Subacute Cutaneous Lupus ErythematosusPhase 2/3AMETHYSTNCT05531565
A 2-Part Study to Learn Whether Litifilimab (BIIB059) Injections Can Improve Symptoms of Adult Participants Who Have Active Cutaneous Lupus Erythematosus
A Phase 2/3 study testing Litifilimab in people with Subacute Cutaneous Lupus Erythematosus and Chronic Cutaneous Lupus Erythematosus, run by Biogen at 315 sites in 30 countries.
Trial summary
In this study, researchers will learn more about a study drug called litifilimab (BIIB059) in participants with cutaneous lupus erythematosus (CLE). The study will focus on participants who have either active subacute CLE or chronic CLE, or both. They may also have systemic lupus erythematosus (SLE). Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Subacute Cutaneous Lupus Erythematosus, Chronic Cutaneous Lupus Erythematosus
- What is being tested?
- Litifilimab
- Type of treatment
- Injection or infusion
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 450 participants
- Where
- 315 sitesin 30 countries
- Study dates
- 13 Sep 2022to 14 Dec 2027
- Phase
- Phase 2/3
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
- Histologically confirmed (in the past or during the Screening period) diagnosis of CLE with or without systemic manifestations.
- Must have active cutaneous manifestations that meet study criteria.
- Must have a CLASI-A score ≥10.
- Must have an active CLE lesion despite an adequate trial of antimalarial treatment.
Who cannot join
- Any active skin conditions other than CLE that may interfere with the study assessments of CLE.
- Diagnosis of mixed connective tissue disease [(within 1 year of signing the informed consent form (ICF)] or any history of overlap syndromes of SLE including concomitant presence with rheumatoid arthritis, dermatomyositis and/or polymyositis, systemic sclerosis, psoriatic arthritis, or any other autoimmune disease that may confound the evaluation of the disease activity or the effect of the investigational product. Exceptions for overlap syndrome of SLE include participants with overlap syndrome of SLE with myositis and secondary Sjögren's syndrome at screening is permitted provided the participant also meets the criteria for classification as SLE. A past history of mixed connective tissue disease that over time has developed into a diagnosis of SLE is permitted, provided diagnosis of SLE has been present for at least 1 year.
- Active severe lupus nephritis.
- Active neuropsychiatric SLE.
- Use of intralesional corticosteroids within 1 week prior to Screening and during the study.
- Use of immunosuppressive or disease-modifying treatments for SLE or CLE [via an oral, intravenous (IV), or SC route] that were initiated less than 12 weeks prior to screening, have not been at a stable and allowable dose.
- NOTE: Other protocol-defined Inclusion/Exclusion criteria may apply
Trial locations and contacts
315 sites in 30 countries.
315 sites in 30 countries
United States62 sites
Albuquerque Center For Rheumatology
Albuquerque, New Mexico, 87102
University of New Mexico School of Medicine
Albuquerque, New Mexico, 87106
David Fivenson, MD, Dermatology, PLLC
Ann Arbor, Michigan, 48103
Pinnacle Research Group, LLC
Anniston, Alabama, 36207
Oakland Hills Dermatology
Auburn Hills, Michigan, 48326
Augusta University
Augusta, Georgia, 30912
Austin Regional Clinic, P.A.
Austin, Texas, 78731
UAB Center for Women's Reproductive Health
Birmingham, Alabama, 35233-7340
Open Door Clinical Research
Blacksburg, Virginia, 24060
Tufts Medical Center
Boston, Massachusetts, 02111
Brigham And Women's Hospital
Boston, Massachusetts, 02115
Equity Medical
Bowling Green, Kentucky, 42104
NYU Langone Brooklyn
Brooklyn, New York, 11220
University of North Carolina at Chapel Hill
Chapel Hill, North Carolina, 27514
Rush University Medical Center
Chicago, Illinois, 60612
University of Cincinnati Department of Dermatology
Cincinnati, Ohio, 45219
University Hospitals Cleveland Medical Center
Cleveland, Ohio, 44106
Precision Comprehensive Clinical Research Solutions
Colleyville, Texas, 76034
Ohio State University
Columbus, Ohio, 43210
Metroplex Clinical Research Center, LLC
Dallas, Texas, 75231
UT Southwestern Medical Center
Dallas, Texas, 75390-8896
Omega Research Debary, LLC
DeBary, Florida, 32713
Denver Arthritis Clinic
Denver, Colorado, 80230
Duke Dermatology South Durham
Durham, North Carolina, 27710
Universal Dermatology, PLLC
Fairport, New York, 14450
AA MRC LLC Ahmed Arif Medical Research Center
Flint, Michigan, 48504
Centre for Rheumatology, Immunology and Arthritis
Fort Lauderdale, Florida, 33334
North Texas Center for Clinical Research
Frisco, Texas, 75034
University of Florida
Gainesville, Florida, 32610
UTMB Department of Dermatology
Galveston, Texas, 77555-0583
Northwell Health, Inc. PRIME
Great Neck, New York, 11021
Medication Management, LLC
Greensboro, North Carolina, 27405
Penn State University Milton S. Hershey Medical Center
Hershey, Pennsylvania, 17033
University of Texas Health Science Center at Houston
Houston, Texas, 77054
Dawes Fretzin Clinical Research Group, LLC
Indianapolis, Indiana, 46250
The Regents of the University of California
La Jolla, California, 92037
Dermatology Research Associates
Los Angeles, California, 90045
University of Miami Miller School of Medicine
Miami, Florida, 33125
Millennium Medical Research, LLC
Miami, Florida, 33126
Medical Research Center of Miami
Miami, Florida, 33134
Diverse Clinical Research LLC
Miami, Florida, 33175
Charisma Medical and Research Center
Miami Lakes, Florida, 33014
Vanderbilt University Medical Center
Nashville, Tennessee, 37232
Essential Dermatology
Natick, Massachusetts, 01760
LSU Health Sciences Center Shreveport
New Orleans, Louisiana, 70112
Columbia University Medical center
New York, New York, 10032
University of Nebraska Medical Center
Omaha, Nebraska, 68198
University of Pennsylvania
Philadelphia, Pennsylvania, 19104
Arizona Arthritis & Rheumatology Research, PLLC
Phoenix, Arizona, 85032
Leading Edge Dermatology
Plantation, Florida, 33317
Beacon Clinical Research, LLC
Quincy, Massachusetts, 02169
West End Dermatology Associates
Richmond, Virginia, 23233
OrthoIllinois
Rockford, Illinois, 61114
University of Utah Health Sciences Center
Salt Lake City, Utah, 84132
Clinical Science Institute
Santa Monica, California, 90404
Saint Louis University
St Louis, Missouri, 63110
Hawthorne Health
Staten Island, New York, 10309
Revival Research Institute, LLC
Troy, Michigan, 48084
Inland Rheumatology Clinical Trials, Inc.
