Systemic Lupus ErythematosusPhase 3SELECT-SLENCT05843643
Program to Assess Adverse Events and Change in Disease Activity of Oral Upadacitinib in Adult Participants With Moderate to Severe Systemic Lupus Erythematosus
A Phase 3 study testing Upadacitinib in people with Systemic Lupus Erythematosus, run by AbbVie at 369 sites in 38 countries.
Trial summary
Systemic Lupus Erythematosus (SLE) is an immune-mediated disease associated with inflammation of multiple organ systems. This study will assess how safe and effective upadacitinib is in treating adult participants with moderately to severely active SLE. Read more about this study
- Who is it for?
- Ages 18 to 63 years
- Conditions the study is for
- Systemic Lupus Erythematosus
- What is being tested?
- Upadacitinib
- Type of treatment
- Pill or oral medicine
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 1,014 participants
- Where
- 369 sitesin 38 countries
- Study dates
- 25 Jul 2023to Oct 2027
- Phase
- Phase 3
- Are there results?
- Not yet: the study is under way
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 63 years
- All sexes
- No healthy volunteers
- Adult
Who may be able to join
- Clinical diagnosis of systemic lupus erythematosus (SLE) at least 24 weeks prior to screening as defined by the 2019 European Alliance of Associations for Rheumatology (EULAR)/ American College of Rheumatology (ACR) classification criteria for SLE.
- At Screening, must have at least one of the following:
- antinuclear antibody (ANA) positive (titer >= 1:80)
- anti-double stranded deoxyribonucleic acid (dsDNA) positive
- anti-Smith positive
- Hybrid systemic lupus erythematosus disease activity index (hSLEDAI) >= 6, of which >= 4 points are clinical (not based on laboratory criteria), independently reviewed by the MCDR at Screening. Clinical hSLEDAI score (not based on laboratory criteria) must be re-confirmed as >= 4 at the Baseline visit. Lupus headache or organic brain syndrome do not count towards the hSLEDAI points required for eligibility but should be documented on the hSLEDAI if present.
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- Physician's Global Assessment (PhGA) >= 1 during screening period.
- On stable background treatment for >= 60 days prior to Baseline (with the exception of oral corticosteroid [OCS], which must be at a stable dose for >=14 days prior to Baseline) with
- antimalarial(s) [hydroxychloroquine <= 400 mg daily, chloroquine <= 500 mg daily, quinacrine <= 100 mg daily];
- and/or prednisone (or prednisone-equivalent) (<= 20 mg daily);
- and/or no more than 1 of the following: azathioprine (<= 150 mg daily), 6-mercaptopurine (<= 150 mg daily), mycophenolate mofetil (<= 2 g daily), mycophenolate sodium <= 1,440 mg/day, leflunomide (<= 20 mg daily), cyclosporine, tacrolimus, voclosporin (<= 23.7 mg twice daily), methotrexate (<= 25 mg weekly), or mizoribine (<= 150 mg daily).
Who cannot join
- Class III/IV lupus nephritis that was treated with induction therapy within the 6 months prior to Screening.
- Active neuropsychiatric SLE (excluding lupus headache) within the 6 months prior to Screening.
- SLE overlap syndromes including, but not limited to, rheumatoid arthritis, systemic sclerosis, polymyositis, dermatomyositis, or mixed connective tissue disease (Sjögren's syndrome is permitted).
- Antiphospholipid syndrome and prior unprovoked venous or arterial thrombosis who are not on stable and adequate anticoagulation.
- Two or more episodes of herpes zoster, or one or more episodes of disseminated herpes zoster or herpes zoster ophthalmicus.
- History of malignancy, except for successfully treated non-melanoma skin cancer or localized carcinoma in situ of the cervix.
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- Pregnancy, breastfeeding, or considering becoming pregnant during the study.
- Clinically relevant or significant ECG abnormalities at Screening.
- Planned elective surgery that would impact study procedures or assessments through the completion of the Week 52 assessments.
- NOTE: Other protocol defined Inclusion/Exclusion criteria may apply.
Trial locations and contacts
369 sites in 38 countries.
369 sites in 38 countries
United States132 sites
Arthritis and Rheumatology Research Institute, PLLC /ID# 253014
Allen, Texas, 75013-6147
Kaiser Permanente Lakeview Medical Offices /ID# 253906
Anaheim, California, 92807-3028
Rheumatology Associates /ID# 276066
Arlington, Texas, 76012
Emory University School Of Medicine - Atlanta /ID# 261529
Atlanta, Georgia, 30322
University of Colorado Hospital /ID# 253184
Aurora, Colorado, 80045
Arthritis and Rheumatic Disease Specialties /ID# 253624
Aventura, Florida, 33180
HARAC Research Corp. /ID# 254922
Avon Park, Florida, 33825-2958
University of Maryland, Baltimore /ID# 262556
Baltimore, Maryland, 21201
Rheumatology & Pulmonary Clinic /ID# 273561
Beckley, West Virginia, 25801
David S. Hallegua MD, A Professional Corporation /ID# 253902
Beverly Hills, California, 90211
Wallace and Lee Center /ID# 275129
Beverly Hills, California, 90211
Wallace Rheumatic Studies Center, LLC /ID# 252806
Beverly Hills, California, 90211
Rheumatology Associates of South Florida (RASF) - Clinical Research /ID# 253623
Boca Raton, Florida, 33486
Mdr Core Network, Inc /Id# 276704
Boynton Beach, Florida, 33426
Bay Area Arthritis and Osteo /ID# 253597
Brandon, Florida, 33511
Joseph S. and Diane H. Steinberg Ambulatory Care Center /ID# 253592
Brooklyn, New York, 11201-5501
AZ Arthritis and Rheumatology /ID# 261848
Chandler, Arizona, 85225-2906
Joint And Muscle Research Institute /ID# 272845
Charlotte, North Carolina, 28204
DJL Clinical Research, PLLC /ID# 253620
Charlotte, North Carolina, 28211
University of Illinois Hospital and Health Sciences System /ID# 263014
Chicago, Illinois, 60607
Northwestern University Feinberg School of Medicine /ID# 264090
Chicago, Illinois, 60611-2927
Next Innovative Clinical Research - Chicago /ID# 268739
Chicago, Illinois, 60616
University of Chicago Medical Center /ID# 263162
Chicago, Illinois, 60637
Advanced Clinical Research Center, LLC dba TriWest Research Associates /ID# 272870
Chula Vista, California, 91910
University of Cincinnati Medical Center /ID# 259174
Cincinnati, Ohio, 45219-2364
Clinical Research Institute Of Michigan /ID# 273051
Clinton Township, Michigan, 48038
