigational Site
Frankfurt, 60590
GSK Investigational Site
Hamburg, 22081
GSK Investigational Site
Hanover, Lower Saxony, 30625
GSK Investigational Site
Mainz, Rhineland-Palatinate, 55131
GSK Investigational Site
Würzburg, Bavaria, 97080
Mexico7 sites
GSK Investigational Site
Cuernavaca, Morelos, 62270
GSK Investigational Site
Guadalajara, Jalisco, 44158
GSK Investigational Site
Guadalajara, Jalisco, 44690
GSK Investigational Site
Mérida, Yucatán, 97130
GSK Investigational Site
México, 06700
GSK Investigational Site
México, 3100
GSK Investigational Site
San Luis Potosí City, 78240
France6 sites
GSK Investigational Site
Paris, 75651
GSK Investigational Site
Paris, 75679
GSK Investigational Site
Pessac, 33604
GSK Investigational Site
Strasbourg, 67091
GSK Investigational Site
Suresnes, 92150
GSK Investigational Site
Vandœuvre-lès-Nancy, 54511
Taiwan6 sites
GSK Investigational Site
Gueishan Township,Taoyuan County, 333
GSK Investigational Site
Kaohsiung City, 807
GSK Investigational Site
Kaohsiung City, 813
GSK Investigational Site
Kaohsiung City, 833
GSK Investigational Site
Taichung, 404
GSK Investigational Site
Taipei, 100
Thailand6 sites
GSK Investigational Site
Bangkok, 10400
GSK Investigational Site
Bangkok, 10700
GSK Investigational Site
Chiang Mai, 50200
GSK Investigational Site
Rajathevee, 10400
GSK Investigational Site
Ratchatewi, 10400
GSK Investigational Site
Songkhla, 90110
Ukraine6 sites
GSK Investigational Site
Kharkiv, 61039
GSK Investigational Site
Kyiv, 01601
GSK Investigational Site
Odesa, 65026
GSK Investigational Site
Poltava, 36011
GSK Investigational Site
Vinnytsia, 21018
GSK Investigational Site
Zaporizhzhya, 69600
Argentina5 sites
GSK Investigational Site
Ciudad Autonoma Buenos Aires, C1015ABO
GSK Investigational Site
Ciudad Autonoma Buenos Aires, C1426AAL
GSK Investigational Site
Ciudad Autonoma de Buenos Aires, Buenos Aires, C1181ACI
GSK Investigational Site
Ciudad Autonoma de Buenos Aires, Buenos Aires, C1419AHN
GSK Investigational Site
La Plata, Buenos Aires, B1902COS
Portugal5 sites
GSK Investigational Site
Almada, 2801-915
GSK Investigational Site
Amadora, 2720-276
GSK Investigational Site
Coimbra, 3000-075
GSK Investigational Site
Lisbon, 1649-035
GSK Investigational Site
Porto, 4099-001
Colombia4 sites
GSK Investigational Site
Barranquilla
GSK Investigational Site
Bogotá
GSK Investigational Site
Bucaramanga
GSK Investigational Site
Medellín
Poland4 sites
GSK Investigational Site
Bydgoszcz, 85-168
GSK Investigational Site
Katowice, 40-635
GSK Investigational Site
Krakow, 31-066
GSK Investigational Site
Wroclaw, 50-556
Belgium3 sites
GSK Investigational Site
Brussels, 1090
GSK Investigational Site
Brussels, 1200
GSK Investigational Site
Liège, 4000
Bulgaria3 sites
GSK Investigational Site
Plovdiv, 4002
GSK Investigational Site
Rousse, 7002
GSK Investigational Site
Sofia, 1784
Chile3 sites
GSK Investigational Site
Santiago, Región Metro de Santiago, 7501126
GSK Investigational Site
Santiago, 7500000
GSK Investigational Site
Viña del Mar, 2570017
Croatia3 sites
GSK Investigational Site
Osijek, 31000
GSK Investigational Site
Rijeka, 51000
GSK Investigational Site
Zagreb, 10000
Italy3 sites
GSK Investigational Site
Genova, 16132
GSK Investigational Site
Padova, Veneto, 35128
GSK Investigational Site
Pisa, Tuscany, 56126
Romania3 sites
GSK Investigational Site
Bucharest, 020125
GSK Investigational Site
Bucharest, 020475
GSK Investigational Site
Bucharest, 11172
Russia3 sites
GSK Investigational Site
Moscow, 115522
GSK Investigational Site
Saint Petersburg, 190068
GSK Investigational Site
Yaroslavl, 150030
Spain3 sites
GSK Investigational Site
Barcelona, 08036
GSK Investigational Site
Barcelona, 8035
GSK Investigational Site
Granada, 18012
Sweden3 sites
GSK Investigational Site
Gothenburg, SE-413 45
GSK Investigational Site
Lund, SE-221 85
GSK Investigational Site
Stockholm, SE-171 76
United Kingdom3 sites
GSK Investigational Site
Birmingham, B15 2TH
GSK Investigational Site
Coventry, Warwickshire, CV2 2DX
GSK Investigational Site
London, SE1 7EH
