A Phase 3, Randomized, Double-Blind, Placebo-Controlled, Multicenter Study Evaluating the Efficacy and Safety of Bimekizumab in Study Participants With Moderate to Severe Hidradenitis Suppurativa

ClinicalTrials.gov processed this data on March 14, 2024. Link to the current ClinicalTrials.gov record.

Recruitment Status

COMPLETED (See Contacts and Locations)
Verified March 2024 by UCB Biopharma SRL

Sponsor

UCB Biopharma SRL

Information Provided by (Responsible Party)

UCB Biopharma SRL

Clinicaltrials.gov Identifier

NCT04242446
Other Study ID Numbers: HS0003
First Submitted: January 23, 2020
First Posted: January 27, 2020
Last Update Posted: March 18, 2024
Last Verified: March 2024
History of Changes

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Study Description

Not Provided
Condition or Disease Intervention/Treatment
  • Hidradenitis Suppurativa
  • Drug: Bimekizumab
  • Other: Placebo

Study Design

Study TypeInterventional
Actual Enrollment505 participants
Design AllocationRandomized
Interventional ModelParallel Assignment
MaskingQuadruple
Primary PurposeTreatment
Official TitleA Phase 3, Randomized, Double-Blind, Placebo-Controlled, Multicenter Study Evaluating the Efficacy and Safety of Bimekizumab in Study Participants With Moderate to Severe Hidradenitis Suppurativa
Study Start DateFebruary 19, 2020
Actual Primary Completion DateApril 7, 2022
Actual Study Completion DateFebruary 19, 2023

Groups and Cohorts

Group/ CohortIntervention/ Treatment
  • Bimekizumab dosing regimen 1
    • Subjects participating in the study will receive assigned bimekizumab dosing regimen 1 during the Treatment Period.
  • Drug: Bimekizumab
    • Subjects will receive bimekizumab at pre-specified time-points.
  • Bimekizumab dosing regimen 2
    • Subjects participating in the study will receive assigned bimekizumab dosing regimen 2 during the Treatment Period.
  • Drug: Bimekizumab
    • Subjects will receive bimekizumab at pre-specified time-points.
  • Bimekizumab dosing regimen 3
    • Subjects participating in the study will receive assigned bimekizumab dosing regimen 3 during the Treatment Period.
  • Drug: Bimekizumab
    • Subjects will receive bimekizumab at pre-specified time-points.
  • Placebo Group
    • Subjects randomized to this arm will receive placebo during the Initial Treatment Period and bimekizumab during the Maintenance Treatment Period.
  • Drug: Bimekizumab
    • Subjects will receive bimekizumab at pre-specified time-points.
  • Other: Placebo

    Outcome Measures

    Primary Outcome Measures

    1. Percentage of participants achieving clinical response as measured by Hidradenitis Suppurativa Clinical Response 50 (HiSCR50) at Week 16 [Week 16]
      HiSCR50 is 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 tunnel count.

    Secondary Outcome Measures

    1. Percentage of participants achieving clinical response as measured by Hidradenitis Suppurativa Clinical Response 75 (HiSCR75) at Week 16 [Week 16]
      HiSCR75 is defined as at least a 75% reduction from Baseline in the total abscess and inflammatory nodule (AN) count, with no increase from Baseline in abscess or draining tunnel count.
    2. Absolute change from Baseline in Dermatology Life Quality Index (DLQI) Total Score at Week 16 [From Baseline (Day 1) to Week 16]
      The DLQI is a skin disease specific questionnaire aimed at the evaluation of how symptoms and treatment affect participants' health related quality of life (QOL). The DLQI total score ranges from 0 to 30 with higher scores indicating lower skin health related QOL.
    3. Absolute change from Baseline in Skin Pain score at Week 16 [From Baseline (Day 1) to Week 16]
      Skin Pain score is assessed by the "worst pain" item (11 point numeric rating scale) in the Hidradenitis Suppurativa Symptom Daily Diary (HSSDD).
    4. Percentage of participants achieving Skin Pain response at Week 16 [From Baseline (Day 1) to Week 16]
      Pain response is defined as a decrease from Baseline in Hidradenitis Suppurativa Symptom Daily Diary (HSSDD) weekly worst skin pain score at or beyond the threshold for within-patient clinically meaningful change.
    5. Percentage of participants with treatment-emergent adverse events (TEAEs) during the study [From Baseline (Day 1) until Safety Follow-Up (up to Week 71)]
      An adverse event (AE) is any untoward medical occurrence in a patient or clinical study participant, temporally associated with the use of investigational medicinal product (IMP), whether or not considered related to the IMP. NOTE: An AE can therefore be any unfavorable and unintended sign (including an abnormal laboratory finding), symptom, or disease (new or exacerbated) temporally associated with the use of IMP.
    6. Percentage of participants with serious treatment-emergent adverse events during the study [From Baseline (Day 1) until Safety Follow-Up (up to Week 71)]
      A serious adverse event (SAE) is defined as any untoward medical occurrence that, at any dose:

