Overview
Sponsor-declared trial summary
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
- To evaluate the efficacy of GS-5718 versus PTM in reducing skin disease activity for participants with CLE with or without SLE.
- To evaluate the safety and tolerability of GS-5718 in participants with CLE with or without SLE.
- To characterize the PK of GS-5718 in participants with CLE with or without SLE.
Conditions and MedDRA coding
Cutaneous Lupus Erythematosus (CLE)
| Version | Level | Code | Term | System 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
- 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.
- Must have active CLE at screening and Day 1. Individuals with acute CLE (ACLE) must have involvement of 2 distinct body areas.
- 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.
- 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.
- 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).
- Individuals willing to comply with all study visits and assessments. Note: Other protocol defined Inclusion criteria may apply.
Exclusion criteria 6
- 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.
- Have highly active SLE (including but not limited to lupus nephritis, neuropsychiatric SLE, and/or vasculitis).
- 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).
- Meet protocol-specified infection or lab criteria. - Any active infection that is clinically significant (per investigator judgment).
- Any history of clinically significant liver disease.
- Significant cardiovascular disease. Note: Other protocol defined Exclusion criteria may apply.
Endpoints
Primary and secondary outcome measures (English text)
Primary endpoints 1
- Percent change from baseline in Cutaneous Lupus Erythematosus Disease Area and Severity Index activity (CLASI-A) score at Week 12.
Secondary endpoints 5
- Proportion of participants with Cutaneous Lupus Activity Investigator Global Assessment (CLA-IGA) score of 0 or 1 at Week 12.
- Incidence of treatment-emergent adverse events (TEAEs).
- Incidence of treatment-emergent serious adverse events (TESAEs).
- Incidence of treatment-emergent laboratory abnormalities.
- 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
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
| Organisation | City, country | Duties |
|---|---|---|
| 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
| Country | MS status | Planned subjects | Sites |
|---|---|---|---|
| Czechia | Ended | 4 | 2 |
| Germany | Ended | 8 | 3 |
| Spain | Ended | 8 | 4 |
| Rest of world
United States, Canada
|
— | 13 | — |
Investigational sites
Country notifications
Trial-start, recruitment-start, end and early-termination notifications submitted per Member State
| Country | Trial start | Trial end | Recruitment start | Recruitment 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.
| Type | Title | Version |
|---|---|---|
| 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
| # | Type | Code | Submitted | Reference MS | Conclusion | Decision 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 |