Systemic Lupus ErythematosusPhase 3SLE-BRAVE INCT03616912
A Study of Baricitinib (LY3009104) in Participants With Systemic Lupus Erythematosus
A Phase 3 study testing Baricitinib in people with Systemic Lupus Erythematosus, run by Eli Lilly and Company at 184 sites in 18 countries.
Trial summary
The reason for this study is to see how effective and safe the study drug known as baricitinib is in participants 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?
- Baricitinib
- Type of treatment
- Pill or oral medicine
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 830 participants
- Where
- 184 sitesin 18 countries
- Study dates
- 2 Aug 2018to 9 Mar 2022
- 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
- Have a clinical diagnosis of SLE at least 24 weeks prior to screening.
- Have documentation of having met at least 4 of 11 Revised Criteria for Classification of Systemic Lupus Erythematosus according to the 1997 Update of the 1982 American College of Rheumatology (ACR) criteria for classification of SLE prior to randomization.
- Have a positive antinuclear antibody (ANA) (titer ≥1:80) and/or a positive anti-double-stranded deoxyribonucleic acid (dsDNA), and/or a positive anti-Smith (anti-Sm) as assessed by a central laboratory during screening.
- Have a total Systemic Lupus Erythematosus Disease Activity Index 2000 (SLEDAI-2K) score ≥6 during screening.
- Have a clinical SLEDAI-2K score ≥4 at randomization.
- Have at least 1 British Isles Lupus Assessment Group (BILAG) A score or 2 BILAG B scores during screening.
Show all 10Show fewer
- Are receiving at least one of the following standard of care medications for SLE:
- A single antimalarial at a stable dose for at least 8 weeks prior to screening
- A single immunosuppressant at a stable dose for at least 8 weeks prior to screening
- An oral corticosteroid, initiated at least 4 weeks prior to screening, at a stable dose ≤40 milligrams/day prednisone (or equivalent) for at least 2 weeks prior to screening. If the participant is not receiving an antimalarial or immunosuppressant, the dose of corticosteroid must be ≥7.5 milligrams/day prednisone (or equivalent)
Who cannot join
- Have severe active lupus nephritis.
- Have active central nervous system (CNS) lupus.
- Have a history or presence of cardiovascular, respiratory, hepatic, gastrointestinal, endocrine, hematological, neurological, or neuropsychiatric disorders or any other serious and/or unstable illness that, in the opinion of the investigator, could constitute an unacceptable risk when taking investigational product or interfere with the interpretation of data.
- Have a current or recent clinically serious viral, bacterial, fungal, or parasitic infection.
- Have received cyclophosphamide (or any other cytotoxic agent) within 12 weeks prior to screening.
Trial locations and contacts
184 sites in 18 countries.
184 sites in 18 countries
United States60 sites
Albuquerque Center for Rheumatology
Albuquerque, New Mexico, 87102
Amarillo Center for Clinical Research
Amarillo, Texas, 79124
Piedmont Healthcare
Atlanta, Georgia, 30318
Atlanta Center for Clinical Research
Atlanta, Georgia, 30342
Arthritis and Rheumatic Disease
Aventura, Florida, 33180
Accurate Clinical Management
Baytown, Texas, 77521
East Penn Rheumatology Associates
Bethlehem, Pennsylvania, 18015
Achieve Clinical Research, LLC
Birmingham, Alabama, 35216
University of Alabama at Birmingham
Birmingham, Alabama, 35294
Rheumatology Associates of South Florida
Boca Raton, Florida, 33486
St Luke's Clinic - Intermountain Orthopaedics
Boise, Idaho, 83702
New England Research Associates
Bridgeport, Connecticut, 06606
SUNY Health Science Center
Brooklyn, New York, 11203
St. Lawrence Health System
Canton, New York, 13617
Joint and Muscle Medical Care
Charlotte, North Carolina, 28204
Cincinnati Arthritis Associates
Cincinnati, Ohio, 45242
Clinical Research of West Florida, Inc. (Clearwater)
Clearwater, Florida, 33765
Dr. Dhiman Basu Private Practice
Colleyville, Texas, 76034
The Ohio State University
Columbus, Ohio, 43210
Metroplex Clinical Research Center
Dallas, Texas, 75231
Spectrum Medical Inc.
Danville, Virginia, 24541
Denver Arthritis Clinic - Lowry
Denver, Colorado, 80230
Henry Ford Health System
Detroit, Michigan, 48202
Precision Comprehensive Clinical Research Solutions
Fort Worth, Texas, 76107
St. Joseph Heritage Medical Group
Fullerton, California, 92835
Arizona Arthritis & Rheumatology Research, PLLC
Glendale, Arizona, 85306
Rheumatic Disease Center
Glendale, Wisconsin, 53217
Northwell Health
Great Neck, New York, 11021
Medication Management, LLC
Greensboro, North Carolina, 27408
MD Medical Corporation
Hemet, California, 92543
Rheumatology Center of Houston
Houston, Texas, 77004
Accurate Clinical Research
Houston, Texas, 77089
West Tennessee Research Institute
Jackson, Tennessee, 38305
Glacier View Research Institute - Endocrinology
Kalispell, Montana, 59901
The Feinstein Institute for Medical Research
Manhasset, New York, 11030
Arthritis and Rheumatology Center of South Florida
Margate, Florida, 33063
Southwest Rheumatology, P.A.
