A Study of Oral Upadacitinib Tablet Compared to Placebo in Adult Participants With Moderate to Severe Hidradenitis Suppurativa to Assess Change in Disease Symptoms
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ClinicalTrials.gov Identifier: NCT04430855 |
Recruitment Status :
Completed
First Posted : June 12, 2020
Results First Posted : February 6, 2023
Last Update Posted : February 6, 2023
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Study Type | Interventional |
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Study Design | Allocation: Randomized; Intervention Model: Parallel Assignment; Masking: Quadruple (Participant, Care Provider, Investigator, Outcomes Assessor); Primary Purpose: Treatment |
Condition |
Hidradenitis Suppurativa (HS) |
Interventions |
Drug: Upadacitinib Drug: Placebo |
Enrollment | 68 |
Recruitment Details | Participants were enrolled at 21 study sites in 3 countries (Canada, Japan, and United States/Puerto Rico). |
Pre-assignment Details | Participants were randomized to upadacitinib or placebo in a 2:1 ratio. Randomization was stratified by anti-tumor necrosis factor (TNF) use prior to Baseline (yes or no) and Hurley stage (< III or III). |
Arm/Group Title | Placebo / Upadacitinib 15 mg | Upadacitinib 30 mg |
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Participants received matching placebo orally once a day for 12 weeks (Period 1) followed by 15 mg upadacitinib orally once a day for 36 weeks (Period 2). | Participants received 30 mg upadacitinib orally once a day for 12 weeks (Period 1) followed by 30 mg upadacitinib orally once a day for 36 weeks (Period 2). |
Period Title: Period 1 (Weeks 1-12) | ||
Started | 21 | 47 |
Received Study Drug | 21 | 47 |
Completed | 19 | 41 |
Not Completed | 2 | 6 |
Reason Not Completed | ||
Adverse Event | 1 | 0 |
Withdrawal by Subject | 1 | 2 |
Lost to Follow-up | 0 | 2 |
Lack of Efficacy | 0 | 1 |
Other | 0 | 1 |
Period Title: Period 2 (Weeks 12-48) | ||
Started | 19 | 41 |
Completed | 14 | 31 |
Not Completed | 5 | 10 |
Reason Not Completed | ||
Withdrawal by Subject | 2 | 5 |
Lost to Follow-up | 1 | 2 |
Lack of Efficacy | 2 | 3 |
Arm/Group Title | Placebo / Upadacitinib 15 mg | Upadacitinib 30 mg | Total | |
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Participants received matching placebo orally once a day for 12 weeks (Period 1) followed by 15 mg upadacitinib orally once a day for 36 weeks (Period 2). | Participants received 30 mg upadacitinib orally once a day for 12 weeks (Period 1) followed by 30 mg upadacitinib orally once a day for 36 weeks (Period 2). | Total of all reporting groups | |
Overall Number of Baseline Participants | 21 | 47 | 68 | |
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The Intent-to-treat (ITT) population includes all randomized participants
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Age, Continuous
Mean (Standard Deviation) Unit of measure: Years |
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Number Analyzed | 21 participants | 47 participants | 68 participants | |
36.6 (12.49) | 36.7 (11.70) | 36.6 (11.85) | ||
Age, Customized
Measure Type: Count of Participants Unit of measure: Participants |
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Number Analyzed | 21 participants | 47 participants | 68 participants | |
< 40 years |
15 71.4%
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29 61.7%
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44 64.7%
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40 - < 65 years |
5 23.8%
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17 36.2%
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22 32.4%
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≥ 65 years |
1 4.8%
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1 2.1%
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2 2.9%
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Sex: Female, Male
Measure Type: Count of Participants Unit of measure: Participants |
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Number Analyzed | 21 participants | 47 participants | 68 participants | |
Female |
16 76.2%
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37 78.7%
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53 77.9%
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Male |
5 23.8%
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10 21.3%
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15 22.1%
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Ethnicity (NIH/OMB)
Measure Type: Count of Participants Unit of measure: Participants |
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Number Analyzed | 21 participants | 47 participants | 68 participants | |
Hispanic or Latino |
5 23.8%
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9 19.1%
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14 20.6%
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Not Hispanic or Latino |
16 76.2%
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38 80.9%
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54 79.4%
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Unknown or Not Reported |
0 0.0%
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0 0.0%
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0 0.0%
