Actively Recruiting
A Phase 4, Multicenter, Prospective, Open-Label Study Describing the Efficacy and Safety of Belimumab Administered Subcutaneously in Adult Participants With Early Systemic Lupus Erythematosus
Led by GlaxoSmithKline · Updated on 2026-06-03
350
Participants Needed
114
Research Sites
104 weeks
Total Duration
On this page
AI-Summary
What this Trial Is About
Researchers are evaluating the short-term and long-term effects and safety of belimumab in adults with early systemic lupus erythematosus SLE who have positive autoantibodies and ongoing disease activity despite stable first-line treatment. This is a prospective, open-label, single-arm Phase 4 clinical study sponsored by GlaxoSmithKline. The study focuses on adults diagnosed within two years with active SLE, aiming to better understand how belimumab works in this group. Participants will receive belimumab GSK1550188 administered subcutaneously throughout the study. The treatment and observation period lasts for three years, with key evaluations at one year and longer-term follow-ups up to three years. There is no placebo or comparison group, as all participants receive the study drug. During the study, participants will have regular visits to assess disease activity, including the Lupus Low Disease Activity State LLDAS at week 52 and other measures such as the SLE Responder Index 4 SRI4, flare frequency, and improvements in skin symptoms. Researchers will monitor safety by tracking adverse events and serious adverse events. Blood tests, questionnaires, and physical assessments will be done to evaluate fatigue, damage, and disease remission. Participants will be followed for up to 156 weeks to assess long-term outcomes and safety.
CONDITIONS
Brief Title
A Study Describing the Efficacy and Safety of Belimumab Administered in Adult Participants With Early Systemic Lupus Erythematosus (SLE)
Who Can Participate
Eligibility Criteria
You may qualify if you...
- Documented diagnosis of systemic lupus erythematosus (SLE) within 2 years of signing informed consent according to EULAR/ACR 2019 criteria
- Positive autoantibody test results: ANA titer >= 1:80 and/or positive anti-dsDNA serum antibody from 2 independent tests
- Active SLE defined by Clinical SLEDAI-2K score > 4, or score 1 to 4 with prednisone dose >= 10 mg/day
- SLICC/ACR Damage Index (SDI) = 0 at screening
- Male or female; females must not be pregnant or breastfeeding and either not of childbearing potential or using highly effective contraception
- Capable of giving signed informed consent
You will not qualify if you...
- History of lymphoma, leukemia, or malignancy within past 5 years except certain skin cancers
- Significant unstable or uncontrolled acute or chronic diseases unrelated to SLE
- History of major organ or stem cell transplant
- Acute or chronic infections requiring ongoing suppressive therapy or recent serious infection
- Active or untreated latent tuberculosis
- Progressive multifocal leukoencephalopathy or severe active CNS lupus requiring recent intervention
- Active lupus nephritis requiring induction therapy
- Mental health risks including recent suicidal behavior or ideation
- Hypersensitivity to monoclonal antibodies or study drug components
- Recent live or live-attenuated vaccines
- Chronic oral steroid use for non-SLE diseases
- Use of high-dose immunosuppressants or certain biologics prior to screening
- History of primary immunodeficiency or severe neutropenia
- Abnormal liver function tests or significant liver disease
- Positive HIV, hepatitis B or C tests under specified conditions
- Current drug or alcohol dependence
- Recent participation in other investigational drug studies
- Unable to self-administer study drug or have reliable assistance at home
Research Team
U
US GSK Clinical Trials Call Center
E
EU GSK Clinical Trials Call Center
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