Clinical trial • Phase III • Immunology|Dermatology

LUTIKIZUMAB for Hidradenitis suppurativa

Phase III trial of LUTIKIZUMAB for Hidradenitis suppurativa.

Overview

Trial Therapeutic Area
Immunology|Dermatology
Trial Disease
Hidradenitis suppurativa
Trial Stage
Phase III
Drug Modality
Monoclonal antibody
Paediatric Trial
Yes

Key dates

Initial CTIS Submission Date
12-07-2024
First CTIS Authorization Date
05-11-2024

Trial design

Randomised, placebo of lutikizumab (matching placebo); dose and schedule not specified in available data-controlled Phase III trial in Bulgaria.

Randomised
Yes
Comparator
Placebo of Lutikizumab (matching placebo); dose and schedule not specified in available data
Target Sample Size
805
Trial Duration For Participant
357

Eligibility

Recruits 805 paediatric patients.

Vulnerable Population
Adolescents are included (subjects ≥12 years of age, with country-specific minimum ages noted where local law restricts participation). The trial provides adolescent assent forms and parent/guardian consent forms (country-specific parent ICFs and assent documents are listed in the submission documents), indicating parental/guardian consent plus assent processes for minors.

Inclusion criteria

  • {"criterion_text":"- Subjects must be ≥12 years of age (or ≥16 in countries where <16 is not permitted, or ≥18 in countries where <18 is not permitted) at the screening visit.\n- Diagnosis of moderate to severe HS for at least 6 months prior to Baseline as determined by the investigator (i.e., through medical history and interview of subject).\n- Total AN count of ≥ 5 at Baseline.\n- HS lesions present in at least two distinct anatomic areas at Baseline.\n- At least 1 anatomic area of HS involvement characterized as Hurley Stage II or higher at Baseline.\n- Subjects must have had an inadequate response per investigator's judgement to a 12-week trial (or an adequate trial per local treatment guidelines) of oral antibiotics for treatment of HS or demonstrated intolerance to oral antibiotics for HS treatment."}

Exclusion criteria

  • {"criterion_text":"- Laboratory values meeting the following criteria within the screening period prior to the first dose of study drug: •\tSerum AST > 2 × ULN; •\tSerum ALT > 2 × ULN; •\tSerum total bilirubin > 2.0 mg/dL, except for subjects with isolated elevation of indirect bilirubin relating to Gilbert syndrome; •\tTotal WBC count < 3,000/µL; •\tANC < 2,000/µL; •\tPlatelet count < 100,000/µL; •\tHemoglobin < 9.0 g/dL."}

Endpoints

Primary endpoints

  • {"endpoint_text":"- The primary endpoint is the achievement of HiSCR 75 at Week 16. HiSCR 75 is defined as at least a 75% reduction from baseline in the total AN count, with no increase in abscess count and no increase in draining fistula count relative to baseline.","definition_or_measurement_approach":"HiSCR 75: at least a 75% reduction from baseline in total AN count, with no increase in abscess count and no increase in draining fistula count relative to baseline, assessed at Week 16."}

