Clinical trial Recruiting at 14 sites Observational

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.

More Lupus Erythematosus, Systemic trials

Quick facts

Study typeObservational
SexAll
Enrollment218 (estimated)
SponsorAstraZeneca
Industry-sponsored
Drugs / interventionsanifrolumab, cyclophosphamide
Locations22 sites (Monserrato, CA and 21 other locations)
StatusRecruiting
StartedDecember 31, 2025
Main results expectedSeptember 30, 2028
Study endsSeptember 30, 2028
Registry record updatedSeptember 21, 2026
Trial IDNCT07330245 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

  • 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
  • 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

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.