Clinical trial • Phase II • Dermatology|Immunology

REZPEGALDESLEUKIN for Alopecia areata

Phase II trial of REZPEGALDESLEUKIN for Alopecia areata.

Overview

Trial Therapeutic Area
Dermatology|Immunology
Trial Disease
Alopecia areata
Trial Stage
Phase II
Drug Modality
Peptide/protein/enzyme

Key dates

Initial CTIS Submission Date
25-07-2024
First CTIS Authorization Date
18-11-2024

Trial design

Randomised, placebo: placebo as a subcutaneous injection every two weeks for 36 weeks (comparator). active arms: rezpegaldesleukin low dose (subcutaneous every two weeks for 36 weeks) and rezpegaldesleukin high dose (subcutaneous every two weeks for 36 weeks). dose amounts not specified in summary.-controlled Phase II trial across 14 sites in Poland.

Randomised
Yes
Comparator
Placebo: Placebo as a subcutaneous injection every two weeks for 36 weeks (comparator). Active arms: Rezpegaldesleukin low dose (subcutaneous every two weeks for 36 weeks) and Rezpegaldesleukin high dose (subcutaneous every two weeks for 36 weeks). Dose amounts not specified in summary.
Target Sample Size
46
Trial Duration For Participant
455

Eligibility

Recruits 46 Vulnerable population selected. Participants must be able and willing to provide written informed consent; ability to communicate/read/understand local language required. No assent procedures for minors are mentioned; inclusion criteria specify adults (≥18 years)..

Pregnancy Exclusion
Men and women (of reproductive potential) unwilling to use birth control and women who are pregnant or breastfeeding.
Vulnerable Population
Vulnerable population selected. Participants must be able and willing to provide written informed consent; ability to communicate/read/understand local language required. No assent procedures for minors are mentioned; inclusion criteria specify adults (≥18 years).

Inclusion criteria

  • {"criterion_text":"- Adults who are at least 18 years and ≤60 years for males (≤70 years of age for females) old at the time of informed consent\n- Diagnosis of Alopecia Areata (AA) severity at screening and baseline: 1. severe to very severe AA (≥ 50% scalp involvement) as measured using the SALT score. 2 Documented history over 6 months with no spontaneous improvement prior to baseline. 3 Current episode of severe to very severe AA of less than 8 years\n- Women of childbearing potential (WOCBP) must have a negative pregnancy test at screening and baseline.\n- While on investigational product and for at least 30 days after taking the last dose of investigational product (IP), WOCBP who engage in activity in which conception is possible must use approved highly effective contraceptive method(s). For male patient with partner that is WOCBP in which conception is possible, male patient must agree to use approved highly effective contraceptive method(s).\n- Able to complete patient questionnaires\n- Able and willing to comply with requested study visits and procedures\n- Able and willing to provide written informed consent\n- Able to communicate, read and/or understand the local language"}

Exclusion criteria

  • {"criterion_text":"- Men and women (of reproductive potential) unwilling to use birth control and women who are pregnant or breastfeeding.\n- Patient has primarily “diffuse” type AA (characterized by diffuse hair shedding).\n- Presence of another form of alopecia.\n- Prior use of any of the following treatments: 1. aldesleukin 2. investigational IL-2 analog 3. oral Janus kinase (JAK) inhibitor for any indication, including, but not limited to, baricitinib, upadacitinib, abrocitinib, tofacitinib, and ruxolitinib, whether marketed or investigational 4. systemic immune-modulating biologic therapy (including, but not limited to, dupilumab, tralokinumab, lebrikizumab, nemolizumab, rocatinlimab, rituximab, ocrelizumab, ofatumumab, belimumab, daxdilimab, etc.) whether marketed or investigational\n- History of cancer or lymphoproliferative disease within 5 years prior to Day 1. Note: Patients with successfully treated nonmetastatic cutaneous squamous cell or basal cell carcinoma with no evidence of metastatic disease for 3 years and/or localized carcinoma in situ of the cervix with no evidence of recurrence within the 3 years prior to Day 1 are not to be excluded.\n- Current infection with human immunodeficiency virus (HIV), hepatitis B virus, or hepatitis C virus at screening.\n- Other skin conditions that would interfere with study assessments of AA"}

Endpoints

Primary endpoints

  • {"endpoint_text":"- Percent change from baseline in Severity of Alopecia Tool (SALT) score at Week 36","definition_or_measurement_approach":"Percent change from baseline in SALT score assessed at baseline and at Week 36."}

