Clinical trial NCT04762277: A Study to Test Whether Spesolimab Helps People With a Skin Disease Called Hidradenitis Suppurativa
Official title: Randomized, Double-blind, Placebo-controlled, Study of Spesolimab in Patients With Moderate to Severe Hidradenitis Suppurativa
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: PHASE2
Conditions: Hidradenitis Suppurativa
Lead sponsor: Boehringer Ingelheim
Sponsor class: INDUSTRY
First posted: 2021-02-21
Enrollment: 52
Sex: ALL
Minimum age (years): 18
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: TREATMENT

Brief summary: This study is open to adults with a chronic inflammatory skin disease called hidradenitis suppurativa. The purpose of this study is to find out whether a medicine called spesolimab helps people with moderate to severe hidradenitis suppurativa.

Participants are put into 2 groups by chance. One group takes spesolimab. The other group takes placebo. Every participant has twice the chance of being in the spesolimab group than in the placebo group. Participants get spesolimab or placebo as an infusion into a vein every week for the first 3 weeks. Afterwards, they get spesolimab or placebo as injections under the skin every 2 weeks. Placebo infusions and injections look like spesolimab infusions and injections but do not contain any medicine.

Participants are treated in the study for about 3 months. During this time, they visit the study site about 9 times. After completing this part of the study, participants are offered to join another clinical study in which all participants get spesolimab. Participants who cannot join the other study, stay in this study for about 4 more months. During this time, participants do not take spesolimab nor placebo but they visit the study site 2 times to have their health checked.

At study visits, doctors thoroughly check the skin of participants to count lumps (nodules) and boils (abscesses). The results between the spesolimab group and the placebo group are compared after 3 months of treatment. The doctors also regularly check the general health of the participants.


Eligibility criteria: Inclusion Criteria:

* Male or female adult patients, 18 years of age or older
* Signed and dated written informed consent in accordance with International Council on Harmonisation (ICH) Good Clinical Practice (GCP) and local legislation prior to the start of any screening procedures
* Moderate to severe Hidradenitis suppurativa (HS), based on International Hidradenitis Suppurativa Severity Score System (IHS4) criteria, for at least 1 year prior to the baseline visit, as determined by the investigator through participant interview and/or review of the medical history. (If IHS4 scoring is not available, equivalent scoring based on scoring systems as HS-PGA or Hurley are acceptable based on documented investigator assessment)
* HS lesions in at least 2 distinct anatomic area (right/left axillary, inguinal, inframammary, perineal)
* Biologic naive or TNF inhibitor (TNFi)-failure for HS
* Inadequate response to an adequate course of appropriate oral antibiotics for treatment of HS in the last 1 year, as per investigator discretion. This is not applicable for TNFi-failure patients
* Total abscess and inflammatory nodule (AN) count of greater than or equal to 5
* Total draining fistula count of less than or equal to 20 Further inclusion criteria apply

Exclusion Criteria:

* Presence of active skin lesions other than HS that interfere with the assessment of HS
* Use of restricted medications as below:

  * Topical corticosteroids over HS lesions within 1 week of Visit 2
  * Systemic antibiotics within 4 weeks of visit 2
  * Systemic non-biologic immunomodulatory and/or immunosuppressive agents use for HS within 4 weeks (or 5 half lives, whichever is longer) of visit 2
  * Biologic agents use within 12 weeks or 5 half-lives, whichever is longer, prior to visit 2
  * Opioid analgesics within 2 weeks of visit 2
  * Live virus vaccine within 6 weeks of visit 2
* Prior exposure to any immunosuppressive biologic other than TNFi for HS
* Prior exposure to Interleukin 36 Receptor (IL-36R) inhibitors including spesolimab
* Treatment with any investigational device or investigational drug of chemical or biologic nature within a minimum of 30 days or 5 half-lives of the drug, whichever is longer, prior to visit 2
* Women who are pregnant, nursing, or who plan to become pregnant while in the trial. Women who stop nursing before the study drug administration do not need to be excluded from participating
* History of allergy/hypersensitivity to the systemically administered trial medication agent or its excipients
* Patient with a transplanted organ (with exception of a corneal transplant \> 12 weeks prior to screening) or who have ever received stem cell therapy (e.g., Remestemcel-L) Further exclusion criteria apply