      Results in death

      Is life-threatening

      Requires inpatient hospitalization or prolongation of existing hospitalization

      Results in persistent disability/incapacity

      Is a congenital anomaly/birth defect

      Important medical events
    7. Percentage of participants with treatment-emergent adverse events (TEAEs) leading to withdrawal from the study [From Baseline (Day 1) until Safety Follow-Up (up to Week 71)]
      An adverse event (AE) is any untoward medical occurrence in a patient or clinical study participant, temporally associated with the use of investigational medicinal product (IMP), whether or not considered related to the IMP. NOTE: An AE can therefore be any unfavorable and unintended sign (including an abnormal laboratory finding), symptom, or disease (new or exacerbated) temporally associated with the use of IMP. TEAEs leading to discontinuation of the study are reported.

    Eligibility Criteria

    Ages Eligible for Study 18 Years and Older (Adult, Older Adult)
    Sexes Eligible for Study All
    Accepts Healthy Volunteers No
    Inclusion Criteria
    • Participant must be at least 18 years of age, at the time of signing the informed consent. If a study participant is under the local age of consent and is at least 18 years of age, written informed consent will be obtained from both the study participant and the legal representative
    • Study participants must have a diagnosis of Hidradenitis Suppurativa (HS) based on clinical history and physical examination for at least 6 months prior to the Baseline visit
    • Study participant must have HS lesions present in at least 2 distinct anatomic areas (eg, left and right axilla), 1 of which must be at least Hurley Stage II or Hurley Stage III at both the Screening and Baseline visits
    • Study participant must have moderate to severe HS defined as a total of ≥5 inflammatory lesions (ie, number of abscesses plus number of inflammatory nodules) at both the Screening and Baseline visits
    • Study participant must have had an inadequate response to a course of a systemic antibiotic for treatment of HS as assessed by the Investigator through study participant interview and review of medical history
    • A female study participant is eligible to participate if she is not pregnant, not breastfeeding, and at least one of the following conditions applies:
    • Not a woman of childbearing potential (WOCBP) OR
    • A WOCBP who agrees to follow the contraceptive guidance during the treatment period and for at least 20 weeks after the last dose of investigational medicinal product (IMP)
    Exclusion Criteria
    • Draining tunnel count of >20 at the Baseline Visit
    • Any other active skin disease or condition (eg, bacterial cellulitis, candida intertrigo, extensive condyloma) that may, in the opinion of the Investigator, interfere with the assessment of hidradenitis suppurativa (HS)
    • Study participant has a diagnosis of sarcoidosis, systemic lupus erythematosus, or active inflammatory bowel disease (IBD)
    • Primary immunosuppressive condition, including taking immunosuppressive therapy following an organ transplant, or has had a splenectomy
    • Female who is breastfeeding, pregnant, or plans to become pregnant during the study or within 20 weeks following the final dose of investigational medicinal product (IMP)
    • Active infection or history of certain infection(s)
    • Active tuberculosis (TB) infection, latent TB infection, high risk of exposure to TB infection, current or history of nontuberculous mycobacterium (NTM) infection
    • Concurrent malignancy. Study participants with a history of malignancy within the past 5 years prior to the Screening Visit are excluded, EXCEPT if the malignancy was a cutaneous squamous or basal cell carcinoma, or in situ cervical cancer that has been treated and is considered cured
    • History of a lymphoproliferative disorder including lymphoma or current signs and symptoms suggestive of lymphoproliferative disease
    • Known hypersensitivity to any components of bimekizumab or comparative drugs as stated in this protocol
    • Concomitant and prior medication restrictions
    • Myocardial infarction or stroke within the 6 months prior to the Screening Visit
    • Study participant has the presence of active suicidal ideation, or positive suicide behavior using the "Screening" version of the electronic Columbia Suicide Severity Rating Scale (eC-SSRS)
    • Presence of moderately severe major depression or severe major depression
    • Subject has a history of chronic alcohol or drug abuse within 6 months prior to Screening

