ClinicalTrials.gg
RecruitingNCT07363590Updated Nov 2, 2026

A Clinical Study of MK-1045 in People With Lupus or Rheumatoid Arthritis (MK-1045-004)

A Phase 1 interventional study of MK-1045 in Systemic Lupus Erythematosus and Rheumatoid Arthritis, sponsored by Merck Sharp & Dohme LLC. Recruiting at 21 sites in 11 countries. Open to participants aged 18 Years to 75 Years. Per ClinicalTrials.gov, last updated 2026-11-02.

Sponsored by Merck Sharp & Dohme LLC (part of Merck & Co., Inc) · Phase 1, Interventional, and Treatment

From the registry’s dates

  • Started Feb 2026; still recruiting 8 months later.
Updated Nov 2, 2026Site recruiting status changedGo to Updates ↓
Phase
Phase 1
Study type
Interventional
Enrollment
21
Allocation
Randomized
Ages
18 Years to 75 Years
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-12

Among 265 studies in Lupus Erythematosus, Systemic with a site in China — 167 open to participants now, 190 under way, 22 of them phase 3. Lupus Erythematosus, Systemic · China.

Planned enrollment
154th of 244
21 · median 36
Started
2026
with 54 others
Phase 1
109 of 265
85 open now
Primary completion
2029-07
later than 177 of 189 live
Registered
224th of 265
by date

Among the 265 studies in Lupus Erythematosus, Systemic with a site in China, this one is the 154th largest by planned enrollment of the 244 interventional ones that give a count, is one of 55 that started in 2026, is one of 109 in phase 1, reaches primary completion later than 177 of the 189 other live ones, and was the 224th registered.

Lupus Erythematosus, Systemic

1,207 studies on the registry are indexed under Lupus Erythematosus, Systemic; 405 are open to participants now.

Browse Lupus Erythematosus, Systemic studies →

Open to participants now

167 of the 265 studies in Lupus Erythematosus, Systemic with a site in China are open now. Recruiting first, the newest first:

162 more — sign in →

All 167 open studies →

A study can be open while its sites in China have not opened yet or have stopped. Only those recruiting at a site in China →

Who these studies take

Of the 284 Lupus Erythematosus, Systemic studies recruiting now, 92 (32%) set no upper age limit and 162 (57%) stop at 75 or younger; 54 take children under 18; 34 take healthy volunteers.

This study: 18 Years to 75 Years · all sexes · no healthy volunteers.

The full table on the hub →

This tab as a report to print or save as PDF → With an account.

Was this useful?
Watch this landscapeDownload CSVNarrow it in search →With an account: a weekly mail of what changed among 265 studies in Lupus Erythematosus, Systemic with a site in China, or all of them as a file.
02

Study summary

This study looks at a study medicine called MK-1045 in people with lupus and rheumatoid arthritis (RA). The main goal of the study is to learn about the safety of MK-1045 and if people tolerate it when they receive it at different dose levels (amounts).

03

Conditions studied

  • Systemic Lupus Erythematosus
  • Rheumatoid Arthritis
04

Who can participate

Ages eligible
18 Years to 75 Years
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

  • Has a between 18 and 32 kg/m\^2, inclusive
  • Systemic lupus erythematosus (SLE): Has a diagnosis of SLE for at least 6 months and met the European Alliance of Associations for Rheumatology (EULAR)/ American College of Rheumatology (ACR) 2019 classification criteria
  • SLE: Is taking at least one background therapy for SLE
  • RA: Has a diagnosis of RA for at least 6 months and meets the 2010 ACR-EULAR classification criteria for RA

Exclusion criteria

Exclusion Criteria:

  • Has a known active infection (excluding fungal infection of nail beds), or any major episode of infection requiring hospitalization or treatment with anti-infectives within 8 weeks prior to the Day 1 dosing
  • History of serious recurrent or chronic infection
  • Is known to be infected with virus, virus, or
  • Has evidence of active tuberculosis (TB), latent TB, or inadequately treated TB
  • Has a significant or uncontrolled medical disease in any organ system not related to RA or SLE
  • For RA participants, has a history of any arthritis with onset before age 17 years
  • Has a current inflammatory condition other than SLE or RA that could interfere with disease activity assessments
  • History of cancer (except fully treated nonmelanoma skin cancers or cervical carcinoma in situ after complete surgical removal) and is disease free for \<5 years before Day 1 dosing
  • Has had a major surgery within 3 months prior to Screening or has a major surgery planned during the study.
  • Has symptomatic heart failure ( class III or IV) or myocardial infarction or unstable angina pectoris within 6 months prior to Screening
  • Has a severe chronic pulmonary disease requiring oxygen therapy
  • Has current active lymphoproliferative disease, including lymphoma, or signs and symptoms suggestive of possible lymphoproliferative disease
Terms in these criteria, in plain language(5)

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.

