ClinicalTrials.gg
Not yet recruitingNCT07569081ATLASUpdated Jun 1, 2026

A Study Evaluating the Efficacy and Safety of Momelotinib in Participants With Vacuoles, E1-enzyme, X-linked, Autoinflammatory, Somatic (VEXAS) Syndrome

A Phase 2/3 interventional study of Momelotinib and Glucocorticoids in VEXAS Syndrome, sponsored by GlaxoSmithKline. Not yet recruiting. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-06-01.

Sponsored by GlaxoSmithKline · Phase 2/3, Interventional, and Treatment

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Phase
Phase 2/3
Study type
Interventional
Enrollment
136
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

This study will assess the efficacy and safety of momelotinib in participants with a diagnosis of VEXAS.

02

Conditions studied

  • VEXAS Syndrome

Keywords

  • VEXAS Syndrome
  • Momelotinib
  • Adaptive
  • Ubiquitin-like modifier activating enzyme 1 mutation
  • ATLAS
03

In context

Lead sponsor

GlaxoSmithKline is the lead sponsor of 3,650 studies on the registry; 117 are open to participants now.

Of its 265 completed or terminated interventional studies of FDA-regulated products, 241 (91%) 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

  • Age greater than equal to (>=)18 years OR of legal age of consent in the jurisdiction in which the study is taking place, at the time of signing the Form.
  • Confirmed diagnosis of clinical VEXAS defined by:

    1. Documented evidence of a canonical, pathogenic Ubiquitin-like modifier activating enzyme 1 (UBA1) mutation
    2. Inflammatory manifestations: current or documented past involvement within 6 months of at least one organ system
  • Receiving (GC) treatment (prednisone/prednisolone) for >=4 consecutive weeks for >=10 days prior to randomization.
  • A female participant is eligible to participate if she is not pregnant or breastfeeding and one of the following conditions applies:

    1. Is a Participant of non- (PONCBP) OR
    2. Is a Participant of childbearing potential (POCBP) and using a method that is highly effective
  • Is capable of giving signed informed consent including compliance with the requirements and restrictions
  • Performance Status (ECOG PS) of 0 to 2 at the time of screening.
  • Has adequate organ function

Exclusion criteria

Exclusion Criteria:

  • More than 1 prior admission to an intensive care unit due to a VEXAS flare within the 6 months prior to randomization.
  • History of severe toxicity: uncontrolled concomitant cardiovascular, nervous system, pulmonary (including obstructive pulmonary disease), renal, hepatic, endocrine (including uncontrolled diabetes mellitus), psychiatric, osteoporosis/osteomalacia, glaucoma, corneal ulcers/injuries, nausea or vomiting or gastrointestinal disease.
  • High risk/very high risk Myelodysplastic syndrome (MDS), according to the Revised International Prognostic Scoring System (IPSS-R) with overall risk score >3.5.
  • Peripheral blood blast counts >=10%.
  • Multiple myeloma (all stages) and other active plasma cell dyscrasias requiring treatment.
  • (except disease under study including Lower-risk myelodysplastic syndrome [LR-MDS]) that has progressed or required active treatment within the past (24 months) except for basal cell or squamous cell carcinomas of the skin or in-situ carcinomas).
  • Uncontrolled intercurrent illness within 12 weeks prior to initiation of momelotinib.
  • Ongoing adverse reaction(s) from prior therapy that have not recovered to Grade \<=1 per v6.0 or to the Baseline status preceding prior therapy
  • Psychiatric illness, social situation, or any other condition that would limit and/or compliance with trial requirements or may interfere with the interpretation of study results, as judged by Investigator or Sponsor.
  • Has any gastrointestinal conditions or abnormalities that may alter absorption or swallowing
  • Known or to momelotinib and its metabolites, or any of their .
  • Presence of peripheral neuropathy >=Grade 2 per NCI CTCAE v6.0.
  • Known history of disseminated mycobacterial infection.
  • Known positive status for (HIV).
  • Positive QuantiFERON (or other interferon gamma release assay) during Screening.
  • Unable to receive any Pneumocystis jiroveci pneumonia (PJP) medical prophylaxis
  • Known clinically significant anemia due to iron, vitamin B12 or folate deficiencies, or or hereditary hemolytic anemia, gastrointestinal bleeding, or thalassemia.
  • More than 1 prior line of VEXAS directed therapy before or after VEXAS diagnosis or other medical condition.
  • Use of the following treatments within the noted time periods referenced from date of randomization:

