Uno studio su Enpatoran in partecipanti con manifestazioni cutanee di lupus con o senza malattia sistemica (ELOWEN-1)
Studio di fase 3, randomizzato, in doppio cieco, controllato con placebo, a gruppi paralleli per valutare l'efficacia e la sicurezza di Enpatoran in partecipanti con manifestazioni cutanee attive di lupus eritematoso con o senza malattia sistemica in trattamento con la cura standard (Elowen-1)
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.
Panoramica dello studio
Stato
Stato
Condizioni
Condizioni
Intervento / Trattamento
Intervento / Trattamento
Tipo di studio
Tipo di studio
Iscrizione (Stimato)
Iscrizione
Fase
Fase
- Fase 3
Contatti e Sedi
Contatto studio
Contatto studio
- Nome: Communication Center
- Numero di telefono: +49 6151 72 5200
- Email: service@emdgroup.com
Luoghi di studio
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New South Wales
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New Lambton Heights, New South Wales, Australia, 2305
- Reclutamento
- John Hunter Hospital - PARENT
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Queensland
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Maroochydore, Queensland, Australia, 4558
- Reclutamento
- Rheumatology Research Unit Sunshine Coast
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Victoria
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Melbourne, Victoria, Australia, 3004
- Reclutamento
- The Alfred Hospital - PARENT
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Leuven, Belgio, 03000
- Reclutamento
- UZ Leuven - Internal Medicine
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Ceará
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Fortaleza, Ceará, Brasile, 60430-370
- Reclutamento
- HUWC - UFC - Hospital Universitário Walter Cantídio - Universidade Federal do Ceará
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Estado de Bahia
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Salvador, Estado de Bahia, Brasile, 40150-150
- Reclutamento
- Clínica SER da Bahia
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Mato Grosso
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Cuiabá, Mato Grosso, Brasile, 78020-500
- Reclutamento
- IPC MT Instituto de Pesquisas Clinicas do Mato Grosso
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Minas Gerais
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Belo Horizonte, Minas Gerais, Brasile, 30150-221
- Reclutamento
- Freire Pesquisa Clinica
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São Paulo
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Barretos, São Paulo, Brasile, 14784400
- Reclutamento
- Hospital de Câncer de Barretos - Fundação Pio XII - Hospital de Amor de Barretos
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Plovdiv, Bulgaria, 4023
- Reclutamento
- DCC V Plovdiv Sv. Archbishop Luka EOOD
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Sofia, Bulgaria, 1407
- Reclutamento
- Ambulatory for Specialized Medical Help - skin and venereal diseases
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Guangdong
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Guangzhou, Guangdong, Cina, 510080
- Reclutamento
- Guangdong Provincial People's Hospital
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Jiangxi
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Ganzhou, Jiangxi, Cina, 341000
- Reclutamento
- Ganzhou People's Hospital - 300165192
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Incheon, Corea del Sud, 21565
- Reclutamento
- Gachon University Gil Medical Center
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Seoul, Corea del Sud, 04763
- Reclutamento
- Hanyang University Seoul Hospital - 300186741
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Gyeonggi-do
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Ansan-si, Gyeonggi-do, Corea del Sud, 15355
- Reclutamento
- Korea University Ansan Hospital - 300133335
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Seongnam-si, Gyeonggi-do, Corea del Sud, 13620
- Reclutamento
- Seoul National University Bundang Hospital
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Paris, Francia, 75020
- Reclutamento
- Hopital Tenon - service dermatologie et centre d'allergie
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Pays de la Loire Region
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Saint-Étienne-de-Montluc, Pays de la Loire Region, Francia, 42055
- Reclutamento
- CHU Saint Etienne - Hôpital Nord - service de medecine interne
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Berlin, Germania, 10117
- Reclutamento
- Charité - Campus Charité Mitte - Klinik fuer Dermatol., Venerol., Allergologie
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Dresden, Germania, 01307
- Reclutamento
- Universitaetsklinikum Carl Gustav Carus TU Dresden
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Lower Saxony
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Buxtehude, Lower Saxony, Germania, 21614
- Reclutamento
- Elbekliniken Buxtehude GmbH - Dermatologie
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Aichi-ken
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Nagoya, Aichi-ken, Giappone, 457-8510
- Reclutamento
- JCHO Chukyo Hospital - Dept of Dermatology
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Chiba
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Chiba, Chiba, Giappone, 260-8712
