MedPath

A Phase 3, Placebo-controlled, Double-blind Study Assessing Rocatinlimab in Prurigo Nodularis

Phase 3
Recruiting
Conditions
Prurigo Nodularis
Interventions
Drug: Placebo
Registration Number
NCT06527404
Lead Sponsor
Amgen
Brief Summary

The main objective of the study will be to evaluate the efficacy of rocatinlimab compared with placebo at week 24 on the patient-reported outcome (PRO) measure of pruritus and overall clinical assessment score (US only).

Detailed Description

Not available

Recruitment & Eligibility

Status
RECRUITING
Sex
All
Target Recruitment
460
Inclusion Criteria
  • Age ≥ 18 years (or any legal adult age within the country if it is older than 18 years)
  • Clinical Diagnosis of Prurigo Nodularis that has been present for at least 3 months.
  • Patient-reported average Daily Itch Score based on electronic daily diary assessment the last 7 days prior to and including day 1.
  • Has ≥ 20 prurigo nodularis nodules in total with bilateral distribution on both legs and /or arms and /or trunk.
  • History of inadequate response to topical therapies of medium or higher potency or for whom topical treatments are otherwise medically inadvisable (eg, because of important side effects or safety risks).
Exclusion Criteria
  • Skin or systemic morbidities, other than prurigo nodularis, that have been active within the last 3 months that interfere with assessment of study outcomes including but not limited to atopic dermatitis (signs or symptoms other than dry skin or requiring treatment is not allowed; use of emollients and/or history of AD is allowed).
  • Prurigo nodularis secondary to medications.
  • Prurigo nodularis secondary to neurologic or psychiatric medical conditions.
  • Treatment with any systemic biologic immunosuppressive or systemic biologic immunomodulatory therapy for prurigo nodularis or any other autoimmune, inflammatory, or allergic disease within 12 weeks or 5 half-lives, whichever is longer, prior to day 1 prerandomization.
  • Treatment with live virus including live attenuated vaccination 12 weeks prior to day 1 prerandomization.

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Arm A: Blinded TreatmentRocatinlimabParticipants will receive rocatinlimab dose 1 subcutaneously (SC) during Treatment Period A and B.
Arm C: Blinded TreatmentPlaceboParticipants will receive matching placebo SC during Treatment Period A and B.
Arm B: Blinded TreatmentRocatinlimabParticipants will receive rocatinlimab dose 2 SC during Treatment Period A and B.
Arm D: Open-labelRocatinlimabParticipants will receive open-label rocatinlimab dose 1 SC during Treatment Period B.
Primary Outcome Measures
NameTimeMethod
US Only: Number of Participants Achieving Reduction from Baseline in Weekly Average of Daily Itch Score and Prurigo Nodularis Assessment at Week 24Up to 24 weeks
Number of Participants Achieving Reduction from Baseline in Weekly Average of Daily Itch Score at Week 24Up to 24 weeks
Secondary Outcome Measures
NameTimeMethod
Number of Participants Achieving Improvement in Prurigo Nodularis Assessment Score at Week 24Week 24
Global: Percentage Improvement from Baseline in Weekly Average of Daily Itch Score at Week 24Baseline and Week 24
Global: Number of Participants Achieving Reduction in Weekly Average Daily Prurigo Nodularis Skin Pain Assessment at Week 24 in Those with Baseline NRS Above CutoffBaseline and Week 24
US Only: Number of Participants with Improvement in Prurigo Nodularis Assessment at Week 24Week 24
Number of Participants Experiencing Treatment-emergent Adverse Events (TEAEs)Up to approximately Week 68

An adverse event (AE) is any untoward medical occurrence in a clinical study subject irrespective of a causal relationship with the study treatment. TEAEs are any event that occurred after the participant received study treatment. Any clinically significant changes in vital signs, electrocardiograms, and clinical laboratory tests that occurred after study treatment administration will be recorded as TEAEs. A serious TEAE is any untoward medical occurrence that meets one of the following criteria: Is immediately life-threatening, requires in-patient hospitalization or prolongation of existing hospitalization, results in persistent or significant disability/incapacity, or another medically important serious event.

Number of Participants Experiencing AEs of Special Interest (EOIs)Up to approximately Week 68
Serum Concentrations of RocatinlimabBaseline to Week 52
Trough Concentration (Ctrough) of RocatinlimabBaseline to Week 52
Number of Participants Achieving Reduction from Baseline in Weekly Average of Daily Itch Score at Week 16Baseline and Week 16
Change from Baseline in Weekly Average of Daily Skin Pain Assessment Score at Week 24Baseline and Week 24
Change from Baseline in Weekly Average of Daily Sleep Disturbance Assessment Score at Week 24Baseline and Week 24
Number of Participants Achieving Reduction from Baseline in Weekly Average of Daily Sleep Disturbance Assessment Score at Week 24 in Participants with Baseline Weekly Average Score Greater Than a Cutoff ScoreBaseline and week 24
Change from Baseline in Quality of Life Assessment Score at Week 16Baseline and week 16
US Only: Number of Participants Achieving Reduction from Baseline in Weekly Average of Daily Itch Score at Week 24Baseline and Week 24
Number of Participants Achieving Improvement in Prurigo Nodularis Assessment Score at Week 16Week 16
Change from Baseline in Weekly Average of Daily Itch Score at Week 24Baseline and Week 24
Change from Baseline in Prurigo Nodularis Assessment Score at Week 24Baseline and Week 24
Number of Participants Achieving Reduction from Baseline in Quality of Life Assessment Score at Week 24 in Participants with Baseline Score Greater Than a Cutoff ScoreBaseline and Week 24
Change from Baseline in Quality of Life Assessment Score at Week 24Baseline and Week 24
Number of Participants with Anti-rocatinlimab AntibodiesBaseline to Week 68

Trial Locations

Locations (180)

University of Alabama at Birmingham

🇺🇸

Birmingham, Alabama, United States

First OC Dermatology

🇺🇸

Fountain Valley, California, United States

Los Angeles Universal Research Center

🇺🇸

Los Angeles, California, United States

Paradigm Clinical Research Center Inc

🇺🇸

San Diego, California, United States

Wolverine Clinical Trials

🇺🇸

Tustin, California, United States

Direct Helpers Research Center

🇺🇸

Hialeah, Florida, United States

Wellness Clinical Research

🇺🇸

Miami Lakes, Florida, United States

Southern Clinical Research

🇺🇸

Miami, Florida, United States

University of Miami Hospital

🇺🇸

Miami, Florida, United States

Miami Dermatology and Laser Institute

🇺🇸

Miami, Florida, United States

Scroll for more (170 remaining)
University of Alabama at Birmingham
🇺🇸Birmingham, Alabama, United States

MedPath

Empowering clinical research with data-driven insights and AI-powered tools.

© 2025 MedPath, Inc. All rights reserved.