GNP Consultants, dba, GNP Research /ID# 272868
Cooper City, Florida, 33024
Duplicate_Believe Clinical Trials /ID# 255427
Coral Springs, Florida, 33065
Arthritis Care of Texas /ID# 261719
Corpus Christi, Texas, 78415-1800
International Medical Research /ID# 253617
Daytona Beach, Florida, 32117
Omega Research Debary, LLC /ID# 254939
DeBary, Florida, 32713-2260
Denver Arthritis Clinic /ID# 253189
Denver, Colorado, 80230
Texas Arthritis Center /ID# 277049
El Paso, Texas, 79902
AZ Arthritis and Rheumotology Research, PLLC - Flagstaff /ID# 254767
Flagstaff, Arizona, 86001-6299
JPS Rheumatology Clinic /ID# 253185
Fort Worth, Texas, 76104-4917
Arthiritis and Rheumatology Specialists PA /ID# 255950
Fort Worth, Texas, 76177
Providence - St. Jude Medical Center /ID# 252822
Fullerton, California, 92835
University of Florida /ID# 261984
Gainesville, Florida, 32610-3008
Arizona Arthritis & Rheumatology Research, PLLC /ID# 252820
Gilbert, Arizona, 85297-7336
Arizona Arthritis and Rheumatology Research - Glendale Office /ID# 252824
Glendale, Arizona, 85306-9802
AA Medical Research Center - Grand Blanc /ID# 253028
Grand Blanc, Michigan, 48439
Finlay Medical Research - Greenacres /ID# 274902
Greenacres City, Florida, 33467
Integrative Rheumatology of South Texas - Harlingen /ID# 261977
Harlingen, Texas, 78550
Private Practice - Dr. Chandrakant V. Mehta /ID# 275100
Hemet, California, 92543
Evolution Research Center /ID# 272991
Hialeah, Florida, 33012
Neoclinical Research /ID# 253614
Hialeah, Florida, 33016-1897
South Florida Rheumatology /ID# 268525
Hollywood, Florida, 33026
Western KY Rheumatology /ID# 254937
Hopkinsville, Kentucky, 42240
Accurate Clinical Research - Houston /ID# 276220
Houston, Texas, 77089-6142
Newport Huntington Medical Group /ID# 252827
Huntington Beach, California, 92648-5994
West Tennessee Research Institute /ID# 252807
Jackson, Tennessee, 38305
Encore Research Group-Jacksonville Center for Clinical Research /ID# 257272
Jacksonville, Florida, 32216
UF Health Rheumatology /ID# 255351
Jacksonville, Florida, 32256
Arthritis and Rheumatism Associates /ID# 253033
Jonesboro, Arkansas, 72401-6251
Logan Health Research - Glacier View Research Institute - Rheumatology /ID# 252808
Kalispell, Montana, 59901
Kansas City Physician Partners /ID# 254786
Kansas City, Missouri, 64151
Accurate Clinical Research Katy /ID# 276459
Katy, Texas, 77449
R & H Clinical Research - Katy /ID# 254126
Katy, Texas, 77450-2244
Biopharma Informatic /ID# 273651
Katy, Texas, 77494
Trinity Research Centers /ID# 262039
Kennesaw, Georgia, 30144-1762
Moores Cancer Center at UC San Diego /ID# 253903
La Jolla, California, 92093
Arthritis & Osteo Medical Ctr /ID# 252812
La Palma, California, 90623-1728
Accurate Clinical Research (SMO/Network/Consortium) /ID# 272647
Lake Charles, Louisiana, 70605
June DO, PC /ID# 253030
Lansing, Michigan, 48911
Arthritis and Osteoporosis Associates of New Mexico /ID# 252818
Las Cruces, New Mexico, 88011
Dartmouth-Hitchcock Medical Center /ID# 254923
Lebanon, New Hampshire, 03756
Wagdy Kades, M.D., Inc /ID# 272065
Los Angeles, California, 90017
Life Clinical Trials /ID# 253615
Margate, Florida, 33063
Atlanta Research Center For Rheumatology - Marietta /ID# 253610
Marietta, Georgia, 30060
Valley Arthritis Center /ID# 253022
McAllen, Texas, 78501-1401
Shelby Research /ID# 256937
Memphis, Tennessee, 38119
Arizona Arthritis & Rheumatology Research, PLLC /ID# 261845
Mesa, Arizona, 85210-6871
Lakes Research, LLC /ID# 253621
Miami, Florida, 33014
University of Miami, Division of Rheumatology /ID# 261594
Miami, Florida, 33136-2107
Ezy Medical Research /ID# 276221
Miami, Florida, 33175
Paramount Medical Research and Consulting /ID# 253016
Middleburg Heights, Ohio, 44130
Wisconsin Medical Center /ID# 256660
Milwaukee, Wisconsin, 53226
Illinois Bone & Joint Institute - Morton /ID# 274455
Morton, Illinois, 60053
Yale University School of Medicine /ID# 254567
New Haven, Connecticut, 06510
NYU Langone Orthopedic Center /ID# 253613
New York, New York, 10016-2772
Oklahoma Medical Research Foundation /ID# 263509
Oklahoma City, Oklahoma, 73104
Rheumatology Associates of Oklahoma /ID# 253012
Oklahoma City, Oklahoma, 73116-7226
Advanced Quality Medical Research /ID# 254983
Orland Park, Illinois, 60462
HMD Research LLC /ID# 253595
Orlando, Florida, 32819
University of Central Florida /ID# 261112
Orlando, Florida, 32827-7664
Millennium Research /ID# 253600
Ormond Beach, Florida, 32174
Vitalia Research /ID# 272642
Palm Beach Gardens, Florida, 33410
Arizona Arthritis & Rheumatology Research /ID# 273555
Peoria, Arizona, 85381
Clinical Research Source, Inc. /ID# 253027
Perrysburg, Ohio, 43551
Clinical Research of Philadelphia, LLC /ID# 254156
Philadelphia, Pennsylvania, 19114
Albert Einstein Medical Center /ID# 256661
Philadelphia, Pennsylvania, 19141
Arizona Arthritis & Rheumatology Associates - East Bell Road /ID# 252831
Phoenix, Arizona, 85032
Arizona Arthritis & Rheumatology Research, PLLC /ID# 252825
Phoenix, Arizona, 85037
University of Pittsburgh Medical Center /ID# 263686
Pittsburgh, Pennsylvania, 15213
Texas Rheumatology Research Institute Llc /Id# 253013
Plano, Texas, 75024
Believe Clinical Trials /ID# 277004
Plant City, Florida, 33563
IRIS Research and Development, LLC /ID# 253618
Plantation, Florida, 33324
St. Lawrence Health System /ID# 253598
Potsdam, New York, 13676
Raleigh Medical Group /ID# 256328
Raleigh, North Carolina, 27609
Epic Medical Research /ID# 255326
Red Oak, Texas, 75154
Carilion Roanoke Memorial Hospital /ID# 253374
Roanoke, Virginia, 24014
OrthoIllinois /ID# 253188
Rockford, Illinois, 61114-4937
Arthritis and Rheumatology Center PC /ID# 275994
Roswell, Georgia, 30076
Accellacare - Salisbury /ID# 253608
Salisbury, North Carolina, 28144-2735
Sun Research Institute /ID# 255832
San Antonio, Texas, 78215
Clinical Trials of Texas, Inc /ID# 254949
San Antonio, Texas, 78229
Epic Medical Research- San Marcos /ID# 278360
San Marcos, Texas, 78666
Inspire Santa Fe Medical Group /ID# 275947
Santa Fe, New Mexico, 87505
Providence St. Johns Health Center /ID# 253905
Santa Monica, California, 90404-2303
Greater Chicago Specialty Physicians /ID# 253021
Schaumburg, Illinois, 60195-3106
HonorHealth Rheumatology /ID# 261953
Scottsdale, Arizona, 85258-4668
Willis Knighton /ID# 256343
Shreveport, Louisiana, 71103-3920
