Radiographic Axial SpondyloarthritisPhase 2NCT07133633
A Clinical Study of Tulisokibart (MK-7240) to Treat Radiographic Axial Spondyloarthritis (MK-7240-013)
A Phase 2 study testing Tulisokibart in people with Radiographic Axial Spondyloarthritis, run by Merck Sharp & Dohme LLC at 107 sites in 14 countries.
Trial summary
Researchers are looking for new ways to treat radiographic axial spondyloarthritis (r-axSpA). R-axSpA is a type of arthritis that causes pain, stiffness, and inflammation (swelling) in the spine and joints in the pelvis (hip bone). Radiographic means the damage it causes can be seen on X-rays. Read more about this study
- Who is it for?
- Ages 18 to 80 years
- Conditions the study is for
- Radiographic Axial Spondyloarthritis
- What is being tested?
- Tulisokibart
- Type of treatment
- Injection or infusion
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 315 participants
- Where
- 107 sitesin 14 countries
- Study dates
- 26 Sep 2025to 5 Feb 2030
- Phase
- Phase 2
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 to 80 years
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- The main inclusion criteria include but are not limited to the following:
- Has a clinical diagnosis of axial spondyloarthritis (axSpA) and meets the Assessment of SpondyloArthritis international Society (ASAS) classification criteria for axSpA including ≥3 months of back pain with age at symptom onset <45 years
- Meets the radiographic criterion of the modified New York criteria for ankylosing spondylitis (AS) as determined by central reading at Screening
- Has active disease at Screening and Randomization
- Has a history of inadequate response (IR)/intolerance to nonsteroidal anti-inflammatory drugs (NSAIDs) and is biologic disease-modifying antirheumatic drug (bDMARD)-naive, or has a history of IR/intolerance to up to a maximum of 2 bDMARD classes
Who cannot join
- The main exclusion criteria include but are not limited to the following:
- Has any arthritis with onset before age 17 years or current diagnosis of inflammatory joint disease other than radiographic axial spondyloarthritis (r-axSpA) (such as, but not limited to, rheumatoid arthritis, systemic lupus erythematosus, psoriatic arthritis (PsA), systemic sclerosis, myositis, etc.), or any other conditions that may, in the judgment of the investigator, interfere with the assessment of r-axSpA
- Has a history of cancer (except fully treated non-melanoma skin cancers or cervical carcinoma in situ after complete surgical removal) within the last 5 years
- Has any active infection
- Has known allergies, hypersensitivity, or intolerance to tulisokibart or its excipients
Trial locations and contacts
107 sites in 14 countries. Contact the study team or a site near you to ask about taking part.
107 sites in 14 countries
United States37 sites, 36 recruiting
- Recruiting
Rheumatology Associates ( Site 0055)
Arlington, Texas, 76012
Study Coordinator, 214-540-0700
- Recruiting
Arthritis and Rheumatic Disease Specialties ( Site 0016)
Aventura, Florida, 33180
Study Coordinator, 305-932-4295
- Recruiting
John Hopkins University ( Site 0052)
Baltimore, Maryland, 21224
Study Coordinator, 410-550-0579
- Recruiting
Bay Area Arthritis and Osteoporosis ( Site 0041)
Brandon, Florida, 33511
Study Coordinator, 813-651-4441 Ext 243
- Recruiting
AARA Clinical Research - Arizona Arthritis & Rheumatology Associates - Chandler ( Site 0036)
Chandler, Arizona, 85225
Study Coordinator, 480-443-8400
- Recruiting
