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Cutaneous Lupus ErythematosusPhase 3LAVENDERNCT06015737

A Phase III Study to Investigate the Efficacy and Safety of Anifrolumab in Adults With Chronic and/or Subacute Cutaneous Lupus Erythematosus

A Phase 3 study testing Anifrolumab in people with Cutaneous Lupus Erythematosus, run by AstraZeneca at 188 sites in 32 countries.

Active, not recruiting

Under way, not looking for participants. Everyone needed has enrolled. The study is still running.

Official record
Search all trials

Trial summary

This study aims to evaluate the efficacy and safety of subcutaneous (SC) anifrolumab versus placebo in adult participants with chronic and/or subacute cutaneous lupus erythematosus (CLE). Read more about this study

Who is it for?
Ages 18 to 70 years
Conditions the study is for
Cutaneous Lupus Erythematosus
What is being tested?
Anifrolumab
Type of treatment
Injection or infusion
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
339 participants
Where
188 sitesin 32 countries
Study dates
29 Jun 2024to 10 Aug 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 70 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Participants must have a confirmed diagnosis of CLE. Diagnosis must be clinically and histologically confirmed with the following:
  • CLASI-A total score ≥ 10 points at Screening and confirmed at randomization.
  • Inadequate response or intolerant to antimalarial therapy.
  • Participants should have no medical history or signs or symptoms of active or prior tuberculosis infection (TB) and the same should reflect in chest radiograph or a chest CT scan result.
  • Contraceptive use by males and females should be consistent with local regulations regarding the methods of contraception for those participating in clinical studies.

Who cannot join

  • History or evidence of suicidal ideation.
  • Severe or life-threatening Systemic lupus erythematosus (SLE).
  • Active SLE or Sjögren's Syndrome.
  • Any active skin conditions other than CLE that may interfere with the study.
  • History of, or current diagnosis of, catastrophic antiphospholipid syndrome (APS).
  • History of recurrent infection requiring hospitalization and IV antibiotics.
Show all 10Show fewer
  • COVID-19 infection.
  • Any history of an anaphylactic reaction to human proteins, or monoclonal antibodies.
  • At screening, if participants do not meet the eligibility criteria assessed based on laboratory test results e.g tests for total bilirubin, serum creatinine etc.
  • NOTE: Other protocol defined Inclusion/Exclusion criteria may apply

Trial locations and contacts

188 sites in 32 countries.

