A Study of LY2127399 in Participants With Systemic Lupus Erythematosus

Sponsor
Eli Lilly and Company (Industry)
Overall Status
Completed
CT.gov ID
NCT01196091
Collaborator
(none)
1,164
192
3
54
6.1
0.1

Study Details

Study Description

Brief Summary

The purpose of this SLE study is to evaluate the efficacy, safety and tolerability of two different doses of LY2127399 administered in participants with active SLE.

Condition or Disease Intervention/Treatment Phase
  • Drug: LY2127399
  • Drug: Placebo every 2 weeks
  • Drug: Placebo every 4 weeks
  • Drug: Standard of Care
Phase 3

Study Design

Study Type:
Interventional
Actual Enrollment :
1164 participants
Allocation:
Randomized
Intervention Model:
Parallel Assignment
Masking:
Quadruple (Participant, Care Provider, Investigator, Outcomes Assessor)
Primary Purpose:
Treatment
Official Title:
A Phase 3, Multicenter, Randomized, Double Blind, Placebo-controlled Study to Evaluate the Efficacy and Safety of Subcutaneous LY2127399 in Participants With Systemic Lupus Erythematosus (SLE)
Study Start Date :
Dec 1, 2010
Actual Primary Completion Date :
Jul 1, 2014
Actual Study Completion Date :
Jun 1, 2015

Arms and Interventions

Arm Intervention/Treatment
Experimental: LY2127399 every 2 weeks

Administered SC

Drug: LY2127399
120 mg administered via subcutaneous (SC) injection for 52 weeks. 240 mg loading dose will be administered as the first dose of study drug.

Drug: Standard of Care
Other Names:
  • Non-steroidal anti-inflammatory drug
  • Corticosteroids
  • Antimalarials (used for SLE)
  • Immunosuppressants
  • Experimental: LY2127399 every 4 wks

    During the Treatment Period, for blinding purposes, patients will alternate injections of LY2127399 and injections of placebo every 2 weeks.

    Drug: LY2127399
    120 mg administered via subcutaneous (SC) injection for 52 weeks. 240 mg loading dose will be administered as the first dose of study drug.

    Drug: Placebo every 4 weeks
    Administered via subcutaneous injection for 52 weeks.

    Drug: Standard of Care
    Other Names:
  • Non-steroidal anti-inflammatory drug
  • Corticosteroids
  • Antimalarials (used for SLE)
  • Immunosuppressants
  • Placebo Comparator: Placebo

    Administered SC

    Drug: Placebo every 2 weeks
    Administered via subcutaneous injection for 52 weeks. A matching loading dose of corticosteroids, NSAIDs, antimalarials, or immunosuppressants will also be administered at the first dose

    Drug: Standard of Care
    Other Names:
  • Non-steroidal anti-inflammatory drug
  • Corticosteroids
  • Antimalarials (used for SLE)
  • Immunosuppressants
  • Outcome Measures

    Primary Outcome Measures

    1. Percentage of Participants Achieving an SLE Responder Index Response at Week 52 [52 weeks]

      Percentage of participants with a ≥ 5 point reduction from baseline in SELENA SLEDAI score, and no worsening (increase of < 0.30 points from baseline) in PGA, and no new BILAG A organ domain score or 2 new BILAG B organ domain scores compared with baseline. SELENA SLEDAI is calculated from 24 individual descriptors across 9 organ systems; 0 indicates inactive disease and the maximum theoretical score is 105; scores > 20 are rare. PGA is a visual analog scale scored from 0 to 3 (0=none, 1=mild, 2=moderate, 3=severe). BILAG uses a single score for each of the 9 organ domains; range is from severe (A) to no disease (E). Participants who were unable to comply with allowed concomitant medications requirements were considered non-responders, as were participants who dropped out or were missing Week 52 data.

    Secondary Outcome Measures

    1. Percentage Participants Able to Decrease Dose of Prednisone or Equivalent With No Increase in Disease Activity at Week 52 [52 weeks]

      A participant achieves corticosteroid sparing effects (quiescent disease) if they have met the following criteria during Weeks 24 through 52; able to decrease their dose of prednisone or equivalent to 7.5 mg/day or less, have quiescent disease (BILAG C score or better in all nine systems), and no BILAG A or B flares in the previous three months, without an increase in either antimalarials or immunosuppressants on or prior to the visit. Only participants receiving a prednisone or equivalent dose of more than 7.5 mg/day at baseline are included.

    2. Change From Baseline to 52 Weeks in Anti-double Stranded Deoxyribonucleic Acid (Anti-dsDNA) Level [Baseline, 52 weeks]

      Anti-double stranded deoxyribonucleic acid (anti-dsDNA) is a lab analyte used to assist in the diagnosis of SLE.

    3. Change From Baseline to 52 Week Endpoint in Systemic Lupus Erythematosus Disease Activity Index (SLEDAI2K) Score [Baseline, 52 weeks]

      SLE Disease Activity Index 2000 (SLEDAI-2K) score is a weighted, cumulative index of lupus disease activity. SLEDAI-2K is calculated from 24 individual descriptors across 9 organ systems; 0 indicates inactive disease and the maximum theoretical score is 105.

    4. Time to First Severe SLE Flare (SFI) [Baseline through 52 weeks]

      The SFI uses the SELENA-SLEDAI disease activity index score, disease activity scenarios, treatment changes, and PGA to define mild/moderate and severe flares. The index takes into account the absolute change in total scores, new or worsening symptoms, and increases in corticosteroid use or hospitalization due to the disease activity. Time to first severe SLE flare (SFI) (in days) is calculated as: (Start date of first severe SLE flare (SFI) - Date of randomization + 1).

    5. Percentage of Participants With No Worsening in Physician Global Assessment (PGA) Score at 52 Weeks [52 weeks]

      Physician's Global Assessment (PGA) is a single-item clinician rated assessment of the patient's current level of disease activity measured on a continuous 100 millimeter (mm) visual analytic scale with benchmarks of 0, 1, 2, and 3 from left to right corresponding to no, mild, moderate, and severe SLE disease activity. Scores are presented from 0 to 100. No worsening is defined as increase of ≥0.3 points.

    6. Change From Baseline to 52 Week Endpoint in Brief Fatigue Inventory (BFI) Scores [Baseline, 52 weeks]

      A participants-reported scale that measures the severity of fatigue based on the worst fatigue experienced during the past 24-hours. The severity scores ranged from 0 (no fatigue) to 10 (fatigue as severe as you can imagine).

    7. Change From Baseline to 52 Week Endpoint Lupus Quality of Life (LupusQoL) Domain Scores [Baseline, 52 weeks]

      The LupusQoL is a disease-specific, 34-item, self-report questionnaire designed to measure the health-related quality of life (HRQoL) of participants with SLE within 8 domains.Responses are based on a 5-point Likert scale where 0 (all of the time) to 4 (never). A LupusQoL score for each domain is reported on a 0 to 100 scale, with greater values indicating better HRQoL.

    8. Time to First New British Isles Lupus Assessment Group (BILAG A) or 2 New BILAG B SLE Flares [Baseline through 52 weeks]

      The British Isles Lupus Assessment Group (BILAG) instrument assesses global disease activity across 9 organ system domains. BILAG flare is assessed for each of the 9 organ domains using BILAG2004 index flare rules; A is a severe flare and B is a moderate flare. Time to first BILAG A or two BILAG B flares (in days) is calculated as: (Start date of first BILAG A or two BILAG B flares - Date of randomization + 1). The two BILAG B flares must occur in different domains at the same visit.

    9. Change From Baseline to 52 Week Endpoint in PGA [Baseline, 52 weeks]

      Physician's Global Assessment (PGA) is a single-item clinician rated assessment of the patient's current level of disease activity measured on a continuous 100-mm visual analytic scale with benchmarks of 0, 1, 2, and 3 from left to right corresponding to no, mild, moderate, and severe SLE disease activity. Scores range from 0, being worst possible to 100 being very active or best possible.

    10. Percentage of Participants With an Increase in Corticosteroids Dose at 52 Weeks [52 weeks]

      An increase in corticosteroids at a visit was defined as a change from baseline greater than 2.5 mg/day in dose or prednisone or equivalent using average daily dose of corticosteroids taken since the previous scheduled visit.

    11. Change From Baseline to 52 Weeks Endpoint in SELENA-SLEDAI Disease Activity Score [Baseline, 52 weeks]

      Safety of Estrogens in Lupus Erythematosus National Assessment - SLE Disease Activity Index (SELENA-SLEDAI) score is a weighted, cumulative index of lupus disease activity. SELENA-SLEDAI is calculated from 24 individual descriptors across 9 organ systems; 0 indicates inactive disease and the maximum theoretical score is 105.

    12. Percentage of Participants Achieving a Response as Measured by Modified SRI With No BILAG A or No More Than 1 BILAG B Organ Domain Flares at 52 Weeks [52 weeks]

      Percentage of participants with a ≥ 5 point reduction from baseline in SELENA SLEDAI score, and no worsening (increase of < 0.30 points from baseline) in PGA, and no new BILAG A or no more than 1 new BILAG B organ domain flare compared with baseline. (Primary outcome modified to use BILAG flare instead of BILAG disease score) SELENA SLEDAI is calculated from 24 individual descriptors across 9 organ systems; 0 indicates inactive disease and the maximum theoretical score is 105. PGA is a visual analog scale scored from 0 to 3 (0=none, 1=mild, 2=moderate, 3=severe). BILAG flare is assessed for each of the 9 organ domains; A is a severe flare and B is a moderate flare. Patients who were unable to comply with allowed concomitant medications requirements were considered non-responders, as were participants who dropped out or were missing Week 52 data.

    13. Number of Participants With No New BILAG A and No More Than One New BILAG B Disease Activity Scores Compared to Baseline [Baseline through 52 weeks]

      The BILAG2004 index is a validated global disease activity index designed on the basis of the physician's ITT, focusing on changes in disease manifestations (new, improved, worsening, etc) occurring in the last 4 weeks compared with the previous 4 weeks. The instrument assesses 97 clinical signs, symptoms, and laboratory parameters across 9 organ system domains: constitutional, mucocutaneous, neuropsychiatric, musculoskeletal, cardiorespiratory, gastrointestinal, opthalmic, renal and hematology.

    Eligibility Criteria

    Criteria

    Ages Eligible for Study:
    18 Years and Older
    Sexes Eligible for Study:
    All
    Accepts Healthy Volunteers:
    No
    Inclusion Criteria:
    • Clinical diagnosis of SLE by American College of Rheumatology (ACR) criteria

    • Have positive antinuclear antibodies (ANA)

    • Agree not to become pregnant throughout the course of the trial

    • Have a screening SELENA-SLEDAI score ≥6. (The participant must be actively exhibiting all the symptoms scored on the screening SELENA-SLEDAI on the day of screening.)

