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Systemic Lupus ErythematosusPhase 1NCT02106897

Study Evaluating the Safety, Tolerability, and Pharmacokinetics of Single Doses and Multiple Doses of BIIB059 (Litifilimab) in Healthy Volunteers and Participants With Systemic Lupus Erythematosus

A Phase 1 study testing BIIB059 (litifilimab) in people with Systemic Lupus Erythematosus and Healthy Volunteers, run by Biogen at 5 sites in United States.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

The primary objective of Parts 1 and 2 is to evaluate the safety and tolerability of either single-ascending intravenous (IV) doses or a single subcutaneous (SC) dose of BIIB059 (litifilimab) in healthy volunteers (HV), and a single IV dose in participants with Systemic Lupus Erythematosus (SLE). Read more about this study

Who is it for?
Ages 18 years and olderHealthy volunteers can take part
What is being tested?
BIIB059 (litifilimab)
Type of treatment
Injection or infusion
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
109 participants
Where
5 sitesUnited States
Study dates
30 Apr 2014to 24 May 2016
Phase
Phase 1
Are there results?
None posted in the registry

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
  • Healthy volunteers accepted
  • Adult, Older adult

Part 1: Key Inclusion Criteria For Healthy Volunteers:

  • Be in good health as determined by the Investigator, based on medical history, physical examination, and 12-lead ECG.
  • Body mass index (BMI) between 18 and 30 kg/m2 and body weight ≥45 kg.

Part 1: Key Exclusion Criteria For Healthy Volunteers:

  • History of or positive test results at screening for the following: for human immunodeficiency virus (HIV), hepatitis C virus antibody (HCV Ab), hepatitis B virus (defined as positive for hepatitis B surface antigen [HBsAg] or hepatitis B core antibody [HBcAb]).
  • - History of chronic, recurrent, or recent serious infection (e.g., pneumonia, septicemia) as determined by the Investigator within 3 months prior to screening and randomization.
  • History of severe allergic or anaphylactic reactions or history of allergic reactions likely to be exacerbated by any component of the study drug.
  • History of any clinically significant cardiovascular, endocrinologic, hematologic, hepatic, immunologic, metabolic, urologic, pulmonary, neurologic, dermatologic, psychiatric, renal, or other major disease, as determined by the Investigator.
  • Any live or attenuated immunization/vaccination within 1 month prior to randomization or planned to occur during the study period.
  • Blood donation (1 unit or more) within 1 month prior to randomization.
  • Vigorous exercise (e.g., jogging, swimming laps, heavy gardening, hiking uphill, etc.) within 48 hours prior to Day -1

Part II: Key Inclusion Criteria for SLE Participants:

  • Definite SLE for at least 6 months duration or anti-dsDNA antibody, prior to screening.
  • Presence of active lupus skin disease including acute, sub acute, and/or chronic cutaneous lupus (e.g., discoid) at the time of screening and randomization.
  • BMI between 18 and <40 kg/m2 and body weight ≥45 kg.

Part II: Key Exclusion Criteria for SLE Participants:

  • Active neuropsychiatric SLE including but not limited to the following: seizure, new or worsening impaired level of consciousness, psychosis, delirium or confusional state, aseptic meningitis, ascending or transverse myelitis, chorea, cerebellar ataxia, mononeuritis multiplex, or demyelinating syndromes.
  • History of chronic, recurrent, or recent serious infection (e.g., pneumonia, septicemia) as determined by the Investigator within 3 months prior to screening and randomization.
  • Symptoms of bacterial or viral infection (including upper respiratory tract infection) within 28 days prior to randomization.
  • History of severe allergic or anaphylactic reactions or history of allergic reactions likely to be exacerbated by any component of the study drug.
  • Evidence of skin conditions other than lupus skin disease (e.g., eczema) at screening or at the time of randomization that would interfere with evaluations of the effect of study treatment on lupus skin disease.
  • Treatment with oral prednisone >15 mg daily (or equivalent). Any prednisone regimen must be stable for at least 28 days before randomization and expected to remain stable for the duration of the study.
  • Treatment with any antibiotics within 14 days prior to randomization.

Part IIIa: Key Inclusion Criteria for Healthy Volunteers :

  • Must be in good health as determined by the Investigator, based on medical history, physical examination, and 12-lead ECG.
  • Must have a body mass index (BMI) between 18 and 30 kg/m2 and body weight ≥45 kg.

Part IIIa: Key Exclusion Criteria for Healthy Volunteers:

  • History of chronic, recurrent, or recent serious infection (e.g., pneumonia, septicemia) as determined by the Investigator within 3 months prior to screening and randomization
  • History of severe allergic or anaphylactic reactions or history of allergic reactions likely to be exacerbated by any component of the study treatment.
  • Treatment with any antibiotics within 14 days prior to randomization.

