A Study to Evaluate the Efficacy, Safety and Tolerability of Bermekimab in Patients With Hidradenitis Suppurativa

NCT ID: NCT04019041

Last Updated: 2023-07-27

Study Results

Results available

Outcome measurements, participant flow, baseline characteristics, and adverse events have been published for this study.

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE2

Total Enrollment

153 participants

Study Classification

INTERVENTIONAL

Study Start Date

2019-09-16

Study Completion Date

2020-11-17

Brief Summary

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This study further evaluates the efficacy of bermekimab in treating moderate to severe hidradenitis suppurativa in adults. 1/3 of patients will receive weekly injections of bermekimab, 1/3 will receive alternating every other week injections of bermekimab or placebo, and 1/3 will receive weekly injections of placebo.

Detailed Description

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Conditions

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Hidradenitis Suppurativa Acne Inversa Suppurative Hidradenitis

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Patients will be randomized to every week bermekimab injections, every other week bermekimab injections, or every week placebo injections.
Primary Study Purpose

TREATMENT

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

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bermekimab ew

2 800 mg bermekimab loading dose subcutaneous injections, followed by weekly 400 mg bermekimab injections

Group Type EXPERIMENTAL

bermekimab

Intervention Type DRUG

bermekimab 2 mL (200 mg/mL) pre-filled syringe

bermekimab eow

2 800 mg loading dose subcutaneous injections, followed by alternating weekly 400 mg bermekimab injections with matching placebo injections

Group Type EXPERIMENTAL

bermekimab

Intervention Type DRUG

bermekimab 2 mL (200 mg/mL) pre-filled syringe

placebo

Intervention Type DRUG

placebo 2 mL pre-filled syringe

placebo ew

2 800 mg placebo loading dose subcutaneous injections, followed by weekly placebo subcutaneous injections

Group Type PLACEBO_COMPARATOR

placebo

Intervention Type DRUG

placebo 2 mL pre-filled syringe

Interventions

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bermekimab

bermekimab 2 mL (200 mg/mL) pre-filled syringe

Intervention Type DRUG

placebo

placebo 2 mL pre-filled syringe

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Written informed consent provided by the participant
* Male or female, age greater than or equal to (\>=) 18 years
* Naïve to OR failure of prior targeted biologic therapy for Hidradenitis Suppurativa (HS) (including anti-TNF, anti-IL-17, or JAK inhibitor therapy)
* Diagnosis of HS for at least 1 year prior to screening.
* HS affecting at least two distinct anatomic areas, one of which is Hurley II or III stage.
* A total body count of abscesses and inflammatory nodules (AN) of at least 3.
* Full understanding of the procedures of the study protocol and willingness to comply with them.
* In case of female participants of childbearing potential, willingness to use one method of contraception of high efficacy during the entire study period. This method can be hormonal contraceptives or one of the following: condoms, diaphragm, or an intrauterine device. Women of non-childbearing potential include those considered to have a medical history that indicates that pregnancy is not a reasonable risk, including post-menopausal women and those with a history of hysterectomy or surgically sterilized.

