Systemic Lupus ErythematosusPhase 2NCT06570798
A Phase 2 Master Protocol Assessing Inebilizumab and Blinatumomab in Autoimmune Diseases
A Phase 2 study testing Inebilizumab and Blinatumomab in people with Systemic Lupus Erythematosus and Active Refractory Rheumatoid Arthritis, run by Amgen at 58 sites in 10 countries.
Trial summary
The main objective is to assess the safety and tolerability of inebilizumab in adult participants with active and refractory systemic lupus erythematosus (SLE) with nephritis (Subprotocol A) and to assess the safety and tolerability of subcutaneous (SC) blinatumomab in adult participants with active and refractory SLE… Read more about this study
- Who is it for?
- Ages 18 to 75 years
- Conditions the study is for
- Systemic Lupus Erythematosus, Active Refractory Rheumatoid Arthritis
- What is being tested?
- Inebilizumab and Blinatumomab
- Type of treatment
- Injection or infusion
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 220 participants
- Where
- 58 sitesin 10 countries
- Study dates
- 16 Jul 2025to 6 Aug 2028
- Phase
- Phase 2
- 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 75 years
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Subprotocol A and B: Diagnosis of SLE according to 2019 European League Against Rheumatism and the American College of Rheumatology (ACR) classification criteria.
- Subprotocol A and B: Participant must be positive for at least one of the following autoantibodies at screening (performed by central laboratory) or through documented history:
- Antinuclear antibodies (ANA) ≥ 1:80
- Anti-double stranded deoxyribonucleic acid (anti-dsDNA) antibodies elevated to above normal range (ie, positive results)
- AntiSmith antibodies elevated to above normal (ie, positive results).
- Subprotocol A and B (Subgroup 1): Active, biopsy-proven, proliferative LN demonstrating class III or class IV with or without co-existing features of Class V LN (or pure Class V LN for Subprotocol B only) according to 2018 International Society of Nephrology/Renal Pathology Society (ISN/RPS) criteria. The local biopsy report will be used.
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- Subprotocol A and B: SLE Disease Activity Index 2K ≥ 6.
- Subprotocol A and B (Subgroup 1): Inadequate response, loss of response or intolerance to at least 1 therapy (Subprotocol A) or 2 immunosuppressive therapies (Subprotocol B Subgroup 1) at the maximally tolerated doses as recommended by the Kidney Disease: Improving Global Outcomes (KDIGO) guidelines (KDIGO, 2024). Inadequate response is defined as: UPCR ≥ 1.0 mg/mg.
- Subprotocol B (Subgroup 2): Refractory SLE participants with inadequate response to multiple therapies (excluding hydroxychloroquine or corticosteroids) and have failed either a biologic agent or cyclophosphamide.
- Subprotocol B (Part B Subgroup 2): British Isles Lupus Assessment Group (BILAG)-2004 level A disease in 1 organ system or BILAG-2004 level B disease in ≥ 2 organ systems
- Subprotocol B (Part B Subgroup 2): Physician Global Assessment (PGA) ≥ 1
- Subprotocol A and B: If receiving any of the following medications, participants must be on these doses prior to Day 1:
- Prednisone dose ≤ 20 mg/day (or its equivalent in other corticosteroid forms) and at a stable dose for 5 days
- Hydroxychloroquine dose ≤ 400 mg/day and at a stable dose for 4 weeks. Other equivalent antimalarials (chloroquine, quinacrine) are also accepted at a stable dose for 4 weeks.
- MMF dose ≤ 3 g/day or MPA dose ≤ 2160 mg/day and at a stable dose for 2 weeks.
- AZA dose ≤ 2 mg/kg/day and at a stable dose for 2 weeks.
- Methotrexate > 25 mg/week and at a stable dose for 2 weeks
- Leflunomide > 20 mg/day and at a stable dose for 2 weeks
- Dapsone > 300 mg/day and at a stable dose for 2 weeks.
- Subprotocol C (Part A and Part B): Diagnosis of RA according to the 2010 ACR/European Alliance of Associations for Rheumatology (EULAR) classification criteria.
- Subprotocol C (Part A and Part B): Moderate to severe disease activity as defined by DAS28-CRP > 3.2 with ≥ 3 swollen joints and ≥ 3 tender joints (based on 28 joint counts) at screening.
- Subprotocol C (Part A and Part B): Refractory disease defined as:
- Active disease despite having received treatment with:
- at least 1 conventional synthetic disease-modifying antirheumatic drug (csDMARD), AND
- at least 2 biologic disease-modifying antirheumatic drugs (bDMARDs) of different mechanisms of action OR 1 bDMARD and at least 1 targeted synthetic disease-modifying antirheumatic drugs (tsDMARD).
