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Systemic Lupus ErythematosusPhase 1/2NCT05638802

A Study of DS-7011a in Patients With Systemic Lupus Erythematosus

A Phase 1/2 study testing DS-7011a in people with Systemic Lupus Erythematosus, run by Daiichi Sankyo at 20 sites in 4 countries.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

Systemic lupus erythematosus (SLE) is a systemic chronic autoimmune disease characterized by autoantibody production, inflammation, and tissue damage in multiple organs. Standard of care therapies used to treat SLE are only partially effective and have a wide range of toxicities. Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Systemic Lupus Erythematosus
What is being tested?
DS-7011a
Type of treatment
Injection or infusion
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
26 participants
Where
20 sitesin 4 countries
Study dates
7 Jun 2023to 1 Apr 2025
Phase
Phase 1/2
Are there results?
Yes, posted in the registrySummary in the doctors' view

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Male and female participants must be of 18 years or more with definite SLE for at least 6 months prior to Screening, defined according to the 2019 European League Against Rheumatism (EULAR)/American College of Rheumatology (ACR) classification criteria for SLE, including documented history of positivity for antinuclear antibody (titer ≥1:80).
  • Body mass index (BMI) ≥18 kg/m^2 and body weight ≥45 kg.
  • Presence of active CLE (acute, subacute, and chronic cutaneous lupus), with active skin involvement and a CLASI-A score of 4 or higher at the time of screening and randomization as recognized by 2 adjudicators, ie, the investigator in the periphery at the site and a centrally located arbiter contracted ad hoc (in case of disagreement between these 2 adjudicators, a third adjudicator, also centrally located and contracted ad hoc, will solve the disagreement and provide a final decision), despite adequate use of conventional therapies (either topical corticosteroids or antimalarial agents used for at least 12 weeks prior to Screening) or because of the requirement to discontinue these therapies due to side effects or poor tolerability.
  • Participants must be willing to have skin tape harvests collected from the affected skin area (skin tape stripping done on the target lesion).
  • Participants must agree not to participate in any other investigational study during the study Treatment Period and for 3 months after the last dose of study drug.
  • Participants must give written informed consent to participation in the study prior to Screening.
  • Participants must be vaccinated against COVID-19

Who cannot join

  • Active lupus nephritis (LN) on induction therapy, or induction therapy completed within 12 weeks prior to Screening (stable maintenance therapy with mycophenolate or azathioprine allowed).
  • Active neuropsychiatric SLE, including, but not limited to, the following: seizure, new or worsening impaired level of consciousness, psychosis, delirium or confusional state, aseptic meningitis, ascending or transverse myelitis, chorea, cerebellar ataxia, mononeuritis multiplex, or demyelinating syndromes.
  • Primary diagnosis of autoimmune or rheumatic disease other than SLE (secondary Sjögren's syndrome or autoimmune thyroiditis are not exclusionary) or drug-induced lupus.
  • History of chronic, recurrent (3 or more of the same type of infection in 1 year) or recent serious infection, including viral infections, as determined by the investigator, or requiring anti-infective treatment within 12 weeks prior to Screening.
  • History of severe herpes infection or signs of herpes or varicella zoster viral infection within 12 weeks prior to Screening.
  • Positive COVID-19 molecular test at Screening or symptoms suggestive of SARS-CoV-2 infection or close contact with an individual with SARS-CoV-2 infection within 2 weeks prior to randomization.
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  • History of malignant disease within the 2 years before Screening or ongoing at the time of Screening, except basal cell carcinomas and squamous cell carcinomas of the skin, or completely excised carcinoma in situ of the cervix
  • Chronic kidney disease with significant proteinuria (ie, >2 g/24 h or urine protein to creatinine ratio >200 mg/g) or decreased renal function (estimated glomerular filtration rate [eGFR] <30 mL/min).
  • New York Heart Association class III or IV congestive heart failure.
  • Concomitant disease or condition that could interfere with, or treatment of which might interfere with, the conduct of the study, or that would, in the opinion of the investigator, pose an unacceptable risk to the participant in this study.
  • History or positive test result for human immunodeficiency virus at Screening.
  • Active hepatitis B virus (HBV) infection determined at Screening as positive test result for hepatitis B surface antigen.
  • Active hepatitis C virus (HCV) infection determined at Screening as HCV ribonucleic acid (RNA) above the limit of detection in subjects with positive HCV antibody titer.
  • History of, or ongoing, active tuberculosis (TB) or untreated latent TB infection (LTBI) at Screening. Participants with documented previously completed appropriate LTBI treatment and without evidence of re-exposure will not be required to be tested.
  • Any other significant condition that according to the investigator's judgment would prevent compliance with study protocol and full study participation.
  • Participants must not be participating in another investigational study or have participated in an investigational study within the past 30 days prior to randomization (Day 1).
  • History of or current inflammatory skin disease other than SLE that in the opinion of the investigator could interfere with the inflammatory skin assessments and confound the disease activity assessments.
  • History of any non-SLE disease that had required treatment with oral or parenteral corticosteroids for more than a total of 2 weeks within the last 24 weeks prior to randomization

