Nipocalimab for adults with moderate to severe systemic lupus erythematosus
Official title: A Phase 3, Randomized, Double-blind, Placebo-controlled, Multicenter Study of Nipocalimab in Adults With Moderate to Severe Systemic Lupus Erythematosus
Run by Janssen Research & Development, LLC · NCT07438496 · Data updated 2026-11-12
This trial tests nipocalimab versus placebo in adults with moderate to severe lupus to see if it reduces disease activity and symptoms.
Quick facts
| Phase | Phase 3 |
|---|---|
| Study type | Interventional |
| Ages | 18 Years to 75 Years |
| Sex | All |
| Enrollment | 600 (estimated) |
| Sponsor | Janssen Research & Development, LLC Industry-sponsored |
| Drugs / interventions | nipocalimab |
| Locations | 272 sites (Beverly Hills, California and 271 other locations) |
| Status | Recruiting |
| Started | March 5, 2026 |
| Main results expected | December 6, 2028 |
| Study ends | November 7, 2031 |
| Registry record updated | November 3, 2026 |
| Trial ID | NCT07438496 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Adults with a confirmed diagnosis of SLE for ≥24 weeks who have active moderate-to-severe disease (meeting SLEDAI-2K and BILAG-2004 criteria) and are medically stable on standard-of-care therapy.
✕Probably not a fit
People with mild lupus, pregnant individuals, or those with unstable medical conditions or other exclusion criteria are unlikely to benefit from participation.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This Phase 3, randomized, placebo-controlled trial adds nipocalimab or matching placebo to participants' standard-of-care treatment to measure effects on disease activity and safety. Eligible adults must have a confirmed SLE diagnosis for at least 24 weeks and meet predefined SLEDAI-2K and BILAG-2004 activity thresholds at screening. Participants are monitored with clinical disease activity scores, routine labs, ECGs, and pregnancy testing for those of childbearing potential. The study is sponsored by Janssen Research & Development and is conducted at outpatient rheumatology sites in the United States.
Why it matters
Potential benefit: If successful, nipocalimab could reduce lupus flares and overall disease activity, leading to improved symptoms and quality of life for adults with moderate to severe SLE.
How similar studies have gone: Other biologic therapies for SLE, such as belimumab and anifrolumab, have demonstrated clinical benefit, while FcRn-targeting approaches like nipocalimab are a newer strategy with encouraging early data but limited phase 3 confirmation so far.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria:- * Medically stable on the basis of physical examination, medical history, vital signs and 12-lead electrocardiogram (ECG) performed at screening * Clinical diagnosis of systemic lupus erythematosus (SLE) for more than or equal to (\>=) 24 weeks prior to screening and meeting european league against rheumatism/american college of rheumatology (EULAR/ACR) classification criteria * Must have a systemic lupus erythematosus disease activity index 2000 (SLEDAI-2K) score \>= 6 and a clinical SLEDAI-2K \>= 4 at screening, AND a clinical SLEDAI-2K score \>= 4 points at Week 0. For eligibility, points attributed to "lupus headache," "alopecia," and "organic brain syndrome" are excluded * Participants of childbearing potential must have a negative serum beta human chorionic gonadotropin (β-hCG) test at screening and a negative urine (β- hCG) test at Week 0 prior to randomization * Has at least 1 BILAG-2004 A score or 2 BILAG-2004 B scores observed at screening Exclusion Criteria: * History of severe, progressive and/or uncontrolled hepatic, gastrointestinal, renal, pulmonary, cardiovascular, psychiatric, neurological or musculoskeletal disorder, hypertension, and/or any other medical or uncontrolled autoimmune disorder (s) or clinically significant abnormalities in screening laboratory * Any unstable or progressive manifestation of SLE that is likely to warrant escalation in therapy beyond permitted background medications * Confirmed or suspected clinical immunodeficiency syndrome not related to treatment of SLE or has a family history of congenital or hereditary immunodeficiency unless confirmed absent in the participant * Has shown a previous severe immediate hypersensitivity reaction, such as anaphylaxis, to therapeutic proteins * Suspected or known allergies, hypersensitivity, or intolerance to nipocalimab or its excipients, or excipients used in the placebo formulation
Where it's running
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David S Hallegua MD A Professional Corporation
Beverly Hills, California, United States Recruiting -
Southland Arthritis and Osteoporosis Medical Center Inc dba Southland Arthritis
Hemet, California, United States Recruiting -
Advanced Medical Research
La Palma, California, United States Recruiting -
Providence Medical Foundation
Mission Viejo, California, United States Recruiting -
Medvin Clinical Research San Leandro
San Leandro, California, United States Recruiting -
Lundquist Institute for Biomedical Innovation at Harbor-UCLA Medical Center
Torrance, California, United States Recruiting
Show 44 more locations
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Solace Clinical Research California
Tustin, California, United States Recruiting -
Inland Rheumatology Clinical Trials Inc.
