A Study of the Safety of INCB054707 in Participants With Hidradenitis Suppurativa
Primary Purpose
Hidradenitis Suppurativa
Status
Completed
Phase
Phase 2
Locations
United States
Study Type
Interventional
Intervention
INCB054707
Sponsored by
About this trial
This is an interventional treatment trial for Hidradenitis Suppurativa focused on measuring Hidradenitis suppurativa (HS), Janus kinase (JAK), Janus kinase 1 (JAK1) inhibitor
Eligibility Criteria
Inclusion Criteria:
- Diagnosis of HS (confirmed by a dermatologist) with a disease duration of at least 6 months before screening.
- Stable course of HS for at least 90 days before screening, as determined by the investigator.
- HS lesions present in at least 2 distinct anatomic areas, 1 of which must be Hurley Stage II or III at screening and baseline.
- Total AN count of at least 3 at screening and baseline.
- Male participants must agree to use contraception per protocol-defined criteria.
Exclusion Criteria:
- Women of childbearing potential or who are currently pregnant or lactating.
- Presence of > 20 draining fistulas at screening and baseline.
Participants with concurrent conditions or history of other diseases as follows:
- Any clinically significant medical condition other than HS, as determined by the investigator, that is not adequately controlled with appropriate treatment.
- Any other active skin disease or condition (eg, bacterial, fungal, or viral infection) that may interfere with the course, severity, or assessments of HS.
- Active systemic viral infection or any active viral infection that, based on the investigator's clinical assessment, make the participant an unsuitable candidate for the study.
- Current herpes zoster infection, a history of recurrent herpes zoster, a history of disseminated herpes simplex, or a history of herpes zoster.
- History of malignancy, including lymphoma and leukemia within 5 years before baseline, other than a successfully treated nonmetastatic cutaneous squamous cell carcinoma, basal cell carcinoma, or localized carcinoma in situ of the cervix.
- Albinism.
- Prolonged QT interval corrected for heart rate using Fridericia's formula (QTcF), defined as ≥ 450 msec.
- Positive test result for tuberculosis (TB) from the QuantiFERON-TB Gold test, or equivalent, at screening (or, if 2 indeterminate tests or not available, then as evaluated by a purified protein derivative test with a result of < 5 mm of induration within 3 months of screening) or a history of active TB.
- Positive serology test results for HIV, HBsAg, hepatitis B virus (HBV) core antibody, or HCV (HCV antibody with positive HCV-RNA) at screening.
- Decreased blood cell counts at screening as per protocol-defined parameters.
- Severely impaired liver function (Child-Pugh Class C) or alanine aminotransferase (ALT) or aspartate aminotransferase (AST) levels ≥ 1.5 × upper limit of normal (ULN).
- Impaired renal function with serum creatinine > 1.5 mg/dL.
- Use of prohibited medications per protocol-defined criteria.
- Known or suspected allergy to INCB054707 or any component of the study drug.
- Known history of clinically significant drug or alcohol abuse in the last year prior to baseline.
- Any condition that would, in the investigator's judgment, interfere with full participation in the study, including administration of study drug and attending required study visits; pose a significant risk to the participant; or interfere with interpretation of study data.
Sites / Locations
- Investigative Site
- Investigative Site
- Investigative Site
- Investigative Site
Arms of the Study
Arm 1
Arm Type
Experimental
Arm Label
INCB054707
Arm Description
Outcomes
Primary Outcome Measures
Number of Participants With Treatment-emergent Adverse Events (TEAEs)
A TEAE is any adverse event (AE) either reported for the first time or worsening of a pre-existing event after first dose of study drug.
Secondary Outcome Measures
Apparent Oral Clearance of INCB054707(CL/F)
To evaluate the systemic exposure to INCB054707.
Apparent Oral Volume of Distribution of INCB054707(Vc/F)
To evaluate the systemic exposure to INCB054707.
Absorption Constant of INCB054707 (Ka)
Other population pharmacokinetic (PK) model parameter that the PK model may include to evaluate the systemic exposure to INCB054707.
