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Completed

NCT Number: NCT03487276

Efficacy and Safety Study of IFX-1 in Patients With Moderate to Severe Hidradenitis Suppurativa (HS)

The purpose of this study is to determine whether IFX-1 is safe and effective in the treatment of moderate to severe hidradenitis suppurativa.

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Key information

Age range

18 year and older

Sex eligibility

All sexes

Study type

Interventional

Phase

Phase 2

Primary location

InflaRX Investigational Site, Sofia, Bulgaria

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About this study

Hidradenitis suppurativa (HS) is a chronic devastating skin disorder affecting areas rich in apocrine glands. HS is diagnosed by its clinical features and its chronicity. It is recognized by the presence of recurrent, painful, deep-seated, rounded nodules usually ending in abscesses and sinus tracts with suppuration and hypertrophic scarring. As complement C5a is involved in the underlying acute inflammatory responses, this study is set up based on the hypothesis that IFX-1 might be able to block C5a induced pro-inflammatory effects such as neutrophil activation and cytokine generation, potentially contributing to the local skin inflammation and tissue damage.

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Male or female, ≥ 18 years of age
  • Written informed consent obtained from subject
  • Diagnosis of HS for at least 1 year
  • Moderate or severe HS, as indicated by HS lesions in at least 2 distinct areas, 1 of which must be at least Hurley Stage II or Stage III
  • Inadequate response to at least 3 months of oral antibiotics, or intolerance to antibiotics
  • Total abscess and inflammatory nodule (AN) count of ≥ 3

Exclusion criteria

  • Prior treatment with adalimumab or another biologic product during the 24 weeks before Screening
  • Subjects on permitted oral antibiotic treatment for HS (doxycycline or minocycline only) who have not been on a stable dose during the 28 days before Screening
  • Subject received systemic non-biologic therapy for HS with potential therapeutic impact for HS during the 28 days before Screening (other than permitted oral antibiotics)
  • Prior treatment with any of the following medications during the 28 days before Screening:
  • Any other systemic therapy for HS
  • Any iv anti-infective therapy
  • Phototherapy (ultraviolet B or psoralen and ultraviolet A)
  • History of heart disease or malignancy

Treatment and study plan

IFX-1

Drug

Single IV infusions of IFX-1 diluted in sodium chloride.

Other names: CaCP29, Vilobelimab

Placebo

Drug

Placebo

Primary outcomes

  1. Number of Patients With Hidradenitis Suppurativa Clinical Response (HiSCR) Determined at Week 16

    Time frame: Week 16

    The primary efficacy endpoint of the percentage of patients with HiSCR at Week 16 was analyzed using the multiple comparisons procedure-modelling (MCP-Mod) procedure. The definition for response to treatment based on HiSCR relative to Baseline was: at least 50% reduction in abscesses and inflammatory nodule (AN) count (over all anatomical regions) with no increase in number of abscesses and in number of draining fistulas.

Secondary outcomes

  1. Number of Patients With Hidradenitis Suppurativa Clinical Response (HiSCR) Determined at Week 12

    Time frame: Week 12

    Endpoint of the percentage of patients with HiSCR at Week 12 was analyzed in the same way as the primary endpoint using the MCP-Mod procedure and the same definition of response.

  2. Number of Patients With Flares Relative to Day 1

    Time frame: From Day 1 until Day 309

    The number of patients with flares analyzed in terms of ≥ 25% increase in abscess and inflammatory nodule (AN) count among patients with a minimum increase of 2 in AN count compared to Day 1 was analyzed by descriptive statistics by time point.

  3. Absolute Change in Modified Sartorius Score (mSS) From Day 1.

    Time frame: From Day 1 until Day 309

    The absolute change from Day 1 will be analyzed by descriptive statistics by time point. The mSS is a summation of HS lesions based on a number of factors including anatomical region, number and type of lesions, distance between relevant lesions and lesions clearly separated by normal skin in each region measured as HS clinical parameters. The scale title for mSS is points. The mSS has a minimum value of 0 and no upper limit. The higher the score the more severe is the disease/worse is the outcome.

  4. Absolute Change in Patient's Global Assessment of Skin Pain From Day 1.

    Time frame: From Day 1 until Day 309

    The absolute changes from baseline were analyzed by descriptive statistics by time point. The Numeric Rating Scale (NRS) was used to assess the worst skin pain due to HS. The scale title for the NRS is points. Ratings for this item range from a minimum of 0 points (no skin pain) to a maximum of 10 points (skin pain as bad as you can imagine). The higher the score the more severe the disease/worse is the outcome.

  5. Percentage of Patients Achieving NRS30

    Time frame: From Day 1 until Day 309

    This is a segmented numeric version of the visual analog scale in which a respondent selects a whole number (0-10) that best reflects the intensity of their pain. The scale title for the NRS is points. The minimum score is 0 points (No skin pain), and the maximum score is 10 points (Skin pain as bad as you can imagine). The higher the score the more severe is the disease/worse is the outcome. The number of patients with at least 30% reduction and at least 1 point reduction from Day 1 in Patients Global Assessment of Skin Pain are displayed. The analysis is based on the worst skin pain the patients reported at the respective visits.

  6. Percentage of Patients Achieving NRS50.

    Time frame: From Day 1 until Day 309

    This is a segmented numeric version of the visual analog scale in which a respondent selects a whole number (0-10) that best reflects the intensity of their pain. The scale title for NRS is points. The minimum score is 0 points (No skin pain), and the maximum score is 10 points (Skin pain as bad as you can imagine). The higher the score the more severe is the disease/worse is the outcome. The number of patients with at least 50% reduction and at least 1 point reduction from Day 1 in Patients Global Assessment of Skin Pain are displayed. The analysis is based on the worst skin pain the patients reported at the respective visits.

  7. Absolute Change in Dermatology Life Quality Index (DLQI) Score From Day 1.

    Time frame: From Day 1 until Day 309

    The changes from Day 1 will be analyzed by descriptive statistics by time point. A score is documented for each of the 10 DLQI items, ranging from 0 to 3 for each item. The scale title for DLQI is points. The total score is the sum of the responses to all 10 DLQI items, ranging from the minimum of 0 points to the maximum of 30 points. A higher score corresponds to worse health related quality of life/outcome.

  8. Safety Parameters (Adverse Events) Will be Assessed.

    Time frame: From Day 1 until Day 309

    The number of patients with any treatment emergent adverse event (adverse events that started after first infusion of IMP) was analyzed by time point.

Sponsors and collaborators

Lead sponsor

InflaRx GmbH

Industry

Collaborators

  • Quintiles, Inc.

Registry information

Official study title

A Randomized, Double-blind, Placebo-controlled, Multicenter Phase II Study to Determine Efficacy and Safety of IFX-1 in Subjects With Moderate to Severe Hidradenitis Suppurativa

Acronym: SHINE

Important dates

Study start
2018
Primary completion
2019
Study completion
2020
First posted
Apr 4, 2018
Registry last updated
Apr 8, 2021

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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