Yet more failed drug trials in systemic lupus erythematosus (SLE). The primary end point was not met in two phase III, randomized, placebo-controlled, double-blind, multicentre trials of epratuzumab for moderately to severely active SLE. In EMBODY 1 (n = 786) and EMBODY 2 (n = 788), treatment response rates at 48 weeks, measured using the BILAG-based combined lupus assessment (BICLA) composite end point, were no better in patients with SLE who received the anti-CD22 monoclonal antibody in addition to standard therapy than those who received placebo in addition to standard therapy.