    1. VEXAS-directed therapies () up to 5 half-lives or up 14 days if half-life is \<3 days
    2. Other non-GC anti-inflammatory therapies: for non-biologics): 14 days or five half-lives, whichever is longer; for biologics): 28 days or two half-lives whichever is longer.
    3. Hematologic support therapy (e.g., ESAs, danazol, luspatercept, G-CSF): 4 weeks
    4. Cell-depleting therapies such as anti-CD20 (rituximab): 12 months
    5. agent from a class not otherwise specified: 5 half-lives or 60 days, whichever is longer
  • GC use for conditions other than VEXAS, which would interfere with adherence to the fixed GC taper regimen and/or to assessment of efficacy.
  • Chronic use of systemic corticosteroids for >4 years or inability to withdraw corticosteroid treatment
  • Planned HSCT for MDS or VEXAS, within 1 year.
  • Any major surgery within 28 days prior to randomization.
  • Prior allogeneic/autologous stem cell transplant or solid organ transplant (other than corneal).
  • Presence of peripheral neuropathy >=Grade 2 per NCI CTCAE v6.0.
  • or C active infection, unless protocol defined criteria are met.
  • Any of the following conditions within 6 months prior to randomization:

    1. Unstable angina pectoris
    2. Symptomatic congestive heart failure
    3. Uncontrolled cardiac arrhythmia
    4. >450 msec or QTc >480 msec for participants with bundle branch block.
Terms in these criteria, in plain language(18)

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.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

Corticosteroids (steroids)

Anti-inflammatory medicines such as prednisone, prednisolone and dexamethasone — not the anabolic steroids used for muscle.

Studies differ in what they allow: check which steroid medicines, routes (tablets, injections, creams, inhalers, eye drops) and doses this study accepts.

Childbearing potential

Able to become pregnant: from the first period until menopause, unless permanently unable to through surgery (removal of the womb, or of both ovaries or both fallopian tubes).

Criteria for people of childbearing potential usually ask for a negative pregnancy test and for contraception during the study and for a time after it.

Contraception

Ways of preventing pregnancy. “Highly effective” methods fail less than 1% of the time a year when used correctly — for example an IUD or an implant.

Criteria usually say which methods count and how long to keep using them after the last dose, sometimes for male participants too. Some studies accept a partner’s vasectomy if it was confirmed successful and that person is the participant’s only sexual partner.

ECOG performance status

A scale of how much an illness limits everyday activity. For people being assessed to join a study, scores run from 0 (fully active) to 4; lower is more active.

0
Fully active, no restrictions.
1
Limited in strenuous activity, but walking and able to do light work, such as housework or office work.
2
Walking and able to look after yourself, but unable to work; up and about more than half of waking hours.
3
Able to look after yourself only in part; in bed or a chair more than half of waking hours.
4
Unable to look after yourself at all; in bed or a chair all day.

Studies most often ask for 0–1 or 0–2. Your doctor gives the score; the WHO scale uses the same steps. The full scale also has 5, which records death.

Cancer (malignancy)

Malignancy means cancer. Criteria about another or earlier malignancy ask whether you have had a different cancer, usually within a set number of years.

Some are commonly allowed, such as treated skin cancers other than melanoma and early cancers removed completely — check the exceptions this study lists.

CTCAE grade

The US National Cancer Institute’s scale of how severe an adverse event is — any unwanted medical event during a study, such as a symptom, an illness or an abnormal test result, whether or not a treatment caused it. Whether it did is judged separately.

1
Mild.
2
Moderate.
3
Severe.
4
Life-threatening.
5
Death due to the event.

“Side effects of earlier treatment resolved to grade 1 or less” means they have settled to mild or gone.

Clinically significant

Judged by the study doctor to matter for your health or for the study. It is a doctor’s decision, so ask the study team if you are unsure whether something counts.

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.

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.

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.

Autoimmune disease

A condition in which the immune system attacks the body’s own tissues, such as rheumatoid arthritis, lupus, psoriasis, type 1 diabetes or inflammatory bowel disease.

Immunotherapy studies often leave out active autoimmune disease, and some name exceptions, such as thyroid disease on replacement hormone. Check the exceptions this study lists.

Washout period

A planned gap after a treatment, so that its effects can lessen before the study treatment or a study assessment. Ask the study team and the doctor who prescribed it before changing any medicine.

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.

Allogeneic and autologous transplant

Stem cell (bone marrow) transplants. Allogeneic uses cells from a donor; autologous uses your own cells, collected earlier and given back.

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.

QT and QTc

On an ECG, the QT interval is the time the heart’s lower chambers take to activate electrically and recover in each beat. QTc is that time adjusted for heart rate (QTcF by Fridericia’s formula, QTcB by Bazett’s). Some medicines lengthen it, and a long QTc can raise the risk of a dangerous heart rhythm.

