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

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

Status
Completed
Phases
Phase 2
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT03487276
Acronym
SHINE
Enrollment
179
Registered
2018-04-04
Start date
2018-02-26
Completion date
2020-01-27
Last updated
2021-04-08

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Hidradenitis Suppurativa (HS)

Keywords

hidradenitis suppurativa, monoclonal antibody, complement factor C5a, IFX-1, hidradenitis Suppurativa Clinical Response, Inflammation, skin diseases

Brief summary

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

Detailed description

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.

Interventions

DRUGIFX-1

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

DRUGPlacebo

Placebo

Sponsors

Quintiles, Inc.
CollaboratorINDUSTRY
InflaRx GmbH
Lead SponsorINDUSTRY

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
QUADRUPLE (Subject, Caregiver, Investigator, Outcomes Assessor)

Eligibility

Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No

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

Design outcomes

Primary

MeasureTime frameDescription
Number of Patients With Hidradenitis Suppurativa Clinical Response (HiSCR) Determined at Week 16Week 16The 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

MeasureTime frameDescription
Number of Patients With Flares Relative to Day 1From Day 1 until Day 309The 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.
Absolute Change in Modified Sartorius Score (mSS) From Day 1.From Day 1 until Day 309The 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.
Absolute Change in Patient's Global Assessment of Skin Pain From Day 1.From Day 1 until Day 309The 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.
Number of Patients With Hidradenitis Suppurativa Clinical Response (HiSCR) Determined at Week 12Week 12Endpoint 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.
Percentage of Patients Achieving NRS50.From Day 1 until Day 309This 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.
Absolute Change in Dermatology Life Quality Index (DLQI) Score From Day 1.From Day 1 until Day 309The 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.
Safety Parameters (Adverse Events) Will be Assessed.From Day 1 until Day 309The number of patients with any treatment emergent adverse event (adverse events that started after first infusion of IMP) was analyzed by time point.
Percentage of Patients Achieving NRS30From Day 1 until Day 309This 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.

Countries

Bulgaria, Canada, Denmark, France, Germany, Greece, Netherlands, Poland, United States

Participant flow

Pre-assignment details

The study consisted of a Main and an Extension Period. In the Main Period 175 subjects were planned to be randomized to receive double-blind treatment with IMP or Placebo in 1 of 5 treatment cohorts in a ratio of 1:1:1:1:1. The Extension Period started after the Week 16 Visit. According to the assessed HiSCR response at Week 16, patients were distributed to two IFX-1 dosing regimens: Week 16 HiSCR responders to 800 mg Q4W and Week 16 HiSCR non-responders to 800 mg Q2W.

Participants by arm

ArmCount
Cohort 1
Placebo Placebo: Placebo
36
Cohort 2
Minimum Dose IFX-1 IFX-1: Single IV infusions of IFX-1 diluted in sodium chloride.
34
Cohort 3
Low dose IFX-1 IFX-1: Single IV infusions of IFX-1 diluted in sodium chloride.
35
Cohort 4
Medium Dose IFX-1 IFX-1: Single IV infusions of IFX-1 diluted in sodium chloride.
36
Cohort 5
High Dose IFX-1 IFX-1: Single IV infusions of IFX-1 diluted in sodium chloride.
36
Total177

