Study of the Efficacy, Safety, and Tolerability of Serlopitant for the Treatment of Chronic Pruritus of Unknown Origin
Primary Purpose
Pruritus
Status
Completed
Phase
Phase 2
Locations
United States
Study Type
Interventional
Intervention
5 mg Serlopitant Tablets
Matching Placebo Tablets
Sponsored by
About this trial
This is an interventional treatment trial for Pruritus focused on measuring Pruritus
Eligibility Criteria
Inclusion:
- Male or female, age 18 years or older at consent.
- The subject must have ongoing chronic pruritus
- The subject's pruritus is assessed by the investigator to be of unknown origin at baseline.
- Worst-Itch Numeric Rating Scale (WI-NRS) score in the 24-hour period prior to the Screening visit, and average weekly WI-NRS score in each of the 2 weeks prior to Baseline visit indicating an appropriate pruritus level for the study.
- The pruritus must have been unresponsive to prior treatment with emollients.
- The subject's pruritus must be present on multiple segments of the body
- Willing and able to complete daily eDiary entries within a consistent timeframe for the duration of the study
- All females who are of childbearing potential must be willing to practice highly effective contraception and not be pregnant or nursing
- Willing to comply with study visits and study related requirements including providing written informed consent.
- Adequate cognitive and physical ability, in the investigator's opinion, to comply with study visits and study related requirements including providing written informed consent
Exclusion
- Prior treatment with any NK1-receptor antagonists
- Known dermatologic or systemic condition(s), other than dry skin, that is considered by the investigator to be the primary cause of current pruritus.
- Untreated or inadequately treated thyroid, adrenal, or pituitary disease or nodules, or history of thyroid malignancy.
- Use of an excluded therapy within 3 weeks prior to randomization
- Treatment with any investigational therapy within 3 weeks prior to randomization.
- Serum creatinine, total bilirubin, alanine aminotransferase or aspartate aminotransferase > 2.5 times the upper limit of normal during screening.
- History of malignancy within 3 years prior to randomization, with the (actinic keratosis, non-metastatic cutaneous squamous cell carcinoma, basal cell carcinoma of skin).
- Any known major psychiatric diagnosis that would impact the subject's ability to complete the study
- Suicidal ideation within 3 years prior to randomization, or any history of suicide attempt.
- Known use of recreational drugs.
- Documented history of parasitic infection, including skin parasites such as scabies, within 12 weeks prior to randomization.
- Presence of clinically significant dementia, intellectual impairment, or any medical condition or disability that, in the investigator's opinion, could interfere with the assessment of safety or efficacy in this trial or compromise the safety of the subject.
- History of hypersensitivity to serlopitant or any of its components.
- Planned or anticipated major surgical procedure or other activity that would interfere with the subject's ability to comply with protocol-mandated assessments (e.g. extended international travel) during the subject's participation in the study.
Sites / Locations
- Study Site 221
- Study Site 823
- Study Site 204
- Study Site 803
- Study Site 820
- Study Site 804
- Study Site 811
- Study Site 801
- Study Site 807
- Study Site 331
- Study Site 824
- Study Site 818
- Study Site 349
- Study Site 814
- Study Site 808
- Study Site 822
- Study Site 371
- Study Site 817
- Study Site 821
- Study Site 813
- Study Site 387
- Study Site 816
- Study Site 121
- Study Site 802
- Study Site 507
- Study Site 341
- Study Site 810
- Study Site 524
- Study Site 116
- Study Site 522
- Study Site 345
- Study Site 815
- Study Site 805
- Study Site 365
- Study Site 120
- Study Site 819
- Study Site 359
- Study Site 809
- Study Site 217
- Study Site 806
- Study Site 812
Arms of the Study
Arm 1
Arm 2
Arm Type
Experimental
Placebo Comparator
Arm Label
5 mg Serlopitant Tablets
5 mg Placebo Tablets
Arm Description
Serlopitant Tablets
Placebo Tablets
Outcomes
Primary Outcome Measures
Worst Itch Numeric Rating Scale 4-point Responder Rate at Week 10
During the study, Worst Itch Numeric Rating Scale (WI-NRS) assessments was reported by the subject via eDiary. The daily NRS results were summarized. The daily results were averaged to create weekly measures.
The Itch NRS is a validated, self-reported, instrument for measurement of itch intensity. It used a 24-hour recall period and asked subjects to rate the intensity of their itch on an 11-point scale ranging from 0 (no itch) to 10 (worst itch imaginable), higher scores indicated greater itch intensity. A subject was a 4-point responder if their change from baseline is ≤ -4 (i.e. a decrease of at least 4).
