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A Study to Evaluate Efficacy and Safety of Deucravacitinib in Participants With Active Discoid and/or Subacute Cutaneous Lupus Erythematosus (DLE/SCLE)

Phase 2
Active, not recruiting
Conditions
Lupus Erythematosus, Discoid
Lupus Erythematosus, Subacute Cutaneous
Interventions
Registration Number
NCT04857034
Lead Sponsor
Bristol-Myers Squibb
Brief Summary

The purpose of this study is to assess the safety, efficacy, and tolerability of deucravacitinib (BMS-986165) compared with placebo in participants with active discoid and/or subacute cutaneous lupus erythematosus (DLE/SCLE). This study will also assess if deucravacitinib is biologically active and potentially effective in the treatment of participants with moderate to severe DLE/SCLE with or without systemic lupus erythematosus (SLE) that is not well controlled with standard of care therapy.

Detailed Description

Not available

Recruitment & Eligibility

Status
ACTIVE_NOT_RECRUITING
Sex
All
Target Recruitment
75
Inclusion Criteria
  • Diagnosis of discoid/subacute cutaneous lupus erythematosus (DLE/SCLE) for at least 3 months prior to screening visit
  • Meets both clinical and histopathological diagnostic cutaneous lupus erythematosus (CLE) criteria per protocol
  • Currently receiving treatment for DLE/SCLE with a stable regimen of at least one of the following medications: oral corticosteroid, and/or antimalarial, and/or immunosuppressant
  • Participant could be with or without concurrent systemic lupus erythematosus (SLE)
  • If participant receives nonsteroidal anti-inflammatory drugs (NSAIDs) or analgesics treatment then the participant must be on a stable dose 2 weeks prior to screening
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Exclusion Criteria
  • Women who are pregnant, lactating, breastfeeding or planning pregnancy during the study period
  • Any of the following specific CLE subtypes in isolation: acute cutaneous lupus erythematosus (ACLE), lupus tumidus, lupus (profundus) panniculitis, chilblains
  • Drug-induced CLE and/or drug-induced systemic lupus erythematosus (SLE)
  • Antiphospholipid antibody syndrome, serious thrombotic event or unexplained pregnancy loss within 1 year before the screening visit
  • History of 3 or more unexplained consecutive pregnancy losses
  • Active severe or unstable neuropsychiatric SLE
  • Other autoimmune diseases or non-SLE driven inflammatory joint or skin disease or overlap syndromes as primary disease that in the opinion of the investigator will significantly impact the assessment of CLE/SLE disease manifestations and activity

Other protocol-defined inclusion/exclusion criteria apply

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Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Active Treatment: Deucravacitinib Dose 1Deucravacitinib-
Active Treatment: Deucravacitinib Dose 2Deucravacitinib-
PlaceboPlacebo-
Primary Outcome Measures
NameTimeMethod
Percentage change from baseline in Cutaneous Lupus Erythematosus Disease Area and Severity Index activity (CLASI-A) score at week 16Week 16
Secondary Outcome Measures
NameTimeMethod
Percentage of participants with an improvement of ≥ 50% from baseline in the CLASI-A score (CLASI- 50)Week 16
Percentage of participants who have disease improvement as defined by a reduction in CLASI-A of ≥ 4 points from baselineWeek 16
Mean change from baseline in CLASI-A scoreWeek 16
Percentage of participants who have a Complete Response (CR) on CLASI-A defined as a score of "0"Week 16
Incidence of serious adverse events (SAEs)Up to 60 weeks
Incidence of adverse events (AEs)Up to 56 weeks
Incidence of clinically significant changes in clinical laboratory results: Hematology testsUp to 56 weeks
Incidence of clinically significant changes in clinical laboratory results: Chemistry panel testsUp to 56 weeks
Incidence of clinically significant changes in clinical laboratory results: UrinalysisUp to 56 weeks
Incidence of clinically significant changes in vital signs: Body temperatureUp to 56 weeks
Incidence of clinically significant changes in vital signs: Respiratory rateUp to 56 weeks
Incidence of clinically significant changes in vital signs: Blood pressureUp to 56 weeks
Incidence of clinically significant changes in vital signs: Heart rateUp to 56 weeks
Incidence of clinically significant changes in electrocardiogram (ECG) parameters: QTcF intervalUp to 56 weeks

QTcF interval: Corrected QT interval using Fridericia's formula (QTcF)

Incidence of clinically significant changes in electrocardiogram (ECG) parameters: PR intervalUp to 56 weeks

PR interval: The time from the onset of the P wave to the start of the QRS complex

Incidence of clinically significant changes in electrocardiogram (ECG) parameters: QRS intervalUp to 56 weeks

QRS interval: A combination of the Q wave, R wave and S wave, the "QRS complex" represents ventricular depolarization

Incidence of clinically significant changes in electrocardiogram (ECG) parameters: QT intervalUp to 56 weeks

QT interval: Measured from the beginning of the QRS complex to the end of the T wave

Trial Locations

Locations (41)

Local Institution - 0071

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Mexico City, Mexico

Local Institution - 0022

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Taipei, Taiwan

Local Institution - 0059

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Saint Louis, Missouri, United States

Local Institution - 0073

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Farmington, Connecticut, United States

Local Institution

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Guadalajara, Jalisco, Mexico

Local Institution - 0077

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Scottsdale, Arizona, United States

Local Institution - 0076

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Irvine, California, United States

Local Institution - 0067

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Columbus, Ohio, United States

Local Institution - 0002

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Camberwell, Victoria, Australia

Local Institution - 0005

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Rzeszów, Poland

Local Institution - 0019

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Buenos Aires, Argentina

Local Institution - 0006

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Hamburg, Germany

Local Institution - 0023

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Taichung City, Taiwan

Local Institution - 0009

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Wroclaw, Poland

Local Institution - 0008

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Lodz, Łódzkie, Poland

Local Institution - 0010

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Paris, France

Local Institution - 0035

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Berlin, Germany

Local Institution - 0072

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Dresden, Sachsen, Germany

Local Institution - 0014

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Erlangen, Germany

Local Institution - 0046

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Los Angeles, California, United States

Local Institution - 0038

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Bordeaux, France

Local Institution - 0037

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New York, New York, United States

Local Institution - 0013

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San Miguel De Tucuman, Tucuman, Argentina

Local Institution - 0018

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Capital Federal, Buenos Aires, Argentina

Local Institution - 0003

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Botany, New South Wales, Australia

Local Institution - 0078

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Melbourne, Victoria, Australia

Local Institution - 0007

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Clayton, Victoria, Australia

Local Institution - 0001

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Kogarah, New South Wales, Australia

Local Institution - 0087

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Victoria Park, Western Australia, Australia

Local Institution - 0027

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Créteil, France

Local Institution - 0036

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Monterrey, Nuevo LEON, Mexico

Local Institution - 0082

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Orlando, Florida, United States

Local Institution - 0065

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Durham, North Carolina, United States

Local Institution - 0026

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Oklahoma City, Oklahoma, United States

Local Institution - 0060

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Ann Arbor, Michigan, United States

Local Institution - 0058

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Zapopan, Jalisco, Mexico

Local Institution - 0029

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Aguascalientes, Mexico

Local Institution - 0028

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Guadalajara, Mexico

Local Institution - 0031

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Kaohsiung, Taiwan

Local Institution - 0021

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Taichung, Taiwan

Local Institution - 0054

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Charleston, South Carolina, United States

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