Clinical trial • Phase III • Musculoskeletal

SONELOKIMAB for Psoriatic arthritis

Phase III trial of SONELOKIMAB for Psoriatic arthritis. open-label. 612 participants.

Overview

Trial Therapeutic Area
Musculoskeletal
Trial Disease
Psoriatic arthritis
Trial Stage
Phase III
Drug Modality
Other antibody

Key dates

Initial CTIS Submission Date
31-10-2025
First CTIS Authorization Date
25-02-2026

Trial design

open-label Phase III trial in Bulgaria, Croatia, Czechia and others.

Open Label
Yes
Target Sample Size
612

Eligibility

Recruits 612 Participants must be able to understand and provide signed informed consent per local regulations and guidelines. The trial metadata indicates vulnerable population selection is true, but no specific assent/parental consent procedures or under-18 enrolment provisions are provided in the submitted data; consent is to be obtained from participants themselves per local regulations..

Pregnancy Exclusion
4. Female participants are eligible to participate if they are not pregnant or breastfeeding and must be of nonchildbearing potential (WONCBP) or (if childbearing potential [WOCBP]) must agree to use highly effective methods of contraception during the study and for at least 8 weeks after the last dose of study treatment. WOCBP must have a negative urine pregnancy test in the week prior to the first administration of treatment in this OLE study (Week 0). Female participant of childbearing potential must refrain from donating oocytes during the study and for at least 8 weeks after the last dose of study treatment. NOTE: These precautions for contraception in WOCBP are required for 21 weeks after the last dose of study treatment in the parental study M1095-PsA-302, in case of study drug discontinuations occurring during the first 9 weeks of OLE. Additional precautions in WOCBP may also be required due to the use of any other concomitant medications.
Vulnerable Population
Participants must be able to understand and provide signed informed consent per local regulations and guidelines. The trial metadata indicates vulnerable population selection is true, but no specific assent/parental consent procedures or under-18 enrolment provisions are provided in the submitted data; consent is to be obtained from participants themselves per local regulations.

Inclusion criteria

  • {"criterion_text":"- 1. Participants who, in the opinion of the investigator, are expected to benefit from participation in this OLE study."}
  • {"criterion_text":"- 2. Participants who have received the second to last and/or last dose, as planned in the parental study, and have completed the end-of-treatment (EOT) visit (Week 52) of the parental study."}
  • {"criterion_text":"- 3. Participants must have received their last dose of study treatment in the parental study no more than 8 weeks (but ideally 4 weeks) before the first dose in this OLE study."}
  • {"criterion_text":"- 4. Female participants are eligible to participate if they are not pregnant or breastfeeding and must be of nonchildbearing potential (WONCBP) or (if childbearing potential [WOCBP]) must agree to use highly effective methods of contraception during the study and for at least 8 weeks after the last dose of study treatment. WOCBP must have a negative urine pregnancy test in the week prior to the first administration of treatment in this OLE study (Week 0). Female participant of childbearing potential must refrain from donating oocytes during the study and for at least 8 weeks after the last dose of study treatment. NOTE: These precautions for contraception in WOCBP are required for 21 weeks after the last dose of study treatment in the parental study M1095-PsA-302, in case of study drug discontinuations occurring during the first 9 weeks of OLE. Additional precautions in WOCBP may also be required due to the use of any other concomitant medications."}
  • {"criterion_text":"- 5. Male participants must be willing to use a condom when sexually active with a partner of childbearing potential during the study and for at least 8 weeks after the last dose of study treatment, unless surgically sterile. Male participants must also agree to refrain from donating sperm during the study and for at least 8 weeks after the last dose of study treatment."}
  • {"criterion_text":"- 6. Participants are considered reliable and capable of adhering to the protocol, visit schedule, and medication intake, according to the judgment of the investigator."}
  • {"criterion_text":"- 7. Participants are able to understand and provide signed informed consent, per local regulations and guidelines."}

Exclusion criteria

  • {"criterion_text":"- 1. Participants who met any of the discontinuation criteria of the parental study at the time of enrollment in this OLE study."}
  • {"criterion_text":"- 2. Participants who have ongoing or planned use of one or more of the prohibited PsA or non-PsA treatments specified in this protocol."}
  • {"criterion_text":"- 3. Participants who plan to participate in another interventional study for a drug or device during this study."}
  • {"criterion_text":"- 4. Participants who were unblinded during the parental study."}
  • {"criterion_text":"- 5. Participant noncompliance to the parental study (significant violation of protocol requirements or any other instances as per investigator’s judgement)."}

Endpoints

Primary endpoints

  • {"endpoint_text":"- Treatment-emergent adverse events (TEAEs)","definition_or_measurement_approach":""}
  • {"endpoint_text":"- Serious adverse events (SAEs)","definition_or_measurement_approach":""}
  • {"endpoint_text":"- TEAEs leading to study withdrawal","definition_or_measurement_approach":""}
  • {"endpoint_text":"- Adverse events of special interest (AESIs)","definition_or_measurement_approach":""}
  • {"endpoint_text":"- Vital signs, and electrocardiogram (ECG) results","definition_or_measurement_approach":""}
  • {"endpoint_text":"- Abnormal laboratory parameters (hematology, clinical chemistry)","definition_or_measurement_approach":""}

