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Ruxolitinib Cream in Participants With Facial and/or Neck Atopic Dermatitis Involvement

A Phase 2, Efficacy and Safety Study of Ruxolitinib Cream in Participants With Facial and/or Neck Atopic Dermatitis Involvement

Status
Completed
Phases
Phase 2
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT05127421
Enrollment
77
Registered
2021-11-19
Start date
2021-11-10
Completion date
2023-09-29
Last updated
2024-08-15

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

Conditions

Atopic Dermatitis

Keywords

atopic dermatitis, adolescent, adults, in-home, telemedicine

Brief summary

This is a randomized, double blind, vehicle controlled Phase 2 study with a 4-week open label extension in adolescent and adult participants with atopic dermatitis and head and/or neck involvement. It is intended to compare the efficacy and safety of ruxolitinib cream 1.5% BID versus vehicle cream, then further evaluate ruxolitinib cream as maintenance during the open label extension period.

Interventions

DRUGRuxolitinib cream

Ruxolitinib cream 1.5% applied twice a day (BID)

DRUGVehicle

Vehicle cream applied twice a day (BID) to affected areas

Sponsors

Incyte Corporation
Lead SponsorINDUSTRY

Study design

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

Masking description

4 week double-blind treatment

Intervention model description

This is 2:1 assignment to rux and vehicle creams.

Eligibility

Sex/Gender
ALL
Age
12 Years to 70 Years
Healthy volunteers
No

Inclusion criteria

* Participants with diagnosis of AD for at least 6 months. * Participants with an overall and a face and/or neck IGA score of 2 or 3 at screening and baseline. * Participants with AD affecting the following at screening and baseline: 1. ≥ 0.5% of the total BSA on the face and/or neck 2. Up to a total of 20% BSA (face and/or neck plus other body areas) * Willingness to avoid pregnancy or fathering children based on the criteria outlined in the protocol. * Further inclusion criteria apply.

Exclusion criteria

* Participants who have an unstable course of AD (spontaneously improving or rapidly deteriorating) as determined by the investigator over the previous 4 weeks prior to baseline. * Participants with concurrent conditions and history of other diseases such as immunocompromised; chronic or acute infection requiring systemic treatments; active acute skin infection; other concomitant skin conditions that may interfere with the evaluation of AD or compromise participant safety; other types of eczema; chronic asthma requiring high dose of inhaled corticosteroids. * Any serious illness or medical, physical, or psychiatric condition(s) that, in the investigator's opinion, would interfere with full participation in the study, including administration of study drug and attending required study visits; pose a significant risk to the participant; or interfere with interpretation of study data. * Previous treatment with systemic or topical JAK inhibitors (eg, ruxolitinib, tofacitinib, baricitinib, filgotinib, lestaurtinib, pacritinib). * Participants who are pregnant (or who are considering pregnancy) or lactating. * Laboratory values outside of the protocol -defined criteria * Further

Design outcomes

Primary

MeasureTime frameDescription
Percentage of Participants Who Achieve a ≥75% Improvement in the Eczema Area and Severity Index Score (EASI75) of the Head and Neck Region at Week 4Baseline; Week 4The EASI scoring system examines 4 areas of the body (head/neck, trunk, upper limbs, and lower limbs) and weights them for participants of at least 8 years of age. Each of the 4 body regions is assessed separately for erythema (E), induration/papulation/edema (I), excoriations (Ex), and lichenification (l) on a scale of 0 to 3 (0 = none, absent; 1 = mild; 2 = moderate; 3 = severe). Half scores are allowed between severities 1, 2, and 3. The final EASI score was obtained by weight-averaging these 4 scores and will range from 0 to 72; the severity strata are as follows: 0 = clear; 0.1 to 1.0 = almost clear; 1.1 to 7.0 = mild; 7.1 to 21.0 = moderate; 21.1 to 50.0 = severe; 50.1 to 72.0 = very severe. Specifically for the head and neck region, the EASI score ranges from 0 to 7.2 An EASI75 responder was defined as a participant achieving a 75% or greater improvement from Baseline in the EASI score for the head and neck.

