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Completed

NCT Number: NCT04018027

Study to Evaluate the Efficacy and Safety of Oral Difelikefalin (CR845) for Moderate to Severe Pruritus in Subjects With Atopic Dermatitis

This is a multicenter, randomized, double-blind, 4-arm, placebo-controlled study to evaluate the efficacy and safety of twice-daily (BID) oral difelikefalin (CR845) in adult subjects with atopic dermatitis (AD) and moderate to severe pruritus.

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Key information

Age range

18 year–80 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Phase 2

Primary location

Cara Therapeutics Study Site, London, Ontario, Canada

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About this study

The study will consist of a 30-day Screening period, a 7-day Run-In period, a 12-week Placebo-Controlled Treatment period followed by a 4-week Active Extension period and a Follow Up visit approximately 7 days after the last dose of study drug.

All subjects will sign an informed consent form (ICF) and undergo screening for study eligibility.

Subjects will be randomized to receive either placebo or difelikefalin (CR845) tablets at a dose of 0.25 mg, 0.5 mg, or 1.0 mg, orally BID. Intake of the first dose of study drug will be at Day 1.

Subjects who complete the Placebo-Controlled Treatment period of the study will transition into the Active Extension upon completion of the Week 12 visit assessments. All subjects in the Active Extension will receive difelikefalin (CR845).

Who can participate

Healthy volunteers accepted: No

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

Key Inclusion Criteria:

To be eligible for inclusion into the study, a patient must meet the following criteria:

  • Subject has clinically confirmed diagnosis of active AD;
  • Subject has at least a 12-month history of AD;
  • Subject has chronic itch related to AD;
  • Subject has moderate to severe pruritus;
  • Female subject is not pregnant or nursing during any period of the study.

Key Exclusion Criteria:

A patient will be excluded from the study if any of the following criteria are met:

  • Subject has clinically infected AD;
  • Subject has pruritus attributed to a cause other than AD;
  • Subject has any clinically significant medical condition or physical/laboratory/ECG/vital signs abnormality that would, in the opinion of the investigator, put the subject at undue risk or interfere with interpretation of study results.

Treatment and study plan

difelikefalin 0.25 mg

Drug

Oral difelikefalin 0.25 mg administered twice daily

Other names: CR845

difelikefalin 0.5 mg

Drug

Oral difelikefalin 0.5 mg administered twice daily

Other names: CR845

difelikefalin 1.0 mg

Drug

Oral difelikefalin 1.0 mg administered twice daily

Other names: CR845

Placebo

Drug

Oral Placebo administered twice daily

Primary outcomes

  1. Change from baseline in the weekly mean of the daily 24-hour Itch-Numeric Rating Scale (I-NRS) score at Week 12.

    Time frame: Baseline, Week 12

Secondary outcomes

  1. Reduction of itch intensity as assessed by the proportion of patients achieving an improvement from baseline ≥4 points with respect to the weekly mean of the daily 24-hour I-NRS score at Week 12

    Time frame: Week 12

  2. Improvement in itch-related quality of life as assessed by the change from baseline to Week 12 in 5-D Itch Scale score

    Time frame: Baseline, Week 12

  3. Improvement in itch-related quality of life as assessed by the change from baseline to Week 12 in total Skindex-10 Scale score

    Time frame: Baseline, Week 12

  4. Improvement in itch-related quality of life as assessed by the change from baseline to Week 12 in Sleep Quality Assessment.

    Time frame: Baseline, Week 12

  5. Percent of subjects with adverse events.

    Time frame: Baseline, Week 12

Sponsors and collaborators

Lead sponsor

Cara Therapeutics, Inc.

Industry

Registry information

Official study title

A Randomized, Double-blind, Placebo-controlled Study to Evaluate the Efficacy and Safety of Oral Difelikefalin (CR845) for Moderate to Severe Pruritus in Adult Subjects With Atopic Dermatitis

Acronym: KARE

Important dates

Study start
2019
Primary completion
2021
Study completion
2021
First posted
Jul 12, 2019
Registry last updated
Apr 4, 2022

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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