Chicago Arthritis & Regenerative Medicine ( Site 0042)
Chicago, Illinois, 60661
Study Coordinator, 480-443-8400
- Completed
TriWest Research Associates - Chula Vista ( Site 0013)
Chula Vista, California, 91910
- Recruiting
GNP Research - Hollywood ( Site 0020)
Cooper City, Florida, 33024
Study Coordinator, 754-248-3589
- Recruiting
Arthritis Care of Texas ( Site 0048)
Corpus Christi, Texas, 78415
Study Coordinator, 361-400-7700
- Recruiting
Denver Arthritis Clinic ( Site 0064)
Denver, Colorado, 80230
Study Coordinator, 303-394-2828
- Recruiting
Altoona Center for Clinical Research ( Site 0004)
Duncansville, Pennsylvania, 16635
Study Coordinator, 814-693-0300
- Recruiting
AARA Clinical Research - Arizona Arthritis & Rheumatology Associates - Flagstaff ( Site 0021)
Flagstaff, Arizona, 86001
Study Coordinator, 480-443-8400
- Recruiting
Lone Star Arthritis & Rheumatology Associates, P.C. ( Site 0028)
Fort Worth, Texas, 76109
Study Coordinator, 301-942-7600
- Recruiting
Providence Medical Foundation ( Site 0049)
Fullerton, California, 92835
Study Coordinator, 714-626-8610
- Recruiting
Arizona Arthritis & Rheumatology Associates, P.C. - Gilbert ( Site 0022)
Gilbert, Arizona, 85297
Study Coordinator, 480-443-8400
- Recruiting
AARA Arizona Arthritis & Rheumatology Associates, P.C. - Glendale ( Site 0056)
Glendale, Arizona, 85306
Study Coordinator, 480-443-8400
- Recruiting
Provecta Research Network LLC ( Site 0054)
Houston, Texas, 77027
Study Coordinator, 346-735-8990
- Recruiting
The University of Texas Health Science Center at Houston ( Site 0065)
Houston, Texas, 77030
Study Coordinator, 713-500-6597
- Recruiting
Newport Huntington Medical Group ( Site 0005)
Huntington Beach, California, 92648
Study Coordinator, 714-378-2440
- Recruiting
AARA Clinical Research - Lone Star Arthritis and Rheumatology Associates - Irving ( Site 0032)
Irving, Texas, 75039
Study Coordinator, 301-942-7600
- Recruiting
Logan Health Rheumatology ( Site 0015)
Kalispell, Montana, 59901
Study Coordinator, 406-752-2010
- Recruiting
Kansas City Physician Partners ( Site 0027)
Kansas City, Missouri, 64111
Study Coordinator, 816-384-2827
- Recruiting
Physician Research Collaboration, LLC ( Site 0057)
Lincoln, Nebraska, 68516-5497
Study Coordinator, 402-420-3442
- Recruiting
AARA Clinical Research - Murfreesboro Medical Clinic ( Site 0029)
Murfreesboro, Tennessee, 37128
Study Coordinator, 615-236-2504
- Recruiting
Innovation Medical Research Center ( Site 0012)
Palmetto Bay, Florida, 33157
Study Coordinator, 305-300-2695
- Recruiting
Perelman Center for Advanced Medicine ( Site 0060)
Philadelphia, Pennsylvania, 19104
Study Coordinator, 215-662-2454
- Recruiting
Oregon Health & Science University ( Site 0059)
Portland, Oregon, 97239
Study Coordinator, 503-494-8637
- Recruiting
Epic Medical Research ( Site 0061)
Red Oak, Texas, 75154
Study Coordinator, 972-777-6956
- Recruiting
Arthritis and Rheumatism Associates - Rockville ( Site 0019)
Rockville, Maryland, 20850
Study Coordinator, 301-942-7600
- Recruiting
Inspire Santa Fe Medical Group ( Site 0011)
Santa Fe, New Mexico, 87505
Study Coordinator, 505-490-5984
- Recruiting
Velocity Clinical Research - West County Rheumatology, St. Louis ( Site 0038)
St Louis, Missouri, 63131
Study Coordinator, 314-987-2980
- Recruiting
Advanced Rheumatology of Houston ( Site 0001)
The Woodlands, Texas, 77382
Study Coordinator, 936-681-4882
- Recruiting
Cohen Medical Centers ( Site 0034)
Thousand Oaks, California, 91360-3967
