A Study to Assess Change in Disease Activity and Adverse Events of Oral Upadacitinib in Adult and Adolescent Participants With Moderate to Severe Hidradenitis Suppurativa Who Have Failed Anti-TNF Therapy (Step-Up HS)
Hidradenitis Suppurativa
About this trial
This is an interventional treatment trial for Hidradenitis Suppurativa focused on measuring Hidradenitis Suppurativa, Upadacitinib, ABT-494, Rinvoq, STEP-UP HS
Eligibility Criteria
Inclusion Criteria: Diagnosis of HS for at least 6 months prior to Baseline, as determined by the investigator (i.e., through medical history and interview of subject). Documented history of previous use of ≥ 1 TNF inhibitor for HS for at least 12 weeks and/or 1 approved non-anti-TNF biologic therapy for HS for at least 16 weeks characterized by inadequate response or for any duration characterized by intolerance as determined by the investigator. Participant must have a total AN count of ≥ 5 at Baseline. HS lesions must be present in at least 2 distinct anatomic areas at Baseline. At least 1 anatomic area of HS involvement characterized as Hurley Stage II or higher at Baseline. Draining fistula count of ≤ 20 at Baseline. Exclusion Criteria: History of active skin disease other than HS that could interfere with the assessment of HS, including skin infections (bacterial, fungal, or viral) requiring systemic treatment within 4 weeks of the Baseline visit. Treatment with any investigational drug of chemical or biologic nature within a minimum of 30 days or 5 half-lives (whichever is longer) prior to the first dose of study drug or be currently enrolled in another interventional clinical study. Investigational drugs are also prohibited during the study. Previous treatment with any cell-depleting therapies including but not limited to anti-CD20 (e.g., rituximab) within 12 months prior to Baseline or until B cell count returns to normal level or pre-treatment level. Use of prescription topical therapies (including topical antibiotics) that can also be used to treat HS within 14 days prior to the Baseline visit. Received any systemic (including oral) antibiotic treatment for HS or any other chronic inflammatory disorder within 14 days prior to the Baseline visit.
Sites / Locations
- Cahaba Dermatology Skin Health Center /ID# 254876Recruiting
- Medical Dermatology Specialist /ID# 254226Recruiting
- Clinical Trials Institute at Northwest Arkansas /ID# 254924Recruiting
- Burke Pharmaceutical Research /ID# 254238Recruiting
- Arkansas Research Trials, LLC /ID# 254233Recruiting
- NW Arkansas Clinical Trials Center /ID# 254311Recruiting
- T. Joseph Raoof, MD, Inc. /ID# 254374Recruiting
- Dermatology Research Associates /ID# 254846Recruiting
- Integrative Skin Science and Research /ID# 254930Recruiting
- Clinical Trials Research Institute /ID# 254466Recruiting
- Skin Care Research - Boca Raton /ID# 253814Recruiting
- Apex Clinical Trials /ID# 255756Recruiting
- Florida Academic Centers Research and Education /ID# 254011Recruiting
- Skin Care Research - Hollywood /ID# 254508Recruiting
- Advanced Clinical Research Institute /ID# 253746Recruiting
- Skin Care Research - Tampa /ID# 256440Recruiting
- Avita Clinical Research /ID# 254471Recruiting
- Centricity Research /ID# 255470Recruiting
- Treasure Valley Medical Research /ID# 255208Recruiting
- DeNova Research /ID# 254372Recruiting
- Northshore University Health System Dermatology Clinical Trials Unit /ID# 254389Recruiting
- Dawes Fretzin, LLC /ID# 254390Recruiting
- Michigan Dermatology Institute /ID# 254468Recruiting
- MediSearch Clinical Trials /ID# 254392Recruiting
- Vivida Dermatology- Flamingo /ID# 254227Recruiting
- Skin Cancer and Dermatology Institute (SCDI) /ID# 254410Recruiting
- Onsite Clinical Solutions /ID# 254854Recruiting
- ClinOhio Research Services /ID# 254851Recruiting
- Dermatologists of Southwest Ohio, Inc /ID# 254297Recruiting
- Lynn Health Science Institute (LHSI) /ID# 253791Recruiting
- Arlington Research Center, Inc /ID# 253805Recruiting
- Bellaire Dermatology Associates /ID# 253797Recruiting
- Dermatology Treatment and Research Center /ID# 253795Recruiting
- Modern Research Associates, PLLC /ID# 253810Recruiting
- HRMD Research Dallas /ID# 255256Recruiting
- Suzanne Bruce and Associates-Houston /ID# 254228Recruiting
- Texas Dermatology Research Center, LLC /ID# 254928Recruiting
- Center for Clinical Studies - Webster TX /ID# 254242Recruiting
- The Education & Research Foundation, Inc. /ID# 254852Recruiting
- Virginia Clinical Research, Inc. /ID# 254538Recruiting
- Premier Clinical Research /ID# 254847Recruiting
- Fukuoka University Hospital /ID# 254729Recruiting
- Meiwa Hospital /ID# 254728Recruiting
- University Hospital Kyoto Prefectural University of Medicine /ID# 254481Recruiting
- University of the Ryukyus Hospital /ID# 254517Recruiting
- Kindai University Hospital /ID# 254574Recruiting
- Toranomon Hospital /ID# 253819Recruiting
Arms of the Study
Arm 1
Arm 2
Arm 3
Arm 4
Arm 5
Arm 6
Arm 7
Arm 8
Arm 9
Experimental
Placebo Comparator
Experimental
Placebo Comparator
Experimental
Experimental
Experimental
Experimental
Experimental
Period 1: Upadacitinib Dose A
Period 1: Placebo
Period 2: Group 1 - Upadacitinib Dose A
Period 2: Group 2 - Placebo
Period 2: Group 3 - Upadacitinib Dose A
Period 2: Group 4 - Upadacitinib Dose A
Period 2: Group 5 - Upadacitinib Dose B
Period 2: Group 6 - Placebo
Period 3: Long-Term Extension
Participants will receive Upadicitinib Dose A once daily for 16 weeks.
Participants will receive Placebo once daily for 16 weeks.
Participants who were randomized to placebo in Period 1 who did not achieve HiSCR 50 (clinical non-responder, CNR) at Week 16 will receive Upadacitinib Dose A once daily for 20 weeks.
Participants who were randomized to placebo in Period 1 who achieve HiSCR 50 (clinical responder, CR) at Week 16 will continue to receive placebo once daily for 20 weeks.
Participants who were randomized to upadacitinib Dose A in Period 1 who did not achieve HiSCR 50 (CNR) at Week 16 will continue to receive upadacitinib Dose A once daily for 20 weeks.
Participants who were randomized to upadacitinib Dose A in Period 1 who achieve HiSCR 50 (CR) at Week 16 will receive upadacitinib Dose A once daily for 20 weeks.
Participants who were randomized to upadacitinib Dose A in Period 1 who achieve HiSCR 50 (CR) at Week 16 will receive upadacitinib Dose B once daily for 20 weeks.
Participants who were randomized to upadacitinib Dose A in Period 1 who achieve HiSCR 50 (CR) at Week 16 will receive placebo once daily for 20 weeks.
Eligible participants will continue to receive upadacitinib or placebo for 68 weeks. Participants will be followed-up for approximately 30 days.