Lupus & antiphospholipid syndrome

Enpatoran, a first-in-class, selective, orally administered toll-like receptor 7/8 inhibitor, in systemic and cutaneous lupus erythematosus: results from a randomised, placebo-controlled phase Ib study

Lupus Sci MedPublished Randomised controlled trial

Authors' conclusion

Enpatoran was well tolerated and demonstrated favourable safety and PK profiles in patients with SLE and CLE.

Study context

Population
Patients with active SLE/CLE80% female
Participants
25 patients
Comparison
Enpatoran vs placebo
  • Enpatorann = 19
  • Placebon = 6reference
Primary endpoint
Safety and tolerability
Methodological detailsphase Ib, double-blind, placebo-controlled, multiple-ascending doses, 3:1 randomisation, four cohorts
  • Phase Ib
  • Double-blind
  • Placebo-controlled
  • Multiple-ascending doses
  • 3:1 randomisation
  • Four cohorts

Primary result

As reported in the abstract

TEAEs · week 12
Most treatment-emergent adverse events (TEAEs) mild or moderate
96%

Secondary outcomes

Enpatoran pharmacokinetics (PK)

Peak concentration reached postdose (hours)
1-2
Apparent half-life across doses (hours)
6-10
PK dose proportional

Clinical response (SLEDAI-2K, PGA, 28-joint count) · week 24

Greater reductions in SLEDAI-2K, PGA and 28-joint count with enpatoran vs placebo

Interferon gene signature (IFN-GS) (exploratory)

Rapid, dose-dependent and reversible suppression of IFN-GS

Safety

TEAEs · week 12 · across the four enpatoran dose groups

TEAEs — Most TEAEs mild or moderate in severity
96%

Serious TEAEs

There were no serious TEAEs

Original publication

Enpatoran, a first-in-class, selective, orally administered toll-like receptor 7/8 inhibitor, in systemic and cutaneous lupus erythematosus: results from a randomised, placebo-controlled phase Ib study. Lupus Sci Med. Published 23 October 2025. doi:10.1136/lupus-2025-001705

Composed by AI from the published abstract and checked against it. How Briefs are made →

Get them every week

New studies on this topic in My Week and in your Monday e-mail.

We e-mail you a sign-in link and a code. No password, no spam.