Baseline characteristics

CharacteristicTotalCohort 5Cohort 4Cohort 1Cohort 3Cohort 2
Age, Categorical
<=18 years
0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants
Age, Categorical
>=65 years
3 Participants1 Participants0 Participants1 Participants0 Participants1 Participants
Age, Categorical
Between 18 and 65 years
174 Participants35 Participants36 Participants35 Participants35 Participants33 Participants
Age, Continuous36.0 years33.5 years37.0 years34.5 years35.0 years39.0 years
Baseline AN (total abscess and inflammatory nodule) count9.0 lesions12.5 lesions10.0 lesions9.5 lesions8.0 lesions9.0 lesions
Ethnicity (NIH/OMB)
Hispanic or Latino
7 Participants4 Participants1 Participants0 Participants1 Participants1 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
170 Participants32 Participants35 Participants36 Participants34 Participants33 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants
Race (NIH/OMB)
American Indian or Alaska Native
1 Participants1 Participants0 Participants0 Participants0 Participants0 Participants
Race (NIH/OMB)
Asian
1 Participants0 Participants0 Participants0 Participants0 Participants1 Participants
Race (NIH/OMB)
Black or African American
17 Participants4 Participants4 Participants3 Participants4 Participants2 Participants
Race (NIH/OMB)
More than one race
2 Participants1 Participants0 Participants0 Participants1 Participants0 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants
Race (NIH/OMB)
Unknown or Not Reported
4 Participants3 Participants0 Participants0 Participants1 Participants0 Participants
Race (NIH/OMB)
White
152 Participants27 Participants32 Participants33 Participants29 Participants31 Participants
Region of Enrollment
Bulgaria
9 Participants0 Participants1 Participants2 Participants2 Participants4 Participants
Region of Enrollment
Canada
8 Participants1 Participants4 Participants1 Participants2 Participants0 Participants
Region of Enrollment
Denmark
5 Participants0 Participants0 Participants2 Participants1 Participants2 Participants
Region of Enrollment
France
19 Participants4 Participants3 Participants4 Participants5 Participants3 Participants
Region of Enrollment
Germany
12 Participants2 Participants2 Participants1 Participants3 Participants4 Participants
Region of Enrollment
Greece
47 Participants14 Participants10 Participants9 Participants9 Participants5 Participants
Region of Enrollment
Netherlands
6 Participants2 Participants1 Participants2 Participants1 Participants0 Participants
Region of Enrollment
Poland
38 Participants6 Participants8 Participants11 Participants4 Participants9 Participants
Region of Enrollment
United States
33 Participants7 Participants7 Participants4 Participants8 Participants7 Participants
Sex: Female, Male
Female
98 Participants23 Participants20 Participants21 Participants18 Participants16 Participants
Sex: Female, Male
Male
79 Participants13 Participants16 Participants15 Participants17 Participants18 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
EG002
affected / at risk
EG003
affected / at risk
EG004
affected / at risk
EG005
affected / at risk
EG006
affected / at risk
deaths
Total, all-cause mortality
0 / 360 / 340 / 350 / 360 / 360 / 720 / 84
other
Total, other adverse events
26 / 3626 / 3421 / 3524 / 3622 / 3634 / 7249 / 84
serious
Total, serious adverse events
0 / 360 / 341 / 352 / 363 / 362 / 723 / 84

Outcome results

Primary

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

Time frame: Week 16

Population: Analysis was performed on the full analysis set (FAS) population

ArmMeasureCategoryValue (COUNT_OF_PARTICIPANTS)
Cohort 1Number of Patients With Hidradenitis Suppurativa Clinical Response (HiSCR) Determined at Week 16HiSCR Responder16 Participants
Cohort 1Number of Patients With Hidradenitis Suppurativa Clinical Response (HiSCR) Determined at Week 16HiSCR Non-responder18 Participants
Cohort 2Number of Patients With Hidradenitis Suppurativa Clinical Response (HiSCR) Determined at Week 16HiSCR Responder12 Participants
Cohort 2Number of Patients With Hidradenitis Suppurativa Clinical Response (HiSCR) Determined at Week 16HiSCR Non-responder18 Participants
Cohort 3Number of Patients With Hidradenitis Suppurativa Clinical Response (HiSCR) Determined at Week 16HiSCR Responder17 Participants
Cohort 3Number of Patients With Hidradenitis Suppurativa Clinical Response (HiSCR) Determined at Week 16HiSCR Non-responder16 Participants
Cohort 4Number of Patients With Hidradenitis Suppurativa Clinical Response (HiSCR) Determined at Week 16HiSCR Non-responder19 Participants
Cohort 4Number of Patients With Hidradenitis Suppurativa Clinical Response (HiSCR) Determined at Week 16HiSCR Responder12 Participants
Cohort 5Number of Patients With Hidradenitis Suppurativa Clinical Response (HiSCR) Determined at Week 16HiSCR Responder15 Participants
Cohort 5Number of Patients With Hidradenitis Suppurativa Clinical Response (HiSCR) Determined at Week 16HiSCR Non-responder18 Participants
Secondary

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

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.

Time frame: From Day 1 until Day 309

Population: For the Main Period the full analysis set was used for the analysis and results of Week 16 are displayed.~For the Extension Period the safety analysis set was used for the analysis and results of week 44 are displayed.~Only patients with non-missing assessment at the respective visit were analyzed.

ArmMeasureValue (MEAN)Dispersion
Cohort 1Absolute Change in Dermatology Life Quality Index (DLQI) Score From Day 1.-1.5 score on a scaleStandard Deviation 6.11
Cohort 2Absolute Change in Dermatology Life Quality Index (DLQI) Score From Day 1.0.6 score on a scaleStandard Deviation 6.39
Cohort 3Absolute Change in Dermatology Life Quality Index (DLQI) Score From Day 1.-2.6 score on a scaleStandard Deviation 7.19
Cohort 4Absolute Change in Dermatology Life Quality Index (DLQI) Score From Day 1.-5.0 score on a scaleStandard Deviation 5.9
Cohort 5Absolute Change in Dermatology Life Quality Index (DLQI) Score From Day 1.-2.4 score on a scaleStandard Deviation 5.24
Extension Period: Cohort 3Absolute Change in Dermatology Life Quality Index (DLQI) Score From Day 1.-1.5 score on a scaleStandard Deviation 7.18
Extension Period: Cohort 4Absolute Change in Dermatology Life Quality Index (DLQI) Score From Day 1.-2.0 score on a scaleStandard Deviation 6.52
Secondary

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

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.

