Study of GS-5718 in Participants With Cutaneous Lupus Erythematosus (CLE)

2022-501523-24-00 Protocol GS-US-497-6486 Therapeutic exploratory (Phase II) Ended

Start 12 Oct 2023 · End 15 Jan 2026 · Status Ended · 3 EU/EEA countries · 9 sites · Protocol GS-US-497-6486

Overview

Sponsor-declared trial summary

Phase Therapeutic exploratory (Phase II)
Status Ended
Participants planned 33
Countries 3
Sites 9

Cutaneous Lupus Erythematosus (CLE)

To evaluate the efficacy of GS-5718 versus PTM in reducing skin disease activity for participants with CLE with or without SLE.

Key facts

Sponsor
Gilead Sciences Inc.
Participant type
Patients
Age range
18-64 years, 65+ years
Gender
Male and Female
Therapeutic area
Diseases [C] - Skin and Connective Tissue Diseases [C17]
Trial duration
12 Oct 2023 → 15 Jan 2026
Decision date (initial)
2023-09-26
Transition trial
No
Low-intervention
No
Rare-disease indication
No
Vulnerable population
Yes
Funding sources
Gilead Sciences, Inc.

External identifiers

EU CT number
2022-501523-24-00
ClinicalTrials.gov
NCT05629208

Trial design

CTIS Part I — objectives, methods, condition coding

Main objective

Scope: Pharmacokinetic, Efficacy, Safety

To evaluate the efficacy of GS-5718 versus PTM in reducing skin disease activity for participants with CLE with or without SLE.

Secondary objectives 3

  1. To evaluate the efficacy of GS-5718 versus PTM in reducing skin disease activity for participants with CLE with or without SLE.
  2. To evaluate the safety and tolerability of GS-5718 in participants with CLE with or without SLE.
  3. To characterize the PK of GS-5718 in participants with CLE with or without SLE.

Conditions and MedDRA coding

Cutaneous Lupus Erythematosus (CLE)

VersionLevelCodeTermSystem organ class
21.1 PT 10056509 Cutaneous lupus erythematosus 100000004858

Regulatory references

Scientific advice from competent authorities
Food And Drug Administration
Plan to share IPD
No

Eligibility criteria

Principal inclusion / exclusion criteria as submitted by sponsor

Inclusion criteria 6

  1. Either fulfill European League Against Rheumatism/American College of Rheumatology (EULAR/ACR) 2019 classification criteria for systemic lupus erythematosus (SLE) and/or have biopsy confirmed Cutaneous Lupus Erythematosus (CLE) at any time.
  2. Must have active CLE at screening and Day 1. Individuals with acute CLE (ACLE) must have involvement of 2 distinct body areas.
  3. Cutaneous Lupus Erythematosus Disease Area and Severity Index activity - A (CLASI-A) score (excluding alopecia) of ≥ 8 and CLASI-A erythema score of ≥ 4 during screening and on Day 1. Individuals with SLE must have Systemic Lupus Erythematosus Disease Activity Index 2000 (SLEDAI-2K) score of ≥ 4 at screening.
  4. Presence of at least 1 representative lupus skin lesion amenable to punch biopsy and individual willingness to undergo skin punch biopsy at 2 time points.
  5. Must have documented prior intolerance or inadequate response at any time (per investigator judgement) to protocol-specified treatments. - Topical corticosteroids or topical calcineurin inhibitors. - Oral corticosteroids. - Any other nonbiologic standard-of-care therapy, including, but not limited to: chloroquine, quinacrine, hydroxychloroquine, azathioprine, mycophenolate mofetil (MMF), leflunomide, dapsone, or methotrexate (MTX).
  6. Individuals willing to comply with all study visits and assessments. Note: Other protocol defined Inclusion criteria may apply.

Exclusion criteria 6

  1. Individuals with only chilblains lupus, lupus panniculitis, lupus tumidus and/or localized acute CLE involving only 1 distinct body area at screening and Day 1.
  2. Have highly active SLE (including but not limited to lupus nephritis, neuropsychiatric SLE, and/or vasculitis).
  3. Presence of active skin conditions other than cutaneous lupus that may interfere with assessing lupus-specific skin lesion(s) (eg, psoriasis, and/or drug-induced lupus).
  4. Meet protocol-specified infection or lab criteria. - Any active infection that is clinically significant (per investigator judgment).
  5. Any history of clinically significant liver disease.
  6. Significant cardiovascular disease. Note: Other protocol defined Exclusion criteria may apply.

