MedPath

A Study to Evaluate the Efficacy and Safety Study of Povorcitinib in Participants With Prurigo Nodularis (STOP-PN1)

Phase 3
Recruiting
Conditions
Prurigo Nodularis
Interventions
Drug: Placebo
Registration Number
NCT06516952
Lead Sponsor
Incyte Corporation
Brief Summary

The purpose of this study is to evaluate effect of povorcitinib on itch and skin lesions in participants with prurigo nodularis.

Detailed Description

Not available

Recruitment & Eligibility

Status
RECRUITING
Sex
All
Target Recruitment
330
Inclusion Criteria
  • Male and female participants 18 to 75 years of age.
  • Clinical diagnosis of PN for at least 3 months prior to Screening visit.
  • Pruritus, defined as an average Itch NRS score ≥ 7 during the 7 days prior to Day 1/Baseline.
  • Total of ≥ 20 pruriginous lesions on ≥ 2 different body regions (both legs, and/or both arms, and/or trunk) at Screening and Day 1/Baseline.
  • Documented history of treatment failure, demonstrated intolerance, or contraindication to a previous PN treatment.
  • Willingness to avoid pregnancy or fathering children.
Exclusion Criteria
  • Chronic pruritus due to a condition other than PN or neuropathic and psychogenic pruritus.
  • Diagnosis of PN secondary to medications.
  • Active AD lesions (signs and symptoms other than dry skin) within 3 months prior to Screening visit.
  • Women who are pregnant (or are considering pregnancy) or breastfeeding.
  • Medical history including thrombocytopenia, coagulopathy or platelet dysfunction; venous and arterial thrombosis, deep vein thrombosis, pulmonary embolism, stroke, moderate to severe heart failure, cerebrovascular accident, myocardial infarction, or other significant cardiovascular diseases; Q-wave interval abnormalities; disseminated herpes zoster or dermatomal herpes zoster; disseminated herpes simplex; chronic/recurrent infections; malignancies.
  • Evidence of infection with TB, HBV, HCV or HIV.
  • History of failure to any topical or systemic JAK or TYK2 inhibitor as treatment of PN or any inflammatory disease.
  • Laboratory values outside of the protocol-defined ranges.

Other protocol-defined Inclusion/Exclusion Criteria apply.

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
PlaceboPlaceboPlacebo at the protocol-defined dose.
Povorcitinib Dose 1PovorcitinibPovorcitinib at the protocol-defined dose.
Povorcitinib Dose 2PovorcitinibPovorcitinib at the protocol-defined dose.
Primary Outcome Measures
NameTimeMethod
Proportion of participants achieving Itch NRS4 and IGA-CPG-S-TS at Week 24Week 24

Defined as proportion of participants achieving a ≥ 4-point improvement \[reduction\] in Itch NRS score from baseline (Itch NRS4) and an IGA CPG-S score of 0 or 1 with a ≥ 2-grade improvement from baseline (IGA-CPG-S-TS).

Secondary Outcome Measures
NameTimeMethod
Change from baseline in Skin Pain NRS score at each postbaseline visitUp to 52 weeks

Skin Pain NRS is an 11-point scale (0 to10) where 0 is "no pain" and 10 is the "worst pain imaginable".

Change from baseline in EQ-5D-5L score at each postbaseline visitUp to 52 weeks

The EQ-5D-5L questionnaire is a standardized, validated instrument for use as a measure of health outcome.

Time to Itch NRS4Up to 52 weeks

Defined as time taken for the participant to achieve a ≥4 improvement in Itch NRS score from baseline.

Proportion of participants achieving Itch NRS4 at Week 24Week 24

Defined as percentage of participants that achieve a ≥ 4-point improvement (reduction) in Itch NRS score from baseline.

Proportion of participants achieving IGA-CPG-S-TS at Week 24Week 24

Defined as percentage of participants that achieve IGA-CPG-S score of 0 or 1 with a ≥ 2 grade improvement from baseline.

Proportion of participants achieving Itch NRS4 at Week 4Week 4

Defined as percentage of participants that achieve a ≥ 4-point improvement (reduction) in Itch NRS score from baseline.

Change from baseline in Itch NRS score at each postbaseline visitUp to 52 weeks

Itch will be measured using an NRS used to indicate the intensity of the worst itching over the past 24 hours using a 0 to 10 numeric rating scale, where "0" represents "no itching" and "10" represents "worst itching imaginable".

