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The WILLOW study with enpatoran in SLE and CLE (SCLE and/or DLE)

Phase 2
Completed
Conditions
Systemic lupus erythematosus (SLE) and cutaneous lupus erythematosus (CLE)
Registration Number
2024-510872-18-00
Lead Sponsor
Merck Healthcare KGaA
Brief Summary

To evaluate the dose-response relationship of enpatoran in reducing disease activity based on CLASI-A

Detailed Description

Not available

Recruitment & Eligibility

Status
Ended
Sex
Not specified
Target Recruitment
127
Inclusion Criteria

Active CLE (SCLE and/or DLE) with a CLE disease area and activity index (CLASI-A) >= 8

Active SLE with presence of: CLASI-A >= 8 and BILAG 2004 1B, C, D (that is [i.e.], No BILAG 2004 A and No BILAG 2004 >= 2B) or BILAG 2004 >= 1A or 2B and 1 or 2 of the following: Hybrid Safety of Estrogens in Systemic Lupus Erythematosus National Assessment (SELENA)-SLEDAI >= 6 at Screening Visit and confirmed clinical hybrid SELENA-SLEDAI >= 4 (excluding laboratory parameters) at Day 1 Visit and/or CLASI-A >= 8

Receiving a stable dose of at least one of the following standards of care therapies for lupus: Immunomodulator/immunosuppressant, oral corticosteroids, and/or topical corticosteroids

Other protocol defined inclusion criteria could apply

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

Other protocol defined exclusion criteria could apply

Study & Design

Study Type
Interventional clinical trial of medicinal product
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Cohort A: Percent Change from Baseline in Cutaneous Lupus Erythematosus Disease Area and Severity Index (CLASI-A) at Week 16

Cohort A: Percent Change from Baseline in Cutaneous Lupus Erythematosus Disease Area and Severity Index (CLASI-A) at Week 16

Cohort B: British Isles Lupus Assessment Group (BILAG)-Based Composite Lupus Assessment (BICLA) Response at Week 24

Cohort B: British Isles Lupus Assessment Group (BILAG)-Based Composite Lupus Assessment (BICLA) Response at Week 24

Secondary Outcome Measures
NameTimeMethod
Cohort B: Change From Baseline in Tender Joint Count and Swollen Joint Count at Week 24

Cohort B: Change From Baseline in Tender Joint Count and Swollen Joint Count at Week 24

Cohort B: Change from Baseline in Physician's Global Assessment at Week 24

Cohort B: Change from Baseline in Physician's Global Assessment at Week 24

Cohort A and Cohort B: Safety Profile as Assessed by Incidence of Treatment-Emergent Adverse Events (TEAEs), Serious Adverse Events (SAEs), AEs of Special Interest, Clinically Significant Abnormalities in Laboratory Parameters and QT Interval Corrected

Cohort A and Cohort B: Safety Profile as Assessed by Incidence of Treatment-Emergent Adverse Events (TEAEs), Serious Adverse Events (SAEs), AEs of Special Interest, Clinically Significant Abnormalities in Laboratory Parameters and QT Interval Corrected

Cohort A and Cohort B: Change from Baseline in Cutaneous Lupus Activity Investigator's Global Assessment (CLA-IGA) at Week 16 and Week 24

Cohort A and Cohort B: Change from Baseline in Cutaneous Lupus Activity Investigator's Global Assessment (CLA-IGA) at Week 16 and Week 24

Cohort A and Cohort B: Change from Baseline in Physician's Global Assessment of Cutaneous Lupus Disease Activity at Week 16 and 24

Cohort A and Cohort B: Change from Baseline in Physician's Global Assessment of Cutaneous Lupus Disease Activity at Week 16 and 24

Cohort B: Participants with British Isles Lupus Assessment Group (BILAG)-Based Composite Lupus Assessment (BICLA) Response and with Clinically Meaningful Corticosteroids (CS) Reduction