188 sites in 32 countries

United States34 sites
  • Research Site

    Ann Arbor, Michigan, 48109

  • Research Site

    Aurora, Colorado, 80045

  • Research Site

    Baltimore, Maryland, 21287

  • Research Site

    Bloomfield Hills, Michigan, 48302

  • Research Site

    Boston, Massachusetts, 02114

  • Research Site

    Boston, Massachusetts, 02115-5817

  • Research Site

    Charleston, South Carolina, 29425

  • Research Site

    Charlotte, North Carolina, 28207

  • Research Site

    Charlottesville, Virginia, 22903

  • Research Site

    Chicago, Illinois, 60611

  • Research Site

    Chicago, Illinois, 60637

  • Research Site

    Cleveland, Ohio, 44195

  • Research Site

    Covina, California, 91722

  • Research Site

    Dallas, Texas, 75390-8843

  • Research Site

    Fort Lauderdale, Florida, 33309

  • Research Site

    Indianapolis, Indiana, 46202

  • Research Site

    La Jolla, California, 92037

  • Research Site

    Los Angeles, California, 90045

  • Research Site

    Los Angeles, California, 90089

  • Research Site

    Miami, Florida, 33174

  • Research Site

    New Haven, Connecticut, 06519

  • Research Site

    New York, New York, 10028

  • Research Site

    Omaha, Nebraska, 68198-5885

  • Research Site

    Orange, California, 92868

  • Research Site

    Phoenix, Arizona, 85028

  • Research Site

    Plantation, Florida, 33324

  • Research Site

    Portland, Oregon, 97239

  • Research Site

    Providence, Rhode Island, 02903

  • Research Site

    Roanoke, Virginia, 24016

  • Research Site

    Rochester, Minnesota, 55905

  • Research Site

    Rochester, New York, 14642

  • Research Site

    San Francisco, California, 94143

  • Research Site

    Statesville, North Carolina, 28625

  • Research Site

    Washington D.C., District of Columbia, 20037

Other trials in United States

Spain16 sites
  • Research Site

    Barcelona, 08025

  • Research Site

    Barcelona, 8035

  • Research Site

    Castellon, 12004

  • Research Site

    Granada, 18012

  • Research Site

    L'Hospitalet de Llobregat, 08907

  • Research Site

    Las Palmas de Gran Canaria, 35010

  • Research Site

    Madrid, 28006

  • Research Site

    Madrid, 28034

  • Research Site

    Madrid, 28040

  • Research Site

    Madrid, 28041

  • Research Site

    Majadahonda, 28222

  • Research Site

    Salamanca, 37007

  • Research Site

    Seville, 41014

  • Research Site

    Valencia, 46014

  • Research Site

    Valencia, 46017

  • Research Site

    Vigo, 36200

Other trials in Spain

China15 sites
  • Research Site

    Changchun, 130021

  • Research Site

    Changsha, 410011

  • Research Site

    Chengdu, 610021

  • Research Site

    Chongqing, 400016

  • Research Site

    Dongguan, 523059

  • Research Site

    Guangzhou, 510120

  • Research Site

    Heilongjiang, 150086

  • Research Site

    Jinan, 250022

  • Research Site

    Shanghai, 200025

  • Research Site

    Shanghai, 200443

  • Research Site

    Shenzhen, 518020

  • Research Site

    Shenzhen, 518052

  • Research Site

    Shenzhen, 518053

  • Research Site

    Ürümqi, CN-830004

  • Research Site

    Zhuzhou, 412007

Other trials in China

Germany13 sites
  • Research Site

    Berlin, 10117

  • Research Site

    Bochum, 44791

  • Research Site

    Dresden, 01307

  • Research Site

    Erlangen, 91054

  • Research Site

    Essen, 45147

  • Research Site

    Freiburg im Breisgau, 79104

  • Research Site

    Hanover, 30625

  • Research Site

    Kiel, 24105

  • Research Site

    Leipzig, 04103

  • Research Site

    Mainz, 55131

  • Research Site

    Marburg, 35043

  • Research Site

    Regensburg, 93053

  • Research Site

    Wuppertal, 42283

Other trials in Germany

France11 sites
  • Research Site

    Bois-Guillaume, 76031

  • Research Site

    Dijon, 21000

  • Research Site

    Lyon, 69437

  • Research Site

    Montivilliers, 76290

  • Research Site

    Nantes, 44000

  • Research Site

    Paris, 75010

  • Research Site

    Paris, 75013

  • Research Site

    Paris, 75014

  • Research Site

    Paris, 75970

  • Research Site

    Poitiers, 86000, FR

  • Research Site

    Toulouse, 31059

Other trials in France

Japan9 sites
  • Research Site

    Chūōku, 104-8560

  • Research Site

    Fukuoka, 812-8582

  • Research Site

    Kanazawa, 920-8641

  • Research Site

    Kita-gun, 761-0793

  • Research Site

    Nagoya, 457-8510

  • Research Site

    Nagoya, 467-8602

  • Research Site

    tabashi City, 173-8606

  • Research Site

    Wakayama, 641-8510

  • Research Site

    Yokohama, 232-0024

Other trials in Japan

Italy8 sites
  • Research Site

    Brescia, 25123

  • Research Site

    Cona, 44124

  • Research Site

    Florence, 50121

  • Research Site

    Milan, 20132

  • Research Site

