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A Study of the Efficacy and Safety of Brensocatib in Adults With Moderate to Severe Hidradenitis Suppurativa (HS)

Phase 2
Recruiting
Conditions
Hidradenitis Suppurativa
Interventions
Drug: Placebo
Registration Number
NCT06685835
Lead Sponsor
Insmed Incorporated
Brief Summary

The primary purpose of the study is evaluate the effect of brensocatib compared with placebo.

Detailed Description

Not available

Recruitment & Eligibility

Status
RECRUITING
Sex
All
Target Recruitment
204
Inclusion Criteria
  • Diagnosis of HS (confirmed by a dermatologist), with a history of HS for at least 6 months before the Screening Visit.
  • Moderate or severe HS defined as a total of ≥6 inflammatory lesions (inflammatory nodules and/or abscesses) for at least 8 weeks before the Baseline Visit.
  • HS lesions in at least 2 distinct anatomic areas, 1 of which must be at least Hurley Stage II or Hurley Stage III at both the Screening and Baseline Visits.
Exclusion Criteria
  • Draining tunnel count of ≥20 at the Baseline Visit.

  • Surgical or laser intervention for an HS lesion during the Screening Period.

  • Clinical diagnosis of Papillon-Lefèvre Syndrome.

  • Participants with an absolute neutrophil count <1,000/mm3 at the Screening Visit.

  • Participants having active liver disease or hepatic dysfunction.

  • Have diagnosed periodontal disease under active management by a dentist or expected to have periodontal disease-related procedures within the study period.

  • Received systemic (intravenous or orally [PO]) antibiotic therapy within 8 weeks before the Baseline Visit

    a. Doxycycline or minocycline 100 mg twice daily provided the dosing regimen being stable for at least 8 weeks before the Baseline Visit and is expected to continue.

  • Received PO or transdermal opioid analgesics (except tramadol) for any reason within 4 weeks before the Baseline Visit.

  • Permitted analgesics for HS-related pain have not been at a stable dose regimen for at least 4 weeks before the Baseline Visit.

  • Received prescription topical therapies for the treatment of HS within 2 weeks before the Baseline Visit.

  • Received any anti-tumor necrosis factor (TNF)-α/other biologics treatment within 12 weeks or 5 elimination half-lives, whichever is longer, before the Baseline Visit.

  • Received systemic nonbiologic therapies (eg, corticosteroids and retinoids) for HS within 4 weeks before the Baseline Visit.

  • Received any immunomodulatory agents within 4 weeks before the Baseline Visit.

Note: Other Inclusion/Exclusion criteria may apply.

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Placebo Followed by Brensocatib 10 mgPlaceboParticipants will receive brensocatib-matching placebo tablet, QD, orally for 16 weeks, and then Brensocatib 10 mg tablet, QD, orally for 36 weeks.
Brensocatib 10 mgBrensocatibParticipants will receive brensocatib 10 mg tablet, once daily (QD), orally for 52 weeks.
Brensocatib 40 mgBrensocatibParticipants will receive brensocatib 40 mg tablet, QD, orally for 52 weeks.
Placebo Followed by Brensocatib 10 mgBrensocatibParticipants will receive brensocatib-matching placebo tablet, QD, orally for 16 weeks, and then Brensocatib 10 mg tablet, QD, orally for 36 weeks.
Placebo Followed by Brensocatib 40 mgBrensocatibParticipants will receive brensocatib-matching placebo tablet, QD, orally for 16 weeks, and then Brensocatib 40 mg tablet, QD, orally for 36 weeks.
Placebo Followed by Brensocatib 40 mgPlaceboParticipants will receive brensocatib-matching placebo tablet, QD, orally for 16 weeks, and then Brensocatib 40 mg tablet, QD, orally for 36 weeks.
Primary Outcome Measures
NameTimeMethod
Percent Change From Baseline in Total Abscess and Inflammatory Nodule (AN) Count at Week 16Baseline and Week 16
Secondary Outcome Measures
NameTimeMethod
Percentage of Participants Achieving Hidradenitis Suppurativa Clinical Response 50 (HiSCR50) at Week 16Week 16
Percentage of Participants Achieving HiSCR75 at Week 16Week 16
Percentage of Participants Achieving ≥2-point Decrease From Baseline in Hidradenitis Suppurativa - Investigator's Global Assessment (HS-IGA) at Week 16Week 16
Change From Baseline in Draining Tunnel Count at Week 16Baseline and Week 16
Percentage of Participants Remaining Free from HS Flare by Week 16Week 16
Change From Baseline in International Hidradenitis Suppurativa Severity Score System (IHS4) Score at Week 16Baseline and Week 16
Percentage of Participants Achieving IHS4-55 at Week 16Week 16
Change From Baseline on Dermatology Life Quality Index (DLQI) Global Score at Week 16Baseline and Week 16
Percentage of Participants Achieving Numeric Rating Scale 30 (NRS30) at Week 16 with a Baseline NRS Score ≥3Week 16
Number of Participants who Experienced at Least One Adverse Event (AE)Up to Week 56
Plasma Concentration of BrensocatibPre-dose and at multiple timepoints post-dose up to Week 56