Part IIIb: Key Inclusion Criteria for SLE Participants:

  • Definite SLE for at least 6 months duration prior to screening
  • Presence of active lupus skin disease including acute, subacute, and/or chronic cutaneous lupus (e.g., discoid), and/or hypocomplementemia , and/or positive anti-dsDNA antibody at the time of screening.
  • Must have a BMI between 18 and <40 kg/m2 and body weight ≥45 kg.

Part IIIb: Key Exclusion Criteria for SLE Participants:

  • Active neuropsychiatric SLE including but not limited to the following: seizure, new or worsening impaired level of consciousness, psychosis, delirium or confusional state, aseptic meningitis, ascending or transverse myelitis, chorea, cerebellar ataxia, mononeuritis multiplex, or demyelinating syndromes.
  • History of chronic, recurrent, or recent serious infection (e.g., pneumonia, septicemia) as determined by the Investigator within 3 months prior to screening and randomization.
  • History of severe allergic or anaphylactic reactions or history of allergic reactions likely to be exacerbated by any component of the study drug.
  • Treatment with any antibiotics within 14 days prior to randomization.

NOTE: Other protocol-defined inclusion/exclusion Criteria May Apply

Trial locations and contacts

5 sites in 1 country.

5 sites in 1 country

United States5 sites
  • Research Site

    Anniston, Alabama, 36207

  • Research Site

    Birmingham, Alabama, 35294

  • Research Site

    Duncansville, Pennsylvania, 16635

  • Research Site

    Great Neck, New York, 11021

  • Research Site

    Orlando, Florida, 32806

Other trials in United States

About this study

Official title: A Single-Ascending-Dose and Multiple-Ascending-Dose Study of BIIB059 in Healthy Volunteers and Subjects With Systemic Lupus Erythematosus

The primary objective of Parts 1 and 2 is to evaluate the safety and tolerability of either single-ascending intravenous (IV) doses or a single subcutaneous (SC) dose of BIIB059 (litifilimab) in healthy volunteers (HV), and a single IV dose in participants with Systemic Lupus Erythematosus (SLE). The primary objective of Part 3 is to evaluate the safety and tolerability of multiple SC doses of BIIB059 in healthy volunteers and in participants with SLE.

Secondary objectives of Parts 1 and 2 are as follows: To estimate the PK parameters of single-ascending IV doses of BIIB059 in healthy volunteers and a single IV dose of BIIB059 in participants with SLE; To estimate the PK parameters and bioavailability (F) of a single SC dose of BIIB059 in healthy volunteers; To evaluate the immunogenicity of BIIB059 administered to healthy volunteers and participants with SLE. Secondary objectives of Part 3 are as follows: To estimate the PK parameters of multiple SC doses of BIIB059 in healthy volunteers and in participants with SLE; To evaluate the immunogenicity of BIIB059 administered SC to healthy volunteers and participants with SLE.

Read the detailed description

Part 1 (single ascending dose in healthy volunteers) has closed to enrollment.

Being tested
BIIB059 (litifilimab), Placebo
Medical subject headings
Lupus Erythematosus, Systemic

