Study of the Efficacy, Safety and Tolerability of Serlopitant for the Treatment of Pruritus (Itch) With Prurigo Nodularis
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| ClinicalTrials.gov Identifier: NCT03546816 |
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Recruitment Status :
Completed
First Posted : June 6, 2018
Results First Posted : September 7, 2020
Last Update Posted : May 20, 2021
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Sponsor:
Vyne Therapeutics Inc.
Information provided by (Responsible Party):
Vyne Therapeutics Inc.
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Brief Summary:
Study of the efficacy, safety, and tolerability of serlopitant for the treatment of pruritus in adults with prurigo nodularis
| Condition or disease | Intervention/treatment | Phase |
|---|---|---|
| Pruritus Prurigo Nodularis | Drug: 5mg Serlopitant Tablets Drug: Placebo Tablets | Phase 3 |
| Study Type : | Interventional (Clinical Trial) |
| Actual Enrollment : | 285 participants |
| Allocation: | Randomized |
| Intervention Model: | Parallel Assignment |
| Masking: | Quadruple (Participant, Care Provider, Investigator, Outcomes Assessor) |
| Primary Purpose: | Treatment |
| Official Title: | A Randomized, Double-Blind, Placebo-Controlled Study of the Efficacy, Safety, and Tolerability of Serlopitant for the Treatment of Pruritus in Adults With Prurigo Nodularis |
| Actual Study Start Date : | May 2, 2018 |
| Actual Primary Completion Date : | January 14, 2020 |
| Actual Study Completion Date : | February 14, 2020 |
| Arm | Intervention/treatment |
|---|---|
| Experimental: 5 mg Serlopitant Tablets |
Drug: 5mg Serlopitant Tablets
Serlopitant Tablets
Other Name: VPD-737 |
| Placebo Comparator: Matching Placebo Tablets |
Drug: Placebo Tablets
Placebo Tablets |
Primary Outcome Measures :
- Percent of Subjects With Worst-Itch Numeric Rating Scale 4-point Responder at Week 10 [ Time Frame: At Week 10 ]During the study, Worst Itch Numeric Rating Scale (WI-NRS) assessments were reported by the subject via eDiary once daily from screening/mid-screening visit through the follow-up visit. The Itch NRS is a validated, self-reported, instrument for measurement of itch intensity and subjects were asked to rate the intensity of their itch on an 11-point scale ranging from 0 (no itch) to 10 (worst itch imaginable); higher scores indicated greater itch intensity. Subjects were considered responders if they had at least a 4-point reduction from baseline in weekly average WI-NRS at Week 10.
Secondary Outcome Measures :
- Percent of Subjects With WI-NRS 4-point Responder at Week 4 [ Time Frame: At Week 4 ]During the study, WI-NRS assessments were reported by the subject via eDiary once daily from screening/mid-screening visit through the follow-up visit. The Itch NRS is a validated, self-reported, instrument for measurement of itch intensity and subjects were asked to rate the intensity of their itch on an 11-point scale ranging from 0 (no itch) to 10 (worst itch imaginable); higher scores indicated greater itch intensity.
- Percent of Subjects With WI-NRS 4-point Responder at Week 2 [ Time Frame: At Week 2 ]During the study, WI-NRS assessments were reported by the subject via eDiary once daily from screening/mid-screening visit through the follow-up visit. The Itch NRS is a validated, self-reported, instrument for measurement of itch intensity and subjects were asked to rate the intensity of their itch on an 11-point scale ranging from 0 (no itch) to 10 (worst itch imaginable); higher scores indicated greater itch intensity.
- Change From Baseline in WI-NRS at Weeks 2, 4, 6, and 10 [ Time Frame: At Weeks 2, 4, 6, and 10 ]During the study, WI-NRS assessments were reported by the subject via eDiary once daily from screening/mid-screening visit through the follow-up visit. The Itch NRS is a validated, self-reported, instrument for measurement of itch intensity and subjects were asked to rate the intensity of their itch on an 11-point scale ranging from 0 (no itch) to 10 (worst itch imaginable); higher scores indicated greater itch intensity.