- Reclutamento
- NHO Chibahigashi National Hospital - Dept of Allergy/Rheumatology
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Fukuoka
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Kitakyushu-shi, Fukuoka, Giappone, 807-8556
- Reclutamento
- Hospital of the University of Occupational and Environmental Health - Dept of Dermatology
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Fukushima
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Fukushima, Fukushima, Giappone, 960-1295
- Reclutamento
- Fukushima Medical University Hospital - Dept of Rheumatology/Immunology
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Hokkaido
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Asahikawa-shi, Hokkaido, Giappone, 070-8644
- Reclutamento
- NHO Asahikawa Medical Center - Dept of Gastroenterology
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Sapporo, Hokkaido, Giappone, 060-8604
- Reclutamento
- Sapporo City General Hospital - Dept of Rheumatology/Immunology
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Hyōgo
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Kobe, Hyōgo, Giappone, 650-0017
- Reclutamento
- Kobe University Hospital - Dept of Immunology/Rheumatology
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Ishikawa-ken
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Kanazawa, Ishikawa-ken, Giappone, 920-8641
- Reclutamento
- Kanazawa University Hospital - Dept of Rheumatology/Immunology
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Kanagawa
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Yokohama, Kanagawa, Giappone, 236-0004
- Reclutamento
- Yokohama City University Hospital - Dept of Dermatology
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Miyagi
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Sendai, Miyagi, Giappone, 983-8512
- Reclutamento
- Tohoku Medical and Pharmaceutical University Hospital - Dept of Hematology/Rheumatology
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Okayama-ken
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Okayama, Okayama-ken, Giappone, 700-8558
- Reclutamento
- Okayama University Hospital - Dept of Rheumatology/Immunology
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Osaka
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Suita-shi, Osaka, Giappone, 565-0871
- Reclutamento
- The University of Osaka Hospital - Dept of Dermatology
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Tokyo
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Bunkyo-ku, Tokyo, Giappone, 113-8519
- Reclutamento
- Institute of Science Tokyo Hospital - Dept of Dermatology
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tabashi City, Tokyo, Giappone, 173-8610
- Reclutamento
- Nihon University Itabashi Hospital - Dept of Hematology/Immunology
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Tokyo-To
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Chūōku, Tokyo-To, Giappone, 104-8560
- Reclutamento
- St. Luke's International Hospital - Dept of Immunology/Allergy
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Yamanashi
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Chūō, Yamanashi, Giappone, 409-3898
- Reclutamento
- University of Yamanashi Hospital - Dept of Rheumatology/Immunology
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Ramat Gan, Israele, 5265601
- Reclutamento
- Chaim Sheba Medical Center - pt
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Roma, Italia, 00155
- Reclutamento
- Università Campus Bio-Medico di Roma - UOC Reumatologia
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Firenze
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Florence, Firenze, Italia, 50125
- Reclutamento
- Azienda USL Toscana Centro - Ospedale Piero Palagi
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Krakow, Polonia, 30-348
- Reclutamento
- Centrum Badan Klinicznych JCI
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Lublin, Polonia, 20-412
- Reclutamento
- ETG Lublin - ETG NETWORK Sp. z o.o.
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Malbork, Polonia, 82-200
- Reclutamento
- Centrum Badawcze Panaceum Agnieszka Brzezicka, Magdalena Lenkiewicz Sp. z o.o.
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Rzeszów, Polonia, 35-055
- Reclutamento
- Uniwersytecki Szpital Kliniczny im Fryderyka Chopina w Rzeszowie - Klinika Dermatologii i Dermatologii Onkologicznej
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Rzeszów, Polonia, 35-309
- Reclutamento
- SOMED CR
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Warsaw, Polonia, 04-305
- Reclutamento
- REUMA CENTRUM Specjalistyczna Praktyka Lekarska Dr n. med. Jakub Trefler
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Zamość, Polonia, 22-400
- Reclutamento
- Velocity Zamosc
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Greater London
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London, Greater London, Regno Unito, E11 1NR
- Reclutamento
- Whipps Cross University Hospital - Dept of Rheumatology
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Tyne & Wear
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Newcastle upon Tyne, Tyne & Wear, Regno Unito, NE7 7DN
- Reclutamento
- Freeman Hospital - Dept of Rheumatology
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Brasov, Romania, 500299
- Reclutamento
- Futuremeds S R L.
