Systemic Lupus ErythematosusPhase 4BASENCT01705977
Belimumab Assessment of Safety in SLE
A Phase 4 study testing Belimumab 10 mg/kg plus standard therapy and Standard therapy in people with Systemic Lupus Erythematosus, run by GlaxoSmithKline at 250 sites in 33 countries.
Trial summary
The purpose of this study is to further enhance the existing knowledge regarding the side effects of belimumab when given with other lupus medicines to adults with active 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 10 mg/kg plus standard therapy and Standard therapy
- Type of treatment
- Injection or infusion
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 4,019 participants
- Where
- 250 sitesin 33 countries
- Study dates
- 27 Nov 2012to 10 Aug 2022
- Phase
- Phase 4
- 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 American College of Rheumatology (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).
Who cannot join
- Pregnant or nursing.
- Have received treatment with any of the following: belimumab, either as a marketed product or as an investigational agent; any B cell targeted therapy (for example, rituximab) in the past year; or any biological agent (for example, adalimumab, etanercept, infliximab, or anakinra) in the past 90 days.
- Have received a live vaccine within the past 30 days.
- Have severe active lupus kidney disease.
- Have severe active central nervous system (CNS) lupus.
- Current or past positive for human immunodeficiency virus (HIV), hepatitis B, or hepatitis C.
Trial locations and contacts
250 sites in 33 countries.
250 sites in 33 countries
United States49 sites
GSK Investigational Site
Anniston, Alabama, 36207
GSK Investigational Site
Arlington, Virginia, 22205-3606
GSK Investigational Site
Beckley, West Virginia, 25801
GSK Investigational Site
Birmingham, Alabama, 35216
GSK Investigational Site
Cedar Rapids, Iowa, 52403
GSK Investigational Site
Chapel Hill, North Carolina, 27599
GSK Investigational Site
Charlotte, North Carolina, 28204
GSK Investigational Site
Charlotte, North Carolina, 28207
GSK Investigational Site
Cincinnati, Ohio, 45229
GSK Investigational Site
Clarksburg, West Virginia, 26301
GSK Investigational Site
Clearwater, Florida, 33756
GSK Investigational Site
Columbus, Ohio, 43203
GSK Investigational Site
Covina, California, 91722
GSK Investigational Site
Cypress, Texas, 77429
GSK Investigational Site
Dallas, Texas, 75246
GSK Investigational Site
Duncansville, Pennsylvania, 16635
GSK Investigational Site
Glendale, Arizona, 85304
GSK Investigational Site
Hialeah, Florida, 33012
GSK Investigational Site
Hixson, Tennessee, 37343-7908
GSK Investigational Site
Houston, Texas, 77004
GSK Investigational Site
Houston, Texas, 77034
GSK Investigational Site
Houston, Texas, 77084
GSK Investigational Site
Huntington Beach, California, 92646
GSK Investigational Site
Huntsville, Alabama, 35801
GSK Investigational Site
Jackson, Mississippi, 39216
GSK Investigational Site
Kalispell, Montana, 59901
GSK Investigational Site
La Mesa, California, 92020
GSK Investigational Site
Las Vegas, Nevada, 89128
GSK Investigational Site
Long Beach, California, 90808
GSK Investigational Site
Los Angeles, California, 90033
GSK Investigational Site
McKinney, Texas, 75071
GSK Investigational Site
Memphis, Tennessee, 38119
GSK Investigational Site
Mesa, Arizona, 85202
GSK Investigational Site
Murrieta, California, 92563
GSK Investigational Site
New York, New York, 10016
GSK Investigational Site
New York, New York, 10032
GSK Investigational Site
Orangeburg, South Carolina, 29118
GSK Investigational Site
Phoenix, Arizona, 85032
GSK Investigational Site
Phoenix, Arizona, 85037
GSK Investigational Site
Rock Hill, South Carolina, 29732
GSK Investigational Site
Sacramento, California, 95816
GSK Investigational Site
Saint Clair Shores, Michigan, 48081
GSK Investigational Site
San Leandro, California, 94578
