Clinical trial • Phase IV • Dermatology
UPADACITINIB for Erosive mucosal lichen planus | Lichen planopilaris
Phase IV trial of UPADACITINIB for Erosive mucosal lichen planus | Lichen planopilaris.
Overview
- Trial Therapeutic Area
- Dermatology
- Trial Disease
- Erosive mucosal lichen planus | Lichen planopilaris
- Trial Stage
- Phase IV
- Drug Modality
- Small molecule
Key dates
- Initial CTIS Submission Date
- 03-11-2025
- First CTIS Authorization Date
- 09-03-2026
Trial design
Randomised, upadacitinib 30 mg qd (rinvoq 30 mg prolonged-release tablets, oral) versus matched placebo ("placebo is identifical in composition to rinovq but does not contain the substance medical").-controlled Phase IV trial in France.
- Randomised
- Yes
- Comparator
- Upadacitinib 30 mg QD (RINVOQ 30 mg prolonged-release tablets, oral) versus matched placebo ("Placebo is identifical in composition to rinovq but does not contain the substance medical").
- Target Sample Size
- 56
- Trial Duration For Participant
- 224
Eligibility
Recruits 56 Written informed consent must be obtained before any assessment is performed. No vulnerable populations selected in the CTIS record; assent/parental consent procedures are not described in the available documents..
- Pregnancy Exclusion
- A negative serum pregnancy test for all female subjects considered to be of childbearing potential at the Screening Visit and a negative urine pregnancy test at baseline prior to the first dose of study drug.
- Vulnerable Population
- Written informed consent must be obtained before any assessment is performed. No vulnerable populations selected in the CTIS record; assent/parental consent procedures are not described in the available documents.
Inclusion criteria
- {"criterion_text":"- Written informed consent must be obtained before any assessment is performed\n- Female and male patients ≥ 18 years and < 65 years old at Baseline Visit\n- Subjects must have biopsy-confirmed forms of mucosal lichen planus (MLP) or active lichen planopilaris (LPP) eligible for systemic therapy based on the following criteria: ·\tRated IGA of ≥ 3 (moderate or severe) AND ·\tInadequate response to topical corticosteroids of high - ultrahigh potency in the opinion of the investigator\n- A negative serum pregnancy test for all female subjects considered to be of childbearing potential at the Screening Visit and a negative urine pregnancy test at baseline prior to the first dose of study drug."}
Exclusion criteria
- {"criterion_text":"- Clinical history suspicious for lichenoid drug eruption\n- Clinical picture or history suspicious of paraneoplastic mucosal lichen planus\n- Mucosal lichen planus of the oral cavity or gastrointestinal involvement requiring the patient to use parenteral nutrition or feeding tube\n- Clinical picture of burnt-out cicatricial alopecia (alopecia of Brocq)\n- Patients diagnosed with frontal fibrosing alopecia (FFA) without active patches of LPP\n- Hepatitis C antibody positive at screening unless viral load is 0\n- Subjects with active TB or latent TB without history of appropriate prophylaxis"}
Endpoints
Primary endpoints
- {"endpoint_text":"- Achievement of IGA response (absolute IGA score ≤2) at Week 16","definition_or_measurement_approach":"Investigator Global Assessment (IGA) response defined as an absolute IGA score ≤2 measured at Week 16."}
Secondary endpoints
- {"endpoint_text":"- Achievement of 2 points improvement in the IGA at Week 32\n- Achievement of DLQI 0/1 score at Week 16 and Week 32\n- PGIS at Week 16 and Week 32\n- PGIC at Week 16 and Week 32\n- Adverse events, laboratory values, vital signs from baseline to end of study visit analysis\n- Absolute and relative change in REU, OLPSSM and NRS score at Week 16 and Week 32\n- Absolute and relative change in LPPAI and SCALPDEX Questionnaire score at Week 16 and Week 32","definition_or_measurement_approach":"Secondary endpoints measured at specified timepoints (Week 16 and Week 32) including IGA change, Dermatology Life Quality Index (DLQI 0/1), Patient Global Impression of Severity (PGIS), Patient Global Impression of Change (PGIC), safety assessments (AEs, labs, vitals), and validated score changes (REU, OLPSSM, NRS, LPPAI, SCALPDEX)."}
Recruitment
- Planned Sample Size
- 56
- Recruitment Window Months
- 26
- Consent Approach
- Written informed consent must be obtained before any assessment is performed. Participants are adults (≥18 and <65) and provide their own consent. Study-specific ICF (L1_SIS and ICF Patient) is listed among documents; languages and age-specific consent/assent details are not provided in the available record.
Geography
- Total Number Of Sites
- 5
- Total Number Of Participants
- 56
France
- Earliest CTIS Part Ii Submission Date
- 10-02-2026
- Latest Decision Or Authorization Date
- 10-04-2026
- Processing Time Days
- 59
- Number Of Sites
- 5
- Number Of Participants
- 56
Sites
- Site Name
- Centre Hospitalier Universitaire Rouen
- Department Name
- Dermatology
- Principal Investigator Name
- Vivien Hebert
- Principal Investigator Email
- vivien.hebert@chu-rouen.fr
- Contact Person Name
- Vivien Hebert
- Contact Person Email
- vivien.hebert@chu-rouen.fr
- Site Name
- Polyclinique Courlancy-Bezannes
- Department Name
- Dermatology
- Principal Investigator Name
- Ziad Reguiai
- Principal Investigator Email
- dr-reguiai@orange.fr
- Contact Person Name
- Ziad Reguiai
- Contact Person Email
- dr-reguiai@orange.fr
- Site Name
- Centre Hospitalier Regional Universitaire De Tours
- Department Name
- Dermatology
- Principal Investigator Name
- Mahtab SAMIMI
- Principal Investigator Email
- mahtab.samimi@univ-tours.fr
- Contact Person Name
- Mahtab SAMIMI
- Contact Person Email
- mahtab.samimi@univ-tours.fr
- Site Name
- Centre Hospitalier Universitaire De Nice
- Department Name
- Dermatology
- Principal Investigator Name
- Thierry Passeron
- Principal Investigator Email
- passeron.t@chu-nice.fr
- Contact Person Name
- Thierry Passeron
- Contact Person Email
- passeron.t@chu-nice.fr
- Site Name
- Assistance Publique Hopitaux De Paris
- Department Name
- Dermatology
- Principal Investigator Name
- Jean-David Bouaziz
- Principal Investigator Email
- jean-david.bouaziz@aphp.fr
- Contact Person Name
- Jean-David Bouaziz
- Contact Person Email
- jean-david.bouaziz@aphp.fr
Sponsor
Primary sponsor
- Full Name
- Centre Hospitalier Universitaire De Nice
- Organisation Type
- Hospital/Clinic/Other health care facility
- Country Of Registered Address
- France
Investigational products
- Investigational Product Name
- RINVOQ 30 mg prolonged-release tablets
- Active Substance
- UPADACITINIB
- Modality
- Small molecule
- Routes Of Administration
- ORAL
- Route
- ORAL
- Authorisation Status
- Authorised (marketing authorisation PLGB 41042/0044)
- Starting Dose
- 30 mg
- Dose Levels
- 30 mg
- Frequency
- QD (daily)
- Maximum Dose
- 30 mg
- Investigational Product Name
- Placebo is identifical in composition to rinovq but does not contain the substance medical
- Modality
- Other
- Routes Of Administration
- ORAL
- Route
- ORAL
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