Long-term safety and tolerability of cenerimod in adults with systemic lupus erythematosus (OPUS OLE)

2024-514354-67-00 Protocol ID-064A303 Therapeutic confirmatory (Phase III) Ongoing, recruiting

Start 1 Nov 2024 · Status Ongoing, recruiting · 9 EU/EEA countries · 47 sites · Protocol ID-064A303

Overview

Sponsor-declared trial summary

Phase Therapeutic confirmatory (Phase III)
Status Ongoing, recruiting
Participants planned 835
Countries 9
Sites 47

Systemic lupus erythematosus

The primary objective of the study is to assess the long-term safety and tolerability of cenerimod 4 mg on top of background therapy in subjects with systemic lupus erythematosus (SLE).

Key facts

Sponsor
Viatris Innovation GmbH
Participant type
Patients
Age range
18-64 years, 65+ years
Gender
Male and Female
Therapeutic area
Diseases [C] - Immune System Diseases [C20]
Trial duration
1 Nov 2024 → ongoing
Decision date (initial)
2024-09-30
Transition trial
No
Low-intervention
No
Rare-disease indication
No
Vulnerable population
Yes

External identifiers

EU CT number
2024-514354-67-00
ClinicalTrials.gov
NCT06475742

Trial design

CTIS Part I — objectives, methods, condition coding

Main objective

Scope: Efficacy, Safety

The primary objective of the study is to assess the long-term safety and tolerability of cenerimod 4 mg on top of background therapy in subjects with systemic lupus erythematosus (SLE).

Conditions and MedDRA coding

Systemic lupus erythematosus

VersionLevelCodeTermSystem organ class
20.0 SOC 10028395 Musculoskeletal and connective tissue disorders 17
20.0 HLGT 10010761 Connective tissue disorders (excl congenital) 10028395
20.0 HLT 10025135 Lupus erythematosus (incl subtypes) 10028395
21.1 PT 10042945 Systemic lupus erythematosus 100000004859

Study design 2 periods

#TitleAllocationBlindingRoles blindedArms
1 Treatment period
Starts with the administration of the first dose of cenerimod 4mg at Visit 1(Day 1). This visit takes place after all scheduled Month 12 visit (End-of-Treatment [EOT]) assessments in the parent studies have been completed and after the informed consent form for this study has been fully signed. The participants will be treated for at least 12months (1year) and a maximum of 36 months (3years). When all participants have reached at least 12months of study treatment or have prematurely discontinued study treatment before the end of Month 12, the EOT will be scheduled for all participants who are still on study treatment.
Not Applicable None Cenerimod 4mg: Participants will receive oral cenerimod once daily in addition to background systemic lupus erythematosus therapy, for at least 1 year and up to a maximum of 3 years.
2 Safety follow-up period
Starts on the day after the last dose of study treatment and ends 6 months(180 days) thereafter, with the final study visit.
Not Applicable None

Regulatory references

Scientific advice from competent authorities
European Medicines Agency, European Medicines Agency, European Medicines Agency
Plan to share IPD
No
EU CT numberTitleSponsor
2022-002815-47 A Phase 3, multicenter, randomized, double-blind, placebo-controlled, parallel-group study to evaluate the efficacy, safety, and tolerability of cenerimod in adult subjects with moderate-to-severe systemic lupus erythematosus (SLE) on top of background therapy, Estudio en fase III multicéntrico, doble ciego, aleatorizado, controlado con placebo, de grupos paralelos para evaluar la eficacia, la seguridad y la tolerabilidad de cenerimod además de la terapia de base en pacientes adultos con lupus eritematoso sistémico (LES) moderado a severo., Randomizované multicentrické dvojitě zaslepené, placebem kontrolované klinické hodnocení faze 3 s paralelními skupinami hodnotící účinnost, bezpečnost a snášenlivost přípravku cenerimod přidaného k současné terapii u dospělých pacientů se středním až závažným systémovým lupus erythematosus (SLE) , Randomizované multicentrické dvojitě zaslepené, placebem kontrolované klinické hodnocení faze 3 s paralelními skupinami hodnotící účinnost, bezpečnost a snášenlivost přípravku cenerimod přidaného k současné terapii u dospělých pacientů se středním až závažným systémovým lupus erythematosus (SLE)
2022-002814-17 A Phase 3, multicenter, randomized, double-blind, placebo-controlled, parallel-group study to evaluate the efficacy, safety, and tolerability of cenerimod in adult subjects with moderate-to-severe systemic lupus erythematosus (SLE) on top of background therapy