Upland, California, 91786
Arthritis & Osteoporosis Clinic
Waco, Texas, 76710
Velocity Clinical Research Waco
Waco, Texas, 76710
University of Massachusetts, Worcester
Worcester, Massachusetts, 01655
Japan30 sites
Aomori Prefectural Central Hospital
Aomori, Aomori, 030-8553
Teikyo University Hospital
Itabashi-ku, Tokyo-To, 173-8606
Shimane University Hospital
Izumo-shi, Shimane, 693-8501
Kakogawa Central City Hospital
Kakogawa-shi, Hyōgo, 675-8611
Kanazawa University Hospital
Kanazawa, Ishikawa-ken, 920-8641
NHO Osaka Minami Medical Center
Kawachinagano-shi, Osaka, 586-8521
St. Marianna University Hospital
Kawasaki-shi, Kanagawa, 216-8511
Hospital of the University of Occupational and Environmental Health
Kitakyushu-shi, Fukuoka, 807-8556
Kumamoto University Hospital
Kumamoto, Kumamoto, 860-8556
Nagasaki University Hospital
Nagasaki, Nagasaki, 852-8501
JCHO Chukyo Hospital
Nagoya, Aichi-ken, 457-8510
NHO Nagoya Medical Center
Nagoya, Aichi-ken, 460-0001
Niigata University Medical & Dental Hospital
Niigata, Niigata, 951-8520
Japanese Red Cross Okayama Hospital
Okayama, Okayama-ken, 700-8607
Kita Harima Medical Center
Ono-shi, Hyōgo, 675-1392
Osaka Keisatsu Hospital
Osaka, Osaka, 543-8922
Kindai University Hospital
Osakasayama-shi, Osaka, 589-8511
Shiga University of Medical Science Hospital
Ōtsu, Shiga, 520-2192
Hokkaido University Hospital
Sapporo, Hokkaido, 060-8648
Tohoku University Hospital
Sendai, Miyagi, 980-8574
Showa University East Hospital
Shinagawa-ku, Tokyo-To, 142-0054
Osaka University Hospital
Suita-shi, Osaka, 565-0871
Takatsuki Red Cross Hospital
Takatsuki-shi, Osaka, 569-1096
Fujita Health University Hospital
Toyoake-shi, Aichi-ken, 470-1192
Juntendo University Urayasu Hospital
Urayasu-shi, Chiba, 279-0021
Wakayama Medical University Hospital
Wakayama, Wakayama, 641-8510
Yokohama City University Medical Center
Yokohama, Kanagawa, 232-0024
Yokohama City University Hospital
Yokohama, Kanagawa, 236-0004
NHO Yokohama Medical Center
Yokohama, Kanagawa, 245-8575
University of Fukui Hospital
Yoshida-gun, Fukui, 910-1193
China26 sites
The First Affiliated Hospital of Baotou Medical College
Baotou, Inner Mongolia, 014010
Beijing Tongren Hospital, Capital Medical University
Beijing, Beijing Municipality, 100730
Peking Union Medical College Hospital
Beijing, Beijing Municipality, 100730
The First Hospital of Jilin University
Changchun, Jilin, 130021
Xiangya Hospital of Central South University
Changsha, Hu'nan, 410008
The second Xiangya Hospital of Central South University
Changsha, Hu'nan, 410011
The First Affiliated Hospital of Chongqing Medical University
Chongqing, Chongqing Municipality, 400016
Dongguan People's Hospital
Dongguan, Guangdong, 523059
The First Affiliated Hospital of Fujian Medical University
Fuzhou, Fujian, 350005
Nanfang Hospital of Southern Medical University
Guangzhou, Guangdong, 510515
Sun Yat-Sen Memorial Hospital, Sun Yat-Sen University
Guangzhou, Guangzhou, 510120
The First Affiliated Hospital of Zhejiang University school of medicine
Hangzhou, Zhejiang, 310003
Hangzhou First People's Hospital
Hangzhou, Zhejiang, 310006
Zhejiang Provincial People's Hospital
Hangzhou, Zhejiang, 310014
Qilu Hospital of Shandong University
Jinan, Shandong, 250012
The Second Affiliated Hospital of Kunming Medical University
Kunming, Yunnan, 650101
Hospital for Skin Diseases, Chinese Academy of Medical Sciences
Nanjing, Jiangsu, 210042
Nanyang First People's Hospital
Nanyang, Henan, 473004
Ruijin Hospital of Shanghai Jiaotong University School of Medicine
Shanghai, Shanghai Municipality, 200011
Zhongshan Hospital Fudan University
Shanghai, Shanghai Municipality, 200032
Shanghai Skin Disease Hospital
Shanghai, Shanghai Municipality, 200443
Shenzhen Second People's Hospital
Shenzhen, Guangdong, 518029
The First Affiliated Hospital of Wenzhou Medical University
Wenzhou, Zhejiang, 325000
Henan Provincial People's Hospital
Zhengzhou, Henan, 450003
Affiliated Hospital of Jiangsu University
Zhenjiang, Jiangsu, 212001
Zhongshan TCM Hospital
Zhongshan, Guangdong, 528400
Brazil22 sites
Santa Casa de Misericordia de Belo Horizonte
Belo Horizonte, Minas Gerais, 30150-221
Freire Pesquisa Clinica
Belo Horizonte, Minas Gerais, 30150-320
Clinica Pulsus
Belo Horizonte, Minas Gerais, 30180-065
L2IP - Instituto de Pesquisas Clínicas Ltda.