Secondary

MeasureTime frameDescription
Percentage of Participants Who Achieve an Overall EASI75 at Weeks 2, 4, and 8Baseline; Weeks 2, 4, and 8The EASI scoring system examines 4 areas of the body (head/neck, trunk, upper limbs, and lower limbs) and weights them for participants of at least 8 years of age. Each of the 4 body regions is assessed separately for erythema (E), induration/papulation/edema (I), excoriations (Ex), and lichenification (l) on a scale of 0 to 3 (0 = none, absent; 1 = mild; 2 = moderate; 3 = severe). Half scores are allowed between severities 1, 2, and 3. The final EASI score was obtained by weight-averaging these 4 scores and will range from 0 to 72; the severity strata are as follows: 0 = clear; 0.1 to 1.0 = almost clear; 1.1 to 7.0 = mild; 7.1 to 21.0 = moderate; 21.1 to 50.0 = severe; 50.1 to 72.0 = very severe. An EASI75 responder was defined as a participant achieving 75% or greater improvement from Baseline in EASI score.
Double-Blind Period: Number of Participants With Any Treatment-emergent Adverse Event (TEAE)up to approximately 4 weeks plus 30 daysA TEAE was defined as any adverse event (AE) either reported for the first time or the worsening of a pre-existing event after the first application of the study drug. An AE was defined as any untoward medical occurrence associated with the use of a drug in humans, whether or not it was considered drug related. An AE could therefore have been any unfavorable or unintended sign (including an abnormal laboratory finding), symptom, or disease (new or exacerbated) temporally associated with the use of study drug.
Percentage of Participants Who Achieve an EASI75 of the Head and Neck Region at Weeks 2 and 8Baseline; Weeks 2 and 8The EASI scoring system examines 4 areas of the body (head/neck, trunk, upper limbs, and lower limbs) and weights them for participants of at least 8 years of age. Each of the 4 body regions is assessed separately for erythema (E), induration/papulation/edema (I), excoriations (Ex), and lichenification (l) on a scale of 0 to 3 (0 = none, absent; 1 = mild; 2 = moderate; 3 = severe). Half scores are allowed between severities 1, 2, and 3. The final EASI score was obtained by weight-averaging these 4 scores and will range from 0 to 72; the severity strata are as follows: 0 = clear; 0.1 to 1.0 = almost clear; 1.1 to 7.0 = mild; 7.1 to 21.0 = moderate; 21.1 to 50.0 = severe; 50.1 to 72.0 = very severe. Specifically for the head and neck region, the EASI score ranges from 0 to 7.2 An EASI75 responder was defined as a participant achieving a 75% or greater improvement from Baseline in the EASI score for the head and neck.
Double-Blind Period: Number of Participants With Any Grade 3 or Higher TEAEup to approximately 4 weeks plus 30 daysA TEAE was defined as any AE either reported for the first time or the worsening of a pre-existing event after the first application of the study drug. An AE was defined as any untoward medical occurrence associated with the use of a drug in humans, whether or not it was considered drug related. The severity of AEs was graded using the National Cancer Institute Common Terminology Criteria for Adverse Events (CTCAE) version 5.0 (Grades 1 to 5). Grade 1: mild; asymptomatic or mild symptoms; clinical or diagnostic observations only; intervention not indicated. Grade 2: moderate; minimal, local or noninvasive intervention indicated; limiting age-appropriate instrumental activities of daily living (ADL). Grade 3: severe or medically significant but not immediately life threatening; hospitalization or prolongation of hospitalization indicated; disabling; limiting self-care ADL. Grade 4: life-threatening consequences; urgent intervention indicated. Grade 5: death related to AE.
Open-Label Period: Number of Participants With Any Grade 3 or Higher TEAEfrom first dose date in Open-Label Period (start of Week 5) until last follow-up visit (up to approximately 4 weeks plus 30 days)A TEAE was defined as any AE either reported for the first time or the worsening of a pre-existing event after the first application of the study drug. An AE was defined as any untoward medical occurrence associated with the use of a drug in humans, whether or not it was considered drug related. An AE could therefore have been any unfavorable or unintended sign (including an abnormal laboratory finding), symptom, or disease (new or exacerbated) temporally associated with the use of study drug.
Open-Label Period: Number of Participants With Any TEAEfrom first dose date in Open-Label Period (start of Week 5) until last follow-up visit (up to approximately 4 weeks plus 30 days)A TEAE was defined as any AE either reported for the first time or the worsening of a pre-existing event after the first application of the study drug. An AE was defined as any untoward medical occurrence associated with the use of a drug in humans, whether or not it was considered drug related. An AE could therefore have been any unfavorable or unintended sign (including an abnormal laboratory finding), symptom, or disease (new or exacerbated) temporally associated with the use of study drug.

Countries

United States

Participant flow

Pre-assignment details

This decentralized clinical study was conducted through 1 virtual meta-site in the United States.

