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Clinical Trial Details — Status: Completed

Administrative data

NCT number NCT03816891
Other study ID # KPL-716-C201
Secondary ID
Status Completed
Phase Phase 2
First received
Last updated
Start date March 11, 2019
Est. completion date August 24, 2023

Study information

Verified date December 2023
Source Kiniksa Pharmaceuticals, Ltd.
Contact n/a
Is FDA regulated No
Health authority
Study type Interventional

Clinical Trial Summary

Study of the efficacy, safety, tolerability, pharmacokinetics (PK), and immunogenicity of Vixarelimab (KPL-716) in subjects with prurigo nodularis.


Description:

This is a Phase 2a/b randomized, double-blind, placebo-controlled study to investigate the efficacy, safety, tolerability, PK and immunogenicity of Vixarelimab administered subcutaneously (SC) in subjects with prurigo nodularis experiencing pruritus. Phase 2a portion (completed): Forty-nine subjects with moderate to severe PN experiencing moderate to severe pruritus were treated in the Phase 2a portion of the study. At Baseline, subjects were randomized 1:1 to receive double-blind Vixarelimab or placebo: Vixarelimab 720 mg loading dose followed by 360 mg every week; Placebo loading dose followed by placebo every week. The treatment Period was 8 weeks or 16 weeks (treatment duration was reduced from 16 weeks to 8 weeks in a protocol amendment [Protocol Version 3]). Phase 2b portion (enrolling): The Phase 2b study (Figure 1) will consist of a 4-week Screening Period and a 16-week Double-Blind Period, followed by a 36-week Open-Label-Extension (OLE) Period. Approximately 180 subjects with PN, experiencing severe pruritus, will be randomized (at 1:1:1:1 ratio) into one of 4 arms (3 active arms and one placebo arm). A total of 4 doses of study drug will be administered during the Double-Blind Period to measure the efficacy, safety, and PK of Vixarelimab. After the Double-Blind Period, all subjects will have the option to receive Vixarelimab during the OLE Period to evaluate the long-term safety and PK.


Recruitment information / eligibility

Status Completed
Enrollment 190
Est. completion date August 24, 2023
Est. primary completion date December 28, 2022
Accepts healthy volunteers No
Gender All
Age group 18 Years to 80 Years
Eligibility Inclusion Criteria (apply to both Phase 2a and Phase 2b unless otherwise specified): 1. Male or female aged 18 to 75 years (Phase 2a), 18 to 80 years (Phase 2b) 2. Have clinical diagnosis of prurigo nodularis for at least 6 months 3. Have at least 10 nodules (Phase 2a), 20 nodules (Phase 2b) at the Screening Visit and Day 1 4. Moderate to severe pruritus (Phase 2a); severe pruritus (Phase 2b) 5. Female subjects of childbearing potential must have a negative pregnancy test, be nonlactating, and having agreed to use a highly effective method of contraception, as specified in the protocol, from the Screening Visit until 16 weeks after final study drug administration 6. Able to comprehend and willing to sign an Informed Consent Form and able to abide by the study restrictions and comply with all study procedures for the duration of the study Exclusion Criteria (apply to both Phase 2a and Phase 2b unless otherwise specified): 1. Use of prohibited medications within the indicated timeframe from Day 1 2. Is currently using medication known to cause pruritus 3. Presence of any inflammatory, pruritic, and/or fibrotic skin condition other than moderate to severe prurigo nodularis or atopic dermatitis unless approved by the Sponsor 4. Laboratory abnormalities that fall outside the windows specified in the protocol at the Screening Visit 5. Has an active infection, including skin infection 6. Any medical or psychiatric condition which, in the opinion of the Investigator or the Sponsor, may place the subject at increased risk as a result of study participation, interfere with study participation or study assessments, affect compliance with study requirements, or complicate interpretation of study results