Eligibility criteria

Principal inclusion / exclusion criteria as submitted by sponsor

Inclusion criteria 3

  1. Signed and dated informed consent form prior to any study-mandated procedure.
  2. Male and female participants (aged 18-75 years) with a diagnosis of systemic lupus erythematosus who: • Completed the 12-month double-blind treatment period of either of the parent studies (ID-064A301, ID-064A302). • Did not meet any study treatment stopping criteria during the parent study. • Completed the last scheduled visit of the parent study. Participants who did not complete the last scheduled visit for reasons beyond their control maybe eligible for this study upon approval by the sponsor.
  3. For women of child-bearing potential: • Negative pregnancy test at Visit 1. • Agreement to undertake monthly urine pregnancy tests from Visit 2 up to 6 months after study treatment discontinuation. • Agreement to use a highly effective method of contraception from Visit 1 up to 6 months after study treatment discontinuation.

Exclusion criteria 5

  1. Poor compliance with study-mandated procedures during the parent study (ID-064A301 or ID-064A302),e.g., took less than 80% of the planned doses of double-blind study treatment; or did not attend a majority of the site visits, unless there was a medically justified reason as judged by the investigator.
  2. Systemic lupus erythematosus driven renal disease, central nervous system lupus, or active severe or unstable neuropsychiatric systemic lupus erythematosus where, in the judgment of the investigator, protocol-specific systemic lupus erythematosus background therapy is insufficient, and the use of a more aggressive therapeutic approach or other treatments not permitted in the protocol is indicated.
  3. Women of child-bearing potential planning to become pregnant up to the final study visit.
  4. Judged not eligible to participate by the investigator, for any other reason.
  5. Confirmed active or latent tuberculosis (applicable only if requested by local regulations).

Endpoints

Primary and secondary outcome measures (English text)

Primary endpoints 3

  1. Occurrence of treatment-emergent adverse events up to the final study visit.
  2. Occurrence of serious adverse events up to the final study visit.
  3. Occurrence of adverse events of special interest (i.e., anticipated risks of treatment with cenerimod, known class effects, and events that may be related to systemic lupus erythematosus comorbidities) up to the final study visit.

Investigational products

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

Test 1

Cenerimod 4 mg

PRD12765349 · Product

Active substance
Cenerimod
Substance synonyms
(2S)-3-(4-(5-(2-CYCLOPENTYL-6-METHOXYPYRIDIN-4-YL)-1,2,4-OXADIAZOL-3-YL)-2-ETHYL-6-METHYLPHENOXY)PROPANE-1,2-DIOL, ACT-334441
Pharmaceutical form
FILM-COATED TABLET
Route of administration
ORAL USE
Max daily dose
4 mg milligram(s)
Max total dose
4 mg milligram(s)
Max treatment duration
36 Month(s)
Authorisation status
Not Authorised
MA holder
VIATRIS INNOVATION GMBH
Paediatric formulation
No
Orphan designation
No

Sponsors and contacts

Sponsor organisations, regulatory contacts, third parties

Viatris Innovation GmbH

Sponsor organisation
Viatris Innovation GmbH
Address
Gewerbestrasse 14
City
Allschwil
Postcode
4123
Country
Switzerland