Brasília, Federal District, 70200-730
Integrare Terapêutica
Fortaleza, Ceará, 60125-000
HUWC - UFC - Hospital Universitário Walter Cantídio - Universidade Federal do Ceará
Fortaleza, Ceará, 60430-370
CMiP - Centro Mineiro de Pesquisa
Juiz de Fora, Minas Gerais, 36010-570
Hospital Bruno Born
Lajeado, Rio Grande do Sul, 95900-000
Hospital de Clínicas de Porto Alegre
Porto Alegre, Rio Grande do Sul, 90035-903
Nucleo de Pesquisa Clinica do Rio Grande do Sul
Porto Alegre, Rio Grande do Sul, 90430001
LMK Serviços Médicos S/S Ltda
Porto Alegre, Rio Grande do Sul, 90480-000
Hospital Moinhos de Vento
Porto Alegre, Rio Grande do Sul, 90560032
IPES - Instituto de Pesquisa e Educação em Saúde
Porto Velho, Rondônia, 76804366
Instituto Brasil de Pesquisa Clínica-IBPCLIN S/A
Rio de Janeiro, Rio Do Janeiro, 20241-180
IDERJ - Instituto de Dermatologia e Estética do Brasil Ltda
Rio de Janeiro, Rio Do Janeiro, 22470-220
Clínica SER da Bahia
Salvador, Estado de Bahia, 40150-150
IPC MT Instituto de Pesquisas Clinicas do Mato Grosso
Santo Ângelo, Mato Grosso, 78020-500
CEMEC - Centro Multidisciplinar de Estudos Clínicos
São Bernardo do Campo, São Paulo, 09715-090
CEPIC - Centro Paulista de Investigação Clínica e Serviços Médicos
São Paulo, São Paulo, 04266-010
RDSS Ricardo Diaz Scientific Solution
São Paulo, 04037-030
A2Z Clinical Centro Avancado de Pesquisa Clinica
Valinhos, São Paulo, 13271-130
CEDOES - Diagnóstico e Pesquisa
Vitória, Espírito Santo, 29055-450
Germany18 sites
Universitaetsklinikum Aachen AoeR
Aachen, North Rhine-Westphalia, 52074
Fachklinik Bad Bentheim Dermatologie
Bad Bentheim, Lower Saxony, 48455
Charité - Campus Charité Mitte
Berlin, 10117
Universitaetsklinikum Bonn AoeR
Bonn, North Rhine-Westphalia, 53127
Elbekliniken Buxtehude GmbH
Buxtehude, Lower Saxony, 21614
Universitaetsklinikum Carl Gustav Carus TU Dresden
Dresden, Saxony, 1307
Universitaetsklinikum Duesseldorf AoeR
Düsseldorf, North Rhine-Westphalia, 40225
Universitaetsklinikum Erlangen
Erlangen, Bavaria, 91054
Universitaetsklinikum Halle (Saale)
Halle, Saxony-Anhalt, 6120
Universitaetsklinikum Heidelberg
Heidelberg, Baden-Wurttemberg, 69120
Universitaetsklinikum Schleswig-Holstein - Campus Kiel
Kiel, Schleswig-Holstein, 24105
LMU-Campus Innenstadt
Munich, Bavaria, 80336
Klinikum rechts der Isar der TU Muenchen
Munich, Bavaria, 80802
Universitaetsklinikum Muenster
Münster, North Rhine-Westphalia, 48149
Klinikum Oldenburg AoeR
Oldenburg, Lower Saxony, 26133
Universitaetsklinikum Regensburg
Regensburg, Bavaria, 93053
Universitaetsklinikum Tuebingen
Tübingen, Baden-Wurttemberg, 72076
Universitaetsklinikum Wuerzburg
Würzburg, Bavaria, 97080
Argentina17 sites
APRILLUS Asistencia e Investigacion
Buenos Aires, Ciudad Autonoma Buenos Aires, C1406AGA
Fundacion Respirar
Buenos Aires, Ciudad Autonoma Buenos Aires, C1426ABO
Hospital Italiano de La Plata
Buenos Aires, B1900AXI
CINME - Centro De Investigaciones Metabolicas
CABA, Buenos Aires, C1056ABI
Hospital Italiano de Buenos Aires
Ciudad Autonoma Buenos Aires, C1199ABB
Centro Privado de Medicina Familiar - Mind Out Research
Ciudad Autonoma Buenos Aires, C1417
Clinica Adventista Belgrano
Ciudad Autonoma Buenos Aires, C1430EGF
Centro de Investigaciones Medicas Mar del Plata
Mar del Plata, Buenos Aires, 7600
Instituto de Reumatologia
Mendoza, M5500
Instituto de Investigaciones Clinicas Quilmes
Quilmes, Buenos Aires, B1878GEG
Instituto CAICI
Rosario, Santa Fe Province, S2000PBJ
CER San Juan Centro Polivalente de Asistencia e Inv. Clinica
San Juan, 5400
Centro de Investigaciones San Miguel
San Miguel, Buenos Aires, 1663
Clinica Mayo de Urgencias Medicas Cruz Blanca SRL
San Miguel de Tucumán, Tucumán Province, 4000
Centro de Investigaciones Medicas Tucuman
San Miguel de Tucumán, Tucumán Province, T4000AXL
Investigaciones Clinicas Tucuman
San Miguel de Tucumán, Tucumán Province, T4000ICL
Consultorio Alto Dorrego
Villa Nueva, Mendoza Province, CP 5519
Philippines12 sites
Cebu Doctors University Hospital
Cebu City, 6000
Ospital Ng Makati
City of Taguig, 1642
Mary Mediatrix Medical Center
Lipa City, 4217
The Medical City Clark
Mabalacat, Pampanga, 2023
Medical Center Manila
Manila, 1000
Philippine General Hospital
Manila, 1000
Jose R. Reyes Memorial Medical Center
Manila, 1012
The Medical City
Pasig, 1605
St. Luke's Medical Center
Quezon City, 1102
