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Evaluation of Safety and Efficacy of Avacopan in Subjects With Moderate to Severe Hidradenitis Suppurativa (AURORA)

Primary Purpose

Hidradenitis Suppurativa, Acne Inversa

Status
Completed
Phase
Phase 2
Locations
United States
Study Type
Interventional
Intervention
Avacopan
Placebo
Sponsored by
ChemoCentryx
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Hidradenitis Suppurativa focused on measuring Avacopan, ChemoCentryx, Skin Disease, Inflammatory nodule, Abscess, Sinus formation, Fistula formation

Eligibility Criteria

18 Years - undefined (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • At least 18 years of age
  • Clinical diagnosis of HS (Hurley Stage II or III), confirmed by a dermatologist, for at least 6 months prior to Screening
  • HS lesions are present in at least 2 distinct anatomic areas
  • Inadequate or loss of response to a systemic course of antibiotics typically of at least 90 days
  • Must have at least 5 inflammatory nodules or abscesses at screening
  • Use adequate birth control for subject and partners of child bearing potential
  • Willing and able to give written Informed Consent

Exclusion Criteria:

  • Pregnant or breast-feeding
  • Any other skin disease that may interfere with the assessment of HS
  • Rapidly progressive, expanding HS within 30 days prior to screening
  • More than 20 draining fistulae at screening
  • Any anti-TNF-α treatment for HS or for other conditions prior to Day 1 visit will be prohibited. Exception: Subjects who were previously treated with an anti-TNF-α drug and discontinued treatment >12 weeks prior to Day 1 visit are allowed for enrollment
  • Systemic antibiotics are generally excluded
  • Topical antibiotics use within 14 days prior to Day 1 is excluded
  • Have started a topical prescription medicine for HS within 14 days prior to screening
  • A systemic medicine for HS, including biologics and other systemic therapies
  • Have received within 14 days prior to Day 1 visit or is expected to require oral or transdermal opioid analgesics (except for tramadol) for any reason

Sites / Locations

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Arms of the Study

Arm 1

Arm 2

Arm 3

Arm Type

Placebo Comparator

Active Comparator

Active Comparator

Arm Label

Group A

Group B

Group C

Arm Description

Placebo b.i.d

Avacopan 10 mg b.i.d

Avacopan 30 mg b.i.d

Outcomes

Primary Outcome Measures

Primary efficacy endpoint assessed by the proportion of subjects achieving Hidradenitis Suppurativa Clinical Response (HiSCR) at Week 12.
The proportion of subjects achieving Hidradenitis Suppurativa Clinical Response (HiSCR) at Week 12.

Secondary Outcome Measures

Full Information

First Posted
February 22, 2019
Last Updated
October 27, 2022
Sponsor
ChemoCentryx
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1. Study Identification

Unique Protocol Identification Number
NCT03852472
Brief Title
Evaluation of Safety and Efficacy of Avacopan in Subjects With Moderate to Severe Hidradenitis Suppurativa (AURORA)
Official Title
A Randomized, Double-Blind, Placebo-Controlled, Parallel Group, Phase 2 Study to Evaluate the Safety and Efficacy of Avacopan in Subjects With Moderate to Severe Hidradenitis Suppurativa
Study Type
Interventional

2. Study Status

Record Verification Date
October 2022
Overall Recruitment Status
Completed
Study Start Date
December 28, 2018 (Actual)
Primary Completion Date
July 30, 2020 (Actual)
Study Completion Date
March 9, 2021 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
ChemoCentryx

4. Oversight

Studies a U.S. FDA-regulated Drug Product
Yes
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
Yes

5. Study Description

Brief Summary
Phase 2 study of Avacopan in Subjects with Moderate to Severe Hidradenitis Suppurativa
Detailed Description
A Randomized, Double-Blind, Placebo-Controlled, Parallel Group, Phase 2 study in subjects with moderate to severe Hidradenitis Suppurativa. The study is multicenter and will consist of three subject groups. Subjects will be randomized 1:1:1 to a treatment of 10mg avacopan twice daily, 30 mg avacopan twice daily or placebo twice daily for 12 weeks. Following the 12 weeks double-blind treatment period, subjects on placebo will be re-randomized 1:1 to receive 10 mg or 30 mg avacopan twice daily for additional 24 weeks. Subjects treated with avacopan will continue to receive the same dose (either 10 mg or 30 mg twice daily) for additional 24 weeks. Subjects will be on study treatment for 36 weeks and will be followed for 44 weeks for assessment of safety and efficacy. Primary efficacy analysis will be at 12 weeks.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Hidradenitis Suppurativa, Acne Inversa
Keywords
Avacopan, ChemoCentryx, Skin Disease, Inflammatory nodule, Abscess, Sinus formation, Fistula formation