    Naples, 80138

  • Research Site

    Reggio Emilia, 42123

  • Research Site

    Roma, 00144

  • Research Site

    Rome, 00168

Other trials in Italy

United Kingdom7 sites
  • Research Site

    Cambridge, CB2 0QQ

  • Research Site

    Leeds, LS2 9JT

  • Research Site

    London, NW1 2PG

  • Research Site

    London, NW3 2QG

  • Research Site

    London, SE1 7EH

  • Research Site

    London, SE5 9RS

  • Research Site

    Newcastle upon Tyne, NE1 4LP

Other trials in United Kingdom

Argentina5 sites
  • Research Site

    Ciudad de Buenos Aires, 1221

  • Research Site

    Córdoba, 5000

  • Research Site

    Córdoba, X5004BAL

  • Research Site

    Quilmes, 1878

  • Research Site

    San Miguel, 1663

Other trials in Argentina

Australia5 sites
  • Research Site

    Kogarah, 3168

  • Research Site

    Melbourne, 3004

  • Research Site

    Mitcham, 3132

  • Research Site

    Westmead, 2145

  • Research Site

    Woolloongabba, 04102

Other trials in Australia

Brazil5 sites
  • Research Site

    Belo Horizonte, 30150-221

  • Research Site

    Porto Alegre, 90035903

  • Research Site

    Rio de Janeiro, 22470-220

  • Research Site

    Salvador, 40150-150

  • Research Site

    São Paulo, 05403-000

Other trials in Brazil

Poland5 sites
  • Research Site

    Katowice, 40-851

  • Research Site

    Kielce, 25-316

  • Research Site

    Ossy, 40-027

  • Research Site

    Rzeszów, 35-055

  • Research Site

    Warsaw, 02-637

Other trials in Poland

Thailand5 sites
  • Research Site

    Bangkok, 10330

  • Research Site

    Bangkok, 10700

  • Research Site

    Hat Yai, 90110

  • Research Site

    Khlong Luang, 12120

  • Research Site

    Khon Kaen, 40002

Other trials in Thailand

Austria4 sites
  • Research Site

    Graz, 8036

  • Research Site

    Innsbruck, 6020

  • Research Site

    Linz, 4020

  • Research Site

    Vienna, 1130

Other trials in Austria

Mexico4 sites
  • Research Site

    Guadalajara, 44340

  • Research Site

    Guadalajara, 44610

  • Research Site

    Mexico City, 07760

  • Research Site

    Veracruz, 91910

Other trials in Mexico

Turkey (Türkiye)4 sites
  • Research Site

    Cordaleo, 35575

  • Research Site

    Istanbul, 34098

  • Research Site

    Kayseri, 38039

  • Research Site

    Samsun, 55270

Other trials in Turkey (Türkiye)

Bulgaria3 sites
  • Research Site

    Sofia, 1463

  • Research Site

    Sofia, 1528

  • Research Site

    Sofia, 1784

Other trials in Bulgaria

Canada3 sites
  • Research Site

    Hamilton, Ontario, L8N 3Z5

  • Research Site

    Toronto, Ontario, M5T 2S8

  • Research Site

    Vancouver, British Columbia, V5Z 1M9

Other trials in Canada

Chile3 sites
  • Research Site

    Osorno, 200025

  • Research Site

    Santiago, 130021

  • Research Site

    Santiago, 7500571

Other trials in Chile

Philippines3 sites
  • Research Site

    Iloilo City, 5000

  • Research Site

    Lipa, 4217

  • Research Site

    Manila, 1000

Other trials in Philippines

Portugal3 sites
  • Research Site

    Braga, 4710-243

  • Research Site

    Lisbon, 1649-035

  • Research Site

    Porto, 4099-001

Other trials in Portugal

South Korea3 sites
  • Research Site

    Seoul, 03080

  • Research Site

    Seoul, 06591

  • Research Site

    Seoul, 06973

Other trials in South Korea

Taiwan3 sites
  • Research Site

    Kaohsiung City, 83301

  • Research Site

    Taichung, 404

  • Research Site

    Taipei, 10449

Other trials in Taiwan

Colombia2 sites
  • Research Site

    Barranquilla, 080020

  • Research Site

    Bogotá, 110221

Other trials in Colombia

Denmark2 sites
  • Research Site

    Aarhus, 641-8510

  • Research Site

    Copenhagen, 2100

Other trials in Denmark

Greece2 sites
  • Research Site

    Athens, 12462

  • Research Site

    Athens, 16121

Other trials in Greece

Netherlands2 sites
  • Research Site

    Breda, 4818 CK

  • Research Site

    Rotterdam, 3015 GD

Other trials in Netherlands

Romania2 sites
  • Research Site

    Bucharest, 020125

  • Research Site

    Iași, 700291

Other trials in Romania

Serbia2 sites
  • Research Site

    Belgrade, 11000

  • Research Site

    Kragujevac, 34000

Other trials in Serbia

Slovakia2 sites
  • Research Site

    Košice, 04001

  • Research Site

    Piešťany, 92101

Other trials in Slovakia

South Africa2 sites
  • Research Site

    Cape Town, 7500

  • Research Site

    Johannesburg, 2193

Other trials in South Africa

New Zealand1 site
  • Research Site

    Papatoetoe, 2025

Other trials in New Zealand

About this study

Official title: A Multicenter, Randomized, Double Blind, Placebo Controlled, Phase III Study to Evaluate the Efficacy and Safety of Anifrolumab in Adults With Chronic and/or Subacute Cutaneous Lupus Erythematosus Who Are Refractory and/or Intolerant to Antimalarial Therapy.

