A Study of Telitacicept for the Treatment of Moderately to Severely Active Systemic Lupus Erythematosus (REMESLE-1)

NCT ID: NCT05306574

Last Updated: 2026-01-09

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

TERMINATED

Clinical Phase

PHASE3

Total Enrollment

91 participants

Study Classification

INTERVENTIONAL

Study Start Date

2022-06-20

Study Completion Date

2025-01-06

Brief Summary

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The purpose of this study is to evaluate the efficacy and safety of telitacicept in the treatment of moderately to severely active SLE.

Detailed Description

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Systemic Lupus Erythematosus (SLE) is a chronic autoimmune disease with heterogeneous manifestations and disease course. Despite advances in medical care, there are still significant unmet needs in SLE with diminished health-related quality of life (HRQoL), persistent disease activity, disease flares, intolerance to standard of care (SoC) therapies, and development of organ damage and co-morbidities.

Telitacicept is a fully human TACI-Fc fusion protein that targets B lymphocyte stimulator (BLyS) and a proliferating-inducing ligand (APRIL). Blocking the interaction of BLyS and APRIL with their cell membrane receptors (TACI, B-cell maturation antigen (BCMA), and B-cell activating factor receptor (BAFF-R)) would inhibit B cell proliferation and maturation, suppresses immune responses, and may alleviate autoimmune symptoms.

This Phase 3 study is a 2-stage study to evaluate the efficacy and safety of telitacicept compared to placebo in patients with moderately to severely active SLE while receiving SoC treatment in a global patient population with active SLE disease.

* Stage 1: a study to evaluate the efficacy, safety, pharmacokinetics (PK) and PD of two treatment arms of telitacicept compared to placebo in patients with moderately to severely active SLE while receiving SoC treatment.
* Stage 2: a multicenter, randomized, double-blind, placebo-controlled study to evaluate the efficacy and safety of telitacicept added to SoC compared to placebo with SoC therapy in patients with moderately to severely active SLE.

Conditions

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Systemic Lupus Erythematosus

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

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Telitacicept

Telitacicept + Standard of Care (SoC)

Group Type EXPERIMENTAL

Telitacicept

Intervention Type BIOLOGICAL

Subcutaneous injection weekly for 52 weeks

Placebo

Placebo + Standard of Care (SoC)

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type BIOLOGICAL

Subcutaneous injection weekly for 52 weeks

Interventions

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Telitacicept

Subcutaneous injection weekly for 52 weeks

Intervention Type BIOLOGICAL

Placebo

Subcutaneous injection weekly for 52 weeks

Intervention Type BIOLOGICAL

Other Intervention Names

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RC18 RC18-L

Eligibility Criteria

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Inclusion Criteria

1. Age 12-70 years at screening.
2. Has a diagnosis of SLE for at least 6 months prior to the screening visit.
3. Meets the 2019 EULAR/ACR Classification criteria for SLE.
4. Moderately to severely active SLE defined by the following:

1. SELENA SLEDAI total score ≥6 points with clinical SLEDAI score ≥4 points at screening;
2. BILAG organ system scores of at least 1A or 2B at screening.
5. Clinical SLEDAI score of ≥4 at Day 0 prior to randomization.
6. At least one positive serologic parameter within the screening period.
7. Currently receiving at least one of the SOC SLE medications: oral corticosteroid, antimalarial and/or immunosuppressive agent.

Exclusion Criteria

1. Active lupus nephritis undergoing induction therapy or unstable renal diseases within 12 weeks prior to screening.
2. Active or unstable neuropsychiatric SLE.
3. Autoimmune or rheumatic disease other than SLE
Minimum Eligible Age

12 Years

Maximum Eligible Age

70 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Vor Biopharma

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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Anniston, Alabama Site

Anniston, Alabama, United States

Site Status

Mission Hills Site

Mission Hills, California, United States

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Orange Site

Orange, California, United States

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Thousands Oaks Site

Thousand Oaks, California, United States

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Miami, FL Site

Miami, Florida, United States

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Tampa, Florida Site

Tampa, Florida, United States

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Wheaton, Maryland Site

Wheaton, Maryland, United States

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Grand Blanc Site

Grand Blanc, Michigan, United States

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Baytown Site

Baytown, Texas, United States

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Colleyville, Texas Site

Colleyville, Texas, United States

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Houston Site

Houston, Texas, United States

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Waco Site

Waco, Texas, United States

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Quilmes Site

Quilmes, Buenos Aires, Argentina

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Rosario Site

Rosario, Santa Fe Province, Argentina

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San Miguel de Tucuman Site 1

