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| ID | Type | Description | Link |
|---|---|---|---|
| jRCT2041210137 | Registry Identifier | jRCT |
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The primary purpose of the study is to evaluate the safety and tolerability of multiple oral doses of E6742 in participants with systemic lupus erythematosus (SLE).
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Cohort 1: E6742 100 mg or Placebo | Experimental | Participants will receive E6742 100 milligram (mg) tablet or E6742-matched placebo tablet, orally, twice daily for up to 85 days. |
|
| Cohort 2: E6742 200 mg or Placebo | Experimental | Participants will receive E6742 200 mg tablets (two tablets of each 100 mg) or E6742-matched placebo tablets, orally, twice daily for up to 85 days. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| E6742 | Drug | E6742 tablet. |
|
| Measure | Description | Time Frame |
|---|---|---|
| Incidence of Treatment-emergent Adverse Events (TEAEs) and Serious Adverse Events (SAEs) | Safety assessments will consist of monitoring and recording all adverse events (AEs) and SAEs; laboratory evaluation for hematology, blood chemistry, and urine values; periodic measurement of vital signs and electrocardiograms (ECGs); the performance of physical examinations and chest X-ray test. | Screening up to 28 days after the last dose of study drug at Day 85 (up to approximately 1 year 5 months) |
| Measure | Description | Time Frame |
|---|---|---|
| Cmax: Maximum Observed Plasma Concentration for E6742 and its Metabolite (ER-001132963) on Days 1 and 15 | Days 1 and 15: 0-6 hours post-dose | |
| Tmax: Time to Reach the Maximum Plasma Concentration (Cmax) for E6742 and its Metabolite (ER-001132963) on Days 1 and 15 |
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Inclusion Criteria:
Male or Female, age greater than or equal to (>=) 18 years and less than or equal to (<=) 75 years at the time of written informed consent
Body mass index (BMI) >=15 kilogram per square meter (kg/m^2) and less than (<) 30 kg/m^2 at screening
Diagnosed with SLE according to 2019 The European Alliance of Associations for Rheumatology (EULAR)/American College of Rheumatology (ACR) classification criteria, Systemic Lupus International Collaborating Clinics Disease Index (SLICC) classification criteria (2012 version), or 1997 revised ACR classification criteria at least 6 months before the informed consent
Meets at least one of the following criteria at screening:
Exclusion Criteria:
Females who are breastfeeding or pregnant at screening or baseline (as documented by a positive beta-human chorionic gonadotropin [Ã-hCG] or human chorionic gonadotropin [hCG] test). A separate baseline assessment is required if a negative screening pregnancy test was obtained more than 72 hours before the first dose of study drug
Females of childbearing potential who:
⢠Within 28 days before study entry, did not use a highly effective method of contraception, which includes any of the following:
Males who have not had a successful vasectomy (confirmed azoospermia) if their female partners meet the exclusion criteria above (that is, the female partners are of childbearing potential and are not willing to use a highly effective contraceptive method throughout the study period and for 5 times the half-life of the study drug plus 90 days after study drug discontinuation). No sperm donation is allowed during the study period and for 5 times the half-life of the study drug plus 90 days after study drug discontinuation
Any history of surgery that may affect pharmacokinetic (PK) profiles of E6742 (example, hepatectomy, nephrectomy, digestive organ resection) at screening
Scheduled for surgery during the study
A prolonged QT interval corrected for heart rate using Fridericia's formula (QTcF) (Fridericia method) interval (QTcF greater than [>] 450 millisecond [ms]) as demonstrated by a repeated ECG at screening or baseline. A history of risk factors for torsade de pointes (example, heart failure, hypokalemia, family history of long QT Syndrome) or the use of concomitant medications that prolonged the QTcF interval except for hydroxychloroquine