Cohort B: Participants with British Isles Lupus Assessment Group (BILAG)-Based Composite Lupus Assessment (BICLA) Response and with Clinically Meaningful Corticosteroids (CS) Reduction

Cohort A: Clinically Meaningful Corticosteroids (CS) Reduction

Cohort A: Clinically Meaningful Corticosteroids (CS) Reduction

Cohort A: Ocurrence of Cutaneous Lupus Activity Investigator's Global Assessment (CLA-IGA) Score 0 or 1 at Week 16 and Week 24

Cohort A: Ocurrence of Cutaneous Lupus Activity Investigator's Global Assessment (CLA-IGA) Score 0 or 1 at Week 16 and Week 24

Cohort B: Systemic lupus Erythematosus Responder Index-4 (SRI-4) Response at Week 24

Cohort B: Systemic lupus Erythematosus Responder Index-4 (SRI-4) Response at Week 24

Cohort B: Lupus Low Disease Activity State (LLDAS) Attainment at Week 24

Cohort B: Lupus Low Disease Activity State (LLDAS) Attainment at Week 24

Cohort B: Remission Attainment at Week 24

Cohort B: Remission Attainment at Week 24

Cohort B: Time to First Moderate/Severe British Isles Lupus Assessment Group (BILAG) Flare

Cohort B: Time to First Moderate/Severe British Isles Lupus Assessment Group (BILAG) Flare

Cohort B: Time to First Systemic Lupus Erythematosus Disease Activity Index (SLEDAI) Flare Index (SFI) Severe Flare

Cohort B: Time to First Systemic Lupus Erythematosus Disease Activity Index (SLEDAI) Flare Index (SFI) Severe Flare

Cohort A and B: Change from Baseline in Skindex 29+3 Symptom Domain Score at Week 24

Cohort A and B: Change from Baseline in Skindex 29+3 Symptom Domain Score at Week 24

Cohort A and B: Change from Baseline in the Skindex 29+3 Functioning and Emotion Domain Scores at Week 24

Cohort A and B: Change from Baseline in the Skindex 29+3 Functioning and Emotion Domain Scores at Week 24

Change from Baseline in the Skindex 29+3 Lupus-Specific Domain Score at Week 24

Change from Baseline in the Skindex 29+3 Lupus-Specific Domain Score at Week 24

Cohort A and B: Change from Baseline in Functional Assessment of Chronic Illness Therapy (FACIT)-Fatigue Scores at Week 24

Cohort A and B: Change from Baseline in Functional Assessment of Chronic Illness Therapy (FACIT)-Fatigue Scores at Week 24

Trial Locations

Locations (29)

Hippokration Hospital

🇬🇷

Thessaloniki, Greece

General Hospital Of Thessaloniki Papageorgiou

🇬🇷

Efkarpia, Greece

Laiko General Hospital Of Athens

🇬🇷

Athens, Greece

Prywatna Praktyka Lekarska Prof Dr Hab Med Pawel Hrycaj

🇵🇱

Poznan, Poland

Twoja Przychodnia Opolskie Centrum Medyczne

🇵🇱

Opole, Poland

Twoja Przychodnia Szczecinskie Centrum Medyczne Sp. z o.o.

🇵🇱

Szczecin, Poland

Centrum Nowoczesnych Terapii Dobry Lekarz Sp. z o.o.

🇵🇱

Cracow, Poland

Twoja Przychodnia Poznańskie Centrum Medyczne Sp. z o.o.

🇵🇱

Poznan, Poland

Centrum Medyczne Plejady Magdalena Celinska Loewenhoff Michal Zolnowski sp.k.

🇵🇱

Cracow, Poland

Nova Reuma Domyslawska I Rusilowicz Lekarza Reumatologa I Fizjoterapeuty sp.p.

🇵🇱

Bialystok, Poland

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Hippokration Hospital
🇬🇷Thessaloniki, Greece
Efstratios Vakirlis
Site contact
+302313308894
svakirlis@hotmail.com

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