    Contacts and Locations

    Sponsors and Collaborators UCB Biopharma SRL
    Locations
    • Hs0003 50140 | Birmingham, Alabama, United States, 35233
    • Hs0003 50175 | Phoenix, Arizona, United States, 85006
    • Hs0003 50161 | Los Angeles, California, United States, 90045
    • Hs0003 50220 | San Diego, California, United States, 92123
    • Hs0003 50205 | North Miami Beach, Florida, United States, 33162-4708
    • Hs0003 50153 | Ormond Beach, Florida, United States, 32174
    • Hs0003 50141 | Tampa, Florida, United States, 33613
    • Hs0003 50210 | Atlanta, Georgia, United States, 30309
    • Hs0003 50280 | Watkinsville, Georgia, United States, 30677
    • Hs0003 50425 | Murray, Kentucky, United States, 42071
    • Hs0003 50198 | Beverly, Massachusetts, United States, 01915
    • Hs0003 50146 | Boston, Massachusetts, United States, 02215
    • Hs0003 50194 | Omaha, Nebraska, United States, 68144
    • Hs0003 50208 | Las Vegas, Nevada, United States, 89148
    • Hs0003 50137 | East Windsor, New Jersey, United States, 08520
    • Hs0003 50235 | New York, New York, United States, 10003
    • Hs0003 50151 | Chapel Hill, North Carolina, United States, 27516
    • Hs0003 50177 | Cincinnati, Ohio, United States, 45219
    • Hs0003 50138 | Columbus, Ohio, United States, 43213
    • Hs0003 50204 | Tulsa, Oklahoma, United States, 74135
    • Hs0003 50147 | Hershey, Pennsylvania, United States, 17033
    • Hs0003 50008 | Johnston, Rhode Island, United States, 02919
    • Hs0003 50180 | Providence, Rhode Island, United States, 02903
    • Hs0003 50142 | Nashville, Tennessee, United States, 37215
    • Hs0003 50201 | Arlington, Texas, United States, 76011
    • Hs0003 50166 | Dallas, Texas, United States, 75246
    • Hs0003 50149 | San Antonio, Texas, United States, 78213
    • Hs0003 50270 | Seattle, Washington, United States, 98101
    • Hs0003 30015 | Campbelltown, Australia,
    • Hs0003 30016 | Carlton, Australia,
    • Hs0003 30011 | East Melbourne, Australia,
    • Hs0003 30017 | Kogarah, Australia,
    • Hs0003 30012 | Woolloongabba, Australia,
    • Hs0003 40004 | Brussels, Belgium,
    • Hs0003 40121 | Bruxelles, Belgium,
    • Hs0003 40002 | Leuven, Belgium,
    • Hs0003 40060 | Liege, Belgium,
    • Hs0003 50233 | Barrie, Canada,
    • Hs0003 50190 | Richmond Hill, Canada,
    • Hs0003 50192 | Saskatoon, Canada,
    • Hs0003 50173 | St. John's, Canada,
    • Hs0003 50133 | Surrey, Canada,
    • Hs0003 40127 | Aarhus N, Denmark,
    • Hs0003 40197 | Amiens Cedex 1, France,
    • Hs0003 40342 | Angers, France,
    • Hs0003 40355 | Le Mans, France,
    • Hs0003 40132 | Nice, France,
    • Hs0003 40318 | Rouen Cedex, France,
    • Hs0003 40246 | Saint Mandé, France,
    • Hs0003 40285 | Toulon, France,
    • Hs0003 40325 | Berlin, Germany,
    • Hs0003 40248 | Bochum, Germany,
    • Hs0003 40327 | Bonn, Germany,
    • Hs0003 40288 | Darmstadt, Germany,
    • Hs0003 40324 | Dresden, Germany,
    • Hs0003 40249 | Kiel, Germany,
    • Hs0003 40357 | Magdeburg, Germany,
    • Hs0003 40174 | Mainz, Germany,
    • Hs0003 40323 | München, Germany,
    • Hs0003 40177 | Münster, Germany,
    • Hs0003 40251 | Athens, Greece,
    • Hs0003 40253 | Athens, Greece,
    • Hs0003 40252 | Thessaloniki, Greece,
    • Hs0003 20089 | Haifa, Israel,
    • Hs0003 20088 | Tel Aviv, Israel,
    • Hs0003 40261 | Catania, Italy,
    • Hs0003 40257 | Roma, Italy,
    • Hs0003 40263 | Roma, Italy,
    • Hs0003 40258 | Rozzano, Italy,
    • Hs0003 40331 | Terracina, Italy,
    • Hs0003 40330 | Torino, Italy,
    • Hs0003 40351 | Breda, Netherlands,
    • Hs0003 40292 | Groningen, Netherlands,
    • Hs0003 40264 | Rotterdam, Netherlands,
    • Hs0003 40332 | Trondheim, Norway,
    • Hs0003 40266 | Badalona, Spain,
    • Hs0003 40294 | Las Palmas de Gran Canaria, Spain,
    • Hs0003 40295 | Pontevedra, Spain,
    • Hs0003 40049 | Sevilla, Spain,
    • Hs0003 40230 | Valencia, Spain,
    • Hs0003 40337 | Bern, Switzerland,
    • Hs0003 40406 | Genève, Switzerland,
    • Hs0003 40053 | Ankara, Turkey,
    • Hs0003 40270 | Antalya, Turkey,
    • Hs0003 40273 | Gaziantep, Turkey,
    • Hs0003 40050 | Istanbul, Turkey,
    • Hs0003 40272 | Istanbul, Turkey,
    • Hs0003 40271 | İ̇zmir, Turkey,
    Investigators

      More Information

      Additional Relevant MeSH Terms

      • Hidradenitis Suppurativa
      • Hidradenitis
      • Sweat Gland Diseases
      • Skin Diseases
      • Skin Diseases, Bacterial
      • Bacterial Infections
      • Bacterial Infections and Mycoses
      • Infections
      • Skin Diseases, Infectious
      • Suppuration