Participants by arm

ArmCount
Double-Blind Period: Vehicle Cream BID
Participants applied matching vehicle cream BID for 4 weeks.
23
Double-Blind Period: Ruxolitinib Cream 1.5% BID
Participants applied ruxolitinib 1.5% cream twice daily (BID) for 4 weeks.
54
Total77

Withdrawals & dropouts

PeriodReasonFG000FG001FG002FG003
4-Week Double-Blind PeriodLost to Follow-up1000
4-Week Double-Blind PeriodPhysician Decision1000
4-Week Double-Blind PeriodWithdrawal by Subject3100
4-Week Double-Blind PeriodWithdrawn by Sponsor0400
4-Week Double-Blind PeriodWithdrawn Due to E-diary Compliance0100
4-Week Open-Label PeriodLost to Follow-up0001
4-Week Open-Label PeriodWithdrawal by Subject0011
4-Week Open-Label PeriodWithdrawn by Sponsor0001

Baseline characteristics

CharacteristicDouble-Blind Period: Vehicle Cream BIDDouble-Blind Period: Ruxolitinib Cream 1.5% BIDTotal
Age, Continuous41.0 years
STANDARD_DEVIATION 13.44
37.9 years
STANDARD_DEVIATION 14.37
38.8 years
STANDARD_DEVIATION 14.08
Ethnicity (NIH/OMB)
Hispanic or Latino
1 Participants5 Participants6 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
22 Participants49 Participants71 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants0 Participants0 Participants
Race/Ethnicity, Customized
American-Indian/Alaska Native
0 Participants1 Participants1 Participants
Race/Ethnicity, Customized
Asian
1 Participants4 Participants5 Participants
Race/Ethnicity, Customized
Black/African-American
10 Participants24 Participants34 Participants
Race/Ethnicity, Customized
Black and Phillipino
0 Participants1 Participants1 Participants
Race/Ethnicity, Customized
Black, Asian
1 Participants0 Participants1 Participants
Race/Ethnicity, Customized
Captured as Hispanic in the Database
0 Participants1 Participants1 Participants
Race/Ethnicity, Customized
Indian
0 Participants1 Participants1 Participants
Race/Ethnicity, Customized
Mexican
0 Participants1 Participants1 Participants
Race/Ethnicity, Customized
Mexican and Spanish
0 Participants1 Participants1 Participants
Race/Ethnicity, Customized
White/Caucasian
11 Participants20 Participants31 Participants
Sex: Female, Male
Female
16 Participants46 Participants62 Participants
Sex: Female, Male
Male
7 Participants8 Participants15 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
deaths
Total, all-cause mortality
0 / 230 / 71
other
Total, other adverse events
2 / 231 / 71
serious
Total, serious adverse events
0 / 230 / 71

Outcome results

Primary

Percentage of Participants Who Achieve a ≥75% Improvement in the Eczema Area and Severity Index Score (EASI75) of the Head and Neck Region at Week 4

The EASI scoring system examines 4 areas of the body (head/neck, trunk, upper limbs, and lower limbs) and weights them for participants of at least 8 years of age. Each of the 4 body regions is assessed separately for erythema (E), induration/papulation/edema (I), excoriations (Ex), and lichenification (l) on a scale of 0 to 3 (0 = none, absent; 1 = mild; 2 = moderate; 3 = severe). Half scores are allowed between severities 1, 2, and 3. The final EASI score was obtained by weight-averaging these 4 scores and will range from 0 to 72; the severity strata are as follows: 0 = clear; 0.1 to 1.0 = almost clear; 1.1 to 7.0 = mild; 7.1 to 21.0 = moderate; 21.1 to 50.0 = severe; 50.1 to 72.0 = very severe. Specifically for the head and neck region, the EASI score ranges from 0 to 7.2 An EASI75 responder was defined as a participant achieving a 75% or greater improvement from Baseline in the EASI score for the head and neck.

Time frame: Baseline; Week 4

Population: Full Analysis Population: all participants enrolled in the study who had at least 1 application of study drug. Missing post-Baseline values were imputed as Non-Responders at Week 4. The 95% confidence interval for the difference was computed based on a large-sample normal approximation with continuity correction.