Far Eastern University - Dr. Nicanor Reyes Medical Foundation
Quezon City, Metro Manila, 1118
Ilocos Training and Regional Medical Center
San Fenando, La Union, 2500
Lorma Medical Center
San Fernando City, La Union, 2500
France11 sites
Hôpital Privé d'Antony
Antony, Hauts De Seine, 92160
CHU Besançon - Hôpital Jean Minjoz
Besançon, Doubs, 25030
CHU de Caen - Hopital de la Cote de Nacre
Caen, Calvados, 14033
Hôpital Saint-Louis
Cedex 10, Paris, 75475
Hopital Claude Huriez - CHU Lille
Lille, Nord, 59037
Hopital Edouard Herriot - CHU Lyon
Lyon, Rhone, 69003
Hôpital de la Timone
Marseille, Bouches-du-Rhône, 13385
Hopital Saint Eloi
Montpellier, Herault, 34295
CHU Nice - Hopital de l Archet
Nice, Alpes Maritimes, 6200
Hopital Tenon
Paris, 75020
Hopital Larrey
Toulouse, Haute Garonne, 31059
Poland11 sites
DERMEDIC Jacek Zdybski
Kielce, 25-553
SPZOZ Szpital Uniwersytecki w Krakowie
Krakow, 31-501
Promed P.Lach R.Glowacki spolka jawna, Centrum Medyczne PROMED
Krakow, 31-513
Specjalistyczny Gabinet Dermatologiczny Aplikacyjno-Badawczy Marek Brzewski
Krakow, 31-530
MT Medic Specjalistyczna Praktyka Lekarska Tomasz Stapinski
Krosno, 38-400
Dermoklinika Centrum Medyczne SC M Kierstan J Narbutt A Lesiak
Lodz, 90-436
Kliniczny Szpital Wojewodzki nr 1 im.F.Chopina
Rzeszów, 35-055
MICS Centrum Medyczne Warszawa
Warsaw, 00-874
Szpital Kliniczny Dzieciatka Jezus
Warsaw, 02-008
Royalderm, Agnieszka Nawrocka
Warsaw, 02-962
Cityclinic Przychodnia Lekarsko-Psychologiczna Matusiak Spółka Partnerska
Wroclaw, 50-566
Spain11 sites
Complejo Hospitalario Universitario A Coruña
A Coruña, 15006
Hospital Universitario Fundacion Alcorcon
Alcorcón, Madrid, 28922
Hospital Universitari Germans Trias i Pujol
Badalona, Barcelona, 8916
Hospital Universitari Vall d'Hebron - VHIR
Barcelona, 08035
Hospital del Mar
Barcelona, 8003
Hospital de la Santa Creu i Sant Pau
Barcelona, 8041
Hospital General de Castellon
Castellon, Castellón, 12004
Hospital Universitario Reina Sofia
Córdoba, 14004
Hospital Universitario Puerta de Hierro Majadahonda
Majadahonda, Madrid, 28222
Hospital Universitario Virgen del Rocio
Seville, 41013
Hospital Universitario Rio Hortega
Valladolid, Cantabria, 47012
Ukraine11 sites
CNE Cherkasy Regional Hospital of Cherkasy Regional Council
Cherkasy, 18009
CNCE Regional Clinical Hospital of Ivano-Frankivsk Regional Council, Dept of Rheumatology
Ivano-Frankivsk, 76018
Medical Center Artes Medicum LLC
Kyiv, 02002
Med Center 'Ok!Clinic+' LLC "International Institute of Clinical Research"
Kyiv, 02091
Communal Enterprise Volyn Regional Clinical Hospital of Volyn Regional Council
Lutsk, 43005
Lviv Regional Clinical Hospital
Lviv, 79010
Communal Enterprise M.V.Sklifosovskyi Poltava Regional Clinical Hospital of Poltava Regional Council
Poltava, 36011
CNE Ternopil Reg Clinical Hospital TRC, Dept of Rheumatology, SHEI I.Ya.HorbachevskyiTernopil SMU
Ternopil, 46002
ZAKARPATTIA ENDOCLINIC LLC, Medical Center Endoclinic
Uzhhorod, 88000
Private Small Enterprise Medical Center Pulse
Vinnytsia, 21001
СNE M.I. Pyrogov RCH of Vinnytsia RC HSC Reum Osteo Bio Th
Vinnytsia, 21018
Bulgaria9 sites
DCC 'Sveti Georgi' EOOD
Haskovo, 6300
Medical center Medconsult Pleven OOD
Pleven, 5800
UMHAT 'Dr. Georgi Stranski', EAD
Pleven, 5800
DCC 1 - Ruse, EOOD
Rousse, 7002
DCC-1-Sevlievo EOOD
Sevlievo, Gabrovo, 5400
Ambulatory for Specialized Medical Help - skin and venereal diseases
Sofia, 1407
DCC 'Alexandrovska', EOOD
Sofia, 1431
DCC Focus 5 - MEOH OOD
Sofia, 1463
Military Medical Academy - MHAT - Sofia
Sofia, 1606
Italy8 sites
Azienda Ospedaliera Universitaria Policlinico Sant'Orsola Malpighi IRCCS
Bologna, 40138
Azienda Socio Sanitaria Territoriale degli Spedali Civili di Brescia (Presidio Spedali Civili)
Brescia, 25123
Università degli studi di Firenze
Florence, 50121
IRCCS Ospedale Policlinico San Martino
Genova, 16132
Fondazione IRCCS CA' Granda Ospedale Maggiore Policlinico
Milan, 20122
Ospedale San Raffaele
Milan, 20132
Azienda Ospedaliera Universitaria Policlinico 'Federico II'
Naples, 80131
Fondazione Policlinico Universitario Agostino Gemelli IRCCS
Roma, 137
Chile7 sites
Centro Medico SkinMed
Las Condes, 7580206
Dermacross
Santiago, 66901
BioMedica Research Group
Santiago, 7500710
CeCim Biocinetic
Santiago, 8331143
CIEC - Centro Internacional de Estudios Clínicos
Santiago, 8420383
Clinical Research Chile SpA.