Psychotic disorders or unstable recurrent affective disorders evident by use of antipsychotics within 2 years before screening
History of drug or alcohol dependency or abuse within 2 years before screening
History of drug allergy or allergy to any investigational product excipients at screening
Known to be human immunodeficiency virus (HIV) positive at screening
Positive on test at screening for hepatitis B virus surface antigen (HBs antigen), hepatitis B virus surface antibody (HBs antibody), hepatitis B virus core antibody (HBc antibody), hepatitis B virus DNA (HBV DNA), hepatitis C virus antibody (HCV antibody), human T-lymphotrophic virus Type I antibody (HTLV-1 antibody), or syphilis
History of clinically significant infections such as latent infectious viruses
History of infections requiring hospitalization or intravenous antibiotics, or administration of antiviral drugs, within 4 weeks before the first dose of study drug
History of active tuberculosis
Any findings indicating a history of tuberculosis on chest X-ray at screening
Currently enrolled in another clinical study or used any investigational drug or device within 16 weeks (or 5 half-lives, whichever is longer) before informed consent
Received vaccination within 4 weeks before the study treatment (8 weeks before in case of live vaccine)
Any history of or concomitant medical condition that in the opinion of the investigators would compromise the participant's ability to safely complete the study
Any clinically significant symptom or organ impairment
Drug induced lupus erythematosus
Active or unstable neuropsychiatric lupus
Renal impairment at Screening
Systemic autoimmune diseases other than SLE (example, rheumatoid arthritis, Crohn's disease, scleroderma, multiple sclerosis.) that may affect the assessment of SLE pathology
History of or complications from malignancy, lymphoma, leukemia, or lymphoproliferative disease (except for basal cell skin cancer, squamous cell skin cancer, and cervical cancer that have been cured by surgical operation)
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Chukyo Hospital | Nagoya | Aichi-ken | Japan | |||
| Daido Clinic |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 39289029 | Derived | Tanaka Y, Kumanogoh A, Atsumi T, Ishii T, Tago F, Aoki M, Yamamuro S, Akira S. Safety, pharmacokinetics, biomarker response and efficacy of E6742: a dual antagonist of Toll-like receptors 7 and 8, in a first in patient, randomised, double-blind, phase I/II study in systemic lupus erythematosus. RMD Open. 2024 Sep 17;10(3):e004701. doi: 10.1136/rmdopen-2024-004701. |
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Eisai's data sharing commitment and further information on how to request data can be found on our website http://eisaiclinicaltrials.com/.
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| Placebo | Other | E6742-matching placebo tablet. |
|
| Days 1 and 15: 0-6 hours post-dose |
| AUC(0-6Hours): Area Under the Plasma Concentration Versus Time Curve from Time 0 to 6 Hours for E6742 and its Metabolite (ER-001132963) on Days 1 and 15 | Days 1 and 15: 0-6 hours post-dose |
| Nagoya |
| Aichi-ken |
| Japan |
| Matsuyama Red Cross Hospital | Matsuyama | Ehime | Japan |
| Hospital of the University of Occupational and Environmental Health | Kitakyushu | Fukuoka | Japan |
| Hokkaido University Hospital | Sapporo | Hokkaido | Japan |
| Tohoku University Hospital | Sendai | Miyagi | Japan |
| Osaka University Hospital | Suita | Osaka | Japan |
| Juntendo University Hospital | Bunkyo-ku | Tokyo | Japan |
| St. Luke's International Hospital | Chuo-ku | Tokyo | Japan |
| Tokyo Metropolitan Hospital Organization Tokyo Metropolitan Tama Medical Center | Fuchū | Tokyo | Japan |
| Center Hospital of the National Center for Global Health and Medicine | Shinjuku-ku | Tokyo | Japan |
| National Hospital Organization Kyushu Medical Center | Fukuoka | Japan |
| ID | Term |
|---|---|
| D008180 | Lupus Erythematosus, Systemic |
| ID | Term |
|---|---|
| D003240 | Connective Tissue Diseases |
| D017437 | Skin and Connective Tissue Diseases |
| D001327 | Autoimmune Diseases |
| D007154 | Immune System Diseases |
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