Skip to content

Efficacy and Tolerability Study of Two Dose Regimens of CTP-543 in Adults With Alopecia Areata

A Randomized Parallel-Group Study to Evaluate the Efficacy and Tolerability of Two Dosing Regimens of CTP-543 in Adult Patients With Moderate to Severe Alopecia Areata

Status
Completed
Phases
Phase 2
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT03811912
Enrollment
57
Registered
2019-01-22
Start date
2019-03-21
Completion date
2019-11-21
Last updated
2022-12-09

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

Conditions

Alopecia Areata

Brief summary

This study will evaluate the efficacy and tolerability of once-daily versus twice-daily dosing of CTP-543, in adult patients with chronic, moderate to severe alopecia areata.

Interventions

CTP-543 administered as 8 mg tablet.

Administered as tablets to aid treatment masking.

Sponsors

Concert Pharmaceuticals
Lead SponsorINDUSTRY

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
TRIPLE (Subject, Caregiver, Investigator)

Eligibility

Sex/Gender
ALL
Age
18 Years to 65 Years
Healthy volunteers
No

Inclusion criteria

* Definitive diagnosis of alopecia areata with a current episode lasting at least 6 months and not exceeding 10 years at the time of Screening. Total disease duration greater than 10 years is permitted. * At least 50% scalp hair loss, as defined by a Severity of Alopecia Tool (SALT) score ≥50, at Screening and Baseline. * Clinical lab results within the normal range

Exclusion criteria

* Active scalp inflammation, psoriasis, or seborrheic dermatitis requiring topical treatment to the scalp, significant trauma to the scalp, or untreated actinic keratosis on the scalp. * Treatment with systemic immunosuppressive medications or biologics. * Vaccination with herpes zoster vaccine or any live virus within 6 weeks of screening or during the study

Design outcomes

Primary

MeasureTime frameDescription
Relative Change From Baseline in Severity of Alopecia Tool (SALT) Score at Week 24Baseline, Week 24The SALT is a quantitative assessment of scalp hair loss. SALT scores range in severity from 0 (no hair loss) to a maximum of 100 (complete hair loss). Relative change (percent change) to baseline is calculated as: 100 x (\[baseline SALT score - follow-up SALT score\]/baseline SALT score).

Secondary

MeasureTime frameDescription
Percentage of Participants Achieving at Least a 90%, 75%, and 50% Relative Reduction in SALT Score From BaselineBaseline, Weeks 4, 8, 12, 16, 20, and 24The SALT is a quantitative assessment of scalp hair loss. SALT scores range in severity from 0 (no hair loss) to a maximum of 100 (complete hair loss). Percentage of participants achieving at least a 50%, 75%, 90% relative reduction in SALT score from baseline at Weeks 4, 8, 12, 16, 20, and 24 are reported.
Absolute Change in SALT Scores From Baseline at Weeks 4, 8, 12, 16, 20, and 24Baseline, Weeks 4, 8, 12, 16, 20, and 24The SALT is a quantitative assessment of scalp hair loss. SALT scores range in severity from 0 (no hair loss) to a maximum of 100 (complete hair loss). Absolute change equals the difference in SALT measurements (baseline SALT score - follow-up SALT score).
Relative Change in SALT Scores From Baseline at Weeks 4, 8, 12, 16 and 20Baseline, Weeks 4, 8, 12, 16 and 20The SALT is a quantitative assessment of scalp hair loss. SALT scores range in severity from 0 (no hair loss) to a maximum of 100 (complete hair loss). Relative change (percent change) to baseline is calculated as: 100 x (\[baseline SALT score - follow-up SALT score\]/baseline SALT score).
Percentage of Participants With Change in Satisfaction of Hair CoverageBaseline, Week 24Participant satisfaction question was used to assess overall satisfaction with hair coverage, with responses ranging from 1 to 5, as follows: 1 (very dissatisfied), 2 (dissatisfied), 3 (somewhat satisfied), 4 (mostly satisfied), 5 (very satisfied). Higher scores indicate better satisfaction with hair coverage. The percentage of participants with change from Baseline to the Week 24 satisfaction level was reported as categories: satisfied to satisfied; satisfied to dissatisfied; dissatisfied to satisfied and dissatisfied to dissatisfied. Data is reported only for participants with change from Baseline in satisfaction level.