Proportion of participants achieving IGA-CPG-S-TS at each postbaseline visitUp to 52 weeks

Defined as percentage of participants that achieve an IGA-CPG-S score of 0 or 1 with a ≥ 2 grade improvement from baseline.

Proportion of participants achieving Itch NRS4 and IGA-CPG-S-TS at each postbaseline visitUp to 52 weeks

Defined as percentage of participants that achieve a ≥ 4-point improvement (reduction) in Itch NRS score and IGA-CPG-S score of 0 or 1 with a ≥ 2-grade improvement from baseline.

Change from baseline in Dermatology Life Quality Index (DLQI) score at each postbaseline visit.Up to 52 weeks

The DLQI is a simple, 10-question validated questionnaire to measure how much the skin problem has affected the participant over the previous 7 days.

Percent change from baseline in the HADS score at each postbaseline visitUp to 52 weeks

HADS is a 14-item questionnaire that assesses the levels of anxiety and depression that a participant is currently experiencing. There are 7 questions each for measuring anxiety and for measuring depression, with 4 possible responses to each question (responses are scored as 0, 1, 2, or 3).

Percent change from baseline in EQ-5D-5L score at each postbaseline visitUp to 52 weeks

The EQ-5D-5L questionnaire is a standardized, validated instrument for use as a measure of health outcome.

Percent change in FACIT-F score at each postbaseline visitUp to 52 weeks

The FACIT-F is a 13-item measure that assesses self-reported fatigue and its impact upon daily activities and function over the past 7 days.

Percent change from baseline in NRS score at each postbaseline visitUp to 52 weeks

Itch will be measured using an NRS used to indicate the intensity of the worst itching over the past 24 hours using a 0 to 10 numeric rating scale, where "0" represents "no itching" and "10" represents "worst itching imaginable".

Proportion of participants achieving Itch NRS4 at each postbaseline visitUp to 52 weeks

Defined as percentage of participants that achieve a ≥ 4-point improvement in Itch NRS score from baseline.

Proportion of participants achieving Investigator's Global Assessment - Chronic Prurigo Activity (IGA-CPG-A) at each postbaseline visitUp to 52 weeks

Defined as percentage of participants that achieve an IGA-CPG-A score of 0 or 1 with a ≥ 2 grade improvement (reduction) from baseline.

Proportion of participants achieving ≥ 75% healed lesions in Prurigo Activity Score (PAS) at each postbaseline visitUp to 52 weeks

The modified PAS will be used in this study as defined by the protocol.

Percent change from baseline in Dermatology Life Quality Index (DLQI) score at each postbaseline visit.Up to 52 weeks

The DLQI is a simple, 10-question validated questionnaire to measure how much the skin problem has affected the participant over the previous 7 days.

Proportion of participants with at least a 4-point decrease in DLQI score from baseline at each postbaseline visit for participants with DLQI score ≥ 4 at baselineUp to 52 weeks

Defined as percentage of participants with at least a 4-point decrease in DLQI score from baseline at each postbaseline visit for participants with DLQI score ≥ 4 at baseline.

Percent change from baseline in Skin Pain NRS score at each postbaseline visitUp to 52 weeks

Skin Pain NRS is an 11-point scale (0 to10) where 0 is "no pain" and 10 is the "worst pain imaginable".

Change from baseline in the Hospital Anxiety and Depression Scale (HADS) score at each postbasline visitUp to 52 weeks

HADS is a 14-item questionnaire that assesses the levels of anxiety and depression that a participant is currently experiencing. There are 7 questions each for measuring anxiety and for measuring depression, with 4 possible responses to each question (responses are scored as 0, 1, 2, or 3).

Change in Functional Assessment of Chronic Illness Therapy - Fatigue (FACIT-F) score at each postbaseline visitUp to 52 weeks

The FACIT-F is a 13-item measure that assesses self-reported fatigue and its impact upon daily activities and function over the past 7 days.

Proportion of participants with at least a ≥ 4-point increase in FACIT-F score at each postbaseline visit for participants with FACIT-F score ≤ 48 at baselineUp to 52 weeks

The FACIT-F is a 13-item measure that assesses self-reported fatigue and its impact upon daily activities and function over the past 7 days.

Number of Participants with Treatment Emergent Adverse Events (TEAE)Up to 52 weeks

Defined as any adverse event either reported for the first time or worsening of a pre-existing event after first dose of study drug.