Trial Locations

Locations (54)

USA007

🇺🇸

Sacramento, California, United States

USA026

🇺🇸

Coral Gables, Florida, United States

USA021

🇺🇸

Margate, Florida, United States

USA025

🇺🇸

Ocala, Florida, United States

USA004

🇺🇸

Tampa, Florida, United States

USA010

🇺🇸

Weston, Florida, United States

USA011

🇺🇸

Sandy Springs, Georgia, United States

USA003

🇺🇸

Plainfield, Indiana, United States

USA002

🇺🇸

Baton Rouge, Louisiana, United States

USA024

🇺🇸

Fort Gratiot, Michigan, United States

USA013

🇺🇸

Lebanon, New Hampshire, United States

USA016

🇺🇸

Springfield, Ohio, United States

USA005

🇺🇸

Dallas, Texas, United States

USA023

🇺🇸

Dallas, Texas, United States

USA008

🇺🇸

Spokane, Washington, United States

AUS004

🇦🇺

Kogarah, New South Wales, Australia

AUS001

🇦🇺

Brisbane, Queensland, Australia

BGR001

🇧🇬

Lovech, Bulgaria

BGR003

🇧🇬

Pleven, Bulgaria

BGR004

🇧🇬

Sofia, Bulgaria

BGR002

🇧🇬

Stara Zagora, Bulgaria

CAN006

🇨🇦

Guelph, Ontario, Canada

CAN007

🇨🇦

Peterborough, Ontario, Canada

CAN009

🇨🇦

Richmond Hill, Ontario, Canada

FRA001

🇫🇷

Lyon, Auvergne-Rhône-Alpes, France

FRA004

🇫🇷

Toulouse, Haute-Garonne, France

FRA002

🇫🇷

Antony, France

FRA003

🇫🇷

Paris, France

FRA005

🇫🇷

Rouen, France

DEU007

🇩🇪

Langenau, Baden-Wurttemberg, Germany

DEU002

🇩🇪

Darmstadt, Hessen, Germany

DEU001

🇩🇪

Bochum, North Rhine-Westphalia, Germany

DEU003

🇩🇪

Dresden, Sachsen, Germany

DEU006

🇩🇪

Dessau-Roßlau, Germany

DEU005

🇩🇪

Lübeck, Germany

GRC002

🇬🇷

Athina, Attiki, Greece

GRC004

🇬🇷

Chaidari, Attiki, Greece

GRC001

🇬🇷

N. Efkapria-Pavlos Melas, Thessaloniki, Greece

GRC003

🇬🇷

Thessaloniki, Greece

NLD001

🇳🇱

Rotterdam, Netherlands

POL006

🇵🇱

Wroclaw, Lower Silesia, Poland

POL008

🇵🇱

Warsaw, Mazowieckie, Poland

POL002

🇵🇱

Rzeszow, Podkarpackie, Poland

POL004

🇵🇱

Kraków, Poland

POL007

🇵🇱

Warszawa, Poland

POL001

🇵🇱

Warszawa, Poland

POL005

🇵🇱

Wroclaw, Poland

POL003

🇵🇱

WrocÅ'aw, Poland

ESP006

🇪🇸

Badalona, Barcelona, Spain

ESP004

🇪🇸

Las Palmas De Gran Canaria, Las Palmas Provincia, Spain

ESP001

🇪🇸

Manises, Valencia, Spain

ESP002

🇪🇸

Madrid, Spain

ESP005

🇪🇸

Madrid, Spain

ESP003

🇪🇸

Madrid, Spain

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