Apparent Inter-compartmental Clearance(Q/F)
Other population PK model parameter that the PK model may include to evaluate the systemic exposure to INCB054707.
Proportion of Participants With a Hidradenitis Suppurativa Clinical Response (HiSCR) at Each Visit
An HiSCR is defined as at least 50% reduction in abscess and inflammatory nodule (AN) count with no increase in abscess count and no increase in draining fistula count relative to baseline at each visit.
Proportion of Participants Achieving an AN Count of 0 to 2 at Each Visit
The number and proportion of participants who achieved an Abscess and Inflammatory nodule count of 0 to 2 progressively.
Mean Change From Baseline in the HS Pain Numeric Rating Scale (NRS) Scores at Each Visit
The HS Pain NRS will be completed in a daily diary by participants from screening through EOS. An 11-point scale will be used to assess the worst skin pain due to HS based on a recall period of the last 24 hours. Ratings for the 2 items range from 0 (no skin pain) to 10 (skin pain as bad as you can imagine)
Mean Change From Baseline in the Modified Sartorius Scale Score
The Sartorius Scale is used to quantify the severity of HS. Points are awarded for 12 body areas (left and right axillae, left and right sub/inframammary areas, intermammary area, left and right buttocks, left and right inguino-crural folds, perianal area, perineal area, and other). For each area, points are awarded for nodules (2 points for each); abscesses (4 points); fistulas (4 points); scars (1 point); longest distance between two lesions (2-6 points, 0 if no lesions); and if lesions are separated buy normal skin (yes-0 point; no-6 points). The total Sartorius Scale score is the sum of the 12 regional scores. Scale scores range from 0 to infinite, with larger scores representing higher severity of HS.
Mean Change From Baseline in the Number of Draining Fistulas Count at Each Visit
Draining fistulas are fistulas that drain serous or purulent fluid, either spontaneously or by gentle palpation.
Proportion of Participants at Each Category of Hurley Stage
The Hurley classification is a static score and was originally designed for selection of the appropriate treatment modality in a certain body region. The assessor determines the Hurley stage in each affected anatomical region. If more than 1 stage is present in the same region, the worst stage in that region is documented. The participant will be assigned an overall Hurley stage classification corresponding to the stage of the worst involved anatomical region. The definition of each Hurley stage is as follows:
Stage I : Abscess formation, single or multiple, without sinus tracts and cicatrization (scarring).
Stage II : One or more widely separated recurrent abscesses with tract formation and cicatrization (scarring).
Stage III : Multiple interconnected tracts and abscesses across the entire area, with diffuse or near diffuse involvement.
Proportion of Participants With Change From Baseline to Week 8 in Hurley Stage
The Hurley classification is a static score and was originally designed for selection of the appropriate treatment modality in a certain body region. The assessor determines the Hurley stage in each affected anatomical region. If more than 1 stage is present in the same region, the worst stage in that region is documented. The participant will be assigned an overall Hurley stage classification corresponding to the stage of the worst involved anatomical region. The definition of each Hurley stage is as follows:
Stage I : Abscess formation, single or multiple, without sinus tracts and cicatrization (scarring).
Stage II : One or more widely separated recurrent abscesses with tract formation and cicatrization (scarring).
Stage III : Multiple interconnected tracts and abscesses across the entire area, with diffuse or near diffuse involvement.
Proportions of Participants in Each HS Patient Global Impression of Change (PGIC) Category
The HS-PGIC consists of 1 self-administered item that assesses change in the severity of skin in the HS area. The participant will answer the following: Since your last visit, your HS is: (1) very much improved, (2) much improved, (3) minimally improved, (4) no change, (5) minimally worse, (6) much worse, or (7) very much worse.
Proportion of Participants Requiring Rescue Lesional Treatment
Rescue lesional treatment is defined as immediate intervention in the event of an acutely painful lesion.
Number of Interventions With Rescue Lesional Treatment
Rescue lesional treatment is defined as immediate intervention in the event of an acutely painful lesion.
