A Study Evaluating the Effects of GLPG3667 Administered As Oral Treatment in Adult Participants with Active Systemic Lupus Erythematosus

Last updated: March 12, 2025
Sponsor: Galapagos NV
Overall Status: Active - Not Recruiting

Phase

2

Condition

Bone Diseases

Musculoskeletal Diseases

Lupus

Treatment

GLPG3667

Placebo

Clinical Study ID

NCT05856448
GLPG3667-CL-215
2023-503183-16
2023-503183-16-00
  • Ages 18-75
  • All Genders

Study Summary

A study evaluating the efficacy, safety, tolerability, pharmacokinetics (PK), and pharmacodynamics (PD) of GLPG3667 administered orally once daily for 48 weeks in approximately 180 adult participants with active Systemic Lupus Erythematosus (SLE).

Eligibility Criteria

Inclusion

Key Inclusion Criteria:

  1. Participant with documented diagnosis of SLE as defined by the 2019 European LeagueAgainst Rheumatism (EULAR)/American College of Rheumatology (ACR) classificationcriteria with a disease diagnosed ≥24 weeks before the screening visit.

  2. Participant has a total Systemic Lupus Erythematosus Disease Activity Index 2000 (SLEDAI-2K) score ≥6 points and a clinical SLEDAI-2K score ≥4 at screening andbaseline (scores must be confirmed by central review at screening).

  • Lupus headache, alopecia, organic brain syndrome, and mucous membraneulceration will not count toward the score required for screening at entry.

  • Clinical SLEDAI-2K excludes laboratory abnormalities such as hematuria, pyuria,urinary casts, proteinuria, positive anti-double-stranded deoxyribonucleic acid (anti-dsDNA), decreased complement, thrombocytopenia, and leukopenia.

  1. Participant is positive for 1 of the following: antinuclear antibodies (ANA) ≥1:80or positive anti-dsDNA (indeterminate values are considered positive), or positiveanti-Smith (anti-Sm), as determined by the central laboratory.

  2. At least 1 of the following BILAG-based protocol-specific manifestations of SLE:

  • BILAG A or B score in the mucocutaneous body system.

  • BILAG A or B score in the musculoskeletal body system due to arthritis.

  • If only 1 B and no A score is present in the mucocutaneous body system or inthe musculoskeletal body system due to arthritis, then at least 1 B score mustbe present in one of the other body systems, for a total of >=2 BILAG B bodysystem scores.

  1. Background therapy with at least 1 of the following medications is required for >=12weeks before the screening visit and must remain stable until randomization andthroughout study participation:
  • 1 immunosuppressant (combination of immunosuppressants is not permitted),stable at least 8 weeks prior to screening.

  • 1 antimalarial, stable at least 8 weeks prior to screening. In addition, oralcorticosteroids (CS) (prednisone or equivalent) and/or NSAIDs backgroundtherapy is permitted but not required:

  • CS (prednisone or equivalent; <=30 mg/day; CS monotherapy is not permitted),stable at least 2 weeks prior to screening; AND/OR

  • Non-steroidal anti-inflammatory drugs (NSAIDs; NSAIDs monotherapy is notpermitted), stable at least 2 weeks prior to screening.

Exclusion

Key Exclusion Criteria:

  1. Participant with active, severe lupus nephritis (World Health Organization ClassIII, IV) that requires or may require treatment with cytotoxic agents or high-doseCS are excluded.

  2. Participants with pre-existing, controlled renal disease with serum creatinine≥ 2 xupper limit of normal (ULN) and either residual proteinuria up to 3 grams/day (g/day) or a urine protein: creatinine ratio (UPCR) of up to 3 milligrams/milligrams (mg/mg) or 339 milligrams of albumin per millimole of creatinine (mg/mmol) areallowed. Control of renal disease must be documented with at least 2 measurements ofproteinuria or UPCR over the past 6 months.

  3. Participants with a history of catastrophic antiphospholipid syndrome are excluded.This includes Participants with a serious thrombotic event (e.g. pulmonary embolism,stroke, deep vein thrombosis) or unexplained pregnancy loss within 1 year before thescreening visit or history of 3 or more unexplained consecutive pregnancy losses.Participants with antiphospholipid antibody syndrome on stable anticoagulant therapyat an effective dose are allowed.