Valdivia, 5090000
Centro de Investigacion de Enfermedades Respiratorias e Inmunologicas
Viña del Mar, 2520598
Mexico7 sites
Derma Norte del Bajio S.C.
Aguascalientes, 20127
Investigacion y Biomedicina de Chihuahua, S.C.
Chihuahua City, 31000
Consultorio Privado Dr. Miguel Cortes Hernandez
Cuernavaca, Morelos, 62448
Centro de investigacion medica y reumatologia
Guadalajara, Jalisco, 44959
Medical Care & Research SA de CV
Mérida, Yucatán, 97070
Centro de Investigacion Clínica GRAMEL S.C
Mexico City, Mexico City, 3720
Clinstile, S.A. de C.V.
Mexico City, Mexico City, 6700
South Korea7 sites
Korea University Ansan Hospital
Ansan-si, Gyeonggi-do, 15355
Chungnam National University Hospital
Daejeon, 35015
Chonnam National University Hospital
Gwangju, 61469
Severance Hospital, Yonsei University Health System
Seoul, 3722
Hanyang University Seoul Hospital
Seoul, 4763
The Catholic University of Korea, Seoul St. Mary's Hospital
Seoul, 6591
Ajou University Hospital
Suwon, Gyeonggi-do, 16499
Canada5 sites
Laser Rejuvenation Clinics, Inc.
Calgary, Alberta, T2W 4X9
Laster Rejuvenation Clinics Edmonton D.T. Inc.
Edmonton, Alberta, T5J 3S9
Medicor Research Inc
Greater Sudbury, Ontario, P3C 1X3
Dermatology Ottawa Research Centre
Ottawa, Ontario, K2C 3N2
DIEX Recherche Sherbrooke Inc.
Sherbrooke, Quebec, J1L 0H8
Portugal5 sites
Centro Hospitalar e Universitário de Coimbra, E.P.E (HUC)
Coimbra, 3000-075
Hospital de Egas Moniz
Lisbon, 1349-019
Hospital CUF Descobertas
Lisbon, 1998-018
Centro Hospitalar Universitártio do Porto, E.P.E.
Porto, 4099-001
Unidade Local de Saúde do Alto Minho, E.P.E.
Viana do Castelo, 4904-858
Taiwan5 sites
Changhua Christian Medical Foundation Changhua Christian Hospital
Changhua, 50004
Kaohsiung Chang Gung Memorial Hospital
Kaohsiung City, 833
Chung Shan Medical University Hospital
Taichung, 40201
Taichung Veterans General Hospital
Taichung, 40705
Taipei Veterans General Hospital
Taipei, 11217
Belgium4 sites
Cliniques Universitaires Saint-Luc
Brussels, 1200
Universitair Ziekenhuis Gent
Ghent, 9000
UZ Leuven
Leuven, Vlaams-Brabant, 03000
Centre Hospitalier Universitaire de Liege
Liège, 4000
Colombia4 sites
Centro de Investigacion Medico Asistencial S.A.S
Barranquilla, Atlántico, 80020
Centro de Investigacion en Reumatologia y Especialidades Medicas SAS. CIREEM
Bogotá, 110221
Servimed S.A.S.
Bucaramanga, Santander Department, 680003
Healthy Medical Center
Zipaquirá, Cundinamarca, 250252
Serbia4 sites
Institute of Rheumatology
Belgrade, 11000
University Clinical Center of Serbia
Belgrade, 11000
University Clinical Center Kragujevac
Kragujevac, 34000
Clinical Center of Vojvodina
Novi Sad, 21000
United Kingdom4 sites
Queen Elizabeth Hospital
Birmingham, West Midlands, B15 2GW
Chapel Allerton Hospital
Leeds, West Yorkshire, LS9 7TF
Whipps Cross University Hospital
London, Greater London, E11 1NR
Manchester Royal Infirmary
Manchester, Greater Manchester, M13 9WL
Hungary3 sites
Semmelweis Egyetem
Budapest, 1085
Pecsi Tudomanyegyetem
Pécs, 7632
Szegedi Tudomanyegyetem Szent-Gyorgyi Albert Klinikai Kozpont
Szeged, 6720
Switzerland3 sites
Centre Hospitalier Universitaire Vaudois (CHUV)
Lausanne, CH-1011
Kantonsspital St. Gallen
Sankt Gallen, 9007
Universitaetsspital Zuerich
Zurich-Flughafen, Canton of Zurich, 8058
Peru2 sites
ACQ MEDIC SAC - Centro de Investigacion Clinica Inmunoreumatologia
Lima, Lima 11
Invest Clinicas Sac Inst de Ginecologia y Reproduccion
Lima, Lima 33
Puerto Rico2 sites
Dr. Samuel Sanchez PSC
Caguas, 00727
GCM Medical Group PSC - Hato Rey
San Juan, 917
Saudi Arabia2 sites
King Faisal Specialist Hospital & Research Center
Riyadh, 11211
King Saud University
Riyadh, 11461
Slovakia2 sites
Artromac n.o.
Košice, 4011
Narodny ustav reumatickych chorob
Piešťany, 92112
About this study
Official title: A 2-Part Seamless Part A (Phase 2)/Part B (Phase 3) Randomized, Double-Blind, Placebo-Controlled, Multicenter Study to Evaluate the Efficacy and Safety of BIIB059 in Participants With Active Subacute Cutaneous Lupus Erythematosus and/or Chronic Cutaneous Lupus Erythematosus With or Without Systemic Manifestations and Refractory and/or Intolerant to Antimalarial Therapy (AMETHYST)
In this study, researchers will learn more about a study drug called litifilimab (BIIB059) in participants with cutaneous lupus erythematosus (CLE). The study will focus on participants who have either active subacute CLE or chronic CLE, or both. They may also have systemic lupus erythematosus (SLE). The participants did not respond to antimalarial therapy or had problems with the treatment that made it hard to continue.