Trial locations and contacts

20 sites in 4 countries.

20 sites in 4 countries

United States12 sites
  • Pinnacle Research Group LLC

    Anniston, Alabama, 36207

  • Oakland Hills Dermatology

    Auburn Hills, Michigan, 48326

  • Joint & Muscle Research Institute

    Charlotte, North Carolina, 28204

  • Precision Comprehensive Clinical Research Solutions

    Colleyville, Texas, 76034

  • Metroplex Clinical Research Center, LLC

    Dallas, Texas, 75231

  • The University of Kansas Medical Center

    Kansas City, Kansas, 66160

  • Trinity Health Center Medical Arts

    Minot, North Dakota, 58701

  • Arkansas Research Trials

    North Little Rock, Arkansas, 72117

  • Office of Tory P. Sullivan, M.D. - North Miami Beach

    North Miami Beach, Florida, 33162

  • MediSearch Clinical Trials

    Saint Joseph, Missouri, 64506

  • West Broward Rheumatology Associates

    Tamarac, Florida, 33321

  • Revival Research Institute, LLC

    Troy, Michigan, 48084

Other trials in United States

Japan5 sites
  • Hospital of the University of Occupational and Environmental Health

    Kitakyushu-shi, 807-8556

  • Japan Community Health Care Organization Chukyo Hospital

    Nagoya, 457-8510

  • Tohoku University Hospital

    Sendai, 980-8574

  • Jcho Tokyo Yamate Medical Center

    Shinjuku-ku, 169-0073

  • Yokohama City University Medical Center

    Yokohama, 232-0024

Other trials in Japan

China2 sites
  • Renji Hospital Shanghai Jiaotong University School of Medicine - West Branch

    Shanghai, 200001

  • Union Hospital Tongji Medical College Huazhong University of Science and Technology

    Wuhan, 430022

Other trials in China

North Macedonia1 site
  • Phi University Clinic of Rheumatology Skopje

    Skopje, 1000

Other trials in North Macedonia

About this study

Official title: A Phase 1b/2, Double-Blind, Placebo-Controlled, Randomized, Parallel-Arm Study to Explore the Safety, Pharmacokinetics, and Proof of Biological Activity of DS-7011a in Patients With Systemic Lupus Erythematosus

Systemic lupus erythematosus (SLE) is a systemic chronic autoimmune disease characterized by autoantibody production, inflammation, and tissue damage in multiple organs. Standard of care therapies used to treat SLE are only partially effective and have a wide range of toxicities. There is a need for more effective and safer therapies for patients with SLE.

