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Study of the Effect of Fostamatinib Upon Cutaneous Inflammation in the Setting of Hidradenitis Suppurativa

Primary Purpose

Hidradenitis Suppurativa

Status
Completed
Phase
Phase 2
Locations
Australia
Study Type
Interventional
Intervention
Fostamatinib
Sponsored by
Holdsworth House Medical Practice
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Hidradenitis Suppurativa focused on measuring fostamatinib, HS, Tavalisse

Eligibility Criteria

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

Inclusion Criteria:

  • Moderate to Severe (Hurley Stage 2 or 3) Hidradenitis Suppurativa as determined by the PI

Exclusion Criteria:

  • Uncontrolled hypertension (systolic blood pressure [BP] ≥135 mmHg and/or diastolic BP ≥85 mmHg), unstable angina, congestive heart failure of New York Heart Association classification III or IV, serious cardiac arrhythmia requiring treatment (exceptions: atrial fibrillation, paroxysmal supraventricular tachycardia) at screening.
  • History of myocardial infarction within 3 months prior to screening.
  • Shock or hypotension requiring vasoactive peptides, such as dopamine, norepinephrine, epinephrine, or dobutamine at screening or at randomization.
  • Renal function impairment with creatinine clearance <30 mL/min at screening (estimated glomerular filtration rate will be calculated using the modification of diet in renal disease equation).
  • Liver function impairment with aspartate aminotransferase/alanine aminotransferase >=3x the upper limit of normal or bilirubin >2X the upper limit of normal at screening.
  • Neutrophil count <1000/µL at screening.
  • History of an allergic reaction or hypersensitivity to the study treatment or any component of the study treatment formulation.
  • Has documented HIV infection or documented, active hepatitis B or hepatitis C infection.
  • Women lactating, pregnant or of childbearing potential who are not willing to avoid becoming pregnant during the study.
  • Individuals with concurrent use of systemic antibiotics/ oral retinoids/ systemic immunosuppressants (those with prior use of these medications must have conducted a washout period of 4 weeks or 5 half-lives of the drug, whichever is longer).
  • Any medical, psychological or social condition that, in the opinion of the Investigator, would jeopardize the health or well-being of the participant during any study procedures or the integrity of the data.

Sites / Locations

  • Holdsworth House Medical Practice

Arms of the Study

Arm 1

Arm Type

Experimental

Arm Label

Open Label Fostamatinib

Arm Description

Open label Fostamatinib 100mg dose adjusted by the Principal Investigator after week 1

Outcomes

Primary Outcome Measures

Week 4 evaluation
Alterations in Gene Expression Profiling, cell counts (CD3+, CD11c+, Neutrophil Elastase+, CD20+, CD138+) at Week 4 compared to
Week 12 evaluation
Alterations in Gene Expression Profiling, cell counts (CD3+, CD11c+, Neutrophil Elastase+, CD20+, CD138+) at Week 12 compared to Baseline

Secondary Outcome Measures

Grade 2/3 Adverse Events
Number of Grade 2/3 Adverse Effects of Fostamatinib over the 12 Week course of treatment.
Abscess and Nodule Count Week 4
Changes in Abscess and Nodule count at Week 4 compared to baseline
International Hidradenitis Suppurativa Severity Score (IHS4) Week 4
Changes in IHS4 score at Week 4 compared to baseline
Abscess and Nodule count week 12
Changes in Abscess and Nodule count at Week 12 compared to baseline
International Hidradenitis Suppurativa Severity Score (IHS4) Week 12
Changes in IHS4 score at Week 12 compared to baseline
Physician Rated Overall Disease Severity
Changes in physician rated overall disease severity by visual analogue scale (0-10) at week 12 compared to baseline
Dermatology Life Quality Index (DLQI)
Changes in the DLQI (0-30) at week 12 compared to baseline

Full Information

First Posted
August 30, 2021
Last Updated
February 27, 2023
Sponsor
Holdsworth House Medical Practice
Collaborators
Rigel Pharmaceuticals
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1. Study Identification

Unique Protocol Identification Number
NCT05040698
Brief Title
Study of the Effect of Fostamatinib Upon Cutaneous Inflammation in the Setting of Hidradenitis Suppurativa
Official Title
An Exploratory, Proof-of-Concept Study of the Effect of Fostamatinib Upon Cutaneous Inflammation in the Setting of Hidradenitis Suppurativa
Study Type
Interventional

2. Study Status

Record Verification Date
February 2023
Overall Recruitment Status
Completed
Study Start Date
October 1, 2021 (Actual)
Primary Completion Date
January 13, 2023 (Actual)
Study Completion Date
January 27, 2023 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Principal Investigator
Name of the Sponsor
Holdsworth House Medical Practice
Collaborators
Rigel Pharmaceuticals

4. Oversight

Studies a U.S. FDA-regulated Drug Product
Yes
Studies a U.S. FDA-regulated Device Product
No
Product Manufactured in and Exported from the U.S.
Yes
Data Monitoring Committee
No