Secondary endpoints

  • {"endpoint_text":"- Ranked Secondary Endpoints: Achievement of NRS30 (at least a 30% reduction and at least 2-units reduction from Baseline in the Patient's Global Assessment of HS-related skin pain NRS) at Week 8 among subjects with NRS ≥ 3 at Baseline. The NRS30 is based on worst skin pain in a 24-hour recall period (maximal daily pain); \"","definition_or_measurement_approach":"NRS30 = ≥30% reduction and ≥2-unit reduction from baseline on Patient's Global Assessment of HS-related skin pain (NRS) based on worst 24-hour recall; assessed at Week 8 in subjects with baseline NRS ≥3."}
  • {"endpoint_text":"- Change from Baseline in DLQI at Week 16 among subjects ≥ 16 years of age at Baseline;","definition_or_measurement_approach":"Change from baseline in Dermatology Life Quality Index (DLQI) at Week 16 for subjects aged ≥16 at baseline."}
  • {"endpoint_text":"- Change from Baseline in HSIA at Week 16","definition_or_measurement_approach":"Change from baseline in Hidradenitis Suppurativa Impact Assessment (HSIA) score at Week 16."}
  • {"endpoint_text":"- Change from Baseline in HSSA Worst Drainage Score at Week 16;","definition_or_measurement_approach":"Change from baseline in HSSA (Hidradenitis Suppurativa Symptom Assessment) worst drainage score at Week 16."}
  • {"endpoint_text":"- Change from Baseline in Draining Fistula at Week 16 among subjects with at least 1 draining fistula at Baseline;","definition_or_measurement_approach":"Change from baseline in number/score of draining fistulae at Week 16 among participants who had ≥1 draining fistula at baseline."}
  • {"endpoint_text":"- Achievement of HiSCR 90 (at least a 90% reduction in the total AN count with no increase in abscess count and no increase in draining fistula count relative to Baseline) at Week 16;","definition_or_measurement_approach":"HiSCR 90 = ≥90% reduction in total AN count with no increase in abscess count and no increase in draining fistula count relative to baseline; assessed at Week 16."}
  • {"endpoint_text":"- Change from Baseline in the Patient's Global Assessment of HS-related Skin Pain (NRS) at Week 8;","definition_or_measurement_approach":"Change from baseline on the Patient's Global Assessment NRS for HS-related skin pain at Week 8."}
  • {"endpoint_text":"- Change from Baseline in HSSA at Week 16;","definition_or_measurement_approach":"Change from baseline in HSSA (Hidradenitis Suppurativa Symptom Assessment) at Week 16."}
  • {"endpoint_text":"- Change from Baseline in HS-related odor (smell), based on HSSA Question 8, at Week 16;","definition_or_measurement_approach":"Change from baseline in HS-related odor (HSSA question 8) at Week 16."}
  • {"endpoint_text":"- Occurrence of HS flare, defined as at least one occurrence of a ≥ 25% increase in AN count with a minimum absolute increase of 2 relative to Baseline during the first 16 weeks (Period 1).","definition_or_measurement_approach":"HS flare = at least one occurrence of ≥25% increase in AN count AND absolute increase of ≥2 versus baseline during first 16 weeks (Period 1)."}
  • {"endpoint_text":"- Change from Baseline in HSIA Emotional Domain at Week 16;","definition_or_measurement_approach":"Change from baseline in the emotional domain subscore of the HSIA at Week 16."}
  • {"endpoint_text":"- Change from Baseline in HSIA Mobility Domain at Week 16.","definition_or_measurement_approach":"Change from baseline in the mobility domain subscore of the HSIA at Week 16."}

Recruitment

Digital Remote Recruitment
True — includes digital advertising visuals, email outreach (doctor-to-patient emails), and online recruitment brochures as documented in country recruitment materials.
Planned Sample Size
805
Recruitment Window Months
77
Consent Approach
Informed consent is by adult ICF for adults; for minors/adolescents (subjects ≥12 years where allowed) assent forms plus parent/guardian consent forms are provided. Country-specific parent ICFs and adolescent assent documents are included in the submission (multiple languages and country variants are provided). The protocol also documents country-specific minimum age limits (e.g., ≥16 or ≥18 where local law requires).

Methods

  • Doctor to Patient Email — physician-directed email outreach materials (documented country-specific 'Doctor to Patient Email' documents in multiple MSCs).
  • Recruitment Brochure — printed/digital brochures for potential participants (country-specific recruitment brochure documents).
  • Digital Ad Visuals — digital advertising assets/visuals for online recruitment (documents titled 'Digital Ad Visuals' for several countries).
  • K1 Recruitment arrangements (site-level recruitment procedures) — country-specific K1 recruitment & ICF procedures documents.
  • Recruitment campaign support via third-party vendors (e.g., Clinical Trial Media Inc. listed with 'Recruitment campaign' duty).