Read the detailed description

This Phase 1b/2 study will initially explore the safety, tolerability, pharmacokinetics, pharmacodynamics, immunogenicity, and efficacy of DS-7011a in patients with SLE. DS-7011a is an anti-Toll-like receptor 7 (TLR7) antagonistic monoclonal antibody developed for the treatment of SLE.

Being tested
DS-7011a, Placebo
Keywords
Systemic Lupus Erythematosus, DS-7011a
Medical subject headings
Lupus Erythematosus, Systemic

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • DS-7011aDrug

    20 mg/kg intravenous dose to be administered every 4 weeks at baseline (Day 1), Day 29, and Day 57

  • PlaceboDrug

    Saline intravenous solution administered every 4 weeks at baseline (Day 1), Day 29, and Day 57

Study groups in NCT05638802
Study groupRoleWhat they receive
DS-7011aExperimentalParticipants with systemic lupus erythematosus (SLE) and cutaneous lupus erythematosus (CLE) who will be randomized to receive DS-7011a 20 mg/kg every 4 weeks by intravenous infusion.
Receives: Drug: DS-7011a
PlaceboPlacebo comparatorParticipants with systemic lupus erythematosus (SLE) and cutaneous lupus erythematosus (CLE) who will be randomized to receive placebo every 4 weeks by intravenous infusion.
Receives: Drug: Placebo

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Number of Participants With Treatment-emergent Adverse Events Following Administration With DS-7011a in Participants With Systemic Lupus Erythematosus

    TEAEs are defined as new AEs that occur after the first dose of study drug or as AEs that were present prior to the dose of study drug but which worsened in severity after the start of study drug.

    Measured: Post first dose up to Week 24

Secondary outcomes (12)
  1. Pharmacokinetic Parameter Area Under the Concentration Curve Following Administration of DS-7011a in Participants With Systemic Lupus Erythematosus

    Area under plasma concentration-time curve up to Day 28 was assessed by non-linear mixed-effect modeling.

    Measured: AUC assessed up to 28 days after each dose on Day 1 (first dose), Day 29 (second dose), and Day 57 (third dose) end of infusion

  2. Pharmacokinetic Parameter Maximum Concentration Following Administration of DS-7011a in Participants With Systemic Lupus Erythematosus

    Maximum concentration was assessed by non-linear mixed-effect modeling.

    Measured: Day 1 (first dose), Day 29 (second dose), and Day 57 (third dose) end of infusion

  3. Pharmacokinetic Parameter Minimum Concentration Following Administration of DS-7011a in Participants With Systemic Lupus Erythematosus

    Minimum concentration was assessed by non-linear mixed-effect modeling.

    Measured: Day 1 (first dose), Day 29 (second dose), and Day 57 (third dose) end of infusion

  4. Change From Baseline in Cutaneous Lupus Area and Severity Index Activity Following Administration of DS-7011a in Participants With Systemic Lupus Erythematosus

    Measurement scores for each area are assigned based on the most severe lesion within the area of interest. CLASI-A scores of 0 to 9, 10 to 20, and 21 to 70 represent disease severity of mild, moderate, and severe, respectively. The change from baseline is being reported with greater negative index activity scores indicating clinical improvement.

    Measured: Baseline (Day 1) up to Week 16

  5. Change From Baseline in Cutaneous Lupus Activity Investigator Global Assessment Following Administration of DS-7011a in Participants With Systemic Lupus Erythematosus

    Cutaneous Lupus Activity Investigator's Global Assessment (CLA-IGA) is a five-point score that defines the level of disease severity based on overall lesion characteristics where 0 is "clear" and "4" is severe. The change from baseline is being reported with greater negative scores indicating clinical improvement.

    Measured: Baseline (Day 1) up to Week 16

  6. Change From Baseline in SLE Disease Activity Index 2000 Following Administration of DS-7011a in Participants With Systemic Lupus Erythematosus

    Each symptom presented is assigned between 1 and up to 8 points based on its usual clinical importance, yielding a total score that ranges from 0 points (no symptoms) to 105 points (presence of all defined symptoms). The change from baseline is being reported with greater negative activity scores indicating clinical improvement.