  4. Participants with active or unstable lupus neuropsychiatric manifestations,including but not limited to any condition defined by BILAG A criteria are excluded,with the exception of participants with mononeuritis multiplex and polyneuropathy,who are allowed.

  5. Drug-induced SLE.

  6. Participant has a chronic hepatitis B virus (HBV) infection, as defined by positiveHBV surface antigen (HBsAg) at screening and detectable HBV core antibody (HBcAb).

  7. Participant has chronic hepatitis C virus (HCV) infection, as defined by positiveHCV antibody (Ab) at screening and detectable HCV viremia. Participants withpositive HCV Ab must undergo reflex HCV ribonucleic acid (RNA) testing, andParticipants with HCV RNA positivity will be excluded. Participants with positiveHCV Ab and negative HCV RNA are eligible.

  8. Participant has a history of or a current immunosuppressive condition or a historyof opportunistic infections (e.g. human immunodeficiency virus [HIV] infection,histoplasmosis, listeriosis, coccidioidomycosis, pneumocystosis, aspergillosis,herpes simplex, herpes zoster).

  9. Participant testing positive for severe acute respiratory syndrome coronavirusdisease 2 (SARS-CoV-2) infection, even if fully vaccinated against SARS-CoV-2, asdetected by rapid antigen testing and/or revert transcription polymerase chainreaction (RT-PCR), test at screening and/or baseline (Day 1). Participant presentingany signs or symptoms suggestive of SARS-CoV-2 infection, as detected at screeningor baseline following careful physical examination (e.g. cough, fever, headaches,fatigue, dyspnoea, myalgia, anosmia, dysgeusia, anorexia, sore throat), shouldundergo testing even if fully vaccinated against SARS-CoV-2, as per locallyapplicable standard diagnostic criteria to diagnose SARS-CoV-2 infection andexcluded if positive.

  10. Participant meets 1 of the following tuberculosis (TB) criteria at screening:

  • A history of active or currently active TB (regardless of treatment).

  • A positive QuantiFERON®-TB Gold Plus In-tube test at screening unless theinvestigator assesses this is due to a documented history of adequately treatedlatent TB infection. Note: If the test result is indeterminate, it may be repeated once; if indeterminateor positive on retest, Participant is not eligible.

  1. Participant with poorly controlled chronic cardiac, pulmonary, or renal disease.

  2. Participant has at screening, presence of severe renal impairment (defined asestimated glomerular filtration rate [eGFR] <30 mL/minute/1.73 m2, using the ChronicKidney Disease Epidemiology equation).

  3. Prior exposure to tyrosine kinase 2 (TYK2) inhibitors.

  4. Female participant is pregnant or breast feeding or intending to become pregnant orbreastfeed during the study.

  5. Participant has taken any prohibited therapies within the defined washout periodsbefore screening, and during screening.

Study Design

Total Participants: 186
Treatment Group(s): 2
Primary Treatment: GLPG3667
Phase: 2
Study Start date:
June 28, 2023
Estimated Completion Date:
March 31, 2026

Connect with a study center

  • Clinica Adventista Belgrano

    Belgrano, C1430EGF
    Argentina

    Site Not Available

  • Fundación Respirar Consultorio Médico Dr. Mariana Rivera

    Buenos Aires, C1125 ABD
    Argentina

    Site Not Available

  • Investigaciones Reumatológicas y Osteológicas

    Caba, 1114
    Argentina

    Site Not Available

  • Fundación Respirar - Consultorios Médicos Dr. Doreski

    Ciudad Autónoma de Buenos Aires, 1426
    Argentina

    Site Not Available

  • Maffei Centro Medico

    Ciudad Autónoma de Buenos Aires, 1425
    Argentina

    Site Not Available

  • Clínica Privada Vélez Sarsfield

    Cordoba, 5016
    Argentina

    Site Not Available

  • Hospital Italiano La Plata

    La Plata, 1900
    Argentina

    Site Not Available

  • Instituto de Reumatología

    Mendoza, 5500
    Argentina

    Site Not Available

  • Instituto de Investigaciones Clinicas Quilmes

    Quilmes, 1878
    Argentina

    Site Not Available

  • Centro Medico Privado de Reumatología

    San Miguel de Tucumán, T4000
    Argentina

    Site Not Available

  • Medical Center Artmed

    Plovdiv, 4002
    Bulgaria

    Site Not Available

  • Diagnostic Consultative Center Aleksandrovska

    Sofia, 1431
    Bulgaria

    Site Not Available

  • Excelsior Medical Center

    Sofia, 1407
    Bulgaria

    Site Not Available

  • Centro de Estudios Clínicos G y C

    Providencia, 7500571
    Chile

    Site Not Available

  • Centros de Estudios Reumatológicos (CER)