Clinic Of Dr. Robert Hozman/Clinical Investigation Specialists, Inc /ID# 253020
Skokie, Illinois, 60076
NorthShore University HealthSystem - Skokie /ID# 254568
Skokie, Illinois, 60077
BayCare Medical Group /ID# 253593
St. Petersburg, Florida, 33705
Fort Bend Rheumatology Associates, PLLC /ID# 268492
Sugar Land, Texas, 77479
Low Country Rheumatology /ID# 272956
Summerville, South Carolina, 29486
Immunology and Rheumatology Research Associates LLC /ID# 267582
Suwanee, Georgia, 30024-7290
Clinical Research Of West Florida - Tampa - North Howard Avenue /ID# 253602
Tampa, Florida, 33606
Clinical Research Of West Florida - Tampa - North Howard Avenue /ID# 253899
Tampa, Florida, 33606
Baycare Medical Group - Tampa /ID# 255135
Tampa, Florida, 33614
Urban Health Plan /ID# 268059
The Bronx, New York, 10459
Millennium Clinical Trials /ID# 252817
Thousand Oaks, California, 91360-3951
Cohen Medical Centers /ID# 268524
Thousand Oaks, California, 91360
DM Clinical Research - Tomball /ID# 255134
Tomball, Texas, 77375
Arizona Arthritis & Rheumatology Associates - Tucson /ID# 252828
Tucson, Arizona, 85704
Solace Research /ID# 275198
Tustin, California, 92780
Upland Rheumatology Center /ID# 268623
Upland, California, 91786
Deerbrook Medical Associates /ID# 253029
Vernon Hills, Illinois, 60061
Willow Rheumatology and Wellness, PLLC /ID# 253018
Willowbrook, Illinois, 60527
Atrium Health Wake Forest Baptist Medical Center /ID# 254125
Winston-Salem, North Carolina, 27157
UMass Memorial Medical Center /ID# 262742
Worcester, Massachusetts, 01655
China40 sites
China-Japan Friendship Hospital /ID# 253048
Beijing, Beijing Municipality, 100029
Peking University Third Hospital /ID# 253138
Beijing, Beijing Municipality, 100191
Peking Union Medical College Hospital (East) - Dongdan Campus /ID# 253045
Beijing, Beijing Municipality, 100730
The first affiliated hospital of bengbu medical college /ID# 252853
Bengbu, Anhui, 233004
The First Hospital of Jilin University /ID# 252771
Changchun, Jilin, 130021
The First People's Hospital of Changzhou /ID# 252992
Changzhou, Jiangsu, 213003
West China Hospital, Sichuan University /ID# 252854
Chengdu, Sichuan, 610041
Guangdong Provincial Peoples Hospital /ID# 252920
Guangzhou, Guangdong, 510080
The First Affiliated Hospital, Sun Yat-sen University /ID# 252921
Guangzhou, Guangdong, 510080
Sun Yat-sen Memorial Hospital of Sun Yat-sen University /ID# 253137
Guangzhou, Guangdong, 510120
The First Affiliated Hospital Of Guangzhou Medical University /ID# 252927
Guangzhou, Guangdong, 510163
The Third Affiliated Hospital, Sun Yat-Sen University /ID# 252923
Guangzhou, Guangdong, 510630
The First Affiliated Hospital, Zhejiang University School of Medicine /ID# 252633
Hangzhou, Zhejiang, 310003
Zhejiang Provincial People's Hospital /ID# 253860
Hangzhou, Zhejiang, 310014
The Affiliated Hospital of Inner Mongolia Medical University /ID# 252629
Hohhot, Inner Mongolia, 010050
Jining No.1 People's Hospital /ID# 252897
Jining, Shandong, 272001
The First People's Hospital of Jiujiang /ID# 252989
Jiujiang, Jiangxi, 332000
First Affiliated Hospital of Kunming Medical University /ID# 252925
Kunming, Yunnan, 650032
Linyi People's Hospital /ID# 252898
Linyi, Shandong, 276034
The First Affiliated Hospital Of Henan University Of Science &Technology /ID# 272929
Luoyang, Henan, 471003
Mianyang Central Hospital /ID# 272850
Mianyang, Sichuan, 621000
Jiangxi Provincial People's Hospital /ID# 252940
Nanchang, Jiangxi, 330006
Nanjing Drum Tower Hospital /ID# 253042
Nanjing, Jiangsu, 210008
The First Affiliated Hospital Of Guangxi Medical University /ID# 272798
Nanning, Guangxi, 530021
Affiliated hospital of nantong university /ID# 252991
Nantong, Jiangsu, 226001
Jiangxi Pingxiang Peoples Hospital /ID# 252919
Pingxiang, Jiangxi, 337055
Renji Hospital, Shanghai Jiaotong University School of Medicine /ID# 263435
Shanghai, Shanghai Municipality, 200001
The First Affiliated Hospital of Shantou University Medical College /ID# 253426
Shantou, Guangdong, 515041
Tianjin Medical University General Hospital /ID# 252868
Tianjin, Tianjin Municipality, 300052
People's Hospital of Xinjiang Uygur Autonomous Region /ID# 266897
Ürümqi, Xinjiang, 830001
The First Affiliated Hospital of Wenzhou Medical University /ID# 253649
Wenzhou, Zhejiang, 325000
Union Hospital Tongji Medical College Huazhong University of Science and Technol /ID# 252963
Wuhan, Hubei, 430022
Tongji Hospital Tongji Medical College of HUST /ID# 252632
Wuhan, Hubei, 430030
Wuxi People's Hospital /ID# 253858
Wuxi, Jiangsu, 214023
Second Affiliated Hospital of Xian Jiaotong University /ID# 252861
Xi'an, Shaanxi, 710004
The First Affiliated Hospital of Xiamen University /ID# 252630
Xiamen, Fujian, 361003
Xuzhou Central Hospital /ID# 252922
Xuzhou, Jiangsu, 221009
Yancheng First People's Hospital /ID# 254599
Yancheng, Jiangsu, 224001
Northern Jiangsu People's Hospital /ID# 252945
Yangzhou, Jiangsu, 225001
Zhuzhou Central Hospital /ID# 252962
Zhuzhou, Hunan, 412007
Japan11 sites
Institute of Science Tokyo Hospital /ID# 254430
Bunkyo-ku, Tokyo, 113-8519
National Hospital Org Chiba Medical Center Chibahigashi National Hospital /ID# 253268
Chiba, 260-8712
University of Yamanashi Hospital /ID# 253264
Chuo-shi, Yamanashi, 409-3898
Hiroshima University Hospital /ID# 273658
Hiroshima, 734-8551
Saitama Medical Center /ID# 253263
Kawagoe, Saitama, 350-8550
Hospital Of The University Of Occupational And Environmental Health, Japan /ID# 253269
Kitakyushu-shi, Fukuoka, 807-8556
University of Miyazaki Hospital /ID# 253416
Miyazaki, Miyazaki, 889-1692
Shinkenko Clinic /ID# 253271
Naha, Okinawa, 900-0015
Okayama University Hospital /ID# 253821
Okayama, Okayama-ken, 700-8558
Hokkaido University Hospital /ID# 253306
Sapporo, Hokkaido, 060-8648
Tohoku University Hospital /ID# 253267
Sendai, Miyagi, 9808574
Argentina10 sites
Fundación Sanatorio Guemes /ID# 254283
Ciudad Autonoma Buenos Aires, Buenos Aires, 1180
Hospital Militar Central Cirujano Mayor Dr. Cosme Argerich /ID# 254278
Ciudad Autonoma Buenos Aires, Buenos Aires, 1426
Organizacion Medica de Investigacion (OMI) /ID# 254281
Ciudad Autonoma de Buenos Aire, Buenos Aires F.D., 1015
Fundacion CIDEA /ID# 254279
Ciudad Autonoma de Buenos Aire, Buenos Aires F.D., 1121
Instituto Medico Especializado /ID# 255281
Ciudad Autonoma de Buenos Aire, Buenos Aires F.D., 1405
