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A Study With Jaktinib Hydrochloride Cream Applied Topically to Subjects With Alopecia Areata (AA)

Primary Purpose

Alopecia Areata(AA)

Status
Recruiting
Phase
Phase 1
Locations
China
Study Type
Interventional
Intervention
Jaktinib hydrochloride cream
Placebo
Sponsored by
Suzhou Zelgen Biopharmaceuticals Co.,Ltd
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Alopecia Areata(AA)

Eligibility Criteria

18 Years - 65 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • 18 ~ 65 years old (including boundary value), regardless of gender;
  • Diagnosis of Alopecia Areata;
  • Hair loss accounts for 5% ~ 49% of the total scalp area;
  • The duration of hair loss is at least 6 months, the longest is not more than 5 years;
  • Patients can complete treatment for at least 6 months;
  • About Fertility needs meet the following criteria: The results of serum pregnancy tests performed by fertile women during screening visits must be negative, and the results of human chorionic gonadotropin tests performed before the initiation of the study drug must be negative;Women who were fertile and men who had not received vasectomies were required to use effective contraception throughout the study period beginning with the informed consent and up to six months after the last administration;
  • Subjects will voluntarily participate in the study after learning about the content and potential adverse drug reactions and must sign an IRC-approved informed consent prior to beginning any examination required by the study;
  • Subject is willing and able to comply with scheduled visits, treatment plan, study drug administration, and other study procedures.

Exclusion Criteria:

  • The following causes of hair loss should be excluded: hair loss caused by androgenic alopecia,syphilis, thyroid diseases, etc.
  • Acute Diffuse and Total Alopecia of the Female Scalp;
  • Prior history of serious chronic diseases, such as thyroid disease, liver disease, malnutrition, heart disease, nervous system disease, gastrointestinal dysfunction, tumor and mental illness, etc;
  • Human immunodeficiency virus infection, hepatitis C virus infection, hepatitis B virus infection;
  • Participated in a trial for a topical or oral JAK inhibitor;
  • Allergic reactions to active ingredients or excipients are known or determined by the investigator;
  • Receipt of treatment known to potentially affect the course of AA within last 3 month;
  • In the opinion of the investigator , the subject is inappropriate for entry into this study.

Sites / Locations

  • The second xaingya hospital ,central south universityRecruiting

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm 5

Arm 6

Arm 7

Arm Type

Experimental

Experimental

Experimental

Experimental

Placebo Comparator

Experimental

Experimental

Arm Label

Cohort 1,0.5% Bid

Cohort 1,1.5% Bid

Cohort 1,2.5% Qd

Cohort 1,2.5% Bid

Dose extension: Placebo

Dose extension: 1.5% Bid

Dose extension: 2.5% Bid

Arm Description

Jaktinib hydrochloride cream 0.5% concentration, twice daily

Jaktinib hydrochloride cream 1.5% concentration, twice daily

Jaktinib hydrochloride cream 2.5% concentration, once daily

Jaktinib hydrochloride cream 2.5% concentration, twice daily

Placebo, twice daily

Jaktinib hydrochloride cream 1.5% concentration, twice daily

Jaktinib hydrochloride cream 2.5% concentration, twice daily

Outcomes

Primary Outcome Measures

Percentage of Participants Achieving 90% Improvement of Severity of Alopecia Tool (SALT90)
SALT is a quantitative assessment of alopecia areata (AA) severity based on the scalp hair loss. A SALT 90 response is a 90% or greater reduction from baseline in SALT score. The SALT score can vary from 0 to 100%, with higher scores representing increasing severity of disease.

Secondary Outcome Measures

Change in Severity of Alopecia Tool (SALT) Score
Severity of Alopecia Tool Score (SALT) calculation is based on a scoring system. The scalp is divided into the following 4 areas: 1) Vertex: 40% (0.4) of scalp surface area, 2) Right profile of scalp: 18% (0.18) of scalp surface area, 3) Left profile of scalp: 18% (0.18) of scalp surface area, and 4) Posterior aspect of scalp: 24% (0.24) of scalp surface area. The percentage of hair loss in any of these areas is the percentage hair loss multiplied by percent surface area of the scalp in that area. The SALT score is the sum of percentage of hair loss in all the above-mentioned areas, so a lower number indicates a better outcome. The reported SALT score range is from a minimum of 0 (no hair loss) to a maximum of 100 (100% hair loss).