    Providencia, 7501126
    Chile

    Site Not Available

  • Centro Internacional de Estudios Clínicos

    Recoleta, 8420383
    Chile

    Site Not Available

  • CeCim - Centro de Estudios Clínicos e Investigaciones Médicas

    Santiago, 8330109
    Chile

    Site Not Available

  • Prosalud - Centro de Reumatología

    Santiago, 7510047
    Chile

    Site Not Available

  • Oncocentro APYS - Centro de Atención Médica Oncológica Integral

    Viña del Mar, 2520592
    Chile

    Site Not Available

  • Hôpital Lapeyronie

    Montpellier, 34090
    France

    Site Not Available

  • Hôpital Emile Muller

    Mulhouse, 68100
    France

    Site Not Available

  • Hôpital Hautepierre

    Strasbourg, 67098
    France

    Site Not Available

  • New Plasma Clinic

    Batumi, 6010
    Georgia

    Site Not Available

  • Aversi Clinic - Central Branch

    Tbilisi, 0160
    Georgia

    Site Not Available

  • Caucasus Medical Center

    Tbilisi, 0186
    Georgia

    Site Not Available

  • Clinic Innova LCC

    Tbilisi, 0186
    Georgia

    Site Not Available

  • Innova Medical Center

    Tbilisi, 0186
    Georgia

    Active - Recruiting

  • Jerarsi Clinic

    Tbilisi, 0167
    Georgia

    Site Not Available

  • Universitätsklinikum Düsseldorf

    Düsseldorf, 40211
    Germany

    Site Not Available

  • Universitätsmedizin der Johannes Gutenberg-Universität Mainz

    Mainz, 55131
    Germany

    Site Not Available

  • LMU Klinikum - Campus Innenstadt

    München, 80336
    Germany

    Site Not Available

  • Praxis Für Rheumatologie, Gastroenterologie Und Innere Medizin

    München, 80639
    Germany

    Site Not Available

  • Krankenhaus der Barmherzigen Brüder Trier

    Trier, 54292
    Germany

    Site Not Available

  • Qualiclinic Egeszsegugyi Szolgaltato es Kutatasszervezo

    Budapest, 1036
    Hungary

    Site Not Available

  • Békés Megyei Központi Kórház - Pándy Kálmán Tagkórház

    Gyula, 5700
    Hungary

    Site Not Available

  • Vital Medical Center - Reumatológia

    Veszprém, 8200
    Hungary

    Site Not Available

  • Clínica San Juan de Dios

    Cayma, 04017
    Peru

    Site Not Available

  • ACQ Medic S.A.C.

    Jesús María, 15072
    Peru

    Site Not Available

  • Hospital Militar Central Coronel Luis Arias Schreiber

    Jesús María, 15076
    Peru

    Site Not Available

  • Clínica Monterrico

    Lima, 15023
    Peru

    Site Not Available

  • Clínica Anglo Americana - Sede San Isidro

    San Isidro, 15073
    Peru

    Site Not Available

  • Instituto Peruano Del Hueso Y La Articulacion

    San Isidro, 15046
    Peru

    Site Not Available

  • Hospital Maria Auxiliadora

    San Juan De Miraflores, 15828
    Peru

    Site Not Available

  • Niepubliczny Zakład Opieki Zdrowotnej Bif-Med S.C.

