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 November 15, 2024. Link to the current ClinicalTrials.gov record.

Recruitment Status

ACTIVE, NOT RECRUITING (See Contacts and Locations)
Verified November 2024 by Incyte Corporation

Sponsor

Incyte Corporation

Information Provided by (Responsible Party)

Incyte Corporation

Clinicaltrials.gov Identifier

NCT05620836
Other Study ID Numbers: INCB 54707-302
First Submitted: November 10, 2022
First Posted: November 17, 2022
Last Update Posted: November 18, 2024
Last Verified: November 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
Actual Enrollment619 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 DateFebruary 22, 2023
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 at Week 12 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 [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 [54 weeks]
      Defined as mean change of abscess(es) count relative to baseline.
    8. Percentage change from baseline in abscess count [54 weeks]
      Percent Change from baseline in number of abscess(es)
    9. Mean change from baseline in inflammatory nodule count [54 weeks]
      Defined as mean change of inflammatory nodule count relative to baseline.
    10. Percentage change from baseline in inflammatory nodule count [54 weeks]
      Defined as percent change from baseline in number of inflammatory nodule(s)
    11. Mean change from baseline in draining tunnel count [54 weeks]
      Defined as mean change of draining tunnel count relative to baseline.
    12. Percentage change from baseline in draining tunnel count [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 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
    • Male and female participants ≥ 18 years of age.
    • Diagnosis of moderate to severe HS ≥ 3 months prior to Screening visit.
    • HS lesions present in ≥ 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.
    • Total abscess and inflammatory nodule (AN) count ≥ 5 at both the Screening and Baseline visits.
    • History of inadequate response to an appropriate course of at least 1 conventional systemic therapy for HS (or demonstrated intolerance to, or have a contraindication to, a conventional systemic therapy for HS)
    • Agree to not use certain topical antiseptics on the areas affected by HS lesions during the placebo-controlled period.
    • Willingness to avoid pregnancy or fathering children.
    • Other inclusion criteria apply.
    Exclusion Criteria
    • Draining tunnel count of > 20 at Screening or Baseline visits.
    • Women who are pregnant (or who are considering pregnancy) or breastfeeding.
    • Medical history including thrombocytopenia, coagulopathy or platelet dysfunction; venous and arterial thrombosis, deep vein thrombosis, pulmonary embolism, stroke, moderate to severe heart failure, cerebrovascular accident, myocardial infarction, or other significant cardiovascular diseases; Q-wave interval abnormalities; disseminated herpes zoster or dermatomal herpes zoster; disseminated herpes simplex; chronic/recurrent infections; malignancies.
    • Evidence of infection with TB, HBV, HCV or HIV.
    • History of failure to JAK inhibitor treatment of any inflammatory disease.
    • Laboratory values outside of the protocol-defined ranges.
    • Other exclusion criteria apply.

