A Phase 3, Double-Blind, Randomized, Placebo-Controlled, Efficacy and Safety Study of Povorcitinib (INCB054707) in Participants With Moderate to Severe Hidradenitis Suppurativa

ClinicalTrials.gov processed this data on October 3, 2024. Link to the current ClinicalTrials.gov record.

Recruitment Status

RECRUITING (See Contacts and Locations)
Verified October 2024 by Incyte Corporation

Sponsor

Incyte Corporation

Information Provided by (Responsible Party)

Incyte Corporation

Clinicaltrials.gov Identifier

NCT05620823
Other Study ID Numbers: INCB 54707-301
First Submitted: November 10, 2022
First Posted: November 17, 2022
Last Update Posted: October 4, 2024
Last Verified: October 2024
History of Changes

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Study Description

Not Provided
Condition or Disease Intervention/Treatment
  • Hidradenitis Suppurativa (HS)
  • Drug: Povorcitinib
  • Drug: Placebo

Study Design

Study TypeInterventional
Anticipated Enrollment600 participants
Design AllocationRandomized
Interventional ModelParallel Assignment
MaskingQuadruple
Primary PurposeTreatment
Official TitleA Phase 3, Double-Blind, Randomized, Placebo-Controlled, Efficacy and Safety Study of Povorcitinib (INCB054707) in Participants With Moderate to Severe Hidradenitis Suppurativa
Study Start DateDecember 19, 2022
Anticipated Primary Completion DateMarch 11, 2025
Anticipated Study Completion DateJanuary 30, 2026

Groups and Cohorts

Group/ CohortIntervention/ Treatment
  • Povorcitinib Dose A
    • Participants will receive Povorcitinib Dose A for 54 weeks.
  • Drug: Povorcitinib
    • Oral; Tablet
  • Povorcitinib Dose B
    • Participants will receive Povorcitinib Dose B for 54 weeks.
  • Drug: Povorcitinib
    • Oral; Tablet
  • Placebo
    • Participants will receive Placebo for 12 weeks, followed by Povorcitinib (Dose A or Dose B) for 42 weeks.
  • Drug: Placebo

    Outcome Measures

    Primary Outcome Measures

    1. Proportion of participants who achieve Hidradenitis Suppurativa Clinical Response (HiSCR) [Week 12]
      HiSCR is defined as at least a 50% reduction from baseline in the total abscess and inflammatory nodule count, with no increase from baseline in abscess or draining tunnel count.

