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Clinical Trial Details — Status: Completed

Administrative data

NCT number NCT04092452
Other study ID # C2501007
Secondary ID
Status Completed
Phase Phase 2
First received
Last updated
Start date December 2, 2019
Est. completion date January 10, 2022

Study information

Verified date May 2023
Source Pfizer
Contact n/a
Is FDA regulated No
Health authority
Study type Interventional

Clinical Trial Summary

This is a study with 3 kinase inhibitors (PF 06650833, PF 06700841 and PF 06826647) in participants with moderate to severe HS. The study will have a maximum duration of approximately 26 weeks. This includes an up to 6-week Screening Period, a 16 week Dosing Period and a 4 week Follow up Period.


Recruitment information / eligibility

Status Completed
Enrollment 194
Est. completion date January 10, 2022
Est. primary completion date January 10, 2022
Accepts healthy volunteers No
Gender All
Age group 18 Years to 75 Years
Eligibility Inclusion Criteria: - male or female participants, between 18-75, with a diagnosis of moderate to severe Hidradenitis Suppurativa Exclusion Criteria: - History of human immunodeficiency virus (HIV) or positive HIV serology at screening, - Infected with hepatitis B or hepatitis C viruses. - Have evidence of active or latent or inadequately treated infection with Mycobacterium tuberculosis (TB)

Study Design


Related Conditions & MeSH terms


Intervention

Drug:
PF-06650833
400 mg QD
PF-06700841
45 mg QD
PF-06826647
400 mg QD
Placebo
placebo

Locations

Country Name City State
Australia Skin Health Institute Inc. Carlton Victoria
Australia Sinclair Dermatology East Melbourne Victoria
Australia Premier Specialists Pty Ltd Kogarah New South Wales
Australia Woden Dermatology Phillip Australian Capital Territory
Australia Holdsworth House Medical Practice Sydney New South Wales
Australia Veracity Clinical Research Woolloongabba Queensland
Canada SimcoDerm Medical and Surgical Dermatology Center Barrie Ontario
Canada DermEffects London Ontario
Canada Manna Research (London) London Ontario
Canada SKiN Centre for Dermatology Peterborough Ontario
Canada Alpha Recherche Clinique Quebec
Canada Centre de Recherche Saint-Louis Quebec
Canada The Centre for Dermatology Richmond Hill Ontario
Canada Diex Recherche Sherbrooke Inc. Sherbrooke Quebec
United States Arlington Research Center Arlington Texas
United States Bellevue Dermatology Clinic Bellevue Washington
United States Bellevue Dermatology Clinical Research Center Bellevue Washington
United States The University Of Alabama At Birmingham Birmingham Alabama
United States The University of Alabama at Birmingham Birmingham Alabama
United States The University of Alabama at Birmingham Hospital Outreach Lab Birmingham Alabama
United States The University of Alabama at Birmingham Investigation Drug Services Pharmacy Birmingham Alabama
United States Beth Israel Deaconess Medical Center Boston Massachusetts
United States Boston Medical Center Boston Massachusetts
United States Boston University General Clinical Research Unit Boston Massachusetts
United States New England Research Associates, LLC Bridgeport Connecticut
United States Ds Research Clarksville Indiana
United States Wayne State University / Integrative Biosciences Center Detroit Michigan
United States Center for Dermatology Clinical Research, Inc. Fremont California
United States J Woodson Clinical Studies Group Henderson Nevada
United States Penn State Health Milton S. Hershey Medical Center Hershey Pennsylvania
United States Penn State Health Radiology - University Physician Center Hershey Pennsylvania
United States Dermatology and Skin Cancer Consultants Humboldt Tennessee
United States Dawes Fretzin Clinical Research Group, LLC Indianapolis Indiana
United States Clinical Research Solutions Jackson Tennessee
United States Dermatology and Skin Cancer Consultants Jackson Tennessee
United States Jacksonville Center for Clinical Research Jacksonville Florida
United States Total Dermatology Care Center Jacksonville Florida
United States Olympian Clinical Research Largo Office Largo Florida
United States Pacific Clinical Trials Long Beach California
United States Keck School of Medicine of University of Southern California Los Angeles California
United States DS Research Louisville Kentucky
United States University of Miami Hospital Miami Florida
United States Clinical Research Unit Minneapolis Minnesota
United States Lillihei Clinical Research Unit Minneapolis Minnesota
United States University of Minnesota Department of Dermatology Minneapolis Minnesota
United States University of Utah MidValley Dermatology Murray Utah
United States Icahn School of Medicine at Mount Sinai New York New York
United States MedaPhase Inc. Newnan Georgia
United States Tory Sullivan MD PA North Miami Beach Florida
United States MidState Skin Institute Ocala Florida
United States Renstar Medical Research Ocala Florida
United States Renstar Medical Research Ocala Florida
United States Skin Specialists PC Omaha Nebraska
United States Park Avenue Dermatology Orange Park Florida
United States Leavitt Medical Associates of Florida d/b/a Ameriderm Research Ormond Beach Florida
United States Riverchase Dermatology and Cosmetic Surgery Pembroke Pines Florida
United States Austin Institute for Clinical Research, Inc. Pflugerville Texas
United States Paddington Testing Company, Inc Philadelphia Pennsylvania
United States Thomas Jefferson University Philadelphia Pennsylvania
United States Thomas Jefferson University Hospital Philadelphia Pennsylvania
United States Virginia Commonwealth University Medical Center Richmond Virginia
United States MediSearch Clinical Trials Saint Joseph Missouri
United States Saint Louis University - Department of Dermatology Saint Louis Missouri
United States UCSF Dermatology Clinic San Francisco California
United States UCSF Psoriasis and Skin Treatment Center San Francisco California
United States University of California San Francisco San Francisco California
United States Advanced Medical Research PC Sandy Springs Georgia
United States Clinical Science Institute Santa Monica California
United States Mayo Clinic Scottsdale Arizona
United States Dermatology Associates of Seattle Seattle Washington
United States Dermatology Physicians of Connecticut Shelton Connecticut
United States NorthShore University HealthSystem Dermatology Clinic Skokie Illinois
United States Alliance Clinical Research of Tampa Tampa Florida
United States ForCare Clinical Research Tampa Florida
United States Revival Research Institute, LLC Troy Michigan
United States Vital Prospects Clinical Research Institute Tulsa Oklahoma
United States Georgia Skin Cancer and Aesthetic Dermatology Watkinsville Georgia