Upland, California, United States Recruiting -
Denver Arthritis Clinic
Denver, Colorado, United States Recruiting -
Arthritis & Rheumatic Disease Specialties
Aventura, Florida, United States Recruiting -
Clinical Research of West Florida 1
Clearwater, Florida, United States Recruiting -
Avanti Clinical Research Corp
Hialeah, Florida, United States Recruiting -
LeJenue Research Associates PLLC
Miami, Florida, United States Recruiting -
Pro-Care Research Center, Corp.
Miami Gardens, Florida, United States Recruiting -
Integral Rheumatology And Immunology Specialists
Plantation, Florida, United States Recruiting -
Clinical Research of West Florida
Tampa, Florida, United States Recruiting -
Morehouse School of Medicine
Atlanta, Georgia, United States Recruiting -
Atlanta Research Center for Rheumatology
Marietta, Georgia, United States Recruiting -
Willow Rheumatology and Wellness PLLC
Willowbrook, Illinois, United States Recruiting -
Accurate Clinical Research, Inc.
Lake Charles, Louisiana, United States Recruiting -
Revive Research Institute
Sterling Heights, Michigan, United States Recruiting -
Rutgers New Jersey Medical School
Newark, New Jersey, United States Recruiting -
Arthritis Rheumatic And Back Disease Associates
Voorhees Township, New Jersey, United States Recruiting -
Joint and Muscle Research Institute
Charlotte, North Carolina, United States Recruiting -
DJL Clinical Research, PLLC
Charlotte, North Carolina, United States Recruiting -
Cross Creek Medical Clinic
Fayetteville, North Carolina, United States Recruiting -
Paramount Medical Research & Consulting
Middleburg Heights, Ohio, United States Recruiting -
Oklahoma Medical Research Foundation
Oklahoma City, Oklahoma, United States Recruiting -
Clinical Research Philadelphia
Philadelphia, Pennsylvania, United States Recruiting -
West Tennessee Research Institute
Jackson, Tennessee, United States Recruiting -
Amarillo Medical Specialists Rheumatology
Amarillo, Texas, United States Recruiting -
Amarillo Center for Clinical Research
Amarillo, Texas, United States Recruiting -
Arthritis and Rheumatology Research Institute
Frisco, Texas, United States Recruiting -
R and H Clinical Research
Katy, Texas, United States Recruiting -
Southwest Rheumatology Research LLC
Mesquite, Texas, United States Recruiting -
Texas Rheumatology Research Institute LLC
Plano, Texas, United States Recruiting -
Epic Medical Research 1
Red Oak, Texas, United States Recruiting -
Fort Bend Rheumatology Associates PLLC
Sugar Land, Texas, United States Recruiting -
Carilion Clinic Virginia Tech Carilion School of Medicine
Roanoke, Virginia, United States Recruiting -
ARCIS Salud SRL Aprillus asistencia e investigacion
Buenos Aires, Argentina Recruiting -
Centro Privado de Medicina Familiar
Buenos Aires, Argentina Recruiting -
Hospital Central Militar Cirujano Mayor Dr Cosme Argerich
Caba, Argentina Recruiting -
Centro de Investigacion en Enfermedades Reumaticas CIER
Ciudad de Buenos Aires, Argentina Recruiting -
Arsema
Ciudad de Buenos Aires, Argentina Recruiting -
Global Psy Asociacion Civil
La Plata, Argentina Recruiting -
Cer Instituto Medico
Quilmes, Argentina Recruiting -
Instituto de Investigaciones Clinicas Quilmes
Quilmes, Argentina Recruiting -
Sanatorio de la Mujer
Rosario, Argentina Recruiting -
MR Medicina Reumatologica
San Fernando, Argentina Recruiting -
Centro de Investigaciones Medicas Tucuman
San Miguel de Tucumán, Argentina Recruiting
+222 more sites. See ClinicalTrials.gov for the full list.
Study contacts
- Study coordinator: Study Contact
- Email: Participate-In-This-Study1@its.jnj.com
- Phone: 844-434-4210
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How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.