New pill could tame lupus flares
NCT ID NCT07509892
First seen Jun 25, 2026 · Last updated Jul 09, 2026 · Updated 3 times
Summary
This phase 2 trial tests whether TQH3906, a pill that blocks a protein called TYK2, can safely control lupus symptoms. About 198 adults with lupus will receive either the drug or a placebo for up to 48 weeks. The main goal is to see if more people on the drug achieve a meaningful reduction in disease activity.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- TQH3906 (a TYK2 inhibitor)
- What this could lead to
- If successful, this could lead to a new oral treatment option to control lupus disease activity and reduce flares.
- What could go wrong
- This is an early phase 2 trial with only 198 participants. It may fail to show benefit or have side effects. Results may not apply to all lupus patients.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Phase 2
Tests whether the treatment actually works, and watches for side effects, in a larger group.
- Participants
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About 198 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Jun 2026
- Expected to finish
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Mar 2028
An estimate. End dates often move.
- Lead sponsor
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A company
The lead sponsor is a pharmaceutical, biotech, or medical-device company.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 to 74 years
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Sign a written informed consent form, which must meet the following requirements: * Willingness to participate in the study and ability to sign an informed consent form. * Willingness and ability to complete all research-related procedures and site visits. * Characteristics of participants in the Systemic Lupus Erythematosus (SLE) trial: * Screen for patients with a confirmed diagnosis of SLE dating back to at least 24 weeks prior to the visit. * Diagnosed with systemic lupus erythematosus according to the 2019 classification criteria of the European League Against Rheumatism (EULAR) and the American College of Rheumatology (ACR). * Meet one of the following criteria: elevated levels of antinuclear antibodies (ANA) ≥ 1:80, positive results for anti-double-stranded DNA (anti-dsDNA) (positive results include indeterminate results), or positive results for anti-Smith (anti-Sm) antibodies. * Systemic Lupus Erythematosus Disease Activity Index 2000 (SLEDAI-2k) score ≥ 8 and clinical SLEDAI-2K score ≥ 4, with involvement of joints and/or skin vasculitis and/or rash manifestations (Note: Clinical SLEDAI-2K manifestations do not include complement deficiency and positivity for anti-ds-DNA antibodies). * Age between 18 and 75 years old (based on the date of signing the informed consent form). * Medications for SLE treatment: * Prior to the screening visit, there must be a period of background therapy of at least 12 weeks. The therapy must have been administered at a stable dose for at least 4 weeks prior to the screening visit and remain stable until randomization and throughout the duration of the study participation. If antimalarial or immunosuppressive therapy is discontinued prior to the screening visit, the last dose must have been administered at least 4 weeks prior. Detailed information on specific medications is as follows: 1. Immunosuppressants (can be used only one type; combination use is not permitted): Antimalarial drugs: Hydroxychloroquine (allowed for monotherapy; allowed in combination with one type of immunosuppressant) (maximum 400 mg/day). 2. Duration of clearance when using other immunomodulatory drugs or biologics. * Corticosteroids (CS) (prednisone or equivalent medication) is permitted but not required as background therapy. For trial participants using CS, the dose must be stable for at least 2 weeks prior to the screening visit, not exceed 40 mg/day during screening, and remain stable prior to randomization. Monotherapy with CS is not permitted. * The requirements for trial participants currently receiving long-term treatment with nonsteroidal anti-inflammatory drugs (NSAIDs) are as follows: 1. The dosage must remain stable for a period of 14 days prior to the screening visit and must remain stable until randomization and throughout the study period. The use of NSAIDs alone is not permitted. 2. A maximum of one oral NSAID (at a stable dosage) may be used during the study period. 3. The concurrent use of aspirin as a cardiovascular protective agent/to prevent thrombosis (in addition to other NSAIDs) is permitted throughout the study period, provided that the dosage remains stable. * Women of childbearing age must agree to use effective contraceptive measures during the study period and for 6 months thereafter, and undergo a blood pregnancy test that is negative within 7 days prior to enrollment in the study. Men must agree to use effective contraceptives during the study period and for the subsequent 6 months. Exclusion Criteria: * Conditions other than SLE: * drug-induced SLE; * Trial participants with other autoimmune diseases (e.g. multiple sclerosis, psoriasis, inflammatory bowel disease, etc.) were excluded. Test participants with secondary dry syndrome could not be excluded; * Excluded trial participants with overlapping syndromes of SLE, such as systemic sclerosis and mixed associative weaving disease; * In the case of a combination of antiphospholipid syndrome secondary to systemic lupus erythematosus, prior severe blood clots / obstetric complications need to be ruled out; Prophylaxis with low-dose aspirin (50-100 mg / d) in the absence of thrombotic