Mesquite, Texas, 75150
Lakes Research, LLC
Miami Lakes, Florida, 33014
Paramount Medical Research
Middleburg Heights, Ohio, 44130
Yale University School of Medicine
New Haven, Connecticut, 06519
Columbia University Medical Center
New York, New York, 10032
Arthritis & Rheumatology Center of Oklahoma PLLC
Oklahoma City, Oklahoma, 73102
Buffalo Rheumatology
Orchard Park, New York, 14127
Millennium Research
Ormond Beach, Florida, 32174
UPMC Lupus Center of Excellence
Pittsburgh, Pennsylvania, 15213
IRIS Research and Development, LLC
Plantation, Florida, 33324
ACRC Studies
Poway, California, 92064
Allied Clinical Research
Reno, Nevada, 89519
Rockford Orthopedic Associates
Rockford, Illinois, 61114
Clinical Research Institute of Michigan, LLC
Saint Clair Shores, Michigan, 48081
Accurate Clinical Research, Inc.
San Antonio, Texas, 78229
Univ of Texas Health Science Center at San Antonio
San Antonio, Texas, 78229
Arthritis Clinic Of Central Texas
San Marcos, Texas, 78666
Office: Hans R Barthel M.D.
Santa Barbara, California, 93108
Swedish Medical Center
Seattle, Washington, 98122
St. Louis Rheumatology
St Louis, Missouri, 63119
ForCare Clinical Research
Tampa, Florida, 33613-1244
University of Arizona
Tucson, Arizona, 85711
Medvin Clinical Research - Weidmann
Whittier, California, 90602
PMG Research of Wilmington
Wilmington, North Carolina, 28401
China17 sites
Peking University First Hospital
Beijing, 100034
Beijing Peking Union Medical College Hospital
Beijing, 100730
China-Japan Union Hospital of Jilin University
Changchun, Jilin, 100853
First affiliated Hospital of Sun Yat-Sen University
Guangzhou, Guangdong, 510080
The Second Affiliated Hospital of Zhejiang University School of Medicine
Hangzhou, Zhejiang, 310009
First Affiliated Hospital of the Harbin Medical University
Harbin, Heilongjiang, 150001
Nanjing Drum Tower Hospital The Affiliated Hospital of Nanjing University Medical School
Nanjing, Jiangsu, 210000
Ningbo First Hospital
Ningbo, Zhejiang, 315010
Jiangxi Pingxiang People's Hospital
Pingxiang, Jiangxi, 337055
Zhongshan Hospital, Fudan University
Shanghai, Shanghai Municipality, 200032
Shanghai Huashan Hospital Affil to Fu Dan University
Shanghai, 200040
China Medical University (CMU) - First Affiliated Hospital
Shenyang, 110001
The First Affliated Hospital of Soochow University
Suzhou, China, 215000
Tianjin Medical University General Hospital
Tianjin, Tianjin Municipality, 300052
People's Hospital of Xinjiang Uygur Autonomous Region
Ürümqi, 830001
Wuhan Union Hospital
Wuhan, Hubei, 430022
The First Affiliated Hospital of Zhengzhou Universtiy
Zhengzhou, Henan, 450000
Russia16 sites
Chelyabinsk Regional Clinical Hospital
Chelyabinsk, 454076
City Hospital # 7
Kazan', 420103
Regional Clinical Hospital
Kursk, 305007
Russian State Medical University
Moscow, 117997
City Clinical Hospital 1 named after N.I. Pirogov
Moscow, 119049
Rheumatology Institute RAMS
Moscow
Healthy Family
Novosibirsk, 630061
Reafan
Novosibirsk, 630099
Institute of Cytology and Genetics of Siberian Branch of Russian Academy of Medical Sciences
Novosibirsk, 630117
Regional Hospital - Omsk
Omsk, 644111
Orenburg State Medical Academy of Roszdrav
Orenburg, 460018
Ryazan State Medical University
Ryazan, 390026
LLC MK Med
Saint Petersburg, Sankt-Peterburg, 197372
Russian Medical Military Academy n.a. S.M. Kirov
Saint Petersburg, 194044
Departmental Hospital at Smolensk Station "rzhd" JSC
Smolensk, 214025
Kuvatov Republican Clinical Hospital
Ufa, 450005
Mexico14 sites
Centro Integral en Reumatologia SA de CV
Guadalajara, Jalisco, 44160
Clinica de Investigacion en Reumatologia y Obesidad S. C.
Guadalajara, Jalisco, 44650
Centro de Estudios de Investigacion Metabolicos y Cardiovasculares
Guadalajara, Jalisco, 44690
Morales Vargas Centro de Investigacion, S.C.
León, Guanajuato, 37000
Centro Peninsular de Investigacion S.C.P
Mérida, Yucatán, 97000
Köhler & Milstein Research
Mérida, Yucatán, 97070
Cemdeicy S.C.P.
