Izokibep is a potent and selective inhibitor of interleukin 17A (IL-17A) that is being developed for treatment of hidradenitis suppurativa (HS). This study will evaluate the efficacy, safety, and immunogenicity of izokibep administered subcutaneously (SC) in adult subjects with moderate to severe HS.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
DOUBLE
Enrollment
205
Biologic: IL-17A inhibitor Form: Solution for injection Route of administration: Subcutaneous (SC)
Form: Solution for injection Route of administration: Subcutaneous (SC)
Part A: Number of Participants Who Achieved Hidradenitis Suppurativa Clinical Response 75 (HiSCR75) at Week 12
HiSCR75 was 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 fistula count.
Time frame: Part A: Baseline to Week 12
Part B: Number of Participants Who Achieved HiSCR75 at Week 16
HiSCR75 was 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 fistula count.
Time frame: Part B: Baseline to Week 16
Part A: Number of Participants With Treatment-emergent Adverse Events (TEAEs)
An adverse event (AE) referred to any untoward medical occurrence in a clinical study participant, regardless of a causal relationship with the study treatment. TEAEs included any event occurring after the participant received the study treatment. Clinically significant changes in vital signs, electrocardiograms, and laboratory tests recorded after treatment administration were documented as TEAEs. Serious TEAEs (SAEs) were untoward medical occurrences after the first dose, irrespective of a causal link to the study treatment, that led to death, were life-threatening, required hospitalization or its prolongation, caused significant disability, resulted in congenital anomalies, or were considered other medically important events.
Time frame: Part A: Screening (Day -28) to Follow-up (Week 45), for a total of 49 weeks
Part A: Number of Participants Testing Positive for Anti-drug Antibodies (ADAs)
Blood samples were collected at different time points throughout the study.
Time frame: Baseline, Week 16, Week 32, Week 39
Part B: Number of Participants Who Achieved HiSCR90 at Week 16
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Clinical Research Site
Birmingham, Alabama, United States
Clinical Research Site
Encino, California, United States
Clinical Research Site
Fountain Valley, California, United States
Clinical Research Site
Los Angeles, California, United States
Clinical Research Site
Los Angeles, California, United States
Clinical Research Site
Ocala, Florida, United States
Clinical Research Site
Tampa, Florida, United States
Clinical Research Site
Sandy Springs, Georgia, United States
Clinical Research Site
Savannah, Georgia, United States
Clinical Research Site
Rolling Meadows, Illinois, United States
...and 34 more locations
HiSCR90 was defined as at least a 90% reduction from baseline in the total abscess and inflammatory nodule count, with no increase from baseline in abscess or draining fistula count
Time frame: Part B: Baseline to Week 16
Part B: Number of Participants Who Achieved HiSCR100 at Week 16
HiSCR100 was defined as at least a 100% reduction from baseline in the total abscess and inflammatory nodule count, with no increase from baseline in abscess or draining fistula count.
Time frame: Part B: Baseline to Week 16
Part B: Number of Participants Who Achieved HiSCR50 at Week 16
HiSCR50 was 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 fistula count
Time frame: Part B: Baseline to Week 16
Part B: Percentage of Participants Who Experienced ≥ 1 Disease Flare Through 16 Weeks of Treatment
A flare was defined as ≥ 25% increase in AN count with a minimum increase of 2 AN relative to baseline. Missing data of abscess and inflammatory nodules counts at scheduled visits are imputed assuming monotone missingness pattern. Predictors in the regression model for missing values at Week 4 are Baseline Hurley stage, baseline abscess count, baseline inflammatory nodule count, baseline draining fistula count, sex, race, age, body mass index (BMI) and prior Biologic/JAK inhibitor use for HS. Predictors in the regression model for missing values after Week 4 are all of these variables, plus counts of abscess, inflammatory nodule, and draining fistula at prior scheduled assessment. Missing flare values in both the placebo and izokibep groups are imputed using observed data from the placebo group only.
Time frame: Part B: Day 1 through to Week 16
Part B: Number of Participants With Hurley Stage II at Baseline Who Achieved AN Count of 0, 1, or 2
The percentage of participants with baseline Hurley Stage II who achieved AN count of 0, 1, or 2 at Week 16. Hurley stages: Stage 1 - solitary or multiple, isolated abscess formation without scarring or sinus tracts Stage 2 - recurrent abscesses, single or multiple widely separated lesions, with sinus tract formation Stage 3 - diffuse or broad involvement, with multiple interconnected sinus tracts and abscesses.
Time frame: Part B: Week 16
Part B: Number of Participants Who Achieved at Least a 3-Point Reduction From Baseline in Numeric Rating Scale (NRS) in Patient Global Assessment of Skin Pain at Its Worst at Week 16 Among Participants With Baseline NRS ≥ 4
The Patient Global Assessment of Skin Pain is a NRS that consists of scores from 0 to 10 with 0 indicating "no skin pain" and 10 indicating "pain as bad as you can imagine".
Time frame: Part B: Baseline to Week 16
Part B: Number of Participants With TEAEs of Special Interest
Adverse events of special interest were adverse events in the following categories: candida infection, inflammatory bowel disease, suicidal ideation, malignancies, major cardiovascular and cerebrovascular events, tuberculosis, infections, cytopenias and hypersensitivity reactions.
Time frame: Part B: Screening (Day -28) to Follow-up (Week 45), for a total of 49 weeks
Part B: Number of Participants With TEAEs
An AE referred to any untoward medical occurrence in a clinical study participant, regardless of a causal relationship with the study treatment. TEAEs included any event occurring after the participant received the study treatment. Clinically significant changes in vital signs, electrocardiograms, and laboratory tests recorded after treatment administration were documented as TEAEs. SAEs were untoward medical occurrences after the first dose, irrespective of a causal link to the study treatment, that led to death, were life-threatening, required hospitalization or its prolongation, caused significant disability, resulted in congenital anomalies, or were considered other medically important events.
Time frame: Part B: Screening (Day -28) to Follow-up (Week 45), for a total of 49 weeks
Part B: Number of Participants Testing Positive for ADAs
Blood samples were collected at different time points throughout the study.
Time frame: Up to 39 weeks