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Study to Evaluate Safety and Efficacy of Filgotinib and Lanraplenib in Females With Moderately-to-Severely Active Cutaneous Lupus Erythematosus (CLE)

Phase 2
Completed
Conditions
Cutaneous Lupus Erythematosus
Interventions
Registration Number
NCT03134222
Lead Sponsor
Gilead Sciences
Brief Summary

The primary objective of this study is to evaluate the efficacy of filgotinib and lanraplenib (formerly GS-9876) in females with moderately-to-severely active cutaneous lupus erythematosus (CLE).

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
Female
Target Recruitment
47
Inclusion Criteria
  • Must have a diagnosis of CLE, either chronic (e.g., discoid) or subacute CLE per investigator evaluation, with the following:

    • Moderately-to-severely active CLE (Cutaneous lupus erythematosus disease area and severity index [CLASI] activity score ≥ 10) at screening and Day 1
    • Prior intolerance or inadequate response to at least one of the listed medications for the treatment of CLE
  • Stable dose (defined as no change in prescription for at least 28 days prior to Day 1) of antimalarials and/or topical or oral corticosteroids is permitted during the study. Individuals who are not planning to continue these medications during the study must have discontinued them at least 28 days prior to Day 1

Key

Exclusion Criteria
  • Use of prohibited concomitant medications per study protocol

Note: Other protocol defined Inclusion/Exclusion criteria may apply.

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Filgotinib 200 mgLanraplenib placeboFilgotinib + lanraplenib placebo for 48 weeks
Placebo to Filgotinib 200 mgLanraplenib placeboAfter Week 12 Visit, participants on placebo will be rerandomized 1:1 and receive filgotinib + lanraplenib placebo in a blinded fashion through Week 48.
PlaceboFilgotinib placeboFilgotinib placebo + lanraplenib placebo for 12 weeks
Placebo to Lanraplenib 30 mgFilgotinib placeboAfter Week 12 Visit, participants on placebo will be rerandomized 1:1 and receive lanraplenib + filgotinib placebo in a blinded fashion through Week 48.
Lanraplenib 30 mgFilgotinib placeboLanraplenib + filgotinib placebo for 48 weeks
Lanraplenib 30 mgLanraplenibLanraplenib + filgotinib placebo for 48 weeks
Placebo to Filgotinib 200 mgFilgotinibAfter Week 12 Visit, participants on placebo will be rerandomized 1:1 and receive filgotinib + lanraplenib placebo in a blinded fashion through Week 48.
PlaceboLanraplenib placeboFilgotinib placebo + lanraplenib placebo for 12 weeks
Filgotinib 200 mgFilgotinibFilgotinib + lanraplenib placebo for 48 weeks
Placebo to Lanraplenib 30 mgLanraplenibAfter Week 12 Visit, participants on placebo will be rerandomized 1:1 and receive lanraplenib + filgotinib placebo in a blinded fashion through Week 48.
Primary Outcome Measures
NameTimeMethod
Change in Cutaneous Lupus Erythematosus Disease Area and Severity Index (CLASI) Activity Score From Baseline to Week 12Baseline; Week 12

CLASI Activity is scored based on erythema, scale/hyperkeratosis, mucous membrane involvement, acute hair loss and nonscarring alopecia. Evaluation of erythema and scale/hyperkeratosis is based on a table: rows represent anatomical areas and columns represent major clinical symptoms. The extent of involvement for each of the skin symptoms is documented for each anatomic area. The total score ranges from 0-70, with higher scores indicating more severe skin disease.

Secondary Outcome Measures
NameTimeMethod
Percentage of Participants at Week 12 With No Worsening in CLASI Activity Score From BaselineBaseline; Week 12

CLASI Activity is scored based on erythema, scale/hyperkeratosis, mucous membrane involvement, acute hair loss and nonscarring alopecia. Evaluation of erythema and scale/hyperkeratosis is based on a table: rows represent anatomical areas and columns represent major clinical symptoms. The extent of involvement for each of the skin symptoms is documented for each anatomic area. The total score ranges from 0-70, with higher scores indicating more severe skin disease. Worsening was defined as ≥ 3 point increase in CLASI activity score.

Percentage of Participants at Week 12 With Decrease of ≥ 5 Points in CLASI Activity Score From BaselineBaseline; Week 12

CLASI Activity is scored based on erythema, scale/hyperkeratosis, mucous membrane involvement, acute hair loss and nonscarring alopecia. Evaluation of erythema and scale/hyperkeratosis is based on a table: rows represent anatomical areas and columns represent major clinical symptoms. The extent of involvement for each of the skin symptoms is documented for each anatomic area. The total score ranges from 0-70, with higher scores indicating more severe skin disease.

Percentage of Participants at Week 24 With No Worsening in CLASI Activity Score From BaselineBaseline; Week 24

CLASI Activity is scored based on erythema, scale/hyperkeratosis, mucous membrane involvement, acute hair loss and nonscarring alopecia. Evaluation of erythema and scale/hyperkeratosis is based on a table: rows represent anatomical areas and columns represent major clinical symptoms. The extent of involvement for each of the skin symptoms is documented for each anatomic area. The total score ranges from 0-70, with higher scores indicating more severe skin disease. Worsening was defined as ≥ 3 point increase in CLASI activity score.

Percentage of Participants at Week 24 With Decrease of ≥ 5 Points in CLASI Activity Score From BaselineBaseline; Week 24

CLASI Activity is scored based on erythema, scale/hyperkeratosis, mucous membrane involvement, acute hair loss and nonscarring alopecia. Evaluation of erythema and scale/hyperkeratosis is based on a table: rows represent anatomical areas and columns represent major clinical symptoms. The extent of involvement for each of the skin symptoms is documented for each anatomic area. The total score ranges from 0-70, with higher scores indicating more severe skin disease.

Trial Locations

Locations (16)

K.Papp Clinical Research

🇨🇦

Waterloo, Canada

Dermatology Ottawa Research Centre

🇨🇦

Ottawa, Canada

St. Jude Hospital Yorba Linda DBA Dr. Joseph Heritage Healthcare

🇺🇸

Fullerton, California, United States

Omega Research Consultants LLC

🇺🇸

DeBary, Florida, United States

Desert Medical Advances

🇺🇸

Palm Desert, California, United States

Inland Rheumatology Clinical Trials

🇺🇸

Upland, California, United States

Wallace Rheumatic Studies Center

🇺🇸

Beverly Hills, California, United States

Wake Forest University Health Sciences

🇺🇸

Winston-Salem, North Carolina, United States

Penn State Hershey Medical Center

🇺🇸

Hershey, Pennsylvania, United States

Metroplex Clinical Research Center

🇺🇸

Dallas, Texas, United States

Dermatology Research Associates

🇺🇸

Los Angeles, California, United States

Medderm Associates

🇺🇸

San Diego, California, United States

University of Pennsylvania

🇺🇸

Philadelphia, Pennsylvania, United States

Clinical Research of West Florida, Inc.

🇺🇸

Clearwater, Florida, United States

University Health Network (UHN) - Toronto Western Hospital

🇨🇦

Toronto, Canada

DJL Clinical Research, PLLC

🇺🇸

Charlotte, North Carolina, United States

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