Study Coordinator, 713-487-8680
- Recruiting
DM Clinical Research - TRA ( Site 0010)
Tomball, Texas, 77375
Study Coordinator, 346-550-9559
- Recruiting
Arizona Arthritis & Rheumatology Associates, P.C. - Tucson ( Site 0025)
Tucson, Arizona, 85704-1140
Study Coordinator, 480-443-8400
- Recruiting
Inland Rheumatology Clinical Trials, Inc. ( Site 0002)
Upland, California, 91786
Study Coordinator, 909-296-8700
- Recruiting
Willow Rheumatology and Wellness, PLLC ( Site 0035)
Willowbrook, Illinois, 60527
Study Coordinator, 630-537-1313
China9 sites, 9 recruiting
- Recruiting
Chinese Academy of Medical Science Peking Union Medical College Hospital ( Site 3100)
Beijing, Beijing Municipality, 100005
Study Coordinator, 01069156699
- Recruiting
The First Afflilated Hospital of Bengbu Medical College ( Site 3119)
Bengbu, Anhui, 233004
Study Coordinator, 0552-3086120
- Recruiting
The First Hospital Of Jilin University ( Site 3103)
Changchun, Jilin, 130021
Study Coordinator, +8643188782222
- Recruiting
Guangdong Provincial People's Hospital ( Site 3110)
Guangzhou, Guangdong, 510080
Study Coordinator, 020-83525210
- Recruiting
The Third Affiliated Hospital of Sun Yat-Sen University ( Site 3114)
Guangzhou, Guangdong, 510630
Study Coordinator, 020-85253153
- Recruiting
First Affiliated Hospital of Kunming Medical University ( Site 3123)
Kunming, Yunnan, 650032
Study Coordinator, +86087165324888
- Recruiting
The First Affiliated Hospital of Henan University of Science &Technology ( Site 3121)
Luoyang, Henan, 471003
Study Coordinator, 0379-64830999
- Recruiting
Pingxiang People's Hospital ( Site 3115)
Pingxiang, Jiangxi, 337055
Study Coordinator, 0799-6881723
- Recruiting
PEOPLE'S HOSPITAL OF XINJIANG UYGUR AUTONOMOUS REGION ( Site 3124)
Ürümqi, Xinjiang, 830001
Study Coordinator, +869918565737
Ukraine9 sites, 3 recruiting
- Active, not recruiting
Communal Nonprofit Enterprise Cherkasy Regional Hospital of Cherkasy Oblast Council ( Site 1704)
Cherkasy, Chernivetska Oblast, 18009
- Active, not recruiting
Municipal Public Non-Profit Enterprise "City Clinical Hospital №1 of the Ivano-Frankivsk City Counc ( Site 1705)
Ivano-Frankivsk, Ivano-Frankivsk Oblast, 76018
- Recruiting
Municipal Non-Profit Enterprise "Khmelnytskyi Regional Hospital" of Khmelnytskyi Regional Council ( Site 1713)
Khmelnytskiy, Khmelnytskyi Oblast, 29000
Study Coordinator, +380501664721
- Recruiting
Medical Center of Limited Liability Company "Medical Center "Consilium Medical" ( Site 1715)
Kyiv, Kyivska Oblast, 04050
Study Coordinator, +380977694382
- Recruiting
Kyiv Railway Clinical Hospital No.2 of Branch Health Center of the Public Joint Stock Company Ukrain ( Site 1701)
Kyiv, 03049
Study Coordinator, +380667464061
- Active, not recruiting
Medical Center "Universal Clinic "Oberig" of Limited Liability Company "Kapytal" ( Site 1706)
Kyiv, 03057
- Active, not recruiting
Lviv Clin Hospital of Planned Treatment Rehabilitation Palliative Care ( Site 1710)
Lviv, Lviv Oblast, 79011
- Active, not recruiting
ME "Ternopil Regional Clinical Hospital of Ternopil Regional Council" ( Site 1707)
Ternopil, Ternopil Oblast, 46002
- Active, not recruiting
Municipal Nonprofit Enterprise "Vinnytsia Regional Clinical Hospital n.a. M. I. Pyrohov of Vinnytsia ( Site 1700)
Vinnytsa, Vinnytsia Oblast, 21018
Germany7 sites, 7 recruiting
- Recruiting
Rheumatologische Schwerpunktpraxis ( Site 0605)
Berlin, 10777
Study Coordinator, +493085993390
- Recruiting
Charite Universitätsmedizin Berlin Campus Benjamin Franklin-Medizinische Klinik I für Gastroenterol ( Site 0601)
