Investigating outcomes in mothers and infants using Anifrolumab
Official title: PRIMULA Lac (Prospective Registry Investigating Maternal, Infant, and Lactation Outcomes in Anifrolumab Users): The AstraZeneca Lactation Study for Anifrolumab
Run by AstraZeneca · NCT06594068 · Data updated 2026-11-12
This study is testing whether Anifrolumab, a medication for lupus, shows up in breast milk and affects breastfeeding mothers and their infants.
Quick facts
| Phase | Phase 4 |
|---|---|
| Study type | Interventional |
| Ages | 18 Years to 130 Years |
| Sex | Women only |
| Enrollment | 16 (estimated) |
| Sponsor | AstraZeneca Industry-sponsored |
| Drugs / interventions | anifrolumab |
| Locations | 1 site (Las Vegas, Nevada) |
| Status | Recruiting |
| Started | January 16, 2026 |
| Main results expected | August 31, 2027 |
| Study ends | August 31, 2027 |
| Registry record updated | September 16, 2026 |
| Trial ID | NCT06594068 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Ideal candidates for this study are lactating women aged 18 and older who are receiving Anifrolumab for moderate to severe systemic lupus erythematosus.
✕Probably not a fit
Patients who are not currently breastfeeding or who are not receiving Anifrolumab therapeutically may not benefit from this study.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This study is a prospective registry designed to assess the presence of Anifrolumab in breast milk and serum among lactating individuals receiving the medication for systemic lupus erythematosus. It involves open enrollment and will collect data at multiple timepoints, including maternal serum and breast milk samples, as well as infant serum samples. The study aims to evaluate the exposure of breastfed infants to Anifrolumab and monitor any adverse events in both mothers and infants during the study period.
Why it matters
Potential benefit: If successful, this study could provide critical information on the safety and effects of Anifrolumab during breastfeeding, helping to guide treatment decisions for lactating mothers with systemic lupus erythematosus.
How similar studies have gone: While this study is part of post-marketing requirements, similar studies investigating drug exposure in breastfeeding have shown success in providing valuable safety data.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: Maternal: 1. 18 years or older 2. Signed informed consent to participate 3. Diagnosis of moderate/severe SLE 4. Ongoing treatment with anifrolumab 5. Has reached or will reach steady state (\~85 days postpartum, equivalent to at least 3 consecutive previous IV doses or at least 12 previous SC doses during the post-partum period) with anifrolumab by the time of study Day 1 (pre-dose milk collection) 6. Established lactation in the index post-partum period (breastfeeding or pumping for at least 4 weeks at time of Day 1 visit to ensure mature milk production) 7. Willing to breastfeed or pump regularly during the study period to maintain milk supply and exclusively pump breast milk for the 24-hour period of breast milk collection on Day 1 post IV dose 8. Plans to continue feeding infant breast milk at least throughout the duration of the study and is not weaning 9. Must be exclusively breast milk-feeding their infant (or if not exclusively breast milk-feeding, not providing more than 1 supplemental bottle of formula per day) at the time of enrollment and throughout the study period 10. Agrees to use only lanolin nipple cream during the sampling period Infant: 1. Gestational age at delivery ≥32 weeks 2. Birthweight \> 10th percentile 3. Weight \> 10th percentile at the time of enrollment Exclusion Criteria: Maternal: 1. Received any investigational compound or approved biologic or biosimilar within 30 days or 5 half-lives (whichever is longer) prior to enrollment in the study 2. Diagnosis of lupus nephritis in the last 12 months 3. History of breast implants, breast augmentation, or breast reduction surgery that significantly impacts breastfeeding or collection of milk from 1 or both breasts 4. History of malignancy in the last 10 years 5. History of mastectomy 6. Evidence of mastitis or any other significant active infection at Day 1 (pre-dose) Infant: 1\. Any abnormality noted or clinically significant medical condition, including cardiac, pulmonary, and liver disease, glucose instability, or active infection at the time of screening that, in the opinion of the investigator, may make implementation of the protocol or interpretation of the trial difficult or would put the infant participant at risk by participating in the study
Where it's running
-
Research Site
Las Vegas, Nevada, United States Recruiting
Study contacts
- Principal investigator: Darin Brimhall, MD — PPD, Las Vegas, US
- Study coordinator: AstraZeneca Clinical Study Information Center
- Email: information.center@astrazeneca.com
- Phone: 1-877-240-9479
Similar studies
Other studies for the same condition or treatment. Recruiting studies are listed first.
-
Effects of anifrolumab on arterial inflammation in SLE patients
This study tests whether anifrolumab can reduce blood vessel inflammation in people with active systemic lupus erythematosus.
-
Subcutaneous anifrolumab in children with systemic lupus erythematosus
This study tests whether subcutaneous anifrolumab is safe and how it behaves in the body for kids with moderate to severe SLE already on standard care.
-
Weekly subcutaneous anifrolumab added to antimalarial for people with lupus who are immunosuppressant- and biologic-naïve
This trial tests whether once-weekly 120 mg subcutaneous anifrolumab plus antimalarial (with or without steroids) helps adults with lupus who have not used immunosuppressants or biologics reach remission and come off long-term steroids.
-
Real-world use of anifrolumab for active systemic lupus erythematosus
This project will see if anifrolumab helps adults with active systemic lupus erythematosus when given in routine clinical care.
-
Anifrolumab Pregnancy Study in women with lupus
This study looks at pregnancy outcomes in women with moderate to severe SLE who took anifrolumab during pregnancy and compares them to similar women who did not take the drug.
-
Anifrolumab and risk of cancers and serious infections in SLE
This project will see if adults with moderate-to-severe SLE who start anifrolumab have different rates of cancers and serious infections than similar patients receiving standard care.
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.