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ATI-501 Oral Suspension Compared to Placebo in Subjects With Alopecia Areata, Alopecia Universalis or Alopecia Totalis

The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our disclaimer for details. Identifier: NCT03594227
Recruitment Status : Completed
First Posted : July 20, 2018
Last Update Posted : July 2, 2019
Information provided by (Responsible Party):
Aclaris Therapeutics, Inc.

Brief Summary:
This Phase 2, multicenter, randomized study will evaluate the safety, tolerability and efficacy of ATI-501 for the treatment of AA, AU, or AT in adult subjects. Subjects will be required to have a clinical diagnosis of stable AA, AU, or AT. A total of approximately 80 subjects will be randomized.

Condition or disease Intervention/treatment Phase
Alopecia Drug: ATI-501 Low dose Drug: ATI-501 Mid dose Drug: ATI-501 high dose Drug: Placebos Phase 2

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Study Type : Interventional  (Clinical Trial)
Actual Enrollment : 87 participants
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Triple (Participant, Care Provider, Investigator)
Primary Purpose: Other
Official Title: A Randomized, Double-Blind, Placebo-Controlled Multicenter Study to Evaluate the Safety, Tolerability and Efficacy of ATI-501 Oral Suspension Compared to Placebo in Adult Subjects With Alopecia Areata, Alopecia Universalis or Alopecia Totalis
Actual Study Start Date : June 11, 2018
Actual Primary Completion Date : June 6, 2019
Actual Study Completion Date : June 18, 2019

Resource links provided by the National Library of Medicine

Arm Intervention/treatment
Active Comparator: Low dose
ATI-501 low dose - oral administration
Drug: ATI-501 Low dose
ATI-501 oral low dose
Other Name: Active comparator: Low dose

Active Comparator: Mid dose
ATI-501 mid dose - oral administration
Drug: ATI-501 Mid dose
ATI-501 oral low dose
Other Name: Comparator : Mid dose

Active Comparator: High dose
ATI-501 high dose - oral administration
Drug: ATI-501 high dose
ATI-501 high dose for oral administration
Other Name: Comparator: high dose - oral administration

Placebo Comparator: Vehicle
Vehicle - oral administration
Drug: Placebos
Vehicle - oral administration
Other Name: Placebo Comparator: vehicle

Primary Outcome Measures :
  1. The primary efficacy variable will be the mean change from Baseline in the Severity of Alopecia Tool (SALT) score at end of study. [ Time Frame: 24 weeks ]
    The percentage hair growth will be calculated as the mean change from baseline compared to end-of-treatment. The SALT score is a global severity score that captures percentage hair loss. The SALT score is calculated by adding the percentage hair loss in the various areas (i.e. top, back, each side) of the scalp.

Information from the National Library of Medicine

Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the contacts provided below. For general information, Learn About Clinical Studies.

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Ages Eligible for Study:   18 Years and older   (Adult, Older Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   Yes

Inclusion Criteria:

Subjects must meet the following criteria to be eligible for participation in the study:

  1. Able to comprehend and willing to sign an Informed Consent Form (ICF).
  2. Male or non-pregnant, non-nursing female ≥ 18 years old at the time of informed consent.
  3. Have a clinical diagnosis of stable AA, AU or AT.
  4. If the subject is a woman of childbearing potential (WOCBP), she must have:

    • Negative urine and serum pregnancy tests at Screening (Visit 1); and
    • A negative urine pregnancy test at Baseline (Visit 2); and
    • Agree to not be planning a pregnancy during the study duration and use a highly effective method of contraception for the duration of the study and 30 days after the last dose of study medication. (Refer to Section 8.4.2).
  5. Be in good general health and free of any known disease state or physical condition which, in the investigator's opinion, might impair evaluation of the subject or which might expose the subject to an unacceptable risk by study participation.
  6. Be willing to maintain the same hair style and hair dyeing throughout the study period.
  7. Subjects taking hormonal replacement therapies must be on stable doses for 6 months prior to enrollment and remain on a maintenance dose throughout the study.
  8. Subjects taking thyroid replacement medication must be on stable doses for 6 months prior to enrollment and remain on a maintenance dose throughout the study.
  9. Sexually active male subjects whose partner is a WOCBP must agree to use a barrier method of contraception from the first dose of study medication to at least 30 days after the last dose of study medication.

Exclusion Criteria:

Subjects are excluded from this study if any 1 or more of the following criteria is met:

  1. Females who are nursing, pregnant, or planning to become pregnant for the duration of the study and up to 30 days after the last dose of study medication.
  2. Diffuse alopecia areata or a history of an atypical pattern of AA.
  3. Concomitant hair loss disorder (by history or physical exam) such as androgenetic alopecia (AGA) or scarring alopecia.
  4. Active skin disease on the scalp or a history of skin disease on the scalp that in the opinion of the investigator would interfere with study assessments of efficacy or safety.
  5. Active scalp trauma or other condition affecting the scalp that, in the investigator's opinion, may affect the course of AA, AU or AT or interfere with the study conduct or evaluations.
  6. The presence of a permanent or difficult to remove hairpiece or wig that will, in the opinion of the investigator, interfere with study assessments if not removed at each visit.
  7. History of, or current, severe, progressive or uncontrolled autoimmune, metabolic, hepatic, endocrine, renal, gastrointestinal, pulmonary, cardiovascular, genitourinary, or hematological disease, neurologic or cerebral disorders, or coagulation disorders that, as determined by the Investigator, would preclude participation in and completion of study assessments.
  8. History of, current or suspected systemic or cutaneous malignancy and /or lymphoproliferative disease, other than subjects with a history of adequately treated and well healed and completely cleared non-melanoma skin cancers (e.g. basal or squamous cell carcinoma) treated successfully at least 1 year prior to study entry with no evidence of disease.
  9. Evidence of active or latent bacterial (including tuberculosis) or viral infections at the time of enrollment, or history of incompletely treated or untreated tuberculosis. Subjects who have completed therapy for latent tuberculosis may participate.
  10. History of serious local infection (e.g., cellulitis, abscess) or systemic infection including but not limited to a history of treated infection (e.g., pneumonia, septicemia) within 3 months prior to Baseline. Subjects on an antibiotic for a nonserious, acute local infection must complete the course prior to enrollment into the study.
  11. Positive for HIV, Hepatitis B or C. Subjects with serologic evidence of Hepatitis B vaccination (HepB surface Ab without the presence of Hep B surface Ag will be allowed to participate).
  12. History of recurrent herpes zoster (more than one episode) or disseminated herpes zoster (a single episode) or disseminated herpes simplex (single episode) or cytomegalovirus (CMV) that resolved less than 2 months before study enrollment. Subjects with a history of frequent outbreaks of Herpes Simplex Virus (defined as 4 or more outbreaks a year).
  13. Subjects who have received any of the following treatments for the timeframes specified below:

    • Disease Modifying Anti-Rheumatic Drugs (DMARDS), Biologics or immunosuppressants, including but not limited to: anakinra, adalimumab, azathioprine, corticosteroids, cyclosporine, etanercept, infliximab, methotrexate, TNF inhibitors, ustekinumab within 1 month or 5 half-lives (whichever is greater) of Baseline (Visit 2).
    • Plaquenil within 2 months of Baseline (Visit 2).
    • JAK inhibitors (oral or topical) within 6 months of Baseline (Visit 2).
    • Intralesional steroids or platelet rich plasma injections in the scalp within 1 month of Baseline (Visit 2).
    • Topical treatments on the scalp with anthralin, bimatoprost, corticosteroids, diphencyprone, diphenylcyclopropenone (DPCP), squaric acid dibutylester (SADBE), minoxidil, pimecrolimus, or tacrolimus within 1 month of Baseline (Visit 2).
    • Phototherapy (narrow band Ultraviolet B [NB UVB] or broadband therapy) within 4 weeks of Baseline (Visit 2).
  14. Participation in an investigational drug or device trial in which administration of an investigational drug or device occurred within 30 days or 5 half-lives (whichever is longer) of Baseline (Visit 2).
  15. Any condition possibly affecting oral drug absorption, e.g., gastrectomy, clinically significant diabetic gastroenteropathy, or certain types of bariatric surgery such as gastric bypass. Procedures such as gastric banding are not exclusionary.
  16. Unwillingness to refrain from weaves, hair extensions, or shaving of the scalp for at least two weeks prior to a study visit, at the discretion of the investigator, based on the ability to assess hair growth.
  17. Vaccination with a live or attenuated vaccine within 6 weeks prior to Baseline (Visit 2) or planned vaccination with these vaccines at any time during treatment or within 6 weeks following discontinuation of study medication.

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 identifier (NCT number): NCT03594227

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United States, Arkansas
Aclaris Investigator Site
Hot Springs, Arkansas, United States, 71913
Aclaris Investigator Site
Rogers, Arkansas, United States, 72758
United States, Colorado
Aclaris Investigator Site
Denver, Colorado, United States, 80210
United States, Florida
Aclaris Investigator Site
Boynton Beach, Florida, United States, 33472
Aclaris Investigator Site
Miami, Florida, United States, 33137
Aclaris Investigator Site
Sanford, Florida, United States, 32771
United States, Georgia
Aclaris Investigator Site
Snellville, Georgia, United States, 30078
United States, Michigan
Aclaris Investigator Site
Clinton Township, Michigan, United States, 48038
Aclaris Investigator Site
Detroit, Michigan, United States, 48202
United States, Minnesota
Aclaris Investigator Site
Fridley, Minnesota, United States, 55432
Aclaris Investigator Site
Minneapolis, Minnesota, United States, 55455
United States, Missouri
Aclaris Investigator Site
Saint Joseph, Missouri, United States, 64506
United States, Nebraska
Aclaris Investigator Site
Omaha, Nebraska, United States, 68144
United States, Nevada
Aclaris Investigator Site
Las Vegas, Nevada, United States, 89148
United States, New York
Aclaris Investigator Site
New York, New York, United States, 10075
Aclaris Investigator Site
Rochester, New York, United States, 14623
United States, Oregon
Aclaris Investigator Site
Portland, Oregon, United States, 97223
United States, South Carolina
Aclaris Investigator Site
Greenville, South Carolina, United States, 29607
United States, Tennessee
Aclaris Investigator Site
Knoxville, Tennessee, United States, 37922
Aclaris Investigator Site
Nashville, Tennessee, United States, 37215
United States, Texas
Aclaris Investigational Site
Austin, Texas, United States, 78745
Aclaris Investigator Site
Houston, Texas, United States, 77056
Aclaris Investigator Site
San Antonio, Texas, United States, 78213
United States, Virginia
Aclaris Investigator Site
Lynchburg, Virginia, United States, 24501
Aclaris Investigator Site
Norfolk, Virginia, United States, 23502
Sponsors and Collaborators
Aclaris Therapeutics, Inc.
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Study Chair: Susan Moran, RN Aclaris Therapeutics

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Responsible Party: Aclaris Therapeutics, Inc. Identifier: NCT03594227    
Other Study ID Numbers: ATI-501-AUAT-201
First Posted: July 20, 2018    Key Record Dates
Last Update Posted: July 2, 2019
Last Verified: July 2019
Individual Participant Data (IPD) Sharing Statement:
Plan to Share IPD: No

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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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Alopecia Areata
Hair Diseases
Skin Diseases
Pathological Conditions, Anatomical