Time frame: From Day 1 until Day 309

Population: For the Main Period the full analysis set was used for the analysis and results of Week 16 are displayed.~For the Extension Period the safety analysis set was used for the analysis and results of week 44 are displayed.~Only patients with non-missing assessment at the respective visit were analyzed.

ArmMeasureValue (MEAN)Dispersion
Cohort 1Absolute Change in Modified Sartorius Score (mSS) From Day 1.-16.4 score on a scaleStandard Deviation 30.78
Cohort 2Absolute Change in Modified Sartorius Score (mSS) From Day 1.-17.5 score on a scaleStandard Deviation 48.43
Cohort 3Absolute Change in Modified Sartorius Score (mSS) From Day 1.-29.4 score on a scaleStandard Deviation 32.35
Cohort 4Absolute Change in Modified Sartorius Score (mSS) From Day 1.-22.9 score on a scaleStandard Deviation 52
Cohort 5Absolute Change in Modified Sartorius Score (mSS) From Day 1.-35.2 score on a scaleStandard Deviation 101.91
Extension Period: Cohort 3Absolute Change in Modified Sartorius Score (mSS) From Day 1.-47.9 score on a scaleStandard Deviation 70.87
Extension Period: Cohort 4Absolute Change in Modified Sartorius Score (mSS) From Day 1.-27.5 score on a scaleStandard Deviation 45.02
Secondary

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

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.

Time frame: From Day 1 until Day 309

Population: For the Main Period the full analysis set was used for the analysis and results of Week 16 are displayed.~For the Extension Period the safety analysis set was used for the analysis and results of week 44 are displayed.~Only patients with non-missing assessment at the respective visit were analyzed.

ArmMeasureValue (MEAN)Dispersion
Cohort 1Absolute Change in Patient's Global Assessment of Skin Pain From Day 1.-1.2 score on a scaleStandard Deviation 2.82
Cohort 2Absolute Change in Patient's Global Assessment of Skin Pain From Day 1.-0.1 score on a scaleStandard Deviation 2.68
Cohort 3Absolute Change in Patient's Global Assessment of Skin Pain From Day 1.-0.7 score on a scaleStandard Deviation 2.37
Cohort 4Absolute Change in Patient's Global Assessment of Skin Pain From Day 1.-1.5 score on a scaleStandard Deviation 2.92
Cohort 5Absolute Change in Patient's Global Assessment of Skin Pain From Day 1.-1.8 score on a scaleStandard Deviation 3.03
Extension Period: Cohort 3Absolute Change in Patient's Global Assessment of Skin Pain From Day 1.-1.5 score on a scaleStandard Deviation 2.94
Extension Period: Cohort 4Absolute Change in Patient's Global Assessment of Skin Pain From Day 1.-1.3 score on a scaleStandard Deviation 2.52
Secondary

Number of Patients With Flares Relative to Day 1

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.

Time frame: From Day 1 until Day 309

Population: For the Main Period the full analysis set was used for the analysis and results of Week 16 are displayed.~For the Extension Period the safety analysis set was used for the analysis and results of week 44 are displayed.~Only patients with non-missing assessment at the respective visit were analyzed.

ArmMeasureCategoryValue (COUNT_OF_PARTICIPANTS)
Cohort 1Number of Patients With Flares Relative to Day 1Patient with flares6 Participants
Cohort 1Number of Patients With Flares Relative to Day 1Patient without flares28 Participants
Cohort 2Number of Patients With Flares Relative to Day 1Patient with flares3 Participants
Cohort 2Number of Patients With Flares Relative to Day 1Patient without flares27 Participants
Cohort 3Number of Patients With Flares Relative to Day 1Patient with flares1 Participants
Cohort 3Number of Patients With Flares Relative to Day 1Patient without flares31 Participants
Cohort 4Number of Patients With Flares Relative to Day 1Patient with flares0 Participants
Cohort 4Number of Patients With Flares Relative to Day 1Patient without flares30 Participants
Cohort 5Number of Patients With Flares Relative to Day 1Patient with flares1 Participants
Cohort 5Number of Patients With Flares Relative to Day 1Patient without flares31 Participants
Extension Period: Cohort 3Number of Patients With Flares Relative to Day 1Patient with flares3 Participants
Extension Period: Cohort 3Number of Patients With Flares Relative to Day 1Patient without flares64 Participants
Extension Period: Cohort 4Number of Patients With Flares Relative to Day 1Patient with flares5 Participants
Extension Period: Cohort 4Number of Patients With Flares Relative to Day 1Patient without flares47 Participants
Secondary

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

Time frame: Week 12

Population: Analysis was performed on the full analysis set (FAS) population. Only patients with non-missing assessment at Week 12 were analyzed.