Full Information

First Posted
June 19, 2020
Last Updated
July 28, 2023
Sponsor
Suzhou Zelgen Biopharmaceuticals Co.,Ltd
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1. Study Identification

Unique Protocol Identification Number
NCT04445363
Brief Title
A Study With Jaktinib Hydrochloride Cream Applied Topically to Subjects With Alopecia Areata
Acronym
AA
Official Title
A Phase I/II Study Of The Efficacy,Safety and Pharmacokinetics Of Jaktinib Hydrochloride Cream In Subjects With Mild To Moderate Alopecia Areata
Study Type
Interventional

2. Study Status

Record Verification Date
July 2023
Overall Recruitment Status
Recruiting
Study Start Date
August 12, 2020 (Actual)
Primary Completion Date
December 1, 2023 (Anticipated)
Study Completion Date
December 1, 2023 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Suzhou Zelgen Biopharmaceuticals Co.,Ltd

4. Oversight

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

5. Study Description

Brief Summary
This study includes a dose escalation part(phase I) and a dose extension part(phase II).
Detailed Description
In phase I of this study, a multi-center, randomized, placebo parallel control design was adopted. Enrolled subjects were randomly assigned to the experimental group or the placebo group.A total of 40 subjects are expected to be enrolled in about 4 centers. In phase II of this study, a multi-center, randomized, double-blind parallel, placebo-controlled design was adopted. Enrolled subjects were randomly assigned to the experimental group or the placebo group.About 120 subjects are expected to be enrolled in about 10 centers.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Alopecia Areata(AA)

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 1, Phase 2
Interventional Study Model
Parallel Assignment
Model Description
In phase I of this study, Forty enrolled subjects were randomly assigned to four groups at 1:1:1:1. (1) concentration of 0.5%, twice daily (Bid) group; (2) concentration of 1.5%, bid group; (3) concentration of 2.5%, oncedaily(Qd) group; (4) concentration of 2.5%, bid group.Ten subjects in each group were randomly assigned to receive Jaktinib hydrochloride cream (8 cases) and placebo (2 cases) at 4:1, respectively,The duration of administration was 24 weeks. In phase II of this trial, 120 Enrolled subjects are randomly assigned to 3 groups (placebo bid group,concentration of 1.5% bid group and concentration of 2.5% bid group).
Masking
ParticipantInvestigator
Allocation
Randomized
Enrollment
120 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
Cohort 1,0.5% Bid
Arm Type
Experimental
Arm Description
Jaktinib hydrochloride cream 0.5% concentration, twice daily
Arm Title
Cohort 1,1.5% Bid
Arm Type
Experimental
Arm Description
Jaktinib hydrochloride cream 1.5% concentration, twice daily
Arm Title
Cohort 1,2.5% Qd
Arm Type
Experimental
Arm Description
Jaktinib hydrochloride cream 2.5% concentration, once daily
Arm Title
Cohort 1,2.5% Bid
Arm Type
Experimental
Arm Description
Jaktinib hydrochloride cream 2.5% concentration, twice daily
Arm Title
Dose extension: Placebo
Arm Type
Placebo Comparator
Arm Description
Placebo, twice daily
Arm Title
Dose extension: 1.5% Bid
Arm Type
Experimental
Arm Description
Jaktinib hydrochloride cream 1.5% concentration, twice daily
Arm Title
Dose extension: 2.5% Bid
Arm Type
Experimental
Arm Description
Jaktinib hydrochloride cream 2.5% concentration, twice daily
Intervention Type
Drug
Intervention Name(s)
Jaktinib hydrochloride cream
Other Intervention Name(s)
Jaktinib
Intervention Description
Jaktinib hydrochloride cream/placebo applied topically in the morning and in the evening, administered continuously for 24 weeks
Intervention Type
Drug
Intervention Name(s)
Placebo
Intervention Description
Dose extension: Placebo
Primary Outcome Measure Information:
Title
Percentage of Participants Achieving 90% Improvement of Severity of Alopecia Tool (SALT90)
Description
SALT is a quantitative assessment of alopecia areata (AA) severity based on the scalp hair loss. A SALT 90 response is a 90% or greater reduction from baseline in SALT score. The SALT score can vary from 0 to 100%, with higher scores representing increasing severity of disease.
Time Frame
at week 24
Secondary Outcome Measure Information:
Title
Change in Severity of Alopecia Tool (SALT) Score
Description
Severity of Alopecia Tool Score (SALT) calculation is based on a scoring system. The scalp is divided into the following 4 areas: 1) Vertex: 40% (0.4) of scalp surface area, 2) Right profile of scalp: 18% (0.18) of scalp surface area, 3) Left profile of scalp: 18% (0.18) of scalp surface area, and 4) Posterior aspect of scalp: 24% (0.24) of scalp surface area. The percentage of hair loss in any of these areas is the percentage hair loss multiplied by percent surface area of the scalp in that area. The SALT score is the sum of percentage of hair loss in all the above-mentioned areas, so a lower number indicates a better outcome. The reported SALT score range is from a minimum of 0 (no hair loss) to a maximum of 100 (100% hair loss).
Time Frame
at baseline, at week 12 and at week 24

