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Systemic Lupus ErythematosusPhase 2PREVAIL-2NCT05087628

PRV-3279-2a Trial in Systemic Lupus

A Phase 2 study testing PRV-3279 in people with Systemic Lupus Erythematosus, run by Provention Bio, a Sanofi Company at 36 sites in 4 countries.

Terminated

Stopped early. The study ended before it was planned to and will not resume.

Official record
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Trial summary

The PREVAIL-2 study was designed to assess the safety and potential efficacy of PRV-3279 in flare prevention in systemic lupus erythematosus (SLE) participants with active disease after amelioration induced by corticosteroid treatment. Read more about this study

Who is it for?
Ages 18 to 70 years
Conditions the study is for
Systemic Lupus Erythematosus
What is being tested?
PRV-3279
Type of treatment
Injection or infusion
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
28 participants
Where
36 sitesin 4 countries
Study dates
20 Jan 2022to 24 Jun 2024
Phase
Phase 2
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 to 70 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • A diagnosis of SLE for at least 6 months prior to the Screening visit
  • Meet the 2019 European League Against Rheumatism/American College of Rheumatology (EULAR/ACR) criteria for SLE at Screening
  • Have moderate to severe disease activity despite stable standard-of-care medication defined as:
  • At screening: hSLEDAI score ≥6 (≥4 points of which must come from non-serological finding), OR at least one BILAG A or one B score; At randomization: ≥4-point drop in hSLEDAI, OR one BILAG letter grade improvement in at least one A or B score present at Screening, and investigator or central adjudication committee (CAC) rating of definite improvement or major or complete improvement
  • Able and willing to stop all lupus treatments, except antimalarials, corticosteroids (prednisone equivalent ≤ 10 mg), and NSAIDs

Who cannot join

  • Active lupus nephritis or active central nervous system manifestations of SLE
  • Other inflammatory or autoimmune diseases that, in the opinion of the Investigator or CAC, may confound efficacy evaluations
  • Common variable immunodeficiency syndrome or any other clinically significant immunodeficiency
  • Known COVID-19 infection in the 4 weeks before Screening or positive SARS-CoV-2 RNA test
  • Received a live attenuated vaccine within 2 months of Screening, received a non-live or mRNA vaccine within 2 weeks of Screening, or expecting to receive any vaccine during the study period
  • Any recent infection requiring antibiotics within two weeks of Screening or any recent infection requiring IV antibiotics or hospitalization within 1 month of Screening
Show all 11Show fewer
  • Any condition for which, in the opinion of the Investigator or CAC, participation in the study would not be in the best interest of the patient (e.g., compromise their well-being) or that could prevent, limit, or confound the protocol-specified assessments
  • Participated in any interventional clinical trial within 42 days prior to Screening or within five half-lives of the investigational product, whichever is longer
  • Received rituximab or equivalent treatment that depletes B cells within 6 months of Screening unless return of B cells to pre-treatment value or normal range can be demonstrated.
  • Received tumor necrosis factor inhibitors, interleukin antagonists, or other biologics, including belimumab, within 42 days or five half-lives of the agent, whichever is longer.
  • Received IV immunoglobulin (IVIG) or IV cyclophosphamide within 2 months, prednisone ≥ 100 mg/day for more than 30 days within 2 months, or plasmapheresis within two months of the Screening visit.

Trial locations and contacts

36 sites in 4 countries.

36 sites in 4 countries

United States22 sites
  • Medvin Clinical Research - Apple Valley- Site Number : 133

    Apple Valley, California, 92307

  • Highlands Advanced Rheumatology & Arthritis Center- Site Number : 116

    Avon Park, Florida, 33825

  • Medvin Clinical Research - Covina - West San Bernardino Road- Site Number : 106