WI-NRS 4-point Responder Rate at Weeks 2 4, 6, and 8
During the study, Worst Itch Numeric Rating Scale (WI-NRS) assessments was reported by the subject via eDiary. The daily NRS results were summarized. The daily results were averaged to create weekly measures.
The Itch NRS is a validated, self-reported, instrument for measurement of itch intensity. It used a 24-hour recall period and asked subjects to rate the intensity of their itch on an 11-point scale ranging from 0 (no itch) to 10 (worst itch imaginable), higher scores indicated greater itch intensity. A subject was a 4-point responder if their change from baseline is ≤ -4 (i.e. a decrease of at least 4).
WI-NRS 3-point Responder Rate at Weeks 2, 4, 6, 8, and 10
During the study, Worst Itch Numeric Rating Scale (WI-NRS) assessments was reported by the subject via eDiary. The daily NRS results were summarized. The daily results were averaged to create weekly measures.
The Itch NRS is a validated, self-reported, instrument for measurement of itch intensity. It used a 24-hour recall period and asked subjects to rate the intensity of their itch on an 11-point scale ranging from 0 (no itch) to 10 (worst itch imaginable), higher scores indicated greater itch intensity. A subject was a 3-point responder if their change from baseline is ≤ -3 (i.e. a decrease of at least 3). Results presented below is of subjects who were a 3-point responder but not a 4-point responder.
Change From Baseline in WI-NRS at Weeks 2, 4, 6, 8, and 10
During the study, Worst Itch Numeric Rating Scale (WI-NRS) assessments was reported by the subject via eDiary. The daily NRS results were summarized. The daily results were averaged to create weekly measures.
The Itch NRS is a validated, self-reported, instrument for measurement of itch intensity. It used a 24-hour recall period and asked subjects to rate the intensity of their itch on an 11-point scale ranging from 0 (no itch) to 10 (worst itch imaginable), higher scores indicated greater itch intensity.
Change From Baseline in Daily WI-NRS Scores Through Week 2
During the study, Worst Itch Numeric Rating Scale (WI-NRS) assessments was reported by the subject via eDiary. The daily NRS results were summarized. The daily results were averaged to create weekly measures.
The Itch NRS is a validated, self-reported, instrument for measurement of itch intensity. It used a 24-hour recall period and asked subjects to rate the intensity of their itch on an 11-point scale ranging from 0 (no itch) to 10 (worst itch imaginable), higher scores indicated greater itch intensity.
Change From Baseline in Worst-Itch Visual Analog Scale at Weeks 2, 4, 6, and 10
The Itch Visual Analog Scale (VAS) is a validated, self-reported instrument for measurement of itch intensity. It used a 24-hour recall period and asked subjects to rate the worst intensity of their itch on a 100-mm horizontal line ranging from 0 mm (no itch) to 100 mm (worst itch imaginable). Higher scores indicated greater itch intensity. The VAS measurement were summarized in centimeters. WI-VAS assessments were reported by the subject via a paper form administered at study visits.
Secondary Outcome Measures
Number of Subjects With Treatment Emergent Adverse Events (TEAEs) and Serious Adverse Events (SAEs)
Adverse events (AEs) were recorded to assess the safety and tolerability of repeated oral doses of serlopitant in adult subjects with chronic pruritus of unknown origin. Adverse events (AEs) and SAEs were recorded from the first study drug administration through the follow-up visit. After informed consent was signed, but prior to initiation of study drug, only SAEs considered by the investigator to be caused by a protocol-mandated intervention were collected.
Plasma Concentrations of Serlopitant and Metabolites
The plasma concentrations of serlopitant and metabolites were combined with the data from other serlopitant clinical studies for population pharmacokinetic analysis.
Full Information
1. Study Identification
Unique Protocol Identification Number
NCT03841331
Brief Title
Study of the Efficacy, Safety, and Tolerability of Serlopitant for the Treatment of Chronic Pruritus of Unknown Origin
Official Title
A Randomized, Double-Blind, Placebo-Controlled Study of the Efficacy, Safety, and Tolerability of Serlopitant for the Treatment of Chronic Pruritus of Unknown Origin
Study Type
Interventional
2. Study Status
Record Verification Date
May 2021
Overall Recruitment Status
Completed
Study Start Date
January 22, 2019 (Actual)
Primary Completion Date
December 10, 2019 (Actual)
Study Completion Date
January 21, 2020 (Actual)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Vyne Therapeutics Inc.