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Bratislava, Slovacchia, 81369
- Reclutamento
- Univerzitna nemocnica Bratislava, Nemocnica Stare Mesto - Dermatovenerologicka klinika
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Košice, Slovacchia, 04011
- Reclutamento
- Artromac n.o. - Reumatologicka ambulancia
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Valencia, Spagna, 46014
- Reclutamento
- Hospital General Universitario de Valencia - Rheumatology
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La Coruña
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Santiago de Compostela, La Coruña, Spagna, 15706
- Reclutamento
- Complejo Hospitalario Universitario de Santiago - Dermatology Unit
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Navarre
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Pamplona, Navarre, Spagna, 31008
- Reclutamento
- Complejo Hospitalario de Navarra - Nefrologia
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California
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Los Angeles, California, Stati Uniti, 90045
- Reclutamento
- Dermatology Research Associates - 300204025
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Thousand Oaks, California, Stati Uniti, 91360
- Reclutamento
- Cohen Medical Centers
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Florida
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Cooper City, Florida, Stati Uniti, 33024
- Reclutamento
- GNP Research at Mark Jaffe, MD
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Miami, Florida, Stati Uniti, 33135
- Reclutamento
- Advance Medical Research Center
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Miami, Florida, Stati Uniti, 33175
- Reclutamento
- Diverse Clinical Research LLC
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Tamarac, Florida, Stati Uniti, 33321
- Reclutamento
- D&H National Research Centers, Inc.
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Tampa, Florida, Stati Uniti, 33606
- Reclutamento
- Clinical Research of West Florida, Inc.
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Georgia
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Atlanta, Georgia, Stati Uniti, 30303
- Reclutamento
- Emory University School of Medicine
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Michigan
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Troy, Michigan, Stati Uniti, 48084
- Reclutamento
- Revival Research Institute, LLC
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Texas
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Allen, Texas, Stati Uniti, 75013
- Reclutamento
- Allen Arthritis
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Allen, Texas, Stati Uniti, 75013
- Reclutamento
- Arthritis and Rheumatology Research Institute PLLC
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Corpus Christi, Texas, Stati Uniti, 78415
- Reclutamento
- Arthritis Care of Texas
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Basel, Svizzera, 4031
- Reclutamento
- Universitaetsspital Basel - Klinik fuer Dermatologie
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Sankt Gallen, Svizzera, 9000
- Reclutamento
- Kantonsspital St. Gallen - Klinik f. Dermatologie, Venerologie u Allergologie
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Bangkok, Tailandia, 10400
- Reclutamento
- Ramathibodi Hospital - 300195177
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Changwat Pathum Thani
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Amphur Klongluang, Changwat Pathum Thani, Tailandia, 12120
- Reclutamento
- Thammasat University Hospital
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Taichung, Taiwan, 404332
- Reclutamento
- China Medical University Hospital
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Tainan, Taiwan, 71004
- Reclutamento
- Chi Mei Medical Center - 300192662
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Criteri di partecipazione
Criteri di ammissibilità
Criteri di ammissibilità
Età idonea allo studio
Accetta volontari sani
Sessi ammissibili allo studio
Descrizione
Inclusion Criteria
- Vaccinations are up to date according to local guidelines/recommendations. Recombinant zoster vaccination is encouraged but not mandatory.
- Participants with diagnosis of Discoid Lupus Erythematosus (DLE) and/or Subacute Cutaneous Lupus Erythematosus (SCLE) documented in medical history, with or without Systemic Lupus Erythematosus (SLE).
- Participants with active Acute Cutaneous Lupus Erythematosus (ACLE) as sole cutaneous manifestations is allowed in the presence of SLE and should be present for at least 6 weeks prior to the Screening visit.
- Participants with diagnosis of SLE fulfilling the European Alliance of Associations for Rheumatology (EULAR)/American College of Rheumatology (ACR) 2019 classification criteria, must have active DLE and/or SCLE and/or ACLE.
For participants with SLE:
- Participants with diagnosis of SLE and fulfill EULAR/ACR 2019 classification criteria.
- Participants with disease duration (cutaneous disease and, where applicable, SLE) of >= 6 months from time of diagnosis to Screening.
- Participants with CLASI-A score >= 8 at Screening and Day 1 visits.
- Other protocol-defined inclusion criteria may apply.
Exclusion Criteria
- Participants with primary diagnosis of autoimmune rheumatic disease (e.g., systemic sclerosis, rheumatoid arthritis) other than Cutaneous Lupus Erythematosus (CLE) and SLE.
