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Arthritis, PsoriaticPhase 2NCT05640245

Evaluation of Sonelokimab for the Treatment of Patients With Active Psoriatic Arthritis

A Phase 2 study testing Sonelokimab and Adalimumab in people with Arthritis, Psoriatic, run by MoonLake Immunotherapeutics AG at 42 sites in 8 countries.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

This is a study to demonstrate the clinical efficacy and safety of the nanobody® sonelokimab administered subcutaneously (sc) compared with placebo in the treatment of adult participants with active psoriatic arthritis. The study includes adalimumab treatment as an active reference arm. Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Arthritis, Psoriatic
What is being tested?
Sonelokimab and Adalimumab
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
207 participants
Where
42 sitesin 8 countries
Study dates
13 Dec 2022to 15 Jan 2024
Phase
Phase 2
Are there results?
Yes, posted in the registrySummary in the doctors' view

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Participant is ≥18 years of age;
  • Participant has a confirmed diagnosis of PsA per the 2006 Classification criteria for Psoriatic Arthritis (CASPAR) with symptoms for ≥6 months prior to the Screening Visit;
  • Participant has active disease (defined by a TJC68 of ≥3 and a SJC66 of ≥3);
  • Participant has either current active PsO or a dermatologist confirmed history of PsO;
  • Participant tests negative for rheumatoid factor (RF) at the Screening Visit;
  • Participant tests negative for anti-cyclic citrullinated peptide (CCP) antibodies at the Screening Visit;
  • Participant must be, in the opinion of the investigator, a suitable candidate for treatment with adalimumab per approved local product information.

Who cannot join

  • Participant with known hypersensitivity to sonelokimab or any of its excipients;
  • Participant with known hypersensitivity to adalimumab or any of its excipients;
  • Participant who has previously failed on anti-interleukin (IL)-17 therapy;
  • Participant who has previously failed on anti-tumor necrosis factor alpha (TNFα) therapy;
  • Participant who has had previous exposure to more than 2 biologic agents of any type to treat PsA prior to the Screening Visit;
  • Participant who has a diagnosis of chronic inflammatory conditions other than PsO or PsA;
  • Participant who has a diagnosis of arthritis mutilans

Trial locations and contacts

42 sites in 8 countries.

42 sites in 8 countries

Poland17 sites
  • Clinical Site

    Bialystok, 15-077

  • Clinical Site

    Bialystok, 15-351

  • Clinical Site

    Bialystok, 15-879

  • Clinical Site

    Bydgoszcz, 85-065

  • Clinical Site

    Bydgoszcz, 85-168

  • Clinical Site

    Elblag, 82-300

  • Clinical Site

    Gdynia, 81-338

  • Clinical Site

    Krakow, 30-727

  • Clinical Site

    Lodz, 90-242

  • Clinical Site

    Nadarzyn, 05-830

  • Clinical Site

    Nowa Sól, 67-100

  • Clinical Site

    Olsztyn, 10-117

  • Clinical Site

    Poznan, 61-113

  • Clinical Site

    Sochaczew, 96-500

  • Clinical Site

    Swidnica, 58-100

  • Clinical Site

    Warsaw, 02-665

  • Clinical SIte

    Wroclaw, 52-416

Other trials in Poland

Bulgaria8 sites
  • Clinical Site

    Pleven, 5800

  • Clinical Site

    Pleven, 5803

  • Clinical Site

    Plovdiv, 4002

  • Clinical Site

    Plovdiv, 4003

  • Clinical Site

    Rousse, 7002

  • Clinical Site

    Sofia, 1336

  • Clinical Site

    Stara Zagora, 6000

  • Clinical Site

    Varna, 9000

Other trials in Bulgaria

Hungary6 sites
  • Clinical Site

    Budapest, 1023

  • Clinical Site

    Budapest, 1027

  • Clinical Site

    Budapest, 1036

  • Clinical Site

    Székesfehérvár, 8000

  • Clinical Site

    Szentes, 6600

  • Clinical Site

    Veszprém, 8200

Other trials in Hungary

Spain4 sites
  • Clinical Site

    Madrid, 28100

  • Clinical Site

    Sabadell, 8208

  • Clinical Site

    Santiago de Compostela, 15702

  • Clinical Site

    Seville, 41010

Other trials in Spain

United States2 sites
  • Clinical Site

    Duncansville, Pennsylvania, 16635

  • Clinical Site

    Rancho Mirage, California, 92260

Other trials in United States

Estonia2 sites
  • Clinical Site

    Tallinn, 10128

  • Clinical Site

    Tartu, 20708

Other trials in Estonia

Germany2 sites
  • Clinical Site

    Hamburg, 20095

  • Clinical Site

    Herne, 44649

Other trials in Germany

Czechia1 site
  • Clinical Site

    Ostrava, 702 00

Other trials in Czechia

About this study

Official title: Phase 2, Randomized, Parallel-group, Double-blind, Placebo-controlled Study of Sonelokimab in Patients With Active Psoriatic Arthritis

This is a study to demonstrate the clinical efficacy and safety of the nanobody® sonelokimab administered subcutaneously (sc) compared with placebo in the treatment of adult participants with active psoriatic arthritis. The study includes adalimumab treatment as an active reference arm.