BMI (body mass index)

Weight in kilograms divided by height in metres squared. Example: 70 kg and 1.75 m gives 70 ÷ (1.75 × 1.75) ≈ 22.9.

What counts as overweight or obesity differs between countries (some use lower cut-offs), so go by the range the study states.

Hepatitis B tests

Hepatitis B is a virus that infects the liver. These are separate tests: HBsAg positive usually means a current infection (a recent vaccination can briefly cause it too); total anti-HBc (HBcAb) positive means an infection now or in the past; HBV DNA measures how much virus is in the blood.

Some studies accept a past infection if HBV DNA is undetectable, sometimes with antiviral medicine during the study. Check what this study allows.

Hepatitis C tests

Hepatitis C is a virus that infects the liver. An HCV antibody test can stay positive after an infection has cleared (and is occasionally positive without one); an HCV RNA test shows whether the virus is there now.

After treatment, hepatitis C counts as cured when HCV RNA is still undetectable 12 weeks or more after the treatment ended. Studies often accept people cured this way.

HIV

The human immunodeficiency virus, which weakens the immune system.

Many studies now accept people whose HIV is controlled on treatment, judged by the viral load and the CD4 count. Check the limits this study sets.

NYHA class (heart failure)

The New York Heart Association’s four classes of how much heart failure limits physical activity.

I
No limits: ordinary activity causes no undue tiredness or breathlessness.
II
Slight limits: comfortable at rest, ordinary activity causes symptoms.
III
Marked limits: comfortable at rest, less than ordinary activity causes symptoms.
IV
Symptoms even at rest; any activity makes them worse.

Studies set their own limit — many outside heart failure leave out class III–IV, while heart failure studies may ask for a particular class. Check the class this study names.

05

Study design

Phase
Phase 1
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Sequential assignment
Masking
None (open label)
Enrollment
21 participants (estimated)

Study arms

  • Experimental
    Part 1 Prime Dose Escalation Panels

    Participants will receive single intravenous (IV) doses of MK-1045 at varying dose levels.

    Biological: MK-1045

  • Experimental
    Part 2 Step-up Dose Escalation Panels

    Participants will receive 3 step up doses of MK-1045 as a prime, step-up and target dose over a 3-week dosing interval.

    Biological: MK-1045

  • Experimental
    Part 3 Dose Expansion Panels (Optional)

    Participants will receive 3 step up doses of MK-1045 as a prime, step-up and target dose over a 3-week dosing interval.

    Biological: MK-1045

Interventions

  • BiologicalMK-1045

    IV infusion

    Also known as: CN201

06

What researchers measure

Primary outcomes

  1. Part 1: Number of Participants with One or More Adverse Events (AEs)

    An AE is defined as any unfavorable and unintended sign, symptom, disease, or worsening of preexisting condition temporally associated with study treatment and irrespective of causality to study treatment.

    Time frame: Up to approximately 12 weeks

  2. Part 1: Number of Participants who Discontinue Study Drug Due to an AE

    An AE is defined as any unfavorable and unintended sign, symptom, disease, or worsening of preexisting condition temporally associated with study treatment and irrespective of causality to study treatment.

    Time frame: Up to approximately 4 weeks

  3. Part 2 and Part 3: Number of Participants with One or More AEs

    An AE is defined as any unfavorable and unintended sign, symptom, disease, or worsening of preexisting condition temporally associated with study treatment and irrespective of causality to study treatment.

    Time frame: Up to approximately 52 weeks

  4. Part 2 and Part 3: Number of Participants who Discontinue Study Drug Due to an AE

    An AE is defined as any unfavorable and unintended sign, symptom, disease, or worsening of preexisting condition temporally associated with study treatment and irrespective of causality to study treatment.

