Efficacy of divozilimab in the treatment of systemic sclerosis: results of the randomized phase III clinical trial BCD-132-5/LIBERIUS
https://doi.org/10.14412/1996-7012-2025-1-44-48
Abstract
The search for new therapeutic options for the treatment of systemic sclerosis (SSc) is an urgent issue in rheumatology. The article presents the results of the double-blind, randomized, placebo-controlled phase III clinical trial BCD-132-5/LIBERIUS on the efficacy and safety of divozilimab (BCD-132) in the treatment of SSc.
Objective: to investigate the efficacy and safety of divozilimab in patients with SSc compared to placebo.
Material and methods. After enrolment in the study, patients received divozilimab or placebo for 48 weeks, after which they were switched to an open-label divozilimab therapy until week 96.
Results and discussion. Divozilimab was superior to placebo regarding the primary endpoint change in mRSS at week 48 compared to baseline, and the therapy had a positive effect on respiratory function parameters. Divozilimab treatment was well tolerated.
Conclusion. Thus, divosilimab may represent a new therapeutic option for patients with SSc.
About the Authors
L. P. AnanyevaRussian Federation
34A, Kashirskoe Shosse, Moscow 115522
M. N. Starovoytova
Russian Federation
34A, Kashirskoe Shosse, Moscow 115522
I. Z. Gaydukova
Russian Federation
30A, Bolshaya Pod’yacheskaya Street, St. Petersburg 190068
G. V. Lukina
Russian Federation
1, Novogireevskaya Street, Moscow 111123
E. V. Zonova
Russian Federation
52, Krasny Prospect, Novosibirsk 630091
L. V. Eliseeva
Russian Federation
2, Moskovsky Trakt, Tomsk 634050
G. F. Fatkhullina
Russian Federation
132, Dostoevskogo Street, Ufa 450005
D. I. Abdulganieva
Russian Federation
138, Orenburgsky Trakt, Kazan 420064
D. G. Krechikova
Russian Federation
15, 1st Krasnoflotsky Lane, Smolensk 214025
T. V. Kropotina
Russian Federation
3, Berezovaya Street, Omsk 644012
O. B. Nesmeyanova
Russian Federation
70, Vorovskogo Street, Chelyabinsk 454048
I. B. Vinogradova
Russian Federation
7, III Internatzionala Street, Ulyanovsk 432017
E. S. Zhugrova
Russian Federation
100, Varshavskaya Street, St. Petersburg 196066
L. V. Ivanova
Russian Federation
53A, Karl Marks Street, Izhevsk 426011
N. E. Nikulenkova
Russian Federation
7, 1st Kollektivniy Proezd, Vladimir 600005
O. R. Ziganshin
Russian Federation
24, Yablochkina Street, Chelyabinsk 454048
T. V. Plaksina
Russian Federation
190, Rodionova Street, Nizhny Novgorod 603093
M. V. Zlobin
Russian Federation
190, Rodionova Street, Nizhny Novgorod 603093
Yu. Yu. Grabovetskaya
Russian Federation
74, Klinicheskaya Street, Kaliningrad 236016
N. F. Soroka
Belarus
8, Semashko Street, Minsk 220087
O. B. Ershova
Russian Federation
11, Zagorodniy Sad Street, Build. 2, Yaroslavl 150003
T. V. Povarova
Russian Federation
7A, 1st Stantsionniy Proezd, Build. 2, Saratov 410004
O. N. Anoshenkova
Russian Federation
23, Nikolay Ostrovskogo Lane, Tomsk 634009
A. A. Lutsky
Russian Federation
34A, Svyazi Street, Strelna, St. Petersburg, 198515
A. V. Zinkina-Orikhan
Russian Federation
34A, Svyazi Street, Strelna, St. Petersburg, 198515
Yu. N. Linkova
Russian Federation
34A, Svyazi Street, Strelna, St. Petersburg, 198515
E. A. Fokina
Russian Federation
34A, Svyazi Street, Strelna, St. Petersburg, 198515
A. A. Porozova
Russian Federation
34A, Svyazi Street, Strelna, St. Petersburg, 198515
A. V. Eremeeva
Russian Federation
34A, Svyazi Street, Strelna, St. Petersburg, 198515
References
1. Gumkowska-Sroka O, Kotyla K, Kotyla P. Immunogenetics of Systemic Sclerosis. Genes (Basel). 2024 May 5;15(5):586. doi: 10.3390/genes15050586.
2. Ananieva LP. New approaches in management of generalized scleroderma (progressive systemic sclerosis). Doctor.Ru. 2021;20(7): 32-39. (In Russ.).