San Miguel de Tucumán, Tucumán Province, Argentina

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San Miguel de Tucuman Site 2

San Miguel de Tucumán, Tucumán Province, Argentina

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Ciudad Autonoma Buenos Aires Site 2

Ciudad Autonoma Buenos Aires, , Argentina

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Cordoba Site

Córdoba, , Argentina

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San Juan Site

San Juan, , Argentina

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Garran Site

Garran, Austl. Cap. Terr., Australia

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Murdoch Site

Murdoch, Western Australia, Australia

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Pleven Site

Pleven, , Bulgaria

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Plovdiv Site

Plovdiv, , Bulgaria

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Ruse Site

Rousse, , Bulgaria

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Sevlievo Site

Sevlievo, , Bulgaria

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Sofia Site 1

Sofia, , Bulgaria

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Sofia Site 4

Sofia, , Bulgaria

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Sofia Site 5

Sofia, , Bulgaria

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Sofia Site 3

Sofia, , Bulgaria

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Stara Zagora Site

Stara Zagora, , Bulgaria

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Santiago Site 4

Santiago, , Chile

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Santiago Site 1

Santiago, , Chile

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Santiago Site 3

Santiago, , Chile

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Santiago Site 2

Santiago, , Chile

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Barranquilla site

Barranquilla, , Colombia

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Barranquilla site

Barranquilla, , Colombia

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Bucaramanga site

Bucaramanga, , Colombia

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Medellin Site 1

Medellín, , Colombia

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Medellin site 2

Medellín, , Colombia

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Monteria site

Montería, , Colombia

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Koeln Site

Cologne, North Rhine-Westphalia, Germany

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Muenster Site

Münster, North Rhine-Westphalia, Germany

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Guatemala site

Guatemala City, , Guatemala

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Budapest Site

Budapest, , Hungary

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Debrecen Site

Debrecen, , Hungary

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Gyula Site

Gyula, , Hungary

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Quatre Bornes Site

Quatre Bornes, , Mauritius

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Cuernavaca Site

Cuernavaca, , Mexico

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Guadalajara Site

Guadalajara, , Mexico

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Ciudad de Mexico Site

Mexico City, , Mexico

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Mexico site 1

México, , Mexico

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Mexico Site 2

México, , Mexico

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Batangas Site

Batangas, , Philippines

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Cagayan de Oro City Site

Cagayan de Oro, , Philippines

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Los Baños Site

Los Baños, , Philippines

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Makati City Site

Makati City, , Philippines

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Manila Site

Manila, , Philippines

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Bydgoszcz Site

Bydgoszcz, , Poland

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Bydgoszcz Site 2

Bydgoszcz, , Poland

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Bydgoszcz Site 3

Bydgoszcz, , Poland

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Bytom Site

Bytom, , Poland

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Katowice Site

Katowice, , Poland

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Krakow Site 1

Krakow, , Poland

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Lodz Site

Lodz, , Poland

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Malbork Site

Malbork, , Poland

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Poznan Site 2

Poznan, , Poland

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Poznan SIte

Poznan, , Poland

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Poznań Site

Poznan, , Poland

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Szczecin Site

Szczecin, , Poland

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Warszawa Site 2

Warsaw, , Poland

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Warszawa Site 3

Warsaw, , Poland

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Warszawa Site

Warsaw, , Poland

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Wroclaw Site 2

Wroclaw, , Poland

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Caguas Site

Caguas, , Puerto Rico

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San Juan Site

San Juan, , Puerto Rico

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Sevilla Site 1

Seville, , Spain

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Sevilla Site 2

Seville, , Spain

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Valencia Site

Valencia, , Spain

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Countries

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United States Argentina Australia Bulgaria Chile Colombia Germany Guatemala Hungary Mauritius Mexico Philippines Poland Puerto Rico Spain

Other Identifiers

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RC18G001

Identifier Type: -

Identifier Source: org_study_id

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