A Phase 2 Multicenter, Investigator-Blind, Subject-Blind, Placebo-Controlled Study of the Efficacy, Safety, and Pharmacokinetics of Bimekizumab in Subjects With Moderate to Severe Hidradenitis Suppurativa
试验速览
- 阶段
- 2 期
- 状态
- 已完成
- 入组人数
- 90
- 试验地点
- 31
- 主要终点
- Percentage of Participants Achieving Clinical Response as Measured by Hidradenitis Suppurativa Clinical Response (HiSCR) at Week 12
研究概览
简要总结
Hidradenitis suppurativa (HS) is a painful, long-term skin condition that causes abscesses and scarring on the skin.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- Quadruple (Participant, Care Provider, Investigator, Outcomes Assessor)
入排标准
- 年龄范围
- 18 Years 至 70 Years(Adult, Older Adult)
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Adult subjects (18 to 70 years of age, inclusive) must have a diagnosis of HS for at least
- •1 year prior to Baseline
- •Stable HS for at least 2 months prior to Screening and also at the Baseline Visit
- •Inadequate response to at least a 3-month study of an oral antibiotic for treatment of HS
- •Total abscess and inflammatory nodule count >=3 at the Baseline Visit
- •Subject must agree to daily use (and throughout the entirety of the study) of 1 pre-specified over-the-counter topical antiseptics on their HS lesions
- •Female subjects must be postmenopausal, permanently sterilized or, if of childbearing potential, must be willing to use a highly effective method of contraception up till 20 weeks after last administration of study drug and have a negative pregnancy test at Visit 1 (Screening) and immediately prior to first dose
- •Male subjects must be willing to use a method of contraception when sexually active, up till 20 weeks after the last administration of study medication
排除标准
- •Prior treatment with anti-IL17s or participation in an anti-IL17 study
- •Previously received anti-TNFs
- •Subject requires, or is expected to require, opioid analgesics for any reason (excluding tramadol)
- •Subject received prescription topical therapies for the treatment of HS within 14 days prior to the Baseline Visit
- •Subject received systemic non-biologic therapies for HS with potential therapeutic impact for HS less than 28 days prior to Baseline Visit
- •Draining fistula count >20 at the Baseline Visit
- •Diagnosis of inflammatory conditions other than HS
研究组 & 干预措施
Bimekizumab
Subjects will receive one Bimekizumab loading dose 1 and several Bimekizumab dose 2 applications.
干预措施: Bimekizumab (Drug)
Adalimumab
Subjects will receive one Adalimumab loading (dose 1) and several Adalimumab dose 2 and dose 3 applications.
干预措施: Adalimumab (Drug)
Placebo
Subjects will receive several placebo applications to keep the blinding.
干预措施: Placebo (Other)
结局指标
主要结局
Percentage of Participants Achieving Clinical Response as Measured by Hidradenitis Suppurativa Clinical Response (HiSCR) at Week 12
时间窗: Week 12
HiSCR was defined as at least a 50 % reduction from Baseline in the total abscess and inflammatory nodule (AN) count, with no increase from Baseline in abscess or draining fistula count. Results were based on a Bayesian logistic regression model where the number of responders were assumed to follow a binomial distribution. Participants with missing data at Week 12 were considered as nonresponders in the analysis. Posterior mean response rates and 95% credible intervals in each group are presented.
次要结局
- Bimekizumab Plasma Concentration at Day 1 (Prior to First Dose)(Day 1 (Prior to first dose))
- Bimekizumab Plasma Concentration at Week 2(Week 2)
- Bimekizumab Plasma Concentration at Week 4(Week 4)
- Bimekizumab Plasma Concentration at Week 8(Week 8)
- Bimekizumab Plasma Concentration at Week 12(Week 12)
- Bimekizumab Plasma Concentration at Week 30(Week 30)
- Percentage of Participants With at Least One Adverse Event During the Study(From Screening to Safety Follow-Up (Week 30))
- Percentage of Participants With at Least One Adverse Event Categorized by Maximum Severity During the Study(From Screening to Safety Follow-Up (Week 30))
- Percentage of Participants With at Least One Serious Adverse Event During the Study(From Screening to Safety Follow-Up (Week 30))
- Change From Baseline Until Safety Follow-up Visit in ECG Parameters (ECG Mean Heart Rate)(From Baseline to Safety Follow-Up (Week 30))
- Percentage of Participants With at Least One Serious Adverse Event Categorized by Severity During the Study(From Screening to Safety Follow-Up (Week 30))
- Percentage of Participants That Withdrew Due to Adverse Events During the Study(From Screening to Safety Follow-Up (Week 30))
