Anifrolumab to achieve LLDAS5 in people with systemic lupus erythematosus
Official title: DAHLIA: Achievement of Low Level of Disease Activity With a Dose of Corticosteroids Less Than or Equal to 5 mg (LLDAS5): a Real-life Study With Anifrolumab on Patients With Systemic Lupus Erythematosus in Italy
Run by AstraZeneca · NCT07330245 · Data updated 2026-11-12
This study tests whether anifrolumab helps people with systemic lupus erythematosus reach and keep low disease activity while staying on 5 mg/day or less of corticosteroids.
Quick facts
| Study type | Observational |
|---|---|
| Sex | All |
| Enrollment | 218 (estimated) |
| Sponsor | AstraZeneca Industry-sponsored |
| Drugs / interventions | anifrolumab, cyclophosphamide |
| Locations | 22 sites (Monserrato, CA and 21 other locations) |
| Status | Recruiting |
| Started | December 31, 2025 |
| Main results expected | September 30, 2028 |
| Study ends | September 30, 2028 |
| Registry record updated | September 21, 2026 |
| Trial ID | NCT07330245 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Adults (18+) with SLE meeting the 2019 EULAR/ACR criteria who are being prescribed anifrolumab for the first time and are not already in LLDAS5.
✕Probably not a fit
Patients with prior anifrolumab exposure, those already in LLDAS5, or those with severe/rapidly progressive Class III/IV nephritis, isolated Class V nephritis, or active severe neuropsychiatric lupus are unlikely to be eligible or to benefit from this observational program.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This is a prospective, multicenter observational study in Italy following adults with SLE who are starting anifrolumab per the approved label. The study will record whether patients achieve and maintain Lupus Low Disease Activity State with prednisone (or equivalent) ≤5 mg/day (LLDAS5) and will capture corticosteroid tapering strategies used in routine care. Investigators will also record DORIS remission status and changes in depressive symptoms over the study period. Patients already in LLDAS5, with prior anifrolumab exposure, or with certain severe active organ manifestations are excluded.
Why it matters
Potential benefit: If successful, the study could show that anifrolumab helps more patients reach and sustain low disease activity with lower steroid doses, potentially reducing steroid-related harms.
How similar studies have gone: Randomized trials of anifrolumab (e.g., the TULIP programs) showed reductions in disease activity and steroid use, and emerging real-world evidence is beginning to support these findings.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * Provided informed consent to participate in the study; * Aged 18 years or older; * Fulfilled the 2019 EULAR/ACR classification criteria for SLE at the time of study entry; * Prescribed anifrolumab for SLE treatment for the first time, according to the approved Italian label and reimbursement criteria; Exclusion Criteria: * Patients who are at LLDAS5 at the time of study entry; * Previous exposure to anifrolumab; * Documented diagnosis of severe or rapidly progressive Class III or IV glomerulonephritis requiring induction therapy \[mycophenolate mofetil (MMF)/cyclophosphamide (CYC) + high dose steroids\], isolated Class V lupus nephritis, or active severe or unstable neuropsychiatric lupus * Currently participating in any interventional clinical trial with an investigational product; * Inability to understand and sign the informed consent and to fill in patient questionnaires
Where it's running
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Azienda Ospedaliero-Universitaria di Cagliari Presidio di Monserrato
Monserrato, Ca, Italy Recruiting -
Azienda Ospedaliero-Universitaria di Ferrara Arcispedale Sant'Anna
Cona, Ferrara, Italy Recruiting -
IRCCS Casa Sollievo della Sofferenza
San Giovanni Rotondo, Foggia, Italy Recruiting -
IRCCS Humanitas Research Hospital
Rozzano, Milano, Italy Recruiting -
AOU Ospedali Riuniti di Ancona - Presidio Torrette
Ancona, Italy Recruiting -
ASST Spedali Civili di Brescia
Brescia, Italy Recruiting
Show 16 more locations
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Azienda Ospedaliero-Universitaria Careggi
Florence, Italy Recruiting -
Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico
Milan, Italy Recruiting -
Azienda Ospedaliera Universitaria Policlinico "Paolo Giaccone"
Palermo, Italy Recruiting -
Fondazione IRCCS Policlinico San Matteo
Pavia, Italy Recruiting -
Policlinico Umberto I - Sapienza Università di Roma
Roma, Italy Recruiting -
Azienda Sanitaria Universitaria Giuliano Isontina (ASU GI) - Ospedale di Cattinara
Trieste, Italy Recruiting -
ASU Friuli Centrale - Ospedale Santa Maria della Misericordia di Udine
Udine, Italy Recruiting -
AOUI Verona - Ospedale Borgo Roma
Verona, Italy Recruiting -
Azienda Ospedaliero-Universitaria Policlinico di Bari
Bari, Italy Withdrawn -
IRCCS Ospedale San Raffaele
Milan, Italy Not yet recruiting -
Policlinico di Modena - AOU di Modena
Modena, Italy Not yet recruiting -
Azienda Ospedaliera Universitaria "Luigi Vanvitelli"
Naples, Italy Not yet recruiting -
Azienda Ospedaliera di Padova
Padova, Italy Not yet recruiting -
Azienda Ospedaliero-Universitaria Pisana Ospedale Santa Chiara
Pisa, Italy Not yet recruiting -
Policlinico Tor Vergata
Roma, Italy Not yet recruiting -
Azienda Ospedaliera Ordine Mauriziano Umberto I
Torino, Italy Not yet recruiting
Study contacts
- Study coordinator: AstraZeneca Clinical Study Information Center
- Email: information.center@astrazeneca.com
- Phone: 1-877-240-9479
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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.