Trial Locations

Locations (134)

Medconsult Pleven

🇧🇬

Pleven, Bulgaria

Centrum Medyczne Evimed

🇵🇱

Warsaw, Poland

Cahaba Dermatology

🇺🇸

Birmingham, Alabama, United States

Banner - University Medicine Multispecialty Services Clinic

🇺🇸

Tucson, Arizona, United States

Premier Dermatology Clinical Trials Institute At Northwest Arkansas

🇺🇸

Fayetteville, Arkansas, United States

Burke Pharmaceutical Research

🇺🇸

Hot Springs, Arkansas, United States

Dermatology Research Associates

🇺🇸

Los Angeles, California, United States

Northridge

🇺🇸

Northridge, California, United States

Rendon Center the Dermatology and Aesthetic Center

🇺🇸

Boca Raton, Florida, United States

Driven Research Llc

🇺🇸

Coral Gables, Florida, United States

University of Miami Miller School of Medicine

🇺🇸

Miami, Florida, United States

Alliance Clinical Research Tampa

🇺🇸

Tampa, Florida, United States

Research Institute of the Southeast, Llc

🇺🇸

West Palm Beach, Florida, United States

Illinois Dermatology Institute the Chicago Loop

🇺🇸

Chicago, Illinois, United States

Chicago Cosmetic Surgery and Dermatology

🇺🇸

Chicago, Illinois, United States

Center For Medical Dermatology and Immunology Research

🇺🇸

Chicago, Illinois, United States

Northshore University Healthsystem

🇺🇸

Skokie, Illinois, United States

Dermatology Specialists Research Ds Research Indiana Location

🇺🇸

Clarksville, Indiana, United States

Velocity Clinical Research At the Dermatology Clinic

🇺🇸

Baton Rouge, Louisiana, United States

Oakland Hills Dermatology

🇺🇸

Auburn Hills, Michigan, United States

Hamzavi Dermatology

🇺🇸

Fort Gratiot, Michigan, United States

Somerset Skin Centre

🇺🇸

Troy, Michigan, United States

Medisearch Clinical Trials

🇺🇸

Saint Joseph, Missouri, United States

Washington University School of Medicine

🇺🇸

Saint Louis, Missouri, United States

The University of New Mexico Unm Health Sciences Center Hsc

🇺🇸

Albuquerque, New Mexico, United States

Montefiore Medical Center

🇺🇸

East Syracuse, New York, United States

Skin Center Dermatology Group

🇺🇸

New York, New York, United States

Stony Brook Dermatology Associates

🇺🇸

Stony Brook, New York, United States

Wright State Physicians Health Center

🇺🇸

Dayton, Ohio, United States

Centricity Research Aventiv Research Dublin

🇺🇸

Dublin, Ohio, United States

Dermdox Dermatology Centers, Pc

🇺🇸

Camp Hill, Pennsylvania, United States

University of Pittsburgh Medical Center Upmc Dermatology Clinic Oakland Falk Medical Building

🇺🇸

Pittsburgh, Pennsylvania, United States

Palmetto Clinical Trial Services

🇺🇸

Anderson, South Carolina, United States

International Clinical Research Tennessee Llc

🇺🇸

Murfreesboro, Tennessee, United States

Dermatology Treatment and Research Center

🇺🇸

Dallas, Texas, United States

Sweetwater Dermatology

🇺🇸

Sugar Land, Texas, United States

Center For Clinical Studies

🇺🇸

Webster, Texas, United States

Frontier Dermatology

🇺🇸

Mill Creek, Washington, United States

Instituto de Neumonologia Y Dermatologia

🇦🇷

Buenos Aires, Argentina

Instituto de Investigaciones En Alergia Y Enfermedades Respiratorias (Inaer)

🇦🇷

Buenos Aires, Argentina

Conexa Investigacion Clinica S.A.

🇦🇷

Ciudad Autonoma de Buenos Aires, Argentina

Buenos Aires Skin (Bas)

🇦🇷

Ciudad Autonoma de Buenos Aires, Argentina

Cedic - Consultorios Medicos

🇦🇷

Ciudad Autonoma de Buenos Aires, Argentina

Centro de Investigaciones Medicas Mar Del Plata

🇦🇷

Mar Del Plata, Argentina

Instituto Especialidades de La Salud Rosario - Clinica Del Torax

🇦🇷

Rosario, Argentina

Investigaciones Reumatologicas Tucuman S.R.L.

