ClinicalTrials.gg
Active, not recruitingNCT06641089IZAR-2Updated Oct 9, 2026

Evaluation of Sonelokimab in Patients With Active Psoriatic Arthritis and Anti-TNFα Inadequate Response

A Phase 3 interventional study of Sonelokimab and Placebo in Arthritis, Psoriatic, sponsored by MoonLake Immunotherapeutics AG. Active, not recruiting at 143 sites in 11 countries. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-10-09.

Sponsored by MoonLake Immunotherapeutics AG · Phase 3, Interventional, and Treatment

Updated Oct 9, 2026Now Active, not recruitingPrimary completion moved+1 moreGo to Updates ↓
Phase
Phase 3
Study type
Interventional
Enrollment
600
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

This is a study to confirm the clinical efficacy and safety of sonelokimab compared with placebo in the treatment of adults with active psoriatic arthritis who have had a previous inadequate response or intolerance to anti-tumor necrosis factor (TNF)α therapy.

Read the detailed description

M1095-PSA-302 is a Phase 3, parallel-group, randomized, double-blind, 4-arm, placebo-controlled, multicenter study with risankizumab as active reference arm to investigate the efficacy and safety of sonelokimab 60 mg and 120 mg versus placebo in adults with active psoriatic arthritis who have had a previous inadequate response or intolerance to anti-tumor necrosis factor (TNF)α therapy.

02

Conditions studied

  • Arthritis, Psoriatic

Browse trials for

03

In context

Arthritis, Psoriatic

600 studies on the registry are indexed under Arthritis, Psoriatic; 129 are open to participants now.

This study's planned enrollment of 600 is above the median of 145 across 336 interventional studies indexed under Arthritis, Psoriatic.

Browse Arthritis, Psoriatic studies →

Lead sponsor

MoonLake Immunotherapeutics AG is the lead sponsor of 10 studies on the registry; 2 are open to participants now.

Of its 5 completed or terminated interventional studies of FDA-regulated products, 2 (40%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  1. Participants must be ≥18 years of age .
  2. Participants have a confirmed diagnosis of psoriatic arthritis (PsA) per the 2006 Classification for Psoriatic Arthritis (CASPAR) criteria with symptoms for ≥6 months before the Screening Visit.
  3. Participants have active disease (defined by a 68 tender joint count [TJC68] of ≥3 and a 66 swollen joint count [SJC66] of ≥3).
  4. Participants have current active plaque psoriasis (PsO) or a dermatologist-confirmed history of plaque PsO.
  5. Participants test negative for both rheumatoid factor and anti-cyclic citrullinated peptide at the Screening Visit.
  6. Participants must have received 1 or more TNFα inhibitors for PsA or PsO and must have experienced an inadequate response to treatment with at least one TNFα inhibitor(s) given at an approved dose for ≥3 months or have stopped treatment due to safety/tolerability problems after ≥1 administration of a TNFα inhibitor.

Exclusion criteria

Exclusion Criteria:

  1. Participants with a known to sonelokimab or any of its .
  2. Participants with a known hypersensitivity, or any , to risankizumab or any of its excipients or component of the container.
  3. Participants who have a diagnosis of chronic inflammatory conditions other than PsO or PsA.
  4. Participants with a diagnosis of inflammatory bowel disease.
  5. Participants who have experienced a period of ≥3 consecutive weeks of unexplained diarrhea in the 24 weeks before the Baseline Visit.
  6. Participants who have an established diagnosis of arthritis mutilans.
  7. Previous exposure to sonelokimab.
  8. Participants who have ever received biologic immunomodulating agents for PsA or PsO whether or approved, except for those targeting TNFα
Terms in these criteria, in plain language(4)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Hypersensitivity

An allergy, or another reaction of the immune system, to a substance. “Hypersensitivity to the study drug” means a known allergic reaction to it — not every side effect a medicine can have.

Excipients

The other ingredients in a medicine besides the active drug, such as fillers, colours or preservatives.

Contraindication

A reason a treatment, test or procedure should not be given to a particular person, such as an allergy, another illness or a medicine they take.

Investigational drug or device

A drug or device being studied in a clinical trial.

It may be new, or already approved and being studied for another use, dose or form. Criteria often leave out people who took part in another study of one within a recent period, commonly 30 days or five half-lives.

05

Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Triple (Participant, Investigator, Outcomes assessor)
Enrollment
600 participants (estimated)

Study arms

  • Experimental
    sonelokimab dose 1 with an induction regimen

    Subjects randomized to this arm will receive sonelokimab dose 1 subcutaneously (SC) as an induction regimen of 4 doses , followed by sonelokimab SC every 4 weeks (Q4W) maintenance dosing starting at Week 8.

    Drug: Sonelokimab

  • Experimental
    sonelokimab dose 2 with an induction regimen

    Subjects randomized to this arm will receive sonelokimab dose 2 SC as an induction regimen of 4 doses, followed by sonelokimab SC Q4W maintenance dosing starting at Week 8.