Aprillus Asistencia e Investigacion /ID# 254276
Ciudad Autonoma de Buenos Aire, Buenos Aires F.D., 1958
Hospital Italiano La Plata /ID# 254284
La Plata, Buenos Aires, 1900
CER Instituto Medico /ID# 255302
Quilmes, Buenos Aires, 1878
Instituto CAICI S.R.L /ID# 254280
Rosario, Santa Fe Province, 2000
Centro de Investigaciones Medicas Tucuman /ID# 254274
San Miguel de Tucumán, Tucumán Province, 4000
Brazil9 sites
Nossa Saude Pesquisa Ltda. /ID# 253274
Curitiba, Paraná, 80440-210
CMiP - Centro Mineiro de Pesquisa Ltda - ME /ID# 253346
Juiz de Fora, Minas Gerais, 36010-570
Hospital de Clinicas de Porto Alegre /ID# 253357
Porto Alegre, Rio Grande do Sul, 90035-903
LMK Sevicos Medicos S/S /ID# 253353
Porto Alegre, Rio Grande do Sul, 90480-000
SER - Servicos Especializados em Reumatologia da Bahia /ID# 253354
Salvador, Estado de Bahia, 40150-150
Fundacao Faculdade Regional de Medicina de Sao Jose do Rio Preto /ID# 261024
São José do Rio Preto, São Paulo, 15090-000
Hospital do Rim /ID# 253983
São Paulo, 04038-002
Hospital das Clinicas da Faculdade de Medicina da Universidade de Sao /ID# 254316
São Paulo, 05403-000
CEDOES - Centro de Diagnóstico e Pesquisa da Osteoporose do Espírito Santo /ID# 254588
Vitória, Espírito Santo, 29055-450
Bulgaria9 sites
Umbal Kaspela /ID# 252645
Plovdiv, 4001
Medical Center Artmed Ltd /Id# 254572
Plovdiv, 4002
Medical center Unimed /ID# 253324
Plovdiv, 4023
Medical center Teodora /ID# 252646
Rousse, 7012
Military Medical Academy Multiprofile Hospital /ID# 252644
Sofia, 1606
Medical Center Academy /ID# 253322
Sofia, 1612
Mc Excelsior /ID# 272499
Sofiya, Sofia, 1407
Diagnostic Consultative Centre (Dcc) - Foкus 5 /ID# 252642
Sofiya, Sofia, 1463
Diagnostic Consultative Centre (Dcc) - Foкus 5 /ID# 252643
Sofiya, Sofia, 1463
Australia8 sites
Emeritus Research Sydney /ID# 256249
Botany, New South Wales, 2019
Emeritus Research /ID# 256800
Camberwell, Victoria, 3124
Monash Health - Monash Medical Centre /ID# 255678
Clayton, Victoria, 3168
Concord Repatriation General Hospital /ID# 257945
Concord, New South Wales, 2139
Momentum Clinical Research /ID# 253542
Darlinghurst, New South Wales, 2010
Royal Darwin Hospital /ID# 263160
Tiwi, Northern Territory, 0811
Colin Bayliss Research and Teaching Unit /ID# 261077
Victoria Park, Western Australia, 6100
The Queen Elizabeth Hospital /ID# 253826
Woodville, South Australia, 5011
Serbia8 sites
Institute for Rheumatology /ID# 253172
Belgrade, Beograd, 11000
Institute for Rheumatology /ID# 253173
Belgrade, Beograd, 11000
Institute for Rheumatology /ID# 253174
Belgrade, Beograd, 11000
Institute for Rheumatology /ID# 253175
Belgrade, Beograd, 11000
Military Medical Academy /ID# 264235
Belgrade, Beograd, 11000
Clin Hosp Ctr Bezanijska Kosa /ID# 253179
Belgrade, Beograd, 11080
University Clinical Center Vojvodina /ID# 253176
Novi Sad, 21000
General Hospital Djordje Joanovic /ID# 253177
Zrenjanin, Vojvodina, 23000
Turkey (Türkiye)8 sites
Akdeniz Universitesi Tip Fakul /ID# 252839
Antalya, 07059
Basaksehir Cam ve Sakura Sehir Hastanesi /ID# 253557
Istanbul, 34480
Marmara Universitesi Pendik Egitim ve Arastirma Hastanesi /ID# 252844
Istanbul, 34899
Necmettin Erbakan Universitesi /ID# 252837
Meram Konya, 42080
Sanko Universitesi Hastanesi /ID# 252841
Şehitkamil, Gaziantep, 27090
Hacettepe Universitesi Tip Fak /ID# 253266
Sihhiye, Ankara, Ankara, 06100
Karadeniz Technical University Farabi Hospital /ID# 252845
Trabzon, 61080
Gazi Universitesi Tip Fakultes /ID# 252843
Yenimahalle, Ankara, 06560
Mexico7 sites
Clinica de Investigacion en Reumatologia y Obesidad S.C. /ID# 253966
Guadalajara, Jalisco, 44650
Grupo Clinico Catei Sociedad Civil /Id# 257700
Guadalajara, Jalisco, 44657
Morales Vargas Centro de Investigacion S.C. /ID# 254661
León, Guanajuato, 37000
Medical Care & Research SA de CV /ID# 260825
Mérida, Yucatán, 97070
Hospital de Jesus /ID# 255146
Mexico City, Mexico City, 06090
CINTRE, Centro de Investigación y Tratamiento Reumatológico SC /ID# 253965
Mexico City, Mexico City, 11850
Centro de Investigacion Medica Dr. Alberto Bazzoni CIMAB S.A de C.V. /ID# 261462
Torreón, Coahuila, 27000
South Africa7 sites
Winelands Medical Research - Somerset West /ID# 254614
Cape Town, Western Cape, 7130
Arthritis Clinical Research Trials /ID# 253349
Cape Town, Western Cape, 7405
Wits Clinical Research /ID# 252931
Johannesburg, Gauteng, 1864
University of Pretoria /ID# 252932
Pretoria, Gauteng, 0001
Dr Elsa van Duuren /ID# 254218
Pretoria, Gauteng, 0002
Winelands Medical Research Centre /ID# 252934
Stellenbosch, Western Cape, 7600
Dr Asokan Naidoo /ID# 253351
Umhlanga, KwaZulu-Natal, 4319
United Kingdom7 sites
North West Anglia NHS Foundation Trust /ID# 254590
Bretton, Cambridgeshire, PE3 9GZ
Guy's Hospital /ID# 252978
London, Greater London, SE1 9RT
Western Health and Social Care Trust /ID# 254592
Londonderry, Northern Ireland, BT47 6SB
Luton and Dunstable Hospital NHS Foundation Trust /ID# 255323
Luton, LU4 0DZ
Northampton General Hospital NHS Trust /ID# 254813
Northampton, Northamptonshire, NN1 5BD
Portsmouth Hospitals University NHS Trust /ID# 252986
Portsmouth, PO6 3LY
University Hospital Southampton NHS Foundation Trust /ID# 252982
Southampton, Hampshire, SO16 6YD
Colombia6 sites
Clinica de la Costa S.A.S /ID# 260727
Barranquilla, 080020
Centro de Investigacion en Reumatologia y especialidades Medicas S.A.S- CIREEM /ID# 254097
Bogotá, Cundinamarca, 110221
Fundacion Oftalmologica de Santander - FOSCAL /ID# 254100
Bucaramanga, Santander Department, 681004
IPS Suramericana SAS - IPS Sura San Diego /ID# 261536
Medellín, Antioquia, 050016
Hospital Pablo Tobón Uribe /ID# 254101
Medellín, Antioquia, 050034
Healthy Medical Center S.A.S /ID# 254098
Zipaquirá, Cundinamarca, 250252
Croatia6 sites
Klinicki bolnicki centar Osijek /ID# 252847
Osijek, County of Osijek-Baranja, 31000
Klinicki bolnicki centar Rijeka /ID# 252848
Rijeka, Primorje-Gorski Kotar County, 51000
Klinicki Bolnicki Centar (KBC) Split /ID# 252849
Split, Split-Dalmatia County, 21000
Opća Bolnica Zadar /ID# 272415
Zadar, Zadar County, 23000
Poliklinika Bonifarm /ID# 252846
Zagreb, City of Zagreb, 10000
Poliklinika Solmed /ID# 252965
Zagreb, City of Zagreb, 10000
Israel6 sites
The Lady Davis Carmel Medical Center /ID# 253303
Haifa, 34362
Hadassah Medical Center-Hebrew University /ID# 252654
Jerusalem, Jerusalem, 91120
Meir Medical Center /ID# 254187