Sponsors (1)

Lead Sponsor Collaborator
Pfizer

Countries where clinical trial is conducted

United States,  Australia,  Canada, 

Outcome

Type Measure Description Time frame Safety issue
Primary Percentage of Participants Achieving Hidradenitis Suppurativa Clinical Response (HiSCR) at Week 16- Minimum Risk (MR) [Full Analysis Set (FAS), Non-responder Imputation (NRI)]. HiSCR response was defined as at least a 50% reduction in total abscess and inflammatory nodule (AN) count relative to baseline, and no increase in abscess count, and no increase in draining fistula count. Confidence interval (CI) was calculated using Blyth-Still-Casella method. At week 16
Secondary Percentage of Participants Achieving HiSCR Response at Weeks 1, 2, 4, 6, 8, and 12 - MR (FAS, NRI). HiSCR response was defined as at least a 50% reduction in total abscess and inflammatory nodule (AN) count relative to baseline, and no increase in abscess count, and no increase in draining fistula count. Confidence interval (CI) was calculated using Blyth-Still-Casella method. At weeks 1, 2, 4, 6, 8, and 12
Secondary Percentage of Participants Achieving a Total Abscess and Inflammatory Nodule (AN) Count of 0 or 1; 0, 1 or 2 at Week 16 - MR (FAS, NRI). This estimand was intended to provide difference between treated and placebo in percentage of participants with a total AN count of 0 or 1, or 0, 1 or 2, respectively at week 16. Confidence interval (CI) was calculated using Blyth-Still-Casella method. At week 16
Secondary Least Squares (LS) Mean of Percent Change From Baseline in AN Count at Weeks 1, 2, 4, 6, 8, 12 and 16 - Analysis of Covariance (ANCOVA) [FAS, Multiply Imputed (MI)]. The analysis of covariance (ANCOVA) model was implemented for statistical testing, which included terms of treatment group, the stratification factors, and the baseline value as the independent variable. At weeks 1, 2, 4, 6, 8, 12 and 16
Secondary Least Squares Mean of Absolute Score in International Hidradenitis Suppurativa Severity Score System (IHS4) at Weeks 1, 2, 4, 6, 8, 12 and 16 - ANCOVA (FAS, MI). The IHS4 score was calculated by the number of nodules, the number of abscesses, and the number of draining tunnels. IHS4 score = (number of nodules × 1) + (number of abscesses × 2) + {number of draining tunnels (fistulae/sinuses) × 4}. Confidence interval (CI) was calculated using Blyth-Still-Casella method. Lower IHS4 absolute scores mean a better outcome. At weeks 1, 2, 4, 6, 8, 12 and 16
Secondary Least Squares Mean of Percent Change From Baseline in International Hidradenitis Suppurativa Severity Score System (IHS4) at Weeks 1, 2, 4, 6, 8, 12 and 16 - ANCOVA (FAS, MI). The IHS4 score was calculated by the number of nodules, the number of abscesses, and the number of draining tunnels. IHS4 score = (number of nodules × 1) + (number of abscesses × 2) + {number of draining tunnels (fistulae/sinuses) × 4}. Confidence interval (CI) was calculated using Blyth-Still-Casella method. Lower IHS4 absolute scores mean a better outcome. At weeks 1, 2, 4, 6, 8, 12 and 16
Secondary Percentage of Participants Who Experienced a Hidradenitis Suppurativa (HS) Flare at Weeks 4, 8, 12 and 16 - MR [FAS, Only Observed Data (OBS)]. HS flare was defined as at least a 25% increase in AN count with a minimum increase of 2 relative to Baseline. Confidence interval (CI) was calculated using Blyth-Still-Casella method. At weeks 4, 8, 12 and 16