    Time frame: Up to approximately 2 weeks

Secondary outcomes

  1. Part 1: Maximum Serum Concentration (Cmax) of MK-1045

    Blood samples will be collected to determine the Cmax, obtained directly from the measured value of the plasma concentration-time curve.

    Time frame: At designated time points up to 12 weeks

  2. Part 1: Area Under the Concentration-Time Curve from Time 0 to Infinity (AUC0-Inf) of MK-1045

    Blood samples will be collected to determine the AUC0-Inf of MK-1045.

    Time frame: At designated time points up to 12 weeks

  3. Part 1: Percentage of Participants with a Peripheral B Cell Count Less Than the Lower Limit of Quantitation (LLOQ) at the End of Each Treatment Period

    Blood samples will be collected to determine the B cell depletion in peripheral blood after treatment with MK-1045.

    Time frame: At designated time points up to 12 weeks

  4. Part 2 and Part 3: Cmax of MK-1045

    Blood samples will be collected to determine the Cmax, obtained directly from the measured value of the plasma concentration-time curve.

    Time frame: At designated time points up to 52 weeks

  5. Part 2 and Part 3: Area Under the Concentration-Time Curve From Time 0 to the End of the Dosing Interval (AUCtau) of MK-1045

    Blood samples will be collected to determine the AUCtau of MK-1045.

    Time frame: At designated time points up to 52 weeks

  6. Part 2 and Part 3: Percentage of Participants with a Peripheral B Cell Count Less Than the LLOQ at the End of the Treatment Period

    Blood samples will be collected to determine the B cell depletion in peripheral blood after treatment with MK-1045.

    Time frame: At designated time points up to 52 weeks

07

Study locations

20 of 21 sites recruiting
  • Gold Coast University Hospital ( Site 1601)
    Southport, Queensland 4215, Australia
    Recruiting
    • Study Coordinator · Contact+611300744284
  • Anima Diepenbeek ( Site 0601)
    Diepenbeek, Limburg 3590, Belgium
    Recruiting
    • Study Coordinator · Contact+3211949115
  • UZ Gent ( Site 0602)
    Ghent, Oost-Vlaanderen 9000, Belgium
    Recruiting
    • Study Coordinator · Contact+3293322863
  • Chinese Academy of Medical Science Peking Union Medical College Hospital ( Site 1501)
    Beijing, Beijing Municipality 100005, China
    Recruiting
    • Study Coordinator · Contact010-69151188
  • The First Affiliated Hospital of Henan University of Science &Technology ( Site 1502)
    Luoyang, Henan 471003, China
    Recruiting
    • Study Coordinator · Contact0379-69823588
  • Union Hospital Tongji Medical College Huazhong University of Science and Technology ( Site 1504)
    Wuhan, Hubei 430058, China
    Recruiting
    • Study Coordinator · Contact027-84397521
  • Renji Hospital Shanghai Jiao Tong University School of Medicine ( Site 1505)
    Shanghai, Shanghai Municipality 200001, China
    Recruiting
    • Study Coordinator · Contact021-58752345
  • Clinica de la Costa S.A.S. ( Site 0101)
    Barranquilla, Atlántico 080020, Colombia
    Recruiting
    • Study Coordinator · Contact+576053369999
  • Oncomédica S.A.S ( Site 0103)
    Montería, Departamento de Córdoba 230002, Colombia
    Recruiting
    • Study Coordinator · Contact+57 3106175733
  • Fundacion Valle del Lili ( Site 0102)
    Cali, Valle del Cauca Department 760032, Colombia
    Recruiting
    • Study Coordinator · Contact+573166237452
  • Arensia Exploartory Medicine ( Site 1301)
    Tbilisi, 0112, Georgia
    Recruiting
    • Study Coordinator · Contact+995568404374
  • Istituto Clinico Humanitas- IRCCS ( Site 1902)
    Rozzano, Milano 20089, Italy
    Recruiting
    • Study Coordinator · Contact+390282247421
  • Fondazione Policlinico Universitario Agostino Gemelli IRCCS - Università Cattolica del Sacro Cuore ( Site 1901)
    Roma, 00168, Italy
    Recruiting
    • Study Coordinator · Contact+390630157807
  • The University of Tokyo Hospital ( Site 0301)
    Bunkyo, Tokyo 113-8655, Japan
    Active, not recruiting

    Not enrolling at this site — choose another above.

