Part A is a randomized, double-blind, placebo-controlled, multi-center Proof-of-Concept (POC) Trial in subjects with severe Alopecia Areata. All participants in Part A have completed participation. Part B is a multicenter, open-label study to assess the efficacy, safety, and tolerability of bempikibart (ADX-914) in participants with severe Alopecia Areata.
Part A is a Phase IIa, Randomized, Double-blind, Placebo-controlled, multi-center Proof-of-Concept (POC) study in adult subjects with severe Alopecia Areata (AA). Bempikibart (ADX-914) or matching placebo is administered subcutaneously in the clinic setting every 2 weeks for 24 weeks, with follow-up for 12 weeks. Subjects will be randomized 3:1 to drug vs placebo. All participants in Part A have completed participation. Part B is a multicenter, open-label study comprised of a screening period of up to 4 weeks, a treatment period of 36 weeks, and a follow-up period of 16 weeks, for a total study duration of up to 56 weeks. Open Label Extension Cohort is a multicenter, open-label extension to assess the long-term efficacy, safety, and tolerability of bempikibart (ADX-914) in participants with severe AA who experienced hair regrowth as participants in Part A of the study. Participants enrolled in the Open Label Extension Cohort will receive bempikibart (ADX-914) for a duration of 6 months followed by a 16-week follow-up period.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
TREATMENT
Masking
NONE
Enrollment
75
Subcutaneous administration of bempikibart (ADX-914)
Part A: Mean relative percent change in SALT score
Part A: Mean relative percent change in SALT score at 24 weeks compared with baseline
Time frame: 24 Weeks
Part B: Mean percent change from baseline in SALT score
Part B: Mean percent change from baseline in SALT score at Week 36
Time frame: 36 weeks
Part A: Mean relative percentage change SALT score compared with baseline at Weeks 6,12, and 18.
Time frame: 18 Weeks
Part A: Mean relative percentage change in SALT score at 24 weeks compared with treatment nadir.
Time frame: 24 Weeks
Part A: Absolute change in SALT score compared with baseline at Weeks 6, 12, 18, and 24.
Time frame: 24 Weeks
Part A: Proportion of participants who achieve ≥30% and ≥50% relative reduction in SALT score compared with baseline at Weeks 12, 18, and 24.
Time frame: 24 Weeks
Part A: Proportion of participants with absolute SALT score ≤5, ≤10, ≤20, and ≤30 at Weeks 12, 18, and 24.
Time frame: 24 Weeks
Part A: Overall Safety as evaluated by number of adverse events (AEs).
Time frame: 36 Weeks
Part B: Proportion of participants who achieve ≥50% relative reduction in SALT score compared with baseline at 36 weeks
Time frame: 36 Weeks
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Part B: Mean percent change from baseline in SALT score at Week 52
Time frame: 52 Weeks
Part B: Proportion of participants with absolute SALT score ≤20 and ≤30 at Week 36.
Time frame: 36 Weeks