Czechia2 sites
GSK Investigational Site
Prague, 128 50
GSK Investigational Site
Zlín, 760 01
Denmark2 sites
GSK Investigational Site
Copenhagen, 2100
GSK Investigational Site
Odense C, 5000
Hungary2 sites
GSK Investigational Site
Debrecen, 4032
GSK Investigational Site
Zalaegerszeg, 8900
Malaysia2 sites
GSK Investigational Site
Kuala Lumpur, 59100
GSK Investigational Site
Seremban, Negeri Sembilan, 70300
Serbia2 sites
GSK Investigational Site
Belgrade, 11000
GSK Investigational Site
Belgrade, 11080
About this study
Official title: A Phase 3, Multi-Center, Randomized, Double-Blind, Placebo-Controlled, 52-Week Study to Evaluate the Efficacy and Safety of Belimumab (HGS1006) Administered Subcutaneously (SC) to Subjects With Systemic Lupus Erythematosus (SLE)
The purpose of this study is to evaluate the efficacy, safety and tolerability of belimumab administered subcutaneously (SC) to adult subjects with Systemic Lupus Erythematosus (SLE).
Read the detailed description
This is a Phase 3, multi-center, international, randomized, double-blind, placebo-controlled, 52-week study to evaluate the efficacy, safety and tolerability of belimumab administered subcutaneously (SC) (200 mg weekly) in adult subjects with active Systemic Lupus Erythematosus (SLE). Approximately 816 SLE subjects will be randomized, with a target of about 544 subjects receiving belimumab and 272 subjects receiving placebo. Subjects completing the 52-week double-blind period can enter a 6-month open-label extension in which all subjects receive belimumab 200 mg SC weekly.
- Conditions
- Systemic Lupus Erythematosus
- Being tested
- Placebo, Belimumab 200 mg SC, Standard therapy
- Keywords
- Subcutaneous, Lupus, Systemic Lupus Erythematosus, SLE, Belimumab, Autoimmune Disease, Antibodies
- 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.
PlaceboBiological
Placebo
Belimumab 200 mg SCBiological
Also called BENLYSTA™
Belimumab 200 mg SC
Standard therapyDrug
Standard therapy comprises any of the following (alone or in combination): corticosteroids, antimalarials, non-steroidal anti-inflammatory drugs (NSAIDs), and immunosuppressives; biologics and intravenous cyclophosphamide are not permitted.
| Study group | Role | What they receive |
|---|---|---|
| Placebo plus standard therapy | Placebo comparator | Placebo SC plus standard therapy; placebo administered on Day 0 and then weekly (ie, every 7 days) through Week 51, with final evaluation at Week 52 in the double-blind period. In the open-label extension period, placebo subjects who opt to participate will receive belimumab 200 mg SC weekly for an additional 6-months. Receives: Biological: Placebo; Drug: Standard therapy |
| Belimumab 200 mg SC plus standard therapy | Experimental | Belimumab 200 mg SC plus standard therapy; belimumab administered on Day 0 and then weekly (ie, every 7 days) through Week 51, with a final evaluation at Week 52 in the double-blind period. In the open-label extension period, subjects who opt to participate will continue on the same dose of belimumab for an additional 6-months. Receives: Biological: Belimumab 200 mg SC; Drug: Standard therapy |
What is being measured
The primary outcome is the main question the study is designed to answer.
Percentage of Par. Achieving a SLE Responder Index (SRI) Response Rate at Week 52
SRI response is defined as >=4 point reduction, from Baseline in safety of estrogen in lupus national assessment (SELENA) systemic lupus erythematosus disease activity index (SLEDAI) score, no worsening (increase of <0.30 points from Baseline) in physician's global assessment (PGA) and no new British Isles Lupus Assessment Group of SLE clinics (BILAG) A organ domain score or 2 new BILAG B organ domain scores compared with Baseline. Analysis was performed using a logistic regression model for the comparison between belimumab and placebo with covariates treatment group, Baseline SELENA SLEDAI score (<=9 vs. >=10), Baseline complement levels (low C3 and/or C4 vs. no low C3 or C4) and race (black vs. other).