Study Design


Related Conditions & MeSH terms


Intervention

Drug:
vixarelimab
solution for injection
Placebo
solution for injection

Locations

Country Name City State
Australia Site 4106 Kogarah New South Wales
Australia Site 4104 Parkville Victoria
Australia Site 4105 Woolloongabba Queensland
Austria Site 2102 Graz
Austria Site 2101 Wien
Belgium Site 2702 Brussels
Belgium Site 2701 Liège
Canada Site 1307 Barrie Ontario
Canada Site 1308 Edmonton Alberta
Canada Site 1306 Fredericton New Brunswick
Canada Site 1305 London Ontario
Canada Site 1309 Markham Ontario
Canada Site 1301 Red Deer Alberta
Canada Site 303 Saint-Jérôme Quebec
Czechia Site 2301 Pardubice
Czechia Site 2302 Praha 10
France Site 2503 Bordeaux
France Site 2502 Brest
France Site 2504 Nantes
Germany Site 2001 Bad Bentheim Niedersachsen
Germany Site 2003 Bielefeld NRW
Germany Site 2011 Dresden
Germany Site 2008 Göttingen
Germany Site 2002 Münster
Germany Site 2005 Witten
Italy Site 2603 Brescia
Italy Site 2604 Catania Sicily
Korea, Republic of Site 4304 Incheon
Korea, Republic of Site 4302 Seoul
Korea, Republic of Site 4303 Seoul
Poland Site 2207 Kraków
Poland Site 2204 Rzeszów
Poland Site 2201 Wroclaw
Taiwan Site 4203 New Taipei City
Taiwan Site 4201 Taipei
Taiwan Site 4207 Taipei
Taiwan Site 4204 Taoyuan City
United Kingdom Site 2901 Leytonstone
United Kingdom Site 2903 Liverpool
United States Site 104 Anniston Alabama
United States Site 1110 Beverly Massachusetts
United States Site 105 Boise Idaho
United States Site 1139 Centennial Colorado
United States Site 1133 Charleston South Carolina
United States Site 1159 Clinton Township Michigan
United States Site 137 Colton California
United States Site 1121 Fairborn Ohio
United States Site 1113 Fort Gratiot Michigan
United States Site 1151 Fort Lauderdale Florida
United States Site 1116 Fountain Valley California
United States Site 1154 Fremont California
United States Site 101 Houston Texas
United States Site 1107 Largo Florida
United States Site 1132 Little Rock Arkansas
United States Site 1102 Los Angeles California
United States Site 1167 Los Angeles California
United States Site 1155 Louisville Kentucky
United States Site 1135 Miami Florida
United States Site 123 New Albany Indiana
United States Site 1150 New York New York
United States Site 1165 North Hollywood California
United States Site 108 Omaha Nebraska
United States Site 111 Pembroke Pines Florida
United States Site 106 Pflugerville Texas
United States Site 125 Phoenix Arizona
United States Site 1158 Rochester New York
United States Site 128 San Antonio Texas
United States Site 122 San Francisco California
United States Site 114 Sandy Springs Georgia
United States Site 1127 Scottsdale Arizona
United States Site 1115 Spokane Washington
United States Site 1163 Tampa Florida
United States Site 1166 Tampa Florida
United States Site 117 Tampa Florida
United States Site 1118 Troy Michigan
United States Site 130 Warren Michigan

Sponsors (1)

Lead Sponsor Collaborator
Kiniksa Pharmaceuticals, Ltd.

Countries where clinical trial is conducted

United States,  Australia,  Austria,  Belgium,  Canada,  Czechia,  France,  Germany,  Italy,  Korea, Republic of,  Poland,  Taiwan,  United Kingdom, 

