The purpose of this study is to assess the clinical efficacy, safety, PK, and PD of multiple dose levels of ESK-001 compared with placebo in adult patients with SLE.
Eligibility
Sex
ALL
Min age
18 Years
Max age
70 Years
Healthy volunteers
No
Inclusion Criteria:
Patients with 6 or more months of SLE according to the 2019 EULAR/ACR criteria, have positive autoantibodies or low complement at screening, and have active SLE as measured by SLEDAI-2K of 6 or more, or 4 or more if joint involvement is present.
Patients need to be on treatment which can be:
* A stable dose of oral corticosteroid (≤40 mg/day prednisone or equivalent) for a minimum of 2 weeks prior to signing of the informed consent form (ICF) at the Screening Visit. The dose of oral corticosteroid the patient is taking should not increase between screening and Week 0 (Day 1).
* And/or antimalarial treatment (e.g., hydroxychloroquine, chloroquine, quinacrine),
* And/or no more than 1 of the following conventional DMARDS:
* Azathioprine ≤200 mg/day
* Mycophenolate mofetil ≤2 g/day or mycophenolic acid ≤1.44 g/day
* Oral, subcutaneous, or intramuscular (IM) methotrexate ≤20 mg/week.
Exclusion Criteria:
* Drug-induced SLE or other autoimmune diseases that, in the opinion of the Investigator, are likely to confound efficacy assessments
* Active, proliferative lupus nephritis that in the Investigator's opinion may require treatment not allowed by the protocol
* Current disease other than SLE that, in the opinion of the Investigator, is likely to interfere with SLE disease activity assessments. Examples include severe fibromyalgia, severe osteoarthritis and severe cardiorespiratory diseases.
* Active severe or unstable neuropsychiatric SLE including, but not limited to the following: aseptic meningitis; cerebral vasculitis; myelopathy; demyelination syndromes (ascending or transverse myelitis, acute inflammatory demyelinating polyradiculopathy); acute confusional state; impaired level of consciousness; psychosis; acute stroke or stroke syndrome; cranial neuropathy; new seizures; cerebellar ataxia; and mononeuritis multiplex.
* That would make the patient unable to fully understand the ICF, or
* Where, in the opinion of the Principal Investigator, protocol-specified SOC is insufficient and utilization of a more aggressive therapeutic approach not permitted in the protocol, is indicated
* Known history of a primary immunodeficiency or an underlying condition such as HIV infection or splenectomy that predisposes the patient to infection
* Currently active, clinically significant infection of any kind
* Clinically significant chronic infection (eg, osteomyelitis, bronchiectasis) within 8 weeks prior to signing the ICF (chronic fungal nail infections are allowed)
* Any infection requiring hospitalization or treatment with IV anti-infectives not completed at least 4 weeks prior to signing the ICF
* Any infection requiring oral anti-infectives (including antivirals) within 2 weeks prior to Day 1
* Any severe herpes infection at any time prior to Week 0 (Day 1), including, but not limited to, disseminated herpes (ever), herpes encephalitis (ever), recurrent herpes zoster (defined as 2 episodes within 2 years), or ophthalmic herpes (ever)
* Active herpes zoster infection within 12 weeks of prior to signing the ICF
* Active herpes simplex virus within 4 weeks of Day 1
* Other protocol-defined inclusion/exclusion criteria apply
Primary outcome measure(s)
To compare the effect on disease activity measured by the proportion of patients achieving British Isles Lupus Assessment Group (BILAG)-based Composite Lupus Assessment (BICLA) response at Week 48 between doses of ESK-001 and placebo — Week 48
Trial sites (169)
Facility
City
Region
Status
Investigator Site #1046
Anniston
Alabama
Investigator Site #1104
La Jolla
California
Investigator Site #1050
Los Alamitos
California
Investigator Site #1168
Mission Hills
California
Investigator Site #1174
Napa
California
Investigator Site #1061
Upland
California
Investigator Site #1048
Aventura
Florida
Investigator Site #1063
Avon Park
Florida
Investigator Site #1176
Bradenton
Florida
Investigator Site #1045
Clearwater
Florida
Investigator Site #1055
Coral Gables
Florida
Investigator Site #1097
Coral Springs
Florida
Investigator Site #1091
Daytona Beach
Florida
Investigator Site #1051
DeBary
Florida
Investigator Site #1087
Hollywood
Florida
Investigator Site #1135
Kissimmee
Florida
Investigator Site #1060
Miami
Florida
Investigator Site #1093
Miami
Florida
Investigator Site #1057
Miami
Florida
Investigator Site #1067
Miami Lakes
Florida
Investigator Site #1090
Plantation
Florida
Investigator Site #1089
Tampa
Florida
Investigator Site #1170
Atlanta
Georgia
Investigator Site #1052
College Park
Georgia
Investigator Site #1204
Chesterfield
Missouri
Investigator site #1209
Las Vegas
Nevada
Investigator Site #1189
Sparta
New Jersey
Investigator Site #1101
Albuquerque
New Mexico
Investigator Site #1058
Brooklyn
New York
Investigator Site #1088
New York
New York
Investigator Site #1175
Queens
New York
Investigator Site #1095
Charlotte
North Carolina
Investigator Site #1056
Charlotte
North Carolina
Investigator Site #1173
Charlotte
North Carolina
Investigator Site #1171
Philadelphia
Pennsylvania
Investigator Site #1062
Pittsburgh
Pennsylvania
Investigator Site #1044
Memphis
Tennessee
Investigator Site #1195
Carrollton
Texas
Investigator Site #1049
Colleyville
Texas
Investigator Site #1071
Fort Worth
Texas
+ 129 more sites — see the full list on the official registry below.
This page summarises publicly available registry data for informational purposes — not medical advice. Eligibility is determined by each study team; patients should discuss participation with their clinician.
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