Measured: Week 52
Secondary outcomes (2)
Time to First Severe Flare (as Measured by the Modified SLE Flare Index)
Time to first severe SLE flare is defined as the number of days from treatment start date until the participant met an event (event date - treatment start date +1). Analyses of severe SLE flare was performed on modified SELENA SLEDAI SLE flare index that excludes severe flares that were triggered only by an increase in SELENA SLEDAI score to >12 (since this may only represent a modest increase in disease activity). Only post-baseline severe flares were considered.
Measured: Baseline (Day 0, prior to dosing) to Week 52
Percentage of Par. Whose Average Prednisone Dose Had Been Reduced by >=25% From Baseline to <=7.5 mg/Day During Weeks 40 Through 52 in Par. Receiving Greater Than 7.5 mg/Day at Baseline
For the analysis of steroid use, all steroid dosages were converted to a prednisone equivalent in mg. The average daily prednisone dose was calculated taking into account all steroids taken intravenously, intramuscularly, SC, intradermally and orally for both SLE and non-SLE reasons. A responder was defined as having a prednisone reduction by >=25% from Baseline to <=7.5 mg/day during Weeks 40 through 52. At Baseline, the average daily prednisone dose was the sum of all prednisone doses over 7 consecutive days up to, but not including Day 0, divided by 7. For this analysis, the average prednisone dose was the total prednisone dose during weeks 40 through 52 divided by the number of days during Weeks 40 through 52. Analysis was performed using a logistic regression model with covariates treatment group, Baseline prednisone dose, Baseline SELENA SLEDAI score, (<=9 vs >=10), Baseline complement levels (low C3 and/or C4 vs. no low C3 or C4) and race (black vs. other).
Measured: Baseline (Day 0, prior to dosing), Weeks 40 through Week 52
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted2 Dec 2011 (estimated)
- Study start16 Nov 2011
- Primary completion13 Feb 2015
- Study completion1 Oct 2015
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 (13)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
- 839 participants (actual)
Sponsor and investigators
- Lead sponsor
- Human Genome Sciences Inc., a GSK Company
- Sponsor type
- Industry (pharma, biotech, devices)
- Collaborators
- GlaxoSmithKline
- Responsible party
- Sponsor
- Investigators
- GSK Clinical Trials, Study director, GlaxoSmithKline
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT01484496
- Sponsor's protocol ID
- 112341
- Other IDs
- 2011-003814-18, HGS1006-C1115
- Acronym
- BLISS-SC
- Status last verified
- May 2018
- First submitted
- 28 Nov 2011
- Last updated
- 6 Jun 2018
- 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
Depascale R, Da Mutten R, Lindblom J, Cetrez N, Palazzo L, Iaccarino L, Doria A, Nikolopoulos D, Gatto M, Parodis I. Unsupervised machine learning identifies distinct SLE patient endotypes with differential response to belimumab. Rheumatology (Oxford). 2025 Aug 1;64(8):4650-4658. doi: 10.1093/rheumatology/keaf215.
PubMed 40244828Parodis 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 39115551Rendas-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 38724182Jagerback 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 37228028Brunner 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 34531304Hannon CW, McCourt C, Lima HC, Chen S, Bennett C. Interventions for cutaneous disease in systemic lupus erythematosus. Cochrane Database Syst Rev. 2021 Mar 9;3(3):CD007478. doi: 10.1002/14651858.CD007478.pub2.
PubMed 33687069Maslen 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 33568389Lokhandwala T, Yue B, Coutinho AD, Bell CF. Within-trial economic analysis of flare data from the BLISS-SC trial of subcutaneous belimumab in systemic lupus erythematosus. Lupus Sci Med. 2021 Feb;8(1):e000438. doi: 10.1136/lupus-2020-000438.
PubMed 33558436Doria A, Bass D, Schwarting A, Hammer A, Gordon D, Scheinberg M, Fox NL, Groark J, Stohl W, Kleoudis C, Roth D. A 6-month open-label extension study of the safety and efficacy of subcutaneous belimumab in patients with systemic lupus erythematosus. Lupus. 2018 Aug;27(9):1489-1498. doi: 10.1177/0961203318777634. Epub 2018 May 28.