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
A Randomized, Double-Blind, Placebo-Controlled Study of the Efficacy, Safety, and Tolerability of Serlopitant for the Treatment of Chronic Pruritus of Unknown Origin
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Pruritus
Keywords
Pruritus
7. Study Design
Primary Purpose
Treatment
Study Phase
Phase 2
Interventional Study Model
Parallel Assignment
Masking
ParticipantCare ProviderInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
233 (Actual)
8. Arms, Groups, and Interventions
Arm Title
5 mg Serlopitant Tablets
Arm Type
Experimental
Arm Description
Serlopitant Tablets
Arm Title
5 mg Placebo Tablets
Arm Type
Placebo Comparator
Arm Description
Placebo Tablets
Intervention Type
Drug
Intervention Name(s)
5 mg Serlopitant Tablets
Other Intervention Name(s)
VPD-737
Intervention Description
Serlopitant Tablets
Intervention Type
Drug
Intervention Name(s)
Matching Placebo Tablets
Intervention Description
Placebo Tablets
Primary Outcome Measure Information:
Title
Worst Itch Numeric Rating Scale 4-point Responder Rate at Week 10
Description
During the study, Worst Itch Numeric Rating Scale (WI-NRS) assessments was reported by the subject via eDiary. The daily NRS results were summarized. The daily results were averaged to create weekly measures.
The Itch NRS is a validated, self-reported, instrument for measurement of itch intensity. It used a 24-hour recall period and asked subjects to rate the intensity of their itch on an 11-point scale ranging from 0 (no itch) to 10 (worst itch imaginable), higher scores indicated greater itch intensity. A subject was a 4-point responder if their change from baseline is ≤ -4 (i.e. a decrease of at least 4).
Time Frame
At Week 10
Title
WI-NRS 4-point Responder Rate at Weeks 2 4, 6, and 8
Description
During the study, Worst Itch Numeric Rating Scale (WI-NRS) assessments was reported by the subject via eDiary. The daily NRS results were summarized. The daily results were averaged to create weekly measures.
The Itch NRS is a validated, self-reported, instrument for measurement of itch intensity. It used a 24-hour recall period and asked subjects to rate the intensity of their itch on an 11-point scale ranging from 0 (no itch) to 10 (worst itch imaginable), higher scores indicated greater itch intensity. A subject was a 4-point responder if their change from baseline is ≤ -4 (i.e. a decrease of at least 4).
Time Frame
At Weeks 2, 4, 6, and 8
Title
WI-NRS 3-point Responder Rate at Weeks 2, 4, 6, 8, and 10
Description
During the study, Worst Itch Numeric Rating Scale (WI-NRS) assessments was reported by the subject via eDiary. The daily NRS results were summarized. The daily results were averaged to create weekly measures.
The Itch NRS is a validated, self-reported, instrument for measurement of itch intensity. It used a 24-hour recall period and asked subjects to rate the intensity of their itch on an 11-point scale ranging from 0 (no itch) to 10 (worst itch imaginable), higher scores indicated greater itch intensity. A subject was a 3-point responder if their change from baseline is ≤ -3 (i.e. a decrease of at least 3). Results presented below is of subjects who were a 3-point responder but not a 4-point responder.
Time Frame
At Weeks 2, 4, 6, 8, and 10
Title
Change From Baseline in WI-NRS at Weeks 2, 4, 6, 8, and 10
Description
During the study, Worst Itch Numeric Rating Scale (WI-NRS) assessments was reported by the subject via eDiary. The daily NRS results were summarized. The daily results were averaged to create weekly measures.
The Itch NRS is a validated, self-reported, instrument for measurement of itch intensity. It used a 24-hour recall period and asked subjects to rate the intensity of their itch on an 11-point scale ranging from 0 (no itch) to 10 (worst itch imaginable), higher scores indicated greater itch intensity.
Time Frame
At Weeks 2, 4, 6, 8, and 10
Title
Change From Baseline in Daily WI-NRS Scores Through Week 2
Description
During the study, Worst Itch Numeric Rating Scale (WI-NRS) assessments was reported by the subject via eDiary. The daily NRS results were summarized. The daily results were averaged to create weekly measures.
The Itch NRS is a validated, self-reported, instrument for measurement of itch intensity. It used a 24-hour recall period and asked subjects to rate the intensity of their itch on an 11-point scale ranging from 0 (no itch) to 10 (worst itch imaginable), higher scores indicated greater itch intensity.
