Clinical trial Recruiting at 20 sites Phase 1 Interventional Ages 18 to 75

MK-1045 for people with lupus or rheumatoid arthritis

Official title: A Dose Escalation Clinical Study to Evaluate the Safety, Tolerability, Pharmacokinetics and Pharmacodynamics of MK-1045 in Participants With Systemic Lupus Erythematosus and Rheumatoid Arthritis

Run by Merck Sharp & Dohme LLC · NCT07363590 · Data updated 2026-11-12

This research tests the experimental medicine MK-1045 to see if it is safe and tolerable in adults with lupus or rheumatoid arthritis.

Quick facts

PhasePhase 1
Study typeInterventional
Ages18 Years to 75 Years
SexAll
Enrollment21 (estimated)
SponsorMerck Sharp & Dohme LLC
Industry-sponsored
Locations21 sites (Southport, Queensland and 20 other locations)
StatusRecruiting
StartedFebruary 19, 2026
Main results expectedJuly 16, 2029
Study endsJuly 16, 2029
Registry record updatedNovember 2, 2026
Trial IDNCT07363590 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Ideal candidates are adults with a confirmed diagnosis of SLE or RA for at least six months who meet the respective classification criteria, have a BMI of 18–32 kg/m^2, and do not have active infections or serious uncontrolled medical conditions.

Probably not a fit

Patients with active or recent serious infections, known hepatitis B or C, HIV, latent or active tuberculosis, significant uncontrolled comorbidities, or who fall outside the BMI range are unlikely to be eligible and therefore are unlikely to receive any direct benefit from this Phase 1 safety trial.

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 Phase 1, interventional, dose-ranging trial sponsored by Merck that gives MK-1045 to adults with systemic lupus erythematosus (SLE) or rheumatoid arthritis (RA) to determine safety and tolerability. Participants receive MK-1045 at different dose levels and are monitored for adverse events, infections, and laboratory changes. Eligible participants must have had SLE or RA for at least six months, meet standard classification criteria, and have a body mass index between 18 and 32 kg/m^2. People with active infections, hepatitis B or C, HIV, tuberculosis, or significant uncontrolled medical conditions are excluded.

Why it matters

Potential benefit: If MK-1045 proves safe and tolerable, it could advance to later trials and eventually offer a new treatment option for people with lupus or RA.

How similar studies have gone: Some early-phase trials of other immunomodulators in SLE and RA have shown promising safety and preliminary activity, but MK-1045 itself is novel and has limited prior public clinical data.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

* Has a body mass index between 18 and 32 kg/m\^2, inclusive
* Systemic lupus erythematosus (SLE): Has a diagnosis of SLE for at least 6 months and met the European Alliance of Associations for Rheumatology (EULAR)/ American College of Rheumatology (ACR) 2019 classification criteria
* SLE: Is taking at least one background therapy for SLE
* RA: Has a diagnosis of RA for at least 6 months and meets the 2010 ACR-EULAR classification criteria for RA

Exclusion Criteria:

* Has a known active infection (excluding fungal infection of nail beds), or any major episode of infection requiring hospitalization or treatment with anti-infectives within 8 weeks prior to the Day 1 dosing
* History of serious recurrent or chronic infection
* Is known to be infected with hepatitis B virus, hepatitis C virus, or human immunodeficiency virus
* Has evidence of active tuberculosis (TB), latent TB, or inadequately treated TB
* Has a significant or uncontrolled medical disease in any organ system not related to RA or SLE
* For RA participants, has a history of any arthritis with onset before age 17 years
* Has a current inflammatory condition other than SLE or RA that could interfere with disease activity assessments
* History of cancer (except fully treated nonmelanoma skin cancers or cervical carcinoma in situ after complete surgical removal) and is disease free for \<5 years before Day 1 dosing
* Has had a major surgery within 3 months prior to Screening or has a major surgery planned during the study.
* Has symptomatic heart failure (New York Heart Association class III or IV) or myocardial infarction or unstable angina pectoris within 6 months prior to Screening
* Has a severe chronic pulmonary disease requiring oxygen therapy
* Has current active lymphoproliferative disease, including lymphoma, or signs and symptoms suggestive of possible lymphoproliferative disease

Where it's running

  • Gold Coast University Hospital ( Site 1601)
    Southport, Queensland, Australia
    Recruiting
  • Anima Diepenbeek ( Site 0601)
    Diepenbeek, Limburg, Belgium
    Recruiting
  • UZ Gent ( Site 0602)
    Ghent, Oost-Vlaanderen, Belgium
    Recruiting
  • Chinese Academy of Medical Science Peking Union Medical College Hospital ( Site 1501)
    Beijing, Beijing Municipality, China
    Recruiting
  • The First Affiliated Hospital of Henan University of Science &Technology ( Site 1502)
    Luoyang, Henan, China
    Recruiting
  • Union Hospital Tongji Medical College Huazhong University of Science and Technology ( Site 1504)
    Wuhan, Hubei, China
    Recruiting
Show 15 more locations
  • Renji Hospital Shanghai Jiao Tong University School of Medicine ( Site 1505)
    Shanghai, Shanghai Municipality, China
    Recruiting
  • Clinica de la Costa S.A.S. ( Site 0101)
    Barranquilla, Atlántico, Colombia
    Recruiting
  • Oncomédica S.A.S ( Site 0103)
    Montería, Departamento de Córdoba, Colombia
    Recruiting
  • Fundacion Valle del Lili ( Site 0102)
    Cali, Valle del Cauca Department, Colombia
    Recruiting
  • Arensia Exploartory Medicine ( Site 1301)
    Tbilisi, Georgia
    Recruiting
  • Istituto Clinico Humanitas- IRCCS ( Site 1902)
    Rozzano, Milano, Italy
    Recruiting
  • Fondazione Policlinico Universitario Agostino Gemelli IRCCS - Università Cattolica del Sacro Cuore ( Site 1901)
    Roma, Italy
    Recruiting
  • Keio University Hospital ( Site 0302)
    Shinjyuku, Tokyo, Japan
    Recruiting
  • PMSI Republican Clinical Hospital "T.Mosneaga" ( Site 1001)
    Chisinau, Moldova
    Recruiting
  • Clinica San Juan Bautista ( Site 0203)
    Lima, Peru
    Recruiting
  • ARENSIA Clinics ( Site 0902)
    Bucharest, Bucharest, Romania
    Recruiting
  • ARENSIA Exploratory Medicine-Country Emergency Hospital- Arensia,Cluj-Napoca ( Site 0901)
    Cluj-Napoca, Cluj, Romania
    Recruiting
  • Chulalongkorn University ( Site 0501)
    Pathumwan, Bangkok, Thailand
    Recruiting
  • Ramathibodi Hospital ( Site 0503)
    Ratchathewi, Bangkok, Thailand
    Recruiting
  • The University of Tokyo Hospital ( Site 0301)
    Bunkyo, Tokyo, Japan
    Active not 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.