The effect of anifrolumab on cutaneous lupus erythematosus characterized by the change of the inflammatory infiltrate analyzed by immunohistochemistry, spatial transcriptomics and single-cell RNA- and TCR-sequencing as well as on the clinical outcome - an open label, single arm phase IV pilot study

2025-523133-26-00 Therapeutic use (Phase IV) Ongoing, recruiting

Start 12 Feb 2026 · Status Ongoing, recruiting · 1 EU/EEA countries · 1 sites

Overview

Sponsor-declared trial summary

Phase Therapeutic use (Phase IV)
Status Ongoing, recruiting
Participants planned 10
Countries 1
Sites 1

cutaneous lupus erythematosus

To investigate the impact of anifriolumab therapy on inflammatory cells in skin and blood of patients with cutaneous lupus erythematosus

Key facts

Sponsor
Medical University Of Vienna
Participant type
Patients
Age range
18-64 years, 65+ years
Gender
Male and Female
Therapeutic area
Diseases [C] - Skin and Connective Tissue Diseases [C17]
Trial duration
12 Feb 2026 → ongoing
Decision date (initial)
2026-02-07
Transition trial
No
Low-intervention
Yes
Rare-disease indication
Yes
Vulnerable population
No

Trial design

CTIS Part I — objectives, methods, condition coding

Main objective

Scope: Therapy

To investigate the impact of anifriolumab therapy on inflammatory cells in skin and blood of patients with cutaneous lupus erythematosus

Secondary objectives 1

  1. To investigate the impact of anifriolumab therapy on the clinical course of patients with cutaneous lupus erythematosus

Conditions and MedDRA coding

cutaneous lupus erythematosus

Eligibility criteria

Principal inclusion / exclusion criteria as submitted by sponsor

Inclusion criteria 5

  1. Active lesions of histology proven cutaneous lupus erythematosus
  2. age18 years or older
  3. ability to understand and sign informed consent
  4. adequate contraception: females of childbearing potential must use 2 effective methods of avoiding pregnancy, one of which is a barrier method, from screening until 12 weeks after the final dose of investigational product unless the subject is surgically sterile (ie bilateral tubal ligation, bilateral oophorectomy, or complete hysterectomy).Sustained abstinence is an acceptable practice; however, periodic abstinence, the rhythm method, and the withdrawal method are not acceptable methods of contraception
  5. Meets all of the following TB criteria: (a) No history of active TB prior to any Screening visit (b) No history of latent TB prior to initial Screening visit, with the exception of latent TB with documented completion of appropriate treatment Note: Subjects with no history of latent TB prior to the initial Screening visit, but who are diagnosed with latent TB during screening, may be considered eligible if appropriate treatment is initiated prior to randomisation. Such subjects may be re-screened if necessary to allow for local guidelines on latent TB treatment initiation.

Exclusion criteria 10

  1. Patients under legal protection
  2. pregnancy
  3. Positive test for HIV
  4. Positive test for hepatitis C
  5. Confirmed positive test for hepatitis B serology for: (a) Hepatitis B surface antigen (HBsAg), OR (b) Hepatitis B core antibody (HBcAb) AND hepatitis B virus (HBV) DNA detected above the lower limit of quantitation
  6. Any severe herpesviridae infection at any time prior to Week 0 Any infection requiring oral anti-infectives (including antivirals) within 2 weeks prior to Day 1
  7. Active malignancy (except local non-melanoma skin-cancer)
  8. Concurrent enrolment in another clinical study with an investigational product
  9. A known history of allergy or reaction to any component of the investigational product formulation or history of anaphylaxis to any human gamma globulin therapy
  10. Prior receipt of anifrolumab shorter than 12 weeks before first dosage of the IP.

Endpoints

Primary and secondary outcome measures (English text)

Primary endpoints 1

  1. changes in inflammatory cell composition and gene expression profiles in skin and blood samples.

Secondary endpoints 1

  1. the impact of anifriolumab therapy on the clinical course of patients with cutaneous lupus erythematosus.

Investigational products

Investigational medicinal products (IMPs), comparators, placebo, auxiliary

Test 1

Saphnelo 300 mg concentrate for solution for infusion

PRD9504519 · Product

Active substance
Anifrolumab
Substance synonyms
MEDI-546
Pharmaceutical form
CONCENTRATE FOR SOLUTION FOR INFUSION
Route of administration
INFUSION
Max daily dose
300 mg milligram(s)
Max total dose
3900 mg milligram(s)
Max treatment duration
48 Week(s)
Authorisation status
Authorised
ATC code
L04AG11 — -
Marketing authorisation
EU/1/21/1623/001
MA holder
ASTRAZENECA AB
MA country
Norway
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Sponsors and contacts

Sponsor organisations, regulatory contacts, third parties

Medical University Of Vienna

Sponsor organisation
Medical University Of Vienna
Address
Spitalgasse 23, Alsergrund Alsergrund
City
Vienna
Postcode
1090
Country
Austria

Scientific contact point

Organisation
Medical University Of Vienna
Contact name
Department of Dermatology

Public contact point

Organisation
Medical University Of Vienna
Contact name
Department of Dermatology

Locations

1 EU/EEA country · 1 investigational sites

By country

CountryMS statusPlanned subjectsSites
Austria Ongoing, recruiting 10 1
Rest of world 0

Investigational sites

Austria

1 site · Ongoing, recruiting
Medical University Of Vienna
Department of Dermatology, Waehringer Guertel 18-20, Alsergrund, Vienna

Country notifications

Trial-start, recruitment-start, end and early-termination notifications submitted per Member State

Country Trial startTrial end Recruitment startRecruitment end Early termination
Austria 2026-02-12 2026-02-12

Results and documents

Annex IV summary of results, Annex V layperson summary, and all documents registered in CTIS for this trial

Documents 15 files

Public protocol annexes, IB summaries, regulatory submissions and post-authorisation documents registered in CTIS.

TypeTitleVersion
Protocol (for publication) CRF draft_2025-523133-26-00 1.0
Protocol (for publication) D1_Protocol_2025-523133-26-00_redacted 3.0
Protocol (for publication) D4_Patient facing document_DE_CLEQoL questionnaire NA
Protocol (for publication) D4_Patient facing document_DE_DLQI questionnaire NA
Protocol (for publication) D4_Patient facing document_EN_CLEQoL questionnaire NA
Protocol (for publication) D4_Patient facing document_EN_DLQI questionnaire NA
Recruitment arrangements (for publication) K1_Recruitment arrangements_redacted 1.0
Subject information and informed consent form (for publication) L1_ICF 2025-523133-26-00_redacted 5.0
Subject information and informed consent form (for publication) L1_ICF 2025-523133-26-00_TC 3.0
Subject information and informed consent form (for publication) L1_ICF pregnancy FU 2025-523133-26-00 2.0
Subject information and informed consent form (for publication) L1_ICF pregnancy FU 2025-523133-26-00_redacted 5.0
Subject information and informed consent form (for publication) L1_ICF pregnancy FU 2025-523133-26-00_TC 2.0
Summary of Product Characteristics (SmPC) (for publication) G2_SmPC Saphnelo n.a.
Synopsis of the protocol (for publication) D1_Protocol synopsis_DE_2025-523133-26-00 2.1
Synopsis of the protocol (for publication) D1_Protocol synopsis_EN_2025-523133-26-00 2.1

Application history

1 submissions — initial application plus substantial / non-substantial modifications

#TypeCodeSubmittedReference MSConclusionDecision date
1 INITIAL IN 2025-10-14 Austria Acceptable
2025-12-29
2026-02-07