Mérida, Yucatán, 97130
Cliditer Sa de CV
Mexico City, Mexico City, 06700
Hospital Angeles Lindavista
Mexico City, Mexico City, 07760
Clinosar Mexico S.A. de C.V
Mexico City, 06760
Centro de Investigación y Tratamiento Reumatológico S.C
Mexico City, 11850
Centro de Alta Especialidad Reumatologia e Inv Potosi, S.C.
San Luis Potosí City, 78213
CIMAB SA de CV
Torreón, Coahuila, 27000
Investigación Biomédica para el Desarrollo de Fármacos S.A. de C.V.
Zapopan, Jalisco, 45070
Germany11 sites
Charité Universitätsmedizin Berlin Campus Buch
Berlin, 10117
Immanuel Krankenhaus Rheuma Klinik Berlin Buch
Berlin, 13125
Schlosspark Klinik
Berlin, 14059
Universitätsklinikum Köln
Cologne, North Rhine-Westphalia, 50937
Universitätsklinikum Carl Gustav Carus
Dresden, Saxony, 01307
Universitätsklinikum Freiburg
Freiburg im Breisgau, Baden-Wurttemberg, 79106
Universität Leipzig - Universitätsklinikum
Leipzig, Saxony, 04103
Universitatsmedizin der Johannes Gutenberg-Universitat Mainz
Mainz, Rhineland-Palatinate, 55131
Klinikum der Universität München
München, Bavaria, 80336
Universitätsklinikum Tübingen
Tübingen, Baden-Wurttemberg, 72076
Universitätsklinikum Würzburg A. ö. R.
Würzburg, Bavaria, 97080
Brazil10 sites
Santa Casa de Misericordia de Belo Horizonte
Belo Horizonte, Minas Gerais, 30150-221
Hospital de Clinicas UNICAMP
Campinas, São Paulo, 13083-970
Oncovida- Centro de Onco-Hematologia de Mato Grosso
Cuiabá, 78043-142
Centro de Estudos em Terapias Inovadoras-CETI
Curitiba, Paraná, 80030-110
EDUMED - Educação em Saúde Ltda.
Curitiba, Paraná, 80440-080
CIP-Centro Internacional de Pesquisa
Goiânia, Goiás, 74110-120
Hospital de Clinicas de Porto Alegre
Porto Alegre, Rio Grande do Sul, 90035-003
LMK Serviços Médicos S/S
Porto Alegre, Rio Grande do Sul, 90540-000
SER - Serviços Especializados em Reumatologia da Bahia S/S - ME
Salvador, Estado de Bahia, 40150-150
Hospital Alemao Oswaldo Cruz
São Paulo, 01323-903
Hungary10 sites
Budai Irgalmasrendi Korhaz
Budapest, 1027
Qualiclinic Kft
Budapest, 1036
Egyesitett Szent Istvan es Szent Laszlo Korhaz-Rendelointeze
Budapest, 1097
Debreceni Egyetem Klinikai Kozpont Reumatologiai Tanszek
Debrecen, 4032
Debreceni Egyetem Klinikai Kozpont
Debrecen, 4032
Bekes Megyei Pandy Kalman Korhaz
Gyula, Bekes County, 5700
Pecsi Tudomanyegyetem Klinikai Kozpont
Pécs, 7632
Szegedi Tudomanyegyetem Szent-Gyorgyi Albert Klinikai Kozpont I. Belgyogyaszati Klinika
Szeged, 6725
Vita Verum Egeszsegugyi Szolgaltato Bt
Székesfehérvár, 8000
Vital Medical Center
Veszprém, Veszprém City, 8200
Taiwan9 sites
Hualien Tzu-Chi Hospital
Dalin Township, 622
Kaohsiung Veterans General Hospital
Kaohsiung City, 81346
Chang Gung Memorial Hospital - Kaohsiung Branch
Kaohsiung City, 833401
Chang Gung Memorial Hospital - Linkou
Kuei Shan Hsiang, Taoyuan Hsien, 33305
China Medical University Hospital
Taichung, 40447
Taichung Veterans General Hospital
Taichung, 40705
Chi-Mei Medical Center
Tainan, 71004
National Taiwan University Hospital
Taipei, 10002
Taipei Medical University Hospital
Taipei, 110
Australia6 sites
Emeritus Research
Botany, New South Wales, 2019
Emeritus Research
Camberwell, Victoria, 3124
Monash Medical Centre
Clayton, Victoria, 3168
St Vincents Hospital Melbourne
Fitzroy, Victoria, 3065
The Rheumatology Research Unit Sunshine Coast
Maroochydore, Queensland, 4558
Griffith University
Southport, 4215
Czechia5 sites
Revmatologie.s.r.o.
Brno, 63800
Fakultni nemocnice Olomouc
Olomouc, 775 20
ARTHROHELP s.r.o.
