Tulisokibart (MK-7240) for radiographic axial spondyloarthritis
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)
Run by Merck Sharp & Dohme LLC · NCT07133633 · Data updated 2026-11-12
This trial will test tulisokibart (MK‑7240) in adults with radiographic axial spondyloarthritis to see if it reduces spine and pelvic joint pain and stiffness compared with placebo.
Quick facts
| Phase | Phase 2 |
|---|---|
| Study type | Interventional |
| Ages | 18 Years to 80 Years |
| Sex | All |
| Enrollment | 315 (estimated) |
| Sponsor | Merck Sharp & Dohme LLC Industry-sponsored |
| Locations | 107 sites (Chandler, Arizona and 106 other locations) |
| Status | Recruiting |
| Started | September 26, 2025 |
| Main results expected | June 15, 2027 |
| Study ends | February 5, 2030 |
| Registry record updated | October 23, 2026 |
| Trial ID | NCT07133633 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Ideal candidates are adults with active radiographic axial spondyloarthritis meeting ASAS/modified New York criteria who have had inadequate relief from NSAIDs and are bDMARD‑naive or have failed up to two bDMARD classes.
✕Probably not a fit
Patients with inflammatory joint disease other than radiographic axial spondyloarthritis, disease onset before age 17, or extensive prior biologic treatment failures may not benefit from this study treatment.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This phase 2, randomized, placebo‑controlled trial tests multiple doses of tulisokibart (MK‑7240) in adults with radiographic axial spondyloarthritis. Participants complete a 16‑week placebo‑controlled period comparing different active dose arms to placebo. Those who finish the controlled period may enter a 124‑week long‑term extension (a 40‑week main extension plus an 84‑week optional extension) to monitor longer‑term safety and durability of benefit. Key eligibility includes central confirmation of radiographic changes by the modified New York criteria and active disease, with participants either bDMARD‑naive or having failed up to two bDMARD classes.
Why it matters
Potential benefit: If successful, tulisokibart could reduce pain, stiffness, and inflammation for people with radiographic axial spondyloarthritis.
How similar studies have gone: Other targeted therapies for axial spondyloarthritis, including TNF and IL‑17 inhibitors and newer small molecules, have shown clinical benefit, so testing another targeted agent follows established approaches.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: 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 Exclusion Criteria: 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
Where it's running
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AARA Clinical Research - Arizona Arthritis & Rheumatology Associates - Chandler ( Site 0036)
Chandler, Arizona, United States Recruiting -
AARA Clinical Research - Arizona Arthritis & Rheumatology Associates - Flagstaff ( Site 0021)
Flagstaff, Arizona, United States Recruiting -
Arizona Arthritis & Rheumatology Associates, P.C. - Gilbert ( Site 0022)
Gilbert, Arizona, United States Recruiting -
AARA Arizona Arthritis & Rheumatology Associates, P.C. - Glendale ( Site 0056)
Glendale, Arizona, United States Recruiting -
Arizona Arthritis & Rheumatology Associates, P.C. - Tucson ( Site 0025)
Tucson, Arizona, United States Recruiting -
Providence Medical Foundation ( Site 0049)
Fullerton, California, United States Recruiting
Show 44 more locations
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Newport Huntington Medical Group ( Site 0005)
Huntington Beach, California, United States Recruiting -
Cohen Medical Centers ( Site 0034)
Thousand Oaks, California, United States Recruiting -
Inland Rheumatology Clinical Trials, Inc. ( Site 0002)
Upland, California, United States Recruiting -
Denver Arthritis Clinic ( Site 0064)
Denver, Colorado, United States Recruiting -
Arthritis and Rheumatic Disease Specialties ( Site 0016)
Aventura, Florida, United States Recruiting -
Bay Area Arthritis and Osteoporosis ( Site 0041)
Brandon, Florida, United States Recruiting -
GNP Research - Hollywood ( Site 0020)
Cooper City, Florida, United States Recruiting -
Innovation Medical Research Center ( Site 0012)
Palmetto Bay, Florida, United States Recruiting -
Chicago Arthritis & Regenerative Medicine ( Site 0042)
Chicago, Illinois, United States Recruiting -
Willow Rheumatology and Wellness, PLLC ( Site 0035)
Willowbrook, Illinois, United States Recruiting -
John Hopkins University ( Site 0052)
Baltimore, Maryland, United States Recruiting -
Arthritis and Rheumatism Associates - Rockville ( Site 0019)
Rockville, Maryland, United States Recruiting -
Kansas City Physician Partners ( Site 0027)
Kansas City, Missouri, United States Recruiting -
