Study of M5049 in CLE and SLE Participants

NCT ID: NCT04647708

Last Updated: 2024-02-21

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE1

Total Enrollment

25 participants

Study Classification

INTERVENTIONAL

Study Start Date

2020-12-16

Study Completion Date

2023-12-19

Brief Summary

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This study is to evaluate the safety, tolerability and pharmacokinetics (PK) of orally administered M5049 in participants with systemic lupus erythematosus (SLE) or cutaneous lupus erythematosus (CLE).

Detailed Description

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Conditions

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Systemic Lupus Erythematosus Cutaneous Lupus Erythematosus

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

SEQUENTIAL

Primary Study Purpose

TREATMENT

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

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Part A (Cohort 1): M5049 Dose A

Group Type EXPERIMENTAL

M5049

Intervention Type DRUG

Participants will receive low oral dose of M5049, twice daily in Part A.

Part A (Cohort 2): M5049 Dose B

Group Type EXPERIMENTAL

M5049

Intervention Type DRUG

Participants will receive ascending oral dose of M5049, twice daily in Part A.

Part A (Cohort 3): M5049 Dose C

Group Type EXPERIMENTAL

M5049

Intervention Type DRUG

Participants will receive ascending oral dose of M5049, twice daily in Part A.

Part A (Cohort 4): M5049 Dose D

Group Type EXPERIMENTAL

M5049

Intervention Type DRUG

Participants will receive ascending oral dose of M5049, twice daily in Part A.

Part A: Placebo

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type DRUG

Participants will receive placebo matched to M5049.

Part B (Cohort 5): M5049 Dose E

Group Type EXPERIMENTAL

M5049

Intervention Type DRUG

Participants will receive high oral dose of M5049, twice daily in Part B.

Part B: Placebo

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type DRUG

Participants will receive placebo matched to M5049.

Interventions

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M5049

Participants will receive low oral dose of M5049, twice daily in Part A.

Intervention Type DRUG

M5049

Participants will receive ascending oral dose of M5049, twice daily in Part A.

Intervention Type DRUG

M5049

Participants will receive high oral dose of M5049, twice daily in Part B.

Intervention Type DRUG

Placebo

Participants will receive placebo matched to M5049.

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Active systemic lupus erythematosus (SLE) with a Cutaneous lupus erythematosus disease area and activity index (CLASI-A) greater than or equal to \[\>= \] 6 and/or at least one active SLE clinical manifestation according to Systemic Lupus Erythematosus Disease Activity Index 2000 (SLEDAI-2K)
* Active cutaneous lupus erythematosus (CLE) (subacute cutaneous lupus erythematosus and/or discoid lupus erythematosus) with a CLASI-A \>= 6

Exclusion Criteria

* Autoimmune or rheumatic disease other than SLE or CLE
* Dermatological diseases other than cutaneous manifestations of SLE or CLE
* Uncontrolled medical conditions including significant cardiovascular events, active lupus nephritis, and active neurological disorder
* Ongoing or active clinically significant viral, bacterial or fungal infection
* History of uncontrolled seizures or other neurological disorder
* History of or positive for human immunodeficiency virus, hepatitis C virus, or hepatitis B virus
* History of malignancy
Minimum Eligible Age

18 Years

Maximum Eligible Age

65 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Merck Healthcare KGaA, Darmstadt, Germany, an affiliate of Merck KGaA, Darmstadt, Germany

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Medical Responsible

Role: STUDY_DIRECTOR

Merck Healthcare KGaA, Darmstadt, Germany, an affiliate of Merck KGaA, Darmstadt, Germany

Locations

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Medical center Medconsult Pleven OOD

Pleven, , Bulgaria

Site Status

Medical Center-1-Sevlievo EOOD

Sevlievo, , Bulgaria

Site Status

Military Medical Academy - MHAT - Sofia

Sofia, , Bulgaria

Site Status

UMHAT "Sv. Ivan Rilski", EAD

Sofia, , Bulgaria

Site Status

SocraTec R&D GmbH

Erfurt, , Germany

Site Status

Fraunhofer ITMP (Fraunhofer Institute for Translational Medicine and Pharmacology)

Frankfurt, , Germany

Site Status

ARENSIA Exploratory Medicine Phase I Unit, Clinical Republican Hospital

Chisinau, , Moldova

Site Status

PHI University Clinic of Rheumatology Skopje

Skopje, , North Macedonia

Site Status

Hospital Universitario Nuestra SeƱora de Valme

Seville, , Spain

Site Status

Hospital Universitario Virgen del Rocio

Seville, , Spain

Site Status

Hospital Universitario Rio Hortega - Servicio de Medicina Interna

Valladolid, , Spain

Site Status

Medical Center of Limited Liability Company "Harmoniya krasy", Department of clinical trials

Kyiv, , Ukraine

Site Status

Countries

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Bulgaria Germany Moldova North Macedonia Spain Ukraine

References

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Witte T, Fernandez-Ruiz R, Abramova N, Weinelt D, Moreau F, Klopp-Schulze L, Shaw J, Denis D, Wenzel J. Enpatoran, a first-in-class, selective, orally administered toll-like receptor 7/8 inhibitor, in systemic and cutaneous lupus erythematosus: results from a randomised, placebo-controlled phase Ib study. Lupus Sci Med. 2025 Oct 23;12(2):e001705. doi: 10.1136/lupus-2025-001705.

Reference Type DERIVED
PMID: 41136221 (View on PubMed)

Klopp-Schulze L, Shaw JV, Dong JQ, Khandelwal A, Vazquez-Mateo C, Goteti K. Applying Modeling and Simulations for Rational Dose Selection of Novel Toll-Like Receptor 7/8 Inhibitor Enpatoran for Indications of High Medical Need. Clin Pharmacol Ther. 2022 Aug;112(2):297-306. doi: 10.1002/cpt.2606. Epub 2022 May 21.

Reference Type DERIVED
PMID: 35390178 (View on PubMed)

Related Links

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Other Identifiers

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2020-003118-11

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

MS200569_0004

Identifier Type: -

Identifier Source: org_study_id

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