Pardubice, 53002
Revmatologicky ustav
Prague, Praha, Hlavní Mešto, 12850
Vseobecna fakultni nemocnice
Prague, 128 08
Greece5 sites
Gen Hospital of Athens G Gennimatas
Athens, Attica, 11527
University General Hospital of Heraklion
Heraklion, Crete, 71110
University General Hospital of Larissa
Larissa, 41110
Euromedica Kyanous Stavros General Hospital
Thessaloniki, 54636
Hippokration University Hopsital
Thessaloniki, 54642
United Kingdom5 sites
Doncaster and Bassetlaw Teaching Hospitals NHS Foundation Trust
Doncaster, DN2 5LT
Whipps Cross University Hospital
London, Surrey, E11 1NR
Guy's Hospital
London, SE1 9RT
St. George's University Hospitals NHS Foundation Trust
London, SW17 0QT
Maidstone Hospital
Maidstone, Kent, ME16 9QQ
Austria3 sites
Medizinische Universität Graz
Graz, 8036
Ordensklinikum Linz GmbH Elisabethinen
Linz, Upper Austria, 4020
Klinik Hietzing
Vienna, 1130
Belgium3 sites
Cliniques Universitaires Saint-Luc
Brussels, Brussels Capital, 1200
UZ Leuven
Leuven, Vlaams Brabant, 3000
CHU de Liège
Liège, 4000
Croatia3 sites
Klinicki Bolnicki Centar Rijeka
Rijeka, 51000
University Hospital Split
Split, 21000
Clinical Hospital Dubrava
Zagreb, 10000
Israel3 sites
Carmel Hospital
Haifa, Ḥeifā, 3436212
Meir Medical Center
Kfar Saba, 4428164
Chaim Sheba Medical Center
Ramat Gan, 5262100
Netherlands2 sites
Vrije Universiteit Medisch Centrum Amsterdam
Amsterdam, 1081 HV
Medische Centrum Leeuwarden
Leeuwarden, Provincie Friesland, 8934 AD
Switzerland2 sites
Universitätsspital Basel
Basel, Canton of Basel-City, 4031
Cantonal Hospital St.Gallen
Sankt Gallen, Canton of St. Gallen, 9007
About this study
Official title: A Randomized, Double-Blind, Placebo-Controlled, Parallel-Group, Phase 3 Study of Baricitinib in Patients With Systemic Lupus Erythematosus
The reason for this study is to see how effective and safe the study drug known as baricitinib is in participants with systemic lupus erythematosus (SLE).
- Conditions
- Systemic Lupus Erythematosus
- Being tested
- Baricitinib, Placebo
- Keywords
- SLE
- 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.
BaricitinibDrug
Also called LY3009104
Administered orally.
PlaceboDrug
Administered orally.
| Study group | Role | What they receive |
|---|---|---|
| Placebo | Placebo comparator | Participants received two placebo tablets: one matching baricitinib 4 milligram (mg) and one matching baricitinib 2 mg administered orally every day (QD) for 52 weeks. Receives: Drug: Placebo |
| 2 mg Baricitinib | Experimental | Participants received one Baricitinib 2 mg tablet and one placebo tablet matching Baricitinib 4 mg administered QD for 52 weeks. Receives: Drug: Baricitinib; Drug: Placebo |
| 4 mg Baricitinib | Experimental | Participants received one Baricitinib 4 mg tablet and one placebo tablet matching baricitinib 2 mg administered orally every day (QD) for 52 weeks. Receives: Drug: Baricitinib; Drug: Placebo |
| Placebo Maximum Extended Enrollment (MEE) | Placebo comparator | Participants received two placebo tablets: one matching baricitinib 4 mg and one matching baricitinib 2 mg administered orally QD for 52 weeks. Receives: Drug: Placebo |
| 2 mg Baricitinib (MEE) | Experimental | Participants received one Baricitinib 2 mg tablet and 1 placebo tablet matching Baricitinib 4 mg administered QD for 52 weeks. Receives: Drug: Baricitinib; Drug: Placebo |
| 4 mg Baricitinib (MEE) | Experimental | Participants received one Baricitinib 4 mg tablet and one placebo tablet matching baricitinib 2 mg administered orally every day (QD) for 52 weeks. Receives: Drug: Baricitinib; Drug: Placebo |
What is being measured
The primary outcome is the main question the study is designed to answer.
Percentage of Participants Achieving a Systemic Lupus Erythematosus Responder Index 4 (SRI-4) Response (4 mg Baricitinib)
SRI-4 response defined as 1)greater than or equal to (>=) 4-point reduction in Systemic Lupus Erythematosus Disease Activity Index 2000 (SLEDAI-2K) total score 2)no new British Isles Lupus Assessment Group (BILAG) A and no more than 1 new BILAG B domain score and 3)no worsening in Physician Global Assessment (PGA) of Disease Activity (worsening defined as an increase of >=0.3 from baseline on a 0-3 visual analogue scale).
SLEDAI-2K assessment consists of 24 items with total score of 0(no symptoms) to 105 (presence of all defined symptoms) with higher scores representing increased disease activity. BILAG Index: assessing clinical signs, symptoms,or laboratory parameters related to Systemic Lupus Erythematosus (SLE),divided into 9 organ systems. For each organ system A=severe disease,B=moderate disease,C=mild stable disease,D=inactive,but previously active,E=inactive and never affected. PGA assess disease activity on a visual analogue scale from 0 to 3 (1=mild, 2=moderate, 3=severe).