This study aims to evaluate the efficacy and safety of subcutaneous (SC) anifrolumab versus placebo in adult participants with chronic and/or subacute cutaneous lupus erythematosus (CLE).

Read the detailed description

This is a multicenter, randomized, double-blind, placebo-controlled, Phase III study to evaluate the efficacy and safety of anifrolumab in adults with chronic and/or subacute CLE who are refractory and/or intolerant to antimalarial therapy. The study has a randomized, 24-week double-blind, placebo-controlled study period (Week 0 to Week 23), to evaluate the efficacy and safety of anifrolumab. The double-blind study period will be followed by an open-label, uncontrolled treatment period in which all participants will receive treatment with anifrolumab from Week 24 to Week 51. After the open-label treatment period, participants will enter a 12-week Safety Follow-up Period.

Being tested
Anifrolumab, Placebo
Keywords
Lupus erythematosus, Cutaneous lupus erythematosus, Anifrolumab, Cutaneous Lupus Erythematosus Disease Area Severity Index, Subacute lupus, Discoid lupus
Medical subject headings
Lupus Erythematosus, Cutaneous, Lupus Erythematosus, Discoid

What participants receive

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

  • AnifrolumabCombination product

    Anifrolumab will be provided as a solution for injection in accessorized pre-filled syringe (aPFS).

  • PlaceboOther

    Matching placebo solution for injection in aPFS.

Study groups in NCT06015737
Study groupRoleWhat they receive
AnifrolumabExperimentalParticipants will receive anifrolumab as a SC injection from Week 0/Day 1 up to Week 51.
Receives: Combination Product: Anifrolumab
PlaceboPlacebo comparatorParticipants will receive placebo as a SC injection from Week 0/Day 1 up to Week 23. From Week 24 the participants will receive anifrolumab up to and including Week 51.
Receives: Other: Placebo

What is being measured

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

  1. Number of participants with a 70% reduction relative to baseline in the Cutaneous Lupus Erythematosus Disease Area and Severity Index-Activity (CLASI-A) score

    The CLASI is a validated index used for assessing the cutaneous lesions of SLE. It consists of 2 separate scores: i) activity of the disease, and ii) measure of damage. The CLASI instrument will be used at each study visit to capture individual skin manifestation scores. CLASI-70 responder (Yes/No) is defined as a participant who achieves a 70% reduction relative to baseline in CLASI-A score. Otherwise, the participant is considered a non-responder.

    Measured: At Week 24

Secondary outcomes (15)
  1. Change from baseline in total CLASI-A score

    The CLASI-A is a validated index used for assessing the cutaneous lesions of SLE.

    Measured: At Week 24

  2. Number of participants with CLASI-70 response

    The CLASI is a validated index used for assessing the cutaneous lesions of SLE. CLASI-70 responder is defined as a participant who achieves a 70% reduction relative to baseline in CLASI-A score. Otherwise, the participant is considered a non-responder.

    Measured: At Week 12

  3. Number of participants with ≥ 7-point reduction from baseline in CLASI-A total score

    The CLASI is a validated index used for assessing the cutaneous lesions of SLE. A 7-point reduction CLASI-A is established as clinically meaningful improvement in disease for CLE and as being impactful for patients.

    Measured: At Week 12

  4. Number of participants with CLASI-50 response

    The CLASI is a validated index used for assessing the cutaneous lesions of SLE. CLASI-50 responder is defined as a responder (yes/no) is defined as a participant who achieves at least a 50% reduction relative to baseline in CLASI-A score. Otherwise, the participant is a non-responder.

    Measured: At Week 12 and Week 24

  5. Number of participants who are sustained CLASI-70 responders

    The CLASI is a validated index used for assessing the cutaneous lesions of SLE. CLASI-70 responder is defined as a participant who achieves a 70% reduction relative to baseline in CLASI-A score. Otherwise, the participant is considered a non-responder. Amongst participants randomized to anifrolumab, the number of participants who maintained a CLASI-70 response from Week 24 up to Week 52 will be evaluated.

    Measured: Up to Week 52

  6. Serum trough (pre-dose) concentrations of anifrolumab

    The Ctrough of subcutaneously administered anifrolumab in participants with chronic and/or subacute CLE will be evaluated.