3. Ananyeva LP, Tyurin IE, Koneva OA, et al. Interstitial lung disease in systemic sclerosis (systemic scleroderma). Sovremennaya Revmatologiya = Modern Rheumatology Journal. 2021;15(1S):1-62. (In Russ.). doi: 10.14412/1996-7012-2021-1S-1-62
4. Volkmann ER, Andreasson K, Smith V. Systemic sclerosis. Lancet. 2023 Jan 28; 401(10373):304-318. doi: 10.1016/S0140-6736(22)01692-0.
5. Fernandez-Codina A, Walker KM, Pope JE. Treatment Algorithms for Systemic Sclerosis According to Experts. Arthritis Rheumatol. 2018 Nov;70(11):1820-1828. doi: 10.1002/art.40560. Epub 2018 Sep 17.
6. Насонов ЕЛ. Российские клинические рекомендации. Ревматология. Москва: ГЭОТАР-Медиа; 2017. [Nasonov EL. Russian clinical guidelines. Rheumatology. Moscow: GEOTAR-Media; 2017].
7. Del Galdo F, Lescoat A, Conaghan PG, et al. EULAR recommendations for the treatment of systemic sclerosis: 2023 update. Ann Rheum Dis. 2024 Oct 17:ard-2024-226430. doi: 10.1136/ard-2024-226430. Online ahead of print.
8. Pope JE, Denton CP, Johnson SR, et al. State-of-the-art evidence in the treatment of systemic sclerosis. Nat Rev Rheumatol. 2023 Apr;19(4):212-226. doi: 10.1038/s41584-023-00909-5. Epub 2023 Feb 27.
9. Sanges S, Guerrier T, Launay D, et al. Role of B cells in the pathogenesis of systemic sclerosis. Rev Med Interne. 2017 Feb;38(2): 113-124. doi: 10.1016/j.revmed.2016.02.016. Epub 2016 Mar 25.
10. Ebata S, Yoshizaki A, Oba K, et al. Safety and efficacy of rituximab in systemic sclerosis (DESIRES): open-label extension of a double-blind, investigators-initiated, randomised, placebo-controlled trial. Lancet Rheumatol. 2022 Aug;4(8):e546-e555. doi: 10.1016/S2665-9913(22)00131-X. Epub 2022 Jun 28.
11. Saunders P, Tsipouri V, Keir GJ, et al. Rituximab versus cyclophosphamide for the treatment of connective tissue disease-associated interstitial lung disease (RECITAL): study protocol for a randomised controlled trial. Trials. 2017 Jun 15;18(1):275. doi: 10.1186/s13063-017-2016-2.
12. Ebata S, Yoshizaki-Ogawa A, Sato S, Yoshizaki A. New Era in Systemic Sclerosis Treatment: Recently Approved Therapeutics. J Clin Med. 2022 Aug 8;11(15):4631. doi: 10.3390/jcm11154631.
13. Boyko OV, Boyko AN, Yakovlev PA, et al. Results of a phase 1 clinical study of antiCD20 monoclonal antibody (BCD-132): pharmacokinetics, pharmacodynamics and safety. Zhurnal nevrologii i psikhiatrii im. S.S. Korsakova. 2019;119(10-2):87-95. (In Russ.).
14. Boyko AN, Alifirova VM, Lukashevich IG, et al. Efficacy and safety of divozilimab during 24-week treatment of multiple sclerosis patients in randomized double-blind placebocontrolled clinical trial BCD-132-2. Zhurnal nevrologii i psikhiatrii im. S.S. Korsakova. 2023;123(4):37-4. (In Russ.).
15. Boyko AN, Linkova YN, ZinkinaOrikhan AV, Porozova AA. New Anti-Cd20 Divozilimab in Relapsing Multiple Sclerosis: Phase III MIRANTIBUS Trial Results. Mult Scler Relat Disor. 2023 Dec:80:105169.
Review
For citations:
Ananyeva LP, Starovoytova MN, Gaydukova IZ, Lukina GV, Zonova EV, Eliseeva LV, Fatkhullina GF, Abdulganieva DI, Krechikova DG, Kropotina TV, Nesmeyanova OB, Vinogradova IB, Zhugrova ES, Ivanova LV, Nikulenkova NE, Ziganshin OR, Plaksina TV, Zlobin MV, Grabovetskaya YY, Soroka NF, Ershova OB, Povarova TV, Anoshenkova ON, Lutsky AA, Zinkina-Orikhan AV, Linkova YN, Fokina EA, Porozova AA, Eremeeva AV. Efficacy of divozilimab in the treatment of systemic sclerosis: results of the randomized phase III clinical trial BCD-132-5/LIBERIUS. Sovremennaya Revmatologiya=Modern Rheumatology Journal. 2025;19(1):44-48. https://doi.org/10.14412/1996-7012-2025-1-44-48