    Covina, California, 91722

  • Center for Rheumatology, Immunology and Arthritis- Site Number : 109

    Fort Lauderdale, Florida, 33309

  • Grapevine Rheumatology Clinic- Site Number : 103

    Grapevine, Texas, 76051

  • Accurate Clinical Management - Greenhouse Road- Site Number : 104

    Houston, Texas, 77084

  • Accurate Clinical Research - Houston Resource Parkway- Site Number : 105

    Houston, Texas, 77089

  • University of California San Diego - La Jolla- Site Number : 108

    La Jolla, California, 92037

  • University of California Los Angeles Medical Center- Site Number : 122

    Los Angeles, California, 90095

  • Facey Medical Group - Los Angeles- Site Number : 126

    Los Angeles, California, 91345

  • Ochsner Medical Center - Jefferson Highway- Site Number : 113

    New Orleans, Louisiana, 70121

  • Millennium Research- Site Number : 111

    Ormond Beach, Florida, 32174

  • Yale University School of Medicine- Site Number : 125

    Pittsburgh, Pennsylvania, 15213-2536

  • Desert Medical Advances- Site Number : 114

    Rancho Mirage, California, 92270

  • Sun Research Institute- Site Number : 121

    San Antonio, Texas, 78215

  • D&H Tamarac Research Center- Site Number : 123

    Tamarac, Florida, 33321

  • Florida Hospital Tampa- Site Number : 107

    Tampa, Florida, 33613

  • University of Toledo Medical Center- Site Number : 110

    Toledo, Ohio, 43614

  • Revival Research Corporation - Michigan - ClinEdge - PPDS- Site Number : 124

    Troy, Michigan, 48084

  • Medvin Clinical Research - Tujunga- Site Number : 119

    Tujunga, California, 91042

  • Vernon Hills Medical Associates- Site Number : 128

    Vernon Hills, Illinois, 60061

  • Medvin Clinical Research - Whittier- Site Number : 118

    Whittier, California, 90602

Other trials in United States

China9 sites
  • Investigational Site Number : 310

    Beijing, 100050

  • Investigational Site Number : 301

    Beijing, 100730

  • Investigational Site Number : 309

    Changchun, 130021

  • Investigational Site Number : 302

    Guangzhou, 510080

  • Investigational Site Number : 303

    Nanchang, 330006

  • Investigational Site Number : 307

    Nanjing, 210008

  • Investigational Site Number : 306

    Shanghai, 200127

  • Investigational Site Number : 305

    Tianjin, 300052

  • Investigational Site Number : 304

    Wuhan, 430030

Other trials in China

Puerto Rico3 sites
  • Centro Reumatologico de Caguas- Site Number : 112

    Caguas, 00725

  • Private Practice - Dr. Karina Vila Rivera- Site Number : 117

    San Juan, 00917

  • BCR Medical Center Inc.- Site Number : 129

    San Juan, 909

Other trials in Puerto Rico

Hong Kong2 sites
  • Investigational Site Number : 202

    Pok Fu Lam, 999077

  • Investigational Site Number : 201

    Tuenmen, 999077

Other trials in Hong Kong

About this study

Official title: Phase 2a, Randomized, Double-blind, Placebo-controlled Trial of PRV-3279 EVAluation In Lupus

The PREVAIL-2 study was designed to assess the safety and potential efficacy of PRV-3279 in flare prevention in systemic lupus erythematosus (SLE) participants with active disease after amelioration induced by corticosteroid treatment.

Read the detailed description

This was a randomized, double-blind, placebo-controlled study in adult participants with active SLE. Approximately 100 eligible participants were randomized at a 1:1 ratio to receive treatment with either PRV-3279 or placebo.

Eligible participants included male or female adults, 18 to 70 years of age, with a diagnosis of SLE for at least 6 months.

The study drug was administered every 4 weeks for 20 weeks in a double-blind fashion, followed by an 8-week safety follow-up period.

Being tested
PRV-3279, Placebo
Keywords
SLE, Systemic Lupus Erythematosus
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.

