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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