Berlin, 12203
Study Coordinator, +49 30 450 514726
- Recruiting
Rheuma-Research Lausitz ( Site 0609)
Cottbus, Brandenburg, 03042
Study Coordinator, +4935575578825
- Recruiting
HRF II - Hamburger Rheuma Forschungszentrum II MVZ für Rheumatologie und Autoimmunmedizin Hamburg G ( Site 0604)
Hamburg, 20095
Study Coordinator, +4940323103166
- Recruiting
Rheumazentrum Ruhrgebiet ( Site 0600)
Herne, North Rhine-Westphalia, 44649
Study Coordinator, +4923255920
- Recruiting
Medicover München Ost MVZ ( Site 0611)
Munich, Bavaria, 81667
Study Coordinator, +498945855612
- Recruiting
Rheumazentrum Ratingen Studienambulanz ( Site 0602)
Ratingen, North Rhine-Westphalia, 40878
Study Coordinator, +4921025533777
Taiwan7 sites, 7 recruiting
- Recruiting
Kaohsiung Veterans General Hospital ( Site 2905)
Kaohsiung City, 813414
Study Coordinator, +8867-3422121
- Recruiting
Chang Gung Memorial Hospital at Kaohsiung ( Site 2908)
Kaohsiung City, 833
Study Coordinator, +88677317123x8800
- Recruiting
Taipei Medical University Shuang Ho Hospital ( Site 2900)
New Taipei City, New Taipei, 235
Study Coordinator, +886222490088
- Recruiting
National Cheng Kung University Hospital ( Site 2903)
Tainan, 704
Study Coordinator, +88662353535x3952
- Recruiting
Taipei Veterans General Hospital ( Site 2906)
Taipei, 112
Study Coordinator, +886958309632
- Recruiting
National Taiwan University Hospital ( Site 2902)
Taipei City, Taipei, 100
Study Coordinator, +886972652625
- Recruiting
Chang Gung Memorial Hospital - Linkou Branch ( Site 2904)
Taoyuan, 33305
Study Coordinator, +88633281200
Poland6 sites, 3 recruiting
- Active, not recruiting
MICS Centrum Medyczne Bydgoszcz ( Site 1206)
Bydgoszcz, Kuyavian-Pomeranian Voivodeship, 85-065
- Recruiting
Szpital Uniwersytecki Nr 2 im. dr J. Biziela w Bydgoszczy ( Site 1203)
Bydgoszcz, Kuyavian-Pomeranian Voivodeship, 85-168
Study Coordinator, +48523655531
- Active, not recruiting
Zespół Poradni Specjalistycznych Reumed Filia nr 1 Wallenroda ( Site 1201)
Lublin, Lublin Voivodeship, 20-607
- Recruiting
MICS Centrum Medyczne Torun ( Site 1202)
Torun, Kuyavian-Pomeranian Voivodeship, 87-100
Study Coordinator, +48563004300
- Recruiting
MICS Centrum Medyczne Warszawa ( Site 1204)
Warsaw, Masovian Voivodeship, 00-874
Study Coordinator, +48226291354
- Active, not recruiting
Narodowy Instytut Geriatrii Reumatologii i Rehabilitacji im.Prof. El. Reicher-ul.Spartanska 1 ( Site 1205)
Warsaw, Masovian Voivodeship, 02-637
Turkey (Türkiye)6 sites, 6 recruiting
- Recruiting
ANKARA UNIVERSITY IBNI SINA HOSPITAL ( Site 1600)
Ankara, 06230
Study Coordinator, +90312 508 3879-3819
- Recruiting
Hacettepe Universite Hastaneleri ( Site 1603)
Ankara, 06230
Study Coordinator, +90 312 305 13 48
- Recruiting
Istanbul University Cerrahpasa Medical School Internal Diseases Institute ( Site 1604)
Fatih, Istanbul, 34098
Study Coordinator, +90 212 414 30 00
- Recruiting
Marmara Universitesi Pendik Egitim Arastirma Hastanesi ( Site 1602)
Istanbul, 34899
Study Coordinator, +902166254545
- Recruiting
Kocaeli Üniversitesi ( Site 1605)
Kocaeli, 41380
Study Coordinator, +902623037575 (6716)
- Recruiting
Konya Necmettin Erbakan Universitesi ( Site 1606)
Konya, 42090
Study Coordinator, +90 332 223 40 51
Brazil5 sites, 5 recruiting
- Recruiting
Complexo Hospital de Clínicas da Universidade Federal do Paraná ( Site 1991)
Curitiba, Paraná, 80060-900
Study Coordinator, +554133601800
- Recruiting
CMIP-CENTRO MINEIRO DE PESQUISA ( Site 1999)
