A Study to Assess Change in Disease Activity and Adverse Events of Oral Upadacitinib in Adult and Adolescent Participants With Moderate to Severe Hidradenitis Suppurativa Who Have Failed Anti-TNF Therapy
Hidradenitis SuppurativaHidradenitis suppurativa (HS) is an inflammatory skin disease that causes painful lesions in the axilla (underarm), inguinal (groin) and anogenital (anal/genital) regions. This study will assess how safe and effective upadacitinib is in treating adult and adolescent participants with moderate to severe HS who have failed to respond to or are intolerant of anti-tumor necrosis factor (TNF) therapy. Adverse events and change in disease activity will be assessed.
Upadacitinib is an approved drug for ulcerative colitis, atopic dermatitis, rheumatoid arthritis, psoriatic arthritis, and axial spondylarthritis and is being developed for the treatment of HS. This study is "double-blinded", meaning that neither the trial participants nor the study doctors will know who will be given upadacitinib and who will be given placebo. This study is comprised of 3 periods. In Period 1, participants are randomized into 2 groups called treatment arms where each group receives a different treatment. There is a 1 in 2 chance that participants will be assigned to placebo. In Period 2, participants are placed into 6 different groups depending on their placement and results in Period 1. Period 3 is the long-term extension period where participants will continue treatment from Period 2. Approximately 1328 adult and adolescent participants diagnosed with HS will be enrolled in approximately 275 sites worldwide.
Participants will receive oral tablets of upadacitinib or placebo once daily for 36 weeks in Period 1 and Period 2. Eligible participants from Period 1 and Period 2 will enter Period 3 and receive oral tablets of upadacitinib or placebo once daily for 68 weeks. Participants will be followed up for approximately 30 days.
There may be higher treatment burden for participants in this trial compared to their standard of care. Participants will attend regular outpatient visits during the study. The effect of the treatment will be checked by medical assessments, checking for side effects and completing questionnaires.
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Participation Requirements
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Sex:
ALL -
Eligible Ages:
12 and up
Participation Criteria
Inclusion Criteria:
* Diagnosis of HS for at least 6 months prior to Baseline, as determined by the investigator (i.e., through medical history and interview of subject).
* Documented history of previous use of ≥ 1 TNF inhibitor for HS for at least 12 weeks and/or 1 approved non-anti-TNF biologic therapy for HS for at least 16 weeks characterized by inadequate response or for any duration characterized by intolerance as determined by the investigator.
* Participant must have a total AN count of ≥ 5 at Baseline.
* HS lesions must be present in at least 2 distinct anatomic areas at Baseline.
* At least 1 anatomic area of HS involvement characterized as Hurley Stage II or higher at Baseline.
* Draining fistula count of ≤ 20 at Baseline.
Exclusion Criteria:
* History of active skin disease other than HS that could interfere with the assessment of HS, including skin infections (bacterial, fungal, or viral) requiring systemic treatment within 4 weeks of the Baseline visit.
* Treatment with any investigational drug of chemical or biologic nature within a minimum of 30 days or 5 half-lives (whichever is longer) prior to the first dose of study drug or be currently enrolled in another interventional clinical study. Investigational drugs are also prohibited during the study.
* Previous treatment with any cell-depleting therapies including but not limited to anti-CD20 (e.g., rituximab) within 12 months prior to Baseline or until B cell count returns to normal level or pre-treatment level.
* Use of prescription topical therapies (including topical antibiotics) that can also be used to treat HS within 14 days prior to the Baseline visit.
* Received any systemic (including oral) antibiotic treatment for HS or any other chronic inflammatory disorder within 14 days prior to the Baseline visit.
Study Location
Dr. Chih-ho Hong Medical Inc. /ID# 254378
Dr. Chih-ho Hong Medical Inc. /ID# 254378Surrey, British Columbia
Canada
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LEADER Research /ID# 254379
LEADER Research /ID# 254379Hamilton, Ontario
Canada
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York Dermatology Clinic and Research Centre /ID# 254115
York Dermatology Clinic and Research Centre /ID# 254115Richmond Hill, Ontario
Canada
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Dre Angelique Gagne-Henley M.D. inc. /ID# 255632
Dre Angelique Gagne-Henley M.D. inc. /ID# 255632Saint-Jerome, Quebec
Canada
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Rejuvenation Dermatology - Edmonton Downtown /ID# 254715
Rejuvenation Dermatology - Edmonton Downtown /ID# 254715Edmonton, Alberta
Canada
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Karma Clinical Trials /ID# 254120
Karma Clinical Trials /ID# 254120St. John's, Newfoundland and Labrador
Canada
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Dr. S.K. Siddha Medicine Professional Corporation /ID# 254714
Dr. S.K. Siddha Medicine Professional Corporation /ID# 254714Newmarket, Ontario
Canada
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Diex Recherche Québec /ID# 254381
Diex Recherche Québec /ID# 254381Québec, Quebec
Canada
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Dermatology Research Institute - Blackfoot Trail /ID# 261413
Dermatology Research Institute - Blackfoot Trail /ID# 261413Calgary, Alberta
Canada
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Enverus Medical Research /ID# 254380
Enverus Medical Research /ID# 254380Surrey, British Columbia
Canada
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DermEffects /ID# 254116
DermEffects /ID# 254116London, Ontario
Canada
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Research Toronto /ID# 255273
Research Toronto /ID# 255273Toronto, Ontario
Canada
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SkinSense Dermatology /ID# 254119
SkinSense Dermatology /ID# 254119Saskatoon, Saskatchewan
Canada
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Beacon Dermatology Inc /ID# 254564
Beacon Dermatology Inc /ID# 254564Calgary, Alberta
Canada
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Wiseman Dermatology Research /ID# 254117
Wiseman Dermatology Research /ID# 254117Winnipeg, Manitoba
Canada
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CHU Sainte-Justine /ID# 254118
CHU Sainte-Justine /ID# 254118Montreal, Quebec
Canada
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Lynde Institute for Dermatology /ID# 254713
Lynde Institute for Dermatology /ID# 254713Markham, Ontario
Canada
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- Study Sponsored By
- AbbVie
- Participants Required
- More Information
- Study ID:
NCT05889182