    Measured: Double-blind: Pre-dose on Day 1 (Week 0), Weeks 1, 4, 12, 24; Open-label: Weeks 40, and 52 or early discontinuation visit [EDV] and follow-up visit (13 Weeks after last dose)

  7. Number of participants with positive antidrug antibody

    The immunogenicity of subcutaneously administered anifrolumab in participants with chronic and/or subacute CLE will be evaluated.

    Measured: Double-blind: Pre-dose on Day 1 (Week 0), Weeks 4, 12, and 24; Open-label: Pre-dose on Weeks 40, and 52 or EDV and follow-up visit (13 weeks after last dose)

  8. Percent change from baseline in suppression of the Interferon 21-gene

    The pharmacodynamics of subcutaneously administered anifrolumab in participants with chronic and/or subacute CLE will be evaluated.

    Measured: Double-blind: Day 1 (Week 0), Week 1, 4, 12, and 24; Open-label; Week 40 and 52 or EDV and follow-up visit (13 weeks after last dose)

  9. Change from baseline in Skindex-29+3 Symptom domain scores

    The Skindex-29+3 is based on a previous instrument, the Skindex-29 and has been modified to include items related to CLE. The instrument consists of 33 items, which are used to calculate 4 domains: Symptoms (7 items), Emotions (10 items), Functioning (12 items), and Lupus-specific (3 items). The remaining item asks the participants to rate how often they worry about side effects from treatment; however, this item is not used to calculate the domain scores. The response options are on a 5-point verbal rating scale, ranging from 1 (Never) to 5 (All the time). The instrument has a recall period of the previous 4 weeks. Each domain score ranges from 0 to 100 points, with higher scores indicating worse health-related quality of life.

    Measured: At Week 24

  10. Change from baseline in Skindex-29+3 Emotion domain scores

    The Skindex-29+3 is based on a previous instrument, the Skindex-29 and has been modified to include items related to CLE.

    Measured: At Week 24

  11. Change from baseline in Skindex-29+3 Function domain scores

    The Skindex-29+3 is based on a previous instrument, the Skindex-29 and has been modified to include items related to CLE.

    Measured: At Week 24

  12. Change from baseline in Skindex-29+3 Lupus-Specific domain scores

    The Skindex-29+3 is based on a previous instrument, the Skindex-29 and has been modified to include items related to CLE.

    Measured: At Week 24

  13. Change from baseline in Skindex-29+3 Total score

    The Skindex-29+3 is based on a previous instrument, the Skindex-29 and has been modified to include items related to CLE.

    Measured: At Week 24

  14. Time from IP start date to CLASI-70 response.

    To assess the efficacy of anifrolumab compared with placebo on the onset of reduction in skin manifestations in participants with chronic and/or subacute CLE.

    Measured: From Week 0/Day 1 up to Week 24

  15. Time from IP start date to CLASI-50 response.

    To assess the efficacy of anifrolumab compared with placebo on the onset of reduction in skin manifestations in participants with chronic and/or subacute CLE.

    Measured: From Week 0/Day 1 up to Week 24

Timeline

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

  1. First posted29 Aug 2023
  2. Study start29 Jun 2024
  3. Primary completion2 Nov 2026 (estimated)
  4. Study completion10 Aug 2027 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Model description
This is a parallel group treatment study with two arms.
Masking
Double blind
Who is masked
Participant, Investigator
Enrolment
339 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT06015737
Sponsor's protocol ID
D346BC00001
Other IDs
2021-003698-70
Acronym
LAVENDER
Status last verified
Jul 2026
First submitted
1 Aug 2023
Last updated
29 Jul 2026
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
Yes: Qualified researchers can request access to anonymized individual patient-level data from AstraZeneca group of companies sponsored clinical trials via the request portal Vivli.org. All requests will be evaluated as per the AZ disclosure commitment: https://astrazenecagrouptrials.pharmacm.com/ST/Submission/Disclosure. "Yes", indicates that AZ are accepting requests for IPD, but this does not mean all requests will be approved.

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing Anifrolumab in people with Cutaneous Lupus Erythematosus, run by AstraZeneca at 188 sites in 32 countries.

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

Who may be eligible to take part?

The sponsor lists 5 inclusion and 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 29 Jul 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 188 sites in United States, Spain, China, Germany, France and 27 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?

Number of participants with a 70% reduction relative to baseline in the Cutaneous Lupus Erythematosus Disease Area and Severity Index-Activity (CLASI-A) score (time frame: At Week 24). It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 29 Jul 2026.

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