Afimetoran in Adults With Cutaneous Lupus Erythematosus
Official title: A 2-Stage Operationally Seamless Phase 2/3, Randomized, Double-Blind, Placebo-Controlled, Multicenter Study to Evaluate the Efficacy and Safety of Afimetoran in Participants With Active Cutaneous Lupus Erythematosus With or Without Systemic Manifestations and Refractory and/or Intolerant to Antimalarial Therapy
Run by Beeline Medicines Corporation · NCT07881120 · Data updated 2026-11-12
This study tests whether the oral medicine afimetoran helps skin lupus in adults who did not respond to antimalarials, by comparing it with a placebo over 24 weeks followed by all participants receiving the drug for 28 more weeks.
Quick facts
| Phase | Phase2; Phase3 |
|---|---|
| Study type | Interventional |
| Ages | 16 Years and up |
| Sex | All |
| Enrollment | 390 (estimated) |
| Sponsor | Beeline Medicines Corporation Industry-sponsored |
| Locations | 3 sites (San Diego, California and 2 other locations) |
| Status | Recruiting |
| Started | November 3, 2026 |
| Main results expected | April 2030 |
| Study ends | April 2031 |
| Registry record updated | November 10, 2026 |
| Trial ID | NCT07881120 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Adults 18 or older with active cutaneous lupus erythematosus (including SCLE, CCLE, DLE) who have not adequately benefited from or cannot tolerate antimalarial therapy.
✕Probably not a fit
Patients with severe lupus nephritis or neuropsychiatric lupus, active significant infections, or other disqualifying conditions may not benefit and could be at risk.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This is a two-stage, randomized, placebo-controlled study of afimetoran, a toll-like receptor 7/8 blocker, in adults with active cutaneous lupus erythematosus who have limited response to antimalarial therapy. In Stage 1, two doses of afimetoran are tested against placebo to identify the best dose. In Stage 2, the selected dose is compared with placebo to confirm efficacy and safety. After the 24-week controlled period, all participants receive afimetoran for a total of 52 weeks of treatment, with primary outcomes focusing on changes in skin disease activity as measured by CLASI-A, alongside safety assessments.
Why it matters
Potential benefit: If successful, afimetoran could reduce skin lupus activity and improve quality of life for people with active CLE.
How similar studies have gone: TLR7/TLR8 inhibitors have shown potential in prior CLE studies, but this specific afimetoran approach is being tested in a staged, dose-confirmation design to establish efficacy and safety.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: 1. Adults aged ≥18 years (or ≥16 years where permitted). 2. Histologically confirmed active cutaneous lupus erythematosus (CLE) with or without systemic manifestations. 3. Active subacute and/or chronic cutaneous lupus erythematosus, including discoid lupus erythematosus. 4. Moderate to severe skin disease activity. 5. Refractory, intolerant, or inadequately controlled on antimalarial therapy. 6. Willing and able to comply with study requirements. 7. Agreement to protocol-specified contraception requirements Exclusion Criteria: 1. Severe lupus nephritis or severe neuropsychiatric SLE 2. Drug-induced lupus 3. Active or chronic clinically significant infections, including HIV, hepatitis B, hepatitis C, active tuberculosis, untreated latent tuberculosis, or uncontrolled congestive heart failure 4. Significant concurrent autoimmune disease other than lupus-related conditions permitted by the protocol 5. Active malignancy or recent history of certain cancers 6. Other dermatologic conditions that may interfere with study assessments 7. Recent use of prohibited medications or investigational therapies 8. Prior treatment with afimetoran or another TLR7/TLR8 antagonist 9. Clinically significant laboratory abnormalities or severe organ dysfunction 10. Pregnancy or breastfeeding
Where it's running
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University Clinical Trials
San Diego, California, United States Recruiting -
Omega Research DeBary, LLC
DeBary, Florida, United States Recruiting -
Boeson Research MSO
Missoula, Montana, United States Recruiting
Study contacts
- Study coordinator: Study Director
- Email: medinfo@beelinemedicines.com
- Phone: 1 617 885-8290
Similar studies
Other studies for the same condition or treatment. Recruiting studies are listed first.
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Long-Term Extension of enpatoran for cutaneous lupus symptoms
This extension study tests whether continuing enpatoran is safe and helpful for people with skin lupus who completed previous trials, for up to about two years.
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Quinacrine for Cutaneous Lupus Erythematosus
This study tests whether quinacrine can help adults with active cutaneous lupus erythematosus when compared to placebo.
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S-4321 in adults with autoimmune or immune-mediated diseases
This study tests S-4321 in adults with autoimmune conditions to see if it is safe and tolerable and to gather early data on how the drug behaves in the body and its initial effects on disease markers.
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ICP-488 for Cutaneous Lupus Erythematosus: a 2nd phase study to test safety and efficacy
This phase II study tests ICP-488 versus placebo in adults with cutaneous lupus erythematosus to see if it helps skin symptoms while checking safety.
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Enpatoran for cutaneous lupus with or without systemic disease (ELOWEN-2)
This 24-week study will test whether enpatoran tablets can improve active skin symptoms in adults with cutaneous lupus, with or without systemic lupus.
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Enpatoran for adults with skin lupus, with or without systemic disease
This 24-week test will see if enpatoran tablets reduce active skin lesions in adults with cutaneous lupus, with or without systemic lupus.
How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.