Other

MeasureTime frame
Number of Participants With Adverse Events as a Measure of Safety24 Weeks

Countries

United States

Participant flow

Recruitment details

Participants were enrolled at 10 study centers in the United States from 21 March 2019 to 21 November 2019.

Pre-assignment details

70 participants were screened out of which 57 participants who experienced an episode of hair loss due to alopecia areata were enrolled and randomized to receive CTP-543 8 mg twice daily (BID) or CTP-543 16 mg once daily (QD).

Participants by arm

ArmCount
CTP-543 8 mg BID
Participants received 1 x 8 mg CTP-543 tablet and 1 x CTP-543 matching placebo tablet, BID for 24 weeks.
29
CTP-543 16 mg QD
Participants received 16 mg (2 x 8 mg) CTP-543 tablets, QD and after 12 hours, received 2 x CTP-543 matching placebo tablets, QD for 24 weeks.
28
Total57

Withdrawals & dropouts

PeriodReasonFG000FG001
Overall StudyWithdrew Consent42

Baseline characteristics

CharacteristicCTP-543 8 mg BIDTotalCTP-543 16 mg QD
Age, Continuous40.4 years
STANDARD_DEVIATION 12.98
40.1 years
STANDARD_DEVIATION 13.2
39.8 years
STANDARD_DEVIATION 13.65
Ethnicity (NIH/OMB)
Hispanic or Latino
3 Participants7 Participants4 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
26 Participants50 Participants24 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants0 Participants0 Participants
Race/Ethnicity, Customized
Race
American Indian or Alaska Native
0 Participants0 Participants0 Participants
Race/Ethnicity, Customized
Race
Asian
2 Participants3 Participants1 Participants
Race/Ethnicity, Customized
Race
Black or African American
0 Participants3 Participants3 Participants
Race/Ethnicity, Customized
Race
Native Hawaiian or Other Pacific Islander
0 Participants0 Participants0 Participants
Race/Ethnicity, Customized
Race
Other
0 Participants1 Participants1 Participants
Race/Ethnicity, Customized
Race
White
27 Participants50 Participants23 Participants
Region of Enrollment
United States
29 participants57 participants28 participants
Severity of Alopecia Tool (SALT) Score87.1 score on a scale
STANDARD_DEVIATION 17.23
88.7 score on a scale
STANDARD_DEVIATION 17.27
90.4 score on a scale
STANDARD_DEVIATION 17.46
Sex: Female, Male
Female
20 Participants38 Participants18 Participants
Sex: Female, Male
Male
9 Participants19 Participants10 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
deaths
Total, all-cause mortality
0 / 290 / 28
other
Total, other adverse events
23 / 2923 / 28
serious
Total, serious adverse events
0 / 290 / 28

Outcome results

Primary

Relative Change From Baseline in Severity of Alopecia Tool (SALT) Score at Week 24

The SALT is a quantitative assessment of scalp hair loss. SALT scores range in severity from 0 (no hair loss) to a maximum of 100 (complete hair loss). Relative change (percent change) to baseline is calculated as: 100 x (\[baseline SALT score - follow-up SALT score\]/baseline SALT score).

Time frame: Baseline, Week 24

Population: Efficacy Population included all participants who received study drug and had at least 1 post-treatment SALT assessment. Participants in the efficacy population were analyzed according to their randomized dosing regimen.

ArmMeasureValue (MEAN)Dispersion
CTP-543 8 mg BIDRelative Change From Baseline in Severity of Alopecia Tool (SALT) Score at Week 2446.4 percent changeStandard Deviation 38.21
CTP-543 16 mg QDRelative Change From Baseline in Severity of Alopecia Tool (SALT) Score at Week 2418.0 percent changeStandard Deviation 32.32
Secondary

Absolute Change in SALT Scores From Baseline at Weeks 4, 8, 12, 16, 20, and 24

The SALT is a quantitative assessment of scalp hair loss. SALT scores range in severity from 0 (no hair loss) to a maximum of 100 (complete hair loss). Absolute change equals the difference in SALT measurements (baseline SALT score - follow-up SALT score).

