Clinical trial Recruiting at 3 sites Phase2; Phase3 Interventional Ages 16 and up

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.

More Cutaneous Lupus Erythematosus (CLE) trials

Quick facts

PhasePhase2; Phase3
Study typeInterventional
Ages16 Years and up
SexAll
Enrollment390 (estimated)
SponsorBeeline Medicines Corporation
Industry-sponsored
Locations3 sites (San Diego, California and 2 other locations)
StatusRecruiting
StartedNovember 3, 2026
Main results expectedApril 2030
Study endsApril 2031
Registry record updatedNovember 10, 2026
Trial IDNCT07881120 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

  • 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

Similar studies

Other studies for the same condition or treatment. Recruiting studies are listed first.

How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.