The main objective of the study is to learn about the effect litifilimab has on lowering the activity of the skin disease. Researchers will measure symptoms and signs of CLE over time using a variety of scoring tools. These include the Cutaneous Lupus Erythematosus Disease Area and Severity Index (CLASI), the Cutaneous Lupus Activity of Investigator's Global Assessment-Revised (CLA-IGA-R), and the SELENA-SLEDAI Flare Index (SFI).
Read more
The main questions researchers want to answer are:
- How many participants have a score of 0 or 1 on the CLA-IGA-R looking at skin redness after treatment?
- How many participants have their skin disease activity go down by at least 70% as measured by CLASI?
Researchers will also learn more about the safety of litifilimab. They will study how participants' immune systems respond to litifilimab. Additionally, they will measure the effect litifilimab and CLE have on the quality of life of participants using a group of questionnaires.
The study will be split into 2 parts - Part A and Part B. Both parts will be done as follows:
- After screening, participants will be randomized to receive either litifilimab or placebo for the 1st treatment period. A placebo looks like the study drug but contains no real medicine.
- Participants will receive either litifilimab or placebo as injections under the skin once every 4 weeks.
- The 1st treatment period will be double blinded which means neither the researchers nor the participants will know if the participants are receiving litifilimab or placebo.
- This double blinded treatment period will last 24 weeks, after which the 2nd treatment period will begin.
- During the 2nd treatment period, all participants will receive litifilimab for 28 weeks.
- After completing treatment in this study, participants that qualify will be given the choice to join the Long-Term Extension study, 230LE305. If they do not, they will move into a follow-up safety period that will last up to 24 weeks.
- The total study duration for participants will be up to 80 weeks.
Read the detailed description
Litifilimab is a humanized immunoglobulin G1 (IgG1) monoclonal antibody targeting blood dendritic cell antigen 2. It is an inhibitory receptor expressed on the surface of human plasmacytoid dendritic cell (pDCs) and is being investigated for the potential treatment of systemic lupus erythematosus and cutaneous lupus erythematosus. The primary objectives of the study are to evaluate the efficacy of litifilimab compared with placebo in reducing skin disease activity measured by the CLA-IGA-R score [Parts A] and the Cutaneous Lupus Erythematosus Disease Area and Severity Index Activity (CLASI-A) score [Part B] in participants with active SCLE and/or CCLE with or without systemic manifestations and refractory and/or intolerant to antimalarials. The secondary objectives of the study are to evaluate the efficacy of litifilimab in reducing SCLE and/or CCLE disease activity by CLA-IGA-R, CLASI-A; to evaluate additional efficacy parameters of litifilimab in reducing SCLE and/or CCLE disease activity; safety; tolerability; and immunogenicity of litifilimab [Parts A and B].
- Being tested
- Litifilimab, Placebo
- Keywords
- Cutaneous Lupus Erythematosus (CLE), Discoid Lupus Erythematosus (DLE), Systemic Lupus Erythematosus (SLE), Lupus, Subacute Cutaneous Lupus Erythematosus (SCLE)
- Medical subject headings
- Lupus Erythematosus, Cutaneous, Lupus Erythematosus, Discoid, Lupus Erythematosus, Systemic
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
LitifilimabDrug
Also called BIIB059
Administered as specified in the treatment arm.
PlaceboDrug
Administered as specified in the treatment arm.
| Study group | Role | What they receive |
|---|---|---|
| Part A (Phase 2): Litifilimab | Experimental | Participants will receive litifilimab subcutaneously (SC) once every 4 weeks (Q4W) from Week 0 to Week 20, with an additional dose of litifilimab at Week 2 during the double-blind placebo-controlled (DBPC) treatment period. Following the DBPC treatment period, participants will receive litifilimab during the extended treatment period (ETP) from Week 24 to Week 48, with an additional dose of litifilimab-matching placebo at Week 26. Receives: Drug: Litifilimab |
| Part A (Phase 2): Placebo | Placebo comparator | Participants will receive litifilimab-matching placebo SC Q4W from Week 0 to Week 20, with an additional dose of litifilimab-matching placebo at Week 2 during the DBPC treatment period. Following the DBPC treatment period, participants will receive litifilimab during the ETP from Week 24 to Week 48, with an additional dose of litifilimab at Week 26. Receives: Drug: Placebo |
| Part B (Phase 3): Litifilimab | Experimental | Participants will receive litifilimab SC Q4W from Week 0 to Week 20, with an additional dose of litifilimab at Week 2 during the DBPC treatment period. Following the DBPC treatment period, participants will receive litifilimab during the ETP from Week 24 to Week 48, with an additional dose of litifilimab-matching placebo at Week 26. Receives: Drug: Litifilimab |
| Part B (Phase 3): Placebo | Placebo comparator | Participants will receive litifilimab-matching placebo SC Q4W from Week 0 to Week 20, with an additional dose of litifilimab-matching placebo at Week 2 during the DBPC treatment period. Following the DBPC treatment period, participants will receive litifilimab during the ETP from Week 24 to Week 48, with an additional dose of litifilimab at Week 26. Receives: Drug: Placebo |
What is being measured
The primary outcome is the main question the study is designed to answer.