events or obstetric comorbidities and with high-risk antiphospholipid antibody (aPL) characteristics may be included; * Trial participants who had had lupus encephalopathy before screening were excluded; * Excluding active, severe lupus nephritis requiring cytotoxic drugs (CTX) or high-dose CS treatment, excluding lupus pinocytosis, thrombotic microangiopathy; Trial participants with lupus nephritis, but who are currently controlled, may be included; * Other medical conditions and medical history; * Study participants who are pregnant or breastfeeding; * Evidence of a significant disease / condition or unstable clinical condition (e.g. kidney, Liver, blood, gastrointestinal, endocrine, lung, immune, psychiatric) or locally active infection / infectious disease which, according to medical judgement, will significantly increase the risk of the trial participants if they participate in the study; * Have had any major surgery within 30 days prior to the first dose of the study treatment, or planned to have any surgery during the course of the study; * Cancer or a history of cancer or lymphotrophic disease within the past 5 years (except adequately treated basal cell carcinoma or squamous cell carcinoma with no evidence of recurrence); * Class III or IV congestive heart failure as defined by the New York Heart Association (NYHA) or any recent episode of heart failure resulting in symptoms of NYHA Class III / IV; Or a history of clinically significant ventricular arrhythmia (e.g. persistent ventricular arrythmia , ventricular tremor, sharp twisted ventricular articular arrhythmia) or an arrhythmia that requires continuous anti-arrhythmic medication; * A history of acute coronary syndrome (e.g. myocardial infarction, unstable angina) and / or any major cerebrovascular disease within 24 weeks prior to screening; * Currently or recently (within 3 months prior to randomization) had a gastrointestinal disease, including gastrointestinal surgery, that was likely to affect treatment absorption in the study; * In medical judgment, the trial participants had non-SLE concomitant conditions that may require additional systemic corticosteroid therapy during the study (e.g., asthma); * Severe blood loss (\> 500 mL) or transfusion within 4 weeks prior to randomization; * It is not possible to take the drugs orally; * Unable to receive venous punctures and / or tolerate venous pathways; * Persons who have a history of substance abuse and cannot quit or who have psychiatric disorders; * Any other medical, spiritual and / or social reasons determined by medical judgement; * Previous and combined drug use: * Unable to adhere to restricted and prohibited treatments; Unable to comply with the discontinuation requirement; * Use more than one immunosuppressant; * Previous exposure to other TYK2 inhibitors; * Participants who were previously exposed to anti-interferon targeted drug trials such as Anilumab, Rontalizumab, nterferon Alpha Kinoid (INFaKinoid), etc.; * Other research drugs must be discontinued for at least 12 weeks or 5 half-lives (whichever is longer) before screening. * Infection Related: * Chest radiology within 6 months prior to screening showed the presence of active Tuberculosis (TB) in the trial participants. Test participants who were negative for chest radiology within 3 months prior to screening were eligible to participate in the study: * Hepatitis C, hepatitis B, or human immunodeficiency virus (HIV) infection, characterized by antibodies to hepatitis C (anti-HCV) and all HCV-RNA positive, surface antigens to hepatitis B (HBsAg) positive, core antibodies to the hepatitis A (HBcAb) and all HIV-DNA positive, or HIV antibody screening positive; * is currently receiving any treatment regarding chronic infections; * Persons in need of treatment for syphilis; * Have a congenital or acquired immunodeficiency disorder; * Have a history of repeated infections requiring hospitalization or treatment outside the bowel (muscle or intravenous) and receiving intravenous antibiotics; Or need to be hospitalized and / or given intravenous anti-infective treatment within 30 days of the random, or receive any infection requiring oral anti-infectious treatment within 14 weeks of the random; * Prior history of systemic shingles; Or have two or more recurrent shingles in two years; Or the shingles infection did not completely subside within 12 weeks prior to screening; * Vaccinated live within 90 days of randomization or inactivated within 30 days of randomisation; * Abnormalities in physical or laboratory tests: * Clinically significant chest X-ray or ECG abnormalities * A laboratory test of clinical significance is abnormal. A screening period laboratory test with abnormal results may be repeated once to confirm abnormal results. If the results are restored to programme acceptable during the screening period without intervention, trial participants may be admitted to the study; * Any other significant laboratory abnormalities that may, in medical judgement, pose an unacceptable risk to the trial participants during the study period; * Other exclusion criteria: * Have a history of any significant drug allergy (e.g. causing an allergic reaction or causing liver toxicity); He is known to be allergic to the ingredients of research drugs; * those who are unable to comply with the pilot programme; * Persons who are ready to undergo or have previously undergone a heterotopic bone marrow transplant or a solid organ transplant; * In the judgement of the investigator, there is a situation that seriously endangers the safety of the test participants or affects the completion of the study by the test participant.