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • BIIB059 (litifilimab)Drug

    Also called litifilimab

    See Arm Descriptions

  • PlaceboDrug

    See Arm Descriptions

Study groups in NCT02106897
Study groupRoleWhat they receive
Part 1, Cohort 1: BIIB059 0.05 mg/kg IVExperimentalBIIB059 0.05 mg/kg IV dose, Once on Day 1
Receives: Drug: BIIB059 (litifilimab)
Part 1, Cohort 2: BIIB059 0.3 mg/kg IVExperimentalBIIB059 0.3 mg/kg IV dose, Once on Day 1
Receives: Drug: BIIB059 (litifilimab)
Part 1, Cohort 3: BIIB059 1 mg/kg IVExperimentalBIIB059 1 mg/kg IV dose, Once on Day 1
Receives: Drug: BIIB059 (litifilimab)
Part 1, Cohort 4: BIIB059 3 mg/kg IVExperimentalBIIB059 3 mg/kg IV dose, Once on Day 1
Receives: Drug: BIIB059 (litifilimab)
Part 1, Cohort 5: BIIB059 10 mg/kg IVExperimentalBIIB059 10 mg/kg IV dose, Once on Day 1
Receives: Drug: BIIB059 (litifilimab)
Part 1, Cohort 6: BIIB059 20 mg/kg IVExperimentalBIIB059 20 mg/kg IV dose, Once on Day 1
Receives: Drug: BIIB059 (litifilimab)
Part 1, Cohort 7: BIIB059 50 mg SCExperimentalBIIB059 50 mg SC dose, Once on Day 1
Receives: Drug: BIIB059 (litifilimab)
Part 1, Cohort 1-6: Placebo IVPlacebo comparatorMatching placebo IV dose, Once on Day 1
Receives: Drug: Placebo
Part 1, Cohort 7: Placebo SCPlacebo comparatorMatching placebo SC dose, Once on Day 1
Receives: Drug: Placebo
Part 2, Cohort 8: BIIB059 20 mg/kg IVExperimentalBIIB059 20 mg/kg IV dose, Once on Day 1
Receives: Drug: BIIB059 (litifilimab)
Part 2, Cohort 8: Placebo IVPlacebo comparatorMatching placebo IV dose, Once on Day 1
Receives: Drug: Placebo
Part 3a, Cohort 9: BIIB059 20 mg SCExperimentalBIIB059 20 mg SC dose, Every 4 weeks for 2 doses
Receives: Drug: BIIB059 (litifilimab)
Part 3a, Cohort 10: BIIB059 50 mg SCExperimentalBIIB059 50 mg SC dose, Every 4 weeks for 2 doses
Receives: Drug: BIIB059 (litifilimab)
Part 3a, Cohort 11: BIIB059 150 mg SCExperimentalBIIB059 150 mg SC dose, Every 4 weeks for 2 doses
Receives: Drug: BIIB059 (litifilimab)
Part 3a, Cohort 12: BIIB059 300 mg or less SCExperimentalBIIB059 300 mg or less SC dose, Every 2 weeks for 3 doses
Receives: Drug: BIIB059 (litifilimab)
Part 3a, Cohort 9-12: Placebo SCPlacebo comparatorMatching placebo SC dose, Every 4 weeks for 2 doses or every 2 weeks for 3 doses
Receives: Drug: Placebo
Part 3b, Cohort 13: BIIB059 50 mg SCExperimentalBIIB059 50 mg SC dose, Every 4 weeks for 2 doses
Receives: Drug: BIIB059 (litifilimab)
Part 3b, Cohort 14: BIIB059 300 mg or less SCExperimentalBIIB059 300 mg or less SC dose, Every 2 weeks for 3 doses
Receives: Drug: BIIB059 (litifilimab)
Part 3b, Cohort 13-14: Placebo SCPlacebo comparatorMatching placebo SC dose, Every 4 weeks for 2 doses or every 2 weeks for 3 doses
Receives: Drug: Placebo

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Number of Participants that Experience Adverse Events (AEs) and Serious Adverse Events (SAEs)

    Measured: Up to Week 32

Secondary outcomes (11)
  1. Area Under the Concentration-Time Curve from Time 0 Extrapolated to Infinity (AUCinf) of BIIB059

    Measured: Up to Week 32

  2. Maximum Observed Concentration (Cmax) of BIIB059

    Measured: Up to Week 32

  3. Time to Reach Maximum Observed Concentration (Tmax) of BIIB059

    Measured: Up to Week 32

  4. Terminal Elimination Half-Life (t1/2) of BIIB059

    Measured: Up to Week 32

  5. Clearance (CL) of BIIB059

    Measured: Up to Week 32

  6. Apparent Clearance (CL/F) of BIIB059

    For SC cohorts only

    Measured: Up to Week 32

  7. Volume of Distribution (Vss) of BIIB059

    Measured: Up to Week 32

  8. Apparent Volume of Distribution (Vz/F) of BIIB059

    For SC cohorts only

    Measured: Up to Week 32

  9. Bioavailability (F) for a single SC dose of BIIB059

    Measured: Up to Week 32

  10. Absorption Rate Profile for a Single SC Dose of BIIB059

    Measured: Up to Week 32

  11. Number of Participants Who Develop Serum Anti-BIIB059 Antibodies

    Measured: Up to Week 32

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted8 Apr 2014 (estimated)
  2. Study start30 Apr 2014
  3. Primary completion24 May 2016
  4. Study completion24 May 2016

Resources

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 1
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
109 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT02106897
Sponsor's protocol ID
230LE101
Other IDs
2013-005361-39
Status last verified
Jan 2023
First submitted
4 Apr 2014
Last updated
31 Jan 2023
Results posted
No
Data monitoring committee
No

Publications

  • Furie R, Werth VP, Merola JF, Stevenson L, Reynolds TL, Naik H, Wang W, Christmann R, Gardet A, Pellerin A, Hamann S, Auluck P, Barbey C, Gulati P, Rabah D, Franchimont N. Monoclonal antibody targeting BDCA2 ameliorates skin lesions in systemic lupus erythematosus. J Clin Invest. 2019 Mar 1;129(3):1359-1371. doi: 10.1172/JCI124466. Epub 2019 Feb 18.

    PubMed 30645203

Questions about this trial

What is this clinical trial studying?

A Phase 1 study testing BIIB059 (litifilimab) in people with Systemic Lupus Erythematosus and Healthy Volunteers, run by Biogen at 5 sites in United States.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

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 31 Jan 2023. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 5 sites in United States. 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 1 studies test a treatment in a small group of people for the first time or in a new way, mainly to check safety and find the right dose.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

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 Participants that Experience Adverse Events (AEs) and Serious Adverse Events (SAEs) (time frame: Up to Week 32). 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 NCT02106897, which also lists 1 linked publication.

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 31 Jan 2023; AzTrials last refreshed its copy on 6 Nov 2026.

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