Velocity Clinical Research - West County Rheumatology, St. Louis ( Site 0038)
St Louis, Missouri, United States Recruiting -
Logan Health Rheumatology ( Site 0015)
Kalispell, Montana, United States Recruiting -
Physician Research Collaboration, LLC ( Site 0057)
Lincoln, Nebraska, United States Recruiting -
Inspire Santa Fe Medical Group ( Site 0011)
Santa Fe, New Mexico, United States Recruiting -
Oregon Health & Science University ( Site 0059)
Portland, Oregon, United States Recruiting -
Altoona Center for Clinical Research ( Site 0004)
Duncansville, Pennsylvania, United States Recruiting -
Perelman Center for Advanced Medicine ( Site 0060)
Philadelphia, Pennsylvania, United States Recruiting -
AARA Clinical Research - Murfreesboro Medical Clinic ( Site 0029)
Murfreesboro, Tennessee, United States Recruiting -
Rheumatology Associates ( Site 0055)
Arlington, Texas, United States Recruiting -
Arthritis Care of Texas ( Site 0048)
Corpus Christi, Texas, United States Recruiting -
Lone Star Arthritis & Rheumatology Associates, P.C. ( Site 0028)
Fort Worth, Texas, United States Recruiting -
Provecta Research Network LLC ( Site 0054)
Houston, Texas, United States Recruiting -
The University of Texas Health Science Center at Houston ( Site 0065)
Houston, Texas, United States Recruiting -
AARA Clinical Research - Lone Star Arthritis and Rheumatology Associates - Irving ( Site 0032)
Irving, Texas, United States Recruiting -
Epic Medical Research ( Site 0061)
Red Oak, Texas, United States Recruiting -
Advanced Rheumatology of Houston ( Site 0001)
The Woodlands, Texas, United States Recruiting -
DM Clinical Research - TRA ( Site 0010)
Tomball, Texas, United States Recruiting -
CMIP-CENTRO MINEIRO DE PESQUISA ( Site 1999)
Juiz de Fora, Minas Gerais, Brazil Recruiting -
Complexo Hospital de Clínicas da Universidade Federal do Paraná ( Site 1991)
Curitiba, Paraná, Brazil Recruiting -
LMK Serviços Médicos S/S ( Site 2000)
Porto Alegre, Rio Grande do Sul, Brazil Recruiting -
IBPClin - Instituto Brasil de Pesquisa Clínica ( Site 1994)
Rio de Janeiro, Brazil Recruiting -
Centro de Pesquisas Clínicas do Hospital das Clínicas de São Paulo ( Site 1992)
São Paulo, Brazil Recruiting -
Toronto Western Hospital ( Site 0205)
Toronto, Ontario, Canada Recruiting -
G.R.M.O. (Groupe de recherche en maladies osseuses) Inc. ( Site 0200)
Québec, Quebec, Canada Recruiting -
Centre de Recherche Musculo-Squelettique ( Site 0202)
Trois-Rivières, Quebec, Canada Recruiting -
Bioreuma ( Site 2109)
Concepción, Biobio, Chile Recruiting -
Clinica Alemana Osorno ( Site 2114)
Osorno, Los Lagos Region, Chile Recruiting -
The First Afflilated Hospital of Bengbu Medical College ( Site 3119)
Bengbu, Anhui, China Recruiting -
Chinese Academy of Medical Science Peking Union Medical College Hospital ( Site 3100)
Beijing, Beijing Municipality, China Recruiting -
Guangdong Provincial People's Hospital ( Site 3110)
Guangzhou, Guangdong, China Recruiting -
The Third Affiliated Hospital of Sun Yat-Sen University ( Site 3114)
Guangzhou, Guangdong, China Recruiting
+57 more sites. See ClinicalTrials.gov for the full list.
Study contacts
- Study coordinator: Toll Free Number
- Email: Trialsites@msd.com
- Phone: 1-888-577-8839
Similar studies
Other studies for the same condition or treatment. Recruiting studies are listed first.
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Evaluating movement recommendations for patients with axial spondyloarthritis using smartwatches
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-
Observational cohort for early spondyloarthritis in Germany
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Evaluating SHR-1314 Injection for Active Non-radiographic Axial Spondyloarthritis
This study is testing if an injection called SHR-1314 can help adults with active non-radiographic axial spondyloarthritis feel better compared to a placebo.
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Surface topography and spine damage in radiographic axial spondyloarthritis
This study tests whether a radiation-free 3D surface topography method can reflect spine damage and sagittal balance in adults with radiographic axial spondyloarthritis.
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RENEW: a digital program to help people with axial spondyloarthritis manage energy and symptoms
A web-based, peer-led program called RENEW is tested to see if people with axial spondyloarthritis can easily use it, like it, and benefit from it in managing fatigue and symptoms.
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ExerciseRx app for people with axial spondyloarthritis
A mobile app called ExerciseRx is tested to see if it helps people with axial spondyloarthritis exercise more regularly and feel better than usual care.
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.