5. Study Description

Brief Summary
A 16 week exploratory, Proof of Concept study to evaluate the effect of Fostamatinib (12 weeks of treatment) upon cutaneous inflammation in Hidradenitis Suppurativa.
Detailed Description
Sample size: 20 patients Study duration: 16 weeks Primary Endpoints: Alterations in Gene Expression Profiling, cell counts (CD3+, CD11c+, Neutrophil Elastase+, CD20+, CD138+) at Week 4 compared to Baseline. Alterations in Gene Expression Profiling, cell counts (CD3+, CD11c+, Neutrophil Elastase+, CD20+, CD138+) at Week 12 compared to Baseline. Secondary Endpoints: Safety and Tolerability (Grade 2/3 Adverse Effects); Changes in Disease Activity (Measures by AN count and IHS4 scoring). Study procedures Clinical Examination, Patient Questionnaires, Skin Biopsy, Blood Draw, medical photography

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Hidradenitis Suppurativa
Keywords
fostamatinib, HS, Tavalisse

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 2
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
N/A
Enrollment
20 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Open Label Fostamatinib
Arm Type
Experimental
Arm Description
Open label Fostamatinib 100mg dose adjusted by the Principal Investigator after week 1
Intervention Type
Drug
Intervention Name(s)
Fostamatinib
Other Intervention Name(s)
Tavalisse, R935788
Intervention Description
Open label Fostamatinib
Primary Outcome Measure Information:
Title
Week 4 evaluation
Description
Alterations in Gene Expression Profiling, cell counts (CD3+, CD11c+, Neutrophil Elastase+, CD20+, CD138+) at Week 4 compared to
Time Frame
4 weeks
Title
Week 12 evaluation
Description
Alterations in Gene Expression Profiling, cell counts (CD3+, CD11c+, Neutrophil Elastase+, CD20+, CD138+) at Week 12 compared to Baseline
Time Frame
12 weeks
Secondary Outcome Measure Information:
Title
Grade 2/3 Adverse Events
Description
Number of Grade 2/3 Adverse Effects of Fostamatinib over the 12 Week course of treatment.
Time Frame
12 weeks
Title
Abscess and Nodule Count Week 4
Description
Changes in Abscess and Nodule count at Week 4 compared to baseline
Time Frame
4 weeks
Title
International Hidradenitis Suppurativa Severity Score (IHS4) Week 4
Description
Changes in IHS4 score at Week 4 compared to baseline
Time Frame
4 weeks
Title
Abscess and Nodule count week 12
Description
Changes in Abscess and Nodule count at Week 12 compared to baseline
Time Frame
12 weeks
Title
International Hidradenitis Suppurativa Severity Score (IHS4) Week 12
Description
Changes in IHS4 score at Week 12 compared to baseline
Time Frame
12 weeks
Title
Physician Rated Overall Disease Severity
Description
Changes in physician rated overall disease severity by visual analogue scale (0-10) at week 12 compared to baseline
Time Frame
12 weeks
Title
Dermatology Life Quality Index (DLQI)
Description
Changes in the DLQI (0-30) at week 12 compared to baseline
Time Frame
12 weeks

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Moderate to Severe (Hurley Stage 2 or 3) Hidradenitis Suppurativa as determined by the PI Exclusion Criteria: Uncontrolled hypertension (systolic blood pressure [BP] ≥135 mmHg and/or diastolic BP ≥85 mmHg), unstable angina, congestive heart failure of New York Heart Association classification III or IV, serious cardiac arrhythmia requiring treatment (exceptions: atrial fibrillation, paroxysmal supraventricular tachycardia) at screening. History of myocardial infarction within 3 months prior to screening. Shock or hypotension requiring vasoactive peptides, such as dopamine, norepinephrine, epinephrine, or dobutamine at screening or at randomization. Renal function impairment with creatinine clearance <30 mL/min at screening (estimated glomerular filtration rate will be calculated using the modification of diet in renal disease equation). Liver function impairment with aspartate aminotransferase/alanine aminotransferase >=3x the upper limit of normal or bilirubin >2X the upper limit of normal at screening. Neutrophil count <1000/µL at screening. History of an allergic reaction or hypersensitivity to the study treatment or any component of the study treatment formulation. Has documented HIV infection or documented, active hepatitis B or hepatitis C infection. Women lactating, pregnant or of childbearing potential who are not willing to avoid becoming pregnant during the study. Individuals with concurrent use of systemic antibiotics/ oral retinoids/ systemic immunosuppressants (those with prior use of these medications must have conducted a washout period of 4 weeks or 5 half-lives of the drug, whichever is longer). Any medical, psychological or social condition that, in the opinion of the Investigator, would jeopardize the health or well-being of the participant during any study procedures or the integrity of the data.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
John Frew, MBBS
Organizational Affiliation
Holdsworth House Medical Practice
Official's Role
Principal Investigator
Facility Information:
Facility Name
Holdsworth House Medical Practice
City
Sydney
State/Province
New South Wales
ZIP/Postal Code
2010
Country
Australia

12. IPD Sharing Statement

Plan to Share IPD
No

Learn more about this trial

Study of the Effect of Fostamatinib Upon Cutaneous Inflammation in the Setting of Hidradenitis Suppurativa

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