Outcome

Type Measure Description Time frame Safety issue
Primary Phase 2a & 2b: Percent change from baseline in Worst Itch Numeric Rating Scale (WI-NRS) Subjects rate pruritus daily on Worst Itch [pruritis] Numerical Rating Scale (0=no pruritus; 10=worst imaginable pruritus) at Week 8 (Phase 2a); at Week 16 (Phase 2b)
Secondary *Phase 2a: Proportion of subjects achieving at least a 4-point reduction from baseline in weekly average WI-NRS Subjects rate pruritus daily on Worst Itch [pruritis] Numerical Rating Scale (0=no pruritus; 10=worst imaginable pruritus) at Week 8
Secondary Phase 2a: Percent change from baseline in pruritus visual analog scale (VAS) At every visit, subjects rate intensity of their average pruritus over previous 3 days on 0-10 line scale (0=no pruritis, 10=worst imaginable pruritis) at Week 8
Secondary Phase 2a: Change from baseline in weekly average of WI-NRS (Worst Itch [pruritis] - Numerical Rating Scale; 0=no pruritis, 10=worst imaginable pruritis) over time Subjects rate pruritus daily on Worst Itch [pruritis] Numerical Rating Scale (0=no pruritus; 10=worst imaginable pruritus) to end of treatment, assessed up to 24 weeks
Secondary Phase 2a: Percent change from baseline in weekly average of WI-NRS (Worst Itch [pruritis] - Numerical Rating Scale; 0=no pruritis, 10=worst imaginable pruritis) over time Subjects rate pruritus daily on Worst Itch [pruritis] Numerical Rating Scale (0=no pruritus; 10=worst imaginable pruritus) to end of treatment, assessed up to 24 weeks
Secondary Phase 2a: Change from baseline in pruritis visual analog scale (VAS) over time At every visit, subjects rate intensity of their average pruritus over previous 3 days on 0-10 line scale (0=no pruritis, 10=worst imaginable pruritis) to end of treatment, assessed up to 24 weeks
Secondary Phase 2a: Percent change from baseline in pruritis visual analog scale (VAS) over time At every visit, subjects rate intensity of their average pruritus over previous 3 days on 0-10 line scale (0=no pruritis, 10=worst imaginable pruritis) to end of treatment, assessed up to 24 weeks
Secondary Phase 2a: Change from baseline in 5-D Pruritus total score over time Administered every 2 visits, the 5-D Pruritus Scale evaluates pruritus in five domains: duration, degree, direction, disability and distribution. The scores from each domain are added together to obtain a total 5-D score ranging from 5 (no pruritus) and 25 (most severe pruritus) to end of treatment, assessed up to 24 weeks
Secondary Phase 2a: Percent change from baseline in 5-D Pruritus total score over time Administered every 2 visits, the 5-D Pruritus Scale evaluates pruritus in five domains: duration, degree, direction, disability and distribution. The scores from each domain are added together to obtain a total 5-D score ranging from 5 (no pruritus) and 25 (most severe pruritus) to end of treatment, assessed up to 24 weeks
Secondary Phase 2a: Proportion of subjects achieving at least a 4-point reduction from baseline in weekly average WI-NRS (Worst Itch [pruritis] - Numerical Rating Scale; 0=no pruritis, 10=worst imaginable pruritis) over time Subjects rate pruritus daily on Worst Itch [pruritis] Numerical Rating Scale (0=no pruritus; 10=worst imaginable pruritus) to end of treatment, assessed up to 24 weeks
Secondary Phase 2a: Change from baseline in Sleep Loss VAS over time At every visit, subjects rate intensity of their average sleeplessness over previous 3 days on 0-10 line scale (0=no sleeplessness, 10=worst imaginable sleeplessness) to end of treatment, assessed up to 24 weeks
Secondary Phase 2a: Percent change from baseline in Sleep Loss VAS over time At every visit, subjects rate intensity of their average sleeplessness over previous 3 days on 0-10 line scale (0=no sleeplessness, 10=worst imaginable sleeplessness) to end of treatment, assessed up to 24 weeks
Secondary Phase 2a: Change from baseline in weekly average of difficulty falling asleep NRS over time Subjects rate difficulty falling asleep daily on Numerical Rating Scale (0=no difficulty, 10=extremely difficult) to end of treatment, assessed up to 24 weeks
Secondary Phase 2a: Percent change from baseline in weekly average of difficulty falling asleep NRS over time Subjects rate difficulty falling asleep daily on Numerical Rating Scale (0=no difficulty, 10=extremely difficult) to end of treatment, assessed up to 24 weeks
