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Molecular Characteristics of Brodalumab in Hidradenitis Suppurativa

Early Phase 1
Completed
Conditions
Hidradenitis Suppurativa
Acne Inversa
Interventions
Registration Number
NCT04979520
Lead Sponsor
Rockefeller University
Brief Summary

Hidradenitis suppurativa is a disease involving skin folds, causing swelling of the skin and surrounding tissues, pain, and foul-smelling discharges. Effective treatment options are lacking. Recently, clinical trials conducted in our lab found Brodalumab was an effective drug for this disease. Weekly dosing achieved superior therapeutic outcomes compared to a dosing given once in every other week. Brodalumab was safe in both regimens, but blood and tissue studies to better understand this response are still needed. By performing this small pilot study and collecting blood and tissue samples from participants treated with Brodalumab once weekly we would like to better characterize the molecular response to this treatment, identify blood and tissue markers reflecting disease severity, and better understand disease mechanisms.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
4
Inclusion Criteria
  • Confirmed clinical diagnosis of Hidradenitis Suppurativa by the Principal Investigator
  • Age 18 to 99 years old
  • Moderate to severe Hidradenitis Suppurativa with draining tunnels (Hidradenitis Suppurativa Severity Score System/IHS4>4)
  • Must have medical insurance that is willing to pay for the study drug throughout the duration of the study
Exclusion Criteria
  • Inflammatory Bowel Disease
  • HIV Positive
  • Active Hepatitis B or C Infection
  • Pregnant or Breastfeeding
  • No concurrent use of any systemic antibiotics/retinoids/immunosuppressants/biologics (require washout period of >5 half-lives)
  • A Score of >10 on the Beck's Depression Inventory (BDI) or on the Patient Health Questionnaire (PHQ)-9
  • History of Keloid Scarring
  • Any medical, psychological or social condition that, in the opinion of the Investigator, would jeopardize the health or well-being of the participant during any study procedures or the integrity of the data

Study & Design

Study Type
INTERVENTIONAL
Study Design
SINGLE_GROUP
Arm && Interventions
GroupInterventionDescription
Brodalumab treated moderate-to-severe HS patientsBrodalumabWeekly Brodalumab treatment 210mg/1.5ml, given subcutaneously for 12 weeks.
Primary Outcome Measures
NameTimeMethod
Interleukin-17 receptor A (IL-17RA) saturation during brodalumab administration at week 12 vs baseline12 weeks

Percentage change in saturation

Secondary Outcome Measures
NameTimeMethod
Change in levels of IL-17A, IL-17C, IL-17, CXCL1, and CXCL812 weeks

In Brodalumab treated participants at week 12 compared with baseline

Correlate IL-17R saturation (measured by the frequencies of immune cells positive to IL-17RA by flow cytometry) with clinical measures, such as pain or the Hidradenitis Suppurativa Severity Score System (IHS4)12 weeks

In Brodalumab treated participants at week 12 compared with baseline

Trial Locations

Locations (1)

The Rockefeller University

🇺🇸

New York, New York, United States

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