- Participants with any condition including dermatological diseases other than cutaneous manifestations of lupus (e.g. psoriasis), any uncontrolled disease (e.g. asthma, chronic obstructive pulmonary disease, interstitial lung disease, bronchiectasis, pulmonary arterial hypertension), or life-threatening manifestations of lupus (e.g. active systemic vasculitis) that in Investigator's or Sponsor/designee's opinion constitutes inappropriate risk or contraindication for participation.
- Participants with drug-induced lupus (SLE or CLE).
- Participants with active lupus nephritis on induction therapy, or induction therapy completed within 3 months of the Screening visit (stable maintenance therapy with either mycophenolate azathioprine or an oral calcineurin inhibitor is allowed).
- Participants with Urine Protein-to-Creatinine Ratio (UPCR) greater than (>) 339 milligrams per millimole (mg/mmol), and/or estimated Glomerular Filtration Rate (eGFR) less than 40 milliliters per minute per 1.73 square meters of body surface area (mL/min/1.73 m^2), as calculated by the Modification of Diet in Renal Disease (MDRD) equation.
- Participants with any active signs, symptoms, or diagnoses considered related to Central Nervous System (CNS) lupus within the past 3 months, or any history of uncontrolled seizures.
- Other protocol-defined exclusion criteria may apply.
Piano di studio
Come è strutturato lo studio?
Dettagli di progettazione
- Scopo principale: Trattamento
- Assegnazione: Randomizzato
- Modello interventistico: Assegnazione parallela
- Mascheramento: Triplicare
Numero di armi
Armi e interventi
Gruppo di partecipanti / ArmGruppo di partecipanti / Arm |
Intervento / TrattamentoIntervento / Trattamento |
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Comparatore placebo: Placebo
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Participants will receive Investigator-recommended SoC. Participants will receive a single oral dose of a placebo matching Enpatoran tablet twice daily from Day 1 to Day 168. |
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Sperimentale: Enpatoran
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Participants will receive a dose of Enpatoran orally twice daily from Day 1 to Day 168.
Altri nomi:
Participants will receive Investigator-recommended SoC. |
Cosa sta misurando lo studio?
Misure di risultato primarie
Misure di risultato primarie
Misura del risultato |
Lasso di tempo |
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Percentuale di partecipanti con risposta 70 all'indice di estensione e gravità del lupus eritematoso cutaneo (CLASI), definita come diminuzione del punteggio CLASI-A ≥ 70% rispetto al basale
Lasso di tempo: Alla Settimana 24
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Alla Settimana 24
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Misure di risultato secondarie
Misure di risultato secondarie
Misura del risultato |
Misura Descrizione |
Lasso di tempo |
|---|---|---|
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Numero di partecipanti con eventi avversi insorti durante il trattamento (TEAE), eventi avversi gravi (SAE) ed eventi avversi di speciale interesse (AESI)
Lasso di tempo: Dal Giorno 1 alla Settimana 24
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Dal Giorno 1 alla Settimana 24
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Numero di partecipanti con parametri di laboratorio anomali (maggiore o uguale a [>=] Grado 3)
Lasso di tempo: Dal Giorno 1 alla Settimana 24
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Dal Giorno 1 alla Settimana 24
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Percentuale di partecipanti con risposta CLASI-50, definita come una riduzione ≥50% del punteggio CLASI-A rispetto al basale
Lasso di tempo: Alle settimane 4 e 24
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Alle settimane 4 e 24
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Percentuale di partecipanti con riacutizzazioni BILAG da moderate a gravi
Lasso di tempo: fino alla Settimana 24
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fino alla Settimana 24
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Percentage of Participants With British Isles Lupus Assessment Group Based Composite Lupus Assessment (BICLA) Response
Lasso di tempo: At Week 24
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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). |
At Week 24
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Percentage of Participants With CLASI-A less than and equal to (<=) 3 at Week 24
Lasso di tempo: At Week 24
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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
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Percentage of Participants With BICLA Response and Clinically Meaningful Corticosteroid (CS) Reduction
Lasso di tempo: Day 1 up to Week 12 and thereafter upto Week 24
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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
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Change from Baseline in Worst Itch Numeric Rating Scale (NRS) Score at Week 24