    Exclusion Criteria:
    • Have active severe Lupus kidney disease

    • Have active Central Nervous System or peripheral neurologic disease

    • Have received intravenous immunoglobulin (IVIg) within 180 days of randomization

    • Have active or recent infection within 30 days of screening

    • Have had a serious infection within 90 days of randomization

    • Have evidence or test positive for Hepatitis B

    • Have Hepatitis C

    • Are human immunodeficiency virus (HIV) positive

    • Have evidence of active or latent tuberculosis (TB)

    • Presence of significant laboratory abnormalities at screening

    • Have had a malignancy in the past 5 years, except for cervical carcinoma in-situ or basal cell or squamous epithelial skin cell that were completely resected with no reoccurrence in the 3 yrs prior to randomization

    • Have received greater than 40 mgs of prednisone or equivalent in the past 30 days

    • Have changed your dose of antimalarial drug in the past 30 days

    • Have changed your dose of immunosuppressive drug in the past 90 days

    • Have previously received rituximab

    Contacts and Locations

    Locations

    Site City State Country Postal Code
    1 For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician. Birmingham Alabama United States 35294
    2 For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician. Glendale Arizona United States 85304
    3 For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician. Mesa Arizona United States 85202
    4 For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician. Paradise Valley Arizona United States 85253
    5 For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician. Peoria Arizona United States 85381
    6 For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician. Phoenix Arizona United States 85037
    7 For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician. Little Rock Arkansas United States 72205
    8 For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician. Anaheim California United States 92805
    9 For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician. Glendale California United States 91204
    10 For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician. Lakewood California United States 90712
    11 For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician. Long Beach California United States 90808
    12 For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician. Los Angeles California United States 90048
    13 For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician. Sacramento California United States 95825
    14 For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician. San Leandro California United States 94578
    15 For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician. Upland California United States 91786
    16 For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician. Danbury Connecticut United States 06810
    17 For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician. Farmington Connecticut United States 06030
    18 For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician. Norwich Connecticut United States 06360
    19 For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician. Trumbull Connecticut United States 06611
    20 For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician. Boca Raton Florida United States 33486
    21 For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician. Clearwater Florida United States 33765
    22 For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician. Doral Florida United States 33166
    23 For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician. Fort Lauderdale Florida United States 33334
    24 For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician. Jacksonville Florida United States 32216
    25 For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician. Lake Mary Florida United States 32746
    26 For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician. Miami Florida United States 33169
    27 For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician. Orange Park Florida United States 32073
    28 For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician. Palm Harbor Florida United States 34684
    29 For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician. Saint Petersburg Florida United States 33710
    30 For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician. Tamarac Florida United States 33321
    31 For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician. Tampa Florida United States 33612
    32 For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician. Atlanta Georgia United States 30342
    33 For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician. Decatur Georgia United States 30033
    34 For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician. Marietta Georgia United States 30060
    35 For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician. Boise Idaho United States 83702
    36 For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician. Chicago Illinois United States 60612
    37 For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician. Peoria Illinois United States 61636
    38 For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician. Muncie Indiana United States 47304
    39 For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician. Kansas City Kansas United States 66160
    40 For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician. Bowling Green Kentucky United States 42101
    41 For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician. Lexington Kentucky United States 40504
    42 For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician. Baltimore Maryland United States 21239
    43 For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician. Hagerstown Maryland United States 21742
    44 For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician. Wheaton Maryland United States 20902
    45 For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician. Grand Rapids Michigan United States 49546
    46 For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician. Eagan Minnesota United States 55121
    47 For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician. Florissant Missouri United States 63031
    48 For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician. Lincoln Nebraska United States 68516
    49 For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician. Omaha Nebraska United States 68134
    50 For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician. Clifton New Jersey United States 07012
    51 For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician. Teaneck New Jersey United States 07666
    52 For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician. Toms River New Jersey United States 08755
    53 For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician. Albuquerque New Mexico United States 87102
    54 For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician. Bronx New York United States 10457
    55 For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician. Endwell New York United States 13760
    56 For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician. Manhasset New York United States 11030
    57 For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician. New York New York United States 10019
    58 For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician. Rochester New York United States 14618
    59 For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician. Charlotte North Carolina United States 28210
    60 For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician. Greenville North Carolina United States 27834
    61 For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician. Hickory North Carolina United States 28602
    62 For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician. Cincinnati Ohio United States 45229
    63 For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician. Middleburg Heights Ohio United States 44130
    64 For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician. Edmond Oklahoma United States 73013
    65 For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician. Oklahoma City Oklahoma United States 73103
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    111 For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician. Bucaramanga Colombia 681001
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    161 For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician. Cebu Philippines 6000
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    168 For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician. Quezon City Philippines 1102
    169 For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician. ?Ód? Poland 94-017
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    172 For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician. Sosnowiec Poland 41-200
    173 For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician. Warsaw Poland 02-507
    174 For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician. Wroc?Aw Poland 50-368
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    178 For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician. Bangkok Thailand 10700
    179 For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician. Chiang Mai Thailand 50200
    180 For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician. Donetsk Ukraine 83001
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    186 For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician. Odesa Ukraine 65025
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    191 For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician. Zaporizhzhia Ukraine 69600
    192 For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician. Zhytomyr Ukraine 10002

    Sponsors and Collaborators

    • Eli Lilly and Company

    Investigators

    • Study Director: Call 1-877-CTLILLY (1-877-285-4559) or 1-317-615-4559 Mon - Fri 9AM - 5PM Eastern time (UTC/GMT -5 hours, EST), Eli Lilly and Company

    Study Documents (Full-Text)

    None provided.

    More Information

    Publications

    None provided.
    Responsible Party:
    Eli Lilly and Company
    ClinicalTrials.gov Identifier:
    NCT01196091
    Other Study ID Numbers:
    • 13656
    • H9B-MC -BCDS
    First Posted:
    Sep 8, 2010
    Last Update Posted:
    Jun 12, 2018
    Last Verified:
    Jun 1, 2018

    Study Results

    Participant Flow

    Recruitment Details
    Pre-assignment Detail Intent to Treat population (ITT) is all randomized participants who received at least 1 dose of study drug, excluding two sites' participants due to good clinical practice (GCP) issues.
    Arm/Group Title LY2127399 Every 2 Weeks LY2127399 Every 4 Wks Placebo
    Arm/Group Description LY2127399: 120 mg administered via subcutaneous injection for 52 weeks. 240 mg loading dose will be administered as the first dose of study drug. During the Treatment Period, for blinding purposes, patients will alternate injections of LY2127399 and injections of placebo every 2 weeks. LY2127399: 120 mg administered via subcutaneous injection for 52 weeks. 240 mg loading dose will be administered as the first dose of study drug. Placebo every 4 weeks: Administered via subcutaneous injection for 52 weeks. Placebo every 2 weeks: Administered via subcutaneous injection for 52 weeks. A matching loading dose will also be administered at the first dose
    Period Title: Overall Study
    STARTED 387 389 388
    Received at Least 1 Dose of Study Drug 386 389 387
    ITT-Received Drug and Excluded Sites 381 378 379
    Follow-Up 103 105 128
    COMPLETED 299 291 284
    NOT COMPLETED 88 98 104

    Baseline Characteristics

    Arm/Group Title LY2127399 Every 2 Weeks LY2127399 Every 4 Wks Placebo Total
    Arm/Group Description LY2127399: 120 mg administered via subcutaneous injection for 52 weeks. 240 mg loading dose will be administered as the first dose of study drug. During the Treatment Period, for blinding purposes, patients will alternate injections of LY2127399 and injections of placebo every 2 weeks. LY2127399: 120 mg administered via subcutaneous injection for 52 weeks. 240 mg loading dose will be administered as the first dose of study drug. Placebo every 4 weeks: Administered via subcutaneous injection for 52 weeks. Placebo every 2 weeks: Administered via subcutaneous injection for 52 weeks. A matching loading dose will also be administered at the first dose Total of all reporting groups
    Overall Participants 381 378 379 1138
    Age (years) [Mean (Standard Deviation) ]
    Mean (Standard Deviation) [years]
    39.8
    (12.51)
    40.2
    (11.21)
    39.1
    (11.69)
    39.7
    (11.82)
    Sex: Female, Male (Count of Participants)
    Female
    354
    92.9%
    352
    93.1%
    360
    95%
    1066
    93.7%
    Male
    27
    7.1%
    26
    6.9%
    19
    5%
    72
    6.3%
    Ethnicity (NIH/OMB) (Count of Participants)
    Hispanic or Latino
    119
    31.2%
    116
    30.7%
    122
    32.2%
    357
    31.4%
    Not Hispanic or Latino
    233
    61.2%
    225
    59.5%
    229
    60.4%
    687
    60.4%
    Unknown or Not Reported
    29
    7.6%
    37
    9.8%
    28
    7.4%
    94
    8.3%
    Race (NIH/OMB) (Count of Participants)
    American Indian or Alaska Native
    65
    17.1%
    55
    14.6%
    67
    17.7%
    187
    16.4%
    Asian
    68
    17.8%
    61
    16.1%
    66
    17.4%
    195
    17.1%
    Native Hawaiian or Other Pacific Islander
    0
    0%
    1
    0.3%
    0
    0%
    1
    0.1%
    Black or African American
    40
    10.5%
    41
    10.8%
    39
    10.3%
    120
    10.5%
    White
    204
    53.5%
    218
    57.7%
    205
    54.1%
    627
    55.1%
    More than one race
    4
    1%
    2
    0.5%
    2
    0.5%
    8
    0.7%
    Unknown or Not Reported
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    Region of Enrollment (Count of Participants)
    Colombia
    16
    4.2%
    10
    2.6%
    18
    4.7%
    44
    3.9%
    Argentina
    20
    5.2%
    24
    6.3%
    22
    5.8%
    66
    5.8%
    Puerto Rico
    3
    0.8%
    7
    1.9%
    11
    2.9%
    21
    1.8%
    Singapore
    0
    0%
    2
    0.5%
    0
    0%
    2
    0.2%
    United States
    128
    33.6%
    133
    35.2%
    116
    30.6%
    377
    33.1%
    Philippines
    26
    6.8%
    14
    3.7%
    22
    5.8%
    62
    5.4%
    Japan
    15
    3.9%
    15
    4%
    15
    4%
    45
    4%
    Egypt
    19
    5%
    19
    5%
    21
    5.5%
    59
    5.2%
    Ukraine
    23
    6%
    22
    5.8%
    29
    7.7%
    74
    6.5%
    Thailand
    14
    3.7%
    9
    2.4%
    11
    2.9%
    34
    3%
    Belarus
    4
    1%
    6
    1.6%
    2
    0.5%
    12
    1.1%
    Canada
    2
    0.5%
    0
    0%
    2
    0.5%
    4
    0.4%
    Austria
    3
    0.8%
    3
    0.8%
    1
    0.3%
    7
    0.6%
    Macedonia
    3
    0.8%
    6
    1.6%
    3
    0.8%
    12
    1.1%
    Poland
    19
    5%
    16
    4.2%
    19
    5%
    54
    4.7%
    Guatemala
    13
    3.4%
    17
    4.5%
    13
    3.4%
    43
    3.8%
    South Korea
    11
    2.9%
    18
    4.8%
    14
    3.7%
    43
    3.8%
    Italy
    1
    0.3%
    7
    1.9%
    2
    0.5%
    10
    0.9%
    Bulgaria
    8
    2.1%
    11
    2.9%
    12
    3.2%
    31
    2.7%
    Chile
    8
    2.1%
    0
    0%
    5
    1.3%
    13
    1.1%
    Peru
    32
    8.4%
    33
    8.7%
    34
    9%
    99
    8.7%
    Germany
    12
    3.1%
    5
    1.3%
    7
    1.8%
    24
    2.1%
    Croatia
    1
    0.3%
    1
    0.3%
    0
    0%
    2
    0.2%
    Anti-dsDNA Antibody Level (International Units/Milliliter (IU/mL)) [Mean (Standard Deviation) ]
    Mean (Standard Deviation) [International Units/Milliliter (IU/mL)]
    107.2
    (113.50)
    110.4
    (111.58)
    107.1
    (112.40)
    108.2
    (112.41)
    Safety of Estrogens in Lupus Erythematosus National Assessment (SELENA-SLEDAI) Score (units on a scale) [Mean (Standard Deviation) ]
    Mean (Standard Deviation) [units on a scale]
    10.2
    (3.5)
    10.4
    (3.6)
    10.7
    (3.9)
    10.4
    (3.7)
    Physician's Global Assessment (PGA) Score (millimeters (mm)) [Mean (Standard Deviation) ]
    Mean (Standard Deviation) [millimeters (mm)]
    46.3
    (15.7)
    46.1
    (16.2)
    47.1
    (16.10)
    46.5
    (16.0)
    Time of Onset of Lupus (years) [Mean (Standard Deviation) ]
    Mean (Standard Deviation) [years]
    7.5
    (7.4)
    8.1
    (7.9)
    6.4
    (6.8)
    7.3
    (7.4)
    At Least One BILAG A or Two BILAG B Disease Activity Scores (Count of Participants)
    Yes
    360
    94.5%
    340
    89.9%
    347
    91.6%
    1047
    92%
    No
    21
    5.5%
    38
    10.1%
    31
    8.2%
    90
    7.9%
    Lupus Quality of Life (lupus QOL) Domain Score (units on a scale) [Mean (Standard Deviation) ]
    Physical Health
    59.2
    (24.98)
    59.1
    (25.13)
    56.9
    (26.17)
    58.4
    (25.43)
    Emotional Health
    65.7
    (25.19)
    66.7
    (23.99)
    64.6
    (26.22)
    65.7
    (25.14)
    Body Image
    61.1
    (28.99)
    63.2
    (27.67)
    61.9
    (29.20)
    62.1
    (28.61)
    Pain
    56.1
    (28.40)
    56.9
    (26.75)
    53.6
    (28.62)
    55.5
    (27.95)
    Planning
    61.2
    (30.37)
    62.1
    (28.69)
    59.0
    (30.92)
    60.8
    (30.01)
    Fatigue
    56.0
    (26.39)
    54.4
    (25.54)
    53.4
    (27.14)
    54.6
    (26.36)
    Intimate Relationships
    56.2
    (33.92)
    63.3
    (31.53)
    56.8
    (34.21)
    58.8
    (33.36)
    Burden to Others
    52.8
    (30.70)
    51.9
    (30.31)
    49.3
    (32.39)
    51.3
    (31.15)
    Brief Fatigue Inventory (BFI) Score (Worst Level of Fatigue in the Last 24 Hours) (units on a scale) [Mean (Standard Deviation) ]
    Mean (Standard Deviation) [units on a scale]
    5.8
    (2.57)
    5.6
    (2.81)
    5.6
    (2.81)
    5.6
    (2.73)