    Measured: Baseline (Day 1) up to Week 16

  7. Change From Baseline in Clinician's Global Impression of Change Following Administration of DS-7011a in Participants With Systemic Lupus Erythematosus

    CGI-C is a brief rating scale that reflects the clinician's evaluation on the changes in systemic lupus erythematosus disease severity rated at each visit based on the clinician's judgment as "Very Much Worse", "Much Worse", "Minimally Worse", "No Change", "Minimally Improved", "Much Improved", "Very Much Improved".

    Measured: Baseline (Day 1) up to Week 16

  8. Change From Baseline in Patient's Global Impression of Change Following Administration of DS-7011a in Participants With Systemic Lupus Erythematosus

    PGI-C is a self-rated scale that ask respondents to describe the retrospective change in their lupus skin symptoms at a given time point based on a 7-point scale as "Very Much Worse", "Much Worse", "Minimally Worse", "No Change", "Minimally Improved", "Much Improved", "Very Much Improved".

    Measured: Baseline (Day 1) up to Week 16

  9. Change From Baseline in Autoantibodies, Anti-Nuclear, Following Administration of DS-7011a in Participants With Systemic Lupus Erythematosus

    Autoantibodies, including antinuclear, were assessed.

    Measured: Baseline (Day 1) up to Week 16

  10. Change From Baseline in Autoantibodies, Anti-dsDNA, Following Administration of DS-7011a in Participants With Systemic Lupus Erythematosus

    Autoantibodies, including anti-dsDNA, were assessed.

    Measured: Baseline (Day 1) up to Week 16

  11. Change From Baseline in Autoantibodies, Anti-Smith and Anti-Ribonucleoprotein, Following Administration of DS-7011a in Participants With Systemic Lupus Erythematosus

    Autoantibodies, including anti-Smith [Sm], and antiribonucleoprotein [RNP] antibodies, were assessed.

    Measured: Baseline (Day 1) up to Week 16

  12. Change From Baseline in Complement Factors Following Administration of DS-7011a in Participants With Systemic Lupus Erythematosus

    Complement factors, such as C3 and C4, will be assessed.

    Measured: Baseline (Day 1) up to Week 16

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted6 Dec 2022
  2. Study start7 Jun 2023
  3. Primary completion1 Apr 2025
  4. Study completion1 Apr 2025

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 1/2
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Double blind
Who is masked
Participant, Investigator
Enrolment
26 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05638802
Sponsor's protocol ID
DS7011-107
Status last verified
May 2026
First submitted
28 Nov 2022
Last updated
28 May 2026
Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
Yes: De-identified individual participant data (IPD) on completed studies and applicable supporting clinical trial documents may be available upon request at https://vivli.org/. In cases where clinical trial data and supporting documents are provided pursuant to our company policies and procedures, Daiichi Sankyo will continue to protect the privacy of our clinical trial participants. Details on data sharing criteria and the procedure for requesting access can be found at this web address: https://vivli.org/ourmember/daiichi-sankyo/

Questions about this trial

What is this clinical trial studying?

A Phase 1/2 study testing DS-7011a in people with Systemic Lupus Erythematosus, run by Daiichi Sankyo at 20 sites in 4 countries.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 7 inclusion and 18 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 28 May 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 20 sites in United States, Japan, China, North Macedonia. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this combined phase mean?

Phase 1 studies test a treatment in a small group of people for the first time or in a new way, mainly to check safety and find the right dose.

Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

Yes. Results are posted in the registry (first posted 28 May 2026). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Number of Participants With Treatment-emergent Adverse Events Following Administration With DS-7011a in Participants With Systemic Lupus Erythematosus (time frame: Post first dose up to Week 24). It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 28 May 2026.

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