    Contacts and Locations

    Sponsors and Collaborators Incyte Corporation
    Locations
    • Investigative Site US240 | Scottsdale, Arizona, United States, 85255
    • Investigative Site US237 | Scottsdale, Arizona, United States, 85259
    • Investigative Site US214 | Arkansas, Arkansas, United States, 72758
    • Investigative Site US242 | Fayetteville, Arkansas, United States, 72703
    • Investigative Site US223 | Los Angeles, California, United States, 90033
    • Investigative Site US226 | San Diego, California, United States, 92103
    • Investigative Site US222 | San Francisco, California, United States, 94118
    • Investigative Site US233 | Washington, District of Columbia, United States, 20060
    • Investigative Site US228 | Brandon, Florida, United States, 33511
    • Investigative Site US227 | Margate, Florida, United States, 33063
    • Investigative Site US204 | Miami, Florida, United States, 33125
    • Investigative Site US236 | Miami, Florida, United States, 33173
    • Investigative Site US200 | Ocala, Florida, United States, 34470
    • Investigative Site US201 | Tampa, Florida, United States, 33613
    • Investigative Site US220 | West Dundee, Illinois, United States, 60118
    • Investigative Site US206 | Indianapolis, Indiana, United States, 46250
    • Investigative Site US241 | Iowa City, Iowa, United States, 52242
    • Investigative Site US209 | Louisville, Kentucky, United States, 40241
    • Investigative Site US207 | Metairie, Louisiana, United States, 70006
    • Investigative Site US229 | New Orleans, Louisiana, United States, 70115
    • Investigative Site US224 | Baltimore, Maryland, United States, 21224
    • Investigative Site US208 | Beverly, Massachusetts, United States, 01915
    • Investigative Site US221 | Quincy, Massachusetts, United States, 02169
    • Investigative Site US213 | Detroit, Michigan, United States, 48084
    • Investigative Site US217 | Waterford, Michigan, United States, 48328
    • Investigative Site US212 | Minneapolis, Minnesota, United States, 55455
    • Investigative Site US239 | Omaha, Nebraska, United States, 68144
    • Investigative Site US230 | Hightstown, New Jersey, United States, 08520
    • Investigative Site US202 | New York, New York, United States, 10003
    • Investigative Site US210 | Rochester, New York, United States, 14642
    • Investigative Site US205 | Chapel Hill, North Carolina, United States, 27516
    • Investigative Site US215 | Bexley, Ohio, United States, 43209
    • Investigative Site US203 | Columbus, Ohio, United States, 43210
    • Investigative Site US232 | Murfreesboro, Tennessee, United States, 37130
    • Investigative Site US235 | Arlington, Texas, United States, 76011
    • Investigative Site US218 | Bellaire, Texas, United States, 77401
    • Investigative Site US238 | Pflugerville, Texas, United States, 78660
    • Investigative Site US234 | San Antonio, Texas, United States, 78213
    • Investigative Site AU205 | Kogarah, New South Wales, Australia, 02217
    • Investigative Site AU203 | Kotara, New South Wales, Australia, 02289
    • Investigative Site AU200 | Liverpool, New South Wales, Australia, 02170
    • Investigative Site AU202 | Benowa, Queensland, Australia, 04217
    • Investigative Site AU206 | Woolloongabba, Queensland, Australia, 04102
    • Investigative Site AU207 | Woolloongabba, Queensland, Australia, 04102
    • Investigative Site AU201 | Carlton, Victoria, Australia, 03053
    • Investigative Site AU204 | Melbourne, Victoria, Australia, 03002
    • Investigative Site BG203 | Sofia, Bulgaria, 01407
    • Investigative Site BG202 | Sofia, Bulgaria, 01463
    • Investigative Site BG200 | Sofia, Bulgaria, 01510
    • Investigative Site BG204 | Sofia, Bulgaria, 01606
    • Investigative Site BG201 | Stara Zagora, Bulgaria, 06000
    • Investigative Site CA202 | Calgary, Alberta, Canada, T3E 0B2
    • Investigative Site CA204 | Edmonton, Alberta, Canada, T6G 1C3
    • Investigative Site CA200 | Surrey, British Columbia, Canada, V3V 0C6
    • Investigative Site CA205 | Fredericton, New Brunswick, Canada, E3B 1G9
    • Investigative Site CA207 | Mississauga, Ontario, Canada, L4W 0C2
    • Investigative Site CA208 | Richmond Hill, Ontario, Canada, L4C 9M7
    • Investigative Site CA206 | St-jérôme, Quebec, Canada, J7Z 7E2
    • Investigative Site CA203 | St. John's, Canada, A1A 4Y3
    • Investigative Site DK201 | Roskilde, Denmark, 04000
    • Investigative Site DK200 | Århus N, Denmark, 08200
    • Investigative Site FR200 | Antony, France, 92160
    • Investigative Site FR205 | Dijon, France, 21000
    • Investigative Site FR204 | Lyon, France, 69003
    • Investigative Site FR203 | Nice Cedex 3, France, 06200
    • Investigative Site FR206 | Reims, France, 51100
    • Investigative Site FR202 | Rouen Cedex, France, 76031
    • Investigative Site FR201 | Toulon, France, 83000
    • Investigative Site US225 | Frankfurt Am Main, MA, Germany, 60590
    • Investigative Site DE202 | Berlin, Germany, 10117
    • Investigative Site DE203 | Bochum, Germany, 44791
    • Investigative Site DE201 | Dessau, Germany, 06847
    • Investigative Site DE207 | Erlangen, Germany, 91054
    • Investigative Site DE208 | Gottingen, Germany, 37075
    • Investigative Site DE205 | Heidelberg, Germany, 69120
    • Investigative Site DE200 | Kiel, Germany, 24105
    • Investigative Site DE204 | Luebeck, Germany, 23538
    • Investigative Site DE206 | Mainz, Germany, 55131
    • Investigative Site IT200 | Ancona, Italy, 60126
    • Investigative Site IT204 | Brescia, Italy, 25124
    • Investigative Site IT207 | Catania, Italy, 95123
    • Investigative Site IT202 | Milano, Italy, 20122
    • Investigative Site IT203 | Napoli, Italy, 80131
    • Investigative Site IT206 | Pisa, Italy, 56126
    • Investigative Site IT205 | Roma, Italy, 00168
    • Investigative Site IT201 | Rozzano, Italy, 20089
    • Investigative Site PL203 | Lublin, Poland, 20573
    • Investigative Site PL200 | Rzeszow, Poland, 35-055
    • Investigative Site PL201 | Warszawa, Poland, 02-507
    • Investigative Site PL202 | Warszawa, Poland, 02-962
    • Investigative Site ES203 | Alicante, Spain, 03010
    • Investigative Site ES202 | Las Palmas de Gran Canaria, Spain, 35019
    • Investigative Site ES204 | Madrid, Spain, 28005
    • Investigative Site ES201 | Madrid, Spain, 28007
    • Investigative Site ES205 | Madrid, Spain, 28040
    • Investigative Site ES200 | Manises, Spain, 46940
    • Investigative Site GB202 | Birmingham, United Kingdom, B15 2GW
    • Investigative Site GB200 | Dudley, United Kingdom, DY1 2HQ
    • Investigative Site GB201 | Leeds, United Kingdom, LS1 3EX
    • Investigative Site GB204 | London, United Kingdom, SE1 7EH
    • Investigative Site GB203 | Salford, United Kingdom, M6 8HD

    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