The study may name a correction formula and a limit in milliseconds, often around 450–480.

05

Study design

Phase
Phase 2 / Phase 3
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
136 participants (estimated)

Study arms

  • Experimental
    Momelotinib Dose level 1 + Glucocorticoids

    Participants will receive momelotinib at dose level 1 along with glucocorticoids as a background therapy (prednisone or prednisolone). Due to adaptive design of the study, additional participants may be randomized to this arm in phase 3.

    Drug: Momelotinib · Drug: Glucocorticoids

  • Experimental
    Momelotinib Dose level 2 + Glucocorticoids

    Participants will receive momelotinib at dose level 2 along with glucocorticoids as a background therapy (prednisone or prednisolone). Due to adaptive design of the study, additional participants may be randomized to this arm in phase 3

    Drug: Momelotinib · Drug: Glucocorticoids

  • Placebo comparator
    Placebo + Glucocorticoids

    Participants will receive momelotinib matched placebo along with glucocorticoids as a background therapy(prednisone or prednisolone). Due to adaptive design of the study, additional participants may be randomized to this arm in phase 3

    Drug: Glucocorticoids · Drug: Placebo

Interventions

  • Momelotinib will be administered

    Also known as: GSK3070785

  • Glucocorticoids (prednisone or prednisolone) will be administered

  • DrugPlacebo

    Placebo will be administered

06

What researchers measure

Primary outcomes

  1. ORR (Objective response rate) at Week 26

    ORR is defined as the proportion of participants who have achieved complete response (CR) or partial response (PR) during the 26-week Primary Treatment Period.

    Time frame: At Week 26

Secondary outcomes

  1. Phase 2: Percentage of participants with partial response (PR) or complete response (CR) at Week 26

    Percentage of participants with PR or CR at Week 26 to support identification of the Recommended Phase 3 dose (RP3D)

    Time frame: At Week 26

  2. Phase 2: Number of participants with adverse events and clinically significant changes in laboratory parameters, and vital signs to support identification of the RP3D

    Time frame: Up to 26 Weeks

  3. Phase 2: Plasma concentrations of momelotinib and metabolite of momelotinib 21 (M21) to support identification of the RP3D

    Time frame: Up to 26 Weeks

  4. Number of flare-free days

    Flare-free days are calendar days without clinical evidence of VEXAS flare and without treatment escalation. Total number of flare-free days is defined as the cumulative number of consecutive and non-consecutive flare-free days.

    Time frame: Up to 26 Weeks

  5. Duration of response (DoR)

    DoR defined as the date of clinical response (CR or PR) to the date of relapse.

    Time frame: Up to 104 Weeks

  6. Number of flare-free days with glucocorticoid (GC) dose <=10 mg/day

    Flare-free days are calendar days without clinical evidence of VEXAS flare and without treatment escalation. Total number of flare-free days is defined as the cumulative number of consecutive and non-consecutive flare-free days.

    Time frame: Up to 104 Weeks

  7. Percentage of participants achieving complete and partial biochemical response

    Complete biological response is defined as complete or partial normalization of C-reactive protein.

    Time frame: Up to 26 Weeks

  8. Objective response rate (ORR) at Week 52

    ORR is defined as the proportion of participants who have achieved complete response or partial response

    Time frame: At Week 52

  9. Number of Participants with Hematologic Improvement- Erythroid (HI-E) response per International Working Group (IWG) 2018 criteria

    HI-E response is measured based on the combined incidence of: Low transfusion burden participants defined as absence of any transfusion for greater than or equal to (\>=)8 consecutive weeks. High transfusion burden participants: minor response defined as reduction by \>=50% of red blood cell (RBC) units for \>=8 consecutive weeks. Major response defined as absence of RBC transfusions for \>=8 consecutive weeks or longer up to 26 weeks.

    Time frame: Up to 26 Weeks

  10. Change from Baseline in Short Form 36 (SF-36) domain and summary scores

    Short-Form 36 is a health-related survey that assesses quality of life covering 8 domains: vitality; physical functioning; bodily pain; general health perceptions; physical role functioning; emotional role functioning; social role functioning; and mental health. The domain scores are weighted to a scale ranging between 0 to 100, where higher score represents better health. The Physical Component Summary (PCS) and Mental Component Summary (MCS) scores are derived from the eight domain scores. These scores are standardized to a general U.S. population average of 50, with a standard deviation of 10. For both PCS and MCS, scores range from 0 to 100, higher scores indicate a better health outcome.