Measured: Week 52
Secondary outcomes (11)
Percentage of Participants Achieving SRI-4 Response - 2 mg Baricitinib
SRI-4 response defined as 1)greater than or equal to (>=) 4-point reduction in Systemic Lupus Erythematosus Disease Activity Index 2000 (SLEDAI-2K) total score 2)no new British Isles Lupus Assessment Group (BILAG) A and no more than 1 new BILAG B domain score and 3)no worsening in Physician Global Assessment (PGA) of Disease Activity (worsening defined as an increase of >=0.3 from baseline on a 0-3 visual analogue scale).
SLEDAI-2K assessment consists of 24 items with total score of 0(no symptoms) to 105 (presence of all defined symptoms) with higher scores representing increased disease activity. BILAG Index: assessing clinical signs, symptoms,or laboratory parameters related to Systemic Lupus Erythematosus (SLE),divided into 9 organ systems. For each organ system A=severe disease,B=moderate disease,C=mild stable disease,D=inactive,but previously active,E=inactive and never affected. PGA assess disease activity on a visual analogue scale from 0 to 3 (1=mild, 2=moderate, 3=severe).
Measured: Week 52
Percentage of Participants Achieving a Lupus Low Disease Activity State (LLDAS)
The LLDAS is a composite measure designed to identify patients achieving a state of low disease activity. The LLDAS response criteria were: (1) SLEDAI-2K <=4, with no activity in major organ systems (CNS, vascular, renal, cardiorespiratory and constitutional); where "no activity" is defined as all items of SLEDAI-2K within these major organ systems equal to 0. (2) no new features of lupus disease activity compared to previous occurred visit, where the "new feature" is defined as any of the SLEDAI-2K 24 items changed from 0 to greater than 0; (3) PGA (scale 0-3), <=1; (4) current prednisolone (or equivalent) dose <=7.5 mg daily.
Measured: Week 52
Time to First Severe Flare
Time to first severe flare was analyzed using a Cox proportional hazards model with treatment group, baseline disease activity (Systemic Lupus Erythematosus Disease Activity Index 2000 [SLEDAI-2K ] <10; SLEDAI-2K ≥10), baseline corticosteroid dose (<10 mg/day; ≥10 mg/day prednisone or equivalent), and region fitted as explanatory variables. Participants who did not have severe flare during the flare exposure time period were censored at the end of the flare exposure time.
Measured: Baseline to Week 52
Percentage of Participants Whose Average Prednisone Dose Had Been Reduced by >=25% From Baseline to <=7.5 mg/Day During Weeks 40 Through 52 in Participants Receiving Greater Than 7.5 mg/Day at Baseline
For the analysis of steroid use, steroid dosages were converted to a prednisone equivalent in mg. A responder was defined as having a prednisone reduction by >=25% from Baseline to <=7.5 mg/day during Weeks 40 through 52.
Measured: Baseline, Week 40 through Week 52
Change From Baseline in Worst Pain Numeric Rating Scale (NRS)
Participants assessed their worst pain in the last 24 hours on an 11-point numeric rating scale (NRS) ranging from 0 (no pain) to 10 (pain as bad as you can imagine). The average worst daily pain score was calculated as the mean of the scores over the last 7 days prior to each assessment time point. Higher score indicated severe pain. Least Squares (LS) mean was calculated using Mixed Model Repeated Measures (MMRM) analysis with treatment, baseline disease activity (total SLEDAI-2K <10; >=10), baseline corticosteroid dose (<10 mg/day; >= 10 mg/day prednisone or equivalent), region (North America, Central/South, America/Mexico, Europe, Asia Rest of World), visit (as categorical variable), baseline value, treatment-by-visit interaction, and baseline value-by-visit interaction.
Measured: Baseline, Week 52
Change From Baseline in Functional Assessment of Chronic Illness Therapy-Fatigue (FACIT-Fatigue) Total Score
FACIT-Fatigue score calculated according to a 13-item questionnaire that assess self reported fatigue and its impact upon daily activities and function. It uses a 5-point Likert-type scale (0 = not at all; 1 = a little bit; 2 = somewhat; 3 = quite a bit; 4 = very much). The sum of all responses resulted in the FACIT-Fatigue score for a total possible score of 0 (worse possible score) to 52 (best score). A higher score reflected an improvement in the participant's health status. Least Squares (LS) mean was calculated using Mixed Model Repeated Measures (MMRM) analysis with treatment, baseline disease activity (total SLEDAI-2K <10; >=10), baseline corticosteroid dose (<10 mg/day; >= 10 mg/day prednisone or equivalent), region (North America, Central/South, America/Mexico, Europe, Asia Rest of World), visit (as categorical variable), baseline value, treatment-by-visit interaction, and baseline value-by-visit interaction.