  • PRV-3279Biological

    Also called SAR446811

    Bi-specific antibody-based molecule

  • PlaceboOther

    Placebo

Study groups in NCT05087628
Study groupRoleWhat they receive
PRV-3279ExperimentalSterile solution for intravenous administration, every 4 weeks
Receives: Biological: PRV-3279
PlaceboExperimentalSterile solution for intravenous administration, every 4 weeks
Receives: Other: Placebo

What is being measured

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

  1. Percentage of Participants Who Maintained the Improvement in Systemic Lupus Erythematosus (SLE) Disease Activity From Baseline to Week 24

    Improvement in SLE disease activity:no lupus flare during baseline to Week 24. Lupus flare:Investigator's assessment that SLE activity met Lupus Foundation of America international consensus definition for flare (defined as measurable increase in disease activity in 1 or more organ systems involving new or worse clinical signs and symptoms and/or laboratory measurements,must be considered clinically significant by the assessor,and usually there would be at least consideration of a change or an increase in treatment);a score of "definite worsening" or "severe worsening" on Clinician's Global Impression of Change;and at least 1 of following occurrences: an increase of >=4 points from baseline in hybrid Safety of Estrogens in Lupus Erythematosus National Assessment- Systemic Lupus Erythematosus Disease Activity Index (SELENA-SLEDAI) score (hSLEDAI),or >=1 organ with an A score (severe) or B score (moderate) item rated new or worse on British Isles Lupus Assessment Group (BILAG) Index.

    Measured: Baseline (Day 1) to Week 24

Secondary outcomes (8)
  1. Time to Treatment Failure From Baseline to Week 24

    Treatment failure was defined compared to baseline as the occurrence of an SLE flare (as defined in the primary outcome measure #1); or missing 2 consecutive doses or 3 or more total doses of the study treatment for any reason; or initiation of a new SLE medication; or increased dose of current SLE medication, with the exception of nonsteroidal anti-inflammatory drugs; or participant withdrawal from the study before the Week 24 visit. Baseline was defined as the last non-missing value prior to the first dose of study treatment. Estimations were based on the Kaplan-Meier method.

    Measured: Baseline (Day 1) to Week 24

  2. Percentage of Participants Who Met European League Against Rheumatism (EULAR)-Recommended Goal of Low Disease Responders From Baseline Until Week 24

    EULAR recommended goal of low disease responders were defined as participants who met either of following criteria: hSLEDAI score <3 (lower disease activity) or all BILAG scores were C (mild disease activity), or D (no disease activity in an organ previously affected) or E (organ inactive and never previously active). Baseline was defined as the last non-missing value prior to the first dose of study treatment. Percentages are rounded off to the tenth decimal place.

    Measured: Baseline (Day 1) and Weeks 4, 8, 12, 16, 20 and 24

  3. Change From Screening Until Week 24 in the Physical Component Score (PCS) in the Short Form 36 (SF-36) Health Survey

    SF-36 health survey consisted of 36 items which measured 8 subscales relevant to quality of life (QOL):physical functioning(PF),general health(GH),mental health(MH),vitality(VT),role physical(RP),role emotional(RE),bodily pain(BP), and social functioning(SF).Score range for each of 8 subscales was from 0(maximum disability) to 100(no disability);higher scores indicated good health condition. Responses on SF-36 were used to calculate 2 summary scores: PCS contributed by PF,RP,BP and GH and mental component summary(MCS) contributed by MH,RE, SF and VT. Summations of item scores of same domain gave sub-scale scores, which were transformed to calculate summary scores of PCS and MCS. Both PCS and MCS score ranges from 0(worst) to 100(best); higher scores indicated less disability and better QoL. Change from screening (post-screening value minus screening value) until Week 24 in PCS in SF-36 health survey is presented. Baseline:last non-missing value prior to first dose of study treatment.

    Measured: Screening (Days -42 to -1), Baseline (Day 1) and Weeks 4, 8, 12, 16, 20 and 24

  4. Percentage of Participants Who Met the Criteria for Systemic Lupus Erythematosus Responder Index-4 (SRI-4) From Baseline Until Week 24

    SRI-4 was defined as a hSLEDAI score decrease of >=4 points; and no new organs with a BILAG A (severe) score; and no more than 1 new organ with a BILAG B (moderate) score; and no SELENA-SLEDAI physician's global assessment (ssPGA) score increase of >0.3 points. Baseline was defined as the last non-missing value prior to the first dose of study treatment. Percentages are rounded off to the tenth decimal place.

