NCT07404865

Brief Summary

Phase 3 Study of Telitacicept in Active Primary Sjögren's Disease (UPSTREAM SjD)

Trial Health

77
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
250

participants targeted

Target at P50-P75 for phase_3

Timeline
31mo left

Started Feb 2026

Typical duration for phase_3

Geographic Reach
1 country

26 active sites

Status
recruiting

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

Study Progress11%
Feb 2026Jan 2029

First Submitted

Initial submission to the registry

February 4, 2026

Completed
8 days until next milestone

First Posted

Study publicly available on registry

February 12, 2026

Completed
14 days until next milestone

Study Start

First participant enrolled

February 26, 2026

Completed
2.8 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

December 1, 2028

Expected
1 month until next milestone

Study Completion

Last participant's last visit for all outcomes

January 1, 2029

Last Updated

June 4, 2026

Status Verified

March 1, 2026

Enrollment Period

2.8 years

First QC Date

February 4, 2026

Last Update Submit

June 2, 2026

Conditions

Keywords

Sjögren's DiseasepSDPrimary Sjogren's SyndromeSjogren's SyndromeSjD

Outcome Measures

Primary Outcomes (1)

  • To evaluate the efficacy of telitacicept versus placebo at Week 48 in the change from baseline in the EULAR Sjögren's Syndrome Disease Activity Index (ESSDAI) score at Week 48.

    Change from baseline in the EULAR Sjögren's Syndrome Disease Activity Index (ESSDAI) score at Week 48.

    Week 48

Secondary Outcomes (6)

  • To evaluate the efficacy of telitacicept versus placebo at Week 48 in the treatment of adult participants with pSD.

    Week 48

  • To evaluate the efficacy of telitacicept versus placebo in improving glandular function during the trial.

    Week 48

  • To evaluate the effect of telitacicept versus placebo in improving patient-reported outcomes (i.e., how participants feel and function) during the trial.

    Week 48

  • To evaluate the efficacy of telitacicept versus placebo at Week 48 in the change from baseline in the physician's global assessment of disease activity (Physician GDA) score at Week 48

    Week 48

  • To evaluate the efficacy of telitacicept versus placebo at Week 48 in the change from baseline in the Functional Assessment of Chronic Illness Therapy-Fatigue (FACIT-F) score at Week 48

    Week 48

  • +1 more secondary outcomes

Study Arms (2)

Telitacicept

EXPERIMENTAL

Telitacicept

Biological: Telitacicept

Placebo

PLACEBO COMPARATOR

Placebo

Drug: Placebo

Interventions

TelitaciceptBIOLOGICAL

Subcutaneous injection

Also known as: RC18, RC18-L
Telitacicept

Subcutaneous injection

Placebo

Eligibility Criteria

Age18 Years - 75 Years
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Male or female aged 18 to 75 years of age (both inclusive) at screening
  • Participants must meet the 2016 American College of Rheumatology (ACR)/EULAR classification criteria for primary Sjogren's Syndrome at the time of screening.
  • ESSDAI ≥5 at screening (score calculated excluding renal, pulmonary and neurological domains)
  • Participants are seropositive for antibodies to Sjogren's Syndrome A (SSA)/Anti-Sjogren's Syndrome A (Ro) at the Screening Visit.

You may not qualify if:

  • Participants who have a systemic autoimmune disease other than Primary Sjogren's Disease, such as rheumatoid arthritis, systemic lupus erythematosus, or systemic sclerosis, that can better explain the majority of the symptoms (i.e., secondary Sjogren's Disease)
  • Participants who have another autoimmune disease or inflammatory condition that could interfere with assessment of response of Primary Sjogren's Disease to therapy (e.g., systemic sclerosis, inflammatory bowel disease, gout).
  • Participants with severe fibromyalgia that could interfere with the assessment of response of Primary Sjogren's Disease to therapy
  • Active life-threatening or organ-threatening complications of Primary Sjogren's Disease at the time of screening based on investigator evaluation
  • Significant, uncontrolled medical disease in any organ system not related to Primary Sjogren's Disease (e.g., poorly controlled asthma, cardiovascular disease, accelerated hypertension, major depression, etc.) that in the opinion of the investigator would preclude participant participation.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (26)

Arizona Arthritis & Rheumatology Associates P.C.