Endpoints

Primary and secondary outcome measures (English text)

Primary endpoints 1

  1. Percent change from baseline in Cutaneous Lupus Erythematosus Disease Area and Severity Index activity (CLASI-A) score at Week 12.

Secondary endpoints 5

  1. Proportion of participants with Cutaneous Lupus Activity Investigator Global Assessment (CLA-IGA) score of 0 or 1 at Week 12.
  2. Incidence of treatment-emergent adverse events (TEAEs).
  3. Incidence of treatment-emergent serious adverse events (TESAEs).
  4. Incidence of treatment-emergent laboratory abnormalities.
  5. PK characteristics of GS-5718

Investigational products

Investigational medicinal products (IMPs), comparators, placebo, auxiliary

Test 1

GS-5718 film-coated tablets 15mg

PRD8854728 · Product

Active substance
GS-5718-03
Pharmaceutical form
FILM-COATED TABLET
Route of administration
ORAL USE
Max daily dose
30 mg milligram(s)
Max total dose
2520 mg milligram(s)
Max treatment duration
12 Week(s)
Authorisation status
Not Authorised
MA holder
GILEAD SCIENCES INC
Paediatric formulation
No
Orphan designation
No

Placebo 1

Ptm GS-5718

N/A · Product

Other product name
N/A
Pharmaceutical form
N/A
ATC code
N/A — N/A
Marketing authorisation
N/A
MA holder
N/A
MA country
Iceland
Paediatric formulation
No

Sponsors and contacts

Sponsor organisations, regulatory contacts, third parties

Gilead Sciences Inc.

Sponsor organisation
Gilead Sciences Inc.
Address
333 Lakeside Drive
City
Foster City
Postcode
94404-1147
Country
United States

Scientific contact point

Organisation
Gilead Sciences Inc.
Contact name
EU CT Support

Public contact point

Organisation
Gilead Sciences Inc.
Contact name
EU CT Support

Third parties 8

OrganisationCity, countryDuties
Crisalis LLC
ORG-100047297
Oklahoma City, United States E-data capture
Canfield Scientific Inc.
ORG-100042834
Parsippany, United States E-data capture
Labcorp Central Laboratory Services LP
ORG-100032236
Indianapolis, United States Other, Laboratory analysis
Ixcells Biotechnologies USA Inc.
ORG-100048161
San Diego, United States Laboratory analysis
Signant Health Management Limited
ORG-100040504
Reading, United Kingdom Interactive response technologies (IRT), E-data capture
Pharmaceutical Product Development LLC
ORG-100016999
Wilmington, United States On site monitoring, Code 12, Code 13, Code 2, Code 5
Precision For Medicine Inc.
ORG-100041895
Frederick, United States Laboratory analysis
Mosaic Laboratories LLC
ORG-100042385
Lake Forest, United States Laboratory analysis

Locations

3 EU/EEA countries · 9 investigational sites

By country

CountryMS statusPlanned subjectsSites
Czechia Ended 4 2
Germany Ended 8 3
Spain Ended 8 4
Rest of world
United States, Canada
13

Investigational sites

Czechia

2 sites · Ended
Kozni ambulance Fialova s.r.o.
n/a, Evropska 1724/59, Dejvice, Prague
Vseobecna Fakultni Nemocnice V Praze
Dermatovenerologická klinika, U Nemocnice 499/2, Nove Mesto, Prague

Germany

3 sites · Ended
Medical Center - University Of Freiburg
Clinic for Dermatology and Venereology, Hauptstrasse 7, Herdern, Freiburg Im Breisgau
Universitaetsklinikum Carl Gustav Carus Dresden an der Technischen Universitaet Dresden AöR
Clinic and Polyclinic for Dermatology, Fetscherstrasse 74, Johannstadt-Nord, Dresden
Universitaet Leipzig
Clinic for Dermatology, Venereology and Allergology, Philipp-Rosenthal-Strasse 23, Zentrum-Suedost, Leipzig