Secondary endpoints

  • {"endpoint_text":"- Percent change from baseline in SALT score at Weeks 12, 16, 20, 24, 28 and 32","definition_or_measurement_approach":"Percent change from baseline in SALT score assessed at the specified weeks."}
  • {"endpoint_text":"- Proportion of patients achieving improvement in SALT (≥50%, ≥75%, and ≥90%) relative to their baseline score (SALT50, SALT75 and SALT90) at Weeks 12, 16, 20, 24, 28, 32, and 36","definition_or_measurement_approach":"Proportion of patients meeting the specified percent-improvement thresholds (SALT50/SALT75/SALT90) at the listed assessment weeks compared with baseline."}
  • {"endpoint_text":"- Proportion of patients achieving an absolute SALT score ≤10, ≤20, ≤30, ≤50 relative to their baseline score at Weeks 12, 16, 20, 24, 28, 32, and 36","definition_or_measurement_approach":"Proportion of patients achieving specified absolute SALT score cutoffs at listed weeks compared with baseline."}

Recruitment

Planned Sample Size
46
Recruitment Window Months
20
Consent Approach
Participants must be able and willing to provide written informed consent. Women of childbearing potential require negative pregnancy tests at screening and baseline and must use highly effective contraception during treatment and for at least 30 days after last dose. Consent forms and subject information documents are provided (documents include Polish-language ICF/SIS files). No assent procedures for minors are described.

Methods

  • Advertisement Document (K1_Recruitment arrangements_PL_Advertisement Document) — Poland
  • Doctor to Patient Letter (K1_Recruitment arrangements_PL_Doctor to Patient Letter) — Poland
  • Physician to Physician Letter (K1_Recruitment arrangements_PL_Physician to Physician Letter) — Poland
  • Patient Brochure (K1_Recruitment arrangements_PL_Patient Brochure) — Poland
  • Recruitment Poster (K1_Recruitment arrangements_PL_Recruitment Poster) — Poland
  • General recruitment arrangements document K1_Recruitment arrangements_PL (Poland)

Geography

Total Number Of Sites
14
Total Number Of Participants
38

Poland

Earliest CTIS Part Ii Submission Date
16-10-2024
Latest Decision Or Authorization Date
12-09-2025
Processing Time Days
331
Number Of Sites
14
Number Of Participants
38

Sites

Site Name
Prywatna Praktyka Lekarska Ewa Ring
Department Name
Dermatology
Principal Investigator Name
Ewa Ring
Principal Investigator Email
eringtrial@gmail.com
Contact Person Name
Ewa Ring
Contact Person Email
eringtrial@gmail.com
Site Name
Twoja Przychodnia Nowosolskie Centrum Medyczne Sp. z o.o.
Department Name
Dermatology
Principal Investigator Name
Anna Kacalak-Rzepka
Principal Investigator Email
kacalak@twojaprzychodnia.com
Contact Person Name
Anna Kacalak-Rzepka
Contact Person Email
kacalak@twojaprzychodnia.com
Site Name
Miejski Szpital Zespolony W Olsztynie
Department Name
Dermatology
Principal Investigator Name
Agnieszka Owczarczyk-Saczonek
Principal Investigator Email
aganek@wp.pl
Contact Person Name
Agnieszka Owczarczyk-Saczonek
Contact Person Email
aganek@wp.pl
Site Name
Wromedica I Bielicka A Strzalkowska s.c.
Department Name
Dermatology
Principal Investigator Name
Wojciech Baran
Principal Investigator Email
wojciech.baran@umw.edu.pl
Contact Person Name
Wojciech Baran
Contact Person Email
wojciech.baran@umw.edu.pl
Site Name
Provita Sp. z o.o.
Department Name
Dermatology
Principal Investigator Name
Anita Lewartowska-Białek
Principal Investigator Email
a.bialek@angelius.org
Contact Person Name
Anita Lewartowska-Białek
Contact Person Email
a.bialek@angelius.org
Site Name
Klinika Ambroziak Sp. z o.o.
Department Name
Dermatology
Principal Investigator Name
Bartłomiej Kwiek
Principal Investigator Email
principal@klinikaambroziak.pl
Contact Person Name
Bartłomiej Kwiek
Contact Person Email
principal@klinikaambroziak.pl
Site Name
Dermedic Jacek Zdybski
Department Name
Dermatology
Principal Investigator Name
Jacek Zdybski
Principal Investigator Email
jacek@zdybski.pl
Contact Person Name
Jacek Zdybski
Contact Person Email
jacek@zdybski.pl
Site Name
Twoja Przychodnia Szczecinskie Centrum Medyczne Sp. z o.o.
Department Name
Dermatology
Principal Investigator Name
Tadeusz Debniak
Principal Investigator Email
debniak@twojaprzychodnia.com
Contact Person Name
Tadeusz Debniak
Contact Person Email
debniak@twojaprzychodnia.com
Site Name
Cityclinic Przychodnia Lekarsko-Psychologiczna Matusiak sp.p.
Department Name
Dermatology
Principal Investigator Name
Jacek Szepietowski
Principal Investigator Email
jacek.szepietowski@umed.wroc.pl
Contact Person Name
Jacek Szepietowski
Site Name
Pratia S.A.
Department Name
Dermatology
Principal Investigator Name
Anna Malewska-Wozniak
Principal Investigator Email
anna.malewska-wozniak@pratia.com
Contact Person Name
Anna Malewska-Wozniak
Site Name
Dermaceum Sp. z o.o.
Department Name
Dermatology
Principal Investigator Name
Michał Torz
Principal Investigator Email
m.torz@dermaceum.pl
Contact Person Name
Michał Torz
Contact Person Email
m.torz@dermaceum.pl
Site Name
Centrum Badan Klinicznych Pi-House Sp. z o.o.
Department Name
Dermatology
Principal Investigator Name
Beata Imko-Walczuk
Principal Investigator Email
b.walczuk@pihouse.pl
Contact Person Name
Beata Imko-Walczuk
Contact Person Email
b.walczuk@pihouse.pl
Site Name
Centrum Zdrowia Dziecka I Rodziny Im. Jana Pawla II W Sosnowcu Sp. z o.o.
Department Name
Dermatology
Principal Investigator Name
Hubert Arasiewicz
Principal Investigator Email
hubert.arasiewicz@gmail.com
Contact Person Name
Hubert Arasiewicz
Contact Person Email
hubert.arasiewicz@gmail.com
Site Name
Uniwersytecki Szpital Kliniczny Im.Fryderyka Chopina W Rzeszowie
Department Name
Dermatology
Principal Investigator Name
Adam Reich
Principal Investigator Email
adi_medicalis@go2.pl
Contact Person Name
Adam Reich
Contact Person Email
adi_medicalis@go2.pl