GSK Investigational Site
Spokane, Washington, 99204
GSK Investigational Site
Summerville, South Carolina, 29486
GSK Investigational Site
Tampa, Florida, 33614
GSK Investigational Site
Webster, Texas, 77450
GSK Investigational Site
West Bloomfield, Michigan, 48322
GSK Investigational Site
Wyomissing, Pennsylvania, 19610
Brazil18 sites
GSK Investigational Site
Belo Horizonte, Minas Gerais, 30130-100
GSK Investigational Site
Belo Horizonte, Minas Gerais, 30150-221
GSK Investigational Site
Campinas, 13083-888
GSK Investigational Site
Campo Grande, 79080-190
GSK Investigational Site
Cuiabá, Mato Grosso, 78.040-360
GSK Investigational Site
Curitiba, Paraná, 80440-080
GSK Investigational Site
Goiânia, 74110-120
GSK Investigational Site
Itajaí, Santa Catarina, 88301-220
GSK Investigational Site
Juiz de Fora, Minas Gerais, 36010-570
GSK Investigational Site
Lajeado, 95900-000
GSK Investigational Site
Porto Alegre, Rio Grande do Sul, 90035-903
GSK Investigational Site
Porto Alegre, Rio Grande do Sul, 90560-030
GSK Investigational Site
Rio de Janeiro, 22411-001
GSK Investigational Site
Salvador, 40050-410
GSK Investigational Site
São José do Rio Preto, São Paulo, 15090-000
GSK Investigational Site
São Paulo, São Paulo, 01244-030
GSK Investigational Site
São Paulo, 01323-020
GSK Investigational Site
São Paulo, 04032-060
Argentina16 sites
GSK Investigational Site
Buenos Aires, C1046AAQ
GSK Investigational Site
Buenos Aires, C1425AGC
GSK Investigational Site
Capital Federal, Buenos Aires, 1425
GSK Investigational Site
Ciudad Autonoma Buenos Aires, Buenos Aires, 1035
GSK Investigational Site
Ciudad Autonoma Buenos Aires, Buenos Aires, C1425ASQ
GSK Investigational Site
Córdoba, 5004
GSK Investigational Site
La Plata, Buenos Aires, 1900
GSK Investigational Site
Lanus, Buenos Aires, B1824KAJ
GSK Investigational Site
Mar del Plata, Buenos Aires, 7600
GSK Investigational Site
Mendoza, 5500
GSK Investigational Site
Rosario, Santa Fe Province, S2000BIF
GSK Investigational Site
Rosario, Santa Fe Province, S2002KDS
GSK Investigational Site
San Miguel de Tucumán, Tucumán Province, T4000BRD
GSK Investigational Site
San Miguel de Tucumán, T4000ICL
GSK Investigational Site
Venado Tuerto, Santa Fe Province, 2600
GSK Investigational Site
Zárate, Buenos Aires, 2800
Ukraine15 sites
GSK Investigational Site
Chernivtsi, 58001
GSK Investigational Site
Donetsk, 83045
GSK Investigational Site
Donetsk, 83114
GSK Investigational Site
Ivano-Frankivsk, 76018
GSK Investigational Site
Kharkiv, 61176
GSK Investigational Site
Kyiv, 1601
GSK Investigational Site
Kyiv, 4114
GSK Investigational Site
Lviv, 79010
GSK Investigational Site
Odesa, 65026
GSK Investigational Site
Poltava, 36011
GSK Investigational Site
Ternopil, 46002
GSK Investigational Site
Uzhhorod, 88018
GSK Investigational Site
Vinnytsia, 21018
GSK Investigational Site
Vinnytsia, 21029
GSK Investigational Site
Zaporizhzhya, 69600
Mexico13 sites
GSK Investigational Site
Cuautitlán Izcalli, State of Mexico, 54769
GSK Investigational Site
D.F, 6726
GSK Investigational Site
Guadalajara, Jalisco, 44158
GSK Investigational Site
Guadalajara, Jalisco, 44690
GSK Investigational Site
Guadalajara, 44620
GSK Investigational Site
Mérida, Yucatán, 97130
GSK Investigational Site
México, 14000
GSK Investigational Site
México, 7760
GSK Investigational Site
Monterrey, Nuevo León, 64718
GSK Investigational Site
San Luis Potosí City, 78200
GSK Investigational Site
San Luis Potosí City, 78240
GSK Investigational Site
Torreón, Coahuila, 27000
GSK Investigational Site
Torreón, 27000
South Korea13 sites
GSK Investigational Site
Daegu, 700-721
GSK Investigational Site
Daejeon, 301-721
GSK Investigational Site
Daejeon, 302-799
GSK Investigational Site
Gwangju, 501-757
GSK Investigational Site
Incheon, 400-711
GSK Investigational Site
Jeonju, 561-712
GSK Investigational Site
Seoul, 110-744
GSK Investigational Site