Spain

4 sites · Ended
Hospital Universitario De Navarra
Internal Medicine, Irunlarrea Kalea 3, 31008, Pamplona
Hospital Universitario Infanta Leonor
Dermatology, Avenida Gran Via Del Este 80, 28031, Madrid
Hospital De La Santa Creu I Sant Pau
Dermatology, Calle De San Antonio Maria Claret 167, 08025, Barcelona
Hospital General De Granollers
Dermatology, Calle De Francesc Ribas 1, 08402, Granollers

Country notifications

Trial-start, recruitment-start, end and early-termination notifications submitted per Member State

Country Trial startTrial end Recruitment startRecruitment end Early termination
Czechia 2023-10-24 2024-12-02 2023-11-09 2024-12-02
Germany 2023-10-12 2024-01-16 2025-12-03
Spain 2023-11-06 2023-11-28 2025-12-03

Results and documents

Annex IV summary of results, Annex V layperson summary, and all documents registered in CTIS for this trial

Documents 48 files

Public protocol annexes, IB summaries, regulatory submissions and post-authorisation documents registered in CTIS.

TypeTitleVersion
Protocol (for publication) D1_Protocol_2022-501523-24-00_redacted 2
Recruitment arrangements (for publication) K1_GS-US-497-6486_CZE_Recruitment and Informed consent procedure_29May2023_Public n/a
Recruitment arrangements (for publication) K1_GS-US-497-6486_Recruitment-Arrangements_ES_Public N/A
Recruitment arrangements (for publication) K1_GS-US-497-6486_Recruitment-Informed-Consent-Procedure_DE_Public 1.0
Recruitment arrangements (for publication) K2_GS-US-497-6486 CLE Brochure EU_ES_Spain_Public 1.1
Recruitment arrangements (for publication) K2_GS-US-497-6486 CLE Brochure with travel and stipend EU_Czech_Public 2.0
Recruitment arrangements (for publication) K2_GS-US-497-6486 CLE Brochure with travel and stipend_EU_DE_German_Public 1.1
Recruitment arrangements (for publication) K2_GS-US-497-6486 CLE Brochure with travel EU_ES_Spain_Public 3.0
Recruitment arrangements (for publication) K2_GS-US-497-6486 CLE Brochure_EU_DE_German_Public 1.1
Recruitment arrangements (for publication) K2_GS-US-497-6486 CLE Flyer with travel and stipend_Czech_Public 1.1
Recruitment arrangements (for publication) K2_GS-US-497-6486 CLE Flyer with travel and stipend_DE_German_Public 1.1
Recruitment arrangements (for publication) K2_GS-US-497-6486 CLE Flyer with travel and stipend_ES_Spain_Public 1.1
Recruitment arrangements (for publication) K2_GS-US-497-6486 CLE Flyer with travel_DE_German_Public 1.1
Recruitment arrangements (for publication) K2_GS-US-497-6486 CLE Flyer with travel_ES-Spain_Public 3.0
Recruitment arrangements (for publication) K2_GS-US-497-6486 CLE Poster with travel and stipend_Czech_Public 1.1
Recruitment arrangements (for publication) K2_GS-US-497-6486 CLE Poster with travel and stipend_DE_German_Public 1.1
Recruitment arrangements (for publication) K2_GS-US-497-6486 CLE Poster with travel and stipend_ES_Spain_Public 1.1
Recruitment arrangements (for publication) K2_GS-US-497-6486 CLE Poster with travel_DE_German_Public 1.1
Recruitment arrangements (for publication) K2_GS-US-497-6486 CLE Poster with travel_ES_Spain_Public 3.0
Recruitment arrangements (for publication) K2_GS-US-497-6486 Physician Letter_DE_German_Public 1.0
Subject information and informed consent form (for publication) L1_GS-US-467-6486_Greenphire_ICF_ES_Spain_Public 8.0
Subject information and informed consent form (for publication) L1_GS-US-497-6486_Future-Research-ICF_DE_German_Public 1.1
Subject information and informed consent form (for publication) L1_GS-US-497-6486_GDPR-ICF_CZ_Czech_Public 1.2
Subject information and informed consent form (for publication) L1_GS-US-497-6486_Greenphire-ICF_CZ_Czech_Public 8.2
