Clinical trial Recruiting at 270 sites Phase 3 Interventional Ages 18 to 75

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

PhasePhase 3
Study typeInterventional
Ages18 Years to 75 Years
SexAll
Enrollment600 (estimated)
SponsorJanssen Research & Development, LLC
Industry-sponsored
Drugs / interventionsnipocalimab
Locations272 sites (Beverly Hills, California and 271 other locations)
StatusRecruiting
StartedMarch 5, 2026
Main results expectedDecember 6, 2028
Study endsNovember 7, 2031
Registry record updatedNovember 3, 2026
Trial IDNCT07438496 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

  • 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
  • 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

Similar studies

Other studies for the same condition or treatment. Recruiting studies are listed first.

How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.