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    Clinical Trial Results:
    A Monocenter, Open Label Study to Evaluate the Safety and Efficacy of Daratumumab in Combination with Standard Background Therapy in Participants with Moderate to Severe Systemic Lupus Erythematosus

    Summary
    EudraCT number
    2021-000962-14
    Trial protocol
    DE  
    Global end of trial date
    25 Jul 2024

    Results information
    Results version number
    v1(current)
    This version publication date
    10 Apr 2026
    First version publication date
    10 Apr 2026
    Other versions

    Trial information

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    Trial identification
    Sponsor protocol code
    CCM-RNT-202101
    Additional study identifiers
    ISRCTN number
    -
    US NCT number
    NCT04810754
    WHO universal trial number (UTN)
    -
    Sponsors
    Sponsor organisation name
    Charitè - Universitätsmedizin Berlin
    Sponsor organisation address
    Charitéplatz 1, Berlin, Germany, 10117
    Public contact
    Rheumatologie - Studienabteilung, Charité - Universitätsmedizin Berlin, 0049 (0)30450513025, rheumastudien@charite.de
    Scientific contact
    Rheumatologie - Studienabteilung, Charité - Universitätsmedizin Berlin, 0049 (0)30450513025, rheumastudien@charite.de
    Paediatric regulatory details
    Is trial part of an agreed paediatric investigation plan (PIP)
    No
    Does article 45 of REGULATION (EC) No 1901/2006 apply to this trial?
    No
    Does article 46 of REGULATION (EC) No 1901/2006 apply to this trial?
    No
    Results analysis stage
    Analysis stage
    Final
    Date of interim/final analysis
    11 Aug 2025
    Is this the analysis of the primary completion data?
    Yes
    Primary completion date
    25 Jul 2024
    Global end of trial reached?
    Yes
    Global end of trial date
    25 Jul 2024
    Was the trial ended prematurely?
    No
    General information about the trial
    Main objective of the trial
    The primary objective of this study is to evaluate whether treatment with eight weekly subcutaneous injections of daratumumab is associated with a reduction of pathogenic serum anti-dsDNA antibodies in patients with moderate to severe SLE. Primary objective of the LTE observational period ist to evaluate of the long-term safety of daratumumab, previously administered in the core study period, for the treatment of SLE;
    Protection of trial subjects
    The study was conducted in accordance with the principles of the Declaration of Helsinki.
    Background therapy
    -
    Evidence for comparator
    -
    Actual start date of recruitment
    02 Aug 2021
    Long term follow-up planned
    No
    Independent data monitoring committee (IDMC) involvement?
    No
    Population of trial subjects
    Number of subjects enrolled per country
    Country: Number of subjects enrolled
    Germany: 10
    Worldwide total number of subjects
    10
    EEA total number of subjects
    10
    Number of subjects enrolled per age group
    In utero
    0
    Preterm newborn - gestational age < 37 wk
    0
    Newborns (0-27 days)
    0
    Infants and toddlers (28 days-23 months)
    0
    Children (2-11 years)
    0
    Adolescents (12-17 years)
    0
    Adults (18-64 years)
    10
    From 65 to 84 years
    0
    85 years and over
    0

    Subject disposition

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    Recruitment
    Recruitment details
    Ten patients were enrolled between August 2021 and January 2023 at one site in Germany

    Pre-assignment
    Screening details
    10 Patients with elevated anti -dsDNA antibodies in serum and active Systemic Lupus Erythematosus disease were screened an enrolled.

    Period 1
    Period 1 title
    overall trial (overall period)
    Is this the baseline period?
    Yes
    Allocation method
    Not applicable
    Blinding used
    Not blinded
    Blinding implementation details
    This was a single-arm, open-label, phase 2 clinical trial.

    Arms
    Arm title
    Daratumumab
    Arm description
    single-arm, open-label,
    Arm type
    Experimental

    Investigational medicinal product name
    Daratumumab
    Investigational medicinal product code
    JNJ-54767414
    Other name
    Darzalex, EU/3/13/1153
    Pharmaceutical forms
    Solution for injection
    Routes of administration
    Subcutaneous use
    Dosage and administration details
    Patients received eight subcutaneous injections of 1800 mg daratumumab weekly, with dexamethasone as premedication (20mg for first two injections, then 10 mg)

    Number of subjects in period 1
    Daratumumab
    Started
    10
    Completed
    10

    Baseline characteristics

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    Baseline characteristics reporting groups
    Reporting group title
    overall trial
    Reporting group description
    -

    Reporting group values
    overall trial Total
    Number of subjects
    10 10
    Age categorical
    Units: Subjects
        Adults (18-64 years)
    10 10
    Age continuous
    Units: years
        median (full range (min-max))
    38 (24 to 43) -
    Gender categorical
    Units: Subjects
        Female
    10 10
        Male
    0 0

    End points

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    End points reporting groups
    Reporting group title
    Daratumumab
    Reporting group description
    single-arm, open-label,