- Inadequate response or intolerance to csDMARDs, bDMARDs, and tsDMARDs should be defined as:
- Participant having active disease despite a minimum of 12 weeks of treatment with a csDMARD, bDMARD, or tsDMARD.
- Intolerance to treatment as defined by participant having experienced an adverse effect from treatment with a csDMARD, bDMARD, or tsDMARD.
- Subprotocol C (Part B): High sensitivity C-Reactive Protein (hsCRP) level ≥ upper limit of normal per the central laboratory at screening.
Who cannot join
- Subprotocol A, B and C: Receipt of a live and/or live attenuated vaccine within 4 weeks prior to first dose of trial drug, during the treatment period, or until B-cell repletion after the end of the treatment period. Administration of inactivated (killed) vaccines is acceptable.
- Subprotocol A and B: Estimated glomerular filtration rate (eGFR) of < 30 mL per minute per 1.73 m^2 of body surface area (calculated using the Modification of Diet in Renal Disease [MDRD] formula, with screening laboratory results for serum creatinine value).
- Subprotocol A and B: Significant likely irreversible organ damage related to SLE (eg, end-stage renal disease [ESRD]).
- Subprotocol A and B: Any acute, severe lupus related flare during screening that needs immediate treatment.
- Subprotocol A and B: A previous kidney transplant or planned transplant within trial treatment period.
- Subprotocol A and B: History of or current renal diseases (Parts A and B, Subgroup 1) that in the opinion of the investigator could interfere with the LN assessment and confound the disease activity assessment (eg, diabetic nephropathy).
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- Subprotocol A: Renal biopsy showing pure class V.
- Subprotocol B: Active CNS Lupus within one year prior to screening.
- Subprotocol B and C: History or presence of clinically relevant central nervous system (CNS) pathology or event such as seizure, paresis, aphasia, stroke, severe brain injuries, dementia, Parkinson's disease, cerebellar disease, or organic brain syndrome.
- Subprotocol C: Prior history of current inflammatory joint disease other than RA including but not limited to SLE, mixed connective tissue disorder, scleroderma, polymyositis, or significant systemic involvement secondary to RA (eg, vasculitis, pulmonary fibrosis, or Felty's syndrome).
- Subprotocol C: Functional Class IV as defined by the ACR classification of functional status in RA.
- Subprotocol A, B and C: Receipt of the following medications or treatments at any time prior to Day 1:
- B-cell directed CAR T-cell and T-cell engager therapies
- Total lymphoid irradiation
- Bone marrow transplant
- T-cell vaccination therapy
- Natalizumab
Trial locations and contacts
58 sites in 10 countries. Contact the study team or a site near you to ask about taking part.
58 sites in 10 countries
United States18 sites, 13 recruiting
- Recruiting
University of Colorado
Aurora, Colorado, 80045
- Recruiting
Massachusetts General Hospital
Boston, Massachusetts, 02114
- Recruiting
MetroHealth Medical Center
Cleveland, Ohio, 44109
- Recruiting
The Metro Health System Main Campus
Cleveland, Ohio, 44109
- Recruiting
Cleveland Clinic Foundation
Cleveland, Ohio, 44195
- Recruiting
Northwell Health
Great Neck, New York, 11021
- Completed
Westchester Medical Center
Hawthorne, New York, 10532
- Terminated
Vida Research Center
Hialeah, Florida, 33010
- Terminated
Homestead Associates In Research Inc
Homestead, Florida, 33033
- Completed
Prolato Clinical Research Center
Houston, Texas, 77054
- Terminated
Vitaly Clinical Research
Miami, Florida, 33125
- Recruiting
University Medical Center New Orleans
New Orleans, Louisiana, 70112
- Recruiting
Columbia University Medical Center
New York, New York, 10032
- Recruiting
Mayo Clinic
Rochester, Minnesota, 55905
- Recruiting
University of Rochester Medical Center
Rochester, New York, 14642
- Recruiting
HonorHealth Research and Innovation Institute
Scottsdale, Arizona, 85258
- Recruiting
Seattle Rheumatology Associates
Seattle, Washington, 98104
- Recruiting
Bioresearch Partner Coral Terrace
