Study Stopped
Sponsor Decision
Study of Edecesertib in Participants With Cutaneous Lupus Erythematosus (CLE)
COSMIC
A Randomized, Blinded, Placebo-Controlled, Phase 2a, Proof-of-Concept Study to Evaluate Efficacy, Safety, and Tolerability of GS-5718 in Participants With Cutaneous Lupus Erythematosus (CLE)
2 other identifiers
interventional
20
3 countries
17
Brief Summary
The goal of this clinical study is to test how edecesertib (formerly known as GS-5718) can be useful in treating Cutaneous Lupus Erythematosus (CLE) in participants with CLE. Information on what is happening in the body relating to CLE, how the body processes, is affected by and responds to the study drug, and any study drug side effects will also be collected in this study.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at below P25 for phase_2
Started Apr 2023
17 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
November 17, 2022
CompletedFirst Posted
Study publicly available on registry
November 29, 2022
CompletedStudy Start
First participant enrolled
April 17, 2023
CompletedPrimary Completion
Last participant's last visit for primary outcome
December 17, 2025
CompletedStudy Completion
Last participant's last visit for all outcomes
January 14, 2026
CompletedFebruary 17, 2026
February 1, 2026
2.7 years
November 17, 2022
February 13, 2026
Conditions
Outcome Measures
Primary Outcomes (1)
Percent Change From Baseline in Cutaneous Lupus Erythematosus Disease Area and Severity Index Activity (CLASI-A) Score at Week 12
The CLASI is a standardized, validated measure of cutaneous lupus disease activity and damage, widely used in clinical trials. CLASI consists of CLASI - activity (A) and - damage (D) measurements. CLASI-A scores range from 0 to 70, with higher scores indicating more severe disease activity.
Baseline, Week 12
Secondary Outcomes (5)
Proportion of Participants With Cutaneous Lupus Activity Investigator Global Assessment (CLA-IGA) Score of 0 or 1 at Week 12
Week 12
Percentage of Participants Experiencing Treatment-emergent Adverse Events (TEAEs)
First dose date up to 12 weeks plus 30 days
Percentage of Participants Experiencing Serious Treatment-emergent Adverse Events (TESAEs)
First dose date up to 12 weeks plus 30 days
Percentage of Participants Experiencing Laboratory Abnormalities
First dose date up to 12 weeks plus 30 days
Plasma Concentration of Edecesertib
Postdose at Week 2, Predose at Week 4 and 12, and Week 8 (anytime of the day)
Study Arms (2)
Edecesertib
EXPERIMENTALParticipants will receive edecesertib 30 mg, once daily starting on Day 1 for up to 12 weeks.
Edecesertib Placebo
PLACEBO COMPARATORParticipants will receive edecesertib placebo, once daily starting on Day 1 for up to 12 weeks.
Interventions
Eligibility Criteria
You may qualify if:
- Either fulfill European League Against Rheumatism/American College of Rheumatology (EULAR/ACR) 2019 classification criteria for systemic lupus erythematosus (SLE) and/or have biopsy confirmed Cutaneous Lupus Erythematosus (CLE) at any time.
- Must have active CLE at screening and Day 1. Individuals with acute CLE (ACLE) must have involvement of 2 distinct body areas.
- Cutaneous Lupus Erythematosus Disease Area and Severity Index activity - A (CLASI-A) score (excluding alopecia) of ≥ 8 and CLASI-A erythema score of ≥ 4 during screening and on Day 1. Individuals with SLE must have Systemic Lupus Erythematosus Disease Activity Index 2000 (SLEDAI-2K) score of ≥ 4 at screening.
- Presence of at least 1 representative lupus skin lesion amenable to punch biopsy and individual willingness to undergo skin punch biopsy at 2 time points.
- Must have documented prior intolerance or inadequate response at any time (per investigator judgement) to protocol-specified treatments.
- Topical corticosteroids or topical calcineurin inhibitors.
- Oral corticosteroids.
- Any other nonbiologic standard-of-care therapy, including, but not limited to: chloroquine, quinacrine, hydroxychloroquine, azathioprine, mycophenolate mofetil (MMF), leflunomide, dapsone, or methotrexate (MTX).
- Individuals willing to comply with all study visits and assessments.
You may not qualify if:
- Individuals with only chilblains lupus, lupus panniculitis, lupus tumidus and/or localized acute CLE involving only 1 distinct body area at screening and Day 1.
- Have highly active SLE (including but not limited to lupus nephritis, neuropsychiatric SLE, and/or vasculitis).
- Presence of active skin conditions other than cutaneous lupus that may interfere with assessing lupus-specific skin lesion(s) (eg, psoriasis, and/or drug-induced lupus).
- Meet protocol-specified infection or lab criteria.
- Any active infection that is clinically significant (per investigator judgment).
- Any history of clinically significant liver disease.
- Significant cardiovascular disease.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Gilead Scienceslead
Study Sites (17)
ARENSIA Exploratory Medicine, LLC
Phoenix, Arizona, 85015, United States
Center for Dermatology Clinical Research Inc.
Fremont, California, 94538, United States
University of Colorado, Barbara Davis Center, Center for Clinical Research
Aurora, Colorado, 80045, United States
Yale Center for Clinical Investigation (YCCI)
New Haven, Connecticut, 06510, United States
Clinical Research of West Florida, Inc.
Clearwater, Florida, 33765, United States
Reliant Medical Research
Miami, Florida, 33165, United States
HMD Research LLC
Orlando, Florida, 32819, United States
Emory University School of Medicine
Atlanta, Georgia, 30303, United States
Dawes Fretzin Clinical Research Group, LLC
Indianapolis, Indiana, 46250, United States
Dept. of Dermatology, Hospital of the University of Pennsylvania, Perelman Center for Advanced Medicine (PCAM)
Philadelphia, Pennsylvania, 19104, United States
Gulf Bank Medical Center
Houston, Texas, 77037, United States
Clinical Investigations of Texas
Plano, Texas, 75075, United States
Universitätsklinikum Carl Gustav Carus Klinik und Poliklinik für Dermatologie
Dresden, 01307, Germany
Universitatsklinikum Freiburg Klinik fur Dermatologie und Venerologie
Freiburg im Breisgau, 79104, Germany
Universitätsklinikum Leipzig AöR Klinik und Poliklinik für Dermatologie, Venerologie und Allergologie Klinische Forschungseinheit (KFE) - Haus 10
Leipzig, 04103, Germany
Hospital General de Granollers
Granollers, 08402, Spain
Hospital Universitario de Navarra
Pamplona, 31008, Spain
Related Links
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- STUDY DIRECTOR
Gilead Study Director
Gilead Sciences
Study Design
- Study Type
- interventional
- Phase
- phase 2
- Allocation
- RANDOMIZED
- Masking
- DOUBLE
- Who Masked
- PARTICIPANT, CARE PROVIDER
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- INDUSTRY
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
November 17, 2022
First Posted
November 29, 2022
Study Start
April 17, 2023
Primary Completion
December 17, 2025
Study Completion
January 14, 2026
Last Updated
February 17, 2026
Record last verified: 2026-02
Data Sharing
- IPD Sharing
- Will not share