Juiz de Fora, Minas Gerais, 36010-570
Study Coordinator, +553233128920
- Recruiting
LMK Serviços Médicos S/S ( Site 2000)
Porto Alegre, Rio Grande do Sul, 90480-000
Study Coordinator, +55 5130613440
- Recruiting
IBPClin - Instituto Brasil de Pesquisa Clínica ( Site 1994)
Rio de Janeiro, 20241-180
Study Coordinator, +55 21 25277979
- Recruiting
Centro de Pesquisas Clínicas do Hospital das Clínicas de São Paulo ( Site 1992)
São Paulo, 05403-000
Study Coordinator, +551126619272
Chile5 sites, 2 recruiting
- Recruiting
Bioreuma ( Site 2109)
Concepción, Biobio, 4070280
Study Coordinator, +56412226855
- Recruiting
Clinica Alemana Osorno ( Site 2114)
Osorno, Los Lagos Region, 5311089
Study Coordinator, +56967603845
- Active, not recruiting
Enroll SpA ( Site 2101)
Santiago, Region M. de Santiago, 7500587
- Active, not recruiting
Centro de Estudios GyC ( Site 2103)
Santiago, Region M. de Santiago, 7510079
- Active, not recruiting
Bradfordhill ( Site 2110)
Santiago, Region M. de Santiago, 8420383
United Kingdom4 sites, 4 recruiting
- Recruiting
Barnet Hospital ( Site 1806)
Barnet, EN5 3DJ
Study Coordinator, +4402082165258
- Recruiting
Royal United Hospital Bath NHS Foundation Trust ( Site 1803)
Bath, Somerset, BA1 3NG
Study Coordinator, +441225821848
- Recruiting
St Luke's Hospital ( Site 1801)
Bradford, BD5 0NA
Study Coordinator, 01274365311
- Recruiting
Norfolk & Norwich University Hospital NHS Foundation Trust ( Site 1800)
Norwich, Norfolk, NR4 7UY
Study Coordinator, 01603287725
Canada3 sites, 3 recruiting
- Recruiting
G.R.M.O. (Groupe de recherche en maladies osseuses) Inc. ( Site 0200)
Québec, Quebec, G1V 4K5
Study Coordinator, 4186502661
- Recruiting
Toronto Western Hospital ( Site 0205)
Toronto, Ontario, M5T 2S8
Study Coordinator, 4166035800x3259
- Recruiting
Centre de Recherche Musculo-Squelettique ( Site 0202)
Trois-Rivières, Quebec, G9A 3Y2
Study Coordinator, 8193701301
Colombia3 sites, 2 recruiting
- Recruiting
Clinica de la Costa S.A.S. ( Site 2202)
Barranquilla, Atlántico, 080020
Study Coordinator, +573008096054
- Active, not recruiting
CIREEM SAS ( Site 2204)
Bogota, Cundinamarca, 110221
- Recruiting
Fundación Valle del Lili ( Site 2201)
Cali, Valle del Cauca Department, 760032
Study Coordinator, +573166237452
Netherlands3 sites, 3 recruiting
- Recruiting
Amsterdam UMC ( Site 1101)
Amsterdam, North Holland, 1081 HV
Study Coordinator, +31 205661849
- Recruiting
Zuyderland Medical Centre ( Site 1100)
Heerlen, Limburg, 6419 PC
Study Coordinator, +31884599716
- Recruiting
Maasstad Ziekenhuis ( Site 1102)
Rotterdam, South Holland, 3079DZ
Study Coordinator, +31 102912205
South Korea3 sites, 3 recruiting
- Recruiting
Kyung Hee University Hospital ( Site 2803)
Seoul, 02447
Study Coordinator, +8229588087
- Recruiting
Hanyang University Seoul Hospital ( Site 2800)
Seoul, 04763
Study Coordinator, +82222909245
- Recruiting
Kyung Hee University Hosptial at Gangdong ( Site 2802)
Seoul, 05278
Study Coordinator, +8224406128
About this study
Official title: A Phase 2b, Randomized, Double-Blind, Placebo-Controlled Study to Evaluate the Efficacy and Safety of Tulisokibart in Participants With Radiographic Axial Spondyloarthritis (Ankylosing Spondylitis)
Researchers are looking for new ways to treat radiographic axial spondyloarthritis (r-axSpA). R-axSpA is a type of arthritis that causes pain, stiffness, and inflammation (swelling) in the spine and joints in the pelvis (hip bone). Radiographic means the damage it causes can be seen on X-rays.
