Study to Evaluate the Efficacy and Safety of Deuruxolitinib in Adolescents With Severe Alopecia Areata

Trial statusRecruiting
Trial phasePhase 3
Trial typeInterventional
Biological sexAll
Age12-17
SponsorSun Pharmaceutical Industries, Inc.

About this trial

This study evaluates the safety and effectiveness of deuruxolitinib in adolescents aged 12 to less than 18 years who have 50% or greater scalp hair loss.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Clinical presentation compatible with alopecia areata with a current episode lasting at least 6 months and not exceeding 10 years.

Between 12 to <18 years of age

At least 50% scalp hair loss, as defined by a Severity of Alopecia Tool (SALT) score ≥50.

Willing to comply with the study visits and requirements of the study protocol

Disqualifiers

Active scalp inflammation, psoriasis, or seborrheic dermatitis requiring topical treatment to the scalp, significant trauma to the scalp, or other scalp condition that may interfere with the SALT assessment, or untreated actinic keratosis at Screening and/or Baseline

Treatment with other medications or agents within 28 days of Baseline or during the study that may affect hair regrowth or immune response.

Females who are nursing, pregnant, or planning to become pregnant while in the study, and for 30 days after last dose of study drug.

Clinically significant medical condition, psychiatric disease, or social condition, as determined by the Investigator, that may unfavorably alter the risk-benefit of study participation, adversely affect study compliance, or confound interpretation of study results.

Trial design

Design model

Parallel

Treatments tested in this trial

  • Deuruxolitinib

    Drug

    Deuruxolitinib will be dosed orally as tablets at a dose of 8 mg

  • Placebo

    Drug

    Deuruxolitinib matching placebo will be dosed orally as tablets

Treatment groups

355 Participants
are divided into 3 treatment groups
Group A: Treatment Period: Deuruxolitinib 8 mgExperimental treatment 1 intervention
Group B: Treatment Period: PlaceboPlacebo comparator 1 intervention
Group C: Open-Label Extension: Deuruxolitinib 8 mg BIDExperimental treatment 1 intervention

Trial outcomes

Primary outcomes

1

Percentage of subjects achieving an absolute Severity of Alopecia Tool (SALT) score ≤20

SALT is a quantitative assessment of scalp hair loss with scores ranging in severity from 0 (no scalp hair loss) to a maximum of 100 (complete scalp hair loss).

Time frame
Week 24
2

Safety and tolerability of deuruxolitinib will be assessed by evaluating adverse events, vital signs, electrocardiograms, and clinical laboratory results, as well as physical examinations

Summary of participants who experience Treatment emergent adverse events (TEAEs) and serious TEAEs will be provided. An AE is defined as any untoward medical occurrence that may appear or worsen in a subject during the course of a study. Adverse events will be considered treatment-emergent if the onset is after the first dose of study drug. Summaries will be provided of participants who experience potentially clinically significant post-baseline changes in: hematology, chemistry and lipid results, vital signs (blood pressure, pulse rate, respiratory rate, temperature), electrocardiogram parameters (heart rate, PR, QT, QTcF, QRS, and RR) and physical examination findings.

Time frame
Week 24

Secondary outcomes

1

Percentage of subjects achieving an absolute SALT score of ≤20

SALT is a quantitative assessment of scalp hair loss with scores ranging in severity from 0 (no scalp hair loss) to a maximum of 100 (complete scalp hair loss).

Time frame
Weeks 4, 8, 12, 16, and 20
2

Mean percent change (ie, relative change) in SALT scores from baseline

SALT is a quantitative assessment of scalp hair loss with scores ranging in severity from 0 (no scalp hair loss) to a maximum of 100 (complete scalp hair loss).

Time frame
Weeks 4, 8, 12, 16, 20, and 24
3

Percentage of responders (defined as "much improved" or "very much improved") using the Clinical Global Impression of Improvement (CGI-I)

The CGI-I is a questionnaire that asks the clinician to evaluate the improvement or worsening of the participant's alopecia areata as compared to the start of the study on a 7-point scale. Responses range from 1 (very much worse) to 7 (very much improved). Responders will defined as participants with responses of 6 (much improved) or 7 (very much improved).

Time frame
Weeks 12, 16, 20, and 24
4

Percentage of responders (defined as "much improved" or "very much improved") using the Patient Global Impression of Improvement (PGI-I)

The PGI-I is a self-administered questionnaire that asks the participant to evaluate the improvement or worsening of their alopecia areata as compared to the start of the study on a 7-point scale. Responses range from 1 (very much worse) to 7 (very much improved). Responders will be defined as participants with responses of 6 (much improved) or 7 (very much improved).

Time frame
Weeks 12, 16, 20, and 24

Other outcomes

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