    Secondary Outcome Measures

    1. Proportion of participants who achieve Hidradenitis Suppurativa Clinical Response 75 (HiSCR75) [Week 12]
      HiSCR75 is defined as at least a 75% reduction from baseline in the total abscess and inflammatory nodule count, with no increase from baseline in abscess or draining tunnel count.
    2. Proportion of participants with flare [12 weeks]
      Participants who experience at least 1 flare over 12 weeks; flare is defined as at least a 25% increase in the total abscess and inflammatory nodule count with a minimum increase of 2 relative to baseline.
    3. Proportion of participants with a ≥ 3-point decrease in Skin Pain Numeric Rating Scale (NRS) score among participants with baseline Skin Pain NRS score ≥ 3. [Week 12]
      Participants with a Skin Pain score of at least 3 at baseline and who experience at least a 3-point decrease in Skin Pain score at Week 12, relative to baseline. Skin Pain is an 11 point NRS, ranging from 0 (no skin pain) to 10 (worst skin pain).
    4. Proportion of participants who achieve Skin Pain NRS30 among participants with baseline Skin Pain NRS score ≥ 3. [Week 12]
      Participants with a Skin Pain score of at least 3 at baseline and who achieve at Week 12 Skin Pain NRS30, defined as at least a 30% reduction and at least 1-unit reduction from baseline in the Skin Pain NRS.
    5. Proportion of participants with a ≥ 4-point increase from baseline in Functional Assessment of Chronic Illness Therapy - Fatigue (FACIT F) score [Week 12]
      Participants with a baseline FACIT-F score ≤ 48 and who experience at least a 4-point increase in FACIT-F score at Week 12, relative to baseline. The FACIT-F scale is a 13-item questionnaire that assesses self reported fatigue and its impact upon daily activities and function over the past 7 days, with scores ranging from 0 (worst fatigue) to 52 (no fatigue).
    6. Mean change from baseline in Dermatology Life Quality Index (DLQI) score at each visit [54 weeks]
      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.
    7. Mean change from baseline in abscess count at each visit. [54 weeks]
      Defined as mean change of Abscess count relative to baseline.
    8. Percentage change from baseline in abscess count at every visit [54 weeks]
      Percent change from baseline in number of abscess(es)
    9. Mean change from baseline in inflammatory nodule count at each visit [54 weeks]
      Defined as mean change of inflammatory nodule count relative to baseline.
    10. Percentage change from baseline in inflammatory nodule count at each visit. [54 weeks]
      Defined as percent change from baseline in number of inflammatory nodule(s)
    11. Mean change from baseline in draining tunnel count at each visit. [54 weeks]
      Defined as mean change of draining tunnel count relative to baseline.
    12. Percentage change from baseline in draining tunnel count at each visit. [54 weeks]
      Defined as percent change from baseline in number of draining tunnel(s)
    13. Extension Period: Proportion of participants who achieve HiSCR [Week 24]
      HiSCR is defined as at least a 50% reduction from baseline in the total abscess and inflammatory nodule count, with no increase from baseline in abscess or draining tunnel count.
    14. Extension Period: Proportion of participants who achieve HiSCR75 [Week 24]
      HiSCR75 is defined as at least a 75% reduction from baseline in the total abscess and inflammatory nodule count, with no increase from baseline in abscess or draining tunnel count.
    15. Extension Period: Proportion of participants with flare [From Week 12 through Week 24]
      Participants who experience at least 1 flare over the period under assessment; flare is defined as at least a 25% increase in the total abscess and inflammatory nodule count with a minimum increase of 2 relative to baseline.
    16. Extension Period: Proportion of participants who achieved Skin Pain NRS30 among participants with baseline Skin Pain NRS score ≥ 3 [Week 24]
      Skin Pain NRS30 defined as at least a 30% reduction and at least 1-unit reduction from baseline in the Skin Pain NRS.
    17. Extension Period: Proportion of participants who achieve HiSCR [Week 54]
      HiSCR is defined as at least a 50% reduction from baseline in the total abscess and inflammatory nodule count, with no increase from baseline in abscess or draining tunnel count
    18. Extension Period: Proportion of participants who achieve HiSCR75 [Week 54]
      HiSCR75 is defined as at least a 75% reduction from baseline in the total abscess and inflammatory nodule count, with no increase from baseline in abscess or draining tunnel count.
    19. Extension Period : Proportion of participants with flare [From Week 12 through Week 54]
      Participants who experience at least 1 flare over the period under assessment; flare is defined as at least a 25% increase in the total abscess and inflammatory nodule count with a minimum increase of 2 relative to baseline.
    20. Extension Period: Proportion of participants who achieved Skin Pain NRS30 among participants with baseline Skin Pain NRS score ≥ 3. [Week 54]
      Participants with a Skin Pain score of at least 3 at baseline and who achieve at Week 24 Skin Pain NRS30, defined as at least a 30% reduction and at least 1-unit reduction from baseline in the Skin Pain NRS.
    21. Extension Period:Proportion of participants who achieve maintenance of HiSCR or greater response at each visit [From Week 12 through Week 54]
      Maintenance of response defined as participants who achieve HiSCR at Week 12 and maintain it or achieve greater response at each visit during the EXT period.
    22. Extension Period : Proportion of participants who achieve maintenance of HiSCR75 or greater response at each visit [From Week 12 through Week 54]
      Maintenance of response defined as participants who achieve HiSCR75 at Week 12 and maintain it or achieve greater response at each visit during the EXT period.