Time frame: Baseline, Weeks 4, 8, 12, 16, 20, and 24

Population: Efficacy Population included all participants who received study drug and had at least 1 post-treatment SALT assessment. Participants in the efficacy population were analyzed according to their randomized dosing regimen.

ArmMeasureGroupValue (MEAN)Dispersion
CTP-543 8 mg BIDAbsolute Change in SALT Scores From Baseline at Weeks 4, 8, 12, 16, 20, and 24Change from Baseline at Week 40.8 Score on a scaleStandard Deviation 6.92
CTP-543 8 mg BIDAbsolute Change in SALT Scores From Baseline at Weeks 4, 8, 12, 16, 20, and 24Change from Baseline at Week 86.5 Score on a scaleStandard Deviation 15.02
CTP-543 8 mg BIDAbsolute Change in SALT Scores From Baseline at Weeks 4, 8, 12, 16, 20, and 24Change from Baseline at Week 1218.5 Score on a scaleStandard Deviation 23.27
CTP-543 8 mg BIDAbsolute Change in SALT Scores From Baseline at Weeks 4, 8, 12, 16, 20, and 24Change from Baseline at Week 1627.0 Score on a scaleStandard Deviation 29.31
CTP-543 8 mg BIDAbsolute Change in SALT Scores From Baseline at Weeks 4, 8, 12, 16, 20, and 24Change from Baseline at Week 2032.8 Score on a scaleStandard Deviation 29.25
CTP-543 8 mg BIDAbsolute Change in SALT Scores From Baseline at Weeks 4, 8, 12, 16, 20, and 24Change from Baseline at Week 2437.7 Score on a scaleStandard Deviation 30.75
CTP-543 16 mg QDAbsolute Change in SALT Scores From Baseline at Weeks 4, 8, 12, 16, 20, and 24Change from Baseline at Week 2013.4 Score on a scaleStandard Deviation 28.06
CTP-543 16 mg QDAbsolute Change in SALT Scores From Baseline at Weeks 4, 8, 12, 16, 20, and 24Change from Baseline at Week 4-0.8 Score on a scaleStandard Deviation 4.49
CTP-543 16 mg QDAbsolute Change in SALT Scores From Baseline at Weeks 4, 8, 12, 16, 20, and 24Change from Baseline at Week 169.4 Score on a scaleStandard Deviation 25.46
CTP-543 16 mg QDAbsolute Change in SALT Scores From Baseline at Weeks 4, 8, 12, 16, 20, and 24Change from Baseline at Week 82.1 Score on a scaleStandard Deviation 11.93
CTP-543 16 mg QDAbsolute Change in SALT Scores From Baseline at Weeks 4, 8, 12, 16, 20, and 24Change from Baseline at Week 2415.7 Score on a scaleStandard Deviation 28.25
CTP-543 16 mg QDAbsolute Change in SALT Scores From Baseline at Weeks 4, 8, 12, 16, 20, and 24Change from Baseline at Week 125.3 Score on a scaleStandard Deviation 19.48
Secondary

Percentage of Participants Achieving at Least a 90%, 75%, and 50% Relative Reduction in SALT Score From Baseline

The SALT is a quantitative assessment of scalp hair loss. SALT scores range in severity from 0 (no hair loss) to a maximum of 100 (complete hair loss). Percentage of participants achieving at least a 50%, 75%, 90% relative reduction in SALT score from baseline at Weeks 4, 8, 12, 16, 20, and 24 are reported.

Time frame: Baseline, Weeks 4, 8, 12, 16, 20, and 24

Population: Efficacy Population included all participants who received study drug and had at least 1 post-treatment SALT assessment. Participants in the efficacy population were analyzed according to their randomized dosing regimen.