Seoul, 120-752
GSK Investigational Site
Seoul, 133-792
GSK Investigational Site
Seoul, 137-701
GSK Investigational Site
Seoul, 143-729
GSK Investigational Site
Suwon, 16247
GSK Investigational Site
Suwon, 443-380
Spain13 sites
GSK Investigational Site
Barcelona, 8035
GSK Investigational Site
Bilbao, 48013
GSK Investigational Site
Castellon, 12004
GSK Investigational Site
Córdoba, 140044
GSK Investigational Site
Getafe/Madrid, 28905
GSK Investigational Site
Granada, 18012
GSK Investigational Site
Madrid, 28046
GSK Investigational Site
Málaga, 29009
GSK Investigational Site
Seville, 41009
GSK Investigational Site
Seville, 4110
GSK Investigational Site
Valencia, 46017
GSK Investigational Site
Valencia, 46026
GSK Investigational Site
Vilajoyosa, 3570
Bulgaria9 sites
GSK Investigational Site
Pleven, 5800
GSK Investigational Site
Plovdiv, 4000
GSK Investigational Site
Plovdiv, 4002
GSK Investigational Site
Rousse, 7002
GSK Investigational Site
Shumen, 9700
GSK Investigational Site
Sofia, 1612
GSK Investigational Site
Stara Zagora, 6001
GSK Investigational Site
Targovisthe, 7700
GSK Investigational Site
Veliko Tarnovo, 5000
Peru8 sites
GSK Investigational Site
Arequipa, 4017
GSK Investigational Site
Lima, 01
GSK Investigational Site
Lima, 11
GSK Investigational Site
Lima, 15048
GSK Investigational Site
Lima, Lima 29
GSK Investigational Site
Lima, Lima 31
GSK Investigational Site
Lima, Lima 33
GSK Investigational Site
Lima, Lima 41
Philippines8 sites
GSK Investigational Site
Angeles City, Pampanga, 2009
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, 1510
GSK Investigational Site
Quezon City, 1102
Taiwan8 sites
GSK Investigational Site
Chiayi County, 613
GSK Investigational Site
Gueishan Township,Taoyuan County, 333
GSK Investigational Site
Kaohsiung City, 833
GSK Investigational Site
Taichung, 402
GSK Investigational Site
Taichung, 404
GSK Investigational Site
Taipei, 100
GSK Investigational Site
Taipei, 106
GSK Investigational Site
Taipei, 11490
Malaysia7 sites
GSK Investigational Site
Ipoh, 30990
GSK Investigational Site
Kota Bharu, 15586
GSK Investigational Site
Kota Kinabalu, 88586
GSK Investigational Site
Kuala Lumpur, 56000
GSK Investigational Site
Kuala Selangor, 68100
GSK Investigational Site
Kuala Terengganu, 20400
GSK Investigational Site
Seremban, Negeri Sembilan, 70300
Portugal7 sites
GSK Investigational Site
Almada, 2801-915
GSK Investigational Site
Coimbra, 3000-075
GSK Investigational Site
Lisbon, 1050-034
GSK Investigational Site
Lisbon, 1649-035
GSK Investigational Site
Porto, 4099-001
GSK Investigational Site
Porto, 4200-319
GSK Investigational Site
Viseu, 3504-509
Russia7 sites
GSK Investigational Site
Barnaul, 656045
GSK Investigational Site
Kemerovo, 650066
GSK Investigational Site
Kursk, 305007
GSK Investigational Site
Moscow, 119991
GSK Investigational Site
Saint Petersburg, 190068
GSK Investigational Site
Saint Petersburg, 194044
GSK Investigational Site
Saratov, 410053
Colombia6 sites
GSK Investigational Site
Armenia, 55860
GSK Investigational Site
Barranquilla, 080002
GSK Investigational Site
Bogotá, 110111
GSK Investigational Site
Bucaramanga, 680005
GSK Investigational Site
Chía, 250007
GSK Investigational Site
Medellín, 050018
Hungary6 sites
GSK Investigational Site
Budapest, 1023
GSK Investigational Site
Budapest, 1097
GSK Investigational Site
Debrecen, 4031
GSK Investigational Site
Debrecen, 4032
GSK Investigational Site
Gyula, 5700
GSK Investigational Site
Zalaegerszeg, 8900
Indonesia5 sites
GSK Investigational Site
Bandung, 40161
GSK Investigational Site
Denpasar, 80114
GSK Investigational Site
Malang, 65111
GSK Investigational Site
Palembang, 30126
GSK Investigational Site
Yogyakarta, 55281
Italy5 sites
GSK Investigational Site
Florence, Tuscany, 50134
GSK Investigational Site
Milan, Lombardy, 20132
GSK Investigational Site
Padova, Veneto, 35128
GSK Investigational Site
Pisa, 56126