This study will help find out if a study medicine called tulisokibart can treat symptoms of r-axSpA. Researchers will look at different doses of tulisokibart.
Researchers want to know if at least one of the study doses of tulisokibart works better than a placebo to improve r-axSpA symptoms. A placebo looks like the study medicine but has no study medicine in it. Using a placebo helps researchers better understand the effects of the study medicine.
Read the detailed description
This study consists of a 16-week Placebo-controlled Period and a 124-week Long-term Extension (LTE), which is composed of a 40-week Main Extension and an 84-week Optional Extension.
- Conditions
- Radiographic Axial Spondyloarthritis
- Being tested
- Tulisokibart, Placebo
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
TulisokibartDrug
Also called MK-7240, PRA023
Subcutaneous (SC) administration
PlaceboDrug
SC administration
| Study group | Role | What they receive |
|---|---|---|
| High-dose tulisokibart | Experimental | Participants receive a high dose of tulisokibart. Receives: Drug: Tulisokibart |
| Medium-dose tulisokibart | Experimental | Participants receive a medium dose of tulisokibart. Receives: Drug: Tulisokibart |
| Low-dose tulisokibart | Experimental | Participants receive a low dose of tulisokibart and are rerandomized at week 16 to a medium or high dose of tulisokibart. Receives: Drug: Tulisokibart |
| Placebo | Placebo comparator | Participants receive a matched placebo dose and are rerandomized at week 16 to a medium or high dose of tulisokibart. Receives: Drug: Placebo |
What is being measured
The primary outcome is the main question the study is designed to answer.
Percentage of Participants Achieving Assessment of Spondyloarthritis International Society (ASAS) 40 Response at Week 16
ASAS 40 is defined as a relative improvement of ≥40% and an absolute improvement of ≥2 units from baseline in ≥3 of 4 domains, with no deterioration in the fourth domain. The 4 domains include Patient Global Assessment (PtGA), total spinal pain, physical function, and morning stiffness. Each domain is measured on a 10-point numeric scale from 0 = no disease symptoms/impact to 10 = extreme disease symptoms/impact, with a higher score indicating more severe impairment.
Measured: Week 16
Secondary outcomes (14)
Percentage of Participants Achieving Ankylosing Spondylitis Disease Activity Score (ASDAS) <2.1 at Week 16
ASDAS is a disease activity measure calculated from the assessments of total spinal pain, duration of morning stiffness, peripheral pain/swelling, PtGA, and high sensitivity C-reactive protein (hsCRP) as follows: 0.121 × total spinal pain (Bath Ankylosing Spondylitis Disease Activity Index [BASDAI] question 2) + 0.110 × PtGA + 0.073 × peripheral pain/swelling (BASDAI question 3) + 0.058 × duration of morning stiffness (BASDAI question 6) + 0.579 × natural logarithm (ln) of (hsCRP + 1). ASDAS <2.1 indicates low disease activity and a higher score indicates greater disease activity.
Measured: Week 16
Change From Baseline in Bath Ankylosing Spondylitis Functional Index (BASFI) at Week 16
The BASFI is a validated 10-item measure assessing individual-reported function (8 items) and ability to cope with everyday life (2 items) over the past week. Responses are recorded for each item on an 11-point numeric rating scale (NRS) from 0 "easy" to 10 "impossible". A mean score of the 10 items will be calculated to reflect the overall functional impairment, with higher scores indicating greater disability.