ArmMeasureValue (NUMBER)
Double-Blind Period: Vehicle Cream BIDPercentage of Participants Who Achieve a ≥75% Improvement in the Eczema Area and Severity Index Score (EASI75) of the Head and Neck Region at Week 417.4 percentage of participants
Double-Blind Period: Ruxolitinib Cream 1.5% BIDPercentage of Participants Who Achieve a ≥75% Improvement in the Eczema Area and Severity Index Score (EASI75) of the Head and Neck Region at Week 437.0 percentage of participants
p-value: 0.09195% CI: [0.83, 9.47]Cochran-Mantel-Haenszel
95% CI: [-0.5, 39.6]
Secondary

Double-Blind Period: Number of Participants With Any Grade 3 or Higher TEAE

A TEAE was defined as any AE either reported for the first time or the worsening of a pre-existing event after the first application of the study drug. An AE was defined as any untoward medical occurrence associated with the use of a drug in humans, whether or not it was considered drug related. The severity of AEs was graded using the National Cancer Institute Common Terminology Criteria for Adverse Events (CTCAE) version 5.0 (Grades 1 to 5). Grade 1: mild; asymptomatic or mild symptoms; clinical or diagnostic observations only; intervention not indicated. Grade 2: moderate; minimal, local or noninvasive intervention indicated; limiting age-appropriate instrumental activities of daily living (ADL). Grade 3: severe or medically significant but not immediately life threatening; hospitalization or prolongation of hospitalization indicated; disabling; limiting self-care ADL. Grade 4: life-threatening consequences; urgent intervention indicated. Grade 5: death related to AE.

Time frame: up to approximately 4 weeks plus 30 days

Population: Full Analysis Population

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
Double-Blind Period: Vehicle Cream BIDDouble-Blind Period: Number of Participants With Any Grade 3 or Higher TEAE0 Participants
Double-Blind Period: Ruxolitinib Cream 1.5% BIDDouble-Blind Period: Number of Participants With Any Grade 3 or Higher TEAE1 Participants
Secondary

Double-Blind Period: Number of Participants With Any Treatment-emergent Adverse Event (TEAE)

A TEAE was defined as any adverse event (AE) either reported for the first time or the worsening of a pre-existing event after the first application of the study drug. An AE was defined as any untoward medical occurrence associated with the use of a drug in humans, whether or not it was considered drug related. An AE could therefore have been any unfavorable or unintended sign (including an abnormal laboratory finding), symptom, or disease (new or exacerbated) temporally associated with the use of study drug.

Time frame: up to approximately 4 weeks plus 30 days

Population: Full Analysis Population

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
Double-Blind Period: Vehicle Cream BIDDouble-Blind Period: Number of Participants With Any Treatment-emergent Adverse Event (TEAE)5 Participants
Double-Blind Period: Ruxolitinib Cream 1.5% BIDDouble-Blind Period: Number of Participants With Any Treatment-emergent Adverse Event (TEAE)6 Participants
Secondary

Open-Label Period: Number of Participants With Any Grade 3 or Higher TEAE

A TEAE was defined as any AE either reported for the first time or the worsening of a pre-existing event after the first application of the study drug. An AE was defined as any untoward medical occurrence associated with the use of a drug in humans, whether or not it was considered drug related. An AE could therefore have been any unfavorable or unintended sign (including an abnormal laboratory finding), symptom, or disease (new or exacerbated) temporally associated with the use of study drug.

Time frame: from first dose date in Open-Label Period (start of Week 5) until last follow-up visit (up to approximately 4 weeks plus 30 days)

Population: Open-Label Evaluable Population

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
Double-Blind Period: Vehicle Cream BIDOpen-Label Period: Number of Participants With Any Grade 3 or Higher TEAE1 Participants
Double-Blind Period: Ruxolitinib Cream 1.5% BIDOpen-Label Period: Number of Participants With Any Grade 3 or Higher TEAE1 Participants
Secondary

Open-Label Period: Number of Participants With Any TEAE

A TEAE was defined as any AE either reported for the first time or the worsening of a pre-existing event after the first application of the study drug. An AE was defined as any untoward medical occurrence associated with the use of a drug in humans, whether or not it was considered drug related. An AE could therefore have been any unfavorable or unintended sign (including an abnormal laboratory finding), symptom, or disease (new or exacerbated) temporally associated with the use of study drug.