South Miami, Florida, 33143
France12 sites, 11 recruiting
- Recruiting
Hôpitaux Universitaires Paris Sud - Hôpital Bicêtre
Le Kremlin-Bicêtre, 94270
- Recruiting
Centre Hospitalier Regional Universitaire de Lille - Hopital Claude Huriez
Lille, 59037
- Recruiting
Centre Hospitalier Universitaire de Lyon- Hopital Edouard Herriot
Lyon, 69437
- Recruiting
Centre Hospitalier Universitaire de Lyon - Hopital Edouard Herriot
Lyon Cédex 3, 69437
- Recruiting
Hopital de la Conception
Marseille, 13005
- Recruiting
Hopital Cochin
Paris, 75014
- Terminated
Hopital Bichat Claude Bernard
Paris, 75018
- Recruiting
Hopital Europeen Georges Pompidou
Paris, 75908
- Recruiting
Centre Hospitalier Universitaire de Strasbourg - Nouvel Hopital Civil
Strasbourg, 67091
- Recruiting
Centre Hospitalier Universitaire de Strasbourg - Hopital de Hautepierre
Strasbourg, 67098
- Recruiting
Centre Hospitalier Universitaire de Toulouse - Hopital Purpan
Toulouse, 31059
- Recruiting
Centre Hospitalier Universitaire de Toulouse - Hopital Rangueil
Toulouse, 31059
Spain6 sites, 4 recruiting
- Recruiting
Hospital Universitari Vall d Hebron
Barcelona, Catalonia, 08035
- Recruiting
Hospital Clinic i Provincial de Barcelona
Barcelona, Catalonia, 08036
- Recruiting
Hospital Universitari Vall d Hebron
Barcelona, 08035
- Terminated
Hospital Universitario 12 de Octubre
Madrid, 28041
- Recruiting
Hospital Universitario 12 de Octubre
Madrid, 28041
- Terminated
Hospital Universitario Marques de Valdecilla
Santander, Cantabria, 39008
Belgium4 sites, 4 recruiting
- Recruiting
Cliniques Universtaire Saint Luc Universite Catholique de Louvain
Brussels, 1200
- Recruiting
Universitair Ziekenhuis Gent
Ghent, 9000
- Recruiting
Universitair Ziekenhuis Leuven - Campus Gasthuisberg
Leuven, 3000
- Recruiting
Centre Hospitalier Universitaire de Liege - Sart Tilman
Liège, 4000
Germany4 sites, 3 recruiting
- Recruiting
Krankenhaus Porz am Rhein gGmbH
Cologne, 51149
- Recruiting
Universitaetsklinikum Duesseldorf AoeR
Düsseldorf, 40225
- Recruiting
Universitaetsklinikum Leipzig
Leipzig, 04103
- Completed
Klinikum der LMU Muenchen
München, 80336
United Kingdom4 sites, 4 recruiting
- Recruiting
Addenbrookes Hospital
Cambridge, CB2 0QQ
- Recruiting
Western General hospital
Edinburgh, EH4 2XU
- Recruiting
Leicester General Hospital
Leicester, LE5 4PW
- Recruiting
Royal Victoria Infirmary
Newcastle upon Tyne, NE7 7DN
Italy3 sites, 2 recruiting
- Terminated
IRCCS Ospedale San Raffaele
Milan, 20132
- Recruiting
IRCCS Istituto Clinico Humanitas
Rozzano, 20089
- Recruiting
Ospedale San Giovanni Bosco
Turin, 10154
Portugal3 sites, 3 recruiting
- Recruiting
Unidade Local de Saude de Lisboa Ocidental, EPE - Hospital Santa Cruz
Carnaxide, 2790-134
- Recruiting
Unidade Local de Saude de Sao Jose, EPE - Hospital Curry Cabral
Vila Franca de Xira, 2600-076
- Recruiting
Unidade Local de Saude de Gaia-Espinho, EPE
Vila Nova de Gaia, 4430-502
United Arab Emirates3 sites, 3 recruiting
- Recruiting
Sheikh Shakhbout Medical City
Abu Dhabi, 11001
- Recruiting
Cleveland Clinic Abu Dhabi
Abu Dhabi
- Recruiting
Al Kuwait Hospital Dubai ehs
Dubai, 22241
Australia1 site, 1 recruiting
- Recruiting
Linear Clinical Research Limited
Perth, Western Australia, 6009
About this study
Official title: A Phase 2, Open Label, Multicenter, Platform Trial to Assess the Safety, Tolerability, and Efficacy of Inebilizumab and Blinatumomab in Subjects With Autoimmune Diseases
The main objective is to assess the safety and tolerability of inebilizumab in adult participants with active and refractory systemic lupus erythematosus (SLE) with nephritis (Subprotocol A) and to assess the safety and tolerability of subcutaneous (SC) blinatumomab in adult participants with active and refractory SLE with and without nephritis (Subprotocol B Part A) and in adult participants with active refractory rheumatoid arthritis (RA) (Subprotocol C Part A). The trial will also assess the efficacy of SC blinatumomab in adult participants with active and refractory SLE with and without nephritis (Subprotocol B Part B and Subprotocol C Part B).