Secondary Percentage of Participants Achieving Skin Pain Numeric Rating Scale (NRS30), at Worst, at Weeks 1, 2, 4, 6, 8, 12 and 16 - MR (FAS With Baseline =3, NRI) The rate comparing treatment and placebo groups at each visit was analyzed using CMH test with MR weighting strategy between each of active treatment group and placebo. Confidence interval (CI) was calculated using Blyth-Still-Casella method. NRS30 was defined as =30% reduction and =1 unit reduction from baseline in Patient's Global Assessment (PGA) Skin Pain NRS. The range of skin pain was from 0 to 10. Lower IHS4 absolute scores mean a better outcome. Baseline was defined as the average of all values recorded between Day -6 and Day 1. Weekly data were average values of daily observations over 7 days. NRI (non-responder imputation) for missing values which were related to withdrawal and all other events except for COVID-19. At weeks 1, 2, 4, 6, 8, 12 and 16
Secondary Percentage of Participants Achieving Skin Pain Numeric Rating Scale (NRS30), on Average, at Weeks 1, 2, 4, 6, 8, 12 and 16 - MR (FAS With Baseline =3, NRI) The rate comparing treatment and placebo groups at each visit was analyzed using CMH test with MR weighting strategy between each of active treatment group and placebo. Confidence interval (CI) was calculated using Blyth-Still-Casella method. NRS30 was defined as =30% reduction and =1 unit reduction from baseline in Patient's Global Assessment (PGA) Skin Pain NRS. The range of skin pain was from 0 to 10. Lower IHS4 absolute scores mean a better outcome. Baseline was defined as the average of all values recorded between Day -6 and Day 1. Weekly data were average values of daily observations over 7 days. NRI (non-responder imputation) for missing values which were related to withdrawal and all other events except for COVID-19. At weeks 1, 2, 4, 6, 8, 12 and 16
Secondary Least Squares Mean of Percent Change From Baseline in PGA Skin Pain Numeric Rating Scale, at Worst, at Weeks 1, 2, 4, 6, 8, 12 and 16 -ANCOVA (FAS With Baseline =3, MI) Patient Global Assessment Skin Pain Numeric Rating Scale was used to assess the worst skin pain and the average skin pain due to HS. Ratings for the 2 items range from 0 (no skin pain) to 10 (skin pain as bad as you can imagine). These two concepts were measured within the same instrument, but were scored separately. There was no composite score for this endpoint. The higher the score, the worse the outcomes, ranging from 0 (no skin pain) to 10 (skin pain as bad as you can imagine). Subscales were not combined. The ANCOVA model was fitted. Confidence interval (CI) was calculated using Blyth-Still-Casella method. At weeks 1, 2, 4, 6, 8, 12 and 16
Secondary Least Squares Mean of Percent Change From Baseline in PGA Skin Pain Numeric Rating Scale, on Average, at Weeks 1, 2, 4, 6, 8, 12 and 16 -ANCOVA (FAS With Baseline =3, MI) Patient Global Assessment Skin Pain Numeric Rating Scale was used to assess the worst skin pain and the average skin pain due to HS. Ratings for the 2 items range from 0 (no skin pain) to 10 (skin pain as bad as you can imagine). These two concepts were measured within the same instrument, but were scored separately. There was no composite score for this endpoint. The higher the score, the worse the outcomes, ranging from 0 (no skin pain) to 10 (skin pain as bad as you can imagine). Subscales were not combined. The ANCOVA model was fitted. Confidence interval (CI) was calculated using Blyth-Still-Casella method. At weeks 1, 2, 4, 6, 8, 12 and 16
Secondary Least Squares Mean of Change From Baseline in PGA Skin Pain Numeric Rating Scale, at Worst, at Weeks 1, 2, 4, 6, 8, 12 and 16 - ANCOVA (FAS, MI) Patient Global Assessment Skin Pain Numeric Rating Scale was used to assess the worst skin pain and the average skin pain due to HS. Ratings for the 2 items range from 0 (no skin pain) to 10 (skin pain as bad as you can imagine). These two concepts were measured within the same instrument, but were scored separately. There was no composite score for this endpoint. The higher the score, the worse the outcomes, ranging from 0 (no skin pain) to 10 (skin pain as bad as you can imagine). Subscales were not combined. The ANCOVA model was fitted. Confidence interval (CI) was calculated using Blyth-Still-Casella method. At weeks 1, 2, 4, 6, 8, 12 and 16