ArmMeasureGroupValue (NUMBER)
CTP-543 8 mg BIDPercentage of Participants Achieving at Least a 90%, 75%, and 50% Relative Reduction in SALT Score From Baseline90% Reduction: Week 40 Percentage of participants
CTP-543 8 mg BIDPercentage of Participants Achieving at Least a 90%, 75%, and 50% Relative Reduction in SALT Score From Baseline90% Reduction: Week 80 Percentage of participants
CTP-543 8 mg BIDPercentage of Participants Achieving at Least a 90%, 75%, and 50% Relative Reduction in SALT Score From Baseline90% Reduction: Week 123.4 Percentage of participants
CTP-543 8 mg BIDPercentage of Participants Achieving at Least a 90%, 75%, and 50% Relative Reduction in SALT Score From Baseline90% Reduction: Week 166.9 Percentage of participants
CTP-543 8 mg BIDPercentage of Participants Achieving at Least a 90%, 75%, and 50% Relative Reduction in SALT Score From Baseline90% Reduction: Week 2013.8 Percentage of participants
CTP-543 8 mg BIDPercentage of Participants Achieving at Least a 90%, 75%, and 50% Relative Reduction in SALT Score From Baseline90% Reduction: Week 2420.7 Percentage of participants
CTP-543 8 mg BIDPercentage of Participants Achieving at Least a 90%, 75%, and 50% Relative Reduction in SALT Score From Baseline75% Reduction: Week 40 Percentage of participants
CTP-543 8 mg BIDPercentage of Participants Achieving at Least a 90%, 75%, and 50% Relative Reduction in SALT Score From Baseline75% Reduction: Week 83.4 Percentage of participants
CTP-543 8 mg BIDPercentage of Participants Achieving at Least a 90%, 75%, and 50% Relative Reduction in SALT Score From Baseline75% Reduction: Week 126.9 Percentage of participants
CTP-543 8 mg BIDPercentage of Participants Achieving at Least a 90%, 75%, and 50% Relative Reduction in SALT Score From Baseline75% Reduction: Week 1620.7 Percentage of participants
CTP-543 8 mg BIDPercentage of Participants Achieving at Least a 90%, 75%, and 50% Relative Reduction in SALT Score From Baseline75% Reduction: Week 2031.0 Percentage of participants
CTP-543 8 mg BIDPercentage of Participants Achieving at Least a 90%, 75%, and 50% Relative Reduction in SALT Score From Baseline75% Reduction: Week 2431.0 Percentage of participants
CTP-543 8 mg BIDPercentage of Participants Achieving at Least a 90%, 75%, and 50% Relative Reduction in SALT Score From Baseline50% Reduction: Week 40 Percentage of participants
CTP-543 8 mg BIDPercentage of Participants Achieving at Least a 90%, 75%, and 50% Relative Reduction in SALT Score From Baseline50% Reduction: Week 86.9 Percentage of participants
CTP-543 8 mg BIDPercentage of Participants Achieving at Least a 90%, 75%, and 50% Relative Reduction in SALT Score From Baseline50% Reduction: Week 1224.1 Percentage of participants
CTP-543 8 mg BIDPercentage of Participants Achieving at Least a 90%, 75%, and 50% Relative Reduction in SALT Score From Baseline50% Reduction: Week 1634.5 Percentage of participants
CTP-543 8 mg BIDPercentage of Participants Achieving at Least a 90%, 75%, and 50% Relative Reduction in SALT Score From Baseline50% Reduction: Week 2041.4 Percentage of participants
CTP-543 8 mg BIDPercentage of Participants Achieving at Least a 90%, 75%, and 50% Relative Reduction in SALT Score From Baseline50% Reduction: Week 2448.3 Percentage of participants