Read the detailed description

Patients will be randomized to receive one of three sonelokimab treatment regimes, adalimumab or placebo. Primary efficacy evaluation will take place at Week 12. Patients will be allocated to a further 12 weeks of treatment with sonelokimab or adalimumab based on response assessment at week 12. In certain countries, treatment will end at week 12.

Being tested
Sonelokimab, Placebo, Adalimumab
Keywords
Arthritis, Psoriatic, Skin Diseases, Joint Diseases, Arthritis, Psoriasis
Medical subject headings
Arthritis, Psoriatic, Skin Diseases, Joint Diseases, Arthritis, Psoriasis

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • SonelokimabDrug

    Also called M1095

    randomized treatment; parallel group

  • PlaceboDrug

    randomized treatment; parallel-group

  • AdalimumabDrug

    randomized treatment; parallel-group

Study groups in NCT05640245
Study groupRoleWhat they receive
sonelokimab dose regimen 1ExperimentalSubjects randomized to this arm will receive assigned sonelokimab dosage regimen 1
Receives: Drug: Sonelokimab
sonelokimab dose regimen 2ExperimentalSubjects randomized to this arm will receive assigned sonelokimab dosage regimen 2
Receives: Drug: Sonelokimab
sonelokimab dose regimen 3ExperimentalSubjects randomized to this arm will receive assigned sonelokimab dosage regimen 3
Receives: Drug: Sonelokimab
PlaceboPlacebo comparatorSubjects randomized to this arm will receive placebo
Receives: Drug: Placebo
adalimumabActive comparatorSubjects randomized to this arm will receive adalimumab
Receives: Drug: Adalimumab

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Percentage of Participants Achieving an American College of Rheumatology 50% (ACR50) Response at Week 12

    The ACR50 response criteria was a response of at least 50% improvement from baseline based on both swollen joint count (66 joints) and tender joint count (68 joints), and at least 50% improvement from baseline in at least 3 of the following 5 variables: 1) participant's assessment of arthritis pain (PtAAP) on a Visual Analog Scale (VAS, no pain =0 to severe pain =100); 2) participant's global assessment of disease activity (PtGADA) on a VAS (very well =0 to very poor =100); 3) physician's global assessment of disease activity (phGADA) on a VAS (very well =0 to very poor =100); 4) participant's assessment of physical function as measured by the Health Assessment Questionnaire Disability Index (HAQ-DI) (overall score ranging from 0 [mild disability] to 3 [very severe disability]); and 5) high sensitivity C-reactive protein (hs-CRP, decrease indicates improvement). A non-responder imputation (NRI) method was used for missing data.

    Measured: At Week 12

Secondary outcomes (8)
  1. Percentage of Participants Achieving an American College of Rheumatology 20% (ACR20) Response at Weeks 2, 4, and 8 and 12

    The ACR20 response criteria was a response of at least 20% improvement from baseline based on both swollen joint count (66 joints) and tender joint count (68 joints), and at least 20% improvement from baseline in at least 3 of the following 5 variables: 1) PtAAP on a VAS (no pain =0 to severe pain =100); 2) PtGADA on a VAS (very well =0 to very poor =100); 3) phGADA on a VAS (very well =0 to very poor =100); 4) participant's assessment of physical function as measured by the HAQ-DI (overall score ranging from 0 [mild disability] to 3 [very severe disability]); and 5) hs-CRP (decrease indicates improvement). An NRI method was used for missing data. ACR20 response rate at Week 12 was analyzed as a key secondary outcome measure.

    Measured: At Weeks 2, 4, 8, and 12

  2. Percentage of Participants Achieving a Psoriasis Area and Severity Index 90 (PASI90) Response at Weeks 4, 8 and 12, in Participants With Psoriasis Involving at Least 3% Body Surface Area (BSA) at Baseline

    The PASI is a validated tool to dynamically assess psoriasis severity. The PASI produces a numeric score that ranges from 0 (no disease) to 72 (maximal disease). A PASI90 response was defined as greater than or equal to 90% improvement (reduction) in PASI score from baseline. An NRI method was used for missing data. PASI90 response at Week 12 was analyzed as a key secondary outcome measure.

    Measured: At Weeks 4, 8, and 12

  3. Percentage of Participants Achieving an ACR50 Response at Weeks 2, 4, and 8

    The ACR50 response criteria was a response of at least 50% improvement from baseline based on both swollen joint count (66 joints) and tender joint count (68 joints), and at least 50% improvement from baseline in at least 3 of the following 5 variables: 1) PtAAP on a VAS (no pain =0 to severe pain =100); 2) PtGADA on a VAS (very well =0 to very poor =100); 3) phGADA on a VAS (very well =0 to very poor =100); 4) participant's assessment of physical function as measured by the HAQ-DI (overall score ranging from 0 [mild disability] to 3 [very severe disability]); and 5) hs-CRP (decrease indicates improvement). An NRI method was used for missing data.

    Measured: At Weeks 2, 4, and 8

  4. Percentage of Participants Achieving an American College of Rheumatology 70% (ACR70) Response at Weeks 2, 4, 8, and 12

    The ACR70 response criteria was a response of at least 70% improvement from baseline based on both swollen joint count (66 joints) and tender joint count (68 joints), and at least 70% improvement from baseline in at least 3 of the following 5 variables: 1) PtAAP on a VAS (no pain =0 to severe pain =100); 2) PtGADA on a VAS (very well =0 to very poor =100); 3) phGADA on a VAS (very well =0 to very poor =100); 4) participant's assessment of physical function as measured by the HAQ-DI (overall score ranging from 0 [mild disability] to 3 [very severe disability]); and 5) hs-CRP (decrease indicates improvement). An NRI method was used for missing data.

    Measured: At Weeks 2, 4, 8, and 12

  5. Percentage of Participants Achieving Minimal Disease Activity at Week 12

    Minimal disease activity was defined as meeting 5 of the following 7 criteria: tender joint count (68 joints) ≤1; swollen joint count (66 joints) ≤1; psoriasis area and severity index ≤1 or psoriasis affecting ≤1% of body surface area; PtAAP ≤15 on a VAS (0 = no pain to 100 = severe pain); PtGADA ≤20 on a VAS (0 = very well to 100 = very poor); HAQ-DI ≤0.5 (overall score ranging from 0 [mild disability] to 3 [very severe disability]); and Leeds Enthesitis Index (LEI) ≤1 (overall score ranging from 0 to 6, with higher scores indicating greater disease severity). An NRI method was used for missing data.

    Measured: At Week 12

  6. Percentage of Participants Who Achieved a PASI75 Response at Week 12, in Participants With Psoriasis Involving at Least 3% BSA at Baseline

    The PASI is a validated tool to dynamically assess psoriasis severity. The PASI produces a numeric score that ranges from 0 (no disease) to 72 (maximal disease). A PASI75 response was defined as greater than or 75% improvement (reduction) in PASI score from baseline. An NRI method was used for missing data.

    Measured: At Week 12

  7. Percentage of Participants Achieving a PASI100 Response at Week 12, in Participants With Psoriasis Involving at Least 3% BSA at Baseline

    The PASI is a validated tool to dynamically assess psoriasis severity. The PASI produces a numeric score that ranges from 0 (no disease) to 72 (maximal disease). A PASI100 response was defined as 100% improvement (reduction) in PASI score from baseline. An NRI method was used for missing data.

    Measured: At Week 12

  8. Change From Baseline in Modified Nail Psoriasis Severity Index (mNAPSI) Score at Week 12

    The mNAPSI is a tool to assess psoriatic nail involvement. Three groups of features (pitting, onycholysis, and oil-drop dyshromia and crumbling) for each fingernail are graded on a scale from 0 to 3. Four features (leukonychia, splinter hemorrhages, hyperkeratosis, and red spots in the lunula) are graded as either present (1) or absent (0) in each fingernail. The total score was calculated by summing the score for each feature and each fingernail and ranged from 0 to 130, with higher scores indicating greater nail disease. A negative change from baseline indicated an improvement in nail disease.

    Measured: Baseline and Week 12

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted7 Dec 2022
  2. Study start13 Dec 2022
  3. Primary completion5 Sep 2023
  4. Study completion15 Jan 2024

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Triple blind
Who is masked
Participant, Investigator, Outcomes assessor
Enrolment
207 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05640245
Sponsor's protocol ID
M1095-PSA-201
Status last verified
Aug 2026
First submitted
28 Nov 2022
Last updated
10 Sep 2026
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
No

Publications

  • McInnes IB, Coates LC, Mease PJ, Ogdie A, Kavanaugh A, Eder L, Schett G, Kivitz A, McGonagle D, Brennan N, Godwood A, Cullen E, Reich K, Ritchlin CT, Merola JF. Sonelokimab, an IL-17A/IL-17F-inhibiting nanobody for active psoriatic arthritis: a randomized, placebo-controlled phase 2 trial. Nat Med. 2025 Dec;31(12):4160-4171. doi: 10.1038/s41591-025-03971-6. Epub 2025 Oct 6.

    PubMed 41053449

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing Sonelokimab and Adalimumab in people with Arthritis, Psoriatic, run by MoonLake Immunotherapeutics AG at 42 sites in 8 countries.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 7 inclusion and 7 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 10 Sep 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 42 sites in Poland, Bulgaria, Hungary, Spain, United States and 3 more countries. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

Yes. Results are posted in the registry (first posted 10 Sep 2026). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Percentage of Participants Achieving an American College of Rheumatology 50% (ACR50) Response at Week 12 (time frame: At Week 12). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT05640245, which also lists 1 linked publication.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 10 Sep 2026.

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