- Being tested
- Inebilizumab, Blinatumomab
- Keywords
- Systemic lupus erythematosus, Inebilizumab, Blinatumomab, Active refractory rheumatoid arthritis, Rheumatoid arthritis
- Medical subject headings
- Lupus Erythematosus, Systemic, Arthritis, Rheumatoid
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
InebilizumabDrug
Also called Uplizna®
IV Infusion
BlinatumomabDrug
SC Injection
| Study group | Role | What they receive |
|---|---|---|
| Subprotocol A: Inebilizumab 3 Doses | Experimental | Participants will receive 3 doses of inebilizumab administered via an intravenous (IV) infusion. Receives: Drug: Inebilizumab |
| Subprotocol A: Inebilizumab 4 Doses | Experimental | Participants will receive 4 doses of inebilizumab administered via an IV infusion. Receives: Drug: Inebilizumab |
| Subprotocol B Part A: Blinatumomab Low-dose | Experimental | Participants will receive blinatumomab low-dose administered via SC injection. Receives: Drug: Blinatumomab |
| Subprotocol B Part A: Blinatumomab Medium-dose | Experimental | Participants will receive blinatumomab medium-dose administered via SC injection. Receives: Drug: Blinatumomab |
| Subprotocol B Part A: Blinatumomab High-dose | Experimental | Participants will receive blinatumomab high-dose administered via SC injection. Receives: Drug: Blinatumomab |
| Subprotocol B Part B: Dose Expansion | Experimental | Participants will receive blinatumomab at a dose which will be determined during Subprotocol B Part A. Receives: Drug: Blinatumomab |
| Subprotocol C Part A: Blinatumomab Low-dose | Experimental | Participants will receive blinatumomab low-dose administered via SC injection during Subprotocol C Part A. Receives: Drug: Blinatumomab |
| Subprotocol C Part A: Blinatumomab Medium-dose | Experimental | Participants will receive blinatumomab medium-dose administered via SC injection during Subprotocol C Part A. Receives: Drug: Blinatumomab |
| Subprotocol C Part A: Blinatumomab High-dose | Experimental | Participants will receive blinatumomab high-dose administered via SC injection during Subprotocol C Part A. Receives: Drug: Blinatumomab |
| Subprotocol C Part B: Dose Expansion | Experimental | Participants will receive blinatumomab at a dose which will be determined during Subprotocol C Part A. Receives: Drug: Blinatumomab |
What is being measured
The primary outcome is the main question the study is designed to answer.
Subprotocol A, B Part A, and C Part A: Number of Participants Who Experience a Treatment-emergent Adverse Event (TEAE)
Measured: Day 1 to Week 52
Subprotocol A, B Part A, and C Part A: Number of Participants Who Experience a Serious TEAE
Measured: Day 1 to Week 52
Subprotocol B Part B Subgroup 1: Number of Participants With Complete Renal Response (CRR)
Measured: Week 52
Subprotocol B Part B Subgroup 2: Number of Participants With Remission in SLE as Defined by Definition of Remission in SLE (DORIS)
Measured: Week 26
Subprotocol C Part B: Percentage of Participants Achieving Disease Activity Score-28 Joint C-Reactive Protein (DAS28-CRP) Remission
Measured: Week 12
Secondary outcomes (31)
Subprotocol A, B Part A Subgroup 1 and Part B Subgroup 1: Number of Participants With CRR
Measured: Subprotocol A and B Part A: Week 12, Week 26, Week 38, and Week 52; Subprotocol B Part B: Week 12, Week 26, and Week 38
Subprotocol A, B Part A Subgroup 1 and Part B Subgroup 1: Number of Participants With Partial Renal Response (PRR)
Measured: Week 12, Week 26, Week 38, and Week 52
Subprotocol A and B: Number of Participants With Remission in SLE as Defined by DORIS
Measured: Subprotocol A, B Part A, and B Part B Subgroup 1: Week 12, Week 26, Week 38, and Week 52; Subprotocol B Part B Subgroup 2: Week 12, Week 38, and Week 52
Subprotocol A and B: Number of Participants With a Lupus Low Disease Activity State (LLDAS)
Measured: Week 12, Week 26, Week 38, and Week 52
Subprotocol A and B: Change From Baseline in SLE Activity Index-2000 (SLEDAI-2K) Score
Measured: Week 12, Week 26, Week 38, and Week 52
Subprotocol A, B Part A Subgroup 1 and Part B Subgroup 1: Change From Baseline in 24-hour UPCR
Measured: Week 12, Week 26, Week 38, and Week 52
Subprotocol A: Maximum Concentration (Cmax) of Inebilizumab
Measured: Day 1 to Week 52