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 2
Interventional Study Model
Parallel Assignment
Masking
ParticipantInvestigator
Allocation
Randomized
Enrollment
435 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Group A
Arm Type
Placebo Comparator
Arm Description
Placebo b.i.d
Arm Title
Group B
Arm Type
Active Comparator
Arm Description
Avacopan 10 mg b.i.d
Arm Title
Group C
Arm Type
Active Comparator
Arm Description
Avacopan 30 mg b.i.d
Intervention Type
Drug
Intervention Name(s)
Avacopan
Other Intervention Name(s)
CCX168
Intervention Description
Active treatment
Intervention Type
Other
Intervention Name(s)
Placebo
Intervention Description
Placebo
Primary Outcome Measure Information:
Title
Primary efficacy endpoint assessed by the proportion of subjects achieving Hidradenitis Suppurativa Clinical Response (HiSCR) at Week 12.
Description
The proportion of subjects achieving Hidradenitis Suppurativa Clinical Response (HiSCR) at Week 12.
Time Frame
12 weeks

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: At least 18 years of age Clinical diagnosis of HS (Hurley Stage II or III), confirmed by a dermatologist, for at least 6 months prior to Screening HS lesions are present in at least 2 distinct anatomic areas Inadequate or loss of response to a systemic course of antibiotics typically of at least 90 days Must have at least 5 inflammatory nodules or abscesses at screening Use adequate birth control for subject and partners of child bearing potential Willing and able to give written Informed Consent Exclusion Criteria: Pregnant or breast-feeding Any other skin disease that may interfere with the assessment of HS Rapidly progressive, expanding HS within 30 days prior to screening More than 20 draining fistulae at screening Any anti-TNF-α treatment for HS or for other conditions prior to Day 1 visit will be prohibited. Exception: Subjects who were previously treated with an anti-TNF-α drug and discontinued treatment >12 weeks prior to Day 1 visit are allowed for enrollment Systemic antibiotics are generally excluded Topical antibiotics use within 14 days prior to Day 1 is excluded Have started a topical prescription medicine for HS within 14 days prior to screening A systemic medicine for HS, including biologics and other systemic therapies Have received within 14 days prior to Day 1 visit or is expected to require oral or transdermal opioid analgesics (except for tramadol) for any reason
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
ChemoCentryx Inc
Organizational Affiliation
ChemoCentryx Inc
Official's Role
Study Director
Facility Information:
Facility Name
Clinical Site
City
Birmingham
State/Province
Alabama
ZIP/Postal Code
35233
Country
United States
Facility Name
Clinical Site
City
Birmingham
State/Province
Alabama
ZIP/Postal Code
35244
Country
United States
Facility Name
Clinical Site
City
Mobile
State/Province
Alabama
ZIP/Postal Code
36608
Country
United States
Facility Name
Clinical Site
City
Phoenix
State/Province
Arizona
ZIP/Postal Code
85006
Country
United States
Facility Name
Clinical Site
City
Scottsdale
State/Province
Arizona
ZIP/Postal Code
85255
Country
United States
Facility Name
Clinical Site
City
Fort Smith
State/Province
Arkansas
ZIP/Postal Code
72916
Country
United States
Facility Name
Clinical Site
City
Rogers
State/Province
Arkansas
ZIP/Postal Code
72758
Country
United States
Facility Name
Clinical Site
City
Fountain Valley
State/Province
California
ZIP/Postal Code
92708
Country
United States
Facility Name
Clinical Site
City
Fremont
State/Province
California
ZIP/Postal Code
94538
Country
United States
Facility Name
Clinical Site
City
Fullerton
State/Province
California
ZIP/Postal Code
92821
Country
United States
Facility Name
Clinical Site
City
Huntington Beach
State/Province
California
ZIP/Postal Code
92647
Country
United States
Facility Name
Clinical Site
City
Inglewood
State/Province
California
ZIP/Postal Code
90301
Country
United States
Facility Name
Clinical Site
City
Los Angeles
State/Province
California
ZIP/Postal Code
90025
Country
United States
Facility Name
Clinical Site
City
Los Angeles
State/Province
California
ZIP/Postal Code
90045
Country
United States
Facility Name
Clinical Site
City
Los Angeles
State/Province
California
ZIP/Postal Code
90057
Country
United States
Facility Name
Clinical Site
City
Manhattan Beach
State/Province
California
ZIP/Postal Code
90266
Country
United States
Facility Name
Clinical Site
City
Newport Beach
State/Province
California
ZIP/Postal Code
92660
Country
United States