Time frame: from first dose date in Open-Label Period (start of Week 5) until last follow-up visit (up to approximately 4 weeks plus 30 days)

Population: Open-Label Evaluable Population: all participants who applied at least 1 dose of ruxolitinib cream during the Open-Label Period

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
Double-Blind Period: Vehicle Cream BIDOpen-Label Period: Number of Participants With Any TEAE4 Participants
Double-Blind Period: Ruxolitinib Cream 1.5% BIDOpen-Label Period: Number of Participants With Any TEAE9 Participants
Secondary

Percentage of Participants Who Achieve an EASI75 of the Head and Neck Region at Weeks 2 and 8

The EASI scoring system examines 4 areas of the body (head/neck, trunk, upper limbs, and lower limbs) and weights them for participants of at least 8 years of age. Each of the 4 body regions is assessed separately for erythema (E), induration/papulation/edema (I), excoriations (Ex), and lichenification (l) on a scale of 0 to 3 (0 = none, absent; 1 = mild; 2 = moderate; 3 = severe). Half scores are allowed between severities 1, 2, and 3. The final EASI score was obtained by weight-averaging these 4 scores and will range from 0 to 72; the severity strata are as follows: 0 = clear; 0.1 to 1.0 = almost clear; 1.1 to 7.0 = mild; 7.1 to 21.0 = moderate; 21.1 to 50.0 = severe; 50.1 to 72.0 = very severe. Specifically for the head and neck region, the EASI score ranges from 0 to 7.2 An EASI75 responder was defined as a participant achieving a 75% or greater improvement from Baseline in the EASI score for the head and neck.

Time frame: Baseline; Weeks 2 and 8

Population: Full Analysis Population. Only participants with available data were analyzed. The 95% confidence interval for the difference was computed based on a large-sample normal approximation with continuity correction.

ArmMeasureGroupValue (NUMBER)
Double-Blind Period: Vehicle Cream BIDPercentage of Participants Who Achieve an EASI75 of the Head and Neck Region at Weeks 2 and 8Week 216.7 percentage of participants
Double-Blind Period: Vehicle Cream BIDPercentage of Participants Who Achieve an EASI75 of the Head and Neck Region at Weeks 2 and 8Week 835.3 percentage of participants
Double-Blind Period: Ruxolitinib Cream 1.5% BIDPercentage of Participants Who Achieve an EASI75 of the Head and Neck Region at Weeks 2 and 8Week 214.6 percentage of participants
Double-Blind Period: Ruxolitinib Cream 1.5% BIDPercentage of Participants Who Achieve an EASI75 of the Head and Neck Region at Weeks 2 and 8Week 853.3 percentage of participants
Secondary

Percentage of Participants Who Achieve an Overall EASI75 at Weeks 2, 4, and 8

The EASI scoring system examines 4 areas of the body (head/neck, trunk, upper limbs, and lower limbs) and weights them for participants of at least 8 years of age. Each of the 4 body regions is assessed separately for erythema (E), induration/papulation/edema (I), excoriations (Ex), and lichenification (l) on a scale of 0 to 3 (0 = none, absent; 1 = mild; 2 = moderate; 3 = severe). Half scores are allowed between severities 1, 2, and 3. The final EASI score was obtained by weight-averaging these 4 scores and will range from 0 to 72; the severity strata are as follows: 0 = clear; 0.1 to 1.0 = almost clear; 1.1 to 7.0 = mild; 7.1 to 21.0 = moderate; 21.1 to 50.0 = severe; 50.1 to 72.0 = very severe. An EASI75 responder was defined as a participant achieving 75% or greater improvement from Baseline in EASI score.

Time frame: Baseline; Weeks 2, 4, and 8

Population: Full Analysis Population. Only participants with available data were analyzed. The 95% confidence interval for the difference was computed based on a large-sample normal approximation with continuity correction.

ArmMeasureGroupValue (NUMBER)
Double-Blind Period: Vehicle Cream BIDPercentage of Participants Who Achieve an Overall EASI75 at Weeks 2, 4, and 8Week 25.6 percentage of participants
Double-Blind Period: Vehicle Cream BIDPercentage of Participants Who Achieve an Overall EASI75 at Weeks 2, 4, and 8Week 433.3 percentage of participants
Double-Blind Period: Vehicle Cream BIDPercentage of Participants Who Achieve an Overall EASI75 at Weeks 2, 4, and 8Week 835.3 percentage of participants
Double-Blind Period: Ruxolitinib Cream 1.5% BIDPercentage of Participants Who Achieve an Overall EASI75 at Weeks 2, 4, and 8Week 210.4 percentage of participants
Double-Blind Period: Ruxolitinib Cream 1.5% BIDPercentage of Participants Who Achieve an Overall EASI75 at Weeks 2, 4, and 8Week 429.2 percentage of participants
Double-Blind Period: Ruxolitinib Cream 1.5% BIDPercentage of Participants Who Achieve an Overall EASI75 at Weeks 2, 4, and 8Week 833.3 percentage of participants

Source: ClinicalTrials.gov · Data processed: Feb 5, 2026