Measured: Baseline, Week 52
Percentage of Participants With Cutaneous Lupus Erythematosus Disease Area and Severity Index (CLASI) Total Activity Score ≥10 at Baseline With ≥50% Reduction in CLASI Total Activity Score
The CLASI is a single-page tool that separately quantifies disease activity and damage. For the activity score, points are given for the presence of erythema, scale, mucous membrane lesions, recent hair loss, and inflammatory alopecia. The total score represents the sum of the individual scores and ranges from 0 to 70. Higher scores are awarded for more severe manifestations.
Measured: Week 52
Change From Baseline in Tender Joints Count
The number of tender and painful joints is determined by examination of 28 joints (14 on each side) which include: the 2 shoulders, the 2 elbows, the 2 wrists, the 10 metacarpophalangeal joints, the 2 interphalangeal joints of the thumb, the 8 proximal interphalangeal joints, and the 2 knees. The joints are assessed and classified as tender or not tender. LS mean was calculated using Mixed Model Repeated Measures (MMRM) analysis with treatment, baseline disease activity (total SLEDAI-2K <10; >=10), baseline corticosteroid dose (<10 mg/day; >=10 mg/day prednisone or equivalent), region (North America, Central/South America/Mexico, Europe, Asia and Rest of World), visit (as categorical variable), baseline value, treatment-by-visit interaction, and baseline value-by-visit interaction.
Measured: Baseline, Week 52
Change From Baseline in Swollen Joint Count
The number of swollen joints is determined by examination of 28 joints (14 on each side) which include: the 2 shoulders, the 2 elbows, the 2 wrists, the 10 metacarpophalangeal joints, the 2 interphalangeal joints of the thumb, the 8 proximal interphalangeal joints, and the 2 knees. The joints are assessed and classified as swollen or not swollen. LS mean was calculated using MMRM analysis with treatment, baseline disease activity (total SLEDAI-2K <10; >=10), baseline corticosteroid dose (<10 mg/day; >=10 mg/day prednisone or equivalent), region (North America, Central/South America/Mexico, Europe, Asia and Rest of World), visit (as categorical variable), baseline value, treatment-by-visit interaction, and baseline value-by-visit interaction.
Measured: Baseline, Week 52
Population Pharmacokinetics (PK): Area Under the Concentration-Time Curve of Baricitinib at Steady State (AUCτ, ss)
PK: Area Under the Concentration-Time Curve of Baricitinib at Steady State (AUCτ, ss) was evaluated using population PK approach.
Measured: Week 0 (Baseline): 15 minutes (min) and 60 min postdose; Week 4: 2 to 4 hours (hr) postdose; Week 8: 4 to 6 hr postdose; Week 12 and Week 16 predose
Population PK: Maximum Observed Drug Concentration at Steady State (Cmax,ss)
Population PK: Maximum Observed Drug Concentration at Steady State (Cmax,ss) was evaluated using population PK approach.
Measured: Week 0 (Baseline): 15 minutes (min) and 60 min postdose; Week 4: 2 to 4 hours (hr) postdose; Week 8: 4 to 6 hr postdose; Week 12 and Week 16 predose
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted6 Aug 2018
- Study start2 Aug 2018
- Primary completion1 Nov 2021
- Study completion9 Mar 2022
Why it stopped: Study terminated due to insufficient evidence to support a positive benefit: risk profile in systemic lupus erythematosus patients.
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 (3)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 Eli Lilly and CompanyThe 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 3
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Double blind
- Who is masked
- Participant, Investigator
- Enrolment
- 830 participants (actual)
Sponsor and investigators
- Lead sponsor
- Eli Lilly and Company
- Sponsor type
- Industry (pharma, biotech, devices)
- Collaborators
- Incyte Corporation
- Responsible party
- Sponsor
- Investigators
- Call 1-877-CTLILLY (1-877-285-4559) or 1-317-615-4559 Mon - Fri 9 AM - 5 PM Eastern time (UTC/GMT - 5 hours, EST), Study director, Eli Lilly and Company
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT03616912
- Sponsor's protocol ID
- 16676
- Other IDs
- I4V-MC-JAHZ, 2017-005026-37, 2017
- Acronym
- SLE-BRAVE I
- Status last verified
- Jan 2023
- First submitted
- 1 Aug 2018
- Last updated
- 30 Jan 2023
- Results posted
- Yes, on ClinicalTrials.gov
- Data monitoring committee
- Yes
- FDA-regulated drug
- Yes
- FDA-regulated device
- No
- Individual data sharing
- Yes: Anonymized individual patient level data will be provided in a secure access environment upon approval of a research proposal and a signed data sharing agreement.
Publications
Yin J, Hou Y, Wang C, Qin C. Clinical outcomes of baricitinib in patients with systemic lupus erythematosus: Pooled analysis of SLE-BRAVE-I and SLE-BRAVE-II trials. PLoS One. 2025 Apr 30;20(4):e0320179. doi: 10.1371/journal.pone.0320179. eCollection 2025.