Subprotocol A: Time to Cmax (tmax) of Inebilizumab
Measured: Day 1 to Week 52
Subprotocol A: Area Under the Concentration-time Curve (AUC) of Inebilizumab
Measured: Day 1 to Week 52
Subprotocol B and C: Cmax of Blinatumomab
Measured: up to Week 12
Subprotocol B and C: tmax of Blinatumomab
Measured: up to Week 12
Subprotocol B and C: AUC of Blinatumomab
Measured: up to Week 12
Subprotocol A: Number of Participants With Anti-inebilizumab Antibody Formation
Measured: Day 1 to Week 52
Subprotocol B and C: Number of Participants With Anti-blinatumomab Antibody Formation
Measured: Day 1 to Week 52
Subprotocol C Part A: Percentage of Participants Achieving DAS28-CRP < 2.6
Measured: Week 12 and Week 26
Subprotocol C Part A: Percentage of Participants Achieving Clinical Disease Activity Index (CDAI) ≤ 2.8
Measured: Week 12 and Week 26
Subprotocol C Part A: Percentage of Participants Achieving Simplified Disease Activity Index (SDAI) ≤ 3.3
Measured: Week 12 and Week 26
Subprotocol C: Percentage of Participants Achieving American College of Rheumatology (ACR)20 response
Measured: Week 12 and Week 26
Subprotocol C: Percentage of Participants Achieving ACR50 Response
Measured: Week 12 and Week 26
Subprotocol C: Percentage of Participants Achieving ACR70 Response
Measured: Week 12 and Week 26
Subprotocol B Part B and C Part B: Number of Participants Who Experience a TEAE
Measured: Day 1 to Week 52
Subprotocol B Part B and C Part B: Number of Participants Who Experience a Serious TEAE
Measured: Day 1 to Week 52
Subprotocol B Part A Subgroup 1 and Part B Subgroup 1: Number of Participants With Primary Efficacy Renal Response (PERR)
Measured: Week 12, Week 26, Week 38, and Week 52
Subprotocol B Part B Subgroup 2: Number of Participants Who are Responders as Defined by SLE Responder Index 4 (SRI-4)
Measured: Week 12, Week 26, Week 38, and Week 52
Subprotocol B Part B Subgroup 2: Number of Participants Who are Responders as Defined by SRI-6
Measured: Week 12, Week 26, Week 38, and Week 52
Subprotocol B Part B Subgroup 2: Number of Participants Who are Responders as Defined by SRI-8
Measured: Week 12, Week 26, Week 38, and Week 52
Subprotocol B Part B Subgroup 2: Number of Participants Who are Responders as Defined by BILAG-based Combined Lupus Assessment (BICLA)
Measured: Week 12, Week 26, Week 38, and Week 52
Subprotocol C Part B: Percentage of Participants Achieving DAS28-CRP Remission at Week 26
Measured: Week 26
Subprotocol C Part B: Percentage of Participants Achieving CDAI Remission at Weeks 12 and 26
Measured: Week 12 and Week 26
Subprotocol C Part B: Percentage of Participants Achieving SDAI Remission at Weeks 12 and 26
Measured: Week 12 and Week 26
Subprotocol C Part B: Percentage of Participants Who Achieve DAS28-CRP Remission at Week 12 and Sustain Remission at Weeks 26, 38, and 52
Measured: Week 12, Week 26, Week 38, and Week 52
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted26 Aug 2024
- Study start16 Jul 2025
- Primary completion6 Aug 2028 (estimated)
- Study completion6 Aug 2028 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (1)Papers the sponsor has linked to this study.
- Other trials for Systemic Lupus ErythematosusStudies of the same condition, open and under way.
- More trials run by AmgenThe 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
- Primary purpose
- Treatment
- Allocation
- Non-randomised
- Intervention model
- Sequential
- Model description
- Subprotocol A: Sequential study model Subprotocol B: Sequential study model Subprotocol C: Sequential study model
- Masking
- None (open label)
- Enrolment
- 220 participants (estimated)
Sponsor and investigators
- Lead sponsor
- Amgen
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- MD, Study director, Amgen
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT06570798
- Sponsor's protocol ID
- 20240033
- Other IDs
- 2024-514382-19
- Status last verified
- Sep 2026
- First submitted
- 22 Aug 2024
- Last updated
- 5 Oct 2026
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- Yes
- FDA-regulated device
- No
- Individual data sharing
- Yes: De-identified individual patient data for variables necessary to address the specific research question in an approved data sharing request.