Time Frame
Through 2 weeks
Title
Change From Baseline in Worst-Itch Visual Analog Scale at Weeks 2, 4, 6, and 10
Description
The Itch Visual Analog Scale (VAS) is a validated, self-reported instrument for measurement of itch intensity. It used a 24-hour recall period and asked subjects to rate the worst intensity of their itch on a 100-mm horizontal line ranging from 0 mm (no itch) to 100 mm (worst itch imaginable). Higher scores indicated greater itch intensity. The VAS measurement were summarized in centimeters. WI-VAS assessments were reported by the subject via a paper form administered at study visits.
Time Frame
At Weeks 2, 4, 6, and 10
Secondary Outcome Measure Information:
Title
Number of Subjects With Treatment Emergent Adverse Events (TEAEs) and Serious Adverse Events (SAEs)
Description
Adverse events (AEs) were recorded to assess the safety and tolerability of repeated oral doses of serlopitant in adult subjects with chronic pruritus of unknown origin. Adverse events (AEs) and SAEs were recorded from the first study drug administration through the follow-up visit. After informed consent was signed, but prior to initiation of study drug, only SAEs considered by the investigator to be caused by a protocol-mandated intervention were collected.
Time Frame
From screening until the Follow-up (F/U) visit which occurred 35 days (+ 7 days) after the Week 10 visit or the last dose of study drug for subjects who discontinued study drug early.
Title
Plasma Concentrations of Serlopitant and Metabolites
Description
The plasma concentrations of serlopitant and metabolites were combined with the data from other serlopitant clinical studies for population pharmacokinetic analysis.
Time Frame
At Week 10
10. Eligibility
Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
120 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion:
Male or female, age 18 years or older at consent.
The subject must have ongoing chronic pruritus
The subject's pruritus is assessed by the investigator to be of unknown origin at baseline.
Worst-Itch Numeric Rating Scale (WI-NRS) score in the 24-hour period prior to the Screening visit, and average weekly WI-NRS score in each of the 2 weeks prior to Baseline visit indicating an appropriate pruritus level for the study.
The pruritus must have been unresponsive to prior treatment with emollients.
The subject's pruritus must be present on multiple segments of the body
Willing and able to complete daily eDiary entries within a consistent timeframe for the duration of the study
All females who are of childbearing potential must be willing to practice highly effective contraception and not be pregnant or nursing
Willing to comply with study visits and study related requirements including providing written informed consent.
Adequate cognitive and physical ability, in the investigator's opinion, to comply with study visits and study related requirements including providing written informed consent
Exclusion
Prior treatment with any NK1-receptor antagonists
Known dermatologic or systemic condition(s), other than dry skin, that is considered by the investigator to be the primary cause of current pruritus.
Untreated or inadequately treated thyroid, adrenal, or pituitary disease or nodules, or history of thyroid malignancy.
Use of an excluded therapy within 3 weeks prior to randomization
Treatment with any investigational therapy within 3 weeks prior to randomization.
Serum creatinine, total bilirubin, alanine aminotransferase or aspartate aminotransferase > 2.5 times the upper limit of normal during screening.
History of malignancy within 3 years prior to randomization, with the (actinic keratosis, non-metastatic cutaneous squamous cell carcinoma, basal cell carcinoma of skin).
Any known major psychiatric diagnosis that would impact the subject's ability to complete the study
Suicidal ideation within 3 years prior to randomization, or any history of suicide attempt.
Known use of recreational drugs.
Documented history of parasitic infection, including skin parasites such as scabies, within 12 weeks prior to randomization.
Presence of clinically significant dementia, intellectual impairment, or any medical condition or disability that, in the investigator's opinion, could interfere with the assessment of safety or efficacy in this trial or compromise the safety of the subject.
History of hypersensitivity to serlopitant or any of its components.
Planned or anticipated major surgical procedure or other activity that would interfere with the subject's ability to comply with protocol-mandated assessments (e.g. extended international travel) during the subject's participation in the study.
