A Phase 2b Study to Evaluate Rezpegaldesleukin (Rezpeg) in the Treatment of Severe to Very Severe Alopecia Areata in Adult Patients (Rezolve AA)

NCT ID: NCT06340360

Last Updated: 2025-12-29

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

ACTIVE_NOT_RECRUITING

Clinical Phase

PHASE2

Total Enrollment

94 participants

Study Classification

INTERVENTIONAL

Study Start Date

2024-04-02

Study Completion Date

2026-08-31

Brief Summary

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This is an interventional, randomized, double blind, parallel group, placebo-controlled, Phase 2b, 3-arm study to assess the effect of pegylated-recombinant-human interleukin-2 (rezpegaldesleukin) in adult participants with severe to very severe alopecia areata.

The estimated duration includes a screening period of up to 35 days, a 36-week treatment period, an optional 16-week treatment extension period, and a 24-week follow-up period. The maximum study duration is approximately 81 weeks for all participants.

Detailed Description

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Conditions

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Alopecia Areata

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Patients will be randomized to 1 of 3 groups (low dose, high dose, or placebo).
Primary Study Purpose

TREATMENT

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

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Low Dose

Rezpegaldesleukin Low Dose Every 2 weeks

Group Type EXPERIMENTAL

Rezpegaldesleukin

Intervention Type DRUG

Pharmaceutical form: Injection solution Route of administration: subcutaneous

High Dose

Rezpegaldesleukin High Dose Every 2 weeks

Group Type EXPERIMENTAL

Rezpegaldesleukin

Intervention Type DRUG

Pharmaceutical form: Injection solution Route of administration: subcutaneous

Placebo

Placebo Every 2 weeks

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type DRUG

Pharmaceutical form: Injection solution Route of administration: subcutaneous

Interventions

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Rezpegaldesleukin

Pharmaceutical form: Injection solution Route of administration: subcutaneous

Intervention Type DRUG

Placebo

Pharmaceutical form: Injection solution Route of administration: subcutaneous

Intervention Type DRUG

Other Intervention Names

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REZPEG NKTR-358 LY3471851 (formerly)

Eligibility Criteria

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Inclusion Criteria

* Adults who are at least 18 years and ≤60 years for males (≤70 years of age for females) old at the time of informed consent
* Diagnosis of Alopecia Areata (AA) severity at screening and baseline:

1. severe to very severe AA (≥ 50% scalp involvement) as measured using the SALT score
2. Documented history over 6 months with no spontaneous improvement prior to baseline
3. Current episode of severe to very severe AA of less than 8 years
* Women of childbearing potential (WOCBP) must have a negative pregnancy test at screening and baseline.
* While on investigational product and for at least 30 days after taking the last dose of investigational product (IP), WOCBP who engage in activity in which conception is possible must use approved highly effective contraceptive method(s). For male patient with partner that is WOCBP in which conception is possible, male patient must agree to use approved highly effective contraceptive method(s).
* Able to complete patient questionnaires
* Able and willing to comply with requested study visits and procedures
* Able and willing to provide written informed consent
* Able to communicate, read and/or understand the local language

Exclusion Criteria

* Men and women (of reproductive potential) unwilling to use birth control and women who are pregnant or breastfeeding.
* Patient has primarily "diffuse" type AA (characterized by diffuse hair shedding).
* Presence of another form of alopecia.
* Prior use of any of the following treatments:

1. aldesleukin
2. investigational IL-2 analog
3. oral Janus kinase (JAK) inhibitor for any indication, including, but not limited to, baricitinib, upadacitinib, abrocitinib, tofacitinib, and ruxolitinib, whether marketed or investigational
4. systemic immune-modulating biologic therapy (including, but not limited to, dupilumab, tralokinumab, lebrikizumab, nemolizumab, rocatinlimab, rituximab, ocrelizumab, ofatumumab, belimumab, daxdilimab, etc.) whether marketed or investigational
* History of cancer or lymphoproliferative disease within 5 years prior to Day 1. Note: Patients with successfully treated nonmetastatic cutaneous squamous cell or basal cell carcinoma with no evidence of metastatic disease for 3 years and/or localized carcinoma in situ of the cervix with no evidence of recurrence within the 3 years prior to Day 1 are not to be excluded.
* Current infection with human immunodeficiency virus (HIV), hepatitis B virus (HBV), or hepatitis C virus (HCV) at screening.
* Other skin conditions that would interfere with study assessments of AA
Minimum Eligible Age

18 Years

Maximum Eligible Age

70 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Nektar Therapeutics

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Study Director

Role: STUDY_DIRECTOR

Nektar Therapeutics

Locations

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Nektar Investigative Site

Northridge, California, United States

Site Status

Nektar Investigative Site

Atlanta, Georgia, United States

Site Status

Nektar Investigative Site

Gurnee, Illinois, United States

Site Status

Nektar Investigative Site

Indianapolis, Indiana, United States

Site Status

Nektar Investigative Site

Clinton Township, Michigan, United States

Site Status

Nektar Investigative Site

Portsmouth, New Hampshire, United States

Site Status

Nektar Investigative Site

New York, New York, United States

Site Status

Nektar Investigative Site

Camp Hill, Pennsylvania, United States

Site Status

Nektar Investigative Site

Frisco, Texas, United States

Site Status

Nektar Investigative Site

Pflugerville, Texas, United States

Site Status

Nektar Investigative Site

Surrey, British Columbia, Canada

Site Status

Nektar Investigative Site

Markham, Ontario, Canada

Site Status

Nektar Investigative Site

Oakville, Ontario, Canada

Site Status

Nektar Investigative Site

Richmond Hill, Ontario, Canada

Site Status

Nektar Investigative Site

Sherbrooke, Quebec, Canada

Site Status

Nektar Investigative Site

Wroclaw, Lower Silesian Voivodeship, Poland

Site Status

Nektar Investigative Site

Wroclaw, Lower Silesian Voivodeship, Poland

Site Status

Nektar Investigative Site

Wroclaw, Lower Silesian Voivodeship, Poland

Site Status

Nektar Investigative Site

Nowa Sól, Lubusz Voivodeship, Poland

Site Status

Nektar Investigative Site

Warsaw, Masovian Voivodeship, Poland

Site Status

Nektar Investigative Site

Warsaw, Masovian Voivodeship, Poland

Site Status

Nektar Investigative Site

Gdansk, Pomeranian Voivodeship, Poland

Site Status

Nektar Investigative Site

Katowice, Silesian Voivodeship, Poland

Site Status

Nektar Investigative Site

Sosnowiec, Silesian Voivodeship, Poland

Site Status

Nektar Investigative Site

Olsztyn, Warmian-Masurian Voivodeship, Poland

Site Status

Nektar Investigative Site

Szczecin, West Pomeranian Voivodeship, Poland

Site Status

Countries

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United States Canada Poland

Other Identifiers

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2023-509981-39

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

23-358-06

Identifier Type: -

Identifier Source: org_study_id