Proportion of Participants at Each Scoring Category of the Dermatology Life Quality Index (DLQI) at Each Visit
The DLQI is a questionnaire used to assess the symptoms and the impact of skin problems on quality of life. The DLQI is calculated by summing the score of each question resulting in a maximum of 30 and a minimum of 0. The meaning of DLQI scores can be categorized as follows: 0-1 = No effect at all on patient's life 2-5 = Small effect on patient's life 6-10 = Moderate effect on patient's life 11-20 = Very large effect on patient's life 21-30 = Extremely large effect on patient's life
Full Information
1. Study Identification
Unique Protocol Identification Number
NCT03569371
Brief Title
A Study of the Safety of INCB054707 in Participants With Hidradenitis Suppurativa
Official Title
A Phase 2, Open-Label, Single-Arm Study of the Safety of INCB054707 in Participants With Hidradenitis Suppurativa
Study Type
Interventional
2. Study Status
Record Verification Date
September 2022
Overall Recruitment Status
Completed
Study Start Date
July 17, 2018 (Actual)
Primary Completion Date
April 22, 2019 (Actual)
Study Completion Date
April 22, 2019 (Actual)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Incyte Corporation
4. Oversight
Studies a U.S. FDA-regulated Drug Product
Yes
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
No
5. Study Description
Brief Summary
The purpose of this study is to assess the safety of INCB054707 in men and women with moderate to severe hidradenitis suppurativa (HS).
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Hidradenitis Suppurativa
Keywords
Hidradenitis suppurativa (HS), Janus kinase (JAK), Janus kinase 1 (JAK1) inhibitor
7. Study Design
Primary Purpose
Treatment
Study Phase
Phase 2
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
N/A
Enrollment
10 (Actual)
8. Arms, Groups, and Interventions
Arm Title
INCB054707
Arm Type
Experimental
Intervention Type
Drug
Intervention Name(s)
INCB054707
Other Intervention Name(s)
Povorcitinib
Intervention Description
INCB054707 administered once daily orally with water without regard to food for 8 weeks.
Primary Outcome Measure Information:
Title
Number of Participants With Treatment-emergent Adverse Events (TEAEs)
Description
A TEAE is any adverse event (AE) either reported for the first time or worsening of a pre-existing event after first dose of study drug.
Time Frame
Up to approximately 12 weeks.
Secondary Outcome Measure Information:
Title
Apparent Oral Clearance of INCB054707(CL/F)
Description
To evaluate the systemic exposure to INCB054707.
Time Frame
Postdose Day1, week 2 and 6
Title
Apparent Oral Volume of Distribution of INCB054707(Vc/F)
Description
To evaluate the systemic exposure to INCB054707.
Time Frame
Postdose Day1, week 2 and 6.
Title
Absorption Constant of INCB054707 (Ka)
Description
Other population pharmacokinetic (PK) model parameter that the PK model may include to evaluate the systemic exposure to INCB054707.
Time Frame
Postdose Day1, week 2 and 6.
Title
Apparent Inter-compartmental Clearance(Q/F)
Description
Other population PK model parameter that the PK model may include to evaluate the systemic exposure to INCB054707.
Time Frame
Postdose Day1, week 2 and 6.
Title
Proportion of Participants With a Hidradenitis Suppurativa Clinical Response (HiSCR) at Each Visit
Description
An HiSCR is defined as at least 50% reduction in abscess and inflammatory nodule (AN) count with no increase in abscess count and no increase in draining fistula count relative to baseline at each visit.
Time Frame
Weeks 1,2,4,6,8 and FollowUp
Title
Proportion of Participants Achieving an AN Count of 0 to 2 at Each Visit
Description
The number and proportion of participants who achieved an Abscess and Inflammatory nodule count of 0 to 2 progressively.