Secondary Phase 2a: Change from baseline in weekly average of sleep quality NRS over time Subjects rate daily sleep quality on Numerical Rating Scale (0=best possible sleep, 10=worst possible sleep) to end of treatment, assessed up to 24 weeks
Secondary Phase 2a: Percent change from baseline in weekly average of sleep quality NRS over time Subjects rate daily sleep quality on Numerical Rating Scale (0=best possible sleep, 10=worst possible sleep) to end of treatment, assessed up to 24 weeks
Secondary Phase 2a: Change from baseline in quality of life (QoL) measures (DLQI and Itchy QoL) over time QoL is assessed at designated visits and includes the Dermatology QoL Index (DLQI) whereby 0=no effect on quality of life; 30= extremely large effect on QoL; and Itchy QoL, administered as designated visits, which contains 22 items focused on the impact of pruritus on daily activities and on the level of psychological stress. The frequency items are scored using a 5-point Likert scale ranging from "never" to "all the time". The bother items are scored from 1 (not bothered) to 5 (severely bothered) to end of treatment, assessed up to 24 weeks
Secondary Phase 2a: Percent change from baseline in quality of life (QoL) measures (DLQI and Itchy QoL) over time QoL is assessed at designated visits and includes the Dermatology QoL Index (DLQI) whereby 0=no effect on quality of life; 30= extremely large effect on QoL; and Itchy QoL, administered as designated visits, which contains 22 items focused on the impact of pruritus on daily activities and on the level of psychological stress. The frequency items are scored using a 5-point Likert scale ranging from "never" to "all the time". The bother items are scored from 1 (not bothered) to 5 (severely bothered) to end of treatment, assessed up to 24 weeks
Secondary Phase 2a: Change from baseline in Prurigo Nodularis Nodule Assessment Tool (PN-NAT) over time PN-NAT, assessed at designated visits, is a novel exploratory tool for the evaluation of disease severity based on estimate of the number of nodules over the whole body, estimate of hardness of nodules over the whole body, estimate of extent of excoriation over the whole body, distribution of nodules, exact number of nodules in the representative area. to end of treatment, assessed up to 24 weeks
Secondary Phase 2a: Proportion of subjects with improvement in Prurigo Nodularis Investigator Global Assessment (PN-IGA) by 2 categories over time PN-IGA, assessed at designated visits, is a novel exploratory tool for the overall investigator assessment of PN disease severity based on the size of the nodules as defined by their elevation. The IGA utilizes a 5-point scale that ranges from 0 (clear) to 4 (severe disease) to end of treatment, assessed up to 24 weeks
Secondary Phase 2b: Proportion of subjects achieving at least a 6-point reduction from baseline in weekly average WI-NRS (Worst Itch [pruritis] - Numerical Rating Scale; 0=no pruritis, 10=worst imaginable pruritis) Subjects rate pruritus daily on Worst Itch [pruritis] Numerical Rating Scale (0=no pruritus; 10=worst imaginable pruritus) to end of treatment, assessed up to 52 weeks
Secondary Phase 2b: Proportion of subjects achieving at least a 4-point reduction from baseline in weekly average WI-NRS (Worst Itch [pruritis] - Numerical Rating Scale; 0=no pruritis, 10=worst imaginable pruritis) Subjects rate pruritus daily on Worst Itch [pruritis] Numerical Rating Scale (0=no pruritus; 10=worst imaginable pruritus) at Week 16
Secondary Phase 2b: Proportion of subjects achieving 0 or 1 from baseline in PN-IGA PN-IGA, assessed at designated visits, is a novel exploratory tool for the overall investigator assessment of PN disease severity based on the size of the nodules as defined by their elevation. The IGA utilizes a 5-point scale that ranges from 0 (clear) to 4 (severe disease) at Week 16
Secondary Phase 2b: Change from baseline in weekly average of WI-NRS (Worst Itch [pruritis] - Numerical Rating Scale; 0=no pruritis, 10=worst imaginable pruritis) over time Subjects rate pruritus daily on Worst Itch [pruritis] Numerical Rating Scale (0=no pruritus; 10=worst imaginable pruritus) to end of treatment, assessed up to 52 weeks