Publications
Karam S, Boudhabhay I, Jhaveri KD. Bispecific Antibodies for Glomerular Diseases: Are We Ready for Prime Time? J Am Soc Nephrol. 2026 Apr 14. doi: 10.1681/ASN.0000001120. Online ahead of print. No abstract available.
PubMed 41979896
Study at a glance
From the registry record, last updated by the sponsor on 5 Oct 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Phase 2, Open Label, Multicenter, Platform Trial to Assess the Safety, Tolerability, and Efficacy of Inebilizumab and Blinatumomab in Subjects With Autoimmune Diseases
- ClinicalTrials.gov ID
- NCT06570798
- Acronym / sponsor ID
- 20240033
- Keywords
- Systemic lupus erythematosus, Inebilizumab, Blinatumomab, Active refractory rheumatoid arthritis, Rheumatoid arthritis
- Phase
- Phase 2
- Study type
- Interventional
- Recruitment status
- Recruiting
- Enrolment
- 220 participants (estimated)
- Lead sponsor
- AmgenIndustry (pharma, biotech, devices)
- Study start
- 16 Jul 2025 (actual)
- Primary completion
- 6 Aug 2028 (estimated)
- Study completion
- 6 Aug 2028 (estimated)
- First posted
- 26 Aug 2024 (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.
The main objective is to assess the safety and tolerability of inebilizumab in adult participants with active and refractory systemic lupus erythematosus (SLE) with nephritis (Subprotocol A) and to assess the safety and tolerability of subcutaneous (SC) blinatumomab in adult participants with active and refractory SLE with and without nephritis (Subprotocol B Part A) and in adult participants with active refractory rheumatoid arthritis (RA) (Subprotocol C Part A). The trial will also assess the efficacy of SC blinatumomab in adult participants with active and refractory SLE with and without nephritis (Subprotocol B Part B and Subprotocol C Part B).
Study design
- Primary purpose
- Treatment
- Allocation
- Non-randomised
- Intervention model
- Sequential
- Masking
- None (open label)
- Number of arms
- 10
- Model description
- Subprotocol A: Sequential study model Subprotocol B: Sequential study model Subprotocol C: Sequential study model
| Arm | Type | Receives |
|---|---|---|
| Subprotocol A: Inebilizumab 3 Doses | Experimental | Drug: InebilizumabParticipants will receive 3 doses of inebilizumab administered via an intravenous (IV) infusion. |
| Subprotocol A: Inebilizumab 4 Doses | Experimental | Drug: InebilizumabParticipants will receive 4 doses of inebilizumab administered via an IV infusion. |
| Subprotocol B Part A: Blinatumomab Low-dose | Experimental | Drug: BlinatumomabParticipants will receive blinatumomab low-dose administered via SC injection. |
| Subprotocol B Part A: Blinatumomab Medium-dose | Experimental | Drug: BlinatumomabParticipants will receive blinatumomab medium-dose administered via SC injection. |
| Subprotocol B Part A: Blinatumomab High-dose | Experimental | Drug: BlinatumomabParticipants will receive blinatumomab high-dose administered via SC injection. |
| Subprotocol B Part B: Dose Expansion | Experimental | Drug: BlinatumomabParticipants will receive blinatumomab at a dose which will be determined during Subprotocol B Part A. |
| Subprotocol C Part A: Blinatumomab Low-dose | Experimental | Drug: BlinatumomabParticipants will receive blinatumomab low-dose administered via SC injection during Subprotocol C Part A. |
| Subprotocol C Part A: Blinatumomab Medium-dose | Experimental | Drug: BlinatumomabParticipants will receive blinatumomab medium-dose administered via SC injection during Subprotocol C Part A. |
| Subprotocol C Part A: Blinatumomab High-dose | Experimental | Drug: BlinatumomabParticipants will receive blinatumomab high-dose administered via SC injection during Subprotocol C Part A. |
| Subprotocol C Part B: Dose Expansion | Experimental | Drug: BlinatumomabParticipants will receive blinatumomab at a dose which will be determined during Subprotocol C Part A. |
Who may qualify
- Ages
- 18 to 75 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (29 listed)
- Subprotocol A and B: Diagnosis of SLE according to 2019 European League Against Rheumatism and the American College of Rheumatology (ACR) classification criteria.
- Subprotocol A and B: Participant must be positive for at least one of the following autoantibodies at screening (performed by central laboratory) or through documented history:
- Subprotocol A and B (Subgroup 1): Active, biopsy-proven, proliferative LN demonstrating class III or class IV with or without co-existing features of Class V LN (or pure Class V LN for Subprotocol B only) according to 2018 International Society of Nephrology/Renal Pathology Society (ISN/RPS) criteria. The local biopsy report will be used.