Time Frame
Weeks 1,2,4,6,8 and FollowUp
Title
Mean Change From Baseline in the HS Pain Numeric Rating Scale (NRS) Scores at Each Visit
Description
The HS Pain NRS will be completed in a daily diary by participants from screening through EOS. An 11-point scale will be used to assess the worst skin pain due to HS based on a recall period of the last 24 hours. Ratings for the 2 items range from 0 (no skin pain) to 10 (skin pain as bad as you can imagine)
Time Frame
Weeks 1,2,4,6,8 and FollowUp
Title
Mean Change From Baseline in the Modified Sartorius Scale Score
Description
The Sartorius Scale is used to quantify the severity of HS. Points are awarded for 12 body areas (left and right axillae, left and right sub/inframammary areas, intermammary area, left and right buttocks, left and right inguino-crural folds, perianal area, perineal area, and other). For each area, points are awarded for nodules (2 points for each); abscesses (4 points); fistulas (4 points); scars (1 point); longest distance between two lesions (2-6 points, 0 if no lesions); and if lesions are separated buy normal skin (yes-0 point; no-6 points). The total Sartorius Scale score is the sum of the 12 regional scores. Scale scores range from 0 to infinite, with larger scores representing higher severity of HS.
Time Frame
Week 8.
Title
Mean Change From Baseline in the Number of Draining Fistulas Count at Each Visit
Description
Draining fistulas are fistulas that drain serous or purulent fluid, either spontaneously or by gentle palpation.
Time Frame
Up to approximately 12 weeks.
Title
Proportion of Participants at Each Category of Hurley Stage
Description
The Hurley classification is a static score and was originally designed for selection of the appropriate treatment modality in a certain body region. The assessor determines the Hurley stage in each affected anatomical region. If more than 1 stage is present in the same region, the worst stage in that region is documented. The participant will be assigned an overall Hurley stage classification corresponding to the stage of the worst involved anatomical region. The definition of each Hurley stage is as follows:
Stage I : Abscess formation, single or multiple, without sinus tracts and cicatrization (scarring).
Stage II : One or more widely separated recurrent abscesses with tract formation and cicatrization (scarring).
Stage III : Multiple interconnected tracts and abscesses across the entire area, with diffuse or near diffuse involvement.
Time Frame
Baseline and Week 8.
Title
Proportion of Participants With Change From Baseline to Week 8 in Hurley Stage
Description
The Hurley classification is a static score and was originally designed for selection of the appropriate treatment modality in a certain body region. The assessor determines the Hurley stage in each affected anatomical region. If more than 1 stage is present in the same region, the worst stage in that region is documented. The participant will be assigned an overall Hurley stage classification corresponding to the stage of the worst involved anatomical region. The definition of each Hurley stage is as follows:
Stage I : Abscess formation, single or multiple, without sinus tracts and cicatrization (scarring).
Stage II : One or more widely separated recurrent abscesses with tract formation and cicatrization (scarring).
Stage III : Multiple interconnected tracts and abscesses across the entire area, with diffuse or near diffuse involvement.
Time Frame
Week 8.
Title
Proportions of Participants in Each HS Patient Global Impression of Change (PGIC) Category
Description
The HS-PGIC consists of 1 self-administered item that assesses change in the severity of skin in the HS area. The participant will answer the following: Since your last visit, your HS is: (1) very much improved, (2) much improved, (3) minimally improved, (4) no change, (5) minimally worse, (6) much worse, or (7) very much worse.
Time Frame
Up to approximately 12 weeks.
Title
Proportion of Participants Requiring Rescue Lesional Treatment
Description
Rescue lesional treatment is defined as immediate intervention in the event of an acutely painful lesion.
Time Frame
Up to approximately 12 weeks.
Title
Number of Interventions With Rescue Lesional Treatment
Description
Rescue lesional treatment is defined as immediate intervention in the event of an acutely painful lesion.
Time Frame
Up to approximately 12 weeks.
Title
Proportion of Participants at Each Scoring Category of the Dermatology Life Quality Index (DLQI) at Each Visit
Description
The DLQI is a questionnaire used to assess the symptoms and the impact of skin problems on quality of life. The DLQI is calculated by summing the score of each question resulting in a maximum of 30 and a minimum of 0. The meaning of DLQI scores can be categorized as follows: 0-1 = No effect at all on patient's life 2-5 = Small effect on patient's life 6-10 = Moderate effect on patient's life 11-20 = Very large effect on patient's life 21-30 = Extremely large effect on patient's life
Time Frame
Up to approximately 12 weeks.