GSK Investigational Site
Rome, Lazio, 00151
Serbia5 sites
GSK Investigational Site
Belgrade, 11000
GSK Investigational Site
Belgrade, 11080
GSK Investigational Site
Kruševac, 37000
GSK Investigational Site
Niška Banja, 18205
GSK Investigational Site
Šabac, 15000
Australia4 sites
GSK Investigational Site
Fitzroy, Victoria, 3065
GSK Investigational Site
Garran, Australian Capital Territory, 2605
GSK Investigational Site
Herston, Queensland, 4029
GSK Investigational Site
Sydney, New South Wales, 2153
Czechia4 sites
GSK Investigational Site
Brno, 65691
GSK Investigational Site
Prague, 128 50
GSK Investigational Site
Prague, 150 06
GSK Investigational Site
Zlín, 760 01
Poland3 sites
GSK Investigational Site
Bydgoszcz, 85-168
GSK Investigational Site
Gdansk, 80-952
GSK Investigational Site
Krakow, 31-066
Romania3 sites
GSK Investigational Site
Bucharest, 020125
GSK Investigational Site
Galati, 800578
GSK Investigational Site
Târgu Mureş, 540142
Thailand3 sites
GSK Investigational Site
Bangkok, 10400
GSK Investigational Site
Bangkok, 10700
GSK Investigational Site
Chiang Mai, 50200
Canada2 sites
GSK Investigational Site
Brampton, Ontario, L6T 0G1
GSK Investigational Site
Vaughan, Ontario, L4L 4Y7
Chile2 sites
GSK Investigational Site
La Serena, 68650
GSK Investigational Site
Santigo, 7500010
Croatia2 sites
GSK Investigational Site
Osijek, 31000
GSK Investigational Site
Rijeka, 51000
Hong Kong2 sites
GSK Investigational Site
Hong Kong
GSK Investigational Site
Shatin
New Zealand2 sites
GSK Investigational Site
Auckland, 622
GSK Investigational Site
Wellington, 6011
Switzerland2 sites
GSK Investigational Site
Sankt Gallen, 9007
GSK Investigational Site
Zurich, 8006
About this study
Official title: A Randomized, Double-Blind, Placebo-Controlled 52-Week Study to Assess Adverse Events of Special Interest in Adults With Active, Autoantibody-Positive Systemic Lupus Erythematosus Receiving Belimumab
The purpose of this study is to further enhance the existing knowledge regarding the side effects of belimumab when given with other lupus medicines to adults with active systemic lupus erythematosus (SLE). This study mainly focuses on collecting information on serious events that are not that common or may only be seen with long-term treatment. These events include death, serious infections and other infections of interest, cancers, serious mental health problems, including depression and suicide, and serious infusion and hypersensitivity reactions. This study is being done to help understand if treatment with belimumab increases the risk for these types of events. This study will also see if patients receiving belimumab with other lupus medicines can reduce their use of steroids, such as prednisone, over 1 year.
Read the detailed description
Study participants receive standard therapy for SLE in addition to receiving the study drug, either placebo (no active medicine) or belimumab. The controlled period of the study is 52 weeks. The random assignment in this study is "1 to 1" which means that participants have an equal chance of receiving belimumab or placebo. After completion of the 52-week study period, participants will be contacted by phone annually for 4 more years to assess health status.
Following the 52-week controlled period, participants who wish to continue treatment with belimumab may be able to do so by being prescribed commercially available belimumab. If belimumab is not commercially available in the participant's country, the participant may be able to receive belimumab under a separate continuation protocol.
- Conditions
- Systemic Lupus Erythematosus
- Being tested
- Placebo plus standard therapy, Belimumab 10 mg/kg plus standard therapy, Standard therapy
- Keywords
- Antibodies, Lupus, SLE, Systemic Lupus Erythematosus, Autoimmune Disease, Belimumab
- 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.