- Percent of Subjects With WI-NRS 3-point Responder at Weeks 2, 4, and 10 [ Time Frame: At Weeks 2, 4, and 10 ]During the study, WI-NRS assessments were reported by the subject via eDiary once daily from screening/mid-screening visit through the follow-up visit. The Itch NRS is a validated, self-reported, instrument for measurement of itch intensity and subjects were asked to rate the intensity of their itch on an 11-point scale ranging from 0 (no itch) to 10 (worst itch imaginable); higher scores indicated greater itch intensity. For the 3-point responder rate, subjects were considered responders if they had at least a 3-point reduction between baseline and the corresponding week.
- Change From Baseline in Investigator's Global Assessment of Prurigo Nodularis Activity (IGA PN-A) to Weeks 2, 4, and 10 [ Time Frame: At Weeks 2, 4, and 10 ]The IGA PN-A is an instrument used to assess the overall activity of PN lesions at a given time point, as determined by the investigator. It consists of a 5-point scale ranging from 0 (clear) to 4 (severe). Higher scores indicate severe prurigo nodularis.
- Change From Baseline in Investigator's Global Assessment of PN Stage (IGA PN-S) to Weeks 2, 4, and 10 [ Time Frame: At Weeks 2, 4, and 10 ]The IGA PN-S is an instrument used to assess the overall number and thickness of PN lesions at a given time point, as determined by the investigator. It consists of a 5-point scale ranging from 0 (clear) to 4 (severe). Higher scores indicate severe prurigo nodularis.
- Change From Baseline in Dermatology Life Quality Index (DLQI) to Week 10 [ Time Frame: At Week 10 ]Dermatology Life Quality Index (DLQI) is a dermatology specific quality of life (QoL) instrument designed to assess the impact of the skin disease on a subject's QoL over the prior week. It is a ten item questionnaire that assesses overall QoL and six aspects that may affect QoL (symptoms and feelings, daily activities, leisure, work or school performance, personal relationships, and treatment). The DLQI questions are rated by the subject as 0 (not at all) to 3 (very much). Scores range from 0 to 30 with higher scores indicating poor QoL.
- Change From Baseline in DLQI Question 1 to Week 10 [ Time Frame: At Week 10 ]DLQI is a dermatology specific QoL instrument designed to assess the impact of the skin disease on a subject's QoL over the prior week. It is a ten item questionnaire that assesses overall QoL and six aspects that may affect QoL (symptoms and feelings, daily activities, leisure, work or school performance, personal relationships, and treatment) The DLQI question 1 is to measure how itchy, sore, painful or stinging the subject's skin had been. It is rated by the subject as 0 (not at all) to 3 (very much). Scores range from 0 to 30 with higher scores indicating poor QoL.
- Number of Subjects With Treatment-emergent Adverse Events and Serious Adverse Events (SAEs) [ Time Frame: 35 days (+3 days) after Week 10 or Early Treatment Discontinuation ]Adverse events (AEs) and serious adverse events (SAEs) were recorded from the first study drug administration through the follow-up visit. Severity of all AEs were graded using the National Cancer Institute Common Terminology Criteria for Adverse Events v4.03. During the period between informed consent and first study drug dose, only SAEs caused by a protocol-mandated intervention were collected.
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| Ages Eligible for Study: | 18 Years and older (Adult, Older Adult) |
| Sexes Eligible for Study: | All |
| Accepts Healthy Volunteers: | No |
Criteria
Inclusion Criteria (Subjects must meet the following criteria to be randomized into the study:
- Male or female, age 18 years or older at consent.
- Prurigo nodularis (PN), with at least ten nodules on at least two different body surface areas.
- Idiopathic PN, or an identified pruritic condition associated with the PN with persistent pruritus despite at least 6 weeks of optimized and stable treatment of the underlying condition.
