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
- Contact Person Email
- jacek.szepietowski@umed.wroc.pl
- 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
- Contact Person Email
- anna.malewska-wozniak@pratia.com
- 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
Related trials
Other published trials that may interest you.