Facility Name
Clinical Site
City
Northridge
State/Province
California
ZIP/Postal Code
91324
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United States
Facility Name
Clinical Site
City
Redwood City
State/Province
California
ZIP/Postal Code
94063
Country
United States
Facility Name
Clinical Site
City
Thousand Oaks
State/Province
California
ZIP/Postal Code
91320
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United States
Facility Name
Clinical Site
City
Walnut Creek
State/Province
California
ZIP/Postal Code
94598
Country
United States
Facility Name
Clinical Site
City
Boca Raton
State/Province
Florida
ZIP/Postal Code
33486
Country
United States
Facility Name
Clinical Site
City
Clearwater
State/Province
Florida
ZIP/Postal Code
33765
Country
United States
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Clinical Site
City
Hialeah
State/Province
Florida
ZIP/Postal Code
33016
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United States
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Clinical Site
City
Hollywood
State/Province
Florida
ZIP/Postal Code
33021
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United States
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Clinical Site
City
Homestead
State/Province
Florida
ZIP/Postal Code
33030
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United States
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Clinical Site
City
Miami
State/Province
Florida
ZIP/Postal Code
33125
Country
United States
Facility Name
Clinical Site
City
Miami
State/Province
Florida
ZIP/Postal Code
33144
Country
United States
Facility Name
Clinical Site
City
Miami
State/Province
Florida
ZIP/Postal Code
33173
Country
United States
Facility Name
Clinical Site
City
Ocala
State/Province
Florida
ZIP/Postal Code
34470
Country
United States
Facility Name
Clinical Site
City
Orlando
State/Province
Florida
ZIP/Postal Code
32819
Country
United States
Facility Name
Clinical Site
City
Pembroke Pines
State/Province
Florida
ZIP/Postal Code
33028
Country
United States
Facility Name
Clinical Site
City
Tampa
State/Province
Florida
ZIP/Postal Code
33603
Country
United States
Facility Name
Clinical Site
City
Tampa
State/Province
Florida
ZIP/Postal Code
33614
Country
United States
Facility Name
Clinical Site
City
Tampa
State/Province
Florida
ZIP/Postal Code
33624
Country
United States
Facility Name
Clinical Site
City
Weston
State/Province
Florida
ZIP/Postal Code
33327
Country
United States
Facility Name
Clinical Site
City
Atlanta
State/Province
Georgia
ZIP/Postal Code
30322
Country
United States
Facility Name
Clinical Site
City
Marietta
State/Province
Georgia
ZIP/Postal Code
30060
Country
United States
Facility Name
Clinical Site
City
Newnan
State/Province
Georgia
ZIP/Postal Code
30263
Country
United States
Facility Name
Clinical Site
City
Sandy Springs
State/Province
Georgia
ZIP/Postal Code
30328
Country
United States
Facility Name
Clinical Site
City
Boise
State/Province
Idaho
ZIP/Postal Code
83713
Country
United States
Facility Name
Clinical Site
City
Skokie
State/Province
Illinois
ZIP/Postal Code
60077
Country
United States
Facility Name
Clinical Site
City
Skokie
State/Province
Illinois
ZIP/Postal Code
60640
Country
United States
Facility Name
Clinical Site
City
Crown Point
State/Province
Indiana
ZIP/Postal Code
46307
Country
United States
Facility Name
Clinical Site
City
Evansville
State/Province
Indiana
ZIP/Postal Code
47715
Country
United States
Facility Name
Clinical Site
City
Indianapolis
State/Province
Indiana
ZIP/Postal Code
46250
Country
United States
Facility Name
Clinical Site
City
Louisville
State/Province
Kentucky
ZIP/Postal Code
40217
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United States
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Clinical Site
City
Metairie
State/Province
Louisiana
ZIP/Postal Code
70006
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United States
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Clinical Site
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New Orleans
State/Province
Louisiana
ZIP/Postal Code
70124
Country
United States
Facility Name
Clinical Site
City
Largo
State/Province
Maryland
ZIP/Postal Code
20774
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United States
Facility Name
Clinical Site
City
Beverly
State/Province
Massachusetts
ZIP/Postal Code
01915
Country
United States
Facility Name
Clinical Site
City
Boston
State/Province
Massachusetts
ZIP/Postal Code
02101
Country
United States
Facility Name
Clinical Site
City
Quincy
State/Province