PubMed 40305472Morand EF, Vital EM, Petri M, van Vollenhoven R, Wallace DJ, Mosca M, Furie RA, Silk ME, Dickson CL, Meszaros G, Jia B, Crowe B, de la Torre I, Dorner T. Baricitinib for systemic lupus erythematosus: a double-blind, randomised, placebo-controlled, phase 3 trial (SLE-BRAVE-I). Lancet. 2023 Mar 25;401(10381):1001-1010. doi: 10.1016/S0140-6736(22)02607-1. Epub 2023 Feb 24.
PubMed 36848918Hannon 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 33687069
Study at a glance
From the registry record, last updated by the sponsor on 30 Jan 2023. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Randomized, Double-Blind, Placebo-Controlled, Parallel-Group, Phase 3 Study of Baricitinib in Patients With Systemic Lupus Erythematosus
- ClinicalTrials.gov ID
- NCT03616912
- Acronym / sponsor ID
- SLE-BRAVE I / 16676
- Conditions
- Systemic Lupus Erythematosus
- Keywords
- SLE
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- TerminatedReason stopped: Study terminated due to insufficient evidence to support a positive benefit: risk profile in systemic lupus erythematosus patients.
- Enrolment
- 830 participants (actual)
- Lead sponsor
- Eli Lilly and CompanyIndustry (pharma, biotech, devices)
- Collaborators
- Incyte Corporation
- Study start
- 2 Aug 2018 (actual)
- Primary completion
- 1 Nov 2021 (actual)
- Study completion
- 9 Mar 2022 (actual)
- First posted
- 6 Aug 2018 (actual)
- Results
- Posted 30 Jan 2023
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The reason for this study is to see how effective and safe the study drug known as baricitinib is in participants with systemic lupus erythematosus (SLE).
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Double blind (participant, investigator)
- Number of arms
- 6
| Arm | Type | Receives |
|---|---|---|
| Placebo | Placebo comparator | Drug: PlaceboParticipants received two placebo tablets: one matching baricitinib 4 milligram (mg) and one matching baricitinib 2 mg administered orally every day (QD) for 52 weeks. |
| 2 mg Baricitinib | Experimental | Drug: Baricitinib, Drug: PlaceboParticipants received one Baricitinib 2 mg tablet and one placebo tablet matching Baricitinib 4 mg administered QD for 52 weeks. |
| 4 mg Baricitinib | Experimental | Drug: Baricitinib, Drug: PlaceboParticipants received one Baricitinib 4 mg tablet and one placebo tablet matching baricitinib 2 mg administered orally every day (QD) for 52 weeks. |
| Placebo Maximum Extended Enrollment (MEE) | Placebo comparator | Drug: PlaceboParticipants received two placebo tablets: one matching baricitinib 4 mg and one matching baricitinib 2 mg administered orally QD for 52 weeks. |
| 2 mg Baricitinib (MEE) | Experimental | Drug: Baricitinib, Drug: PlaceboParticipants received one Baricitinib 2 mg tablet and 1 placebo tablet matching Baricitinib 4 mg administered QD for 52 weeks. |
| 4 mg Baricitinib (MEE) | Experimental | Drug: Baricitinib, Drug: PlaceboParticipants received one Baricitinib 4 mg tablet and one placebo tablet matching baricitinib 2 mg administered orally every day (QD) for 52 weeks. |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (10 listed)
- Have a clinical diagnosis of SLE at least 24 weeks prior to screening.
- Have documentation of having met at least 4 of 11 Revised Criteria for Classification of Systemic Lupus Erythematosus according to the 1997 Update of the 1982 American College of Rheumatology (ACR) criteria for classification of SLE prior to randomization.
- Have a positive antinuclear antibody (ANA) (titer ≥1:80) and/or a positive anti-double-stranded deoxyribonucleic acid (dsDNA), and/or a positive anti-Smith (anti-Sm) as assessed by a central laboratory during screening.
- Have a total Systemic Lupus Erythematosus Disease Activity Index 2000 (SLEDAI-2K) score ≥6 during screening.
- Have a clinical SLEDAI-2K score ≥4 at randomization.
Key exclusion criteria (5 listed)
- Have severe active lupus nephritis.
- Have active central nervous system (CNS) lupus.
- Have a history or presence of cardiovascular, respiratory, hepatic, gastrointestinal, endocrine, hematological, neurological, or neuropsychiatric disorders or any other serious and/or unstable illness that, in the opinion of the investigator, could constitute an unacceptable risk when taking investigational product or interfere with the interpretation of data.
- Have a current or recent clinically serious viral, bacterial, fungal, or parasitic infection.
- Have received cyclophosphamide (or any other cytotoxic agent) within 12 weeks prior to screening.