Placebo plus standard therapyBiological
Placebo plus standard therapy
Belimumab 10 mg/kg plus standard therapyBiological
Also called BENLYSTA™
Belimumab 10 mg/kg plus standard therapy
Standard therapyOther
Standard therapy comprises any of the following (alone or in combination): corticosteroids, antimalarials, non-steroidal anti-inflammatory drugs (NSAIDs), and immunosuppressives; other biologics are not permitted.
| Study group | Role | What they receive |
|---|---|---|
| Placebo plus standard therapy | Placebo comparator | Placebo IV plus standard therapy; placebo administered on Days 0, 14, 28, and every 28 days thereafter through Week 48, with a final evaluation at Week 52 in the double-blind period. Receives: Biological: Placebo plus standard therapy; Other: Standard therapy |
| Belimumab 10 mg/kg plus standard therapy | Experimental | Belimumab 10 mg/kg IV plus standard therapy; belimumab administered on Days 0, 14, 28, and then every 28 days thereafter through Week 48, with a final evaluation at Week 52 in the double-blind period. Receives: Biological: Belimumab 10 mg/kg plus standard therapy; Other: Standard therapy |
What is being measured
The primary outcome is the main question the study is designed to answer.
Number of Deaths - On Treatment Period (Week 52)
Number of participants who died during on-treatment period (Week 52) is reported. The on-treatment period was defined as first dose to last dose + 28 days (or death). The As-Treated Population was defined as all participants who were randomized and received at least one dose of study agent,grouped according to the actual treatment administered for the majority (greater than [>]50 percent [%]) of the time. The on-treatment period was the primary analysis period for safety analyses.
Measured: Up to Week 52 (On-treatment period)
Number of Participants Who Reported Protocol Defined Adverse Events of Special Interest (AESI): On-treatment Period (Week 52)
A summary of protocol defined AESIs including serious infections, opportunistic infections and other infections of interest (serious and non-serious), non-melanoma skin cancer (NMSC), malignancies (excluding NMSC), psychiatric events suggesting serious mood disorders and anxiety (serious depression), suicidality (using Columbia-Suicide Severity Rating Scale [C-SSRS]) and serious infusion and hypersensitivity reactions (SIHR) is reported. The on-treatment period (Week 52) was defined as first dose to last dose + 28 days (or death). The on-treatment period was the primary analysis period for safety analyses.
Measured: Up to Week 52 (On-treatment period)
Number of Participants With Serious Adverse Events (SAEs) Reported During On-treatment Period (Week 52)
An SAE is defined as any untoward medical occurrence that results in death, is life-threatening, requires inpatient hospitalization or prolongation of existing hospitalization, results in persistent disability/incapacity, is a congenital anomaly/birth defect, associated with liver injury and impaired liver function or any other situations as per medical or scientific judgement. The on-treatment period (Week 52) was defined as first dose to last dose + 28 days (or death) and was the primary analysis period for safety analyses.
Measured: Up to Week 52 (On-treatment period)
Secondary outcomes (6)
Number of Deaths Reported - On-study Period (Week 52)
Number of participants who died during on-study period (Week 52) is reported. The on-study period (which includes on and off treatment data) was defined as first dose to the end of the Week 52 study follow-up (or death). The on-study period was a supportive analysis period for safety analysis.
Measured: Up to Week 52 (On-study period)
Number of Participants Who Reported Protocol Defined AESI: On-study Period (Week 52)
A summary of protocol defined AESIs including serious infections, opportunistic infections and other infections of interest (serious and non-serious), NMSC, malignancies (excluding NMSC), psychiatric events suggesting serious mood disorders and anxiety (serious depression), suicidality (using C-SSRS) and SIHR is reported. The on-study period (Week 52) (which includes on and off treatment data) was defined as first dose to the end of the Week 52 study follow-up (or death). The on-study period was a supportive analysis period for safety analysis.
Measured: Up to Week 52 (On-study period)
Number of Participants With SAEs Reported During On-study Period (Week 52)
A SAE is defined as any untoward medical occurrence that results in death, is life-threatening, requires inpatient hospitalization or prolongation of existing hospitalization, results in persistent disability/incapacity, is a congenital anomaly/birth defect, associated with liver injury and impaired liver function or any other situations as per medical or scientific judgement. The on-study period (Week 52) (which includes on and off treatment data) was defined as first dose to the end of the Week 52 study follow-up (or death) and was a supportive analysis period for safety analyses.