    Primary: change anti-dsDNA level

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    End point title
    change anti-dsDNA level [1]
    End point description
    End point type
    Primary
    End point timeframe
    from baseline to week 12
    Notes
    [1] - No statistical analyses have been specified for this primary end point. It is expected there is at least one statistical analysis for each primary end point.
    Justification: The primary and secondary outcome measures were analysed according to the intention-to-treat principle. For the primary endpoint analysis, the median is reported for anti-dsDNA antibody titres at baseline and at week 12. The change between the two assess ments was analysed using the non-parametric Wilcoxon signed-rank test and the median difference with 95% CI estimate were calculated.For the immunological data, the Chi-Squared test, Kruskal-Wallis test with Dunn’s test were computed, (charts)
    End point values
    Daratumumab
    Number of subjects analysed
    10
    Units: IU/ml
        median (confidence interval 95%)
    109.6 (38.1 to 274.5)
    Attachments
    primary and secondary endpoints
    No statistical analyses for this end point

    Adverse events

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    Adverse events information
    Timeframe for reporting adverse events
    overall trial
    Assessment type
    Systematic
    Dictionary used for adverse event reporting
    Dictionary name
    MedDRA
    Dictionary version
    21
    Reporting groups
    Reporting group title
    Daratumumab
    Reporting group description
    -

    Serious adverse events
    Daratumumab
    Total subjects affected by serious adverse events
         subjects affected / exposed
    0 / 10 (0.00%)
         number of deaths (all causes)
    0
         number of deaths resulting from adverse events
    0
    Frequency threshold for reporting non-serious adverse events: 1%
    Non-serious adverse events
    Daratumumab
    Total subjects affected by non serious adverse events
         subjects affected / exposed
    9 / 10 (90.00%)
    Nervous system disorders
    Headache
         subjects affected / exposed
    4 / 10 (40.00%)
         occurrences all number
    5
    Blood and lymphatic system disorders
    Immunoglobulin G<5g/L
         subjects affected / exposed
    5 / 10 (50.00%)
         occurrences all number
    10
    General disorders and administration site conditions
    Injection related reaction
         subjects affected / exposed
    3 / 10 (30.00%)
         occurrences all number
    12
    Fatigue
         subjects affected / exposed
    3 / 10 (30.00%)
         occurrences all number
    3
    flu like symptoms
         subjects affected / exposed
    2 / 10 (20.00%)
         occurrences all number
    2
    Hot flush
         subjects affected / exposed
    1 / 10 (10.00%)
         occurrences all number
    1
    Gastrointestinal disorders
    Nausea
         subjects affected / exposed
    4 / 10 (40.00%)
         occurrences all number
    8
    Diarrhoea
         subjects affected / exposed
    3 / 10 (30.00%)
         occurrences all number
    6
    Abdominal pain
         subjects affected / exposed
    2 / 10 (20.00%)
         occurrences all number
    2
    Respiratory, thoracic and mediastinal disorders
    Dyspnoea
         subjects affected / exposed
    1 / 10 (10.00%)
         occurrences all number
    1
    Skin and subcutaneous tissue disorders
    Pityriaisis rosae
         subjects affected / exposed
    1 / 10 (10.00%)
         occurrences all number
    1
    Musculoskeletal and connective tissue disorders
    Back pain
         subjects affected / exposed
    2 / 10 (20.00%)
         occurrences all number
    2
    Infections and infestations
    Upper respiratory tract infection
    Additional description: = Nasopharyngitis, Bronchitis, Sinusitis
         subjects affected / exposed
    8 / 10 (80.00%)
         occurrences all number
    13
    COVID-19
         subjects affected / exposed
    3 / 10 (30.00%)
         occurrences all number
    3
    Herpes zoster
         subjects affected / exposed
    2 / 10 (20.00%)
         occurrences all number
    2
    Oral herpes
         subjects affected / exposed
    1 / 10 (10.00%)
         occurrences all number
    1
    Bacteriuria
         subjects affected / exposed
    1 / 10 (10.00%)
         occurrences all number
    1
    Urinary tract infection
         subjects affected / exposed
    1 / 10 (10.00%)
         occurrences all number
    2
    Gastroenteritis
         subjects affected / exposed
    3 / 10 (30.00%)
         occurrences all number
    3

    More information

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    Substantial protocol amendments (globally)

    Were there any global substantial amendments to the protocol? No

    Interruptions (globally)

    Were there any global interruptions to the trial? No

    Limitations and caveats

    Limitations of the trial such as small numbers of subjects analysed or technical problems leading to unreliable data.
    None reported

    Online references

    http://www.ncbi.nlm.nih.gov/pubmed/10427415
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    The status and protocol content of GB trials is no longer updated since 1 January 2021. For the UK, as of 31 January 2021, EU Law applies only to the territory of Northern Ireland (NI) to the extent foreseen in the Protocol on Ireland/NI. Legal notice
    As of 31 January 2023, all EU/EEA initial clinical trial applications must be submitted through CTIS . Updated EudraCT trials information and information on PIP/Art 46 trials conducted exclusively in third countries continues to be submitted through EudraCT and published on this website.

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