    Measured: Baseline (Day 1) and Weeks 4, 8, 12, 16, 20 and 24

  5. Percentage of Participants Who Met the British Isles Lupus Assessment Group-Based Combined Lupus Assessment (BICLA) Criteria From Baseline Until Week 24

    BICLA criteria was defined as reduction by >=1 grade in all organs with BILAG A (severe) or B (moderate) scores; and no worsening of SLEDAI or other BILAG organs; and no ssPGA score increase of >=0.3 points. Baseline was defined as the last non-missing value prior to the first dose of study treatment. Percentages are rounded off to the tenth decimal place.

    Measured: Baseline (Day 1) and Weeks 4, 8, 12, 16, 20 and 24

  6. Number of Participants With Treatment-Emergent Adverse Events (TEAEs), Treatment-Emergent Serious Adverse Events (TESAEs), TEAEs Leading to Treatment Discontinuation and Treatment-Emergent Adverse Events of Special Interest (TEAESIs)

    An AE was any untoward medical occurrence in a participant or clinical study participant, temporally associated with the use of study treatment, whether or not considered related to the study treatment. An SAE was defined as any untoward medical occurrence that, at any dose, resulted in death, was life-threatening, required inpatient hospitalization or prolongation of existing hospitalization, resulted in persistent disability/incapacity, was a congenital anomaly/birth defect, or any other medically important event. A TEAE was defined as an AE that developed, worsened or became serious during the TE period. An AESI was defined as a TEAE including SAE, that were of scientific and medical concern specific to PRV-3279, for which ongoing monitoring and rapid communication by the Investigator to the Sponsor was considered appropriate.

    Measured: From first dose of study treatment (Day 1) up to 56 days post last dose of study treatment, up to 29.1 weeks

  7. Serum Concentrations of PRV-3279

    Serum samples were collected at specified timepoints to evaluate serum concentration of PRV-3279.

    Measured: Pre-dose and 2 hours post-dose on Days 1, 29, 57, 86, 113, 141, 169 and 197; 24, 48, 72, 168, 336 hours post-dose on Days 1 and 141

  8. Number of Participants With Anti-Drug Antibodies (ADAs) Against PRV-3279

    Blood samples were collected at specified timepoints to evaluate the presence of ADA against PRV-3279. Treatment-emergent ADA was defined as at least 1 treatment-induced or treatment-boosted ADA at any time after first study treatment administration. Treatment-induced ADA was defined as ADA that developed at any time after first study treatment administration and without pre-existing ADA (including participants without pre-treatment samples). Treatment-boosted ADA was defined as pre-existing ADA that boosted during the TE period to a significant higher titer than the baseline. Number of participants with treatment-emergent ADA is presented.

    Measured: From first dose of study treatment (Day 1) up to 56 days post last dose of study treatment, up to 29.1 weeks

Timeline

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

  1. First posted21 Oct 2021
  2. Study start20 Jan 2022
  3. Primary completion14 May 2024
  4. Study completion24 Jun 2024

Why it stopped: Termination for Strategic Reasons

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 2
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
28 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05087628
Sponsor's protocol ID
PRV-3279-2a
Other IDs
ACT18113
Acronym
PREVAIL-2
Status last verified
Mar 2026
First submitted
27 Sep 2021
Last updated
3 Apr 2026
Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
Yes: Qualified researchers may request access to patient level data and related study documents including the clinical study report, study protocol with any amendments, blank case report form, statistical analysis plan, and dataset specifications. Patient level data will be anonymized and study documents will be redacted to protect the privacy of trial participants. Further details on Sanofi's data sharing criteria, eligible studies, and process for requesting access can be found at: https://vivli.org

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing PRV-3279 in people with Systemic Lupus Erythematosus, run by Provention Bio, a Sanofi Company at 36 sites in 4 countries.

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

Who may be eligible to take part?

The sponsor lists 5 inclusion and 11 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 3 Apr 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 36 sites in United States, China, Puerto Rico, Hong Kong. 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. 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 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.

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 3 Apr 2026). 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 Who Maintained the Improvement in Systemic Lupus Erythematosus (SLE) Disease Activity From Baseline to Week 24 (time frame: Baseline (Day 1) to Week 24). It is what the study was designed to measure, not a finding.

Where can I read the original study information?
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 3 Apr 2026; AzTrials last refreshed its copy on 27 Oct 2026.

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