    Outcome Measures

    1. Primary Outcome
    Title Percentage of Participants Achieving an SLE Responder Index Response at Week 52
    Description Percentage of participants with a ≥ 5 point reduction from baseline in SELENA SLEDAI score, and no worsening (increase of < 0.30 points from baseline) in PGA, and no new BILAG A organ domain score or 2 new BILAG B organ domain scores compared with baseline. SELENA SLEDAI is calculated from 24 individual descriptors across 9 organ systems; 0 indicates inactive disease and the maximum theoretical score is 105; scores > 20 are rare. PGA is a visual analog scale scored from 0 to 3 (0=none, 1=mild, 2=moderate, 3=severe). BILAG uses a single score for each of the 9 organ domains; range is from severe (A) to no disease (E). Participants who were unable to comply with allowed concomitant medications requirements were considered non-responders, as were participants who dropped out or were missing Week 52 data.
    Time Frame 52 weeks

    Outcome Measure Data

    Analysis Population Description
    Intent to Treat population (ITT) all randomized participants who received at least 1 dose of study drug and evaluable SLE scores, excluding two sites' participants due to good clinical practice (GCP) issues.
    Arm/Group Title LY2127399 Every 2 Weeks LY2127399 Every 4 Wks Placebo
    Arm/Group Description LY2127399: 120 mg administered via subcutaneous injection for 52 weeks. 240 mg loading dose will be administered as the first dose of study drug. During the Treatment Period, for blinding purposes, patients will alternate injections of LY2127399 and injections of placebo every 2 weeks. LY2127399: 120 mg administered via subcutaneous injection for 52 weeks. 240 mg loading dose will be administered as the first dose of study drug. Placebo every 4 weeks: Administered via subcutaneous injection for 52 weeks. Placebo every 2 weeks: Administered via subcutaneous injection for 52 weeks. A matching loading dose will also be administered at the first dose
    Measure Participants 381 378 379
    Number [percentage of participants]
    31.8
    8.3%
    35.2
    9.3%
    29.3
    7.7%
    2. Secondary Outcome
    Title Percentage Participants Able to Decrease Dose of Prednisone or Equivalent With No Increase in Disease Activity at Week 52
    Description A participant achieves corticosteroid sparing effects (quiescent disease) if they have met the following criteria during Weeks 24 through 52; able to decrease their dose of prednisone or equivalent to 7.5 mg/day or less, have quiescent disease (BILAG C score or better in all nine systems), and no BILAG A or B flares in the previous three months, without an increase in either antimalarials or immunosuppressants on or prior to the visit. Only participants receiving a prednisone or equivalent dose of more than 7.5 mg/day at baseline are included.
    Time Frame 52 weeks

    Outcome Measure Data

    Analysis Population Description
    All randomized participants who received at least 1 dose of study drug, a baseline use of prednisone or equivalent >7.5 mg/day, excluding two sites' participants due to good clinical practice (GCP) issues.
    Arm/Group Title LY2127399 Every 2 Weeks LY2127399 Every 4 Wks Placebo
    Arm/Group Description LY2127399: 120 mg administered via subcutaneous injection for 52 weeks. 240 mg loading dose will be administered as the first dose of study drug. During the Treatment Period, for blinding purposes, patients will alternate injections of LY2127399 and injections of placebo every 2 weeks. LY2127399: 120 mg administered via subcutaneous injection for 52 weeks. 240 mg loading dose will be administered as the first dose of study drug. Placebo every 4 weeks: Administered via subcutaneous injection for 52 weeks. Placebo every 2 weeks: Administered via subcutaneous injection for 52 weeks. A matching loading dose will also be administered at the first dose
    Measure Participants 197 200 196
    Number [percentage of partipants]
    15.5
    17.0
    16.4
    3. Secondary Outcome
    Title Change From Baseline to 52 Weeks in Anti-double Stranded Deoxyribonucleic Acid (Anti-dsDNA) Level
    Description Anti-double stranded deoxyribonucleic acid (anti-dsDNA) is a lab analyte used to assist in the diagnosis of SLE.
    Time Frame Baseline, 52 weeks

    Outcome Measure Data

    Analysis Population Description
    All randomized participants who received at least 1 dose of study drug, excluding two sites' participants due to good clinical practice (GCP) issues and a non-missing result at Week 52.
    Arm/Group Title LY2127399 Every 2 Weeks LY2127399 Every 4 Wks Placebo
    Arm/Group Description LY2127399: 120 mg administered via subcutaneous injection for 52 weeks. 240 mg loading dose will be administered as the first dose of study drug. During the Treatment Period, for blinding purposes, patients will alternate injections of LY2127399 and injections of placebo every 2 weeks. LY2127399: 120 mg administered via subcutaneous injection for 52 weeks. 240 mg loading dose will be administered as the first dose of study drug. Placebo every 4 weeks: Administered via subcutaneous injection for 52 weeks. Placebo every 2 weeks: Administered via subcutaneous injection for 52 weeks. A matching loading dose will also be administered at the first dose
    Measure Participants 381 378 377
    Mean (Standard Deviation) [international units]
    107.2
    (113.50)
    110.4
    (111.58)
    107.1
    (112.40)
    4. Secondary Outcome
    Title Change From Baseline to 52 Week Endpoint in Systemic Lupus Erythematosus Disease Activity Index (SLEDAI2K) Score
    Description SLE Disease Activity Index 2000 (SLEDAI-2K) score is a weighted, cumulative index of lupus disease activity. SLEDAI-2K is calculated from 24 individual descriptors across 9 organ systems; 0 indicates inactive disease and the maximum theoretical score is 105.
    Time Frame Baseline, 52 weeks

    Outcome Measure Data

    Analysis Population Description
    All randomized participants who received at least 1 dose of study drug, excluding 2 sites' participants due to GCP issues and non-missing results; LOCF, defined as: endpoint is defined as the latest post-baseline response obtained on or prior to the date of Week 52 or the date of early discontinuation from the treatment period.
    Arm/Group Title LY2127399 Every 2 Weeks LY2127399 Every 4 Wks Placebo
    Arm/Group Description LY2127399: 120 mg administered via subcutaneous injection for 52 weeks. 240 mg loading dose will be administered as the first dose of study drug. During the Treatment Period, for blinding purposes, patients will alternate injections of LY2127399 and injections of placebo every 2 weeks. LY2127399: 120 mg administered via subcutaneous injection for 52 weeks. 240 mg loading dose will be administered as the first dose of study drug. Placebo every 4 weeks: Administered via subcutaneous injection for 52 weeks. Placebo every 2 weeks: Administered via subcutaneous injection for 52 weeks. A matching loading dose will also be administered at the first dose
    Measure Participants 377 374 376
    Mean (Standard Deviation) [units on a scale]
    -4.7
    (4.35)
    -4.9
    (4.32)
    -4.6
    (4.54)
    5. Secondary Outcome
    Title Time to First Severe SLE Flare (SFI)
    Description The SFI uses the SELENA-SLEDAI disease activity index score, disease activity scenarios, treatment changes, and PGA to define mild/moderate and severe flares. The index takes into account the absolute change in total scores, new or worsening symptoms, and increases in corticosteroid use or hospitalization due to the disease activity. Time to first severe SLE flare (SFI) (in days) is calculated as: (Start date of first severe SLE flare (SFI) - Date of randomization + 1).
    Time Frame Baseline through 52 weeks

    Outcome Measure Data

    Analysis Population Description
    Zero participants analyzed. Time to first severe SLE flare data was not collected for analysis.
    Arm/Group Title LY2127399 Every 2 Weeks LY2127399 Every 4 Wks Placebo
    Arm/Group Description LY2127399: 120 mg administered via subcutaneous injection for 52 weeks. 240 mg loading dose will be administered as the first dose of study drug. During the Treatment Period, for blinding purposes, patients will alternate injections of LY2127399 and injections of placebo every 2 weeks. LY2127399: 120 mg administered via subcutaneous injection for 52 weeks. 240 mg loading dose will be administered as the first dose of study drug. Placebo every 4 weeks: Administered via subcutaneous injection for 52 weeks. Placebo every 2 weeks: Administered via subcutaneous injection for 52 weeks. A matching loading dose will also be administered at first dose.
    Measure Participants 0 0 0
    6. Secondary Outcome
    Title Percentage of Participants With No Worsening in Physician Global Assessment (PGA) Score at 52 Weeks
    Description Physician's Global Assessment (PGA) is a single-item clinician rated assessment of the patient's current level of disease activity measured on a continuous 100 millimeter (mm) visual analytic scale with benchmarks of 0, 1, 2, and 3 from left to right corresponding to no, mild, moderate, and severe SLE disease activity. Scores are presented from 0 to 100. No worsening is defined as increase of ≥0.3 points.
    Time Frame 52 weeks

    Outcome Measure Data

    Analysis Population Description
    All randomized participants who received at least 1 dose of study drug, excluding two sites' participants due to good clinical practice (GCP) issues
    Arm/Group Title LY2127399 Every 2 Weeks LY2127399 Every 4 Wks Placebo
    Arm/Group Description LY2127399: 120 mg administered via subcutaneous injection for 52 weeks. 240 mg loading dose will be administered as the first dose of study drug. During the Treatment Period, for blinding purposes, patients will alternate injections of LY2127399 and injections of placebo every 2 weeks. LY2127399: 120 mg administered via subcutaneous injection for 52 weeks. 240 mg loading dose will be administered as the first dose of study drug. Placebo every 4 weeks: Administered via subcutaneous injection for 52 weeks. Placebo every 2 weeks: Administered via subcutaneous injection for 52 weeks. A matching loading dose will also be administered at the first dose
    Measure Participants 381 378 379
    Number [percentage of participants]
    64.3
    16.9%
    61.4
    16.2%
    58.0
    15.3%
    7. Secondary Outcome
    Title Change From Baseline to 52 Week Endpoint in Brief Fatigue Inventory (BFI) Scores
    Description A participants-reported scale that measures the severity of fatigue based on the worst fatigue experienced during the past 24-hours. The severity scores ranged from 0 (no fatigue) to 10 (fatigue as severe as you can imagine).
    Time Frame Baseline, 52 weeks