    Drug: Sonelokimab

  • Placebo comparator
    Placebo

    Subjects randomized to this arm will receive placebo SC

    Drug: Placebo

  • Active comparator
    risankizumab

    Subjects randomized to this arm will receive risankizumab SC

    Drug: Risankizumab

Interventions

06

What researchers measure

Primary outcomes

  1. Response rate of participants achieving at least a 50% improvement in the American College of Rheumatology criteria (ACR50)

    Proportion of participants achieving ACR50

    Time frame: Week 16 compared to placebo

Secondary outcomes

  1. Response rate of participants achieving at least 20% improvement in the American College of Rheumatology criteria (ACR20)

    Proportion of participants achieving ACR20

    Time frame: Week 16 compared to placebo

  2. Response rate of participants achieving Minimal Disease Activity (MDA)

    Proportion of participants achieving MDA

    Time frame: Week 16 compared to placebo

  3. Health Assessment Questionnaire- Disability Index (HAQ-DI)

    Change in HAQ-DI from baseline

    Time frame: Week 16 compared to placebo

  4. Psoriasis Area and Severity Index (PASI90)

    Proportion of participants achieving a decrease of ≥90% in the PASI90 response at Week 16 in the subgroup of participants with psoriasis (PsO) involving ≥3% body surface area at baseline

    Time frame: Week 16 compared to placebo

  5. Short- form-36 (SF-36) Physical Component Summary (PCS)

    Change from Baseline in SF-36 PCS at Week 16

    Time frame: Week 16 compared to placebo

  6. Response rate of participants achieving at least a 50% improvement in the American College of Rheumatology criteria (ACR50)

    Proportion of participants achieving ACR50

    Time frame: Week 16 compared to risankzumab

07

Study locations

143 sites
  • Clinical Site
    Avondale, Arizona 85392, United States
  • Clinical Site
    Chandler, Arizona 85225, United States
  • Clinical Site
    Flagstaff, Arizona 86001, United States
  • Clinical Site
    Mesa, Arizona 85210, United States
  • Clinical Site
    Phoenix, Arizona 85032, United States
  • Clinical Site
    Scottsdale, Arizona 85260, United States
  • Clinical Site
    Tucson, Arizona 85748, United States
  • Clinical Site
    Jonesboro, Arkansas 72401, United States
  • Clinical Site
    La Jolla, California 92037, United States
  • Clinical Site
    Pomona, California 91767, United States
  • Clinical Site
    San Diego, California 92108, United States
  • Clinical Site
    Santa Monica, California 90404, United States
  • Clinical Site
    Thousand Oaks, California 91360, United States
  • Clinical Site
    Upland, California 91786, United States
  • Clinical Site
    Avon Park, Florida 33825, United States
  • Clinical Site
    Clearwater, Florida 33765, United States
  • Clinical Site
    Hialeah, Florida 33016, United States
  • Clinical Site
    Miami Gardens, Florida 33014, United States
  • Clinical Site
    Tampa, Florida 33607, United States
  • Clinical Site
    Zephyrhills, Florida 33542, United States
  • Clinical Site
    Gainesville, Georgia 30501, United States
  • Clinical Site
    Springfield, Illinois 62702, United States
  • Clinical Site
    Lake Charles, Louisiana 70605, United States
  • Clinical Site
    Baltimore, Maryland 21224-6821, United States
  • Clinical Site
    Grand Blanc, Michigan 48439-2451, United States
  • Clinical Site
    Brooklyn, New York 11201, United States
  • Clinical Site
    Rochester, New York 14642, United States
  • Clinical Site
    Charlotte, North Carolina 28262, United States
  • Clinical Site
    Leland, North Carolina 28451, United States
  • Clinical Site
    Middleburg Heights, Ohio 44130, United States
  • Clinical Site
    Portland, Oregon 97239, United States
  • Clinical Site
    Duncansville, Pennsylvania 16635, United States
  • Clinical Site
    Jackson, Tennessee 38305, United States
  • Clinical Site
    Memphis, Tennessee 38119, United States
  • Clinical Site
    Murfreesboro, Tennessee 37128, United States
  • Clinical Site
    Allen, Texas 75013, United States
  • Clinical Site
    Austin, Texas 78745, United States
  • Clinical Site
    Baytown, Texas 77521, United States
  • Clinical Site
    Colleyville, Texas 76034, United States
  • Clinical Site
    Houston, Texas 77089, United States
  • Clinical Site
    Lubbock, Texas 79424, United States
  • Clinical Site
    Plano, Texas 75024, United States
  • Clinical Site
    Seattle, Washington 98122, United States
  • Clinical Site
    Beckley, West Virginia 25801, United States
  • Clinical Site
    Pazardzhik, 4400, Bulgaria
  • Clinical Site
    Pleven, 5800, Bulgaria
  • Clinical Site
    Plovdiv, 4000, Bulgaria
  • Clinical Site
    Plovdiv, 4001, Bulgaria
  • Clinical Site
    Plovdiv, 4002, Bulgaria
  • Clinical Site
    Plovdiv, 4003, Bulgaria
  • Clinical Site
    Plovdiv, 4004, Bulgaria
  • Clinical Site
    Rousse, 7000, Bulgaria
  • Clinical Site
    Sofia, 1462, Bulgaria
  • Clinical Site
    Sofia, 1606, Bulgaria
  • Clinical Site
    Sofia, 1784, Bulgaria
  • Clinical Site
    Stara Zagora, 6003, Bulgaria
  • Clinical Site
    Toronto, Ontario M5S1B2, Canada
  • Clinical Site
    Calgary, T2N 4L7, Canada
  • Clinical Site
    Trois-Rivières, G9A 3X2, Canada
  • Clinical Site
    Waterloo, N2J 1C4, Canada
  • Clinical Site
    Winnipeg, R3A IM3, Canada
  • Clinical Site
    Brno, 63800, Czechia
  • Clinical Site
    Ostrava, 70200, Czechia
  • Clinical Site
    Studénka, 742 13, Czechia
  • Clinical Site
    Zlín, 760 01, Czechia
  • Clinical Site
    Caluire-et-Cuire, 69300, France
  • Clinical Site
    Montpellier, 34295, France
  • Clinical Site
    Narbonne, 11100, France
  • Clinical Site
    Nice, 06001, France
  • Clinical Site
    Rouen, 76031, France
  • Clinical Site
    Tours, 37170, France
  • Clinical Site
    Tbilisi, 0102, Georgia
  • Clinical Site
    Tbilisi, 0112, Georgia
  • Clinical Site
    Tbilisi, 0141, Georgia
  • Clinical Site
    Tbilisi, 0159, Georgia
  • Clinical Site
    Tbilisi, 0179, Georgia
  • Clinical Site
    Tbilisi, 0180, Georgia
  • Clinical Site
    Tbilisi, 0186, Georgia
  • Clinical Site
    Tbilisi, Georgia
  • Clinical Site
    Berlin, 12161, Germany
  • Clinical Site
    Berlin, 12203, Germany
  • Clinical Site
    Berlin, 13125, Germany
  • Clinical Site
    Dresden, 01067, Germany
  • Clinical Site
    Erlangen, 91054, Germany
  • Clinical Site
    Frankfurt, 60528, Germany
  • Clinical Site
    Hamburg, 20095, Germany
  • Clinical Site
    Herne, 44649, Germany
  • Clinical Site
    Munich, 80639, Germany
  • Clinical Site
    Munich, 81667, Germany
  • Clinical Site
    München, 80336, Germany
  • Clinical Site
    Budapest, 1027, Hungary
  • Clinical Site
    Budapest, 1036, Hungary
  • Clinical Site
    Debrecen, H-4032, Hungary
  • Clinical SIte
    Gyula, 5700, Hungary
  • Clinical Site
    Hódmezővásárhely, 6800, Hungary
  • Clinical Site
    Nyíregyháza, 4400, Hungary
  • Clinical Site
    Székesfehérvár, 8000, Hungary
  • Clinical Site
    Szolnok, 5000, Hungary
  • Clinical Site
    Veszprém, 8200, Hungary
  • Clinical Site
    Bialystok, 15707, Poland