Measured: Up to Week 52 (On-study period)
Percentage of Participants Whose Average Prednisone (or Equivalent) Dose to Treat SLE Has Been Reduced by >=25% From Baseline to <=7.5 mg/Day During Weeks 40 Through 52
The average daily prednisone dose during Weeks 40 to 52 is the sum of all prednisone doses to treat SLE from the day following the Week 40 visit date up to but not including the Week 52 study completion date divided by the number of days between Week 40 visit date and study completion date (study completion date - Week 40 visit date). Percentage of participants whose average prednisone dose has been reduced by >=25% from Baseline to <=7.5 mg/day during Weeks 40 through 52 in participants with average prednisone use greater than 7.5 mg/day at Baseline was compared between belimumab and placebo using a logistic regression model including treatment group, Baseline prednisone dose, screening safety of estrogen in lupus national assessment (SELENA) systemic lupus erythematosus disease activity index (SLEDAI) score (<=9 versus >=10) and region. Baseline is defined as the last available value measured prior to dosing on or before the date of first dose (Day 1).
Measured: Week 40 to Week 52
Number of Participants With All-cause Mortality During Years 2 to 5
Number of participants with all-cause mortality during years 2 to 5 has been presented.
Measured: From 2 years to 5 years
Number of Participants With New Primary Malignancies During Years 2 to 5
Number of participants with new primary malignancies during years 2 to 5 has been presented.
Measured: From 2 years to 5 years
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted15 Oct 2012 (estimated)
- Study start27 Nov 2012
- Primary completion30 Jul 2018
- Study completion10 Aug 2022
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 (2)Papers the sponsor has linked to this study.
- Other trials for Systemic Lupus ErythematosusStudies of the same condition, open and under way.
- More trials run by GlaxoSmithKlineThe sponsor's other registered studies.
- 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 4
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Quadruple blind
- Who is masked
- Participant, Care provider, Investigator, Outcomes assessor
- Enrolment
- 4,019 participants (actual)
Sponsor and investigators
- Lead sponsor
- GlaxoSmithKline
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- GSK Clinical Trials, Study director, GlaxoSmithKline
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT01705977
- Sponsor's protocol ID
- 115467
- Other IDs
- 2011-005667-25, HGS1006-C1113
- Acronym
- BASE
- Status last verified
- Jul 2024
- First submitted
- 10 Oct 2012
- Last updated
- 15 Jul 2024
- Results posted
- Yes, on ClinicalTrials.gov
- Data monitoring committee
- Yes
- Individual data sharing
- Yes: IPD for this study is available via the Clinical Study Data Request site.
Publications
Sheikh S, Scheinberg MA, Wei CC, Tegzova D, Stohl W, Acayaba de Toledo R, Mucenic T, Abello M, Maksimowicz-McKinnon K, Abud Mendoza C, Navarra S, Garcia M, Garcia de la Torre I, Ordi Ros J, Nami A, Levy R, Bass D, Ross J, Punwaney R, Harris J, Pierce A, Thorneloe K, Ji B, Roth D. Mortality and adverse events of special interest in adult patients with active, auto-antibody-positive systemic lupus erythematosus receiving intravenous belimumab (BASE): a global, randomised, double-blind, placebo-controlled, multicentre Phase 4 trial. Lancet Rheumatol. 2020; DOI: 10.1016/S2665-9913(20)30355-6
Sheikh SZ, Scheinberg MA, Wei JC, Tegzova D, Stohl W, de Toledo RA, Mucenic T, Banfi MRA, Maksimowicz-McKinnon K, Abud-Mendoza C, Navarra S, Garcia M, Garcia-De La Torre I, Ros JO, Levy RA, Bass DL, Terres JR, Punwaney R, Harris J, Nami A, Pierce A, Thorneloe KS, Ji B, Roth DA. Mortality and adverse events of special interest with intravenous belimumab for adults with active, autoantibody-positive systemic lupus erythematosus (BASE): a multicentre, double-blind, randomised, placebo-controlled, phase 4 trial. Lancet Rheumatol. 2021 Feb;3(2):e122-e130. doi: 10.1016/S2665-9913(20)30355-6. Epub 2020 Dec 15.