Kfar Saba, Central District, 4428164
Galilee Medical Center /ID# 252859
Nahariya, Northern District, 2210001
The Chaim Sheba Medical Center /ID# 252857
Ramat Gan, Tel Aviv, 5265601
Tel Aviv Sourasky Medical Center /ID# 252858
Tel Aviv, Tel Aviv, 6423906
Bosnia and Herzegovina5 sites
Institute of Physical Medicine,Rehab. and Orthopedic Surgery Dr.Miroslav Zotovic /ID# 262588
Banja Luka, Republika Srpska, 78000
University Clinical Centre of the Republic of Srpska /ID# 253581
Banja Luka, Republika Srpska, 78000
University Clinical Centre of the Republic of Srpska /ID# 253582
Banja Luka, Republika Srpska, 78000
Clinical Center University of Sarajevo /ID# 253583
Sarajevo, 71000
Polyclinic Srce Sarajeva /ID# 255475
Sarajevo, 71210
Canada5 sites
University of Calgary /ID# 259515
Calgary, Alberta, T2N 4Z6
University of Alberta Hospital /ID# 259516
Edmonton, Alberta, T6G 2B7
CIUSSS de l'Estrie - CHUS /ID# 254716
Sherbrooke, Quebec, J1G 2E8
Toronto Western Hospital /ID# 254017
Toronto, Ontario, M5T 2S8
University of Manitoba /ID# 259517
Winnipeg, Manitoba, R3A 1M4
Chile5 sites
Hospital Guillermo Grant Benavente de Concepción /ID# 254841
Concepción, Biobio, 4070038
Inmunocel /Id# 256390
Las Condes, Santiago Metropolitan, 7580206
Investigaciones Medicas Limitada /Id# 254842
Providencia, 7500710
Centro Internacional de Estudios Clinicos - CIEC /ID# 254838
Santiago, Region Metropolitana Santiago, 8420383
Servicio de Salud Araucanía Norte Hospital Victoria /ID# 255179
Victoria, Araucania, 4720000
Germany5 sites
Immanuel Krankenhaus Berlin /ID# 253389
Buch, 13125
Krankenhaus Porz am Rhein /ID# 254373
Cologne, North Rhine-Westphalia, 51149
Universitaetsklinikum Carl Gustav Carus Dresden /ID# 270832
Dresden, Saxony, 01307
Fraunhofer Institute for Translational Medicine & Pharmacology ITMP /ID# 253734
Frankfurt am Main, 60596
Universitaetsmedizin Mainz /ID# 260735
Mainz, Rhineland-Palatinate, 55131
Hungary5 sites
Debreceni Egyetem-Klinikai Kozpont /ID# 252877
Debrecen, Hajdú-Bihar, 4032
Bekes Megyei Kozponti Korhaz Pandy Kalman Tagkorhaz /ID# 252886
Gyula, 5700
Pecsi Tudomanyegyetem Klinikai Kozpont /ID# 254552
Pécs, Baranya, 7624
Vita Verum Medical Bt. /ID# 273579
Székesfehérvár, Szekesfehervar, 8000
Vital-Medicina Kft. /ID# 252876
Veszprém, Fejér, 8200
Italy5 sites
Azienda Ospedaliero Universitaria delle Marche /ID# 254138
Ancona, 60020
Azienda Ospedale-Universita Padova /ID# 253704
Padova, 35128
Azienda Ospedaliero Universitaria Pisana /ID# 254289
Pisa, 56126
Azienda Ospedaliera San Camillo Forlanini /ID# 253680
Rome, Roma, 00149
Azienda Ospedaliero-Universitaria Policlinico Umberto I /ID# 254288
Rome, Roma, 00161
Latvia5 sites
M & M Centrs LTD /ID# 253752
Adazi, LV-2164
Daugavpils Regional Hospital /ID# 253754
Daugavpils, LV-5401
Dr. Saulites-Kandevicas PP in Cardiology and Rheumatology /ID# 273246
Liepāja, LV-3401
Riga East Clinical University Hospital /ID# 253751
Riga, Riga, 1038
Pauls Stradins Clinical University Hospital /ID# 253750
Riga, LV-1002
Lithuania5 sites
Hospital of Lithuanian University of Health Sciences Kaunas Clinics /ID# 253755
Kaunas, 50161
Republic Klaipeda Hospital /ID# 253759
Klaipėda, 92253
Klaipeda University Hospital, Klaipeda Hospital /ID# 253757
Klaipėda, 92288
Inlita - Santara KTC /ID# 253758
Vilnius, 08406
Vilnius University Hospital Santaros Klinikos /ID# 253756
Vilnius, 08661
Poland5 sites
MICS Centrum Medyczne Bydgoszcz /ID# 253281
Bydgoszcz, Kuyavian-Pomeranian Voivodeship, 85-065
Szpital Uniwersytecki nr 2 im. dr. Jana Biziela /ID# 253233
Bydgoszcz, Kuyavian-Pomeranian Voivodeship, 85-168
ETYKA-Osrodek Badan Klinicznych /ID# 252967
Olsztyn, Warmian-Masurian Voivodeship, 10-117
Ortopedyczno-Rehabilitacyjny Szpital Kliniczny im. Wiktora Degi /ID# 252964
Poznan, Greater Poland Voivodeship, 61-545
MICS Centrum Medyczne Warszawa /ID# 253273
Warsaw, Masovian Voivodeship, 00-874
Puerto Rico5 sites
Clinical Research Investigator Group /ID# 259170
Bayamón, 00960
Clinical Research Puerto Rico /ID# 256352
San Juan, 00909-1711
GCM Medical Group /ID# 253039
San Juan, 00917-3104
CMRC Headlands LLC /ID# 254882
San Juan, 00918-3501
Mindful Medical Research /ID# 253040
San Juan, 00918-3756
Slovakia5 sites
ARTROMAC n.o. /ID# 253056
Košice, Košice Region, 040 11
ZAZABIE s. r .o. /ID# 255793
Košice II, 040 11
MEDMAN s.r.o. /ID# 252950
Martin, Žilina Region, 036 01
Narodny Ustav Reumatickych Chorob Piestany /ID# 273341
Piešťany, Trnava Region, 921 12
Thermium s.r.o. /ID# 260839
Piešťany, 921 01
South Korea5 sites
SoonChunHyang University Hospital Cheonan /ID# 254777
Cheonan-si, Chungcheongnam-do, 31151
Chonnam National University Bitgoeul Hospital /ID# 254675
Gwangju, Gwangju Gwang Yeogsi, 61748
Hanyang University Seoul Hospital /ID# 252955
Seoul, Seoul Teugbyeolsi, 04763
Asan Medical Center /ID# 254022
Seoul, Seoul Teugbyeolsi, 05505
The Catholic University of Korea, Seoul St. Marys Hospital /ID# 252958
Seoul, Seoul Teugbyeolsi, 06591
Estonia4 sites
Innomedica /ID# 253722
Tallinn, Harju, 10117
East Tallinn Central Hospital - Magdaleena Unit /ID# 253721
Tallinn, Harju, 11312
North Estonia Medical Centre Foundation /ID# 253723
Tallinn, Harju, 13419
MediTrials /ID# 253720
Tartu, Tartu, 50708
Guatemala4 sites
Clinica Medica Especializada en Medicina Interna y Reumatologia /ID# 261156
Guatemala City, 01010
Clinica Medica Reumatologica /ID# 255009
Guatemala City, 01010
Clinica Especializada en Medicina Interna /ID# 255006
Guatemala City, 01011
Clínica Médica Especializada en Medicina Interna y Reumatologia /ID# 257248
Guatemala City, zona 10
Portugal4 sites
Hospital Garcia de Orta /ID# 252903
Almada, Setúbal District, 2805-267
Centro Hospitalar do Tamega e Sousa - Hospital Padre Americo /ID# 252911
Guilhufe, Porto District, 4560-136
Unidade Local de Saúde do Alto Minho, EPE - Hospital Conde de Bertiandos /ID# 252902
Ponte de Lima, Viana do Castelo District, 4990-041
Centro Hospitalar Universitario do Porto, EPE - Hospital Santo Antonio /ID# 252899
Porto, 4099-001
Belgium3 sites
Universite Libre de Bruxelles - Hopital Erasme /ID# 261997
Anderlecht, Brussels Capital, 1070
Universitair Ziekenhuis Brussel /ID# 269065
Jette, Brussels Capital, 1090
ZAS Palfijn /ID# 252802
Merksem, Antwerpen, 2170
France3 sites
HCL - Hopital de la Croix-Rousse /ID# 254147
Lyon, Rhone, 69004
Hopital Pitie Salpetriere /ID# 253009