Secondary Least Squares Mean of Change From Baseline in PGA Skin Pain Numeric Rating Scale, on Average, at Weeks 1, 2, 4, 6, 8, 12 and 16 - ANCOVA (FAS, MI) Patient Global Assessment Skin Pain Numeric Rating Scale was used to assess the worst skin pain and the average skin pain due to HS. Ratings for the 2 items range from 0 (no skin pain) to 10 (skin pain as bad as you can imagine). These two concepts were measured within the same instrument, but were scored separately. There was no composite score for this endpoint. The higher the score, the worse the outcomes, ranging from 0 (no skin pain) to 10 (skin pain as bad as you can imagine). Subscales were not combined. The ANCOVA model was fitted. Confidence interval (CI) was calculated using Blyth-Still-Casella method. At weeks 1, 2, 4, 6, 8, 12 and 16
Secondary Percentage of Participants Achieving Erythema Response Among Participants With Baseline Erythema Score =2 in at Least 1 Region at Weeks 1, 2, 4, 6, 8, 12 and 16 - MR (FAS, NRI) Erythema response was defined as achieving erythema score of 1 or 0 in all affected anatomic regions among participants who had an erythema score of 2 or more in at least 1 anatomic region at baseline. NRI for missing values which were related to withdrawal and all other events except for COVID-19. A four-point ordinal scale ranging was used: 0 (no redness), 1 (faint but discernible pink coloration), 2 (moderate red coloration), and 3 (very red or bright red coloration). At weeks 1, 2, 4, 6, 8, 12 and 16
Secondary Number of Participants With Treatment-Emergent Adverse Events (All Causalities) The treatment-emergent AEs (TEAEs) were considered as an adverse event that started during the effective duration of treatment. All events that started on or after the first dosing day and time/start time, if collected, but before the last dose plus the lag time was flagged as TEAEs. Up to 20 weeks
Secondary Number of Participants With Treatment-Emergent Adverse Events (Treatment Related) The treatment-emergent AEs (TEAEs) were considered as an adverse event that started during the effective duration of treatment. All events that started on or after the first dosing day and time/start time, if collected, but before the last dose plus the lag time was flagged as TEAEs. Up to 20 weeks
Secondary Number of Participants With Incidence of Post-baseline Vital Signs of Clinical Concern - Increase From Baseline (Safety Analysis Set) The vital signs were measured included temperature (Oral, Tympanic, Axillary or Temporal), pulse rate (beats/min) and blood pressure (mmHg). Up to 20 weeks
Secondary Number of Participants With Incidence of Laboratory Test Abnormalities (Without Regard to Baseline Abnormality) (Safety Analysis Set) Laboratory test abnormalities included hematology, chemistry, urinalysis and biomarker. Up to 20 weeks
Secondary Number of Participants With Incidence of Post-baseline Electrocardiogram (ECG) Values of Clinical Concern (Safety Analysis Set) ECG parameters included QT interval, QTc interval, PR interval, and QRS complex. Up to 20 weeks
Secondary Least Squares Mean of Absolute Score in Hidradenitis Suppurativa (HS) Symptom Items up to Week 16 - Mixed Effect Model Repeated Measurement (MMRM) (FAS, OBS) The Hidradenitis Suppurativa Symptom Items were 5 single items that assessed patient self-reported symptoms related to HS. The participants were asked to rate each symptom on a 0 to 10 numerical rating scale, with 0 indicating no symptom experience and 10 indicating the worst possible symptom. The symptoms assessed include: pain, tenderness, swelling, tiredness, and bother of lesion appearance. The higher the score, the worse the outcomes, ranging from 0 indicating no symptom experience and 10 indicating the worst possible symptom. These concepts were scored separately, and were not combined into a composite score. When using mixed effect model repeated measurement (MMRM) analysis, only observed data were used and missing data were not imputed. At weeks 1, 2, 4, 6, 8, 12 and 16