CTP-543 16 mg QDPercentage of Participants Achieving at Least a 90%, 75%, and 50% Relative Reduction in SALT Score From Baseline50% Reduction: Week 83.6 Percentage of participants
CTP-543 16 mg QDPercentage of Participants Achieving at Least a 90%, 75%, and 50% Relative Reduction in SALT Score From Baseline90% Reduction: Week 40 Percentage of participants
CTP-543 16 mg QDPercentage of Participants Achieving at Least a 90%, 75%, and 50% Relative Reduction in SALT Score From Baseline75% Reduction: Week 163.6 Percentage of participants
CTP-543 16 mg QDPercentage of Participants Achieving at Least a 90%, 75%, and 50% Relative Reduction in SALT Score From Baseline90% Reduction: Week 80 Percentage of participants
CTP-543 16 mg QDPercentage of Participants Achieving at Least a 90%, 75%, and 50% Relative Reduction in SALT Score From Baseline50% Reduction: Week 2417.9 Percentage of participants
CTP-543 16 mg QDPercentage of Participants Achieving at Least a 90%, 75%, and 50% Relative Reduction in SALT Score From Baseline90% Reduction: Week 120 Percentage of participants
CTP-543 16 mg QDPercentage of Participants Achieving at Least a 90%, 75%, and 50% Relative Reduction in SALT Score From Baseline75% Reduction: Week 2010.7 Percentage of participants
CTP-543 16 mg QDPercentage of Participants Achieving at Least a 90%, 75%, and 50% Relative Reduction in SALT Score From Baseline90% Reduction: Week 160 Percentage of participants
CTP-543 16 mg QDPercentage of Participants Achieving at Least a 90%, 75%, and 50% Relative Reduction in SALT Score From Baseline50% Reduction: Week 127.1 Percentage of participants
CTP-543 16 mg QDPercentage of Participants Achieving at Least a 90%, 75%, and 50% Relative Reduction in SALT Score From Baseline90% Reduction: Week 200 Percentage of participants
CTP-543 16 mg QDPercentage of Participants Achieving at Least a 90%, 75%, and 50% Relative Reduction in SALT Score From Baseline75% Reduction: Week 2410.7 Percentage of participants
CTP-543 16 mg QDPercentage of Participants Achieving at Least a 90%, 75%, and 50% Relative Reduction in SALT Score From Baseline90% Reduction: Week 243.6 Percentage of participants
CTP-543 16 mg QDPercentage of Participants Achieving at Least a 90%, 75%, and 50% Relative Reduction in SALT Score From Baseline50% Reduction: Week 2014.3 Percentage of participants
CTP-543 16 mg QDPercentage of Participants Achieving at Least a 90%, 75%, and 50% Relative Reduction in SALT Score From Baseline75% Reduction: Week 40 Percentage of participants
CTP-543 16 mg QDPercentage of Participants Achieving at Least a 90%, 75%, and 50% Relative Reduction in SALT Score From Baseline50% Reduction: Week 40 Percentage of participants
CTP-543 16 mg QDPercentage of Participants Achieving at Least a 90%, 75%, and 50% Relative Reduction in SALT Score From Baseline75% Reduction: Week 83.6 Percentage of participants
CTP-543 16 mg QDPercentage of Participants Achieving at Least a 90%, 75%, and 50% Relative Reduction in SALT Score From Baseline50% Reduction: Week 1614.3 Percentage of participants
CTP-543 16 mg QDPercentage of Participants Achieving at Least a 90%, 75%, and 50% Relative Reduction in SALT Score From Baseline75% Reduction: Week 120 Percentage of participants
Secondary