Paris, Île-de-France Region, 75013
CHU Toulouse - Hopital Rangueil /ID# 254148
Toulouse, Haute-Garonne, 31400
Greece3 sites
General Hospital of Athens Laiko /ID# 252952
Athens, Attica, 11527
University General Hospital Attikon /ID# 253209
Athens, Attica, 12462
University General Hospital of Heraklion PA.G.N.I /ID# 252951
Heraklion, Crete, 71500
Romania3 sites
Centrul Medical de Diagnostic si Tratament Ambulator Neomed SRL /ID# 253207
Brasov, 500283
Spitalul Clinic Sf. Maria /ID# 252905
Bucharest, 011172
Spitalul Clinic Judetean de Urgenta Cluj -Napoca /ID# 252904
Cluj-Napoca, Cluj, 400006
Spain3 sites
Complejo Hospitalario Universitario A Coruña /ID# 253123
A Coruña, A Coruna, 15006
Hospital Universitario Virgen de Valme /ID# 253121
Seville, 41014
Hospital Meixoeiro (CHUVI) /ID# 253124
Vigo, Pontevedra, 36213
Switzerland3 sites
University Hospital Basel /ID# 252907
Basel Town, Canton of Basel-City, 4031
Inselspital, Universitaetsspital Bern /ID# 252909
Bern, 3010
Kantonsspital St. Gallen /ID# 252906
Sankt Gallen, Canton of St. Gallen, 9007
Taiwan3 sites
Chang Gung Mem Hosp Keelung /ID# 253636
Keelung, 204
China Medical University Hospital /ID# 252936
Taichung, 40447
National Taiwan University Hospital /ID# 252937
Taipei City, Taipei, 100
New Zealand2 sites
Aotearoa Clinical Trials /ID# 253555
Papatoetoe, Auckland, 2025
North Shore Hospital /ID# 253554
Takapuna, Auckland, 0622
About this study
Official title: SELECT-SLE: A Phase 3 Program to Evaluate the Safety and Efficacy of Upadacitinib in Subjects With Moderately to Severely Active SLE
Systemic Lupus Erythematosus (SLE) is an immune-mediated disease associated with inflammation of multiple organ systems. This study will assess how safe and effective upadacitinib is in treating adult participants with moderately to severely active SLE. Adverse events and change in the disease activity will be assessed.
Upadacitinib is an approved drug for rheumatoid arthritis, psoriatic arthritis, and axial spondylarthritis and is being developed for the treatment of SLE. This study is "double-blinded", which means that neither the trial participants nor the study doctors will know who will be given upadacitinib and who will be given placebo (does not contain treatment drug) . This study comprised of 4 sub studies. In Study 1 and Study 2, study doctors put the participants in 1 of the 2 groups, called treatment arms. Each group receives a different treatment. There is a 1 in 2 chance that participants will be assigned to placebo. Eligible participants from Study 1 and Study 2 will enter Study 3 at week 52 to receive specific doses of upadacitinib. Study 4 is a 104-week continued extension if participation is likely to provide a benefit to their SLE. Approximately 500 participants diagnosed with SLE will be enrolled in each of the Study 1 and Study 2 in approximately 320 sites across the world.
Read more
Participants will receive oral tablets of upadacitinib or matching placebo once daily for 52 weeks in Study 1 and Study 2. Eligible participants from Study 1 and Study 2 will receive oral tablets of upadacitinib once daily for 52 weeks in Study 3.
There may be higher treatment burden for participants in this trial compared to their standard of care. Participants will attend regular visits during the study at a hospital or clinic. The effect of the treatment will be checked by medical assessments, checking for side effects and completing questionnaires.
- Conditions
- Systemic Lupus Erythematosus
- Being tested
- Upadacitinib, Placebo
- Keywords
- Systemic Lupus Erythematosus, SLE, Upadacitinib, Lupus
- 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.
UpadacitinibDrug
Also called RINVOQ
Oral Tablets
PlaceboDrug
Oral Tablet
| Study group | Role | What they receive |
|---|---|---|
| Study 1- Upadacitinib Dose A | Experimental | Participants will receive upadacitinib dose A once daily for 52 weeks. Receives: Drug: Upadacitinib |
| Study 1- Placebo | Placebo comparator | Participants will receive upadacitinib matching placebo once daily for 52 weeks. Receives: Drug: Placebo |
| Study 2- Upadacitinib Dose A | Experimental | Participants will receive upadacitinib dose A once daily for 52 weeks. Receives: Drug: Upadacitinib |
| Study 2- Placebo | Placebo comparator | Participants will receive upadacitinib matching placebo once daily for 52 weeks. Receives: Drug: Placebo |
| Study 3- Low Disease Activity Upadacitinib (LDA) Dose A | Experimental | Participants in the upadacitinib arms from Study 1 or Study 2 with LDA will receive upadacitinib dose A once daily for 52 weeks. Receives: Drug: Upadacitinib |
| Study 3- Low Disease Activity Upadacitinib Dose B | Experimental | Participants in the upadacitinib arms from Study 1 or Study 2 with LDA will receive upadacitinib dose B once daily for 52 weeks. Receives: Drug: Upadacitinib |
| Study 3- No LDA Upadacitinib Dose A | Experimental | Participants in the upadacitinib arms from Study 1 or Study 2 with no LDA will receive upadacitinib dose A once daily for 52 weeks. Receives: Drug: Upadacitinib |
| Study 3- Upadacitininb Dose A | Experimental | Participants in the placebo arms of Study 1 or Study 2 will receive upadacitinib Dose A once daily for 52 weeks. Receives: Drug: Upadacitinib |
| Study 3- Open Label Upadacitinib Dose A | Experimental | Participants who experience a suspected systemic lupus erythematosus (SLE) flare may receive open label upadacitinib Dose A once daily for the remainder of the study. Receives: Drug: Upadacitinib |
| Study 3- Open Label Upadacitinib Dose B | Experimental | Participants who reach >= 65 years of age and are still on study drug may receive open-label upadacitinib Dose B once daily, and participants who experience a suspected SLE flare while on upadacitinib Dose B may receive upadacitinib Dose A for the remainder of the study. Receives: Drug: Upadacitinib |
| Study 4- Upadacitinib Dose A | Experimental | Participants receiving upadacitinib Dose A in Study 3 will continue on this dose once daily for 104 weeks. Receives: Drug: Upadacitinib |
| Study 4- Upadacitinib Dose B | Experimental | Participants receiving upadacitinib Dose B in Study 3 will continue on this dose once daily for 104 weeks. Receives: Drug: Upadacitinib |
What is being measured
The primary outcome is the main question the study is designed to answer.