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The places running it
35 sites. The list below names each one and where it is.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
Contacts and locations
Locations
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Anyang People's Hospital
NOT_YET_RECRUITINGAnyang, Henan, 455099, China
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Beijing Chao-Yang Hospital, Capital Medical University
NOT_YET_RECRUITINGBeijing, Beijing Municipality, 100020, China
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Bozhou People's Hospital
NOT_YET_RECRUITINGBozhou, Anhui, 236805, China
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DAQING OILFIELD GENERAL HOSPITAL DAQING Jilin Provincial People's Hospital
NOT_YET_RECRUITINGChangchun, Jilin, 130000, China
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Daqing Oilfield General Hospital
NOT_YET_RECRUITINGDaqing, Heilongjiang, 163001, China
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Gansu Provincial People's Hospital
RECRUITINGLanzhou, Gansu, 730000, China
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Hunan University of Medicine General Hospital
NOT_YET_RECRUITINGChangsha, Hunan, 418000, China
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Jiangmen Central Hospital
NOT_YET_RECRUITINGJiangmen, Guangdong, 529000, China
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Jiansu PeopinceHospital
RECRUITINGNanjing, Jiangsu, 210001, China
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Jingzhou Central Hospital
NOT_YET_RECRUITINGJingzhou, Hubei, 434020, China
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LinFen Central Hospital
NOT_YET_RECRUITINGLinfen, Shanxi, 041000, China
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Puyang Oilfield General Hospital
NOT_YET_RECRUITINGPuyang, Henan, 457001, China
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Ren Ji Hospital, Shanghai Jiao Tong University School of Medicine
NOT_YET_RECRUITINGShanghai, Shanghai Municipality, 200001, China
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Shenzhen Second People's Hospital
NOT_YET_RECRUITINGShenzhen, Guangdong, 518035, China
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Southwest Hospital, Third Military Medical University (Army Medical University)
NOT_YET_RECRUITINGChongqing, Chongqing Municipality, 400038, China
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Sun Yat-sen Memorial Hospital, Sun Yat-sen University
NOT_YET_RECRUITINGGuangzhou, Guangdong, 510120, China
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Taizhou Central Hospital
NOT_YET_RECRUITINGTaizhou, Zhejiang, 318000, China
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The Affiliated Hospital of Zunyi Medical University
NOT_YET_RECRUITINGZunyi, Guizhou, 563000, China
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The First Affiliated Hospital Of GuangXi Medical University
NOT_YET_RECRUITINGNanning, Guangxi, 530021, China
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The First Affiliated Hospital of Air Force Medical University
NOT_YET_RECRUITINGXi'an, Shaanxi, 710000, China
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The First Affiliated Hospital of Henan University of CM
NOT_YET_RECRUITINGZhengzhou, Henan, 450003, China
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The First Affiliated Hospital of Nanchang University
NOT_YET_RECRUITINGNanchang, Jiangxi, 330006, China
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The First Affillated Hospital of Bengbu Medical Universit
NOT_YET_RECRUITINGBengbu, Anhui, 233000, China
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The First Hospital of Jilin University
NOT_YET_RECRUITINGChangchun, Jilin, 130021, China
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The Second Affiliated Hospital Zhejiang University School of Medicine
NOT_YET_RECRUITINGHangzhou, Zhejiang, 310009, China
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The Second Affiliated Hospital of Air Force Medical University
NOT_YET_RECRUITINGXi'an, Shaanxi, 710000, China
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The Second Affiliated Hospital of Guangxi Medical University
NOT_YET_RECRUITINGNanning, Guangxi, 530007, China
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The Third Affiliated Hospital of Sun Yat-sen University
NOT_YET_RECRUITINGGuangzhou, Guangdong, 510000, China
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The first People's Hospital of Yibin
NOT_YET_RECRUITINGYibin, Sichuan, 644000, China
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Tianjin Medical University General Hospital
NOT_YET_RECRUITINGTianjin, Tianjin Municipality, 300052, China
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Tongji Hospital Tongji Medical college of HUST
NOT_YET_RECRUITINGWuhan, Hubei, 430030, China
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Weifang People's Hospital
NOT_YET_RECRUITINGWeifang, Shandong, 261000, China
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Xuchang Central Hospital
NOT_YET_RECRUITINGXuchang, Henan, 461000, China
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Yichang Central People's Hospital
NOT_YET_RECRUITINGYichang, Hubei, 443100, China
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Zhuzhou Central Hospital
NOT_YET_RECRUITINGZhuzhou, Hunan, 412007, China
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- Ear-Zapping device may quiet lupus pain and fatigue
- Can a weekly dipstick at home catch lupus kidney damage early?
- Do rheumatic diseases quietly damage the Eye's oil glands?
- Can a blood test catch lupus flares earlier?
- Can one pill tame four autoimmune diseases? a Long-Term trial puts it to the test
- Can a single drug tame multiple autoimmune diseases?