    Outcome Measure Data

    Analysis Population Description
    All randomized participants who received at least 1 dose of study drug, excluding 2 sites' participants due to GCP issues and non-missing results; LOCF, defined as: endpoint is defined as the latest post-baseline response obtained on or prior to the date of Week 52 or the date of early discontinuation from the treatment period.
    Arm/Group Title LY2127399 Every 2 Weeks LY2127399 Every 4 Wks Placebo
    Arm/Group Description LY2127399: 120 mg administered via subcutaneous injection for 52 weeks. 240 mg loading dose will be administered as the first dose of study drug. During the Treatment Period, for blinding purposes, patients will alternate injections of LY2127399 and injections of placebo every 2 weeks. LY2127399: 120 mg administered via subcutaneous injection for 52 weeks. 240 mg loading dose will be administered as the first dose of study drug. Placebo every 4 weeks: Administered via subcutaneous injection for 52 weeks. Placebo every 2 weeks: Administered via subcutaneous injection for 52 weeks. A matching loading dose will also be administered at the first dose
    Measure Participants 362 363 361
    Mean (Standard Deviation) [units on a scale]
    -0.9
    (3.09)
    -0.9
    (3.14)
    -0.6
    (2.86)
    8. Secondary Outcome
    Title Change From Baseline to 52 Week Endpoint Lupus Quality of Life (LupusQoL) Domain Scores
    Description The LupusQoL is a disease-specific, 34-item, self-report questionnaire designed to measure the health-related quality of life (HRQoL) of participants with SLE within 8 domains.Responses are based on a 5-point Likert scale where 0 (all of the time) to 4 (never). A LupusQoL score for each domain is reported on a 0 to 100 scale, with greater values indicating better HRQoL.
    Time Frame Baseline, 52 weeks

    Outcome Measure Data

    Analysis Population Description
    All randomized participants who received at least 1 dose of study drug, excluding 2 sites' participants due to GCP issues and a non-missing result.
    Arm/Group Title LY2127399 Every 2 Weeks LY2127399 Every 4 Wks Placebo
    Arm/Group Description LY2127399: 120 mg administered via subcutaneous injection for 52 weeks. 240 mg loading dose will be administered as the first dose of study drug. During the Treatment Period, for blinding purposes, patients will alternate injections of LY2127399 and injections of placebo every 2 weeks. LY2127399: 120 mg administered via subcutaneous injection for 52 weeks. 240 mg loading dose will be administered as the first dose of study drug. Placebo every 4 weeks: Administered via subcutaneous injection for 52 weeks. Placebo every 2 weeks: Administered via subcutaneous injection for 52 weeks. A matching loading dose will also be administered at the first dose
    Measure Participants 381 378 361
    Physical Health
    73.7
    (26.05)
    72.8
    (24.53)
    72.8
    (23.70)
    Emotional Health
    75.2
    (25.50)
    72.4
    (24.08)
    73.1
    (25.54)
    Body Language
    75.1
    (26.21)
    75.0
    (24.82)
    71.9
    (28.90)
    Pain
    74.0
    (27.42)
    74.1
    (24.94)
    73.2
    (27.30)
    Planning
    77.3
    (26.53)
    75.0
    (29.07)
    74.5
    (28.93)
    Fatigue
    70.4
    (25.51)
    68.8
    (26.34)
    64.5
    (24.94)
    Intimate Relationships
    77.4
    (29.01)
    68.8
    (34.06)
    68.7
    (30.08)
    Burden to Others
    68.7
    (30.43)
    63.5
    (30.34)
    63.7
    (30.21)
    9. Secondary Outcome
    Title Time to First New British Isles Lupus Assessment Group (BILAG A) or 2 New BILAG B SLE Flares
    Description The British Isles Lupus Assessment Group (BILAG) instrument assesses global disease activity across 9 organ system domains. BILAG flare is assessed for each of the 9 organ domains using BILAG2004 index flare rules; A is a severe flare and B is a moderate flare. Time to first BILAG A or two BILAG B flares (in days) is calculated as: (Start date of first BILAG A or two BILAG B flares - Date of randomization + 1). The two BILAG B flares must occur in different domains at the same visit.
    Time Frame Baseline through 52 weeks

    Outcome Measure Data

    Analysis Population Description
    Zero participants analyzed. Time first new British Isles Lupus Assessment Group (BILAG A) or 2 new BILAG B SLE flares data was not collected for analysis.
    Arm/Group Title LY2127399 Every 2 Weeks LY2127399 Every 4 Wks Placebo
    Arm/Group Description LY2127399: 120 mg administered via subcutaneous injection for 52 weeks. 240 mg loading dose will be administered as the first dose of study drug. During the Treatment Period, for blinding purposes, patients will alternate injections of LY2127399 and injections of placebo every 2 weeks. LY2127399: 120 mg administered via subcutaneous injection for 52 weeks. 240 mg loading dose will be administered as the first dose of study drug. Placebo every 4 weeks: Administered via subcutaneous injection for 52 weeks. Placebo every 2 weeks: Administered via subcutaneous injection for 52 weeks. A matching loading dose will also be administered at the first dose.
    Measure Participants 0 0 0
    10. Secondary Outcome
    Title Change From Baseline to 52 Week Endpoint in PGA
    Description Physician's Global Assessment (PGA) is a single-item clinician rated assessment of the patient's current level of disease activity measured on a continuous 100-mm visual analytic scale with benchmarks of 0, 1, 2, and 3 from left to right corresponding to no, mild, moderate, and severe SLE disease activity. Scores range from 0, being worst possible to 100 being very active or best possible.
    Time Frame Baseline, 52 weeks

    Outcome Measure Data

    Analysis Population Description
    All randomized participants who received at least 1 dose of study drug, excluding 2 sites' participants due to GCP issues and non-missing results; LOCF, defined as: endpoint is defined as the latest post-baseline response obtained on or prior to the date of Week 52 or the date of early discontinuation from the treatment period.
    Arm/Group Title LY2127399 Every 2 Weeks LY2127399 Every 4 Wks Placebo
    Arm/Group Description LY2127399: 120 mg administered via subcutaneous injection for 52 weeks. 240 mg loading dose will be administered as the first dose of study drug. During the Treatment Period, for blinding purposes, patients will alternate injections of LY2127399 and injections of placebo every 2 weeks. LY2127399: 120 mg administered via subcutaneous injection for 52 weeks. 240 mg loading dose will be administered as the first dose of study drug. Placebo every 4 weeks: Administered via subcutaneous injection for 52 weeks. Placebo every 2 weeks: Administered via subcutaneous injection for 52 weeks. A matching loading dose will also be administered at the first dose
    Measure Participants 375 374 375
    Mean (Standard Deviation) [millimeters]
    -20.8
    (21.97)
    -20.8
    (22.33)
    -20.2
    (22.42)
    11. Secondary Outcome
    Title Percentage of Participants With an Increase in Corticosteroids Dose at 52 Weeks
    Description An increase in corticosteroids at a visit was defined as a change from baseline greater than 2.5 mg/day in dose or prednisone or equivalent using average daily dose of corticosteroids taken since the previous scheduled visit.
    Time Frame 52 weeks

    Outcome Measure Data

    Analysis Population Description
    All randomized participants who received at least 1 dose of study drug, excluding two sites' participants due to good clinical practice (GCP) issues.
    Arm/Group Title LY2127399 Every 2 Weeks LY2127399 Every 4 Wks Placebo
    Arm/Group Description LY2127399: 120 mg administered via subcutaneous injection for 52 weeks. 240 mg loading dose will be administered as the first dose of study drug. During the Treatment Period, for blinding purposes, patients will alternate injections of LY2127399 and injections of placebo every 2 weeks. LY2127399: 120 mg administered via subcutaneous injection for 52 weeks. 240 mg loading dose will be administered as the first dose of study drug. Placebo every 4 weeks: Administered via subcutaneous injection for 52 weeks. Placebo every 2 weeks: Administered via subcutaneous injection for 52 weeks. A matching loading dose will also be administered at the first dose
    Measure Participants 381 378 379
    Number [percentage of participants]
    6.7
    1.8%
    9.1
    2.4%
    8.8
    2.3%
    12. Secondary Outcome
    Title Change From Baseline to 52 Weeks Endpoint in SELENA-SLEDAI Disease Activity Score
    Description Safety of Estrogens in Lupus Erythematosus National Assessment - SLE Disease Activity Index (SELENA-SLEDAI) score is a weighted, cumulative index of lupus disease activity. SELENA-SLEDAI is calculated from 24 individual descriptors across 9 organ systems; 0 indicates inactive disease and the maximum theoretical score is 105.
    Time Frame Baseline, 52 weeks

    Outcome Measure Data

    Analysis Population Description
    All randomized participants who received at least 1 dose of study drug, excluding 2 sites' participants due to GCP issues and non-missing results; LOCF, defined as: endpoint is defined as the latest post-baseline response obtained on or prior to the date of Week 52 or the date of early discontinuation from the treatment period.
    Arm/Group Title LY2127399 Every 2 Weeks LY2127399 Every 4 Wks Placebo
    Arm/Group Description LY2127399: 120 mg administered via subcutaneous injection for 52 weeks. 240 mg loading dose will be administered as the first dose of study drug. During the Treatment Period, for blinding purposes, patients will alternate injections of LY2127399 and injections of placebo every 2 weeks. LY2127399: 120 mg administered via subcutaneous injection for 52 weeks. 240 mg loading dose will be administered as the first dose of study drug. Placebo every 4 weeks: Administered via subcutaneous injection for 52 weeks. Placebo every 2 weeks: Administered via subcutaneous injection for 52 weeks. A matching loading dose will also be administered at the first dose
    Measure Participants 381 378 376
    Mean (Standard Deviation) [units on a scale]
    -4.6
    (4.19)
    -4.7
    (4.11)
    -4.8
    (4.47)
    13. Secondary Outcome
    Title Percentage of Participants Achieving a Response as Measured by Modified SRI With No BILAG A or No More Than 1 BILAG B Organ Domain Flares at 52 Weeks
    Description Percentage of participants with a ≥ 5 point reduction from baseline in SELENA SLEDAI score, and no worsening (increase of < 0.30 points from baseline) in PGA, and no new BILAG A or no more than 1 new BILAG B organ domain flare compared with baseline. (Primary outcome modified to use BILAG flare instead of BILAG disease score) SELENA SLEDAI is calculated from 24 individual descriptors across 9 organ systems; 0 indicates inactive disease and the maximum theoretical score is 105. PGA is a visual analog scale scored from 0 to 3 (0=none, 1=mild, 2=moderate, 3=severe). BILAG flare is assessed for each of the 9 organ domains; A is a severe flare and B is a moderate flare. Patients who were unable to comply with allowed concomitant medications requirements were considered non-responders, as were participants who dropped out or were missing Week 52 data.
    Time Frame 52 weeks

    Outcome Measure Data

    Analysis Population Description
    All randomized participants who received at least 1 dose of study drug, excluding two sites' participants due to good clinical practice (GCP) issues.
    Arm/Group Title LY2127399 Every 2 Weeks LY2127399 Every 4 Wks Placebo
    Arm/Group Description LY2127399: 120 mg administered via subcutaneous injection for 52 weeks. 240 mg loading dose will be administered as the first dose of study drug. During the Treatment Period, for blinding purposes, patients will alternate injections of LY2127399 and injections of placebo every 2 weeks. LY2127399: 120 mg administered via subcutaneous injection for 52 weeks. 240 mg loading dose will be administered as the first dose of study drug. Placebo every 4 weeks: Administered via subcutaneous injection for 52 weeks. Placebo every 2 weeks: Administered via subcutaneous injection for 52 weeks. A matching loading dose will also be administered at the first dose
    Measure Participants 381 378 379
    Responder
    31.8
    8.3%
    35.2
    9.3%
    29.6
    7.8%
    Non-Responder
    68.2
    17.9%
    64.8
    17.1%
    70.4
    18.6%
    14. Secondary Outcome
    Title Number of Participants With No New BILAG A and No More Than One New BILAG B Disease Activity Scores Compared to Baseline
    Description The BILAG2004 index is a validated global disease activity index designed on the basis of the physician's ITT, focusing on changes in disease manifestations (new, improved, worsening, etc) occurring in the last 4 weeks compared with the previous 4 weeks. The instrument assesses 97 clinical signs, symptoms, and laboratory parameters across 9 organ system domains: constitutional, mucocutaneous, neuropsychiatric, musculoskeletal, cardiorespiratory, gastrointestinal, opthalmic, renal and hematology.
    Time Frame Baseline through 52 weeks

