Lupus & antiphospholipid syndrome

Pharmacodynamic Effects of Litifilimab in Lupus in a Randomized, Placebo‐Controlled Phase 2 Study: Rapid and Sustained Reductions in Type I Interferon‐Associated Gene Expression and Cytokines

Arthritis RheumatolPublished Secondary analysis of the LILAC randomised trial

Authors' conclusion

Administration of litifilimab resulted in reductions in both IFNGS scores and IFNα concentrations, pharmacodynamic effects that correlated with clinical responses.

Study context

Population
Participants with systemic lupus erythematosus (SLE) (part A) or cutaneous lupus erythematosus (CLE) with or without SLE (part B) of the phase 2 LILAC trialIFN gene signature (IFNGS): 120 (part A), 131 (part B)
Comparison
Litifilimab vs placebo
Primary endpoint
Pharmacodynamic effects on type I interferon (IFN) response (IFNGS scores, IFNα and IFN-regulated cytokine concentrations) and correlations with clinical outcomes
Methodological detailsplacebo-controlled, phase 2, pharmacodynamic analysis
  • Placebo-controlled
  • Phase 2
  • Pharmacodynamic analysis

Primary result

As reported in the abstract

Rapid, significant and sustained reductions vs placebo with litifilimab 450 mg in part A and 150 mg and 450 mg in part B

nominal P < 0.05

Further findings

Most participants IFNGS-high
79-91%
  • No baseline IFNGS-low participant results reported

Original publication

Pharmacodynamic Effects of Litifilimab in Lupus in a Randomized, Placebo‐Controlled Phase 2 Study: Rapid and Sustained Reductions in Type I Interferon‐Associated Gene Expression and Cytokines. Arthritis Rheumatol. Published 18 September 2025. doi:10.1002/art.43271

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