- Subprotocol A and B: SLE Disease Activity Index 2K ≥ 6.
- Subprotocol A and B (Subgroup 1): Inadequate response, loss of response or intolerance to at least 1 therapy (Subprotocol A) or 2 immunosuppressive therapies (Subprotocol B Subgroup 1) at the maximally tolerated doses as recommended by the Kidney Disease: Improving Global Outcomes (KDIGO) guidelines (KDIGO, 2024). Inadequate response is defined as: UPCR ≥ 1.0 mg/mg.
Key exclusion criteria (17 listed)
- Subprotocol A, B and C: Receipt of a live and/or live attenuated vaccine within 4 weeks prior to first dose of trial drug, during the treatment period, or until B-cell repletion after the end of the treatment period. Administration of inactivated (killed) vaccines is acceptable.
- Subprotocol A and B: Estimated glomerular filtration rate (eGFR) of < 30 mL per minute per 1.73 m^2 of body surface area (calculated using the Modification of Diet in Renal Disease [MDRD] formula, with screening laboratory results for serum creatinine value).
- Subprotocol A and B: Significant likely irreversible organ damage related to SLE (eg, end-stage renal disease [ESRD]).
- Subprotocol A and B: Any acute, severe lupus related flare during screening that needs immediate treatment.
- Subprotocol A and B: A previous kidney transplant or planned transplant within trial treatment period.
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 |
|---|---|---|
| InebilizumabAlso: Uplizna®IV Infusion | Drug | Subprotocol A: Inebilizumab 3 Doses, Subprotocol A: Inebilizumab 4 Doses |
| BlinatumomabSC Injection | Drug | Subprotocol B Part A: Blinatumomab High-dose, Subprotocol B Part A: Blinatumomab Low-dose, Subprotocol B Part A: Blinatumomab Medium-dose, Subprotocol B Part B: Dose Expansion, Subprotocol C Part A: Blinatumomab High-dose, Subprotocol C Part A: Blinatumomab Low-dose, Subprotocol C Part A: Blinatumomab Medium-dose, Subprotocol C Part B: Dose Expansion |
Primary outcome
Subprotocol A, B Part A, and C Part A: Number of Participants Who Experience a Treatment-emergent Adverse Event (TEAE)
Time frame: Day 1 to Week 52
Subprotocol A, B Part A, and C Part A: Number of Participants Who Experience a Serious TEAE
Time frame: Day 1 to Week 52
Subprotocol B Part B Subgroup 1: Number of Participants With Complete Renal Response (CRR)
Time frame: Week 52
Subprotocol B Part B Subgroup 2: Number of Participants With Remission in SLE as Defined by Definition of Remission in SLE (DORIS)
Time frame: Week 26
Subprotocol C Part B: Percentage of Participants Achieving Disease Activity Score-28 Joint C-Reactive Protein (DAS28-CRP) Remission
Time frame: Week 12
31 secondary outcomes
Subprotocol A, B Part A Subgroup 1 and Part B Subgroup 1: Number of Participants With CRR
Time frame: Subprotocol A and B Part A: Week 12, Week 26, Week 38, and Week 52; Subprotocol B Part B: Week 12, Week 26, and Week 38
Subprotocol A, B Part A Subgroup 1 and Part B Subgroup 1: Number of Participants With Partial Renal Response (PRR)
Time frame: Week 12, Week 26, Week 38, and Week 52
Subprotocol A and B: Number of Participants With Remission in SLE as Defined by DORIS
Time frame: Subprotocol A, B Part A, and B Part B Subgroup 1: Week 12, Week 26, Week 38, and Week 52; Subprotocol B Part B Subgroup 2: Week 12, Week 38, and Week 52
Subprotocol A and B: Number of Participants With a Lupus Low Disease Activity State (LLDAS)
Time frame: Week 12, Week 26, Week 38, and Week 52
Subprotocol A and B: Change From Baseline in SLE Activity Index-2000 (SLEDAI-2K) Score
Time frame: Week 12, Week 26, Week 38, and Week 52
Subprotocol A, B Part A Subgroup 1 and Part B Subgroup 1: Change From Baseline in 24-hour UPCR
Time frame: Week 12, Week 26, Week 38, and Week 52
Subprotocol A: Maximum Concentration (Cmax) of Inebilizumab
Time frame: Day 1 to Week 52
Subprotocol A: Time to Cmax (tmax) of Inebilizumab
Time frame: Day 1 to Week 52
Subprotocol A: Area Under the Concentration-time Curve (AUC) of Inebilizumab
Time frame: Day 1 to Week 52
Subprotocol B and C: Cmax of Blinatumomab
Time frame: up to Week 12
Subprotocol B and C: tmax of Blinatumomab
Time frame: up to Week 12
Subprotocol B and C: AUC of Blinatumomab
Time frame: up to Week 12
Subprotocol A: Number of Participants With Anti-inebilizumab Antibody Formation
Time frame: Day 1 to Week 52
Subprotocol B and C: Number of Participants With Anti-blinatumomab Antibody Formation