🇦🇷

San Miguel de Tucuman, Argentina

Medical University Graz University Clinic For Dermatology and Venerology

🇦🇹

Graz, Austria

Wiener Krankenanstaltenverbund, Krankenhaus Hietzing Mit Neurologischem Zentrum Rosenhugel

🇦🇹

Wien, Austria

Az Sint-Lucas

🇧🇪

Gent, Belgium

UZ GENT

🇧🇪

Gent, Belgium

Centre Hospitalier Universitaire de Liege - Sart Tilman

🇧🇪

Liege, Belgium

Cliniques Universitaires Ucl Saint-Luc

🇧🇪

Woluwe-saint-lambert, Belgium

Medical Center Medconsult Pleven Ood

🇧🇬

Lovech, Bulgaria

Dcc (Diagnostic and Consultation Center) Pulmed

🇧🇬

Plovdiv, Bulgaria

Medical Center- Prolet Ltd

🇧🇬

Ruse, Bulgaria

Medical Center Unimed Eood

🇧🇬

Sevlievo, Bulgaria

Diagnostic Consulting Center Dcc Ascendent

🇧🇬

Sofia, Bulgaria

Diagnostic Consultative Center (Dcc) Aleksandrovska

🇧🇬

Sofia, Bulgaria

Rao Dermatology

🇨🇦

Edmonton, Alberta, Canada

Skin Health

🇨🇦

Cobourg, Ontario, Canada

Centricity Research London Victoria Multispecialty

🇨🇦

London, Ontario, Canada

Dermeffects

🇨🇦

London, Ontario, Canada

North York Research Inc.