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
Cohort 1Number of Patients With Hidradenitis Suppurativa Clinical Response (HiSCR) Determined at Week 12HiSCR Responder14 Participants
Cohort 1Number of Patients With Hidradenitis Suppurativa Clinical Response (HiSCR) Determined at Week 12HiSCR Non-responder20 Participants
Cohort 2Number of Patients With Hidradenitis Suppurativa Clinical Response (HiSCR) Determined at Week 12HiSCR Responder14 Participants
Cohort 2Number of Patients With Hidradenitis Suppurativa Clinical Response (HiSCR) Determined at Week 12HiSCR Non-responder17 Participants
Cohort 3Number of Patients With Hidradenitis Suppurativa Clinical Response (HiSCR) Determined at Week 12HiSCR Responder12 Participants
Cohort 3Number of Patients With Hidradenitis Suppurativa Clinical Response (HiSCR) Determined at Week 12HiSCR Non-responder21 Participants
Cohort 4Number of Patients With Hidradenitis Suppurativa Clinical Response (HiSCR) Determined at Week 12HiSCR Non-responder19 Participants
Cohort 4Number of Patients With Hidradenitis Suppurativa Clinical Response (HiSCR) Determined at Week 12HiSCR Responder13 Participants
Cohort 5Number of Patients With Hidradenitis Suppurativa Clinical Response (HiSCR) Determined at Week 12HiSCR Responder13 Participants
Cohort 5Number of Patients With Hidradenitis Suppurativa Clinical Response (HiSCR) Determined at Week 12HiSCR Non-responder19 Participants
Secondary

Percentage of Patients Achieving NRS30

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.

Time frame: From Day 1 until Day 309

Population: For the Main Period the full analysis set was used for the analysis and results of Week 16 are displayed.~For the Extension Period the safety analysis set was used for the analysis and results of week 44 are displayed.~Only patients with non-missing assessment at the respective visit were analyzed.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
Cohort 1Percentage of Patients Achieving NRS307 Participants
Cohort 2Percentage of Patients Achieving NRS306 Participants
Cohort 3Percentage of Patients Achieving NRS305 Participants
Cohort 4Percentage of Patients Achieving NRS309 Participants
Cohort 5Percentage of Patients Achieving NRS308 Participants
Extension Period: Cohort 3Percentage of Patients Achieving NRS3012 Participants
Extension Period: Cohort 4Percentage of Patients Achieving NRS3010 Participants
Secondary

Percentage of Patients Achieving NRS50.

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.

Time frame: From Day 1 until Day 309

Population: For the Main Period the full analysis set was used for the analysis and results of Week 16 are displayed.~For the Extension Period the safety analysis set was used for the analysis and results of week 44 are displayed.~Only patients with non-missing assessment at the respective visit were analyzed.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
Cohort 1Percentage of Patients Achieving NRS50.6 Participants
Cohort 2Percentage of Patients Achieving NRS50.3 Participants
Cohort 3Percentage of Patients Achieving NRS50.2 Participants
Cohort 4Percentage of Patients Achieving NRS50.7 Participants
Cohort 5Percentage of Patients Achieving NRS50.5 Participants
Extension Period: Cohort 3Percentage of Patients Achieving NRS50.7 Participants
Extension Period: Cohort 4Percentage of Patients Achieving NRS50.5 Participants
Secondary

Safety Parameters (Adverse Events) Will be Assessed.

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

Time frame: From Day 1 until Day 309

Population: For the Main Period the safety analysis set was used for the analysis and results of Week 16 are displayed.~For the Extension Period the safety analysis set was used for the analysis and results of week 44 are displayed.~Only patients with non-missing assessment at the respective visit were analyzed.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
Cohort 1Safety Parameters (Adverse Events) Will be Assessed.26 Participants
Cohort 2Safety Parameters (Adverse Events) Will be Assessed.26 Participants
Cohort 3Safety Parameters (Adverse Events) Will be Assessed.21 Participants
Cohort 4Safety Parameters (Adverse Events) Will be Assessed.24 Participants
Cohort 5Safety Parameters (Adverse Events) Will be Assessed.22 Participants
Extension Period: Cohort 3Safety Parameters (Adverse Events) Will be Assessed.39 Participants
Extension Period: Cohort 4Safety Parameters (Adverse Events) Will be Assessed.49 Participants

Source: ClinicalTrials.gov · Data processed: Feb 6, 2026