10. Eligibility
Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
75 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria:
Diagnosis of HS (confirmed by a dermatologist) with a disease duration of at least 6 months before screening.
Stable course of HS for at least 90 days before screening, as determined by the investigator.
HS lesions present in at least 2 distinct anatomic areas, 1 of which must be Hurley Stage II or III at screening and baseline.
Total AN count of at least 3 at screening and baseline.
Male participants must agree to use contraception per protocol-defined criteria.
Exclusion Criteria:
Women of childbearing potential or who are currently pregnant or lactating.
Presence of > 20 draining fistulas at screening and baseline.
Participants with concurrent conditions or history of other diseases as follows:
Any clinically significant medical condition other than HS, as determined by the investigator, that is not adequately controlled with appropriate treatment.
Any other active skin disease or condition (eg, bacterial, fungal, or viral infection) that may interfere with the course, severity, or assessments of HS.
Active systemic viral infection or any active viral infection that, based on the investigator's clinical assessment, make the participant an unsuitable candidate for the study.
Current herpes zoster infection, a history of recurrent herpes zoster, a history of disseminated herpes simplex, or a history of herpes zoster.
History of malignancy, including lymphoma and leukemia within 5 years before baseline, other than a successfully treated nonmetastatic cutaneous squamous cell carcinoma, basal cell carcinoma, or localized carcinoma in situ of the cervix.
Albinism.
Prolonged QT interval corrected for heart rate using Fridericia's formula (QTcF), defined as ≥ 450 msec.
Positive test result for tuberculosis (TB) from the QuantiFERON-TB Gold test, or equivalent, at screening (or, if 2 indeterminate tests or not available, then as evaluated by a purified protein derivative test with a result of < 5 mm of induration within 3 months of screening) or a history of active TB.
Positive serology test results for HIV, HBsAg, hepatitis B virus (HBV) core antibody, or HCV (HCV antibody with positive HCV-RNA) at screening.
Decreased blood cell counts at screening as per protocol-defined parameters.
Severely impaired liver function (Child-Pugh Class C) or alanine aminotransferase (ALT) or aspartate aminotransferase (AST) levels ≥ 1.5 × upper limit of normal (ULN).
Impaired renal function with serum creatinine > 1.5 mg/dL.
Use of prohibited medications per protocol-defined criteria.
Known or suspected allergy to INCB054707 or any component of the study drug.
Known history of clinically significant drug or alcohol abuse in the last year prior to baseline.
Any condition that would, in the investigator's judgment, interfere with full participation in the study, including administration of study drug and attending required study visits; pose a significant risk to the participant; or interfere with interpretation of study data.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Kathleen Butler, MD
Organizational Affiliation
Incyte Corporation
Official's Role
Study Director
Facility Information:
Facility Name
Investigative Site
City
Los Angeles
State/Province
California
ZIP/Postal Code
90045
Country
United States
Facility Name
Investigative Site
City
Tampa
State/Province
Florida
ZIP/Postal Code
33624
Country
United States
Facility Name
Investigative Site
City
New York
State/Province
New York
ZIP/Postal Code
10065
Country
United States
Facility Name
Investigative Site
City
Hershey
State/Province
Pennsylvania
ZIP/Postal Code
17033
Country
United States
12. IPD Sharing Statement
Plan to Share IPD
No
Citations:
PubMed Identifier
34978076
Citation
Alavi A, Hamzavi I, Brown K, Santos LL, Zhu Z, Liu H, Howell MD, Kirby JS. Janus kinase 1 inhibitor INCB054707 for patients with moderate-to-severe hidradenitis suppurativa: results from two phase II studies. Br J Dermatol. 2022 May;186(5):803-813. doi: 10.1111/bjd.20969. Epub 2022 Mar 6.
Results Reference
derived
Learn more about this trial
A Study of the Safety of INCB054707 in Participants With Hidradenitis Suppurativa
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