Secondary Least Squares Mean of Change From Baseline in Hidradenitis Suppurativa (HS) Symptom Items up to Week 16 - MMRM (FAS, OBS) The Hidradenitis Suppurativa Symptom Items were 5 single items that assessed patient self-reported symptoms related to HS. The participants were asked to rate each symptom on a 0 to 10 numerical rating scale, with 0 indicating no symptom experience and 10 indicating the worst possible symptom. The symptoms assessed include: pain, tenderness, swelling, tiredness, and bother of lesion appearance. The higher the score, the worse the outcomes, ranging from 0 indicating no symptom experience and 10 indicating the worst possible symptom. These concepts were scored separately, and were not combined into a composite score. When using mixed effect model repeated measurement (MMRM) analysis, only observed data were used and missing data were not imputed. At weeks 1, 2, 4, 6, 8, 12 and 16
Secondary Least Squares Mean of Absolute Score in Dermatology Life Quality Index (DLQI) Total Score up to Week 16 - MMRM (FAS, OBS) The Dermatology Life Quality Index (DLQI) is a general dermatology questionnaire that consists of 10 items that assess patient health-related quality of life (daily activities, personal relationships, symptoms and feelings, leisure, work and school, and treatment) over the last week. Scoring for each item is on a qualitative 0 to 3 scale, with options of "Not at all", "A little", "A lot", "Very much". The scores are added up to a total composite score with the range from the minimum score of 0 to the maximum score of 30. The higher the score, the worse the outcomes. At weeks 4, 8, 12 and 16
Secondary Least Squares Mean of Change From Baseline in DLQI Total Score up to Week 16 - MMRM (FAS, OBS) The Dermatology Life Quality Index (DLQI) is a general dermatology questionnaire that consists of 10 items that assess patient health-related quality of life (daily activities, personal relationships, symptoms and feelings, leisure, work and school, and treatment) over the last week. Scoring for each item is on a qualitative 0 to 3 scale, with options of "Not at all", "A little", "A lot", "Very much". The scores are added up to a total composite score with the range from the minimum score of 0 to the maximum score of 30. The higher the score, the worse the outcomes. The assessments examined a change from baseline in total score, where negative value means improvement in DLQI. At weeks 4, 8, 12 and 16
Secondary Percentage of Participants Achieving DLQI Total Score of 0 or 1 up to Week 16 - MR (FAS With Baseline >1, NRI) The Dermatology Life Quality Index (DLQI) is a general dermatology questionnaire that consists of 10 items that assess patient health-related quality of life (daily activities, personal relationships, symptoms and feelings, leisure, work and school, and treatment) over the last week. Scoring for each item is on a qualitative 0 to 3 scale, with options of "Not at all", "A little", "A lot", "Very much". The scores are added up to a total composite score with the range from the minimum score of 0 to the maximum score of 30. The higher the score, the worse the outcomes. The assessments examined the percentage of patients with complete resolution of dermatology specific quality of life impact, as assessed by a total score of = 1 (range: 0 - 30), where higher percentage indicates better improvement in DLQI. At weeks 4, 8, 12 and 16
Secondary Plasma Concentration Versus Time Summary (Pharmacokinetic Concentration Set) In summary statistics for pharmacokinetic, concentration values below the lower limit of quantification (LLOQ) was set to zero. At weeks 1, 2, 4, 6, 8, 12 and 16
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