Percentage of Participants With Change in Satisfaction of Hair Coverage

Participant satisfaction question was used to assess overall satisfaction with hair coverage, with responses ranging from 1 to 5, as follows: 1 (very dissatisfied), 2 (dissatisfied), 3 (somewhat satisfied), 4 (mostly satisfied), 5 (very satisfied). Higher scores indicate better satisfaction with hair coverage. The percentage of participants with change from Baseline to the Week 24 satisfaction level was reported as categories: satisfied to satisfied; satisfied to dissatisfied; dissatisfied to satisfied and dissatisfied to dissatisfied. Data is reported only for participants with change from Baseline in satisfaction level.

Time frame: Baseline, Week 24

Population: Efficacy Population included all participants who received study drug and had at least 1 post-treatment SALT assessment. Participants in the efficacy population were analyzed according to their randomized dosing regimen.

ArmMeasureGroupValue (NUMBER)
CTP-543 8 mg BIDPercentage of Participants With Change in Satisfaction of Hair CoverageSatisfied to Satisfied0 Percentage of participants
CTP-543 8 mg BIDPercentage of Participants With Change in Satisfaction of Hair CoverageSatisfied to Dissatisfied3.4 Percentage of participants
CTP-543 8 mg BIDPercentage of Participants With Change in Satisfaction of Hair CoverageDissatisfied to Satisfied55.2 Percentage of participants
CTP-543 8 mg BIDPercentage of Participants With Change in Satisfaction of Hair CoverageDissatisfied to Dissatisfied34.5 Percentage of participants
CTP-543 16 mg QDPercentage of Participants With Change in Satisfaction of Hair CoverageDissatisfied to Dissatisfied75.0 Percentage of participants
CTP-543 16 mg QDPercentage of Participants With Change in Satisfaction of Hair CoverageSatisfied to Satisfied3.6 Percentage of participants
CTP-543 16 mg QDPercentage of Participants With Change in Satisfaction of Hair CoverageDissatisfied to Satisfied17.9 Percentage of participants
CTP-543 16 mg QDPercentage of Participants With Change in Satisfaction of Hair CoverageSatisfied to Dissatisfied0 Percentage of participants
Secondary

Relative Change in SALT Scores From Baseline at Weeks 4, 8, 12, 16 and 20

The SALT is a quantitative assessment of scalp hair loss. SALT scores range in severity from 0 (no hair loss) to a maximum of 100 (complete hair loss). Relative change (percent change) to baseline is calculated as: 100 x (\[baseline SALT score - follow-up SALT score\]/baseline SALT score).

Time frame: Baseline, Weeks 4, 8, 12, 16 and 20

Population: Efficacy Population included all participants who received study drug and had at least 1 post-treatment SALT assessment. Participants in the efficacy population were analyzed according to their randomized dosing regimen.

ArmMeasureGroupValue (MEAN)Dispersion
CTP-543 8 mg BIDRelative Change in SALT Scores From Baseline at Weeks 4, 8, 12, 16 and 20Change from Baseline at Week 88.6 percent changeStandard Deviation 20.58
CTP-543 8 mg BIDRelative Change in SALT Scores From Baseline at Weeks 4, 8, 12, 16 and 20Change from Baseline at Week 1633.3 percent changeStandard Deviation 35.9
CTP-543 8 mg BIDRelative Change in SALT Scores From Baseline at Weeks 4, 8, 12, 16 and 20Change from Baseline at Week 1223.7 percent changeStandard Deviation 31.25
CTP-543 8 mg BIDRelative Change in SALT Scores From Baseline at Weeks 4, 8, 12, 16 and 20Change from Baseline at Week 2040.6 percent changeStandard Deviation 36.85
CTP-543 8 mg BIDRelative Change in SALT Scores From Baseline at Weeks 4, 8, 12, 16 and 20Change from Baseline at Week 41.4 percent changeStandard Deviation 9.67
CTP-543 16 mg QDRelative Change in SALT Scores From Baseline at Weeks 4, 8, 12, 16 and 20Change from Baseline at Week 2014.8 percent changeStandard Deviation 31.26
CTP-543 16 mg QDRelative Change in SALT Scores From Baseline at Weeks 4, 8, 12, 16 and 20Change from Baseline at Week 4-1.3 percent changeStandard Deviation 7.26
CTP-543 16 mg QDRelative Change in SALT Scores From Baseline at Weeks 4, 8, 12, 16 and 20Change from Baseline at Week 82.7 percent changeStandard Deviation 19.43
CTP-543 16 mg QDRelative Change in SALT Scores From Baseline at Weeks 4, 8, 12, 16 and 20Change from Baseline at Week 125.1 percent changeStandard Deviation 22.91
CTP-543 16 mg QDRelative Change in SALT Scores From Baseline at Weeks 4, 8, 12, 16 and 20Change from Baseline at Week 169.4 percent changeStandard Deviation 28.85
Other Pre-specified

Number of Participants With Adverse Events as a Measure of Safety

Time frame: 24 Weeks

Source: ClinicalTrials.gov · Data processed: Sep 13, 2026