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
65 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: 18 ~ 65 years old (including boundary value), regardless of gender; Diagnosis of Alopecia Areata; Hair loss accounts for 5% ~ 49% of the total scalp area; The duration of hair loss is at least 6 months, the longest is not more than 5 years; Patients can complete treatment for at least 6 months; About Fertility needs meet the following criteria: The results of serum pregnancy tests performed by fertile women during screening visits must be negative, and the results of human chorionic gonadotropin tests performed before the initiation of the study drug must be negative;Women who were fertile and men who had not received vasectomies were required to use effective contraception throughout the study period beginning with the informed consent and up to six months after the last administration; Subjects will voluntarily participate in the study after learning about the content and potential adverse drug reactions and must sign an IRC-approved informed consent prior to beginning any examination required by the study; Subject is willing and able to comply with scheduled visits, treatment plan, study drug administration, and other study procedures. Exclusion Criteria: The following causes of hair loss should be excluded: hair loss caused by androgenic alopecia,syphilis, thyroid diseases, etc. Acute Diffuse and Total Alopecia of the Female Scalp; Prior history of serious chronic diseases, such as thyroid disease, liver disease, malnutrition, heart disease, nervous system disease, gastrointestinal dysfunction, tumor and mental illness, etc; Human immunodeficiency virus infection, hepatitis C virus infection, hepatitis B virus infection; Participated in a trial for a topical or oral JAK inhibitor; Allergic reactions to active ingredients or excipients are known or determined by the investigator; Receipt of treatment known to potentially affect the course of AA within last 3 month; In the opinion of the investigator , the subject is inappropriate for entry into this study.
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
qianjin lu, M.D.
Phone
13787097676
Email
qianlu5860@gmail.com
First Name & Middle Initial & Last Name or Official Title & Degree
aijun chen, M.D.
Phone
13062377863
Email
cajhx@aliyun.com
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
qianjin lu, M.D.
Organizational Affiliation
the Second Xiangya Hospital, Central South University
Official's Role
Study Chair
Facility Information:
Facility Name
The second xaingya hospital ,central south university
City
Changsha
State/Province
Hunan
ZIP/Postal Code
410011
Country
China
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
qianjin Lu, MD
Phone
13787097676
Email
qianlu5860@gmail.com
First Name & Middle Initial & Last Name & Degree
siqi Fu, MD
Phone
18874139898
Email
18874139898@163.com

12. IPD Sharing Statement

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A Study With Jaktinib Hydrochloride Cream Applied Topically to Subjects With Alopecia Areata

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