PubMed 29807477Doria A, Stohl W, Schwarting A, Okada M, Scheinberg M, van Vollenhoven R, Hammer AE, Groark J, Bass D, Fox NL, Roth D, Gordon D. Efficacy and Safety of Subcutaneous Belimumab in Anti-Double-Stranded DNA-Positive, Hypocomplementemic Patients With Systemic Lupus Erythematosus. Arthritis Rheumatol. 2018 Aug;70(8):1256-1264. doi: 10.1002/art.40511. Epub 2018 Jun 15.
PubMed 29671280Stohl W, Schwarting A, Okada M, Scheinberg M, Doria A, Hammer AE, Kleoudis C, Groark J, Bass D, Fox NL, Roth D, Gordon D. Efficacy and Safety of Subcutaneous Belimumab in Systemic Lupus Erythematosus: A Fifty-Two-Week Randomized, Double-Blind, Placebo-Controlled Study. Arthritis Rheumatol. 2017 May;69(5):1016-1027. doi: 10.1002/art.40049. Epub 2017 Apr 7.
PubMed 28118533
Study at a glance
From the registry record, last updated by the sponsor on 6 Jun 2018. 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, 52-Week Study to Evaluate the Efficacy and Safety of Belimumab (HGS1006) Administered Subcutaneously (SC) to Subjects With Systemic Lupus Erythematosus (SLE)
- ClinicalTrials.gov ID
- NCT01484496
- Acronym / sponsor ID
- BLISS-SC / 112341
- Conditions
- Systemic Lupus Erythematosus
- Keywords
- Subcutaneous, Lupus, Systemic Lupus Erythematosus, SLE, Belimumab, Autoimmune Disease, Antibodies
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 839 participants (actual)
- Lead sponsor
- Human Genome Sciences Inc., a GSK CompanyIndustry (pharma, biotech, devices)
- Collaborators
- GlaxoSmithKline
- Study start
- 16 Nov 2011
- Primary completion
- 13 Feb 2015 (actual)
- Study completion
- 1 Oct 2015 (actual)
- First posted
- 2 Dec 2011 (estimated)
- Results
- Posted 25 Jul 2017
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 and tolerability of belimumab administered subcutaneously (SC) to adult subjects with Systemic Lupus Erythematosus (SLE).
Detailed description
This is a Phase 3, multi-center, international, randomized, double-blind, placebo-controlled, 52-week study to evaluate the efficacy, safety and tolerability of belimumab administered subcutaneously (SC) (200 mg weekly) in adult subjects with active Systemic Lupus Erythematosus (SLE). Approximately 816 SLE subjects will be randomized, with a target of about 544 subjects receiving belimumab and 272 subjects receiving placebo. Subjects completing the 52-week double-blind period can enter a 6-month open-label extension in which all subjects receive belimumab 200 mg SC weekly.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Double blind (participant, investigator)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Placebo plus standard therapy | Placebo comparator | Biological: Placebo, Drug: Standard therapyPlacebo SC plus standard therapy; placebo administered on Day 0 and then weekly (ie, every 7 days) through Week 51, with final evaluation at Week 52 in the double-blind period. In the open-label extension period, placebo subjects who opt to participate will receive belimumab 200 mg SC weekly for an additional 6-months. |
| Belimumab 200 mg SC plus standard therapy | Experimental | Biological: Belimumab 200 mg SC, Drug: Standard therapyBelimumab 200 mg SC plus standard therapy; belimumab administered on Day 0 and then weekly (ie, every 7 days) through Week 51, with a final evaluation at Week 52 in the double-blind period. In the open-label extension period, subjects who opt to participate will continue on the same dose of belimumab for an additional 6-months. |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (5 listed)
- At least 18 years of age.
- Clinical diagnosis of Systemic Lupus Erythematosus (SLE) by ACR criteria.
- Active SLE disease.
- Autoantibody-positive.
- On stable SLE treatment regimen which may include corticosteroids (for example, prednisone), antimalarial (for example, hydroxychloroquine) and/or immunosuppressants (for example, azathioprine, methotrexate, mycophenolate, etc.)
Key exclusion criteria (10 listed)
- Pregnant or nursing.
- Have received treatment with any B cell targeted therapy (for example, rituximab or belimumab).
- Have received treatment an investigational biological agent in the past year.
- Have received intravenous (IV) cyclophosphamide within 90 days of Day 0.