Geography

Total Number Of Sites
6
Total Number Of Participants
30

Bulgaria

Earliest CTIS Part Ii Submission Date
22-10-2024
Latest Decision Or Authorization Date
11-11-2024
Processing Time Days
20
Number Of Sites
6
Number Of Participants
30

Sites

Site Name
Medical Center Kordis OOD
Department Name
Medical Center Kordis OOD, Dermatology Unit
Principal Investigator Name
Klimentina Gospodinova
Principal Investigator Email
klimentina_gospodinova@abv.bg
Contact Person Name
Klimentina Gospodinova
Contact Person Email
klimentina_gospodinova@abv.bg
Site Name
Acibadem City Clinic Diagnostic And Consultation Center Tokuda EAD
Department Name
Clinic of skin and venereal diseases
Principal Investigator Name
Zdravka Demerdzhieva
Principal Investigator Email
z.demerdjieva@abv.bg
Contact Person Name
Zdravka Demerdzhieva
Contact Person Email
z.demerdjieva@abv.bg
Site Name
Umbal - Prof. D-R Stoyan Kirkovich AD
Department Name
Clinic of skin and venereal diseases
Principal Investigator Name
Evgeniya Hristakieva
Principal Investigator Email
ehristakieva@gmail.com
Contact Person Name
Evgeniya Hristakieva
Contact Person Email
ehristakieva@gmail.com
Site Name
Medical Center Hera EOOD
Department Name
Medical Center Hera EOOD, Dermatology Unit
Principal Investigator Name
Maria Ratkova
Principal Investigator Email
maria.ratkova@heraclinics.com
Contact Person Name
Maria Ratkova
Contact Person Email
maria.ratkova@heraclinics.com
Site Name
Dkc Fokus-5 Lzip OOD
Department Name
Diagnostic consultative center Fokus-5, Dermatology Unit
Principal Investigator Name
Grisha Mateev
Principal Investigator Email
grisha_mateev@yahoo.com
Contact Person Name
Grisha Mateev
Contact Person Email
grisha_mateev@yahoo.com
Site Name
ASMC IPSMC Skin And Venereal Diseases
Department Name
Ambulatory for Specialized Medical Care for skin and venereal diseases
Principal Investigator Name
Ivan Botev
Principal Investigator Email
botev2@yahoo.com
Contact Person Name
Ivan Botev
Contact Person Email
botev2@yahoo.com

Sponsor

Primary sponsor

Full Name
AbbVie Deutschland GmbH & Co. KG
Organisation Type
Pharmaceutical company
Country Of Registered Address
Germany

Contract research organisations

Name
Cytel Inc.
Responsibilities
Data Monitoring Committee
Name
WCG Clinical Inc.
Responsibilities
Cardiovascular Adjudication Commitee; Recruitment support
Name
IQVIA Limited
Name
Medidata Solutions Inc.
Name
Veeva Systems Inc.

Third parties

  • {"country":"United States","full_name":"Cytel Inc.","duties_or_roles":"Data Monitoring Committee","organisation_type":"Non-Pharmaceutical company"}
  • {"country":"United States","full_name":"Veeva Systems Inc.","duties_or_roles":"","organisation_type":"Non-Pharmaceutical company"}
  • {"country":"United States","full_name":"WCG Clinical Inc.","duties_or_roles":"Cardiovascular Adjudication Commitee","organisation_type":"Pharmaceutical company"}
  • {"country":"United States","full_name":"Medidata Solutions Inc.","duties_or_roles":"","organisation_type":"Non-Pharmaceutical company"}
  • {"country":"United States","full_name":"WCG Clinical Inc.","duties_or_roles":"Recruitment support","organisation_type":"Pharmaceutical company"}
  • {"country":"Switzerland","full_name":"Labcorp Central Laboratory Services Sàrl","duties_or_roles":"","organisation_type":"Health care"}
  • {"country":"United Kingdom","full_name":"IQVIA Limited","duties_or_roles":"","organisation_type":"Pharmaceutical company"}
  • {"country":"United States","full_name":"Clinical Trial Media Inc.","duties_or_roles":"Recruitment campaign","organisation_type":"Non-Pharmaceutical company"}

Investigational products

Investigational Product Name
Lutikizumab
Active Substance
LUTIKIZUMAB
Modality
Monoclonal antibody
Routes Of Administration
Subcutaneous injection
Route
Subcutaneous injection
Authorisation Status
Authorised

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