    Eligibility Criteria

    Ages Eligible for Study 18 Years and Older (Adult, Older Adult)
    Sexes Eligible for Study All
    Accepts Healthy Volunteers No
    Inclusion Criteria
    • Diagnosis of moderate to severe HS for at least 3 months prior to the screening visit.
    • Total abscess and inflammatory nodule count of at least 5 at both the screening and baseline visits
    • HS lesions in at least 2 distinct anatomical areas (examples include but are not limited to left and right axilla or left and right inguinocrural fold), 1 of which must be at least Hurley Stage II or Hurley Stage III, at both the screening and baseline visits
    • Documented history of inadequate response to at least a 3-month course of at least 1 conventional systemic therapy (oral antibiotic or biologic drug) for HS (or demonstrated intolerance to, or have a contraindication to, a conventional systemic therapy for treatment of their HS).
    • Agreement to NOT use topical and systemic antibiotics for treatment of HS during the placebo-controlled period.
    • Agreement to NOT use a diluted bleach bath or topical antiseptic washes containing chlorhexidine gluconate or benzoyl peroxide on the areas affected by HS lesions during the placebo-controlled period. Note: Over-the-counter soap and water is allowed.
    • Agreement to use contraception
    • Willing and able to comply with the study protocol and procedures.
    • Further inclusion criteria apply.
    Exclusion Criteria
    • Presence of > 20 draining tunnels (fistulas) at either the screening or baseline visit.
    • Women who are pregnant (or who are considering pregnancy) or breastfeeding.
    • Medical history including thrombocytopenia, coagulopathy or platelet dysfunction, Q-wave interval abnormalities, current or history of certain infections, cancer, lymphoproliferative disorders and other medical conditions at the discretion of the investigator.
    • Laboratory values outside of the protocol-defined ranges.
    • Further exclusion criteria apply.