- Change From Baseline Until Safety Follow-up Visit in Vital Signs (Blood Pressure)(From Baseline to Safety Follow-Up (Week 30))
- Change From Baseline Until Safety Follow-up Visit in Vital Signs (Pulse Rate)(From Baseline to Safety Follow-Up (Week 30))
- Change From Baseline Until Safety Follow-up Visit in Body Weight(From Baseline to Safety Follow-Up (Week 30))
- Change From Baseline Until Safety Follow-up Visit in ECG Parameters (PR Interval, QRS Duration, QT Interval, QTcF Interval)(From Baseline to Safety Follow-Up (Week 30))
- Change From Baseline Until Safety Follow-up Visit in Hematology Parameters (Erythrocytes)(From Baseline to Safety Follow-Up (Week 30))
- Change From Baseline Until Safety Follow-up Visit in Hematology Parameters (Hematocrit)(From Baseline to Safety Follow-Up (Week 30))
- Change From Baseline Until Safety Follow-up Visit in Hematology Parameters (Hemoglobin, Erythrocytes Mean Corpuscular Hemoglobin (HGB) Concentration)(From Baseline to Safety Follow-Up (Week 30))
- Change From Baseline Until Safety Follow-up Visit in Hematology Parameters (Erythrocytes Mean Corpuscular Hemoglobin (HGB))(From Baseline to Safety Follow-Up (Week 30))
- Change From Baseline Until Safety Follow-up Visit in Hematology Parameters (Erythrocytes Mean Corpuscular Volume)(From Baseline to Safety Follow-Up (Week 30))
- Change From Baseline Until Safety Follow-up Visit in Hematology Parameters (Platelets)(From Baseline to Safety Follow-Up (Week 30))
- Change From Baseline Until Safety Follow-up Visit in Hematology Parameters (Leukocytes, Basophils, Eosinophils, Lymphocytes, Monocytes, Neutrophils)(From Baseline to Safety Follow-Up (Week 30))
- Change From Baseline Until Safety Follow-up Visit in Hematology Parameters (Basophils/Leukocytes, Eosinophils/Leukocytes, Lymphocytes/Leukocytes, Monocytes/Leukocytes, Neutrophils/Leukocytes)(From Baseline to Safety Follow-Up (Week 30))
- Change From Baseline Until Safety Follow-up Visit in Biochemistry Parameters (Bicarbonate, Chloride, Potassium, Sodium, Calcium, Magnesium, Urea Nitrogen, Cholesterol, Glucose)(From Baseline to Safety Follow-Up (Week 30))
- Change From Baseline Until Safety Follow-up Visit in Biochemistry Parameters (Creatinine, Bilirubin, Urate)(From Baseline to Safety Follow-Up (Week 30))
- Change From Baseline Until Safety Follow-up Visit in Biochemistry Parameters (C Reactive Protein High Sensitivity)(From Baseline to Safety Follow-Up (Week 30))
- Change From Baseline Until Safety Follow-up Visit in Biochemistry Parameters (Alanine Aminotransferase, Alkaline Phosphatase, Aspartate Aminotransferase, Gamma Glutamyl Transferase, Lactate Dehydrogenase)(From Baseline to Safety Follow-Up (Week 30))
- Change From Baseline Until Safety Follow-up Visit in Urinalysis Parameters (Urine pH)(From Baseline to Safety Follow-Up (Week 30))
- Change From Baseline Until Safety Follow-up Visit in Urinalysis Parameters (Urine Albumin)(From Baseline to Safety Follow-Up (Week 30))
- Number of Participants Who Shifted From Baseline Until Safety Follow-up Visit in Urinalysis Parameters (Urine Glucose)(From Baseline to Safety Follow-Up (Week 30))
- Number of Participants Who Shifted From Baseline Until Safety Follow-up Visit in Urinalysis Parameters (Urine Leukocyte Esterase)(From Baseline to Safety Follow-Up (Week 30))
- Number of Participants Who Shifted From Baseline Until Safety Follow-up Visit in Urinalysis Parameters (Urine Bacteria)(From Baseline to Safety Follow-Up (Week 30))
- Number of Participants Who Shifted From Baseline Until Safety Follow-up Visit in Urinalysis Parameters (Urine Erythrocytes)(From Baseline to Safety Follow-Up (Week 30))
- Number of Participants Who Shifted From Baseline Until Safety Follow-up Visit in Physical Examination(From Baseline to Safety Follow-Up (Week 30))
- Percentage of Participants With Positive Bimekizumab Anti-drug Antibody (ADA) Concentration at Day 1(Day 1)
- Percentage of Participants With Positive Bimekizumab Anti-drug Antibody (ADA) Concentration at Week 2(Week 2)
- Percentage of Participants With Positive Bimekizumab Anti-drug Antibody (ADA) Concentration at Week 4(Week 4)
- Percentage of Participants With Positive Bimekizumab Anti-drug Antibody (ADA) Concentration at Week 8(Week 8)
- Percentage of Participants With Positive Bimekizumab Anti-drug Antibody (ADA) Concentration at Week 12(Week 12)
- Percentage of Participants With Positive Bimekizumab Anti-drug Antibody (ADA) Concentration at Week 30(Week 30)