Scientific contact point

Organisation
Viatris Innovation GmbH
Contact name
EUClinicalTrials@viatris

Public contact point

Organisation
Viatris Innovation GmbH
Contact name
EUClinicalTrials@viatris

Third parties 14

OrganisationCity, countryDuties
Eresearchtechnology Inc.
ORG-100013039
Philadelphia, United States Other
Swiss Tropical And Public Health Institute (Swiss TPH)
ORG-100047836
Allschwil, Switzerland Other
DATAMAP-Gesellschaft fuer Datenmanagement Datenanalyse und Datenpraesentation mbH
ORG-100042869
Freiburg Im Breisgau, Germany Code 10
Almac Clinical Technologies LLC
ORG-100043036
Souderton, United States Interactive response technologies (IRT)
Crisalis LLC
ORG-100047297
Oklahoma City, United States Other
Next CRO SYMVOULOI FARMAKEUTIKON EPICHEIRISEON M.E.P.E.
ORG-100048347
Maroussi, Greece On site monitoring, Code 12, Other, Code 2, Code 5
MEDPACE LABORATORIES
ORG-100042942
Leuven, Belgium Laboratory analysis
Flying Study Team GbR
ORG-100043927
Freiburg Im Breisgau, Germany On site monitoring
Keyrus Life Science Innovation
ORG-100054358
Paris, France Other, Data management
Precision for Medicine (HU) Kft.
ORG-100040390
Budapest XII, Hungary On site monitoring, Other, Code 2, Code 5
Scout Clinical
ORG-100042228
Dallas, United States Other
Leon Research S.L. Sucursal Em Portugal
ORG-100051734
Porto, Portugal On site monitoring, Other, Code 2, Code 5
Winicker-Norimed Medizinische Forschung GmbH
ORG-100035700
Nuremberg, Germany Other, Code 5
Competence In Scientific Services Eggenreich & Gschanes GmbH
ORG-100042988
Graz, Austria Code 12

Locations

9 EU/EEA countries · 47 investigational sites

By country

CountryMS statusPlanned subjectsSites
Bulgaria Ongoing, recruiting 20 4
Czechia Ongoing, recruiting 10 2
France Authorised, recruiting 8 3
Germany Ongoing, recruiting 13 4
Greece Ongoing, recruiting 23 9
Poland Ongoing, recruiting 40 11
Portugal Ongoing, recruiting 20 5
Romania Ongoing, recruiting 15 4
Spain Ongoing, recruiting 23 5
Rest of world
Korea, Republic of, Georgia, Argentina, Taiwan, Mexico, United Kingdom, Peru, Puerto Rico, China, United States, Colombia, Serbia, Ukraine, Brazil, South Africa, Chile, Philippines
663

Investigational sites

Bulgaria

4 sites · Ongoing, recruiting
Ambulatories For Specialized Outpatient Medical Help Medical Center Kyuchuk Parizh OOD
Ambulatories For Specialized Outpatient Medical Help Medical Center Kyuchuk Parizh, Ulitsa Georgi Kondolov 43a, 4004, Plovdiv
Acibadem City Clinic Diagnostic And Consultation Center Ltd.
Acibadem City Clinic Diagnostic And Consultation Center, Bulevard Tsarigradsko Shose 66a, 1784, Sofia
University Multiprofile Hospital For Active Treatment Kaspela EOOD
Rheumatology Clinic, Zapaden District, Sofia Str 64, Plovdiv
Diagnostic Consultative Center Equita OOD
Diagnostic Consultative Center Equita, Bulevard Tsar Osvoboditel 5, 9000, Varna

Czechia

2 sites · Ongoing, recruiting
iMedica s.r.o.
iMedica, s.r.o., Sosnova 757/2b, Jundrov, Brno
Revmatologicky Ustav
Revmatologický ustav, Na Slupi 450/4, Nove Mesto, Prague 2

France

3 sites · Authorised, recruiting
Centre Hospitalier Universitaire De Toulouse
Service de Médecine Interne, 1 Place Du Docteur Joseph Baylac, 31300, Toulouse
Centre Hospitalier Universitaire De La Reunion
Service de Médecine Interne, Allee Des Topazes, Cs 11021, Saint-Denis
Hopitaux Universitaires Pitie Salpetriere
Service de Médecine Interne 2, 47 To 83 Boulevard De L Hopital, 75013, Paris