Showing the first 100 of 143 sites across 11 countries. Choose a country and city above to see the rest.

08

Timeline

1 registry update since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedDate before it movedWhere the date was before it movedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Started Oct 2024 (actual). Primary completion is estimated for Jan 2027, 26 months after the start.

Of 68 industry-sponsored phase 3 interventional studies under Arthritis, Psoriatic, half reached primary completion within 27 months of starting (the median), counting those still running; a quarter within 18 and three quarters within 39. This study's planned 26 months is close to that.

Counting every sponsor, half of 74 studies reached it within 28 months; a quarter within 19 and three quarters within 42.

Completion moved once since we started tracking on Sep 25, 2026: Jan 2027 → Sep 2027, on Oct 9, 2026.

Earlier changes are on the record history on ClinicalTrials.gov ↗

How these figures are worked out, and which studies are left out of them.

Registered
Oct 11, 2024
First posted
Oct 15, 2024
StartActual
Oct 15, 2024
Primary completionEst.
Jan 4, 2027
CompletionEst.
Sep 13, 2027was Jan 2027
Last update
Oct 9, 2026
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
Status
Recruiting→Active, not recruiting
changed Oct 9, 2026
Primary completion
Jan 15, 2027→Jan 4, 2027
Oct 9, 2026
Study completion
Jan 15, 2027→Sep 13, 2027
Oct 9, 2026
Show all 1 update
  1. Oct 9, 2026
    Recruiting→Active, not recruiting
    Primary completion Jan 15, 2027→Jan 4, 2027
    Study completion Jan 15, 2027→Sep 13, 2027
    + 3 other changes: verification date, contact details and site details

From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗

09

Registry details

Key details

Study ID
NCT06641089
Lead sponsor
MoonLake Immunotherapeutics AG
Responsible party
Sponsor
First posted
Oct 15, 2024
Start date
Oct 15, 2024
Primary completion
Jan 4, 2027 (estimated)
Completion
Sep 13, 2027 (estimated)
Last update
Oct 9, 2026

Oversight

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

Not currently enrolling

This study is active, not recruiting, as verified in Oct 2026. You cannot join it, but the record below documents what was studied.

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Studies of the drug tested here: Sonelokimab

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