Subject information and informed consent form (for publication) L1_GS-US-497-6486_Greenphire-ICF_DE_German_Public 1.0
Subject information and informed consent form (for publication) L1_GS-US-497-6486_Main ICF_ES_Spain_Public 6.0
Subject information and informed consent form (for publication) L1_GS-US-497-6486_Main-ICF_CZ_Czech_Public 5.0
Subject information and informed consent form (for publication) L1_GS-US-497-6486_Main-ICF_DE_German_Public 6.0
Subject information and informed consent form (for publication) L1_GS-US-497-6486_Optional-Skin-Biopsy ICF_CZ_Czech_Public 2.0
Subject information and informed consent form (for publication) L1_GS-US-497-6486_Optional-Skin-Biopsy-ICF_DE_German_Public 2.0
Subject information and informed consent form (for publication) L1_GS-US-497-6486_Partner ICF_ES_Spain_Public 1.1
Subject information and informed consent form (for publication) L1_GS-US-497-6486_Partner-Pregnancy-ICF_CZ_Czech_Public 1.2
Subject information and informed consent form (for publication) L1_GS-US-497-6486_Pregnant-Partner-ICF_DE_German_Public 1.2
Subject information and informed consent form (for publication) L1_GS-US-497-6486_Pregnant-Patient-ICF_DE_German_Public 1.1
Subject information and informed consent form (for publication) L1_GS-US-497-6486_Skin Biopsy_Optional Substudy_ ICF_ES_Spain_Public 2.0
Subject information and informed consent form (for publication) L2_GS-US-497-6486_ClinCard-Card-Carrier_CZ_Czech_Public 10.0
Subject information and informed consent form (for publication) L2_GS-US-497-6486_ClinCard-Cardholder-FAQ_CZ_Czech_Public 10.0
Subject information and informed consent form (for publication) L2_GS-US-497-6486_ClinCard-Cardholder-Msg-Templates_CZ_Czech_Public 10.0
Subject information and informed consent form (for publication) L2_GS-US-497-6486_ClinCard-Fee-Schedule_CZ_Czech_Public 10.1
Subject information and informed consent form (for publication) L2_GS-US-497-6486_ClinCard-Generic-Image_Public 10.0
Subject information and informed consent form (for publication) L2_GS-US-497-6486_ConneX-Travel-Contact-Card_CZ_Czech_Public 10.0
Subject information and informed consent form (for publication) L2_GS-US-497-6486_ConneX-Travel-Reference-Guide-for-Participants_CZ_Czech_Public 10.0
Subject information and informed consent form (for publication) L2_GS-US-497-6486_EU-Dispute-Form_CZ_Czech_Public 10.0
Subject information and informed consent form (for publication) L2_GS-US-497-6486_Participant-Dosing-Diary_CZ_Czech_Public 3.0
Subject information and informed consent form (for publication) L2_GS-US-497-6486_Patient-Card_CZ_Czech_Public 1.1.0
Synopsis of the protocol (for publication) D1_Protocol synopsis_CZ_2022-501523-24-00_redacted 2
Synopsis of the protocol (for publication) D1_Protocol synopsis_DE_2022-501523-24-00_redacted 2
Synopsis of the protocol (for publication) D1_Protocol synopsis_ES_2022-501523-24-00_redacted 2

Application history

8 submissions — initial application plus substantial / non-substantial modifications

#TypeCodeSubmittedReference MSConclusionDecision date
1 INITIAL IN 2023-06-09 Germany Acceptable
2023-09-22
2023-09-25
2 SUBSTANTIAL MODIFICATION SM-1 2023-10-02 Germany Acceptable
2023-10-31
2023-11-02
3 SUBSTANTIAL MODIFICATION SM-2 2024-03-26 2024-05-13
4 NON SUBSTANTIAL MODIFICATION NSM-1 2024-05-22 Germany 2024-05-22
5 SUBSTANTIAL MODIFICATION SM-4 2024-08-01 Germany Acceptable 2024-08-12
6 SUBSTANTIAL MODIFICATION SM-3 2024-08-13 Acceptable 2024-09-20
7 SUBSTANTIAL MODIFICATION SM-5 2024-08-13 Acceptable 2024-10-11
8 SUBSTANTIAL MODIFICATION SM-6 2025-05-29 Germany Acceptable
2025-07-03
2025-07-07