A Study to Evaluate the Efficacy and Safety of AVTX-009 in Patients With Moderate to Severe Hidradenitis Suppurativa
- Conditions
- Hidradenitis Suppurativa
- Interventions
- Drug: AVTX-009 Regimen 1Drug: AVTX-009 Regimen 2Drug: Placebo
- Registration Number
- NCT06603077
- Lead Sponsor
- Avalo Therapeutics, Inc.
- Brief Summary
The main purpose of this study is to evaluate the efficacy and safety of AVTX-009 compared with placebo in patients with moderate to severe Hidradenitis Suppurativa (HS).
- Detailed Description
This is a randomized, double-blind, placebo-controlled, parallel-group, Phase 2 study. Patients will be randomized to one of two AVTX-009 dose regimens or matching placebo in a 1:1:1 ratio.
The study will comprise:
1. A Screening Period which will last up to 28 days.
2. A Treatment Period up to 16 weeks.
3. A Follow-up period of 6 weeks after the last dose of study drug.
The maximum clinical trial duration for each participant is 24 weeks.
Recruitment & Eligibility
- Status
- RECRUITING
- Sex
- All
- Target Recruitment
- 180
- Signs and symptoms of hidradenitis suppurativa (HS) for at least 6 months prior to Screening.
- At least 5 inflammatory lesions in at least 2 distinct anatomical areas, at least 1 of which is Hurley Stage 2 or 3.
- Has a draining fistula count of ≥ 20.
- Has another active skin inflammatory condition, infection (viral, bacterial, or fungal), or another active ongoing inflammatory disease (other than HS) that requires treatment with a prohibited medication, which could interfere with the assessment of HS.
- History of chronic or recurrent infectious disease, including but not limited to chronic renal infection, chronic lung infection, recurrent urinary tract infection, or open, draining or infected skin wounds or ulcers (not related to HS).
- Has severe, progressive and/or uncontrolled renal, hepatic, hematologic, endocrine, pulmonary, cardiac, neurologic or immunosuppressive disease.
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description AVTX-009 Regimen 1 AVTX-009 Regimen 1 Patients will receive AVTX-009 regimen 1. AVTX-009 Regimen 2 AVTX-009 Regimen 2 Patients will receive AVTX-009 regimen 2. Placebo Placebo Patients will receive matching placebo.
- Primary Outcome Measures
Name Time Method Proportion of patients achieving Hidradenitis Suppurativa Clinical Response 75 (HiSCR75) At Week 16 HiSCR75 is defined as at least a 75% reduction in the total abscess and inflammatory nodule count, with no increase in abscess count and no increase in draining fistula count, relative to Baseline.
- Secondary Outcome Measures
Name Time Method Proportion of patients achieving HiSCR50 At Week 16 HiSCR50 is defined as at least a 50% reduction in the total abscess and inflammatory nodule count, with no increase in abscess count and no increase in draining fistula count, relative to Baseline.
Proportion of patients achieving HiSCR90 At Week 16 HiSCR90 is defined as at least a 90% reduction in the total abscess and inflammatory nodule count, with no increase in abscess count and no increase in draining fistula count, relative to Baseline.
Change from Baseline in International HS Severity Score System (IHS4) Baseline (Day 1) and Week 16 IHS4 score is calculated by the number of nodules (multiplied by 1) plus the number of abscesses (multiplied by 2) plus the number of draining tunnels (multiplied by 4). A total score of 3 or less signifies mild disease, 4 to 10 signifies moderate disease, and 11 or higher signifies severe disease.
Change from Baseline in total abscess and inflammatory nodule (AN) count Baseline (Day 1) and Week 16 An abscess is a circumscribed collection of purulent exudates frequently associated with swelling, erythema, and other signs of inflammation, such as fluctuance, tenderness, and pain. An inflammatory nodule is a raised, deep-seated, three-dimensional, round nodule, greater than 10 mm in diameter. It is tender and erythematous without evidence of fluctuance.
Change from Baseline in draining fistula count Baseline (Day 1) and Week 16 Draining fistula is defined as a pathologic passageway connecting to the skin surface from dermis or subcutaneous tissue that drains serous or purulent fluid, either spontaneously or by gentle palpation.
Percentage of patients achieving at least a 30% reduction and at least a 1-unit reduction from Baseline on a Numerical Rating Scale (NRS) in Patient's Global Assessment of Skin Pain (PGA Skin Pain) among subjects with Baseline NRS ≥3 (NRS30) Baseline (Day 1) and Week 16 The skin pain NRS is a single-item measure to capture the patient's self-reported skin pain severity by rating the worst level of skin pain in the last 24 hours as a number on a numerical rating scale from 0 (no pain) to 10 (worst pain imaginable).