Time frame: Day 1 to Week 52
Subprotocol C Part A: Percentage of Participants Achieving DAS28-CRP < 2.6
Time frame: Week 12 and Week 26
Subprotocol C Part A: Percentage of Participants Achieving Clinical Disease Activity Index (CDAI) ≤ 2.8
Time frame: Week 12 and Week 26
Subprotocol C Part A: Percentage of Participants Achieving Simplified Disease Activity Index (SDAI) ≤ 3.3
Time frame: Week 12 and Week 26
Subprotocol C: Percentage of Participants Achieving American College of Rheumatology (ACR)20 response
Time frame: Week 12 and Week 26
Subprotocol C: Percentage of Participants Achieving ACR50 Response
Time frame: Week 12 and Week 26
Subprotocol C: Percentage of Participants Achieving ACR70 Response
Time frame: Week 12 and Week 26
Subprotocol B Part B and C Part B: Number of Participants Who Experience a TEAE
Time frame: Day 1 to Week 52
Subprotocol B Part B and C Part B: Number of Participants Who Experience a Serious TEAE
Time frame: Day 1 to Week 52
Subprotocol B Part A Subgroup 1 and Part B Subgroup 1: Number of Participants With Primary Efficacy Renal Response (PERR)
Time frame: Week 12, Week 26, Week 38, and Week 52
Subprotocol B Part B Subgroup 2: Number of Participants Who are Responders as Defined by SLE Responder Index 4 (SRI-4)
Time frame: Week 12, Week 26, Week 38, and Week 52
Subprotocol B Part B Subgroup 2: Number of Participants Who are Responders as Defined by SRI-6
Time frame: Week 12, Week 26, Week 38, and Week 52
Subprotocol B Part B Subgroup 2: Number of Participants Who are Responders as Defined by SRI-8
Time frame: Week 12, Week 26, Week 38, and Week 52
Subprotocol B Part B Subgroup 2: Number of Participants Who are Responders as Defined by BILAG-based Combined Lupus Assessment (BICLA)
Time frame: Week 12, Week 26, Week 38, and Week 52
Subprotocol C Part B: Percentage of Participants Achieving DAS28-CRP Remission at Week 26
Time frame: Week 26
Subprotocol C Part B: Percentage of Participants Achieving CDAI Remission at Weeks 12 and 26
Time frame: Week 12 and Week 26
Subprotocol C Part B: Percentage of Participants Achieving SDAI Remission at Weeks 12 and 26
Time frame: Week 12 and Week 26
Subprotocol C Part B: Percentage of Participants Who Achieve DAS28-CRP Remission at Week 12 and Sustain Remission at Weeks 26, 38, and 52
Time frame: Week 12, Week 26, Week 38, and 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 5 Oct 2026.
- Derived from this study: PubMed 41979896Karam S, Boudhabhay I, Jhaveri KD. Bispecific Antibodies for Glomerular Diseases: Are We Ready for Prime Time? J Am Soc Nephrol. 2026 Apr 14. doi: 10.1681/ASN.0000001120. Online ahead of print. No abstract available.
- AmgenTrials clinical trials websiteLink provided by the sponsor.
- Individual participant dataSharing planned: Yes. De-identified individual patient data for variables necessary to address the specific research question in an approved data sharing request.
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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.
MD study director
Amgen
58 sites in 10 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 2 study testing Inebilizumab and Blinatumomab in people with Systemic Lupus Erythematosus and Active Refractory Rheumatoid Arthritis, run by Amgen at 58 sites in 10 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 29 inclusion and 17 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: looking for participants now, as of the sponsor's last update on 5 Oct 2026. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 58 sites in United States, France, Spain, Belgium, Germany and 5 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. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
What does this phase mean?
Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
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?
Contact Amgen Call Center (866-572-6436, medinfo@amgen.com), or a site near the patient. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Subprotocol A, B Part A, and C Part A: Number of Participants Who Experience a Treatment-emergent Adverse Event (TEAE) (time frame: Day 1 to Week 52). The study lists 5 primary outcomes in all. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT06570798, which also lists 1 linked publication.
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 5 Oct 2026; AzTrials last refreshed its copy on 1 Nov 2026.