Massachusetts
ZIP/Postal Code
94598
Country
United States
Facility Name
Clinical Site
City
Clarkston
State/Province
Michigan
ZIP/Postal Code
48346
Country
United States
Facility Name
Clinical Site
City
Fort Gratiot
State/Province
Michigan
ZIP/Postal Code
48059
Country
United States
Facility Name
Clinical Site
City
Saint Joseph
State/Province
Michigan
ZIP/Postal Code
49085
Country
United States
Facility Name
Clinical Site
City
Troy
State/Province
Michigan
ZIP/Postal Code
48084
Country
United States
Facility Name
Clinical Site
City
Minneapolis
State/Province
Minnesota
ZIP/Postal Code
55455
Country
United States
Facility Name
Clinical Site
City
Saint Louis
State/Province
Missouri
ZIP/Postal Code
63110
Country
United States
Facility Name
Clinical Site
City
Omaha
State/Province
Nebraska
ZIP/Postal Code
68144
Country
United States
Facility Name
Clinical Site
City
Verona
State/Province
New Jersey
ZIP/Postal Code
07044
Country
United States
Facility Name
Clinical Site
City
New York
State/Province
New York
ZIP/Postal Code
10012
Country
United States
Facility Name
Clinical Site
City
Rochester
State/Province
New York
ZIP/Postal Code
14623
Country
United States
Facility Name
Clinical Site
City
Chapel Hill
State/Province
North Carolina
ZIP/Postal Code
27516
Country
United States
Facility Name
Clinical Site
City
Charlotte
State/Province
North Carolina
ZIP/Postal Code
028277
Country
United States
Facility Name
Clinical Site
City
Charlotte
State/Province
North Carolina
ZIP/Postal Code
28209
Country
United States
Facility Name
Clinical Site
City
Charlotte
State/Province
North Carolina
ZIP/Postal Code
28277
Country
United States
Facility Name
Clinical Site
City
Wilmington
State/Province
North Carolina
ZIP/Postal Code
28401
Country
United States
Facility Name
Clinical Site
City
Athens
State/Province
Ohio
ZIP/Postal Code
45701
Country
United States
Facility Name
Clinical Site
City
Bexley
State/Province
Ohio
ZIP/Postal Code
43209
Country
United States
Facility Name
Clinical Site
City
Cleveland
State/Province
Ohio
ZIP/Postal Code
44106
Country
United States
Facility Name
Clinical Site
City
Marion
State/Province
Ohio
ZIP/Postal Code
43302
Country
United States
Facility Name
Clinical Site
City
Mason
State/Province
Ohio
ZIP/Postal Code
45040
Country
United States
Facility Name
Clinical Site
City
Norman
State/Province
Oklahoma
ZIP/Postal Code
73071
Country
United States
Facility Name
Clinical Site
City
Portland
State/Province
Oregon
ZIP/Postal Code
97210
Country
United States
Facility Name
Clinical Site
City
Drexel Hill
State/Province
Pennsylvania
ZIP/Postal Code
19026
Country
United States
Facility Name
Clinical Site
City
Hershey
State/Province
Pennsylvania
ZIP/Postal Code
17033
Country
United States
Facility Name
Clinical Site
City
Philadelphia
State/Province
Pennsylvania
ZIP/Postal Code
19104
Country
United States
Facility Name
Clinical Site
City
Warwick
State/Province
Rhode Island
ZIP/Postal Code
02886
Country
United States
Facility Name
Clinical Site
City
Charleston
State/Province
South Carolina
ZIP/Postal Code
29407
Country
United States
Facility Name
Clinical Site
City
Nashville
State/Province
Tennessee
ZIP/Postal Code
37215
Country
United States
Facility Name
Clinical Site
City
Austin
State/Province
Texas
ZIP/Postal Code
78660
Country
United States
Facility Name
Clinical Site
City
Austin
State/Province
Texas
ZIP/Postal Code
78745
Country
United States
Facility Name
Clinical Site
City
Dallas
State/Province
Texas
ZIP/Postal Code
75231
Country
United States
Facility Name
Clinical Site
City
Houston
State/Province
Texas
ZIP/Postal Code
77054
Country
United States
Facility Name
Clinical Site
City
Houston
State/Province
Texas
ZIP/Postal Code
77056
Country
United States
Facility Name
Clinical Site
City
Houston
State/Province
Texas
ZIP/Postal Code
77084
Country
United States
Facility Name
Clinical Site
City
San Antonio
State/Province
Texas
ZIP/Postal Code
78218
Country
United States
Facility Name
Clinical Site
City
Sugar Land
State/Province
Texas
ZIP/Postal Code
77027
Country
United States
Facility Name
Clinical Site
City
Spokane
State/Province
Washington
ZIP/Postal Code
99202
Country
United States
Facility Name
Clinical Site
City
Morgantown
State/Province
West Virginia
ZIP/Postal Code
26505
Country
United States

12. IPD Sharing Statement

Plan to Share IPD
No

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Evaluation of Safety and Efficacy of Avacopan in Subjects With Moderate to Severe Hidradenitis Suppurativa (AURORA)

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