Actively Recruiting

Phase 1
Phase 2
Age: 18Years - 65Years
All Genders
NCT07047703

EAST-1 (ERAP-inhibition in Axial Spondyloarthritis Trial - 1)

Led by Grey Wolf Therapeutics · Updated on 2026-05-14

141

Participants Needed

15

Research Sites

165 weeks

Total Duration

On this page

AI-Summary

What this Trial Is About

GRWD0715 is an orally administered, selective inhibitor of the Endoplasmic Reticulum Aminopeptidase 1 \[ERAP1\] enzyme being explored as a potential new treatment for axial spondyloarthritis (axSpA), a long term condition caused by inflammation predominantly affecting the sacroiliac joints (SIJs) and spine.

CONDITIONS

Official Title

EAST-1 (ERAP-inhibition in Axial Spondyloarthritis Trial - 1)

Who Can Participate

Age: 18Years - 65Years
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Healthy males and females aged 18-55 years at screening for Part A
  • Willing and able to comply with study requirements, including dietary restrictions
  • Willing to follow contraception requirements
  • Non-smokers or ex-smokers who have not smoked in the past 6 months
  • Body Mass Index between 19 and 30
  • Males and females aged 18-65 years with axial spondyloarthritis
  • Diagnosis of axial spondyloarthritis meeting ASAS classification criteria
  • Positive HLA-B27 test
  • Evidence of active sacroiliac joint inflammation on MRI or elevated C-reactive protein (CRP 9.0 mg/L)
  • Symptoms lasting at least 3 months
  • Disease onset before age 40
  • Ankylosing Spondylitis Disease Activity Score (ASDAS) 9 2.1 on current treatment
  • Currently treated with NSAIDs but with inadequate response or intolerance
  • May have received up to 1 biologic or targeted synthetic DMARD (2 in Australia) and discontinued due to intolerance or inadequate efficacy
  • Required washout period from prior biologic or JAK inhibitor treatments before Day 1
Not Eligible

You will not qualify if you...

  • Any clinically significant medical conditions or findings that would prevent study participation
  • Participation in other clinical drug studies recently (within 124 days for new chemical entities or 93 days for marketed drugs)
  • Known infection or risk factors for HIV, hepatitis B, or hepatitis C
  • Use of more than 1 biologic or JAK inhibitor DMARD (more than 2 in Australia) or other prohibited medications
  • Low blood counts (hemoglobin <10 g/dL, low white blood cells, neutrophils, lymphocytes, or platelets)
  • Liver function tests higher than 1.5 times upper normal limits
  • History of other autoimmune rheumatic diseases or fibromyalgia
  • Active anterior uveitis
  • Active or symptomatic inflammatory bowel disease
  • Presence of psoriasis is allowed if stable or previous history only

AI-Screening

AI-Powered Screening

Complete this quick 3-step screening to check your eligibility

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Trial Site Locations

Total: 15 locations

1

University of the Sunshine Coast (UniSC)

Birtinya, Australia

Actively Recruiting

2

University of the Sunshine Coast (UniSC)

Morayfield, Australia

Completed

3

The Colin Bayliss Research and Teaching Unit

Perth, Australia

Not Yet Recruiting

4

Pioneer Clinical Research

Sydney, Australia

Actively Recruiting

5

University Ghent

Ghent, Belgium

Actively Recruiting

6

UZ Leuven

Leuven, Belgium

Actively Recruiting

7

Rheumazentrum Ruhrgebiet, Ruhr-University Bochum

Bochum, Germany

Actively Recruiting

8

Universitätsklinikum Erlangen - Medizinische Klinik 3

Erlangen, Germany

Not Yet Recruiting

9

Amsterdam University Medical Center

Amsterdam, Netherlands

Actively Recruiting

10

Leids Universitair Medisch Centrum (LUMC) (Leiden University Medical Center)

Leiden, Netherlands

Not Yet Recruiting

11

ETG Lublin

Lublin, Poland

Not Yet Recruiting

12

Reumedika

Poznan, Poland

Not Yet Recruiting

13

La Paz University Hospital

Madrid, Fuencarral-El Pardo, Spain, 28046

Not Yet Recruiting

14

Reina Sofia University Hospital

Córdoba, Poniente Sur, Spain, 14004

Not Yet Recruiting

15

University hospital Parc Tauli de Sabadell

Sabadell, Spain

Not Yet Recruiting

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Research Team

G

Grey Wolf Therapeutics Patient enquiries

CONTACT

How is the study designed?

Study Type

INTERVENTIONAL

Masking

NONE

Allocation

NON_RANDOMIZED

Model

SEQUENTIAL

Primary Purpose

TREATMENT

Number of Arms

4

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