Parts A: Percentage of Participants who Achieve a Cutaneous Lupus Activity of Physician's Global Assessment-Revised (CLA-IGA-R) Erythema Score of 0 or 1
Measured: Week 16
Part B: Percentage of Participants who Achieve Cutaneous Lupus Erythematosus Disease Area and Severity Index Activity Score (CLASI-70) Response, Defined as ≥ 70% Decrease in CLASI-A Score From Baseline
Measured: Baseline to Week 24
Secondary outcomes (55)
Part A: Percentage of Participants With a CLASI-70 Response at Week 52 Among CLASI-70 Responders at Week 16 and Week 24, Respectively, who Were Randomly Assigned to Receive Litifilimab During the DBPC Treatment Period (TP)
Measured: Week 52
Part A: Percentage of Participants With CLA-IGA-R Erythema Score of 0 or 1 at Week 52 Among CLA-IGA-R Erythema Responders at Week 16 and Week 24, Respectively, who Were Randomly Assigned to Receive Litifilimab During the DBPC TP
Measured: Week 52
Part A: Percentage of Participants With CLA-IGA-R OMC Score of 0 or 1 and at Least 1 Level of Improvement From Baseline at Week 52 Among CLA-IGA-R OMC Responders at Weeks 16 &24, Respectively, who Were Assigned to Receive Litifilimab in DBPC TP
Measured: Week 52
Part A: Percentage of Participants With CLA-IGA-R OMC Score of 0 at Week 52 Among CLA-IGA-R OMC Responders With CLA-IGA-R OMC Score of 0 at Week 16 and Week 24, Respectively, who Were Randomly Assigned to Litifilimab During DBPC TP
Measured: Week 52
Part A: Percentage of Participants With CLA-IGA-R Follicular Activity Score of 0 at Week 52 Among CLA-IGA-R Follicular Activity Responders at Week 16 and Week 24, Respectively, who Were Randomly Assigned to Receive Litifilimab in DBPC TP
Measured: Week 52
Part A: Percentage of Participants With a CLASI-70 Response at Week 52 Among CLASI-70 Nonresponders at Week 16 and Week 24, Respectively, who Were Randomly Assigned to Receive Placebo During the DBPC TP
Measured: Week 52
Part A: Percentage of Participants With a CLA-IGA-R Erythema Score of 0 or 1 at Week 52 Among CLA-IGA-R Erythema Nonresponders at Week 16 and Week 24, Respectively, who Were Randomly Assigned to Receive Placebo During the DBPC TP
Measured: Week 52
Part A: Percentage of Participants With CLA-IGA-R OMC Score of 0 or 1 and at Least 1 Level of Improvement From Baseline at Week 52 Among CLA-IGA-R OMC Nonresponders at Weeks 16 and 24, Respectively, who Were Assigned to Receive Placebo in DBPC TP
Measured: Week 52
Part A: Percentage of Participants With a CLA-IGA-R OMC Score of 0 at Week 52 Among CLA-IGA-R OMC Nonresponders at Week 16 and Week 24, Respectively, who Were Randomly Assigned to Receive Placebo During the DBPC TP
Measured: Week 52
Part A: Percentage of Participants who Have CLA-IGA-R Follicular Activity Score of 0 at Week 52 Among CLA-IGA-R Follicular Activity Nonresponders at Weeks 16 and 24, Respectively, who Were Randomly Assigned to Receive Placebo in DBPC TP
Measured: Week 52
Part A: Annualized Mild and Moderate SFI Rate and Annualized Severe SFI Rate Through Week 16
Measured: Up to Week 16
Part A: Absolute Change in Cutaneous Lupus Erythematosus Disease Area and Severity Index Damage (CLASI-D) Score at Week 52
Measured: Baseline to Week 52
Part A: Percent Change in CLASI-D Score
Measured: Baseline to Week 52
Part B: Percentage of Participants who Achieve a CLASI A score of 0 to 3
Measured: Week 24
Part B: Percentage of Participants who Achieve a CLA-IGA-R OMC Score of 0 or 1 and at Least 2-Point Improvement From Baseline at Week 24, for Participants who had CLA-IGA-R OMC Score ≥ 2 at Baseline
Measured: Week 24
Part B: Percentage of Participants who Achieve a CLA-IGA-R Erythema Score of 0 or 1, at Week 16 and Week 24, Respectively, for Participants in Full Analysis Set (FAS), who had CLA-IGA-R Erythema Score ≥3 and Other OMC Score ≥3 at Baseline
Measured: Weeks 16 and 24
Part B: Percentage of Participants who Achieve a CLA-IGA-R OMC Score of 0 or 1, at Week 16 and Week 24, Respectively, for Participants in FAS, who had CLA-IGA-R Erythema Score ≥3 and OMC Score ≥3 at Baseline
Measured: Weeks 16 and 24
Part B: Percentage of Participants who Achieve CLA IGA R Erythema Score of 0 or 1
Measured: Up to Week 24
Part B: Percentage of Participants who Achieve at Least 1 Level of Improvement From Baseline in the CLA-IGA-R Erythema Score
Measured: Up to Week 24
Part B: Percentage of Participants who Achieve a CLASI-A Score of 0 to 5
Measured: Up to Week 24
Part B: Percentage of Participants who Achieve a CLASI-50a Response, Defined as a ≥ 50% Decrease in Baseline CLASI-A Score in Addition to Achieving Mild Disease Severity With a CLASI-A Score <10 at Week 16 and Week 24, Respectively
Measured: Weeks 16 and 24
Part B: Percentage of Participants With a CLASI 70 Response at Week 52 Among CLASI-70 Responders at Week 24, who Were Randomly Assigned to Receive Litifilimab During the DBPC TP
Measured: Week 52
Part B: Percentage of Participants With a CLASI 50 Response at Week 52 Among CLASI-50 Responders at Week 24, who Were Randomly Assigned to Receive Litifilimab During the DBPC TP
Measured: Week 52
Part B: Percentage of Participants With a CLASI A 0 to 3 Response at Week 52 Among CLASI-A 0 to 3 Responders at Week 24, who Were Randomly Assigned to Receive Litifilimab During the DBPC TP
Measured: Week 52
Part B: Percentage of Participants With a CLA IGA R Erythema Score of 0 or 1 at Week 52 Among CLA-IGA-R Erythema Responders at Week 24, who Were Randomly Assigned to Receive Litifilimab During the DBPC TP
Measured: Week 52
Part B: Percentage of Participants With a CLA IGA R OMC score of 0 at Week 52 Among CLA IGA R OMC Responders With a CLA-IGA-R OMC Score of 0 at Week 24, who Were Randomly Assigned to Receive Litifilimab During the DBPC TP
Measured: Week 52