- Have severe active 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 | Biological | Placebo plus standard therapy |
| Belimumab 200 mg SCAlso: BENLYSTA™Belimumab 200 mg SC | Biological | Belimumab 200 mg SC plus standard therapy |
| Standard therapyStandard therapy comprises any of the following (alone or in combination): corticosteroids, antimalarials, non-steroidal anti-inflammatory drugs (NSAIDs), and immunosuppressives; biologics and intravenous cyclophosphamide are not permitted. | Drug | Belimumab 200 mg SC plus standard therapy, Placebo plus standard therapy |
Primary outcome
Percentage of Par. Achieving a SLE Responder Index (SRI) Response Rate at Week 52
Time frame: Week 52
SRI response is defined as >=4 point reduction, from Baseline in safety of estrogen in lupus national assessment (SELENA) systemic lupus erythematosus disease activity index (SLEDAI) score, no worsening (increase of <0.30 points from Baseline) in physician's global assessment (PGA) and no new British Isles Lupus Assessment Group of SLE clinics (BILAG) A organ domain score or 2 new BILAG B organ domain scores compared with Baseline. Analysis was performed using a logistic regression model for the comparison between belimumab and placebo with covariates treatment group, Baseline SELENA SLEDAI score (<=9 vs. >=10), Baseline complement levels (low C3 and/or C4 vs. no low C3 or C4) and race (black vs. other).
2 secondary outcomes
Time to First Severe Flare (as Measured by the Modified SLE Flare Index)
Time frame: Baseline (Day 0, prior to dosing) to Week 52
Percentage of Par. Whose Average Prednisone Dose Had Been Reduced by >=25% From Baseline to <=7.5 mg/Day During Weeks 40 Through 52 in Par. Receiving Greater Than 7.5 mg/Day at Baseline
Time frame: Baseline (Day 0, prior to dosing), Weeks 40 through Week 52
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 6 Jun 2018.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Derived from this study: PubMed 40244828Depascale R, Da Mutten R, Lindblom J, Cetrez N, Palazzo L, Iaccarino L, Doria A, Nikolopoulos D, Gatto M, Parodis I. Unsupervised machine learning identifies distinct SLE patient endotypes with differential response to belimumab. Rheumatology (Oxford). 2025 Aug 1;64(8):4650-4658. doi: 10.1093/rheumatology/keaf215.
- 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 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 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 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.
- Derived from this study: PubMed 33687069Hannon CW, McCourt C, Lima HC, Chen S, Bennett C. Interventions for cutaneous disease in systemic lupus erythematosus. Cochrane Database Syst Rev. 2021 Mar 9;3(3):CD007478. doi: 10.1002/14651858.CD007478.pub2.
- Derived from this study: PubMed 33568389Maslen 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.
- Derived from this study: PubMed 33558436Lokhandwala T, Yue B, Coutinho AD, Bell CF. Within-trial economic analysis of flare data from the BLISS-SC trial of subcutaneous belimumab in systemic lupus erythematosus. Lupus Sci Med. 2021 Feb;8(1):e000438. doi: 10.1136/lupus-2020-000438.
- Derived from this study: PubMed 29807477Doria A, Bass D, Schwarting A, Hammer A, Gordon D, Scheinberg M, Fox NL, Groark J, Stohl W, Kleoudis C, Roth D. A 6-month open-label extension study of the safety and efficacy of subcutaneous belimumab in patients with systemic lupus erythematosus. Lupus. 2018 Aug;27(9):1489-1498. doi: 10.1177/0961203318777634. Epub 2018 May 28.
- Derived from this study: PubMed 29671280Doria A, Stohl W, Schwarting A, Okada M, Scheinberg M, van Vollenhoven R, Hammer AE, Groark J, Bass D, Fox NL, Roth D, Gordon D. Efficacy and Safety of Subcutaneous Belimumab in Anti-Double-Stranded DNA-Positive, Hypocomplementemic Patients With Systemic Lupus Erythematosus. Arthritis Rheumatol. 2018 Aug;70(8):1256-1264. doi: 10.1002/art.40511. Epub 2018 Jun 15.
- 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
GlaxoSmithKline
207 sites in 31 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing Belimumab 200 mg SC and Standard therapy in people with Systemic Lupus Erythematosus, run by Human Genome Sciences Inc., a GSK Company at 207 sites in 31 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 5 inclusion and 10 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 6 Jun 2018. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 207 sites in United States, Japan, Brazil, Philippines, Germany and 26 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 25 Jul 2017). 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?
Percentage of Par. Achieving a SLE Responder Index (SRI) Response Rate at Week 52 (time frame: Week 52). 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 NCT01484496, which also lists 13 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 6 Jun 2018.