    Outcome Measure Data

    Analysis Population Description
    All randomized participants who received at least 1 dose of study drug, excluding two sites' participants due to good clinical practice (GCP) issues.
    Arm/Group Title LY2127399 Every 2 Weeks LY2127399 Every 4 Wks Placebo
    Arm/Group Description LY2127399: 120 mg administered via subcutaneous injection for 52 weeks. 240 mg loading dose will be administered as the first dose of study drug. During the Treatment Period, for blinding purposes, patients will alternate injections of LY2127399 and injections of placebo every 2 weeks. LY2127399: 120 mg administered via subcutaneous injection for 52 weeks. 240 mg loading dose will be administered as the first dose of study drug. Placebo every 4 weeks: Administered via subcutaneous injection for 52 weeks. Placebo every 2 weeks: Administered via subcutaneous injection for 52 weeks. A matching loading dose will also be administered at the first dose.
    Measure Participants 381 378 379
    Count of Participants [Participants]
    247
    64.8%
    234
    61.9%
    219
    57.8%

    Adverse Events

    Time Frame
    Adverse Event Reporting Description All participants who received at least 1 dose of study drug.
    Arm/Group Title LY2127399 Every 2 Weeks LY2127399 Every 4 Wks Placebo LY2127399 Every 2 Weeks, Follow Up LY2127399 Every 4 Wks, Follow Up Placebo, Follow Up
    Arm/Group Description LY2127399: 120 mg administered via subcutaneous injection for 52 weeks. 240 mg loading dose will be administered as the first dose of study drug. During the Treatment Period, for blinding purposes, patients will alternate injections of LY2127399 and injections of placebo every 2 weeks. LY2127399: 120 mg administered via subcutaneous injection for 52 weeks. 240 mg loading dose will be administered as the first dose of study drug. Placebo every 4 weeks: Administered via subcutaneous injection for 52 weeks. Placebo every 2 weeks: Administered via subcutaneous injection for 52 weeks. A matching loading dose will also be administered at the first dose 24-48 weeks post last dose 24-48 weeks post last dose 24-48 weeks post last dose
    All Cause Mortality
    LY2127399 Every 2 Weeks LY2127399 Every 4 Wks Placebo LY2127399 Every 2 Weeks, Follow Up LY2127399 Every 4 Wks, Follow Up Placebo, Follow Up
    Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events
    Total / (NaN) / (NaN) / (NaN) / (NaN) / (NaN) / (NaN)
    Serious Adverse Events
    LY2127399 Every 2 Weeks LY2127399 Every 4 Wks Placebo LY2127399 Every 2 Weeks, Follow Up LY2127399 Every 4 Wks, Follow Up Placebo, Follow Up
    Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events
    Total 42/386 (10.9%) 56/389 (14.4%) 50/387 (12.9%) 14/103 (13.6%) 16/105 (15.2%) 23/128 (18%)
    Blood and lymphatic system disorders
    Antiphospholipid syndrome 1/386 (0.3%) 1 0/389 (0%) 0 0/387 (0%) 0 0/103 (0%) 0 0/105 (0%) 0 0/128 (0%) 0
    Autoimmune haemolytic anaemia 0/386 (0%) 0 0/389 (0%) 0 1/387 (0.3%) 1 0/103 (0%) 0 0/105 (0%) 0 1/128 (0.8%) 1
    Febrile neutropenia 1/386 (0.3%) 1 0/389 (0%) 0 0/387 (0%) 0 0/103 (0%) 0 0/105 (0%) 0 0/128 (0%) 0
    Haemorrhagic anaemia 0/386 (0%) 0 1/389 (0.3%) 1 0/387 (0%) 0 0/103 (0%) 0 0/105 (0%) 0 0/128 (0%) 0
    Histiocytosis haematophagic 1/386 (0.3%) 1 0/389 (0%) 0 0/387 (0%) 0 0/103 (0%) 0 0/105 (0%) 0 0/128 (0%) 0
    Leukopenia 0/386 (0%) 0 0/389 (0%) 0 0/387 (0%) 0 1/103 (1%) 1 0/105 (0%) 0 0/128 (0%) 0
    Neutropenia 0/386 (0%) 0 0/389 (0%) 0 0/387 (0%) 0 1/103 (1%) 1 0/105 (0%) 0 0/128 (0%) 0
    Thrombocytopenia 0/386 (0%) 0 2/389 (0.5%) 3 0/387 (0%) 0 0/103 (0%) 0 1/105 (1%) 1 0/128 (0%) 0
    Thrombocytosis 0/386 (0%) 0 0/389 (0%) 0 0/387 (0%) 0 0/103 (0%) 0 0/105 (0%) 0 1/128 (0.8%) 1
    Cardiac disorders
    Acute myocardial infarction 0/386 (0%) 0 1/389 (0.3%) 1 0/387 (0%) 0 0/103 (0%) 0 0/105 (0%) 0 0/128 (0%) 0
    Atrioventricular block complete 0/386 (0%) 0 0/389 (0%) 0 0/387 (0%) 0 0/103 (0%) 0 0/105 (0%) 0 1/128 (0.8%) 1
    Cardiac arrest 0/386 (0%) 0 1/389 (0.3%) 1 0/387 (0%) 0 0/103 (0%) 0 0/105 (0%) 0 0/128 (0%) 0
    Cardiac failure 0/386 (0%) 0 1/389 (0.3%) 1 0/387 (0%) 0 0/103 (0%) 0 0/105 (0%) 0 0/128 (0%) 0
    Cardiac failure congestive 2/386 (0.5%) 2 0/389 (0%) 0 0/387 (0%) 0 1/103 (1%) 1 0/105 (0%) 0 0/128 (0%) 0
    Coronary artery disease 0/386 (0%) 0 0/389 (0%) 0 2/387 (0.5%) 2 0/103 (0%) 0 0/105 (0%) 0 0/128 (0%) 0
    Lupus endocarditis 1/386 (0.3%) 1 0/389 (0%) 0 0/387 (0%) 0 1/103 (1%) 1 0/105 (0%) 0 0/128 (0%) 0
    Mitral valve prolapse 0/386 (0%) 0 0/389 (0%) 0 1/387 (0.3%) 1 0/103 (0%) 0 0/105 (0%) 0 0/128 (0%) 0
    Myocarditis 1/386 (0.3%) 1 0/389 (0%) 0 0/387 (0%) 0 1/103 (1%) 2 0/105 (0%) 0 0/128 (0%) 0
    Pericarditis 0/386 (0%) 0 1/389 (0.3%) 1 0/387 (0%) 0 1/103 (1%) 1 0/105 (0%) 0 0/128 (0%) 0
    Supraventricular tachycardia 0/386 (0%) 0 0/389 (0%) 0 1/387 (0.3%) 1 0/103 (0%) 0 0/105 (0%) 0 0/128 (0%) 0
    Ventricular fibrillation 0/386 (0%) 0 1/389 (0.3%) 1 0/387 (0%) 0 0/103 (0%) 0 0/105 (0%) 0 0/128 (0%) 0
    Congenital, familial and genetic disorders
    Sickle cell anaemia with crisis 0/386 (0%) 0 0/389 (0%) 0 1/387 (0.3%) 1 0/103 (0%) 0 0/105 (0%) 0 0/128 (0%) 0
    Gastrointestinal disorders
    Abdominal hernia 1/386 (0.3%) 1 0/389 (0%) 0 0/387 (0%) 0 0/103 (0%) 0 0/105 (0%) 0 0/128 (0%) 0
    Constipation 1/386 (0.3%) 1 0/389 (0%) 0 0/387 (0%) 0 1/103 (1%) 1 0/105 (0%) 0 0/128 (0%) 0
    Enterocolitis 0/386 (0%) 0 1/389 (0.3%) 1 0/387 (0%) 0 0/103 (0%) 0 0/105 (0%) 0 0/128 (0%) 0
    Gastric ulcer 1/386 (0.3%) 1 0/389 (0%) 0 0/387 (0%) 0 0/103 (0%) 0 0/105 (0%) 0 0/128 (0%) 0
    Gastritis 2/386 (0.5%) 2 1/389 (0.3%) 1 0/387 (0%) 0 0/103 (0%) 0 0/105 (0%) 0 0/128 (0%) 0
    Gastritis atrophic 0/386 (0%) 0 0/389 (0%) 0 1/387 (0.3%) 1 0/103 (0%) 0 0/105 (0%) 0 0/128 (0%) 0
    Gastrointestinal haemorrhage 1/386 (0.3%) 1 0/389 (0%) 0 0/387 (0%) 0 0/103 (0%) 0 0/105 (0%) 0 0/128 (0%) 0
    Gastrointestinal inflammation 1/386 (0.3%) 1 0/389 (0%) 0 0/387 (0%) 0 0/103 (0%) 0 0/105 (0%) 0 0/128 (0%) 0
    Gastrooesophageal reflux disease 0/386 (0%) 0 0/389 (0%) 0 1/387 (0.3%) 1 0/103 (0%) 0 0/105 (0%) 0 0/128 (0%) 0
    Obstruction gastric 1/386 (0.3%) 1 0/389 (0%) 0 0/387 (0%) 0 0/103 (0%) 0 0/105 (0%) 0 0/128 (0%) 0
    Pancreatitis 1/386 (0.3%) 1 1/389 (0.3%) 1 1/387 (0.3%) 1 0/103 (0%) 0 0/105 (0%) 0 0/128 (0%) 0
    Pancreatitis acute 0/386 (0%) 0 0/389 (0%) 0 1/387 (0.3%) 1 0/103 (0%) 0 0/105 (0%) 0 0/128 (0%) 0
    Rectal ulcer 0/386 (0%) 0 1/389 (0.3%) 1 0/387 (0%) 0 0/103 (0%) 0 0/105 (0%) 0 0/128 (0%) 0
    Varices oesophageal 0/386 (0%) 0 1/389 (0.3%) 1 0/387 (0%) 0 0/103 (0%) 0 0/105 (0%) 0 0/128 (0%) 0
    Vasculitis gastrointestinal 0/386 (0%) 0 0/389 (0%) 0 0/387 (0%) 0 0/103 (0%) 0 1/105 (1%) 1 0/128 (0%) 0
    Vomiting 1/386 (0.3%) 1 0/389 (0%) 0 1/387 (0.3%) 1 0/103 (0%) 0 0/105 (0%) 0 0/128 (0%) 0
    General disorders
    Death 0/386 (0%) 0 0/389 (0%) 0 1/387 (0.3%) 1 0/103 (0%) 0 0/105 (0%) 0 1/128 (0.8%) 1
    Generalised oedema 0/386 (0%) 0 0/389 (0%) 0 0/387 (0%) 0 0/103 (0%) 0 0/105 (0%) 0 1/128 (0.8%) 1