Part B: Percentage of Participants With a CLA IGA-R Follicular Activity Score of 0 at Week 52 Among CLA-IGA-R Follicular Activity Responders at Week 24, who Were Randomly Assigned to Receive Litifilimab During the DBPC TP
Measured: Week 52
Part B: Percentage of Participants With a CLASI 70 Response at Week 52 Among CLASI-70 Nonresponders at Week 24, who Were Randomly Assigned to Receive Litifilimab During the DBPC TP
Measured: Week 52
Part B: Percentage of Participants With a CLASI 50 Response at Week 52 Among CLASI-50 Nonresponders at Week 24, who Were Randomly Assigned to Receive Litifilimab During the DBPC TP
Measured: Week 52
Part B: Percentage of Participants With a CLASI A 0 to 3 Response at Week 52 Among CLASI-A 0 to 3 Nonresponders at Week 24, who Were Randomly Assigned to Receive Litifilimab During the DBPC TP
Measured: Week 52
Part B: Percentage of Participants With a CLA IGA R Erythema Score of 0 or 1 at Week 52 Among CLA-IGA-R Erythema Nonresponders at Week 24, who Were Randomly Assigned to Receive Litifilimab During the DBPC TP
Measured: Week 52
Part B: Percentage of Participants With a CLA IGA R OMC score of 0 at Week 52 Among CLA IGA R OMC Nonresponders With a CLA-IGA-R OMC Score of 0 at Week 24, who Were Randomly Assigned to Receive Litifilimab During the DBPC TP
Measured: Week 52
Part B: Percentage of Participants With a CLA IGA-R Follicular Activity Score of 0 at Week 52 Among CLA-IGA-R Follicular Activity Nonresponders at Week 24, who Were Randomly Assigned to Receive Litifilimab During the DBPC TP
Measured: Week 52
Part B: Absolute Change in CLASI-D Score
Measured: Week 52
Part B: Percent Change in CLASI-D Score
Measured: Week 52
Part B: Change From Baseline in Cutaneous Lupus Erythematosus-Quality of Life (CLE-QoL) Score
Measured: Part B: Weeks 16, 24 and 52
Part B: Change From Baseline in Dermatology Life Quality Index (DLQI) Score
Measured: Part B: Weeks 16, 24 and 52
Part B: Change From Baseline in Numerical Rating Scale (NRS) for Pain in Skin Rash
Measured: Part B: Weeks 16, 24 and 52
Part B: Change From Baseline in NRS for Itch in Skin Rash
Measured: Part B: Weeks 16, 24 and 52
Parts A and B: Percentage of Participants who Achieve a CLA-IGA-R Erythema Score of 0 or 1
Measured: Part A: Week 24; Part B: Weeks 16 and 24
Parts A and B: Percentage of Participants who Achieve a CLA-IGA-R Other Morphologic Characteristics (OMC) Score of 0 or 1 and at Least 1 Level of Improvement From Baseline
Measured: Part A: Weeks 16 and 24; Part B: Up to Week 24
Parts A and B: Percentage of Participants who Achieve a CLA-IGA-R OMC Score of 0
Measured: Part A: Weeks 16 and 24; Part B: Up to Week 24
Parts A and B: Percentage of Participants With at Least 1 Level of Improvement From Baseline in CLA-IGA-R OMC Score
Measured: Part A: Weeks 16 and 24; Part B: Up to Week 24
Parts A and B: Percentage of Participants who Have a CLA-IGA-R Follicular Activity Score of 0
Measured: Part A: Weeks 16 and 24; Part B: Up to Week 24
Parts A and B: Percentage of Participants who Achieve a CLASI-70 Response, Defined as a ≥ 70% Decrease in CLASI-A Score From Baseline
Measured: Parts A: Weeks 16 and 24; Part B: Week 12
Parts A and B: Percentage of Participants who Achieve a CLASI-50 Response, Defined as a ≥ 50% Decrease in CLASI-A Score From Baseline
Measured: Part A: Weeks 16 and 24; Part B: Weeks 12 and 24
Parts A and B: Percentage of Participants who Achieve a CLASI-A Score of 0 or 1
Measured: Up to Week 24
Parts A and B: Percentage of Participants who Achieve a CLASI-A Score of 0 to 3
Measured: Up to Week 24
Parts A and B: Percentage of Participants who Achieve a CLASI 70 Response
Measured: Up to Week 24
Parts A and B: Percentage of Participants who Achieve a CLASI 50 Response
Measured: Up to Week 24
Parts A and B: Percentage of Participants who Achieve a 7-Point Reduction From Baseline in CLASI-A Score
Measured: Up to Week 24
Parts A and B: Annualized Mild and Moderate Safety of Estrogens in Lupus Erythematosus National Assessment-SLE Disease Activity Index Flare Index Rate and Annualized Severe SFI Rate Through Week 24
Measured: Up to Week 24
Parts A and B: Annualized Mild and Moderate SFI Rate and Annualized Severe SFI Rate Through Week 52
Measured: Up to Week 52
Parts A and B: Number of Participants Experiencing Treatment Emergent Adverse Events (TEAEs) and Serious Adverse Events (SAEs)
Measured: Up to Week 76
Parts A and B: Number of Participants With Anti-Litifilimab Antibodies in Serum During the Study
Measured: Up to Week 76
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted8 Sep 2022
- Study start13 Sep 2022
- Primary completion20 Oct 2026 (estimated)
- Study completion14 Dec 2027 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Subacute Cutaneous Lupus ErythematosusStudies of the same condition, open and under way.
- More trials run by BiogenThe 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 2/3
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Quadruple blind
- Who is masked
- Participant, Care provider, Investigator, Outcomes assessor
- Enrolment
- 450 participants (estimated)
Sponsor and investigators
- Lead sponsor
- Biogen
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Medical Director, Study director, Biogen
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT05531565
- Sponsor's protocol ID
- 230LE301
- Other IDs
- 2020-000727-40, EU CT Number
- Acronym
- AMETHYST
- Status last verified
- Oct 2026
- First submitted
- 19 Aug 2022
- Last updated
- 23 Oct 2026
- Results posted
- No
- Data monitoring committee
- Yes
- FDA-regulated drug
- Yes
- FDA-regulated device
- No
- Individual data sharing
- Yes: In accordance with Biogen's Clinical Trial Transparency and Data Sharing Policy on https://www.biogentrialtransparency.com/