Primary outcomes:
measure: Percent Change From Baseline in Total Abscess and Inflammatory Nodule Count at Week 12
timeFrame: MMRM included measurements from baseline (Week 0) and at Weeks 1, 2, 4, 6, 8, 10, and 12 after first drug administration. MMRM estimates of percent change from baseline to Week 12 is reported.
Secondary outcomes:
measure: Percent Change From Baseline in Draining Fistula Count at Week 12
timeFrame: MMRM included measurements from baseline (Week 0) and at Weeks 1, 2, 4, 6, 8, 10, and 12 after first drug administration. MMRM estimates of percent change in draining fistula from baseline to Week 12 is reported.
measure: Achievement of Hidradenitis Suppurativa Clinical Response (HiSCR) at Week 12
timeFrame: At baseline (Week 0) and at Week 12.
measure: Absolute Change From Baseline in International Hidradenitis Suppurativa Severity Score System (IHS4) Value at Week 12
timeFrame: MMRM included measurements at baseline (Week 0) and at Weeks 1, 2, 4, 6, 8, 10, and 12 after first drug administration. MMRM estimates of absolute change in IHS4 from baseline to Week 12 is reported.
measure: Absolute Change From Baseline in Hidradenitis Suppurativa Area and Severity Index (HASI) Score at Week 12
timeFrame: MMRM included measurements at baseline (Week 0) and at Weeks 1, 2, 4, 6, 8, 10, and 12 after first drug administration. MMRM estimates of absolute change from baseline in HASI score at Week 12 is reported in the table below.
measure: Achievement of Hidradenitis Suppurativa Physician Global Assessment (HS-PGA) Score of 0 or 1 at Week 12
timeFrame: At Week 12.
measure: Achievement of at Least 30% Reduction From Baseline in Numerical Rating Scale (NRS30) in Patient's Global Assessment of HS Pain at Week 12
timeFrame: At baseline (Week 0) and at Week 12.
measure: Occurrence of Complete Elimination of Draining Fistulas at Week 12
timeFrame: Baseline (Week 0) and at Week 12.
measure: Occurrence of at Least One Flare at Week 12
timeFrame: At Week 12.
measure: Absolute Change From Baseline in Dermatology Life Quality Index (DLQI) Score at Week 12
timeFrame: MMRM included measurements at baseline (Week 0) and at Weeks 1, 4, 8, and 12 after first drug administration. MMRM estimates of absolute change in DLQI from baseline to Week 12 is reported.
measure: Absolute Change From Baseline in Hidradenitis Suppurativa Quality of Life (HiS-QoL) Total Score at Week 12
timeFrame: MMRM included measurements at baseline (Week 0) and at Weeks 1, 4, 8, and 12 after first drug administration. MMRM estimates of absolute change in HiS-QoL from baseline to Week 12 is reported.
measure: The Occurrence of Treatment Emergent Adverse Events (TEAEs)
timeFrame: Up to 12 weeks for patients who did roll-over to the open-label extension (OLE) trial (trial number 1368-0067 (NCT04876391)) and up to 28 weeks who did not roll-over to the OLE trial. For details please see description.
Other outcomes:
Locations:
city: Los Angeles
country: United States
facility: Dermatology Research Associates
state: California
city: Indianapolis
country: United States
facility: Dawes Fretzin Clinical Research Group, LLC
state: Indiana
city: Rochester
country: United States
facility: Mayo Clinic, Rochester
state: Minnesota
city: Oklahoma City
country: United States
facility: Unity Clinical Research
state: Oklahoma
city: Pittsburgh
country: United States
facility: University of Pittsburgh Medical Center
state: Pennsylvania
city: Sydney
country: Australia
facility: Holdsworth House Medical Practice
state: New South Wales
city: Parkville
country: Australia
facility: Royal Melbourne Hospital
state: Victoria
city: Bruxelles
country: Belgium
facility: ULB Hopital Erasme
city: Newmarket
country: Canada
facility: Dr. S. K. Siddha Medicine Professional Corporation
state: Ontario
city: Ostrava
country: Czechia
facility: University Hospital Ostrava
city: Bezannes
country: France
facility: CLI Reims Bezannes
city: Lyon
country: France
facility: HOP Edouard Herriot
city: Toulouse
country: France
facility: HOP Larrey
city: Bochum
country: Germany
facility: Katholisches Klinikum Bochum gGmbH
city: Dessau
country: Germany
facility: Städtisches Klinikum Dessau
city: Frankfurt am Main
country: Germany
facility: Universitätsklinikum Frankfurt
city: Ancona
country: Italy
facility: Ospedali Riuniti di Ancona
city: Pisa
country: Italy
facility: Azienda Ospedaliera Universitaria Pisana
city: Rotterdam
country: Netherlands
facility: Erasmus Medisch Centrum
city: Bergen
country: Norway
facility: Haukeland Universitetssykehus
city: Bodø
country: Norway
facility: Nordlandssykehuset HF, Bodø
city: Oslo
country: Norway
facility: Oslo Universitetssykehus HF, Rikshospitalet
city: Ossy
country: Poland
facility: Non-Public Health Care Facility LABDERM
city: Wroclaw
country: Poland
facility: Cityclinic Medical and Psychological Clinic Matusiak Partnership
city: Barcelona
country: Spain
facility: Hospital Santa Creu i Sant Pau
Study officials:
References: