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TerminatedNCT05306574Updated Jan 9, 2026

A Study of Telitacicept for the Treatment of Moderately to Severely Active Systemic Lupus Erythematosus (REMESLE-1)

A Phase 3 interventional study of Telitacicept and Placebo in Systemic Lupus Erythematosus, sponsored by Vor Biopharma. Terminated at 78 sites in 15 countries. Open to participants aged 12 Years to 70 Years. Per ClinicalTrials.gov, last updated 2026-01-09.

Sponsored by Vor Biopharma · Phase 3, Interventional, and Treatment

Why this study was terminated
Business decision
Phase
Phase 3
Study type
Interventional
Enrollment
91
Allocation
Randomized
Ages
12 Years to 70 Years
Sex
All
01

Study summary

The purpose of this study is to evaluate the efficacy and safety of telitacicept in the treatment of moderately to severely active SLE.

Read the detailed description

Systemic Lupus Erythematosus (SLE) is a chronic autoimmune disease with heterogeneous manifestations and disease course. Despite advances in medical care, there are still significant unmet needs in SLE with diminished health-related quality of life (HRQoL), persistent disease activity, disease flares, intolerance to standard of care (SoC) therapies, and development of organ damage and co-morbidities.

Telitacicept is a fully human TACI-Fc fusion protein that targets B lymphocyte stimulator (BLyS) and a proliferating-inducing ligand (APRIL). Blocking the interaction of BLyS and APRIL with their cell membrane receptors (TACI, B-cell maturation antigen (BCMA), and B-cell activating factor receptor (BAFF-R)) would inhibit B cell proliferation and maturation, suppresses immune responses, and may alleviate autoimmune symptoms.

This Phase 3 study is a 2-stage study to evaluate the efficacy and safety of telitacicept compared to placebo in patients with moderately to severely active SLE while receiving SoC treatment in a global patient population with active SLE disease.

  • Stage 1: a study to evaluate the efficacy, safety, pharmacokinetics (PK) and PD of two treatment arms of telitacicept compared to placebo in patients with moderately to severely active SLE while receiving SoC treatment.
  • Stage 2: a multicenter, randomized, double-blind, placebo-controlled study to evaluate the efficacy and safety of telitacicept added to SoC compared to placebo with SoC therapy in patients with moderately to severely active SLE.
02

Conditions studied

  • Systemic Lupus Erythematosus

Keywords

  • Systemic Lupus Erythematosus
  • SLE
03

Who can participate

Ages eligible
12 Years to 70 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  1. Age 12-70 years at screening.
  2. Has a diagnosis of SLE for at least 6 months prior to the screening visit.
  3. Meets the 2019 EULAR/ACR Classification criteria for SLE.
  4. Moderately to severely active SLE defined by the following:

    1. SELENA SLEDAI total score ≥6 points with clinical SLEDAI score ≥4 points at screening;
    2. BILAG organ system scores of at least 1A or 2B at screening.
  5. Clinical SLEDAI score of ≥4 at Day 0 prior to randomization.
  6. At least one positive serologic parameter within the screening period.
  7. Currently receiving at least one of the SOC SLE medications: oral corticosteroid, antimalarial and/or immunosuppressive agent.

Exclusion criteria

Exclusion Criteria:

  1. Active lupus nephritis undergoing induction therapy or unstable renal diseases within 12 weeks prior to screening.
  2. Active or unstable neuropsychiatric SLE.
  3. Autoimmune or rheumatic disease other than SLE
04

Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
91 participants (actual)

Study arms

  • Experimental
    Telitacicept

    Telitacicept + Standard of Care (SoC)

    Biological: Telitacicept

  • Placebo comparator
    Placebo

    Placebo + Standard of Care (SoC)

    Biological: Placebo

Interventions

  • BiologicalTelitacicept

    Subcutaneous injection weekly for 52 weeks

    Also known as: RC18, RC18-L

  • BiologicalPlacebo

    Subcutaneous injection weekly for 52 weeks

05

What researchers measure

Primary outcomes

  1. SLE Responder Index (SRI-4)

    Proportion of subjects achieving an SLE Responder Index (SRI-4) response at Week 52

    Time frame: Week 52

Secondary outcomes

  1. SLE Responder Index (SRI-4)

    Proportion of subjects achieving an SLE Responder Index (SRI-4) response at Week 24

    Time frame: Week 24

  2. Achieve and sustain a low dose of corticosteriods

    Proportion of subjects achieving the target of corticosteroids reduction through Week 52.

    Time frame: Weeks 52

  3. SLE Responder Index (SRI-4) and sustaining a low dose of corticosteriods

    Proportion of patients achieving an SRI-4 response at Week 52, while achieving and maintaining corticosteroids reduction.

    Time frame: Week 52

  4. BILAG-based Combined Lupus Assessment (BICLA) Response

    Proportion of patients achieving a BILAG-based Combined Lupus Assessment (BICLA) response at Week 52

    Time frame: Week 52

  5. Time to Flare

    Time to flare assessed by SELENA-SLEDAI Flare Index (SFI) from baseline through Week 52

    Time frame: Week 52

  6. Functional Assessment of Chronic Illness Therapy-Fatigue (FACIT-F)

    Proportion of patients achieving clinically meaningful improvement in the Functional Assessment of Chronic Illness Therapy-Fatigue (FACIT-F) at Week 52

    Time frame: Week 52

06

Study locations

78 sites
  • Anniston, Alabama Site
    Anniston, Alabama 36207, United States
  • Mission Hills Site
    Mission Hills, California 91345, United States
  • Orange Site
    Orange, California 92868, United States
  • Thousands Oaks Site
    Thousand Oaks, California 91360, United States
  • Miami, FL Site
    Miami, Florida 33014, United States
  • Tampa, Florida Site
    Tampa, Florida 33765, United States
  • Wheaton, Maryland Site
    Wheaton, Maryland 20902, United States
  • Grand Blanc Site
    Grand Blanc, Michigan 48439, United States
  • Baytown Site
    Baytown, Texas 77521, United States
  • Colleyville, Texas Site
    Colleyville, Texas 76034, United States
  • Houston Site
    Houston, Texas 77084, United States
  • Waco Site
    Waco, Texas 76710, United States
  • Quilmes Site
    Quilmes, Buenos Aires B1878DVB, Argentina
  • Rosario Site
    Rosario, Santa Fe Province S2000PBJ, Argentina
  • San Miguel de Tucuman Site 1
    San Miguel de Tucumán, Tucumán Province T4000AXL, Argentina
  • San Miguel de Tucuman Site 2
    San Miguel de Tucumán, Tucumán Province T4000ICL, Argentina
  • Ciudad Autonoma Buenos Aires Site 2
    Ciudad Autonoma Buenos Aires, C1046AAQ, Argentina
  • Cordoba Site
    Córdoba, X5000AVE, Argentina
  • San Juan Site
    San Juan, 5400, Argentina
  • Garran Site
    Garran, Austl. Cap. Terr. 2605, Australia
  • Murdoch Site
    Murdoch, Western Australia 6150, Australia
  • Pleven Site
    Pleven, 5800, Bulgaria
  • Plovdiv Site
    Plovdiv, 4023, Bulgaria
  • Ruse Site
    Rousse, 7002, Bulgaria
  • Sevlievo Site
    Sevlievo, 5400, Bulgaria
  • Sofia Site 1
    Sofia, 1431, Bulgaria
  • Sofia Site 4
    Sofia, 1463, Bulgaria
  • Sofia Site 5
    Sofia, 1463, Bulgaria
  • Sofia Site 3
    Sofia, 1612, Bulgaria
  • Stara Zagora Site
    Stara Zagora, 6000, Bulgaria
  • Santiago Site 4
    Santiago, 7500010, Chile
  • Santiago Site 1
    Santiago, 7500710, Chile
  • Santiago Site 3
    Santiago, 7501126, Chile
  • Santiago Site 2
    Santiago, 8330336, Chile
  • Barranquilla site
    Barranquilla, 080002, Colombia
  • Barranquilla site
    Barranquilla, 080020, Colombia
  • Bucaramanga site
    Bucaramanga, 680003, Colombia
  • Medellin Site 1
    Medellín, 050025, Colombia
  • Medellin site 2
    Medellín, 50021, Colombia
  • Monteria site
    Montería, 230002, Colombia
  • Koeln Site
    Cologne, North Rhine-Westphalia 50937, Germany
  • Muenster Site
    Münster, North Rhine-Westphalia 48149, Germany
  • Guatemala site
    Guatemala City, Guatemala
  • Budapest Site
    Budapest, 1097, Hungary
  • Debrecen Site
    Debrecen, 4032, Hungary
  • Gyula Site
    Gyula, 5700, Hungary
  • Quatre Bornes Site
    Quatre Bornes, 72218, Mauritius
  • Cuernavaca Site
    Cuernavaca, 62448, Mexico
  • Guadalajara Site
    Guadalajara, 44670, Mexico
  • Ciudad de Mexico Site
    Mexico City, 06700, Mexico
  • Mexico site 1
    México, 06760, Mexico
  • Mexico Site 2
    México, 67000, Mexico
  • Batangas Site
    Batangas, 4217, Philippines
  • Cagayan de Oro City Site
    Cagayan de Oro, 9000, Philippines
  • Los Baños Site
    Los Baños, 4030, Philippines
  • Makati City Site
    Makati City, 1229, Philippines
  • Manila Site
    Manila, 1012, Philippines
  • Bydgoszcz Site
    Bydgoszcz, 85-065, Poland
  • Bydgoszcz Site 2
    Bydgoszcz, 85-168, Poland
  • Bydgoszcz Site 3
    Bydgoszcz, 85-605, Poland
  • Bytom Site
    Bytom, 41-902, Poland
  • Katowice Site
    Katowice, 40-748, Poland
  • Krakow Site 1
    Krakow, 31-501, Poland
  • Lodz Site
    Lodz, 90-368, Poland
  • Malbork Site
    Malbork, 82-200, Poland
  • Poznan Site 2
    Poznan, 60-681, Poland
  • Poznan SIte
    Poznan, 61-113, Poland
  • Poznań Site
    Poznan, 61-731, Poland
  • Szczecin Site
    Szczecin, 71-252, Poland
  • Warszawa Site 2
    Warsaw, 00-874, Poland
  • Warszawa Site 3
    Warsaw, 02-637, Poland
  • Warszawa Site
    Warsaw, 04-305, Poland
  • Wroclaw Site 2
    Wroclaw, 50-556, Poland
  • Caguas Site
    Caguas, 00725, Puerto Rico
  • San Juan Site
    San Juan, 00917, Puerto Rico
  • Sevilla Site 1
    Seville, 41010, Spain
  • Sevilla Site 2
    Seville, 41013, Spain
  • Valencia Site
    Valencia, 46017, Spain
07

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

08

Registry details

Key details

Study ID
NCT05306574
Lead sponsor
Vor Biopharma
Responsible party
Sponsor
First posted
Apr 1, 2022
Start date
Jun 20, 2022
Primary completion
Jan 6, 2025
Completion
Jan 6, 2025
Last update
Jan 9, 2026

Oversight

FDA-regulated drug
Yes
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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