| ID | Type | Description | Link |
|---|---|---|---|
| 169831 | Other Identifier | IND | |
| 2025-523871-44-00 | EU Trial (CTIS) Number | ||
| jRCT2011250064 | Other Identifier | JRCT (Japan) |
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| Name | Class |
|---|---|
| Merck KGaA, Darmstadt, Germany | INDUSTRY |
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The purpose of this global, multicenter, Phase 3 study is to evaluate the efficacy and safety of enpatoran over 24 weeks in participants with active cutaneous manifestations of lupus erythematosus with or without systemic disease. Study details include:
Study Duration: Up to 35 weeks. Treatment Duration: 24 weeks. Visit Frequency: every 4 weeks, with the exception of the Week 2 televisit. Study Intervention Name: Enpatoran, Placebo.
Intervention Form: Film-coated tablet.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Enpatoran | Experimental |
| |
| Placebo | Placebo Comparator |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Enpatoran | Drug | Participants will receive a dose of Enpatoran orally twice daily from Day 1 to Day 168. |
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| Measure | Description | Time Frame |
|---|---|---|
| Percentage of Participants With Cutaneous Lupus Erythematosus Disease Area and Severity Index (CLASI) 70 Response, Defined as >= 70 Percent (%) Decrease in CLASI-A Score From Baseline | At Week 24 |
| Measure | Description | Time Frame |
|---|---|---|
| Percentage of Participants With British Isles Lupus Assessment Group Based Composite Lupus Assessment (BICLA) Response | A BICLA response is defined as British Isles Lupus Assessment Group Disease Activity Index 2004 (BILAG 2004) -improvement without worsening (A scores at Baseline improved to B, C or D; B scores improved to C or D; no new A scores and less than or equal to [<=] 1 new B.); Here, score A ("Active"): Severely active disease; score B ("Beware"): Moderately active disease; score C ("Contentment"): Mild stable disease; score D ("Discount"): Inactive now but previously active; -no worsening in disease activity (no new BILAG 2004 A scores and <= 1 new B score); -no worsening of total Systemic Lupus Erythematosus Disease Activity Index (SLEDAI) score from Baseline; -no significant deterioration (less than [<] 10% worsening) in visual analog Physician's Global Assessment (PGA) and -no treatment failure i.e. protocol-prohibited medications as determined by Endpoint Adjudication Committee (EAC) or premature discontinuation from study treatment). |
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Inclusion Criteria
For participants with SLE:
Exclusion Criteria
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Communication Center | Contact | +49 6151 72 5200 | service@emdgroup.com |
| Name | Affiliation | Role |
|---|---|---|
| Medical Responsible | Merck Healthcare KGaA, Darmstadt, Germany, an affiliate of Merck KGaA, Darmstadt, Germany | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Dermatology Research Associates - 300204025 | Recruiting | Los Angeles | California | 90045 | United States | |
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| Label | URL |
|---|---|
| Trial Awareness and Transparency website | View source |
| US Medical Information website, Medical Resources | View source |
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IPD supporting publicly available results will be evaluated for sharing.
IPD from completed trials will be publicly available within 6 months after all of the following events:
Qualified researchers may propose access to IPD from sponsored trials via https://vivli.org/members/ourmembers/.
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| Placebo | Drug | Participants will receive a single oral dose of a placebo matching Enpatoran tablet twice daily from Day 1 to Day 168. |
|
| Standard of care (SoC) | Drug | Participants will receive Investigator-recommended SoC. |
|
| At Week 24 |
| Number of Participants With Treatment Emergent adverse events (TEAEs), Serious Adverse Events (SAEs), and Adverse Events of Special Interest (AESI) | From Day 1 to Week 24 |
| Number of Participants With Abnormal (greater than and equal to [>=] Grade 3) laboratory parameters | From Day 1 to Week 24 |
| Percentage of Participants With CLASI-50 Response, Defined as >=50% Decrease in CLASI-A Score From Baseline | At Weeks 4 and 24 |
| Percentage of Participants With CLASI-A less than and equal to (<=) 3 at Week 24 | CLASI-A assesses the signs of CLE disease activity including erythema, scale, and hypertrophy, active alopecia, and mucous membrane disease, Scores range from 0 to 70 points for CLASI-A score. Mild, moderate, and severe disease corresponds with CLASI activity score ranges of 0 to 9, 10 to 20, and 21 to 70, respectively. Higher scores indicate more disease activity. | At Week 24 |