  • Keio University Hospital ( Site 0302)
    Shinjyuku, Tokyo 160-8582, Japan
    Recruiting
    • Study Coordinator · Contact+81-3-3353-1211
  • PMSI Republican Clinical Hospital "T.Mosneaga" ( Site 1001)
    Chisinau, 2025, Moldova
    Recruiting
    • Study Coordinator · Contact+37379638895
  • Clinica San Juan Bautista ( Site 0203)
    Lima, 15419, Peru
    Recruiting
    • Study Coordinator · Contact+5116104545e2290
  • ARENSIA Clinics ( Site 0902)
    Bucharest, Bucharest 011658, Romania
    Recruiting
    • Study Coordinator · Contact40722604155
  • ARENSIA Exploratory Medicine-Country Emergency Hospital- Arensia,Cluj-Napoca ( Site 0901)
    Cluj-Napoca, Cluj 400006, Romania
    Recruiting
    • Study Coordinator · Contact+40745381603
  • Chulalongkorn University ( Site 0501)
    Pathumwan, Bangkok 10330, Thailand
    Recruiting
    • Study Coordinator · Contact+6622516704
  • Ramathibodi Hospital ( Site 0503)
    Ratchathewi, Bangkok 10400, Thailand
    Recruiting
    • Study Coordinator · Contact+6622004028
08

References and documents

Individual participant data

Plan to share: Yes — https://trialstransparency.msdclinicaltrials.com/pdf/ProcedureAccessClinicalTrialData.pdf

Data sharing details ↗ · externaldatasharing-msd.com

09

Timeline

1 registry update since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar 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 Feb 2026 (actual). Primary completion is estimated for Jul 2029, 40 months after the start.

Of 107 industry-sponsored phase 1 interventional studies under Lupus Erythematosus, Systemic, half reached primary completion within 28 months of starting (the median), counting those still running; a quarter within 13 and three quarters within 35. This study's planned 40 months is above that.

Counting every sponsor, half of 146 studies reached it within 28 months; a quarter within 16 and three quarters within 36.

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

Registered
Jan 16, 2026
First posted
Jan 23, 2026
StartActual
Feb 19, 2026
Primary completionEst.
Jul 16, 2029
CompletionEst.
Jul 16, 2029
Last update
Nov 2, 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.
Sites
The University of Tokyo Hospital ( Site 0301) is now Active, not recruiting
Nov 2, 2026
Site contacts
Changed at 1 site. See the sites
Show the site
  • The University of Tokyo Hospital ( Site 0301) · Bunkyo, JapanContact removed •••5411
Nov 2, 2026
Show all 1 update
  1. Nov 2, 2026
    The University of Tokyo Hospital ( Site 0301) is now Active, not recruiting
    Site contacts Changed at 1 site. See the sites
    Show the site
    • The University of Tokyo Hospital ( Site 0301) · Bunkyo, JapanContact removed •••5411
    + 2 other changes: verification date and references

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 ↗

10

Registry details

Key details

Study ID
NCT07363590
Responsible party
Sponsor
First posted
Jan 23, 2026
Start date
Feb 19, 2026
Primary completion
Jul 16, 2029 (estimated)
Completion
Jul 16, 2029 (estimated)
Last update
Nov 2, 2026

Study contacts

Toll Free Number
Contact
Trialsites@msd.com
1-888-577-8839
Medical Director
study director · Merck Sharp & Dohme LLC

Oversight

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

Interested in this study?

Eligibility is decided by the study team. Share this record with your doctor or contact the team directly.

Contact study team

Follow this study

Get an email when the registry record changes — status, dates, results — or when someone posts here.

Sign in to follow

Discussion

Questions and observations about this study, from anyone following it. Not medical advice, and not a channel to the study team — their contact details are on the registry record.

Sign in to join the discussion. Reading takes no account; posting does. You choose a display name, and a pseudonym is the default.

Nothing here yet. If you are running this trial, taking part in it, or weighing whether to, this is the place to say so.

Studies of the drug tested here: Anti-CD19/CD3 Bispecific Antibody MK-1045

Start the discussion