🇨🇦

Toronto, Ontario, Canada

Centre de Recherche Dermatologique de Quebec

🇨🇦

Quebec City, Quebec, Canada

Sima Recherche

🇨🇦

Verdun, Quebec, Canada

Hopital Prive D Antony

🇫🇷

Antony, France

Chru Morvan/Chu Brest Hopital Morvan

🇫🇷

Brest, France

Cabinet Medical- Chemin de Paradis

🇫🇷

Martigues, France

Ghrmsa Hopital Emile Muller

🇫🇷

Mulhouse, France

Centre Hospitalier Universitaire de Nantes (Chu de Nantes) - Hopital Hotel Dieu

🇫🇷

Nantes, France

Chu Paris-Gh St-Louis Lariboisiere F.Widal Hopital Saint-Louis

🇫🇷

Paris, France

Hopitaux Drome Nord - Site de Romans Sur Isere

🇫🇷

Romans Sur Isere, France

Hopital Larrey

🇫🇷

Toulouse, France

Aachen University Hospital

🇩🇪

Aachen, Germany

Fachklinik Bad Bentheim

🇩🇪

Bad Bentheim, Germany

Hautzentrum Friedrichshain Studien

🇩🇪

Berlin, Germany

Charite Universitatsmedizin Berlin

🇩🇪

Berlin, Germany

Klinikum Dortmund Ggmbh

🇩🇪

Dortmund, Germany

Universitaetsmedizin Goettingen

🇩🇪

Gottingen, Germany

Universitaetsklinik Und Poliklinik Fuer Dermatologie Und Venerologie

🇩🇪

Halle, Germany

Universitaetsklinikum Hamburg-Eppendorf

🇩🇪

Hamburg, Germany

Universitatsklinik Heidelberg

🇩🇪

Heidelberg, Germany

Universitaetsklinikum Leipzig

🇩🇪

Leipzig, Germany

Universitaetsklinikum Schleswig-Holstein (Uksh) - Campus Luebeck

🇩🇪

Luebeck, Germany

Universitaetsmedizin Der Johannes - Gutenberg Universitaet Mainz

🇩🇪

Mainz, Germany

Universitaetsklinikum Giessen Und Marburg Gmbh

🇩🇪

Marburg, Germany

Universitaets-Hautklinik Eberhard-Karls-Universitaet Tuebingen

🇩🇪

Tuebingen, Germany

Azienda Ospedaliero Universitaria Consorziale Policlinico Di Bari

🇮🇹

Bari, Italy

Azienda Policlinico Vittorio Emanuele

🇮🇹

Catania, Italy

Clinical Research Centre - Cast

🇮🇹

Chieti, Italy

Azienda Sanitaria Locale 1 (Asl 1) - Ospedale Regionale San Salvatore

🇮🇹

L'aquila, Italy

Uoc Dermatologia Ospedale Maggiore Policlinico, Fondazione Irccs Ca' Granda

🇮🇹

Milano, Italy

Universita Degli Studi Della Campania Luigi Vanvitelli

🇮🇹

Napoli, Italy

Azienda Ospedaliera Di Perugia

🇮🇹

Perugia, Italy

Azienda Ospedaliero Universitaria Pisana - Ospedale S. Chiara

🇮🇹

Pisa, Italy

Catholic University of the Sacred Heart

🇮🇹

Rome, Italy

Irccs Istituto Clinico Humanitas

🇮🇹

Rozzano, Italy

Korea University Ansan Hospital

🇰🇷

Ansan-si, Korea, Republic of

Soon Chun Hyang University Bucheon Hospital

🇰🇷

Bucheon-si, Korea, Republic of

Pusan National University Hospital (Pnuh)

🇰🇷

Busan, Korea, Republic of

The Catholic University of Korea, Incheon St. Mary'S Hospital

🇰🇷

Incheon, Korea, Republic of

Jeonbuk National University Hospital

🇰🇷

Jeonju-si, Korea, Republic of

Seoul National University Bundang Hospital (Snubh)

🇰🇷

Seongnam-si, Korea, Republic of

Seoul National University Hospital

🇰🇷

Seoul, Korea, Republic of

Hanyang University Seoul Hospital

🇰🇷

Seoul, Korea, Republic of

Konkuk University Medical Center

🇰🇷

Seoul, Korea, Republic of

Chung-Ang University Hospital

🇰🇷

Seoul, Korea, Republic of

Ewha Womans University Seoul Hospital

🇰🇷

Seoul, Korea, Republic of

Pusan National University Yangsan Hospital

🇰🇷

Yangsan-si, Korea, Republic of

Amsterdam University Medical Centre

🇳🇱

Amsterdam, Netherlands

Maxima Medisch Centrum

🇳🇱

Veldhoven, Netherlands

Niepubliczny Zaklad Opieki Zdrowotnej Specjalistyczny Osrodek Dermatologiczny Dermal

🇵🇱

Bialystok, Poland

Uniwersyteckie Centrum Kliniczne

🇵🇱

Gdansk, Poland

Mazowieckie Centrum Badan Klinicznych

🇵🇱

Grodzisk Mazowiecki, Poland

Gyncentrum Sp. Z O.O., Nzoz Holsamed- Oddzial Libero

🇵🇱

Katowice, Poland

Pro Familia Altera Sp. Z O.O.

🇵🇱

Katowice, Poland

Centrum Badan Klinicznych, Jagiellonskie Centrum Innowacji Sp.Z.O.O.

🇵🇱

Kraków, Poland

Niepubliczny Zaklad Opieki Zdrowotnej Med-Laser

🇵🇱

Lublin, Poland

Luxderm Specjalistyczny Gabinet Dermatologiczny Prof. Dr. Hab. N. Med. Dorota Krasowska

🇵🇱

Lublin, Poland

Dermedic Jacek Zdybski

🇵🇱

Ostrowiec Swietokrzyski, Poland

Laser Clinic

🇵🇱

Szczecin, Poland

Mics Centrum Medyczne Torun

🇵🇱

Torun, Poland

Clinical Research Group Sp. Z.O.O

🇵🇱

Warszawa, Poland

High-Med. Przychodnia Specjalistyczna

🇵🇱

Warszawa, Poland

Panstwowy Instytut Medyczny Mswia

🇵🇱

Warszawa, Poland

Klinika Ambroziak Sp. Z O.O.

🇵🇱

Warszawa, Poland

Emc Instytut Medyczny Spolka Akcyjna-Euromedicare Szpital Specjalistyczny Z Przychodnia

🇵🇱

Wrocaw, Poland

Dermaceum Centrum Badan Klinicznych

🇵🇱

Wroclaw, Poland

Cityclinic Przychodnia Lekarsko-Psychologiczna Matusiak Spolka Partnerska

🇵🇱

Wroclaw, Poland

Hospital Universitari I Politecnic La Fe de Valencia - Instituto de Investigacion Sanitaria La Fe (I

🇪🇸

Valencia, Spain

Felix Platter Spital

🇨🇭

Basel, Switzerland

Inselspital Bern

🇨🇭

Bern, Switzerland

Dsc Clinic Buochs

🇨🇭

Buochs, Switzerland

Universitatsspital Zurich

🇨🇭

Zurich, Switzerland

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