Lupus & antiphospholipid syndrome

A Randomized, Placebo‐Controlled Phase III Extension Trial of the Long‐Term Safety and Tolerability of Anifrolumab in Active Systemic Lupus Erythematosus

Arthritis RheumatolPublished Randomised controlled trial

Authors' conclusion

No new safety findings were identified in the LTE study

Study context

Population
Patients with active systemic lupus erythematosus (SLE) who completed a TULIP trial and enrolled in the long-term extension (LTE) study
Comparison
Anifrolumab 300 mg vs placebo every 4 weeks, throughout TULIP and LTE
Primary endpoint
Long-term safety and tolerability (serious adverse events (SAEs), exposure-adjusted incidence rates (EAIRs) per 100 patient-years)
Follow-up
3 years
Methodological detailsphase III, long-term extension, blinded, placebo-controlled, 3-year
  • Phase III
  • Long-term extension
  • Blinded
  • Placebo-controlled
  • 3-year

Primary result

As reported in the abstract

SAEs, EAIR per 100 patient-years

Further findings

Anifrolumab associated with lower cumulative GC use and greater mean improvement in SLEDAI-2K vs placebo

Safety

AEs leading to treatment discontinuation, EAIR

Non-opportunistic serious infections, EAIR

Exposure-adjusted event rate

OutcomeAnifrolumabPlacebo
COVID-related AEs incl. asymptomatic infections, exposure-adjusted event rate15.59.8

Non-opportunistic serious infections, EAIR

Comparable between groups

COVID-related AEs incl. asymptomatic infections, exposure-adjusted event rate

No COVID-related AEs in fully vaccinated individuals

Malignancy and major acute CV events, EAIR

Low and comparable between groups

Original publication

A Randomized, Placebo‐Controlled Phase III Extension Trial of the Long‐Term Safety and Tolerability of Anifrolumab in Active Systemic Lupus Erythematosus. Arthritis Rheumatol. Published 11 November 2022. doi:10.1002/art.42392

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