Exclusion Criteria

* Age below 18 years.
* History of treatment with bermekimab for any reason.
* Receipt of oral antibiotic treatment for HS within 28 days prior to baseline.
* Receipt of prescription topical therapies for the treatment of HS within 14 days prior to baseline, and/or systemic non-biologic therapies for HS (immunosuppressants, corticosteroids, retinoids, or hormonal therapies) within 28 days prior to screening.
* Participant has been treated with any investigational drug of chemical or biologic nature within a minimum of 30 days or 5 half-lives (whichever is longer) of the drug prior to baseline.
* History of severe allergic or anaphylactic reactions to human, humanized, chimeric, or murine monoclonal antibodies.
* Has received a live (attenuated) vaccine over the 28 days prior to screening.
* Participant received oral concomitant analgesics (including opioids) for HS-related pain within 14 days prior to baseline.
* If entering the study on concomitant oral analgesics (including opioids) for non-HS-related pain: (a) Participant on opioid analgesics within 14 days prior to baseline visit; (b) Participant not on a stable dose of non-opioid oral analgesics for at least 14 days prior to baseline visit (PRN is not considered a stable dose).
* Participant requires or is expected to require opioid analgesics for any reason (excluding tramadol).
* Participant has a draining fistula count of greater than 20 at baseline.
* Major surgery (requiring general anesthesia or respiratory assistance) within 28 days prior to Day 0 of start of study drug.
* Hepatic dysfunction defined as any value of transaminases, of γ-glutamyl transpeptidase (γGT) or of total bilirubin \> 3x upper normal limit.
* Known or suspected history of immunosuppression, including history of invasive opportunistic infections (eg, tuberculosis \[TB\], histoplasmosis, listeriosis, coccidioidomycosis, pneumocystosis, aspergillosis) despite infection resolution.
* Stage C Child-Pugh liver cirrhosis.
* History of human immunodeficiency virus (HIV) or active infection with hepatitis B virus (HBV) or hepatitis C virus (HCV).
* Neutropenia defined as \<1,000 neutrophils/mm3.
* Pregnancy or lactation.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Janssen Research & Development, LLC

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Janssen Research & Development, LLC Clinical Trial

Role: STUDY_DIRECTOR

Janssen Research & Development, LLC

Locations

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Desert Sky

Gilbert, Arizona, United States

Site Status

Marvel Clinical Research

Huntington Beach, California, United States

Site Status

University of Southern California

Los Angeles, California, United States

Site Status

Dermatology Research Associates

Los Angeles, California, United States

Site Status

Syrentis Clinical Research

Santa Ana, California, United States

Site Status

Wolverine Clinical Trials

Santa Ana, California, United States

Site Status

Visionary Investigators Network

Aventura, Florida, United States

Site Status

Florida Academic Dermatology Centers

Coral Gables, Florida, United States

Site Status

Doral Medical Research

Doral, Florida, United States

Site Status

Floridian Research Institute

Miami, Florida, United States

Site Status

Florida International Medical Research

Miami, Florida, United States

Site Status

P&S Research, LLC

Miami, Florida, United States

Site Status

Accel Clinical Research

Orlando, Florida, United States

Site Status

Physica Clinical Research

Sebastian, Florida, United States

Site Status

Avita Clinical Research

Tampa, Florida, United States

Site Status

Forcare Clinical Research, Inc.

Tampa, Florida, United States

Site Status

Integrated Clincal Research LLC

West Palm Beach, Florida, United States

Site Status

Columbus Regional Research Institute

Columbus, Georgia, United States

Site Status

Advanced Medical Research

Sandy Springs, Georgia, United States

Site Status

Meridian Clinical Research, LLC

Savannah, Georgia, United States

Site Status

Dawes Fretzin Clinical Research Group

Indianapolis, Indiana, United States

Site Status

Randall Dermatology & Cosmetic Surgery

West Lafayette, Indiana, United States

Site Status

Meridian Clinical Research, LLC

Baton Rouge, Louisiana, United States

Site Status

Clinical Trials of SWLA

Lake Charles, Louisiana, United States

Site Status

Oakland Hills Dermatology

Auburn Hills, Michigan, United States

Site Status

Revival Research Institute, LLC

Troy, Michigan, United States

Site Status

Washington University in St. Louis

St Louis, Missouri, United States

Site Status

Icahn School of Medicine at Mount Sinai

New York, New York, United States

Site Status

University Hospitals Cleveland Medical Center

Cleveland, Ohio, United States

Site Status

ClinOhio Research Services

Columbus, Ohio, United States

Site Status

Clinical Research Solutions, LLC

Milan, Tennessee, United States

Site Status

Progressive Clinical Research

San Antonio, Texas, United States

Site Status

Dominion Medical Associates, Inc.

Richmond, Virginia, United States

Site Status

Countries

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United States

Provided Documents

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Document Type: Study Protocol

View Document

Document Type: Statistical Analysis Plan

View Document

Other Identifiers

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77474462HDS2002

Identifier Type: OTHER

Identifier Source: secondary_id

CR108834

Identifier Type: -

Identifier Source: org_study_id

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