Sponsor

Primary sponsor

Full Name
Nektar Therapeutics
Organisation Type
Pharmaceutical company
Country Of Registered Address
United States

Contract research organisations

Name
PPD Development Ireland Limited
Name
Medpace Inc.
Name
WCG Clinical Inc.
Responsibilities
Investigator training

Third parties

  • {"country":"United States","full_name":"Canfield Scientific Inc.","duties_or_roles":"Photography rental and SALT assessments training, certification, and licensing fee","organisation_type":"Pharmaceutical company"}
  • {"country":"United States","full_name":"WCG Clinical Inc.","duties_or_roles":"Investigator training","organisation_type":"Pharmaceutical company"}
  • {"country":"United States","full_name":"PCI","duties_or_roles":"","organisation_type":"Industry"}
  • {"country":"United States","full_name":"Scarritt Group Inc.","duties_or_roles":"Investigator meeting planner","organisation_type":"Non-Pharmaceutical company"}
  • {"country":"France","full_name":"Quipment","duties_or_roles":"study supplies","organisation_type":"Non-Pharmaceutical company"}
  • {"country":"United States","full_name":"Q Squared Solutions LLC","duties_or_roles":"","organisation_type":"Laboratory/Research/Testing facility"}
  • {"country":"Ireland","full_name":"PPD Development Ireland Limited","duties_or_roles":"","organisation_type":"Pharmaceutical company"}
  • {"country":"United States","full_name":"Sherpa Clinical Packaging LLC","duties_or_roles":"","organisation_type":"Pharmaceutical company"}
  • {"country":"United States","full_name":"Transperfect Translations International Inc.","duties_or_roles":"eTMF","organisation_type":"Pharmaceutical company"}
  • {"country":"United States","full_name":"Veeva Systems Inc.","duties_or_roles":"RTSM","organisation_type":"Non-Pharmaceutical company"}
  • {"country":"United States","full_name":"Scout Clinical","duties_or_roles":"Patient reimbursement","organisation_type":"Hospital/Clinic/Other health care facility"}
  • {"country":"United States","full_name":"Medpace Inc.","duties_or_roles":"","organisation_type":"Pharmaceutical company"}
  • {"country":"Germany","full_name":"PCI Pharma Services Germany GmbH","duties_or_roles":"","organisation_type":"Pharmaceutical company"}
  • {"country":"Canada","full_name":"Innovaderm Research Inc.","duties_or_roles":"multiple sponsor duties (codes present)","organisation_type":"Pharmaceutical company"}
  • {"country":"Belgium","full_name":"MEDPACE LABORATORIES","duties_or_roles":"","organisation_type":"Laboratory/Research/Testing facility"}
  • {"country":"Italy","full_name":"Patheon Italia S.p.A.","duties_or_roles":"","organisation_type":"Pharmaceutical company"}
  • {"country":"United States","full_name":"Medrio Inc.","duties_or_roles":"","organisation_type":"Pharmaceutical company"}

Investigational products

Investigational Product Name
NKTR-358
Active Substance
REZPEGALDESLEUKIN
Modality
Peptide/protein/enzyme
Routes Of Administration
Subcutaneous injection
Route
Subcutaneous injection
Authorisation Status
IMP (MIA number: IMP00065/000010)
Frequency
Every two weeks
Investigational Product Name
Placebo
Modality
Other
Routes Of Administration
Subcutaneous injection
Route
Subcutaneous injection
Frequency
Every two weeks

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