Chandler, Arizona, 85225, United States

RECRUITING

Arizona Arthritis & Rheumatology Associates P.C.

Flagstaff, Arizona, 86001, United States

RECRUITING

Arizona Arthritis & Rheumatology Associates, PLLC

Glendale, Arizona, 85306, United States

RECRUITING

Arizona Arthritis & Rheumatology Associates P.C.

Phoenix, Arizona, 85392, United States

RECRUITING

Arizona Arthritis & Rheumatology Associates, P.C.

Tucson, Arizona, 85704, United States

RECRUITING

Wallace Rheumatic Study Center

Beverly Hills, California, 90210, United States

RECRUITING

Denver Arthritis Clinic

Denver, Colorado, 80230, United States

RECRUITING

Finlay Medical Research Corp

Green Acres, Florida, 33467, United States

RECRUITING

Suncoast Clinical Research Inc.

New Port Richey, Florida, 34652, United States

RECRUITING

Chicago Clinical Research Institute Inc

Chicago, Illinois, 60607, United States

RECRUITING

Clinical Investigation Specialist

Schaumburg, Illinois, 60195, United States

RECRUITING

Willow Rheumatology & Wellness

Willowbrook, Illinois, 60527, United States

RECRUITING

Accurate Clinical Research, Inc.

Lake Charles, Louisiana, 70605, United States

RECRUITING

Arthritis and Rheumatism Associates

Rockville, Maryland, 20850, United States

RECRUITING

Altoona Center for Clinical Research, P.C.

Duncansville, Pennsylvania, 16635, United States

RECRUITING

Rheumatic Disease Associates, Ltd.

Willow Grove, Pennsylvania, 19090, United States

RECRUITING

Allen Arthritis

Allen, Texas, 75013, United States

RECRUITING

Arthritis and Rheumatology Research Institute, PLLC

Allen, Texas, 75013, United States

RECRUITING

Accurate Clinical Research

Baytown, Texas, 77521, United States

RECRUITING

Novel Research LLC

Bellaire, Texas, 77401, United States

RECRUITING

Precision Comprehensive Clinical Research Solutions

Euless, Texas, 76040, United States

RECRUITING

Lone Star Arthritis & Rheumatology

Fort Worth, Texas, 76109, United States

RECRUITING

Accurate Clinical Research, Inc.

Houston, Texas, 77089, United States

RECRUITING

R&H Clinical Research Inc.

Katy, Texas, 77450, United States

RECRUITING

Velocity Clinical Research, Waco

Waco, Texas, 76710, United States

RECRUITING

Tidewater Clinical Research

Chesapeake, Virginia, 23320, United States

RECRUITING

MeSH Terms

Conditions

Sjogren's Syndrome

Interventions

telitacicept

Condition Hierarchy (Ancestors)

Arthritis, RheumatoidArthritisJoint DiseasesMusculoskeletal DiseasesRheumatic DiseasesXerostomiaSalivary Gland DiseasesMouth DiseasesStomatognathic DiseasesDry Eye SyndromesLacrimal Apparatus DiseasesEye DiseasesConnective Tissue DiseasesSkin and Connective Tissue DiseasesAutoimmune DiseasesImmune System Diseases

Central Study Contacts

Jeremy Sokolove

CONTACT

Study Design

Study Type
interventional
Phase
phase 3
Allocation
RANDOMIZED
Masking
QUADRUPLE
Who Masked
PARTICIPANT, CARE PROVIDER, INVESTIGATOR, OUTCOMES ASSESSOR
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR

Study Record Dates

First Submitted

February 4, 2026

First Posted

February 12, 2026

Study Start

February 26, 2026

Primary Completion (Estimated)

December 1, 2028

Study Completion (Estimated)

January 1, 2029

Last Updated

June 4, 2026

Record last verified: 2026-03

Data Sharing

IPD Sharing
Will not share

Locations