    Non-cardiac chest pain 0/386 (0%) 0 0/389 (0%) 0 2/387 (0.5%) 2 0/103 (0%) 0 0/105 (0%) 0 1/128 (0.8%) 1
    Pyrexia 0/386 (0%) 0 0/389 (0%) 0 0/387 (0%) 0 1/103 (1%) 1 0/105 (0%) 0 0/128 (0%) 0
    Hepatobiliary disorders
    Cholecystitis acute 1/386 (0.3%) 1 0/389 (0%) 0 0/387 (0%) 0 0/103 (0%) 0 0/105 (0%) 0 0/128 (0%) 0
    Cholelithiasis 0/386 (0%) 0 1/389 (0.3%) 1 0/387 (0%) 0 0/103 (0%) 0 0/105 (0%) 0 0/128 (0%) 0
    Hepatic steatosis 0/386 (0%) 0 1/389 (0.3%) 1 0/387 (0%) 0 0/103 (0%) 0 1/105 (1%) 1 0/128 (0%) 0
    Immune system disorders
    Type III immune complex mediated reaction 0/386 (0%) 0 0/389 (0%) 0 1/387 (0.3%) 1 0/103 (0%) 0 0/105 (0%) 0 0/128 (0%) 0
    Infections and infestations
    Abscess limb 0/386 (0%) 0 0/389 (0%) 0 1/387 (0.3%) 1 0/103 (0%) 0 0/105 (0%) 0 0/128 (0%) 0
    Appendicitis 2/386 (0.5%) 2 1/389 (0.3%) 1 0/387 (0%) 0 0/103 (0%) 0 0/105 (0%) 0 0/128 (0%) 0
    Arthritis bacterial 1/386 (0.3%) 1 0/389 (0%) 0 0/387 (0%) 0 1/103 (1%) 1 1/105 (1%) 1 0/128 (0%) 0
    Bronchitis 0/386 (0%) 0 1/389 (0.3%) 1 2/387 (0.5%) 2 0/103 (0%) 0 0/105 (0%) 0 0/128 (0%) 0
    Cellulitis 1/386 (0.3%) 1 2/389 (0.5%) 2 1/387 (0.3%) 2 1/103 (1%) 1 0/105 (0%) 0 0/128 (0%) 0
    Device related infection 0/386 (0%) 0 0/389 (0%) 0 0/387 (0%) 0 1/103 (1%) 1 0/105 (0%) 0 0/128 (0%) 0
    Disseminated tuberculosis 1/386 (0.3%) 1 0/389 (0%) 0 0/387 (0%) 0 0/103 (0%) 0 0/105 (0%) 0 0/128 (0%) 0
    Diverticulitis 0/386 (0%) 0 0/389 (0%) 0 1/387 (0.3%) 1 0/103 (0%) 0 0/105 (0%) 0 0/128 (0%) 0
    Gastroenteritis 0/386 (0%) 0 0/389 (0%) 0 1/387 (0.3%) 1 0/103 (0%) 0 0/105 (0%) 0 0/128 (0%) 0
    Gastroenteritis norovirus 0/386 (0%) 0 0/389 (0%) 0 0/387 (0%) 0 0/103 (0%) 0 0/105 (0%) 0 1/128 (0.8%) 1
    Gastroenteritis viral 0/386 (0%) 0 0/389 (0%) 0 1/387 (0.3%) 1 0/103 (0%) 0 0/105 (0%) 0 0/128 (0%) 0
    Haematoma infection 1/386 (0.3%) 1 0/389 (0%) 0 0/387 (0%) 0 0/103 (0%) 0 0/105 (0%) 0 0/128 (0%) 0
    Herpes zoster 0/386 (0%) 0 0/389 (0%) 0 1/387 (0.3%) 1 0/103 (0%) 0 0/105 (0%) 0 0/128 (0%) 0
    Infected skin ulcer 0/386 (0%) 0 0/389 (0%) 0 1/387 (0.3%) 1 0/103 (0%) 0 0/105 (0%) 0 0/128 (0%) 0
    Klebsiella bacteraemia 0/386 (0%) 0 0/389 (0%) 0 0/387 (0%) 0 0/103 (0%) 0 0/105 (0%) 0 1/128 (0.8%) 1
    Lung infection 0/386 (0%) 0 0/389 (0%) 0 0/387 (0%) 0 0/103 (0%) 0 1/105 (1%) 1 0/128 (0%) 0
    Mycobacterial infection 0/386 (0%) 0 0/389 (0%) 0 0/387 (0%) 0 1/103 (1%) 1 0/105 (0%) 0 0/128 (0%) 0
    Oral candidiasis 1/386 (0.3%) 1 0/389 (0%) 0 0/387 (0%) 0 0/103 (0%) 0 0/105 (0%) 0 0/128 (0%) 0
    Osteomyelitis 1/386 (0.3%) 1 1/389 (0.3%) 1 0/387 (0%) 0 0/103 (0%) 0 1/105 (1%) 1 0/128 (0%) 0
    Pancreas infection 0/386 (0%) 0 0/389 (0%) 0 0/387 (0%) 0 0/103 (0%) 0 0/105 (0%) 0 1/128 (0.8%) 1
    Parotitis 1/386 (0.3%) 1 0/389 (0%) 0 0/387 (0%) 0 0/103 (0%) 0 0/105 (0%) 0 0/128 (0%) 0
    Pharyngotonsillitis 0/386 (0%) 0 0/389 (0%) 0 1/387 (0.3%) 1 0/103 (0%) 0 0/105 (0%) 0 0/128 (0%) 0
    Pneumonia 5/386 (1.3%) 5 8/389 (2.1%) 9 4/387 (1%) 4 0/103 (0%) 0 2/105 (1.9%) 2 1/128 (0.8%) 1
    Pneumonia viral 0/386 (0%) 0 0/389 (0%) 0 0/387 (0%) 0 1/103 (1%) 1 0/105 (0%) 0 0/128 (0%) 0
    Post procedural infection 0/386 (0%) 0 1/389 (0.3%) 1 0/387 (0%) 0 0/103 (0%) 0 0/105 (0%) 0 0/128 (0%) 0
    Pyelonephritis 1/386 (0.3%) 1 0/389 (0%) 0 1/387 (0.3%) 1 0/103 (0%) 0 0/105 (0%) 0 0/128 (0%) 0
    Pyelonephritis acute 1/386 (0.3%) 1 1/389 (0.3%) 1 1/387 (0.3%) 1 0/103 (0%) 0 0/105 (0%) 0 0/128 (0%) 0
    Respiratory tract infection 0/386 (0%) 0 0/389 (0%) 0 1/387 (0.3%) 1 0/103 (0%) 0 0/105 (0%) 0 1/128 (0.8%) 1
    Salpingo-oophoritis 0/386 (0%) 0 0/389 (0%) 0 1/387 (0.3%) 1 0/103 (0%) 0 0/105 (0%) 0 0/128 (0%) 0
    Sepsis 1/386 (0.3%) 2 0/389 (0%) 0 0/387 (0%) 0 0/103 (0%) 0 1/105 (1%) 1 0/128 (0%) 0
    Sinusitis 1/386 (0.3%) 1 0/389 (0%) 0 0/387 (0%) 0 0/103 (0%) 0 0/105 (0%) 0 0/128 (0%) 0
    Sinusitis bacterial 0/386 (0%) 0 1/389 (0.3%) 1 0/387 (0%) 0 0/103 (0%) 0 0/105 (0%) 0 0/128 (0%) 0
    Staphylococcal bacteraemia 0/386 (0%) 0 0/389 (0%) 0 0/387 (0%) 0 0/103 (0%) 0 0/105 (0%) 0 1/128 (0.8%) 1
    Staphylococcal infection 1/386 (0.3%) 1 0/389 (0%) 0 0/387 (0%) 0 0/103 (0%) 0 0/105 (0%) 0 0/128 (0%) 0
    Staphylococcal skin infection 0/386 (0%) 0 0/389 (0%) 0 0/387 (0%) 0 1/103 (1%) 1 0/105 (0%) 0 0/128 (0%) 0
    Superinfection bacterial 0/386 (0%) 0 0/389 (0%) 0 1/387 (0.3%) 1 0/103 (0%) 0 0/105 (0%) 0 0/128 (0%) 0
    Tracheobronchitis 2/386 (0.5%) 2 0/389 (0%) 0 0/387 (0%) 0 0/103 (0%) 0 0/105 (0%) 0 0/128 (0%) 0
    Upper respiratory tract infection 3/386 (0.8%) 3 1/389 (0.3%) 1 0/387 (0%) 0 1/103 (1%) 1 0/105 (0%) 0 0/128 (0%) 0
    Urinary tract infection 7/386 (1.8%) 7 2/389 (0.5%) 2 1/387 (0.3%) 1 0/103 (0%) 0 0/105 (0%) 0 1/128 (0.8%) 1
    Viral infection 1/386 (0.3%) 1 1/389 (0.3%) 1 0/387 (0%) 0 0/103 (0%) 0 0/105 (0%) 0 0/128 (0%) 0
    Injury, poisoning and procedural complications
    Compression fracture 0/386 (0%) 0 1/389 (0.3%) 1 0/387 (0%) 0 0/103 (0%) 0 0/105 (0%) 0 0/128 (0%) 0
    Fall 0/386 (0%) 0 3/389 (0.8%) 3 0/387 (0%) 0 0/103 (0%) 0 1/105 (1%) 1 0/128 (0%) 0
    Foot fracture 0/386 (0%) 0 1/389 (0.3%) 1 0/387 (0%) 0 0/103 (0%) 0 1/105 (1%) 1 0/128 (0%) 0
    Humerus fracture 0/386 (0%) 0 1/389 (0.3%) 1 0/387 (0%) 0 0/103 (0%) 0 0/105 (0%) 0 0/128 (0%) 0
    Incisional hernia 0/386 (0%) 0 1/389 (0.3%) 1 0/387 (0%) 0 0/103 (0%) 0 0/105 (0%) 0 0/128 (0%) 0
    Medication error 1/386 (0.3%) 1 0/389 (0%) 0 0/387 (0%) 0 0/103 (0%) 0 0/105 (0%) 0 0/128 (0%) 0
    Overdose 0/386 (0%) 0 0/389 (0%) 0 1/387 (0.3%) 1 0/103 (0%) 0 0/105 (0%) 0 0/128 (0%) 0
    Radius fracture 0/386 (0%) 0 0/389 (0%) 0 0/387 (0%) 0 1/103 (1%) 1 0/105 (0%) 0 0/128 (0%) 0
    Spinal fracture 0/386 (0%) 0 0/389 (0%) 0 1/387 (0.3%) 1 0/103 (0%) 0 0/105 (0%) 0 0/128 (0%) 0
    Tendon rupture 1/386 (0.3%) 1 0/389 (0%) 0 0/387 (0%) 0 0/103 (0%) 0 0/105 (0%) 0 0/128 (0%) 0
    Thoracic vertebral fracture 0/386 (0%) 0 1/389 (0.3%) 1 0/387 (0%) 0 0/103 (0%) 0 0/105 (0%) 0 0/128 (0%) 0
    Toxicity to various agents 1/386 (0.3%) 1 0/389 (0%) 0 0/387 (0%) 0 0/103 (0%) 0 0/105 (0%) 0 0/128 (0%) 0
    Wrist fracture 0/386 (0%) 0 1/389 (0.3%) 1 0/387 (0%) 0 0/103 (0%) 0 0/105 (0%) 0 0/128 (0%) 0
    Investigations
    Haemoglobin decreased 1/386 (0.3%) 1 0/389 (0%) 0 0/387 (0%) 0 1/103 (1%) 1 0/105 (0%) 0 0/128 (0%) 0
    Weight increased 0/386 (0%) 0 0/389 (0%) 0 1/387 (0.3%) 1 0/103 (0%) 0 0/105 (0%) 0 0/128 (0%) 0
    Metabolism and nutrition disorders
    Diabetes mellitus inadequate control 0/386 (0%) 0 1/389 (0.3%) 1 0/387 (0%) 0 0/103 (0%) 0 0/105 (0%) 0 0/128 (0%) 0
    Fluid overload 0/386 (0%) 0 0/389 (0%) 0 0/387 (0%) 0 1/103 (1%) 1 0/105 (0%) 0 0/128 (0%) 0
    Hyponatraemia 1/386 (0.3%) 1 0/389 (0%) 0 0/387 (0%) 0 0/103 (0%) 0 0/105 (0%) 0 0/128 (0%) 0
    Musculoskeletal and connective tissue disorders
    Arthralgia 0/386 (0%) 0 1/389 (0.3%) 1 0/387 (0%) 0 0/103 (0%) 0 0/105 (0%) 0 0/128 (0%) 0
    Arthritis 0/386 (0%) 0 1/389 (0.3%) 1 0/387 (0%) 0 0/103 (0%) 0 0/105 (0%) 0 0/128 (0%) 0
    Cervical spinal stenosis 1/386 (0.3%) 1 0/389 (0%) 0 0/387 (0%) 0 0/103 (0%) 0 0/105 (0%) 0 0/128 (0%) 0