Secondary Phase 2b: Percent change from baseline in weekly average of WI-NRS (Worst Itch [pruritis] - Numerical Rating Scale; 0=no pruritis, 10=worst imaginable pruritis) over time Subjects rate pruritus daily on Worst Itch [pruritis] Numerical Rating Scale (0=no pruritus; 10=worst imaginable pruritus) to end of treatment, assessed up to 52 weeks
Secondary Phase 2b: Proportion of subjects achieving at least a 6-point reduction from baseline in weekly average WI-NRS (Worst Itch [pruritis] - Numerical Rating Scale; 0=no pruritis, 10=worst imaginable pruritis) over time Subjects rate pruritus daily on Worst Itch [pruritis] Numerical Rating Scale (0=no pruritus; 10=worst imaginable pruritus) to end of treatment, assessed up to 52 weeks
Secondary Phase 2b: Proportion of subjects achieving at least a 4-point reduction from baseline in weekly average WI-NRS (Worst Itch [pruritis] - Numerical Rating Scale; 0=no pruritis, 10=worst imaginable pruritis) over time Subjects rate pruritus daily on Worst Itch [pruritis] Numerical Rating Scale (0=no pruritus; 10=worst imaginable pruritus) to end of treatment, assessed up to 52 weeks
Secondary Phase 2b: Proportion of subjects achieving 0 or 1 in PN-IGA over time PN-IGA is a novel exploratory tool for the overall investigator assessment of PN disease severity based on the size of the nodules as defined by their elevation. The IGA utilizes a 5-point scale that ranges from 0 (clear) to 4 (severe disease) to end of treatment, assessed up to 52 weeks
Secondary Phase 2b: Proportion of subjects with at least 2-point improvement from baseline in PN-IGA over time PN-IGA, assessed at designated visits, is a novel exploratory tool for the overall investigator assessment of PN disease severity based on the size of the nodules as defined by their elevation. The IGA utilizes a 5-point scale that ranges from 0 (clear) to 4 (severe disease) to end of treatment, assessed up to 52 weeks
Secondary Phase 2b: Proportion of subjects achieving 0 or 1 in Investigator's Global Assessment for Prurigo Nodularis-Stage (IGA-CNPG-S) over time IGA-CNPG-S, administered at designated visits, is a novel tool for the investigator assessment of PN disease severity based on the number of palpable nodules and utilizes a 5-point scale that ranges from 0 (clear) to 4 (severe). A score is assigned based on the appearance of the disease at the time of the evaluation without referring to the baseline state. to end of treatment, assessed up to 52 weeks
Secondary Phase 2b: Proportion of subjects with at least 2-point improvement from baseline in IGA-CNPG-S over time IGA-CNPG-S, administered at designated visits, is a novel tool for the investigator assessment of PN disease severity based on the number of palpable nodules and utilizes a 5-point scale that ranges from 0 (clear) to 4 (severe). A score is assigned based on the appearance of the disease at the time of the evaluation without referring to the baseline state. to end of treatment, assessed up to 52 weeks
Secondary Phase 2b: Change from baseline in weekly average of Sleep Loss VAS over time At every visit, subjects rate intensity of their average sleeplessness over previous 3 days on 0-10 line scale (0=no sleeplessness, 10=worst imaginable sleeplessness) to end of treatment, assessed up to 52 weeks
Secondary Phase 2b: Percent change from baseline in weekly average of Sleep Loss VAS over time At every visit, subjects rate intensity of their average sleeplessness over previous 3 days on 0-10 line scale (0=no sleeplessness, 10=worst imaginable sleeplessness) to end of treatment, assessed up to 52 weeks
Secondary Phase 2b: Change from baseline in ItchyQoL over time Itchy QoL, administered as designated visits, contains 22 items focused on the impact of pruritus on daily activities and on the level of psychological stress. The frequency items are scored using a 5-point Likert scale ranging from "never" to "all the time". The bother items are scored from 1 (not bothered) to 5 (severely bothered) to end of treatment, assessed up to 52 weeks
Secondary Phase 2b: Percent change from baseline in ItchyQoL over time Itchy QoL, administered as designated visits, contains 22 items focused on the impact of pruritus on daily activities and on the level of psychological stress. The frequency items are scored using a 5-point Likert scale ranging from "never" to "all the time". The bother items are scored from 1 (not bothered) to 5 (severely bothered) to end of treatment, assessed up to 52 weeks
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