Recruitment

Planned Sample Size
612
Recruitment Window Months
23
Consent Approach
Informed consent must be provided by participants themselves: "Participants are able to understand and provide signed informed consent, per local regulations and guidelines." Subject information and consent documents are available in multiple local languages (examples in submission include Bulgarian, Croatian, Czech, Estonian (and Russian), Finnish, French, German, Greek, Hungarian, Latvian (and Russian), Lithuanian, Polish, Portuguese, Romanian, Spanish, Slovak and others). No specific assent/parental-consent forms for minors are provided in the submitted materials.

Geography

Total Number Of Participants
948

Bulgaria

Earliest CTIS Part Ii Submission Date
04-02-2026
Latest Decision Or Authorization Date
06-03-2026
Processing Time Days
30
Number Of Participants
48

Croatia

Earliest CTIS Part Ii Submission Date
06-02-2026
Latest Decision Or Authorization Date
06-03-2026
Processing Time Days
28
Number Of Participants
5

Czechia

Earliest CTIS Part Ii Submission Date
05-02-2026
Latest Decision Or Authorization Date
02-03-2026
Processing Time Days
25
Number Of Participants
67

Estonia

Earliest CTIS Part Ii Submission Date
26-02-2026
Latest Decision Or Authorization Date
04-03-2026
Processing Time Days
6
Number Of Participants
50

Finland

Earliest CTIS Part Ii Submission Date
06-02-2026
Latest Decision Or Authorization Date
03-03-2026
Processing Time Days
25
Number Of Participants
3

France

Earliest CTIS Part Ii Submission Date
04-02-2026
Latest Decision Or Authorization Date
26-02-2026
Processing Time Days
22
Number Of Participants
11

Germany

Earliest CTIS Part Ii Submission Date
09-02-2026
Latest Decision Or Authorization Date
05-03-2026
Processing Time Days
24
Number Of Participants
47

Greece

Earliest CTIS Part Ii Submission Date
21-01-2026
Latest Decision Or Authorization Date
25-02-2026
Processing Time Days
35
Number Of Participants
5

Latvia

Earliest CTIS Part Ii Submission Date
09-02-2026
Latest Decision Or Authorization Date
26-02-2026
Processing Time Days
17
Number Of Participants
28

Lithuania

Earliest CTIS Part Ii Submission Date
24-02-2026
Latest Decision Or Authorization Date
26-02-2026
Processing Time Days
2
Number Of Participants
11

Portugal

Earliest CTIS Part Ii Submission Date
19-12-2025
Latest Decision Or Authorization Date
26-02-2026
Processing Time Days
69
Number Of Participants
6

Romania

Earliest CTIS Part Ii Submission Date
02-03-2026
Latest Decision Or Authorization Date
09-03-2026
Processing Time Days
7
Number Of Participants
25

Spain

Earliest CTIS Part Ii Submission Date
05-02-2026
Latest Decision Or Authorization Date
04-03-2026
Processing Time Days
27
Number Of Participants
45

Poland

Earliest CTIS Part Ii Submission Date
02-02-2026
Latest Decision Or Authorization Date
07-03-2026
Processing Time Days
33
Number Of Participants
500

Slovakia

Earliest CTIS Part Ii Submission Date
06-02-2026
Latest Decision Or Authorization Date
03-03-2026
Processing Time Days
25
Number Of Participants
35

Hungary

Earliest CTIS Part Ii Submission Date
21-11-2025
Latest Decision Or Authorization Date
26-02-2026
Processing Time Days
97
Number Of Participants
62

Sponsor

Primary sponsor

Full Name
MoonLake Immunotherapeutics AG
Organisation Type
Pharmaceutical company
Country Of Registered Address
Switzerland

Contract research organisations

Name
Icon Clinical Research Limited
Responsibilities
CRO
Name
PRA Hellas CRO A.E.
Responsibilities
CRO

Third parties

  • {"country":"Ireland","full_name":"Icon Clinical Research Limited","duties_or_roles":"CRO","organisation_type":"Pharmaceutical company"}
  • {"country":"United Kingdom","full_name":"Veramed Limited","duties_or_roles":"","organisation_type":"Pharmaceutical company"}
  • {"country":"Greece","full_name":"PRA Hellas CRO A.E.","duties_or_roles":"CRO","organisation_type":"Pharmaceutical company"}

Investigational products

Investigational Product Name
Sonelokimab
Active Substance
SONELOKIMAB
Modality
Other antibody
Routes Of Administration
SUBCUTANEOUS INJECTION
Route
Subcutaneous injection
Authorisation Status
1
Maximum Dose
120 mg (max daily); 1320 mg (max total)

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