Percentage of Participants Achieving British Isles Lupus Assessment Group Based Combined Lupus Assessment (BICLA) Response
BICLA is a composite responder index based on improvement in organ systems without worsening of the overall condition and improvement in disease activity.
Measured: At Week 52
Secondary outcomes (10)
Percentage of Flares Participants Experiencing Over Time.
Flare is defined by the Safety of Estrogens in Lupus Erythematosus National Assessment (SELENA) Systemic lupus erythematosus disease activity index (SLEDAI) Flare Index (SFI). An index defining Systemic lupus erythematosus (SLE) flares using changes in the Hybrid SLEDAI (hSLEDAI) score, definitions of worsening signs and symptoms, treatment changes, and Physician's Global Assessment of Disease Activity. Flare rate is number of flares per patient-year.
Measured: Week 52
Percentage of Participants Achieving Systemic Lupus Erythematosus Responder Index (SRI) -4
SRI is a composite responder index based on improvement in disease activity (number following SRI indicates numerical improvement in hSLEDAI score) without worsening of the overall condition (no worsening in Physician's Global Assessment (PhGA), < 0.3 point increase) or the development of significant disease activity in new organ systems (no new British Isles Lupus Assessment Group [BILAG] A or > 1 new BILAG B).
Measured: At Week 52
Percentage of Participants Achieving Lupus Low Disease Activity State (LLDAS)
LLDAS is a state of low disease activity based on SLEDAI score (hSLEDAI score <= 4 excluding hSLEDAI activity in major organ systems), absence of SLE disease activity in major organ systems and new disease activity, Physician's Global Assessment (PhGA <= 1), and concomitant medication usage.
Measured: At Week 52
Time to First Flare per SELENA SLEDAI Flare Index (SFI)
SFI is an index defining SLE flares using changes in the hSLEDAI score, definitions of worsening signs and symptoms, treatment changes, and Physician's Global Assessment of Disease Activity.
Measured: Week 52
Percentage of Participants Achieving Oral Glucocorticoid Dose <=7.5 mg/day Prednisone-Equivalent
Achievement of oral glucocorticoid dose <=7.5 mg/day prednisone-equivalent among participants taking >= 10 mg/day prednisone-equivalent at baseline.
Measured: From Week 44 to Week 52
Percentage of Participants Achieving >= 50% Improvement in Tender or Swollen Joints
Achievement of >= 50% improvement in tender or swollen joints among participants with >= 3 swollen joints and >= 6 total affected joints at Baseline.
Measured: Week 52
Percentage of Participants Achieving >= 50% reduction in Cutaneous Lupus Erythematosus Disease Area and Severity Index (CLASI) Activity Score
CLASI index used to assess cutaneous manifestations of SLE summarizing the activity of the disease. Scores range from 0 to 70, with higher scores indicating more severity. Achievement of >= 50% reduction in CLASI activity score among participants with baseline score >=10.
Measured: Week 52
Change from Baseline in Functional Assessment of Chronic Illness Therapy-Fatigue (FACIT-Fatigue) Version 4
The FACIT-Fatigue questionnaire is a self-administered patient questionnaire that consists of 13 questions designed to measure the degree of fatigue experienced by participants. Participants respond to the questions on a scale from 0 (not at all) to 4 (very much). The FACIT-Fatigue score is computed by summing the item scores, after reversing those items that are worded in the negative direction. The FACIT-Fatigue score ranges from 0 to 52, where higher scores represent less fatigue.
Measured: Baseline to Week 52
Change from Baseline in Lupus Pain Numerical Rating Scale (NRS)
The Lupus Pain-NRS is a single-item questionnaire in which participants are asked to rate their overall pain level due to lupus over the last week. The Lupus Pain-NRS scores range from 0 to 10, with higher scores indicating a higher level of pain.
Measured: At Week 52
Change from Baseline in 36-Item Short Form Health Survey (SF-36) Acute Physical Component Summary (PCS)
The SF-36v2® Health Survey Acute is a general HRQoL instrument with extensive use in multiple disease states. The instrument comprises 36 total items (questions) targeting a participants's functional health and well-being in 8 dimensions (physical functioning, role physical, bodily pain, general health, vitality, social functioning, role emotional, and mental health). Scoring is totaled into a Physical Component Summary and a Mental Component Summary. Higher scores indicate a better state of health.
Measured: Baseline to Week 52
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted6 May 2023
- Study start25 Jul 2023
- Primary completionMar 2027 (estimated)
- Study completionOct 2027 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Systemic Lupus ErythematosusStudies of the same condition, open and under way.
- More trials run by AbbVieThe 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
- Sequential
- Masking
- Quadruple blind
- Who is masked
- Participant, Care provider, Investigator, Outcomes assessor
- Enrolment
- 1,014 participants (actual)
Sponsor and investigators
- Lead sponsor
- AbbVie
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- ABBVIE INC., Study director, AbbVie
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT05843643
- Sponsor's protocol ID
- M23-699
- Other IDs
- 2023-503655-10-00, 2023
- Acronym
- SELECT-SLE
- Status last verified
- Apr 2026
- First submitted
- 25 Apr 2023
- Last updated
- 28 Apr 2026
- Results posted
- No
- Data monitoring committee
- Yes
- FDA-regulated drug
- Yes
- FDA-regulated device
- No
- Individual data sharing
- Yes: AbbVie is committed to responsible clinical trial data sharing. This includes access to anonymized, individual and trial-level data (analysis data sets), as well as other information.
Study at a glance
From the registry record, last updated by the sponsor on 28 Apr 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- SELECT-SLE: A Phase 3 Program to Evaluate the Safety and Efficacy of Upadacitinib in Subjects With Moderately to Severely Active SLE
- ClinicalTrials.gov ID
- NCT05843643
- Acronym / sponsor ID
- SELECT-SLE / M23-699
- Conditions
- Systemic Lupus Erythematosus
- Keywords
- Systemic Lupus Erythematosus, SLE, Upadacitinib, Lupus
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Active, not recruiting
- Enrolment
- 1,014 participants (actual)
- Lead sponsor
- AbbVieIndustry (pharma, biotech, devices)
- Study start
- 25 Jul 2023 (actual)
- Primary completion
- Mar 2027 (estimated)
- Study completion
- Oct 2027 (estimated)
- First posted
- 6 May 2023 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
Systemic Lupus Erythematosus (SLE) is an immune-mediated disease associated with inflammation of multiple organ systems. This study will assess how safe and effective upadacitinib is in treating adult participants with moderately to severely active SLE. Adverse events and change in the disease activity will be assessed.
Upadacitinib is an approved drug for rheumatoid arthritis, psoriatic arthritis, and axial spondylarthritis and is being developed for the treatment of SLE. This study is "double-blinded", which means that neither the trial participants nor the study doctors will know who will be given upadacitinib and who will be given placebo (does not contain treatment drug) . This study comprised of 4 sub studies. In Study 1 and Study 2, study doctors put the participants in 1 of the 2 groups, called treatment arms. Each group receives a different treatment. There is a 1 in 2 chance that participants will be assigned to placebo. Eligible participants from Study 1 and Study 2 will enter Study 3 at week 52 to receive specific doses of upadacitinib. Study 4 is a 104-week continued extension if participation is likely to provide a benefit to their SLE. Approximately 500 participants diagnosed with SLE will be enrolled in each of the Study 1 and Study 2 in approximately 320 sites across the world.
Participants will receive oral tablets of upadacitinib or matching placebo once daily for 52 weeks in Study 1 and Study 2. Eligible participants from Study 1 and Study 2 will receive oral tablets of upadacitinib once daily for 52 weeks in Study 3.