Measured: Baseline and Week 16
Change From Baseline in the Spondyloarthritis Research Consortium of Canada (SPARCC) Magnetic Resonance Imaging (MRI) Score for Spine at Week 16
The SPARCC MRI score for spine is a validated scoring system developed to assess inflammation in the spine related to axSpA. The 6 most abnormal discovertebral units are selected, and 3 consecutive sagittal slices are assessed. Each discovertebral unit is divided into 4 quadrants, scored as 1 if increased signal is present or 0 if normal, with a maximum of 12 points per discovertebral unit. Additional points are added for lesions that exhibit intense signal or deep (≥1 cm), increasing the maximum score per unit to 18. Summed over 6 slices, the maximum total score is 108. Higher scores indicate more extensive and/or intense spinal inflammation.
Measured: Baseline and Week 16
Change From Baseline in the SPARCC MRI Score for Sacroiliac Joint (SIJ) at Week 16
The SPARCC MRI score for SIJ is a validated scoring system to assess SIJ inflammation in axSpA. Six consecutive SIJ coronal slice images are assessed by dividing into 4 quadrants and scored as 1 if increased signal is present or 0 if normal, with a maximum of 8 points per slice for both joints. Additional points are added for lesions that exhibit intense signal or deep (≥1 cm), increasing the maximum score per unit to 12. Summed over 6 slices, the maximum total score is 72. Higher scores indicate more extensive and/or intense SIJ inflammation.
Measured: Baseline and Week 16
Change From Baseline in Total Spinal Pain Bath Ankylosing Spondylitis Disease Activity Index (BASDAI) Question 2 at Week 16
The BASDAI is a validated 6-item questionnaire used to assess disease activity in radiographic axial spondyloarthritis. It assesses individual-reported fatigue, total spinal pain, peripheral pain/swelling, tenderness, intensity of morning stiffness, and duration of morning stiffness over the past week. To access individual-reported total spinal pain experienced over the past week, participants are asked BADSAI question 2, "How would you describe the overall level of ankylosing spondylitis neck, back, or hip pain you have had?" Responses are recorded on an 11-point NRS ranging from 0 "none" to 10 "very severe." Higher score indicates more severe total spinal pain.
Measured: Baseline and Week 16
Change From Baseline in Nocturnal Spinal Pain at Week 16
The NRS is an 11-point scale (numeric version of the visual analog scale) to assess the pain intensity in individuals who can self-report. Participants will be asked to report their average nighttime spinal pain over the past week on an 11-point NRS. The score range is from 0 "no pain" to 10 "most severe pain." Higher score indicates more severe nocturnal spinal pain.
Measured: Baseline and Week 16
Change From Baseline in Assessment of Spondyloarthritis International Society Health Index (ASAS HI) at Week 16
The ASAS HI assesses overall functioning and health and is a validated 17-item individual-reported measure of pain, emotional functions, sleep, sexual function, mobility, self-care, and community life, with response options of "I agree" (1) or "I do not agree" (0). The ASAS HI is a total summary score ranging from 0 to 17 with a lower score indicating a better and a higher score indicating an inferior health status.
Measured: Baseline and Week 16
Change From Baseline in Short Form-36 Health Survey (SF-36) Physical Component Summary (PCS) at Week 16
The SF-36 is a widely used general health status questionnaire that assesses 8 domains of functional health and well-being: physical functioning, role limitations due to physical health problems, bodily pain, social functioning, mental health, role limitations due to emotional problems, vitality, and general health perceptions. The PCS score is a composite score derived from the SF-36 that summarizes the physical health aspects of the survey. It combines information primarily from the physical domains (physical functioning, role limitations due to physical health problems, bodily pain, and general health perceptions). All SF-36 scores range from 0 = worst health state to 100 = best health state, with higher scores indicating a better health-related quality of life (QoL).