    Intervertebral disc degeneration 0/386 (0%) 0 2/389 (0.5%) 2 0/387 (0%) 0 0/103 (0%) 0 1/105 (1%) 1 0/128 (0%) 0
    Intervertebral disc protrusion 0/386 (0%) 0 1/389 (0.3%) 1 0/387 (0%) 0 0/103 (0%) 0 0/105 (0%) 0 0/128 (0%) 0
    Musculoskeletal chest pain 0/386 (0%) 0 2/389 (0.5%) 2 0/387 (0%) 0 0/103 (0%) 0 0/105 (0%) 0 0/128 (0%) 0
    Osteoarthritis 1/386 (0.3%) 1 1/389 (0.3%) 1 1/387 (0.3%) 1 0/103 (0%) 0 0/105 (0%) 0 0/128 (0%) 0
    Osteonecrosis 0/386 (0%) 0 1/389 (0.3%) 1 1/387 (0.3%) 1 0/103 (0%) 0 0/105 (0%) 0 1/128 (0.8%) 1
    Pain in extremity 0/386 (0%) 0 0/389 (0%) 0 0/387 (0%) 0 0/103 (0%) 0 1/105 (1%) 1 0/128 (0%) 0
    Polyarthritis 1/386 (0.3%) 1 0/389 (0%) 0 0/387 (0%) 0 0/103 (0%) 0 0/105 (0%) 0 0/128 (0%) 0
    SLE arthritis 0/386 (0%) 0 0/389 (0%) 0 0/387 (0%) 0 0/103 (0%) 0 0/105 (0%) 0 1/128 (0.8%) 1
    Systemic lupus erythematosus 2/386 (0.5%) 2 4/389 (1%) 4 5/387 (1.3%) 5 4/103 (3.9%) 4 1/105 (1%) 1 2/128 (1.6%) 3
    Tendon disorder 0/386 (0%) 0 1/389 (0.3%) 1 0/387 (0%) 0 0/103 (0%) 0 0/105 (0%) 0 0/128 (0%) 0
    Neoplasms benign, malignant and unspecified (incl cysts and polyps)
    Breast cancer 0/386 (0%) 0 0/389 (0%) 0 1/387 (0.3%) 1 0/103 (0%) 0 0/105 (0%) 0 1/128 (0.8%) 1
    Brenner tumour 1/386 (0.3%) 1 0/389 (0%) 0 0/387 (0%) 0 0/103 (0%) 0 0/105 (0%) 0 0/128 (0%) 0
    Haemangioma 0/386 (0%) 0 1/389 (0.3%) 1 0/387 (0%) 0 0/103 (0%) 0 0/105 (0%) 0 0/128 (0%) 0
    Intestinal adenocarcinoma 0/386 (0%) 0 0/389 (0%) 0 1/387 (0.3%) 1 0/103 (0%) 0 0/105 (0%) 0 0/128 (0%) 0
    Uterine leiomyoma 1/386 (0.3%) 1 0/389 (0%) 0 0/387 (0%) 0 0/103 (0%) 0 0/105 (0%) 0 0/128 (0%) 0
    Nervous system disorders
    Central nervous system inflammation 0/386 (0%) 0 1/389 (0.3%) 1 0/387 (0%) 0 0/103 (0%) 0 0/105 (0%) 0 0/128 (0%) 0
    Cerebral venous thrombosis 0/386 (0%) 0 1/389 (0.3%) 1 0/387 (0%) 0 0/103 (0%) 0 0/105 (0%) 0 0/128 (0%) 0
    Cerebrovascular accident 0/386 (0%) 0 0/389 (0%) 0 1/387 (0.3%) 1 1/103 (1%) 1 1/105 (1%) 1 0/128 (0%) 0
    Convulsion 0/386 (0%) 0 0/389 (0%) 0 1/387 (0.3%) 1 0/103 (0%) 0 0/105 (0%) 0 0/128 (0%) 0
    Headache 0/386 (0%) 0 1/389 (0.3%) 1 0/387 (0%) 0 0/103 (0%) 0 0/105 (0%) 0 0/128 (0%) 0
    Ischaemic stroke 0/386 (0%) 0 1/389 (0.3%) 1 0/387 (0%) 0 0/103 (0%) 0 0/105 (0%) 0 0/128 (0%) 0
    Migraine 0/386 (0%) 0 1/389 (0.3%) 1 0/387 (0%) 0 0/103 (0%) 0 0/105 (0%) 0 0/128 (0%) 0
    Neuropsychiatric lupus 1/386 (0.3%) 1 0/389 (0%) 0 0/387 (0%) 0 1/103 (1%) 1 1/105 (1%) 1 0/128 (0%) 0
    Radiculopathy 0/386 (0%) 0 0/389 (0%) 0 0/387 (0%) 0 0/103 (0%) 0 1/105 (1%) 1 0/128 (0%) 0
    Syncope 1/386 (0.3%) 1 0/389 (0%) 0 1/387 (0.3%) 1 0/103 (0%) 0 0/105 (0%) 0 0/128 (0%) 0
    Vasculitis cerebral 0/386 (0%) 0 1/389 (0.3%) 1 0/387 (0%) 0 0/103 (0%) 0 1/105 (1%) 1 0/128 (0%) 0
    Vertebrobasilar insufficiency 0/386 (0%) 0 0/389 (0%) 0 1/387 (0.3%) 1 0/103 (0%) 0 0/105 (0%) 0 0/128 (0%) 0
    Pregnancy, puerperium and perinatal conditions
    Abortion spontaneous 0/386 (0%) 0 0/389 (0%) 0 0/387 (0%) 0 0/103 (0%) 0 0/105 (0%) 0 1/128 (0.8%) 1
    Pre-eclampsia 0/386 (0%) 0 0/389 (0%) 0 0/387 (0%) 0 0/103 (0%) 0 0/105 (0%) 0 1/128 (0.8%) 1
    Psychiatric disorders
    Affect lability 1/386 (0.3%) 1 0/389 (0%) 0 0/387 (0%) 0 0/103 (0%) 0 0/105 (0%) 0 0/128 (0%) 0
    Affective disorder 0/386 (0%) 0 0/389 (0%) 0 1/387 (0.3%) 1 0/103 (0%) 0 0/105 (0%) 0 0/128 (0%) 0
    Anxiety 1/386 (0.3%) 1 0/389 (0%) 0 0/387 (0%) 0 0/103 (0%) 0 0/105 (0%) 0 0/128 (0%) 0
    Depression 0/386 (0%) 0 1/389 (0.3%) 1 0/387 (0%) 0 0/103 (0%) 0 1/105 (1%) 1 0/128 (0%) 0
    Generalised anxiety disorder 0/386 (0%) 0 0/389 (0%) 0 0/387 (0%) 0 0/103 (0%) 0 0/105 (0%) 0 1/128 (0.8%) 1
    Major depression 1/386 (0.3%) 1 0/389 (0%) 0 0/387 (0%) 0 0/103 (0%) 0 0/105 (0%) 0 0/128 (0%) 0
    Mental disorder due to a general medical condition 0/386 (0%) 0 1/389 (0.3%) 1 0/387 (0%) 0 0/103 (0%) 0 1/105 (1%) 1 0/128 (0%) 0
    Psychotic disorder 0/386 (0%) 0 0/389 (0%) 0 0/387 (0%) 0 0/103 (0%) 0 0/105 (0%) 0 1/128 (0.8%) 1
    Suicidal ideation 0/386 (0%) 0 0/389 (0%) 0 1/387 (0.3%) 1 0/103 (0%) 0 0/105 (0%) 0 0/128 (0%) 0
    Suicide attempt 0/386 (0%) 0 1/389 (0.3%) 1 1/387 (0.3%) 1 0/103 (0%) 0 0/105 (0%) 0 0/128 (0%) 0
    Renal and urinary disorders
    Calculus ureteric 0/386 (0%) 0 1/389 (0.3%) 1 0/387 (0%) 0 0/103 (0%) 0 0/105 (0%) 0 0/128 (0%) 0
    Glomerulonephritis proliferative 1/386 (0.3%) 1 0/389 (0%) 0 0/387 (0%) 0 1/103 (1%) 1 0/105 (0%) 0 0/128 (0%) 0
    Lupus cystitis 0/386 (0%) 0 1/389 (0.3%) 1 0/387 (0%) 0 0/103 (0%) 0 0/105 (0%) 0 0/128 (0%) 0
    Lupus nephritis 2/386 (0.5%) 2 1/389 (0.3%) 1 4/387 (1%) 4 3/103 (2.9%) 3 0/105 (0%) 0 7/128 (5.5%) 7
    Mesangioproliferative glomerulonephritis 1/386 (0.3%) 1 0/389 (0%) 0 0/387 (0%) 0 0/103 (0%) 0 0/105 (0%) 0 0/128 (0%) 0
    Nephrolithiasis 1/386 (0.3%) 1 0/389 (0%) 0 0/387 (0%) 0 0/103 (0%) 0 0/105 (0%) 0 0/128 (0%) 0
    Nephrotic syndrome 0/386 (0%) 0 0/389 (0%) 0 1/387 (0.3%) 1 0/103 (0%) 0 0/105 (0%) 0 1/128 (0.8%) 1
    Renal failure 1/386 (0.3%) 1 0/389 (0%) 0 0/387 (0%) 0 0/103 (0%) 0 0/105 (0%) 0 0/128 (0%) 0
    Renal failure acute 0/386 (0%) 0 1/389 (0.3%) 1 1/387 (0.3%) 1 0/103 (0%) 0 1/105 (1%) 1 0/128 (0%) 0
    Renal failure chronic 1/386 (0.3%) 1 0/389 (0%) 0 0/387 (0%) 0 0/103 (0%) 0 0/105 (0%) 0 0/128 (0%) 0
    Reproductive system and breast disorders
    Adenomyosis 0/386 (0%) 0 0/389 (0%) 0 0/387 (0%) 0 0/103 (0%) 0 1/105 (1%) 1 0/128 (0%) 0
    Ovarian cyst 1/386 (0.3%) 1 1/389 (0.3%) 1 0/387 (0%) 0 0/103 (0%) 0 1/105 (1%) 1 0/128 (0%) 0
    Ovarian cyst ruptured 1/386 (0.3%) 1 0/389 (0%) 0 0/387 (0%) 0 0/103 (0%) 0 0/105 (0%) 0 0/128 (0%) 0
    Pelvic pain 0/386 (0%) 0 1/389 (0.3%) 1 0/387 (0%) 0 0/103 (0%) 0 0/105 (0%) 0 0/128 (0%) 0
    Respiratory, thoracic and mediastinal disorders
    Asthma 0/386 (0%) 0 1/389 (0.3%) 1 0/387 (0%) 0 0/103 (0%) 0 0/105 (0%) 0 0/128 (0%) 0
    Atelectasis 0/386 (0%) 0 0/389 (0%) 0 0/387 (0%) 0 0/103 (0%) 0 0/105 (0%) 0 1/128 (0.8%) 1
    Chronic obstructive pulmonary disease 1/386 (0.3%) 1 1/389 (0.3%) 1 2/387 (0.5%) 2 0/103 (0%) 0 0/105 (0%) 0 0/128 (0%) 0
    Pleural effusion 1/386 (0.3%) 2 1/389 (0.3%) 1 2/387 (0.5%) 2 0/103 (0%) 0 0/105 (0%) 0 1/128 (0.8%) 1
    Pleuritic pain 0/386 (0%) 0 0/389 (0%) 0 0/387 (0%) 0 1/103 (1%) 1 0/105 (0%) 0 0/128 (0%) 0
    Pneumonitis 0/386 (0%) 0 0/389 (0%) 0 1/387 (0.3%) 1 0/103 (0%) 0 0/105 (0%) 0 1/128 (0.8%) 1
    Pulmonary embolism 1/386 (0.3%) 1 0/389 (0%) 0 1/387 (0.3%) 1 0/103 (0%) 0 0/105 (0%) 0 0/128 (0%) 0
    Respiratory failure 0/386 (0%) 0 1/389 (0.3%) 1 0/387 (0%) 0 0/103 (0%) 0 0/105 (0%) 0 0/128 (0%) 0
    Skin and subcutaneous tissue disorders
    Cutaneous lupus erythematosus 1/386 (0.3%) 1 0/389 (0%) 0 0/387 (0%) 0 0/103 (0%) 0 0/105 (0%) 0 0/128 (0%) 0
    Erythema multiforme 0/386 (0%) 0 0/389 (0%) 0 0/387 (0%) 0 1/103 (1%) 1 0/105 (0%) 0 0/128 (0%) 0
    Hypersensitivity vasculitis 0/386 (0%) 0 0/389 (0%) 0 1/387 (0.3%) 1 0/103 (0%) 0 0/105 (0%) 0 0/128 (0%) 0
    Systemic lupus erythematosus rash 0/386 (0%) 0 0/389 (0%) 0 0/387 (0%) 0 1/103 (1%) 1 0/105 (0%) 0 0/128 (0%) 0
    Surgical and medical procedures