    Time frame: Baseline and up to Week 48

  11. Change from Baseline in European Organization for Research and Treatment of Cancer Item Library (EORTC IL) 479 score

    The EORTC Item Library is a database containing \>1000 individual items from more than 70 EORTC quality of life measures. A subset of 7 items from the library were selected based on symptoms experienced by participants with VEXAS syndrome. Scores range from 1 to 100 with higher scores representing a higher ("worse") level of symptoms.

    Time frame: Baseline and up to Week 156

  12. Change From Baseline in Patient Reported Outcome Measurement Information System (PROMIS) Physical Function Short Form 10b

    PROMIS Physical Function Short Form 10b consists of 10 questions; each with a 5-point response. PROMIS short form assesses self-reported capability of a participant rather than actual performance of physical activities. Higher scores indicate better functioning. Total possible range of scores is 10 to 50, with higher scores corresponding to a greater physical function ability.

    Time frame: Baseline and up to Week 156

  13. Change from Baseline in Functional Assessment of Chronic Illness Therapy - Fatigue (FACIT-FATIGUE)

    The FACIT-Fatigue is a short, 13-item questionnaire that assesses self-reported fatigue and its associated impact on daily activities over the past 7 days. A higher score indicates a better outcome (no fatigue). The total score ranges from 0 to 52, with 0 being the worst possible score and 52 being the best possible score (indicating no fatigue).

    Time frame: Baseline and up to Week 156

  14. Changes from Baseline in Patient Global Impression of Severity (PGIS) scores

    The PGIS is a single global question which asks participants to rate the severity of their VEXAS syndrome symptoms on a 5-point rating scale with response categories of "No symptoms", "Mild", "Moderate", "Severe", and "Very Severe." The PGIS scores ranges from 0 (absent) to 4 (very severe).

    Time frame: Baseline and up to Week 156

  15. Changes in Patient Global Impression of Change (PGIC) scores

    The PGIC is a single global question which asks participants to rate the change in severity of their VEXAS syndrome symptoms since starting study medication using a 5-point rating scale with response categories of "much better", "a little better", "no change", "a little worse", "much worse". The PGIC score ranges from +2 (much better) to -2 (much worse).

    Time frame: Baseline and up to Week 156

  16. Changes from Baseline in European quality of life 5 dimensions 5 level version (EQ-5D-5L)

    EQ-5D-5L is self-assessment questionnaire, consisting of 5 items covering 5 dimensions (mobility, self care, usual activities, pain/discomfort, and anxiety/depression). Each dimension is measured by 5-point Likert scale ranging from 1=no problems to 5=extreme problems.

    Time frame: Baseline and up to Week 48

  17. Changes from Baseline in European quality of life-Visual Analogue Scale (EQ-VAS)

    The EQ-VAS records the respondents self-rated health on a vertical VAS, ranging from 0 to 100, where 0 represents the worst imaginable health and 100 represents the best imaginable health.

    Time frame: Baseline and up to Week 48

  18. Number of participants with adverse events (AEs) and Serious adverse events (SAEs)

    Time frame: Up to Week 108

  19. Number of participants with adverse events (AEs) and Serious adverse events (SAEs) by severity

    Time frame: Up to Week 108

  20. Number of participants with AEs leading to discontinuation or dose modifications

    Time frame: Up to Week 108

  21. Plasma concentration of momelotinib and M21

    Time frame: Up to 26 Weeks

  22. Overall Survival

    Overall survival is defined as the time from randomization to the date of death due to any cause.

    Time frame: At Months 12, 24 and 36

07

Study locations

No study locations are listed for this record.

08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Start is estimated for Aug 2026; primary completion for Dec 2028, 28 months later.

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

Registered
Apr 28, 2026
First posted
May 6, 2026
StartEst.
Aug 5, 2026
Primary completionEst.
Dec 6, 2028
CompletionEst.
Jun 4, 2031
Last update
Jun 1, 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.
No changes since tracking began. The registry record was last updated on Jun 1, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT07569081
Lead sponsor
GlaxoSmithKline
Responsible party
Sponsor
First posted
May 6, 2026
Start date
Aug 5, 2026 (estimated)
Primary completion
Dec 6, 2028 (estimated)
Completion
Jun 4, 2031 (estimated)
Last update
Jun 1, 2026

Study contacts

US GSK Clinical Trials Call Center
Contact
GSKClinicalSupportHD@gsk.com
877-379-3718
EU GSK Clinical Trials Call Center
Contact
GSKClinicalSupportHD@gsk.com
+44 (0) 20 89904466
GSK Clinical Trials
study director · GlaxoSmithKline

Oversight

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

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

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Discussion

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Studies of the drug tested here: Momelotinib

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