Measured: Baseline and Week 16
Change From Baseline in BASDAI at Week 16
The BASDAI is a validated 6-item measure, assessing individual-reported fatigue, total spinal pain, peripheral pain/swelling, tenderness, intensity of morning stiffness, and duration of morning stiffness over the past week. Responses are recorded for each item on an 11-point NRS from 0 "none" to 10 "very severe." BASDAI is calculated by averaging the response for question 5 and question 6, adding this result to the sum of question 1 through question 4, and then dividing the result by 5. A higher score indicates greater disease activity.
Measured: Baseline and Week 16
Change From Baseline in Maastricht Ankylosing Spondylitis Enthesitis Score (MASES) at Week 16 in the Subgroup of Participants With Enthesitis (MASES>0) at Baseline
The MASES is a validated method to assess peripheral enthesitis in axSpA. It assesses pain on palpation at the following anatomic sites: first costochondral joint (right \& left); seventh costochondral joint (right \& left); anterior superior iliac spine (right \& left); iliac crest (right \& left); posterior superior iliac spine (right \& left); fifth lumbar spinous process; Achilles tendon, proximal insertion (right \& left). Each site is scored based on participant response as either 0 (nontender) or 1 (tender), the final score ranges from 0 (absence of enthesitis) up to a score of 13 (enthesitis present at all sites). Injected enthesitis sites will be considered not assessable for 90 days from the time of the injection. Higher score indicates more tender or inflamed enthesitis sites. Resolution of enthesitis is defined as MASES score equal to zero.
Measured: Baseline and Week 16
Change From Baseline in Bath Ankylosing Spondylitis Metrology Index Linear (BASMI lin) at Week 16
The BASMI lin is a validated tool to assess mobility in axSpA. The BASMI lin evaluates the range in centimeters of 5 components of hip and spinal mobility (components: tragus-to-wall, lateral lumbar flexion, cervical rotation angle, lumbar flexion, and maximal intermalleolar distance). For tragus to wall, lateral lumber flexion, and cervical rotation angle, the average measurements from left and right would be used as the component score. Component score range is from 0 (no mobility limitation) to 10 (very severe mobility limitation). Higher score indicates more severe mobility limitation.
Measured: Baseline and Week 16
Change From Baseline in Functional Assessment of Chronic Illness Therapy - Fatigue Scale (FACIT-Fatigue) at Week 16
The FACIT-Fatigue is a validated 13-item measure that assesses individual-reported fatigue and its impact on daily activities and function during usual activities over the past week. Responses are recorded on a 5-point Likert scale (0 = not at all to 4 = very much), individual item scores are then summed to provide the final score with range from 0 (worst score/extreme fatigue) to 52 (best score/no or minimal fatigue). Higher total scores represent lower levels of fatigue.
Measured: Baseline and Week 16
Number of Participants With One or More Adverse Events (AEs)
An AE is any untoward medical occurrence in a clinical study participant, temporally associated with the use of study intervention, whether or not considered related to the study intervention.
Measured: Up to approximately 154 weeks
Number of Participants Who Discontinue Study Intervention Due to an AE
An AE is any untoward medical occurrence in a clinical study participant, temporally associated with the use of study intervention, whether or not considered related to the study intervention.
Measured: Up to approximately 140 weeks
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted21 Aug 2025
- Study start26 Sep 2025
- Primary completion15 Jun 2027 (estimated)
- Study completion5 Feb 2030 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Radiographic Axial SpondyloarthritisStudies of the same condition, open and under way.
- More trials run by Merck Sharp & Dohme LLCThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
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 2
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Triple blind
- Who is masked
- Participant, Care provider, Investigator
- Enrolment
- 315 participants (estimated)
Sponsor and investigators
- Lead sponsor
- Merck Sharp & Dohme LLC
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Medical Director, Study director, Merck Sharp & Dohme LLC
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT07133633
- Sponsor's protocol ID
- 7240-013
- Other IDs
- 2025-521059-21-00, U1111-1318-5807, MK-7240-013, 2025
- Status last verified
- Oct 2026
- First submitted
- 14 Aug 2025
- Last updated
- 23 Oct 2026
- Results posted
- No
- Data monitoring committee
- Yes
- FDA-regulated drug
- Yes
- FDA-regulated device
- No
- Individual data sharing
- Yes: https://trialstransparency.msdclinicaltrials.com/pdf/ProcedureAccessClinicalTrialData.pdf