PubMed 38279368
Study at a glance
From the registry record, last updated by the sponsor on 15 Jul 2024. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Randomized, Double-Blind, Placebo-Controlled 52-Week Study to Assess Adverse Events of Special Interest in Adults With Active, Autoantibody-Positive Systemic Lupus Erythematosus Receiving Belimumab
- ClinicalTrials.gov ID
- NCT01705977
- Acronym / sponsor ID
- BASE / 115467
- Conditions
- Systemic Lupus Erythematosus
- Keywords
- Antibodies, Lupus, SLE, Systemic Lupus Erythematosus, Autoimmune Disease, Belimumab
- Phase
- Phase 4
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 4,019 participants (actual)
- Lead sponsor
- GlaxoSmithKlineIndustry (pharma, biotech, devices)
- Study start
- 27 Nov 2012 (actual)
- Primary completion
- 30 Jul 2018 (actual)
- Study completion
- 10 Aug 2022 (actual)
- First posted
- 15 Oct 2012 (estimated)
- Results
- Posted 29 Nov 2019
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 further enhance the existing knowledge regarding the side effects of belimumab when given with other lupus medicines to adults with active systemic lupus erythematosus (SLE). This study mainly focuses on collecting information on serious events that are not that common or may only be seen with long-term treatment. These events include death, serious infections and other infections of interest, cancers, serious mental health problems, including depression and suicide, and serious infusion and hypersensitivity reactions. This study is being done to help understand if treatment with belimumab increases the risk for these types of events. This study will also see if patients receiving belimumab with other lupus medicines can reduce their use of steroids, such as prednisone, over 1 year.
Detailed description
Study participants receive standard therapy for SLE in addition to receiving the study drug, either placebo (no active medicine) or belimumab. The controlled period of the study is 52 weeks. The random assignment in this study is "1 to 1" which means that participants have an equal chance of receiving belimumab or placebo. After completion of the 52-week study period, participants will be contacted by phone annually for 4 more years to assess health status.
Following the 52-week controlled period, participants who wish to continue treatment with belimumab may be able to do so by being prescribed commercially available belimumab. If belimumab is not commercially available in the participant's country, the participant may be able to receive belimumab under a separate continuation protocol.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Quadruple blind (participant, care provider, investigator, outcomes assessor)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Placebo plus standard therapy | Placebo comparator | Biological: Placebo plus standard therapy, Other: Standard therapyPlacebo IV plus standard therapy; placebo administered on Days 0, 14, 28, and every 28 days thereafter through Week 48, with a final evaluation at Week 52 in the double-blind period. |
| Belimumab 10 mg/kg plus standard therapy | Experimental | Biological: Belimumab 10 mg/kg plus standard therapy, Other: Standard therapyBelimumab 10 mg/kg IV plus standard therapy; belimumab administered on Days 0, 14, 28, and then every 28 days thereafter through Week 48, with a final evaluation at Week 52 in the double-blind period. |
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 American College of Rheumatology (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).
Key exclusion criteria (6 listed)
- Pregnant or nursing.
- Have received treatment with any of the following: belimumab, either as a marketed product or as an investigational agent; any B cell targeted therapy (for example, rituximab) in the past year; or any biological agent (for example, adalimumab, etanercept, infliximab, or anakinra) in the past 90 days.
- Have received a live vaccine within the past 30 days.
- Have severe active lupus kidney disease.
- Have severe active central nervous system (CNS) lupus.
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 |
|---|---|---|
| Placebo plus standard therapyPlacebo plus standard therapy | Biological | Placebo plus standard therapy |
| Belimumab 10 mg/kg plus standard therapyAlso: BENLYSTA™Belimumab 10 mg/kg plus standard therapy | Biological | Belimumab 10 mg/kg 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; other biologics are not permitted. | Other | Belimumab 10 mg/kg plus standard therapy, Placebo plus standard therapy |
Primary outcome
Number of Deaths - On Treatment Period (Week 52)
Time frame: Up to Week 52 (On-treatment period)
Number of participants who died during on-treatment period (Week 52) is reported. The on-treatment period was defined as first dose to last dose + 28 days (or death). The As-Treated Population was defined as all participants who were randomized and received at least one dose of study agent,grouped according to the actual treatment administered for the majority (greater than [>]50 percent [%]) of the time. The on-treatment period was the primary analysis period for safety analyses.