    Bytom, 41-902
    Poland

    Site Not Available

  • Centrum Medyczne Plejady

    Kraków, 30-349
    Poland

    Site Not Available

  • Poradnie specjalistyczne REUMED Wallenroda

    Lublin, 20-607
    Poland

    Site Not Available

  • AES - Synexus - Poznań

    Poznań, 60-702
    Poland

    Site Not Available

  • Prywatna Praktyka Lekarska Prof. Dr Hab. Med. Paweł Hrycaj

    Poznań, 61-397
    Poland

    Site Not Available

  • Klinika Reuma Park sp. z o.o. sp.k - Centrum Medyczne Reuma Park

    Warszawa, 02-665
    Poland

    Site Not Available

  • Narodowy Instytut Geriatrii, Reumatologii i Rehabilitacji im. prof. dr hab. med. Eleonory Reicher

    Warszawa, 02-637
    Poland

    Site Not Available

  • Trialmed CRS - Warszawa

    Warszawa, 02-482
    Poland

    Site Not Available

  • AES - Synexus - Wrocław

    Wrocław, 50-381
    Poland

    Site Not Available

  • FutureMeds - Wroclaw

    Wrocław, 53-673
    Poland

    Site Not Available

  • GCM Medical Group

    San Juan, 00917-3104
    Puerto Rico

    Site Not Available

  • Latin Clinical Trial Center

    San Juan, 00909
    Puerto Rico

    Site Not Available

  • Hospital Universitario de Badajoz

    Badajoz, 06080
    Spain

    Site Not Available

  • Hospital Clinic de Barcelona

    Barcelona, 08036
    Spain

    Site Not Available

  • Hospital General Universitario Gregorio Marañón

    Madrid, 28007
    Spain

    Site Not Available

  • Hospital Universitario 12 de Octubre

    Madrid, 28041
    Spain

    Site Not Available

  • Hospital Regional Universitario de Málaga - Hospital General

    Málaga, 29009
    Spain

    Site Not Available

  • Hospital de Mérida

    Mérida, 06800
    Spain

    Site Not Available

  • Hospital Universitario Virgen de Valme

    Sevilla, 41014
    Spain

    Site Not Available

  • Hospital Universitario Araba

    Vitoria-Gasteiz, 01009
    Spain

    Site Not Available

  • University of Arizona College of Medicine - Tucson

    Tucson, Arizona 85724
    United States

    Site Not Available

  • University of California San Diego

    La Jolla, California 92037
    United States

    Site Not Available

  • Desert Medical Advances

    Rancho Mirage, California 92270
    United States

    Site Not Available

  • Millennium Clinical Trials

    Simi Valley, California 93064
    United States

    Site Not Available

  • Millennium Clinical Trials

    Thousand Oaks, California 91360
    United States

    Site Not Available

  • Inland Rheumatology Clinical Trials

    Upland, California 91786
    United States

    Site Not Available

  • Upland Rheumatology Center

    Upland, California 91786
    United States

    Site Not Available

  • Arthritis & Rheumatic Disease Specialties

    Aventura, Florida 33180
    United States

    Site Not Available

  • Omega Research DeBary

    DeBary, Florida 32713
    United States

    Site Not Available

  • Alloy Clinical Research, LLC

    Kissimmee, Florida 34741
    United States

    Site Not Available

  • Advanced Pharma - Miami

    Miami, Florida 33147
    United States

    Site Not Available

  • Professional Research Center

    Miami, Florida 33172
    United States

    Site Not Available

  • San Marcus Research Clinic

    Miami, Florida 33014
    United States

    Site Not Available

  • Omega Research DeBary

    Orlando, Florida 32808
    United States

    Site Not Available

  • Integral Rheumatology & Immunology Specialists

    Plantation, Florida 33324
    United States

    Site Not Available

  • Alliance Clinical Research of Tampa

    Tampa, Florida 33615
    United States

    Site Not Available

  • Albuqerque Clinical Trials

    Albuquerque, New Mexico 87102
    United States

    Active - Recruiting

  • Albuquerque Clinical Trials

    Albuquerque, New Mexico 87102
    United States

    Site Not Available

  • DJL Clinical Research

    Charlotte, North Carolina 28211
    United States

    Site Not Available

  • Lynn Institute of Tulsa

    Tulsa, Oklahoma 74135
    United States

    Site Not Available

  • New Phase Research & Development

    Knoxville, Tennessee 37909
    United States

    Site Not Available

  • Office of Ramesh C. Gupta MD / Shelby Research LLC - Tennessee

    Memphis, Tennessee 38119
    United States

    Site Not Available

  • Care and Cure Clinic

    Houston, Texas 77090
    United States

    Site Not Available

  • Southwest Arthritis

    Mesquite, Texas 75150
    United States

    Site Not Available

  • Sun Research Institute

    San Antonio, Texas 78215
    United States

    Site Not Available

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