Germany

4 sites · Ongoing, recruiting
Universitaetsklinikum Leipzig AöR
Studienambulanz Rheumatologie, Klinik & Poliklinik für Endokrinologie, Nephrologie, Rheumatologie, Liebigstrasse 20, Zentrum-Suedost, Leipzig
Johannes Wesling Klinikum Minden
Studiensekretariat Rheumatologie, Klinik für Rheumatologie und Klinische Immunologie, Hans-Nolte-Strasse 1, Haeverstaedt, Minden
Universitaetsklinikum Muenster AöR
Sektion für Rheumatologie und klinische Immunologie, Medizinische Klinik D, Albert-Schweitzer-Campus 1, Sentrup, Muenster
Fraunhofer Institute For Translational Medicine And Pharmacology ITMP
ITMP, Theodor-Stern-Kai 7, Sachsenhausen, Frankfurt Am Main

Greece

9 sites · Ongoing, recruiting
Hippokration Hospital
2nd Department of Medicine, University of Athens, School of Medicine, Vassilissas Sofias Avenue 114, 115 27, Athens
424 Military General Training Hospital
Rheumatology Department, Ring Road, N. Efkarpia, Thessaloniki
Laiko General Hospital Of Athens
Rheumatology Department - 1st Department of Propaedeutic Internal Medicine Clinic, Agiou Thoma (goudi) 17, 115 27, Athens
Hippokration Hospital
4th Internal Medicine Clinic, Konstadinoupoleos 49, 546 42, Thessaloniki
General University Hospital Of Larissa
Clinic of Rheumatology and Clinical Immunology, P. O. Box 1425, 411 10, Larissa
Athens Naval Hospital
Rheumatology Clinic, Dinokratous 70, 115 21, Athens
Euromedica Kyanous Stavros
Rheumatology Department, Vizyis Vyzantos 1, 546 36, Thessaloniki
General University Hospital Of Patras
Rheumatology Department, Rio, 265 04, Patras
University General Hospital Attikon General Hospital Of West Attica H Agia Varvara
4th Pathology Clinic, Rimini 1, 124 61, Chaidari

Poland

11 sites · Ongoing, recruiting
Provita Sp. z o.o.
Centrum Medyczne Angelius Provita – Badania Kliniczne, Ul. Fabryczna 15b, 40-611, Katowice
Twoja Przychodnia Poznanskie Centrum Medyczne Sp. z o.o.
Twoja Przychodnia Poznańskie Centrum Medyczne, Ul. Marcelinska 92, 60-324, Poznan
Szpital Uniwersytecki Nr 2 Im Dr Jana Biziela W Bydgoszczy
"Szpital Biziela" Klinika Reumatologii i Układowych Chorób Tkanki Łącznej, Ul. Kornela Ujejskiego 75, 85-168, Bydgoszcz
Pratia S.A.
Centrum Medyczne Pratia Częstochowa, Ul. 3 Maja 16, 42-217, Czestochowa
Reumed Sp. z o.o.
Zespół Poradni Specjalistycznych REUMED, Ul. Konrada Wallenroda 2f/4, 20-607, Lublin
Centrum Medyczne Plejady Magdalena Celinska Loewenhoff Michal Zolnowski sp.k.
Centrum Medyczne Plejady, U2 U3 U4 U5, Ul. Tadeusza Szafrana 5d, Cracow
Piotr Leszczyński Medyczne Centrum Hetmańska Piotr Leszczyński
Medyczne Centrum Hetmańska Piotr Leszczyński, Ul. Hetmańska 55/1, 60-218, Poznań
Vita Longa Sp. z o.o.
Niepubliczny Zakład Opieki Zdrowotnej "Vita longa" Sp. Z o.o., Ul. Uniczowska 6, 40-748, Katowice
Malopolskie Badania Kliniczne Sp. z o.o.
Małopolskie Badania Kliniczne, Ul. Pradnicka 12/502, 30-002, Cracow
Medicover Integrated Clinical Services Sp. z o.o.
MICS Centrum Medyczne Warszawa, Ul Wronia 53 Lok B 10, 00-874, Warsaw
Iwona Chlebicka Malwa-Med Iwona Chlebicka
Malwa-Med Iwona Chlebicka, ul. Słonimskiego 25, 50-304, Wrocław