Number of Participants Who Reported Protocol Defined Adverse Events of Special Interest (AESI): On-treatment Period (Week 52)
Time frame: Up to Week 52 (On-treatment period)
A summary of protocol defined AESIs including serious infections, opportunistic infections and other infections of interest (serious and non-serious), non-melanoma skin cancer (NMSC), malignancies (excluding NMSC), psychiatric events suggesting serious mood disorders and anxiety (serious depression), suicidality (using Columbia-Suicide Severity Rating Scale [C-SSRS]) and serious infusion and hypersensitivity reactions (SIHR) is reported. The on-treatment period (Week 52) was defined as first dose to last dose + 28 days (or death). The on-treatment period was the primary analysis period for safety analyses.
Number of Participants With Serious Adverse Events (SAEs) Reported During On-treatment Period (Week 52)
Time frame: Up to Week 52 (On-treatment period)
An SAE is defined as any untoward medical occurrence that results in death, is life-threatening, requires inpatient hospitalization or prolongation of existing hospitalization, results in persistent disability/incapacity, is a congenital anomaly/birth defect, associated with liver injury and impaired liver function or any other situations as per medical or scientific judgement. The on-treatment period (Week 52) was defined as first dose to last dose + 28 days (or death) and was the primary analysis period for safety analyses.
6 secondary outcomes
Number of Deaths Reported - On-study Period (Week 52)
Time frame: Up to Week 52 (On-study period)
Number of Participants Who Reported Protocol Defined AESI: On-study Period (Week 52)
Time frame: Up to Week 52 (On-study period)
Number of Participants With SAEs Reported During On-study Period (Week 52)
Time frame: Up to Week 52 (On-study period)
Percentage of Participants Whose Average Prednisone (or Equivalent) Dose to Treat SLE Has Been Reduced by >=25% From Baseline to <=7.5 mg/Day During Weeks 40 Through 52
Time frame: Week 40 to Week 52
Number of Participants With All-cause Mortality During Years 2 to 5
Time frame: From 2 years to 5 years
Number of Participants With New Primary Malignancies During Years 2 to 5
Time frame: From 2 years to 5 years
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 15 Jul 2024.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- BackgroundSheikh S, Scheinberg MA, Wei CC, Tegzova D, Stohl W, Acayaba de Toledo R, Mucenic T, Abello M, Maksimowicz-McKinnon K, Abud Mendoza C, Navarra S, Garcia M, Garcia de la Torre I, Ordi Ros J, Nami A, Levy R, Bass D, Ross J, Punwaney R, Harris J, Pierce A, Thorneloe K, Ji B, Roth D. Mortality and adverse events of special interest in adult patients with active, auto-antibody-positive systemic lupus erythematosus receiving intravenous belimumab (BASE): a global, randomised, double-blind, placebo-controlled, multicentre Phase 4 trial. Lancet Rheumatol. 2020; DOI: 10.1016/S2665-9913(20)30355-6
- Derived from this study: PubMed 38279368Sheikh SZ, Scheinberg MA, Wei JC, Tegzova D, Stohl W, de Toledo RA, Mucenic T, Banfi MRA, Maksimowicz-McKinnon K, Abud-Mendoza C, Navarra S, Garcia M, Garcia-De La Torre I, Ros JO, Levy RA, Bass DL, Terres JR, Punwaney R, Harris J, Nami A, Pierce A, Thorneloe KS, Ji B, Roth DA. Mortality and adverse events of special interest with intravenous belimumab for adults with active, autoantibody-positive systemic lupus erythematosus (BASE): a multicentre, double-blind, randomised, placebo-controlled, phase 4 trial. Lancet Rheumatol. 2021 Feb;3(2):e122-e130. doi: 10.1016/S2665-9913(20)30355-6. Epub 2020 Dec 15.
- Individual participant dataSharing planned: Yes. IPD for this study is available via the Clinical Study Data Request 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
250 sites in 33 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 4 study testing Belimumab 10 mg/kg plus standard therapy and Standard therapy in people with Systemic Lupus Erythematosus, run by GlaxoSmithKline at 250 sites in 33 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 6 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 15 Jul 2024. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 250 sites in United States, Brazil, Argentina, Ukraine, Mexico and 28 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 4 studies take place after a treatment is approved, to learn more about its long-term benefits and risks in everyday use.
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 29 Nov 2019). 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?
Number of Deaths - On Treatment Period (Week 52) (time frame: Up to Week 52 (On-treatment period)). The study lists 3 primary outcomes in all. 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 NCT01705977, which also lists 2 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 15 Jul 2024.