There may be higher treatment burden for participants in this trial compared to their standard of care. Participants will attend regular visits during the study at a hospital or clinic. The effect of the treatment will be checked by medical assessments, checking for side effects and completing questionnaires.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Sequential
- Masking
- Quadruple blind (participant, care provider, investigator, outcomes assessor)
- Number of arms
- 12
| Arm | Type | Receives |
|---|---|---|
| Study 1- Upadacitinib Dose A | Experimental | Drug: UpadacitinibParticipants will receive upadacitinib dose A once daily for 52 weeks. |
| Study 1- Placebo | Placebo comparator | Drug: PlaceboParticipants will receive upadacitinib matching placebo once daily for 52 weeks. |
| Study 2- Upadacitinib Dose A | Experimental | Drug: UpadacitinibParticipants will receive upadacitinib dose A once daily for 52 weeks. |
| Study 2- Placebo | Placebo comparator | Drug: PlaceboParticipants will receive upadacitinib matching placebo once daily for 52 weeks. |
| Study 3- Low Disease Activity Upadacitinib (LDA) Dose A | Experimental | Drug: UpadacitinibParticipants in the upadacitinib arms from Study 1 or Study 2 with LDA will receive upadacitinib dose A once daily for 52 weeks. |
| Study 3- Low Disease Activity Upadacitinib Dose B | Experimental | Drug: UpadacitinibParticipants in the upadacitinib arms from Study 1 or Study 2 with LDA will receive upadacitinib dose B once daily for 52 weeks. |
| Study 3- No LDA Upadacitinib Dose A | Experimental | Drug: UpadacitinibParticipants in the upadacitinib arms from Study 1 or Study 2 with no LDA will receive upadacitinib dose A once daily for 52 weeks. |
| Study 3- Upadacitininb Dose A | Experimental | Drug: UpadacitinibParticipants in the placebo arms of Study 1 or Study 2 will receive upadacitinib Dose A once daily for 52 weeks. |
| Study 3- Open Label Upadacitinib Dose A | Experimental | Drug: UpadacitinibParticipants who experience a suspected systemic lupus erythematosus (SLE) flare may receive open label upadacitinib Dose A once daily for the remainder of the study. |
| Study 3- Open Label Upadacitinib Dose B | Experimental | Drug: UpadacitinibParticipants who reach >= 65 years of age and are still on study drug may receive open-label upadacitinib Dose B once daily, and participants who experience a suspected SLE flare while on upadacitinib Dose B may receive upadacitinib Dose A for the remainder of the study. |
| Study 4- Upadacitinib Dose A | Experimental | Drug: UpadacitinibParticipants receiving upadacitinib Dose A in Study 3 will continue on this dose once daily for 104 weeks. |
| Study 4- Upadacitinib Dose B | Experimental | Drug: UpadacitinibParticipants receiving upadacitinib Dose B in Study 3 will continue on this dose once daily for 104 weeks. |
Who may qualify
- Ages
- 18 to 63 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult
Key inclusion criteria (11 listed)
- Clinical diagnosis of systemic lupus erythematosus (SLE) at least 24 weeks prior to screening as defined by the 2019 European Alliance of Associations for Rheumatology (EULAR)/ American College of Rheumatology (ACR) classification criteria for SLE.
- At Screening, must have at least one of the following:
- Hybrid systemic lupus erythematosus disease activity index (hSLEDAI) >= 6, of which >= 4 points are clinical (not based on laboratory criteria), independently reviewed by the MCDR at Screening. Clinical hSLEDAI score (not based on laboratory criteria) must be re-confirmed as >= 4 at the Baseline visit. Lupus headache or organic brain syndrome do not count towards the hSLEDAI points required for eligibility but should be documented on the hSLEDAI if present.
- Physician's Global Assessment (PhGA) >= 1 during screening period.
- On stable background treatment for >= 60 days prior to Baseline (with the exception of oral corticosteroid [OCS], which must be at a stable dose for >=14 days prior to Baseline) with
Key exclusion criteria (10 listed)
- Class III/IV lupus nephritis that was treated with induction therapy within the 6 months prior to Screening.
- Active neuropsychiatric SLE (excluding lupus headache) within the 6 months prior to Screening.
- SLE overlap syndromes including, but not limited to, rheumatoid arthritis, systemic sclerosis, polymyositis, dermatomyositis, or mixed connective tissue disease (Sjögren's syndrome is permitted).
- Antiphospholipid syndrome and prior unprovoked venous or arterial thrombosis who are not on stable and adequate anticoagulation.
- Two or more episodes of herpes zoster, or one or more episodes of disseminated herpes zoster or herpes zoster ophthalmicus.
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 |
|---|---|---|
| UpadacitinibAlso: RINVOQOral Tablets | Drug | Study 1- Upadacitinib Dose A, Study 2- Upadacitinib Dose A, Study 3- Low Disease Activity Upadacitinib (LDA) Dose A, Study 3- Low Disease Activity Upadacitinib Dose B, Study 3- No LDA Upadacitinib Dose A, Study 3- Open Label Upadacitinib Dose A, Study 3- Open Label Upadacitinib Dose B, Study 3- Upadacitininb Dose A, Study 4- Upadacitinib Dose A, Study 4- Upadacitinib Dose B |
| PlaceboOral Tablet | Drug | Study 1- Placebo, Study 2- Placebo |
Primary outcome
Percentage of Participants Achieving British Isles Lupus Assessment Group Based Combined Lupus Assessment (BICLA) Response
Time frame: At Week 52
BICLA is a composite responder index based on improvement in organ systems without worsening of the overall condition and improvement in disease activity.
10 secondary outcomes
Percentage of Flares Participants Experiencing Over Time.
Time frame: Week 52
Percentage of Participants Achieving Systemic Lupus Erythematosus Responder Index (SRI) -4
Time frame: At Week 52
Percentage of Participants Achieving Lupus Low Disease Activity State (LLDAS)
Time frame: At Week 52
Time to First Flare per SELENA SLEDAI Flare Index (SFI)
Time frame: Week 52
Percentage of Participants Achieving Oral Glucocorticoid Dose <=7.5 mg/day Prednisone-Equivalent
Time frame: From Week 44 to Week 52
Percentage of Participants Achieving >= 50% Improvement in Tender or Swollen Joints
Time frame: Week 52
Percentage of Participants Achieving >= 50% reduction in Cutaneous Lupus Erythematosus Disease Area and Severity Index (CLASI) Activity Score
Time frame: Week 52
Change from Baseline in Functional Assessment of Chronic Illness Therapy-Fatigue (FACIT-Fatigue) Version 4
Time frame: Baseline to Week 52
Change from Baseline in Lupus Pain Numerical Rating Scale (NRS)
Time frame: At Week 52
Change from Baseline in 36-Item Short Form Health Survey (SF-36) Acute Physical Component Summary (PCS)
Time frame: Baseline to Week 52
Results and safety
This study is still under way. Results are not available in the source record yet.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 28 Apr 2026.
- Individual participant dataSharing planned: Yes. AbbVie is committed to responsible clinical trial data sharing. This includes access to anonymized, individual and trial-level data (analysis data sets), as well as other information.
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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.
ABBVIE INC. study director
AbbVie
369 sites in 38 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing Upadacitinib in people with Systemic Lupus Erythematosus, run by AbbVie at 369 sites in 38 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 11 inclusion and 10 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: under way, not looking for participants, as of the sponsor's last update on 28 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 369 sites in United States, China, Japan, Argentina, Brazil and 33 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?
This study is still under way. Results are not available in the source record yet.
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 British Isles Lupus Assessment Group Based Combined Lupus Assessment (BICLA) Response (time frame: At Week 52). 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 28 Apr 2026.