Hidradenitis Suppurativa
Conditions
Keywords
Hidradenitis Suppurativa, HS, Inflammatory skin disease, Humira, P2X7, IL-1β
Brief summary
Study PTM-001-01 is a 12-week, randomized, placebo controlled, double blind study with a 12 week open-label extension to examine the immunomodulatory activity of PTM-001 in participants with Hidradenitis Suppurativa (HS). Participants will be randomized to receive PTM-001 (400 mg) or matching placebo every day for 12 weeks after which all participants will receive open-label PTM-001 400 mg daily for an additional 12 weeks. Randomization will be stratified by Hurley Stage.
Interventions
PTM-001 (400 mg) every day for 12 weeks
Matching placebo every day for 12 weeks
Sponsors
Study design
Intervention model description
Patients will be randomized to receive PTM-001 (400 mg) or matching placebo every day for 12 weeks after which all patients will receive open-label PTM-001 400 mg daily for an additional 12 weeks
Eligibility
Inclusion criteria
* Had onset of symptoms consistent with HS at least 6 months prior to Screening. * Has had active HS for at least 2 months. * Has ≥ 5 HS abscesses or inflammatory nodules at Screening. * Agrees to maintain baseline wound care and antibiotic therapy, including oral antibiotics, for the duration of the trial. * Agrees to use contraception
Exclusion criteria
* Has other skin disease or condition that can interfere with HS assessment. * Has a positive test for TB, HIV, hepatitis B and/or hepatitis C at Screening. * Has a history of retinopathy or known clinically significant cardiovascular or hematologic conditions. * Has taken any biologic drug within 3 serum half-lives. A list of potential biologics and their half-lives * Has started oral antibiotics within 28 days of Study Day 1. * Has, within 2 weeks prior to Day 1, received a medication prohibited based on cytochrome P450 (CYP3A4) interaction * Has such extensive disease that, in the opinion of the Investigator, it is difficult to discriminate between active lesions and scarring. * Has more than 15 active tunnels at Screening. * Is pregnant, nursing or considering becoming pregnant. * Has a history of malignancy except non-melanoma skin cancer or cervical carcinoma in situ.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Effect of PTM-001 on IL-1β protein levels in lesional skin biopsies | Baseline to Week 12 |
Secondary
| Measure | Time frame |
|---|---|
| Demonstrate a change in IL-1β, IL-1⍺, IL-23p19, IL-17A, IL-5, IL-6, TNF⍺, HBD-2 mRNA expression in lesional skin biopsies | Baseline to Week 12 |
| Demonstrate a change in IL-1β, IL-1⍺, IL-23p19, IL-17A, IL-5, IL-6, TNF⍺, HBD-2 protein levels in serum | Baseline to Week 12 |
| Demonstrate a change in serum amyloid A levels | Baseline to Week 12 |
| Change in Pain, as measured using a 10-point numerical rating scale, 1 through 10, with 10 being the worst. | Baseline to Week 12 |
| Change in Quality of Life using Dermatology Life Quality Index (DLQI) | Baseline to Week 12 |
| Demonstrate a change in IL-1⍺, IL-23p19, IL-17A, IL-5, IL-6, TNF⍺, HBD-2 protein levels in lesional skin biopsies | Baseline to Week 12 |
| Change in clinical status using the Hidradenitis Suppurative Area and Severity Index-Revised (HASI-R) | Baseline to Week 12 |
| Change in abscesses and inflammatory nodules count (AN count) | Baseline to Week 12 |
| Change in clinical status using the International Hidradenitis Suppurative Severity Score System (IHS4) | Baseline to Week 12 |
| Change in clinical status using the Hidradenitis Suppurative Clinical Response (HiSCR) | Baseline to Week 12 |
| Change in clinical status using the Hidradenitis Suppurative Physician Global Assessment (HS-PGA) | Baseline to Week 12 |
| Change in clinical status using the Hurley Staging | Baseline to Week 12 |
Countries
United States