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 |
|---|---|---|
| BaricitinibAlso: LY3009104Administered orally. | Drug | 2 mg Baricitinib, 2 mg Baricitinib (MEE), 4 mg Baricitinib, 4 mg Baricitinib (MEE) |
| PlaceboAdministered orally. | Drug | 2 mg Baricitinib, 2 mg Baricitinib (MEE), 4 mg Baricitinib, 4 mg Baricitinib (MEE), Placebo, Placebo Maximum Extended Enrollment (MEE) |
Primary outcome
Percentage of Participants Achieving a Systemic Lupus Erythematosus Responder Index 4 (SRI-4) Response (4 mg Baricitinib)
Time frame: Week 52
SRI-4 response defined as 1)greater than or equal to (>=) 4-point reduction in Systemic Lupus Erythematosus Disease Activity Index 2000 (SLEDAI-2K) total score 2)no new British Isles Lupus Assessment Group (BILAG) A and no more than 1 new BILAG B domain score and 3)no worsening in Physician Global Assessment (PGA) of Disease Activity (worsening defined as an increase of >=0.3 from baseline on a 0-3 visual analogue scale). SLEDAI-2K assessment consists of 24 items with total score of 0(no symptoms) to 105 (presence of all defined symptoms) with higher scores representing increased disease activity. BILAG Index: assessing clinical signs, symptoms,or laboratory parameters related to Systemic Lupus Erythematosus (SLE),divided into 9 organ systems. For each organ system A=severe disease,B=moderate disease,C=mild stable disease,D=inactive,but previously active,E=inactive and never affected. PGA assess disease activity on a visual analogue scale from 0 to 3 (1=mild, 2=moderate, 3=severe).
11 secondary outcomes
Percentage of Participants Achieving SRI-4 Response - 2 mg Baricitinib
Time frame: Week 52
Percentage of Participants Achieving a Lupus Low Disease Activity State (LLDAS)
Time frame: Week 52
Time to First Severe Flare
Time frame: Baseline to Week 52
Percentage of Participants Whose Average Prednisone Dose Had Been Reduced by >=25% From Baseline to <=7.5 mg/Day During Weeks 40 Through 52 in Participants Receiving Greater Than 7.5 mg/Day at Baseline
Time frame: Baseline, Week 40 through Week 52
Change From Baseline in Worst Pain Numeric Rating Scale (NRS)
Time frame: Baseline, Week 52
Change From Baseline in Functional Assessment of Chronic Illness Therapy-Fatigue (FACIT-Fatigue) Total Score
Time frame: Baseline, Week 52
Percentage of Participants With Cutaneous Lupus Erythematosus Disease Area and Severity Index (CLASI) Total Activity Score ≥10 at Baseline With ≥50% Reduction in CLASI Total Activity Score
Time frame: Week 52
Change From Baseline in Tender Joints Count
Time frame: Baseline, Week 52
Change From Baseline in Swollen Joint Count
Time frame: Baseline, Week 52
Population Pharmacokinetics (PK): Area Under the Concentration-Time Curve of Baricitinib at Steady State (AUCτ, ss)
Time frame: Week 0 (Baseline): 15 minutes (min) and 60 min postdose; Week 4: 2 to 4 hours (hr) postdose; Week 8: 4 to 6 hr postdose; Week 12 and Week 16 predose
Population PK: Maximum Observed Drug Concentration at Steady State (Cmax,ss)
Time frame: Week 0 (Baseline): 15 minutes (min) and 60 min postdose; Week 4: 2 to 4 hours (hr) postdose; Week 8: 4 to 6 hr postdose; Week 12 and Week 16 predose
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 30 Jan 2023.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Derived from this study: PubMed 40305472Yin J, Hou Y, Wang C, Qin C. Clinical outcomes of baricitinib in patients with systemic lupus erythematosus: Pooled analysis of SLE-BRAVE-I and SLE-BRAVE-II trials. PLoS One. 2025 Apr 30;20(4):e0320179. doi: 10.1371/journal.pone.0320179. eCollection 2025.
- Derived from this study: PubMed 36848918Morand EF, Vital EM, Petri M, van Vollenhoven R, Wallace DJ, Mosca M, Furie RA, Silk ME, Dickson CL, Meszaros G, Jia B, Crowe B, de la Torre I, Dorner T. Baricitinib for systemic lupus erythematosus: a double-blind, randomised, placebo-controlled, phase 3 trial (SLE-BRAVE-I). Lancet. 2023 Mar 25;401(10381):1001-1010. doi: 10.1016/S0140-6736(22)02607-1. Epub 2023 Feb 24.
- 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.
- A Study of Baricitinib (LY3009104) in Participants With Systemic Lupus ErythematosusLink provided by the sponsor.
- Individual participant dataSharing planned: Yes. Anonymized individual patient level data will be provided in a secure access environment upon approval of a research proposal and a signed data sharing agreement.
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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.
Call 1-877-CTLILLY (1-877-285-4559) or 1-317-615-4559 Mon - Fri 9 AM - 5 PM Eastern time (UTC/GMT - 5 hours, EST) study director
Eli Lilly and Company
184 sites in 18 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing Baricitinib in people with Systemic Lupus Erythematosus, run by Eli Lilly and Company at 184 sites in 18 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 10 inclusion and 5 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: stopped early, as of the sponsor's last update on 30 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 184 sites in United States, China, Russia, Mexico, Germany and 13 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 30 Jan 2023). 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 Participants Achieving a Systemic Lupus Erythematosus Responder Index 4 (SRI-4) Response (4 mg Baricitinib) (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 NCT03616912, which also lists 3 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 30 Jan 2023.