    Female sterilisation 0/386 (0%) 0 0/389 (0%) 0 1/387 (0.3%) 1 0/103 (0%) 0 0/105 (0%) 0 0/128 (0%) 0
    Vascular disorders
    Deep vein thrombosis 0/386 (0%) 0 1/389 (0.3%) 1 0/387 (0%) 0 0/103 (0%) 0 0/105 (0%) 0 0/128 (0%) 0
    Femoral artery occlusion 0/386 (0%) 0 1/389 (0.3%) 1 0/387 (0%) 0 0/103 (0%) 0 0/105 (0%) 0 0/128 (0%) 0
    Haematoma 0/386 (0%) 0 0/389 (0%) 0 0/387 (0%) 0 0/103 (0%) 0 0/105 (0%) 0 1/128 (0.8%) 1
    Hypertension 2/386 (0.5%) 2 0/389 (0%) 0 0/387 (0%) 0 0/103 (0%) 0 0/105 (0%) 0 0/128 (0%) 0
    Thrombosis 0/386 (0%) 0 0/389 (0%) 0 0/387 (0%) 0 0/103 (0%) 0 0/105 (0%) 0 1/128 (0.8%) 1
    Other (Not Including Serious) Adverse Events
    LY2127399 Every 2 Weeks LY2127399 Every 4 Wks Placebo LY2127399 Every 2 Weeks, Follow Up LY2127399 Every 4 Wks, Follow Up Placebo, Follow Up
    Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events
    Total 250/386 (64.8%) 243/389 (62.5%) 246/387 (63.6%) 13/103 (12.6%) 11/105 (10.5%) 13/128 (10.2%)
    Eye disorders
    Dry eye 8/386 (2.1%) 8 3/389 (0.8%) 3 1/387 (0.3%) 1 0/103 (0%) 0 0/105 (0%) 0 0/128 (0%) 0
    Gastrointestinal disorders
    Abdominal pain 8/386 (2.1%) 8 12/389 (3.1%) 14 12/387 (3.1%) 12 0/103 (0%) 0 0/105 (0%) 0 0/128 (0%) 0
    Abdominal pain upper 10/386 (2.6%) 11 11/389 (2.8%) 12 11/387 (2.8%) 11 0/103 (0%) 0 0/105 (0%) 0 0/128 (0%) 0
    Constipation 11/386 (2.8%) 11 7/389 (1.8%) 7 11/387 (2.8%) 11 0/103 (0%) 0 0/105 (0%) 0 0/128 (0%) 0
    Diarrhoea 22/386 (5.7%) 26 29/389 (7.5%) 33 23/387 (5.9%) 30 0/103 (0%) 0 0/105 (0%) 0 0/128 (0%) 0
    Dyspepsia 8/386 (2.1%) 9 8/389 (2.1%) 8 10/387 (2.6%) 17 0/103 (0%) 0 0/105 (0%) 0 0/128 (0%) 0
    Gastritis 12/386 (3.1%) 13 6/389 (1.5%) 6 7/387 (1.8%) 7 0/103 (0%) 0 0/105 (0%) 0 0/128 (0%) 0
    Gastrooesophageal reflux disease 11/386 (2.8%) 11 7/389 (1.8%) 7 7/387 (1.8%) 9 0/103 (0%) 0 0/105 (0%) 0 0/128 (0%) 0
    Nausea 17/386 (4.4%) 19 31/389 (8%) 42 21/387 (5.4%) 24 0/103 (0%) 0 0/105 (0%) 0 0/128 (0%) 0
    Vomiting 16/386 (4.1%) 19 14/389 (3.6%) 17 11/387 (2.8%) 12 0/103 (0%) 0 0/105 (0%) 0 0/128 (0%) 0
    General disorders
    Fatigue 10/386 (2.6%) 12 15/389 (3.9%) 16 10/387 (2.6%) 11 0/103 (0%) 0 0/105 (0%) 0 0/128 (0%) 0
    Injection site reaction 11/386 (2.8%) 17 7/389 (1.8%) 10 6/387 (1.6%) 8 0/103 (0%) 0 0/105 (0%) 0 0/128 (0%) 0
    Oedema peripheral 11/386 (2.8%) 11 8/389 (2.1%) 9 10/387 (2.6%) 11 0/103 (0%) 0 0/105 (0%) 0 0/128 (0%) 0
    Pyrexia 8/386 (2.1%) 9 10/389 (2.6%) 14 8/387 (2.1%) 16 0/103 (0%) 0 0/105 (0%) 0 0/128 (0%) 0
    Infections and infestations
    Bronchitis 15/386 (3.9%) 18 19/389 (4.9%) 19 17/387 (4.4%) 19 0/103 (0%) 0 0/105 (0%) 0 0/128 (0%) 0
    Conjunctivitis 9/386 (2.3%) 11 8/389 (2.1%) 10 6/387 (1.6%) 6 0/103 (0%) 0 0/105 (0%) 0 0/128 (0%) 0
    Cystitis 4/386 (1%) 5 8/389 (2.1%) 8 9/387 (2.3%) 10 0/103 (0%) 0 0/105 (0%) 0 0/128 (0%) 0
    Gastroenteritis 10/386 (2.6%) 11 9/389 (2.3%) 10 11/387 (2.8%) 12 0/103 (0%) 0 0/105 (0%) 0 0/128 (0%) 0
    Herpes zoster 13/386 (3.4%) 13 4/389 (1%) 5 9/387 (2.3%) 9 1/103 (1%) 1 2/105 (1.9%) 2 3/128 (2.3%) 3
    Influenza 9/386 (2.3%) 10 5/389 (1.3%) 5 6/387 (1.6%) 6 0/103 (0%) 0 0/105 (0%) 0 0/128 (0%) 0
    Nasopharyngitis 29/386 (7.5%) 46 33/389 (8.5%) 35 37/387 (9.6%) 48 3/103 (2.9%) 3 0/105 (0%) 0 1/128 (0.8%) 1
    Oral candidiasis 6/386 (1.6%) 7 3/389 (0.8%) 3 8/387 (2.1%) 9 0/103 (0%) 0 0/105 (0%) 0 0/128 (0%) 0
    Pharyngitis 13/386 (3.4%) 17 18/389 (4.6%) 19 14/387 (3.6%) 18 0/103 (0%) 0 0/105 (0%) 0 0/128 (0%) 0
    Sinusitis 16/386 (4.1%) 22 15/389 (3.9%) 16 11/387 (2.8%) 11 0/103 (0%) 0 0/105 (0%) 0 0/128 (0%) 0
    Upper respiratory tract infection 55/386 (14.2%) 86 41/389 (10.5%) 55 51/387 (13.2%) 72 3/103 (2.9%) 3 3/105 (2.9%) 3 4/128 (3.1%) 4
    Urinary tract infection 68/386 (17.6%) 100 52/389 (13.4%) 76 51/387 (13.2%) 77 6/103 (5.8%) 6 2/105 (1.9%) 2 4/128 (3.1%) 4
    Vulvovaginal mycotic infection 7/386 (1.8%) 7 9/389 (2.3%) 12 8/387 (2.1%) 11 0/103 (0%) 0 0/105 (0%) 0 0/128 (0%) 0
    Metabolism and nutrition disorders
    Hypertriglyceridaemia 8/386 (2.1%) 9 4/389 (1%) 5 2/387 (0.5%) 2 0/103 (0%) 0 0/105 (0%) 0 0/128 (0%) 0
    Hypokalaemia 9/386 (2.3%) 11 1/389 (0.3%) 1 3/387 (0.8%) 4 0/103 (0%) 0 0/105 (0%) 0 0/128 (0%) 0
    Musculoskeletal and connective tissue disorders
    Arthralgia 14/386 (3.6%) 15 15/389 (3.9%) 17 11/387 (2.8%) 14 0/103 (0%) 0 0/105 (0%) 0 0/128 (0%) 0
    Back pain 15/386 (3.9%) 15 28/389 (7.2%) 30 19/387 (4.9%) 24 0/103 (0%) 0 0/105 (0%) 0 0/128 (0%) 0
    Muscle spasms 4/386 (1%) 5 8/389 (2.1%) 8 7/387 (1.8%) 7 0/103 (0%) 0 0/105 (0%) 0 0/128 (0%) 0
    Musculoskeletal chest pain 2/386 (0.5%) 2 8/389 (2.1%) 8 8/387 (2.1%) 8 0/103 (0%) 0 0/105 (0%) 0 0/128 (0%) 0
    Musculoskeletal pain 1/386 (0.3%) 1 6/389 (1.5%) 6 10/387 (2.6%) 12 0/103 (0%) 0 0/105 (0%) 0 0/128 (0%) 0
    Myalgia 9/386 (2.3%) 11 6/389 (1.5%) 6 9/387 (2.3%) 9 0/103 (0%) 0 0/105 (0%) 0 0/128 (0%) 0
    Pain in extremity 7/386 (1.8%) 8 5/389 (1.3%) 7 8/387 (2.1%) 9 0/103 (0%) 0 0/105 (0%) 0 0/128 (0%) 0
    Nervous system disorders
    Dizziness 6/386 (1.6%) 6 19/389 (4.9%) 31 15/387 (3.9%) 15 0/103 (0%) 0 0/105 (0%) 0 0/128 (0%) 0
    Headache 34/386 (8.8%) 48 35/389 (9%) 56 45/387 (11.6%) 54 0/103 (0%) 0 3/105 (2.9%) 3 0/128 (0%) 0
    Pregnancy, puerperium and perinatal conditions
    Pregnancy 0/386 (0%) 0 0/389 (0%) 0 0/387 (0%) 0 0/103 (0%) 0 2/105 (1.9%) 2 1/128 (0.8%) 1
    Psychiatric disorders
    Anxiety 6/386 (1.6%) 7 8/389 (2.1%) 8 6/387 (1.6%) 7 0/103 (0%) 0 0/105 (0%) 0 0/128 (0%) 0
    Depression 7/386 (1.8%) 7 12/389 (3.1%) 13 12/387 (3.1%) 12 0/103 (0%) 0 0/105 (0%) 0 0/128 (0%) 0
    Insomnia 22/386 (5.7%) 22 17/389 (4.4%) 17 16/387 (4.1%) 17 0/103 (0%) 0 0/105 (0%) 0 0/128 (0%) 0
    Respiratory, thoracic and mediastinal disorders
    Cough 10/386 (2.6%) 11 12/389 (3.1%) 13 18/387 (4.7%) 18 0/103 (0%) 0 0/105 (0%) 0 0/128 (0%) 0
    Skin and subcutaneous tissue disorders
    Rash 5/386 (1.3%) 5 6/389 (1.5%) 6 10/387 (2.6%) 11 0/103 (0%) 0 0/105 (0%) 0 0/128 (0%) 0
    Vascular disorders
    Hypertension 14/386 (3.6%) 14 13/389 (3.3%) 13 20/387 (5.2%) 21 4/103 (3.9%) 4 0/105 (0%) 0 0/128 (0%) 0

    Limitations/Caveats

    Due to product program termination, not all analyses were completed.

    More Information

    Certain Agreements

    Principal Investigators are NOT employed by the organization sponsoring the study.

    The only disclosure restriction on the PI is that the sponsor can review results communications prior to public release and can embargo communications regarding trial results for a period that is more than 60 days but less than or equal to 180 days. The sponsor cannot require changes to the communication and cannot extend the embargo.

    Results Point of Contact

    Name/Title Chief Medical Officer
    Organization Eli Lilly and Company
    Phone 800-545-5979
    Email
    Responsible Party:
    Eli Lilly and Company
    ClinicalTrials.gov Identifier:
    NCT01196091
    Other Study ID Numbers:
    • 13656
    • H9B-MC -BCDS
    First Posted:
    Sep 8, 2010
    Last Update Posted:
    Jun 12, 2018
    Last Verified:
    Jun 1, 2018