Facility Information:
Facility Name
Study Site 221
City
Hot Springs
State/Province
Arkansas
ZIP/Postal Code
72022
Country
United States
Facility Name
Study Site 823
City
Bakersfield
State/Province
California
ZIP/Postal Code
93301
Country
United States
Facility Name
Study Site 204
City
Fremont
State/Province
California
ZIP/Postal Code
94538
Country
United States
Facility Name
Study Site 803
City
Los Angeles
State/Province
California
ZIP/Postal Code
90045
Country
United States
Facility Name
Study Site 820
City
Centennial
State/Province
Colorado
ZIP/Postal Code
80112
Country
United States
Facility Name
Study Site 804
City
Denver
State/Province
Colorado
ZIP/Postal Code
80210
Country
United States
Facility Name
Study Site 811
City
Aventura
State/Province
Florida
ZIP/Postal Code
33180
Country
United States
Facility Name
Study Site 801
City
Jacksonville
State/Province
Florida
ZIP/Postal Code
32256
Country
United States
Facility Name
Study Site 807
City
Miami
State/Province
Florida
ZIP/Postal Code
33137
Country
United States
Facility Name
Study Site 331
City
Miami
State/Province
Florida
ZIP/Postal Code
33144
Country
United States
Facility Name
Study Site 824
City
Sarasota
State/Province
Florida
ZIP/Postal Code
34239
Country
United States
Facility Name
Study Site 818
City
West Palm Beach
State/Province
Florida
ZIP/Postal Code
33406
Country
United States
Facility Name
Study Site 349
City
Savannah
State/Province
Georgia
ZIP/Postal Code
31406
Country
United States
Facility Name
Study Site 814
City
Indianapolis
State/Province
Indiana
ZIP/Postal Code
46250
Country
United States
Facility Name
Study Site 808
City
Brighton
State/Province
Massachusetts
ZIP/Postal Code
02135
Country
United States
Facility Name
Study Site 822
City
Rolla
State/Province
Missouri
ZIP/Postal Code
65401
Country
United States
Facility Name
Study Site 371
City
Saint Joseph
State/Province
Missouri
ZIP/Postal Code
64506
Country
United States
Facility Name
Study Site 817
City
Saint Louis
State/Province
Missouri
ZIP/Postal Code
63110
Country
United States
Facility Name
Study Site 821
City
Bellevue
State/Province
Nebraska
ZIP/Postal Code
68123
Country
United States
Facility Name
Study Site 813
City
Las Vegas
State/Province
Nevada
ZIP/Postal Code
89128
Country
United States
Facility Name
Study Site 387
City
Las Vegas
State/Province
Nevada
ZIP/Postal Code
89148
Country
United States
Facility Name
Study Site 816
City
Morristown
State/Province
New Jersey
ZIP/Postal Code
07960
Country
United States
Facility Name
Study Site 121
City
Ocean Township
State/Province
New Jersey
ZIP/Postal Code
07712
Country
United States
Facility Name
Study Site 802
City
Bronx
State/Province
New York
ZIP/Postal Code
10458
Country
United States
Facility Name
Study Site 507
City
Brooklyn
State/Province
New York
ZIP/Postal Code
11203
Country
United States
Facility Name
Study Site 341
City
High Point
State/Province
North Carolina
ZIP/Postal Code
27262
Country
United States
Facility Name
Study Site 810
City
Raleigh
State/Province
North Carolina
ZIP/Postal Code
27612
Country
United States
Facility Name
Study Site 524
City
Dublin
State/Province
Ohio
ZIP/Postal Code
43016
Country
United States
Facility Name
Study Site 116
City
Portland
State/Province
Oregon
ZIP/Postal Code
97202
Country
United States
Facility Name
Study Site 522
City
Pittsburgh
State/Province
Pennsylvania
ZIP/Postal Code
15213
Country
United States
Facility Name
Study Site 345
City
Johnston
State/Province
Rhode Island
ZIP/Postal Code
02919
Country
United States
Facility Name
Study Site 815
City
Warwick
State/Province
Rhode Island
ZIP/Postal Code
02886
Country
United States
Facility Name
Study Site 805
City
Nashville
State/Province
Tennessee
ZIP/Postal Code
37215
Country
United States
Facility Name
Study Site 365
City
Austin
State/Province
Texas
ZIP/Postal Code
78745
Country
United States
Facility Name
Study Site 120
City
Dallas
State/Province
Texas
ZIP/Postal Code
75231
Country
United States
Facility Name
Study Site 819
City
Fort Worth
State/Province
Texas
ZIP/Postal Code
76244
Country
United States
Facility Name
Study Site 359
City
Pflugerville
State/Province
Texas
ZIP/Postal Code
78660
Country
United States
Facility Name
Study Site 809
City
San Antonio
State/Province
Texas
ZIP/Postal Code
78229
Country
United States
Facility Name
Study Site 217
City
Norfolk
State/Province
Virginia
ZIP/Postal Code
23502
Country
United States
Facility Name
Study Site 806
City
Spokane
State/Province
Washington
ZIP/Postal Code
99202
Country
United States
Facility Name
Study Site 812
City
Walla Walla
State/Province
Washington
ZIP/Postal Code
09362
Country
United States
12. IPD Sharing Statement
Learn more about this trial
Study of the Efficacy, Safety, and Tolerability of Serlopitant for the Treatment of Chronic Pruritus of Unknown Origin
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