    Contacts and Locations

    Sponsors and Collaborators Incyte Corporation
    Locations
    • Investigative Site US303 | Phoenix, Arizona, United States, 85006
    • Investigative Site US335 | Arkansas, Arkansas, United States, 72758
    • Investigative Site US307 | Fort Smith, Arkansas, United States, 72916
    • Investigative Site US315 | Laguna Niguel, California, United States, 92677
    • Investigative Site US326 | Los Angeles, California, United States, 90045
    • Investigative Site US323 | San Francisco, California, United States, 94118
    • Investigative Site US306 | Boca Raton, Florida, United States, 33486
    • Investigative Site US320 | Boca Raton, Florida, United States, 33486
    • Investigative Site US317 | Hialeah, Florida, United States, 33012-3618
    • Investigative Site US338 | Margate, Florida, United States, 33063
    • Investigative Site US321 | North Miami Beach, Florida, United States, 33162-4708
    • Investigative Site US316 | Orlando, Florida, United States, 32819
    • Investigative Site US328 | Tampa, Florida, United States, 33612
    • Investigative Site US336 | Tampa, Florida, United States, 33613
    • Investigative Site US311 | Marietta, Georgia, United States, 30060-1047
    • Investigative Site US327 | Chicago, Illinois, United States, 60612
    • Investigative Site US319 | Skokie, Illinois, United States, 60077
    • Investigative Site US337 | Indianapolis, Indiana, United States, 46250
    • Investigative Site US341 | Bowling Green, Kentucky, United States, 42103
    • Investigative Site US334 | Metairie, Louisiana, United States, 70006
    • Investigative Site US333 | Baltimore, Maryland, United States, 21287
    • Investigative Site US325 | Columbia, Maryland, United States, 21045
    • Investigative Site US318 | Beverly, Massachusetts, United States, 01915
    • Investigative Site US304 | Boston, Massachusetts, United States, 02215
    • Investigative Site US310 | Brighton, Massachusetts, United States, 02135
    • Investigative Site US302 | Saint Louis, Missouri, United States, 63110
    • Investigative Site US331 | Albuquerque, New Mexico, United States, 87102
    • Investigative Site US324 | Kew Gardens, New York, United States, 11415
    • Investigative Site US339 | Bexley, Ohio, United States, 43209
    • Investigative Site US330 | Boardman, Ohio, United States, 44512
    • Investigative Site US314 | Cincinnati, Ohio, United States, 45219
    • Investigative Site US312 | Cleveland, Ohio, United States, 44106
    • Investigative Site US301 | Portland, Oregon, United States, 97223
    • Investigative Site US340 | Bellaire, Texas, United States, 77401
    • Investigative Site US300 | Plano, Texas, United States, 75025
    • Investigative Site US313 | Norfolk, Virginia, United States, 23502
    • Investigative Site US308 | Spokane, Washington, United States, 99202
    • Investigative Site AT304 | Graz, Austria, 08036
    • Investigative Site 00A | Innsbruck, Austria, 06020
    • Investigative Site AT306 | Innsbruck, Austria, 06020
    • Investigative Site AT302 | Linz, Austria, 04020
    • Investigative Site AT305 | Vienna, Austria, 01090
    • Investigative Site AT301 | Wien, Austria, 01100
    • Investigative Site AT300 | Wien, Austria, 01130
    • Investigative Site BE304 | Brussels, Belgium, 01200
    • Investigative Site BE300 | Bruxelles, Belgium, 01070
    • Investigative Site BE306 | Gent, Belgium, 09000
    • Investigative Site BE301 | Ghent, Belgium, 09000
    • Investigative Site BE305 | Leuven, Belgium, 03000
    • Investigative Site BE302 | Liege, Belgium, 04000
    • Investigative Site BE303 | Namur, Belgium, 05000
    • Investigative Site CA301 | Winnipeg, Manitoba, Canada, R3M 3Z4
    • Investigative Site CA304 | Barrie, Ontario, Canada, L4M 1G7
    • Investigative Site CA308 | Hamilton, Ontario, Canada, L8L 3C3
    • Investigative Site CA303 | London, Ontario, Canada, N6H 5L5
    • Investigative Site CA302 | Peterborough, Ontario, Canada, K9J 5K2
    • Investigative Site CA306 | Laval, Quebec, Canada, H7N 6L2
    • Investigative Site CA307 | Montreal, Quebec, Canada, H2K 4L5
    • Investigative Site CA309 | Quebec, Canada, G1V 4T3
    • Investigative Site CZ301 | Ostrava - Poruba, Czechia, 708 52
    • Investigative Site CZ300 | Praha 5, Czechia, 150 06
    • Investigative Site FR305 | Bordeaux, France, 33000
    • Investigative Site FR303 | Brest Cedex 2, France, 29609
    • Investigative Site FR307 | Le Mans Cedex, France, 72037
    • Investigative Site FR304 | Marseille, France, 13385
    • Investigative Site FR302 | Nantes Cedex 1, France, 44093
    • Investigative Site FR300 | Paris, France, 75010
    • Investigative Site FR301 | Saint Priest En Jarez, France, 42270
    • Investigative Site FR306 | Toulouse Cedex 9, France, 31059
    • Investigative Site DE305 | Darmstadt, Germany, 64283
    • Investigative Site DE302 | Dresden, Germany, 01307
    • Investigative Site DE306 | Duesseldorf, Germany, 40225
    • Investigative Site DE301 | Frankfurt Am Main, Germany, 60590
    • Investigative Site DE303 | Hamburg, Germany, 20246
    • Investigative Site DE300 | Hannover, Germany, 30519
    • Investigative Site DE304 | Langenau, Germany, 89129
    • Investigative Site DE307 | Memmingen, Germany, 87700
    • Investigative Site GR300 | Athens, Greece, 12462
    • Investigative Site GR303 | Athens, Greece, 16121
    • Investigative Site GR301 | Thessaloniki, Greece, 54643
    • Investigative Site GR302 | Thessaloniki, Greece, 56403
    • Investigative Site JP304 | Itabashi-ku, Japan, 173-8610
    • Investigative Site JP305 | Kurume-shi, Japan, 830-0011
    • Investigative Site JP300 | Kyoto-shi, Japan, 602-8566
    • Investigative Site JP301 | Nakagami-gun, Japan, 903-0215
    • Investigative Site JP303 | Niigata-shi, Japan, 951-8520
    • Investigative Site JP307 | Nishinomiya-shi, Japan, 663-8186
    • Investigative Site JP308 | Sapporo-shi, Japan, 060-8648
    • Investigative Site JP302 | Sendai-shi, Japan, 980-8574
    • Investigative Site JP309 | Shinjuku-ku, Japan, 160-0023
    • Investigative Site JP306 | Tsukuba-shi, Japan, 305-8576
    • Investigative Site NL302 | Breda, Netherlands, 4818 CK
    • Investigative Site NL303 | Groningen, Netherlands, 9713 GZ
    • Investigative Site NL301 | Rotterdam, Netherlands, 3015 GD
    • Investigative Site PL304 | Ostrowiec, Poland, 27-400
    • Investigative Site PL303 | Poznan, Poland, 60-529
    • Investigative Site PL301 | Wroclaw, Poland, 50-566
    • Investigative Site PL302 | Wroclaw, Poland, 51-318
    • Investigative Site ES302 | Badalona, Spain, 08916
    • Investigative Site ES303 | Barcelona, Spain, 08003
    • Investigative Site ES301 | Granada, Spain, 18014
    • Investigative Site ES305 | Madrid, Spain, 28041
    • Investigative Site ES300 | Pontevedra, Spain, 36001
    • Investigative Site ES304 | Santiago de Compostela, Spain, 15706

    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