Lasso di tempo: Baseline and at Week 24
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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
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Change from Baseline in CLASI-A Erythema at Week 24
Lasso di tempo: Baseline and at Week 24
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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
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Change from Baseline in CLASI-A Scale/Hypertrophy at Week 24
Lasso di tempo: Baseline and at Week 24
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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
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Change from Baseline in CLASI-A Alopecia at Week 24
Lasso di tempo: Baseline and 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
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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
Lasso di tempo: At Week 24
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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
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Time to First Moderate/Severe BILAG Flare
Lasso di tempo: Day 1 up to 24 weeks
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Median time to first moderate or severe BILAG Flare will be calculated. |
Day 1 up to 24 weeks
|
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Percentage of Participants with Corticosteroid (CS) reduction of Daily Prednisone Equivalent Dose
Lasso di tempo: Day 1 up to 24 weeks
|
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
|
Collaboratori e investigatori
Sponsor
Sponsor
Collaboratori
Collaboratori
Investigatori
Investigatori
- Direttore dello studio: Medical Responsible, Merck Healthcare KGaA, Darmstadt, Germany, an affiliate of Merck KGaA, Darmstadt, Germany
Pubblicazioni e link utili
Studiare le date dei record
Studia le date principali
Inizio studio (Effettivo)
Inizio studio
Completamento primario (Stimato)
Completamento primario
Completamento dello studio (Stimato)
Completamento dello studio
Date di iscrizione allo studio
Primo inviato
Primo inviato
Primo inviato che soddisfa i criteri di controllo qualità
Primo inviato che soddisfa i criteri di controllo qualità
Primo Inserito (Effettivo)
Primo Inserito
Aggiornamenti dei record di studio
Ultimo aggiornamento pubblicato (Effettivo)
Ultimo aggiornamento pubblicato
Ultimo aggiornamento inviato che soddisfa i criteri QC
Ultimo aggiornamento inviato che soddisfa i criteri QC
Ultimo verificato
Ultimo verificato
Maggiori informazioni
Termini relativi a questo studio
Parole chiave
Termini MeSH pertinenti aggiuntivi
- Malattie del tessuto connettivo
- Malattie autoimmuni
- Malattie del sistema immunitario
- Malattie della pelle
- Malattie della pelle e del tessuto connettivo
- Lupus Eritematoso, Sistemico
- Lupus Eritematoso Cutaneo
- Lupus Eritematoso Discoide
- Amministrazione dei servizi sanitari
- Qualità, accesso e valutazione dell'assistenza sanitaria
- Qualità dell'assistenza sanitaria
- Indicatori di qualità, assistenza sanitaria
- Standard di cura
Altri numeri di identificazione dello studio
Altri numeri di identificazione dello studio
- MS504908_0001
- 169831 (Altro identificatore: IND)
- 2025-523871-44-00 (Ctis)
- jRCT2011250064 (Altro identificatore: JRCT (Japan))
- CTR20262380 (Altro identificatore: ChinaDrugTrials.org.cn)
- 2025 (Sovvenzione/contratto NIH degli Stati Uniti)
Piano per i dati dei singoli partecipanti (IPD)
Hai intenzione di condividere i dati dei singoli partecipanti (IPD)?
Descrizione del piano IPD
IPD supporting publicly available results will be evaluated for sharing.
Periodo di condivisione IPD
IPD from completed trials will be publicly available within 6 months after all of the following events:
- Approval of a product/new indication by major authorities (FDA, EMA, PMDA if requested) with no pending submissions
- Public results via primary manuscript or trial registry disclosure
- Legal authority to share data
- Privacy protections are in place If approval is not sought or development is globally discontinued, data will be publicly available within 18 months after global trial completion. Further information on how to request data can be found on our website bit.ly/IPD21
Criteri di accesso alla condivisione IPD
Qualified researchers may propose access to IPD from sponsored trials via https://vivli.org/members/ourmembers/.
Tipo di informazioni di supporto alla condivisione IPD
- STUDIO_PROTOCOLLO
- LINFA
- CODICE_ANALITICO
- RSI
Informazioni su farmaci e dispositivi, documenti di studio
Studia un prodotto farmaceutico regolamentato dalla FDA degli Stati Uniti
Studia un dispositivo regolamentato dalla FDA degli Stati Uniti
Queste informazioni sono state recuperate direttamente dal sito web clinicaltrials.gov senza alcuna modifica. In caso di richieste di modifica, rimozione o aggiornamento dei dettagli dello studio, contattare register@clinicaltrials.gov. Non appena verrà implementata una modifica su clinicaltrials.gov, questa verrà aggiornata automaticamente anche sul nostro sito web .