Portugal

5 sites · Ongoing, recruiting
Unidade Local De Saude De Gaia/Espinho E.P.E.
Rheumatology, Rua Conceicao Fernandes S/n, 4434-502, Vila Nova De Gaia
Unidade Local de Saude do Algarve E.P.E.
Rheumatology, Rua Leao Penedo S/n, 8000-386, Faro
Unidade Local De Saude Do Alto Ave E.P.E.
Internal Medicine, Rua Dos Cuteleiros De Guimaraes, 4835-044, Guimaraes
Unidade Local De Saude De Amadora Sintra E.P.E.
Autoimmune unit, Itinerario Complementar 19, 2720-276, Amadora
Unidade Local De Saude Da Guarda E.P.E.
Rheumatology, Avenida Rainha Dona Amelia 19, 6300-749, Guarda

Romania

4 sites · Ongoing, recruiting
Delta Health Care S.R.L.
Secția Reumatologie, Strada Caramfil G. Nicolae Nr 85a, 014142, Bucharest
Spitalul Clinic Judetean De Urgenta Craiova
Secția Reumatologie, Strada Tabaci Nr 1, 200642, Craiova
Centrul Medical De Diagnostic Si Tratament Ambulator Neomed S.R.L.
Secția Reumatologie, Block 1 Staircase C Apartment 2 Room 2, Strada Crisului Nr 1, Brasov
Medaudio-Optica S.R.L.
Medart Cliniq Reumatologie, Calea Calea Lui Traian Nr 269, 240636, Ramnicu Valcea

Spain

5 sites · Ongoing, recruiting
Hospital Universitario Rio Hortega
Autoinmmune Diseases, Calle Dulzaina 2, 47012, Valladolid
Clinica Gaias Santiago
Rheumatology, Rua Do Pintor Xaime Quesada N 2-4, 15702, Santiago De Compostela
Parc Tauli Hospital Universitari
Rheumatology, Parc Del Tauli 1 Edifici Santa Fe Ala Izquierda Planta 2ª, 08208, Sabadell
Accellacare Espana S.L.
Rheumatology, Calle Del Marques De La Valdavia 103 Bajo Local, 28100, Alcobendas
Hospital Clinico San Carlos
Rheumatology, Calle Del Profesor Martin Lagos Sn, 28040, Madrid

Country notifications

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

Country Trial startTrial end Recruitment startRecruitment end Early termination
Bulgaria 2025-01-10 2025-02-03
Czechia 2024-11-01 2024-11-21
France 2026-05-06
Germany 2024-11-05 2024-11-13
Greece 2025-07-15 2025-07-22
Poland 2024-12-19 2025-01-09
Portugal 2025-07-09 2025-07-15
Romania 2025-01-10 2025-01-16
Spain 2024-11-11 2024-11-27