| Percentage of Participants With BICLA Response and Clinically Meaningful Corticosteroid (CS) Reduction | BICLA Response and clinically meaningful CS reduction, is defined as reduction of daily prednisone-equivalent dose from >= 10 milligrams (mg) at Day 1 to <= 5 mg by the Week 12 visit and sustained through Week 24. | Day 1 up to Week 12 and thereafter upto Week 24 |
| Change from Baseline in Worst Itch Numeric Rating Scale (NRS) Score at Week 24 | The Worst Itch NRS is a self-rated single item scale designed for assessing worst itch in the past 7 days. The scale utilizes 11-point NRS, scored from of 0 (no itch) to 10 (worst imaginable itch). | Baseline and at Week 24 |
| Change from Baseline in CLASI-A Erythema at Week 24 | CLASI-A assesses the signs of CLE disease activity including erythema, scale, and hypertrophy, active alopecia, and mucous membrane disease, Scores range from 0 to 70 points for CLASI-A score. Mild, moderate, and severe disease corresponds with CLASI activity score ranges of 0 to 9, 10 to 20, and 21 to 70, respectively. Higher scores indicate more disease activity. | Baseline and at Week 24 |
| Change from Baseline in CLASI-A Scale/Hypertrophy at Week 24 | CLASI-A assesses the signs of CLE disease activity including erythema, scale, and hypertrophy, active alopecia, and mucous membrane disease, Scores range from 0 to 70 points for CLASI-A score. Mild, moderate, and severe disease corresponds with CLASI activity score ranges of 0 to 9, 10 to 20, and 21 to 70, respectively. Higher scores indicate more disease activity. | Baseline and at Week 24 |
| Change from Baseline in CLASI-A Alopecia at Week 24 | CLASI-A assesses the signs of CLE disease activity including erythema, scale, and hypertrophy, active alopecia, and mucous membrane disease, Scores range from 0 to 70 points for CLASI-A score. Mild, moderate, and severe disease corresponds with CLASI activity score ranges of 0 to 9, 10 to 20, and 21 to 70, respectively. Higher scores indicate more disease activity. | Baseline and at Week 24 |
| Percentage of Participants With a Cutaneous Lupus Activity Investigator's Global Assessment-Revised (CLA-IGA-R OMC) Score of 0 or 1 and at Least a 1-Point Reduction at Week 24 | The CLA-IGA-R is assessed by the investigator, who assigns rater to assign scores to 3 individual domains (e.g. erythema, other morphologic characteristics - OMC [scales, edema)/infiltration and secondary change (vesicles, erosion, crusting)] and follicular activity). Clinicians assess the severity of the first 2 domains of erythema and OMC from 0 (Clear) to 4 (Severe); they assess the severity of the third domain of follicular activity as "absent" or "present." Higher scores indicate more disease activity. | At Week 24 |
| Percentage of Participants with BILAG Moderate to Severe Flares | up to Week 24 |
| Time to First Moderate/Severe BILAG Flare | Median time to first moderate or severe BILAG Flare will be calculated. | Day 1 up to 24 weeks |
| Percentage of Participants with Corticosteroid (CS) reduction of Daily Prednisone Equivalent Dose | CS reduction is defined as reduction of daily prednisone-equivalent dose from >= 10 milligrams per day (mg/day) at Day 1 to <= 5 mg/day by the Week 12 visit and sustained through Week 24. | Day 1 up to 24 weeks |
| Cohen Medical Centers |
| Recruiting |
| Thousand Oaks |
| California |
| 91360 |
| United States |
| GNP Research at Mark Jaffe, MD | Recruiting | Cooper City | Florida | 33024 | United States |
| Advance Medical Research Center | Recruiting | Miami | Florida | 33135 | United States |
| Diverse Clinical Research LLC | Recruiting | Miami | Florida | 33175 | United States |
| Clinical Research of West Florida, Inc. | Recruiting | Tampa | Florida | 33606 | United States |
| Emory University School of Medicine | Recruiting | Atlanta | Georgia | 30303 | United States |
| Revival Research Institute, LLC | Recruiting | Troy | Michigan | 48084 | United States |
| Allen Arthritis | Recruiting | Allen | Texas | 75013 | United States |
| Arthritis and Rheumatology Research Institute PLLC | Recruiting | Allen | Texas | 75013 | United States |
| Arthritis Care of Texas | Recruiting | Corpus Christi | Texas | 78415 | United States |
| ID | Term |
|---|---|
| D008180 | Lupus Erythematosus, Systemic |
| D008178 | Lupus Erythematosus, Cutaneous |
| D008179 | Lupus Erythematosus, Discoid |
| ID | Term |
|---|---|
| D003240 | Connective Tissue Diseases |
| D017437 | Skin and Connective Tissue Diseases |
| D001327 | Autoimmune Diseases |
| D007154 | Immune System Diseases |
| D012871 | Skin Diseases |
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| ID | Term |
|---|---|
| D059039 | Standard of Care |
| ID | Term |
|---|---|
| D019984 | Quality Indicators, Health Care |
| D011787 | Quality of Health Care |
| D006298 | Health Services Administration |
| D017530 | Health Care Quality, Access, and Evaluation |
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