Percentage of patients with flares From Baseline (Day 1) to Week 16 The number of patients with flares will be programmatically calculated based on the assessed lesion counts. A flare is defined as ≥ 25% increase in AN count plus an increase of ≥ 2 in AN count compared to Baseline.
AVTX-009 anti-drug antibodies (ADA) From Baseline (Day 1) to Week 20 The incidence of patients with AVTX-009 anti-drug antibodies (ADA).
Safety and tolerability of AVTX-009 From Baseline (Day 1) to Week 20 Incidence of adverse events (AEs).
Trial Locations
- Locations (55)
Clinical Site 1202
🇦🇺Carlton, Victoria, Australia
Clinical Site 1022
🇺🇸Scottsdale, Arizona, United States
Clinical Site 1026
🇺🇸Tucson, Arizona, United States
Clinical Site 1019
🇺🇸Pomona, California, United States
Clinical Site 1009
🇺🇸Sacramento, California, United States
Clinical Site 1011
🇺🇸Washington, District of Columbia, United States
Clinical Site 1029
🇺🇸Boca Raton, Florida, United States
Clinical Site 1002
🇺🇸Coral Gables, Florida, United States
Clinical Site 1015
🇺🇸Maitland, Florida, United States
Clinical Site 1027
🇺🇸North Miami Beach, Florida, United States
Clinical Site 1013
🇺🇸Tampa, Florida, United States
Clinical Site 1008
🇺🇸Savannah, Georgia, United States
Clinical Site 1014
🇺🇸Chicago, Illinois, United States
Clinical Site 1028
🇺🇸West Lafayette, Indiana, United States
Clinical Site 1024
🇺🇸Murray, Kentucky, United States
Clinical Site 1001
🇺🇸Boston, Massachusetts, United States
Clinical Site 1007
🇺🇸Ft. Gratiot, Michigan, United States
Clinical Site 1003
🇺🇸Portsmouth, New Hampshire, United States
Clinical Site 1023
🇺🇸Bronx, New York, United States
Clinical Site 1016
🇺🇸New York, New York, United States
Clinical Site 1020
🇺🇸Cincinnati, Ohio, United States
Clinical Site 1010
🇺🇸Cleveland, Ohio, United States
Clinical Site 1017
🇺🇸Dublin, Ohio, United States
Clinical Site 1004
🇺🇸Philadelphia, Pennsylvania, United States
Clinical Site 1018
🇺🇸Johnston, Rhode Island, United States
Clinical Site 1005
🇺🇸Greenville, South Carolina, United States
Clinical Site 1012
🇺🇸Arlington, Texas, United States
Clinical Site 1203
🇦🇺Darlinghurst, New South Wales, Australia
Clinical Site 1303
🇧🇬Sofia, Sofia-Grad, Bulgaria
Clinical Site 1302
🇧🇬Lovech, Bulgaria
Clinical Site 1301
🇧🇬Pleven, Bulgaria
Clinical Site 1304
🇧🇬Stara Zagora, Bulgaria
Clinical Site 1105
🇨🇦Edmonton, Alberta, Canada
Clinical Site 1103
🇨🇦Barrie, Ontario, Canada
Clinical Site 1104
🇨🇦Hamilton, Ontario, Canada
Clinical Site 1107
🇨🇦London, Ontario, Canada
Clinical Site 1106
🇨🇦Toronto, Ontario, Canada
Clinical Site 1101
🇨🇦Saskatoon, Saskatchewan, Canada
Clinical Site 1401
🇨🇿Praha 10, Prague, Czech Republic
Clinical Site 1402
🇨🇿Praha 5, Prague, Czech Republic
Clinical Site 1503
🇫🇷Antony, Hauts-de-Seine, France
Clinical Site 1505
🇫🇷Amiens, Picardie, France
Clinical Site 1501
🇫🇷Rouen Cedex, Seine-Maritime, France
Clinical Site 1901
🇮🇹Torrette, Ancona, Italy
Clinical Site 1903
🇮🇹Rozzano, Milano, Italy
Clinical Site 1904
🇮🇹Roma, Italy
Clinical Site 1702
🇵🇱Wroclaw, Kujawsko-Pomorskie, Poland
Clinical Site 1703
🇵🇱Bialystok, Podlaskie, Poland
Clinical Site 1701
🇵🇱Warszawa, Pomorskie, Poland
Clinical Site 1705
🇵🇱Warszawa, Pomorskie, Poland
Clinical Site 1704
🇵🇱Ossy, Slaskie, Poland
Clinical Site 2202
🇸🇰Svidnik, Presovsky Kraj, Slovakia
Clinical Site 1801
🇪🇸Manises, Valencia, Spain
Clinical Site 1802
🇪🇸Granada, Spain
Clinical Site 1804
🇪🇸Sevilla, Spain