- The worst pruritus is identified as within the areas of the PN lesions, with a Worst-Itch Numeric Rating Scale (WI-NRS) score in the 24-hour period prior to the Screening visit, and average weekly WI-NRS score in each of the 2 weeks prior to Baseline visit indicating an appropriate pruritus level for the study.
- Female subjects of childbearing potential must be willing to practice highly effective contraception until 5 weeks after last dose of study drug.
- Willing and able to complete daily eDiary entries within a consistent timeframe for the duration of the study.
- Willing and able to comply with study visits and study related requirements including providing written informed consent.
Exclusion Criteria (Subjects who meet any of the following criteria are not eligible for participation in the study):
- Prior treatment with serlopitant.
- Active pruritic skin disease, other than PN, within 6 months (with the exception of acute dermatoses such as contact dermatitis, sunburn, viral exanthem, which have been resolved for longer than 4 weeks).
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Treatment with any of the following therapies within 4 weeks.
- Other neurokinin-1 receptor antagonists (e.g., aprepitant, fosaprepitant, rolapitant).
- Systemic or topical immunosuppressive/immunomodulatory therapies.
- Systemic therapies with recognized anti-pruritic properties.
- Strong cytochrome-P 3A4 inhibitors.
- Use of an indoor tanning facility, or natural sun exposure resulting in significant tanning or sunburn.
- Treatment with topical anti-pruritic therapies within 2 weeks.
- Treatment with biologic therapies within 8 weeks or 5 half-lives, whichever is longer.
- Treatment with any investigational therapy within 4 weeks (8 weeks for investigational biologic therapies) or 5 half-lives, whichever is longer.
- Serum creatinine, total bilirubin, alanine aminotransferase or aspartate aminotransferase > 2.5 times the upper limit of normal during screening.
- Untreated or inadequately treated thyroid adrenal, or pituitary nodules or disease, or history of thyroid malignancy.
- Malignancy within 5 years prior to enrollment (exception for non-melanoma cutaneous malignancies).
- Relevant major psychiatric diagnosis in the past 3 years, such as major depressive disorder, bipolar disorder, schizophrenia, psychotic disorder, intellectual disability, severe alcohol use disorder.
- Documented history of parasitic infection, including skin parasites such as scabies, within 8 weeks.
- Any medical condition or disability that could interfere with the assessment of safety or efficacy in this study or compromise the safety of the subject.
- History of hypersensitivity to serlopitant or any of its components.
- Currently pregnant or breastfeeding or planning to become pregnant during the study.
- Planned or anticipated major surgical procedure or other activity that would interfere with the subject's ability to comply with protocol-mandated assessments during participation in the study.
Information from the National Library of Medicine
To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.
Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT03546816
Locations
Show 49 study locations
Sponsors and Collaborators
Vyne Therapeutics Inc.
Study Documents (Full-Text)
Documents provided by Vyne Therapeutics Inc.:
Documents provided by Vyne Therapeutics Inc.:
Study Protocol [PDF] December 16, 2019
Statistical Analysis Plan [PDF] December 16, 2019
| Responsible Party: | Vyne Therapeutics Inc. |
| ClinicalTrials.gov Identifier: | NCT03546816 |
| Other Study ID Numbers: |
MTI-105 |
| First Posted: | June 6, 2018 Key Record Dates |
| Results First Posted: | September 7, 2020 |
| Last Update Posted: | May 20, 2021 |
| Last Verified: | May 2021 |
| Studies a U.S. FDA-regulated Drug Product: | Yes |
| Studies a U.S. FDA-regulated Device Product: | No |
Additional relevant MeSH terms:
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Pruritus Prurigo Neurodermatitis Skin Diseases Skin Manifestations Dermatitis |
Skin Diseases, Eczematous Serlopitant Neurokinin-1 Receptor Antagonists Neurotransmitter Agents Molecular Mechanisms of Pharmacological Action Physiological Effects of Drugs |