Results and documents

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

Documents 78 files

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

TypeTitleVersion
Protocol (for publication) D1_Protocol 2024-514354-67 - Redacted 3
Protocol (for publication) D1_Protocol 2024-514354-67 - Redacted 3
Protocol (for publication) D4_Patient facing documents SF36 - Public 1
Recruitment arrangements (for publication) Blank placeholder for publication_CTIS 1.0
Recruitment arrangements (for publication) K1_Recruitment arrangements_bg-BG 1.0
Recruitment arrangements (for publication) K1_Recruitment arrangements_en-DE 1.0
Recruitment arrangements (for publication) K1_Recruitment arrangements_en-ES 1.0
Recruitment arrangements (for publication) K1_Recruitment arrangements_en-GR 1.0
Recruitment arrangements (for publication) K1_Recruitment arrangements_en-PT 1.0
Recruitment arrangements (for publication) K1_Recruitment arrangements_fr-FR 1.0
Recruitment arrangements (for publication) K1_Recruitment arrangements_pl-PL 1.0
Recruitment arrangements (for publication) K1_Recruitment arrangements_ro-RO 1.0
Subject information and informed consent form (for publication) L1_SIL-ICF Core_bg-BG 3.0
Subject information and informed consent form (for publication) L1_SIL-ICF Core_cs-CZ 3.0
Subject information and informed consent form (for publication) L1_SIL-ICF Core_de-DE_red 3.0
Subject information and informed consent form (for publication) L1_SIL-ICF Core_el-GR 3.0
Subject information and informed consent form (for publication) L1_SIL-ICF Core_es-ES 3.0
Subject information and informed consent form (for publication) L1_SIL-ICF Core_fr-FR V3.3
Subject information and informed consent form (for publication) L1_SIL-ICF Core_pl-PL 3.0
Subject information and informed consent form (for publication) L1_SIL-ICF Core_pt-PT 3.0
Subject information and informed consent form (for publication) L1_SIL-ICF Core_ro-RO 3.0
Subject information and informed consent form (for publication) L1_SIL-ICF Parental authority_fr-FR 2.2
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Subject information and informed consent form (for publication) L1_SIL-ICF Women becoming pregnant_de-DE 2.0
Subject information and informed consent form (for publication) L1_SIL-ICF Women becoming pregnant_el-GR 2.0
Subject information and informed consent form (for publication) L1_SIL-ICF Women becoming pregnant_es-ES 2.0
Subject information and informed consent form (for publication) L1_SIL-ICF Women becoming pregnant_fr-FR 2.2
Subject information and informed consent form (for publication) L1_SIL-ICF Women becoming pregnant_pl-PL 2.0
Subject information and informed consent form (for publication) L1_SIL-ICF Women becoming pregnant_pt-PT 2.0
Subject information and informed consent form (for publication) L1_SIL-ICF Women becoming pregnant_ro-RO 2.0
Subject information and informed consent form (for publication) L1_SIL-ICF_GDPR_cs-CZ 2.0
Subject information and informed consent form (for publication) L2_GP letter_fr-FR 3.0
Subject information and informed consent form (for publication) L2_Other subject information material_Participant card_bg-BG 2.0
Subject information and informed consent form (for publication) L2_Other subject information material_Participant card_cs-CZ 2.0
Subject information and informed consent form (for publication) L2_Other subject information material_Participant card_de-DE 2.0
Subject information and informed consent form (for publication) L2_Other subject information material_Participant card_es-ES 2.0
Subject information and informed consent form (for publication) L2_Other subject information material_Participant card_pl-PL 2.0
Subject information and informed consent form (for publication) L2_Other subject information material_Participant card_pt-PT 2.0
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Synopsis of the protocol (for publication) D1_Protocol synopsis BG 2024-514354-67 4
Synopsis of the protocol (for publication) D1_Protocol synopsis CZ 2024-514354-67 4
Synopsis of the protocol (for publication) D1_Protocol synopsis EL 2024-514354-67 4
Synopsis of the protocol (for publication) D1_Protocol synopsis EN 2024-514354-67 3
Synopsis of the protocol (for publication) D1_Protocol synopsis ES 2024-514354-67 4
Synopsis of the protocol (for publication) D1_Protocol synopsis FR 2024-514354-67 4
Synopsis of the protocol (for publication) D1_Protocol synopsis PL 2024-514354-67 3
Synopsis of the protocol (for publication) D1_Protocol synopsis PT 2024-514354-67 4
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Application history

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

#TypeCodeSubmittedReference MSConclusionDecision date
1 INITIAL IN 2024-06-07 Germany Acceptable
2024-09-20
2024-09-20
2 SUBSTANTIAL MODIFICATION SM-1 2024-10-30 Acceptable 2024-12-20
3 SUBSTANTIAL MODIFICATION SM-2 2025-02-18 Germany Acceptable
2025-04-17
2025-04-17
4 SUBSTANTIAL MODIFICATION SM-3 2025-06-06 Acceptable 2025-07-21
5 NON SUBSTANTIAL MODIFICATION NSM-1 2025-08-04 Germany Acceptable 2025-08-04
6 SUBSTANTIAL MODIFICATION SM-4 2025-09-03 Germany Acceptable
2025-09-26
2025-09-26
7 SUBSTANTIAL MODIFICATION SM-5 2025-10-10 Germany Acceptable
2025-12-15
2025-12-16
8 SUBSTANTIAL MODIFICATION SM-6 2026-02-05 Acceptable 2026-02-26
9 SUBSTANTIAL MODIFICATION SM-8 2026-04-27 Acceptable 2026-05-13