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Race (NIH/OMB)
Measure Type: Count of Participants Unit of measure: Participants |
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Number Analyzed | 21 participants | 47 participants | 68 participants | |
American Indian or Alaska Native |
0 0.0%
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1 2.1%
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1 1.5%
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Asian |
3 14.3%
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3 6.4%
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6 8.8%
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Native Hawaiian or Other Pacific Islander |
0 0.0%
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0 0.0%
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0 0.0%
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Black or African American |
7 33.3%
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12 25.5%
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19 27.9%
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White |
11 52.4%
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30 63.8%
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41 60.3%
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More than one race |
0 0.0%
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1 2.1%
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1 1.5%
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Unknown or Not Reported |
0 0.0%
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0 0.0%
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0 0.0%
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Prior Exposure to Tumor Necrosis Factor (TNF) Antagonists
Measure Type: Count of Participants Unit of measure: Participants |
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Number Analyzed | 21 participants | 47 participants | 68 participants | |
Yes |
6 28.6%
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12 25.5%
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18 26.5%
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No |
15 71.4%
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35 74.5%
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50 73.5%
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Hurley Stage
[1] Measure Type: Count of Participants Unit of measure: Participants |
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Number Analyzed | 21 participants | 47 participants | 68 participants | |
Stage I |
1 4.8%
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0 0.0%
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1 1.5%
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Stage II |
11 52.4%
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24 51.1%
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35 51.5%
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Stage III |
9 42.9%
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23 48.9%
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32 47.1%
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[1]
Measure Description:
The Hurley staging system is a grading system to characterize the extent of disease in patients with hidradenitis suppurativa. Hurley stages are described as follows:
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Duration of Hidradenitis Suppurativa (HS) Disease
Mean (Standard Deviation) Unit of measure: Years |
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Number Analyzed | 21 participants | 47 participants | 68 participants | |
9.83 (4.990) | 11.52 (9.401) | 11.00 (8.290) | ||
Abscess Lesion Count
[1] Mean (Standard Deviation) Unit of measure: Abscess lesions |
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Number Analyzed | 21 participants | 47 participants | 68 participants | |
4.0 (3.29) | 4.8 (6.39) | 4.6 (5.60) | ||
[1]
Measure Description: Abscesses are lesions that contain fluid, are tender or painful, with or without drainage.
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Inflammatory Nodule Lesion Count
[1] Mean (Standard Deviation) Unit of measure: Nodule lesions |
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Number Analyzed | 21 participants | 47 participants | 68 participants | |
15.7 (12.77) | 18.4 (20.98) | 17.6 (18.78) | ||
[1]
Measure Description: Tender, small lumps under the skin that are inflamed or reddened,
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Draining Fistula Lesion Count
[1] Mean (Standard Deviation) Unit of measure: Draining fistula lesions |
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Number Analyzed | 21 participants | 47 participants | 68 participants | |
4.3 (6.17) | 3.4 (4.74) | 3.7 (5.19) | ||
[1]
Measure Description: Horizontal channels (or tunnels) below the skin that connect the lesions and open into a sore on the skin surface that releases fluid (pus).
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Abscess and Inflammatory Nodule (AN) Count
Mean (Standard Deviation) Unit of measure: Abscesses and inflammatory nodules |
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Number Analyzed | 21 participants | 47 participants | 68 participants | |
19.8 (12.87) | 23.2 (24.64) | 22.1 (21.65) | ||
Patient's Global Assessment (PGA) of Skin Pain Score
[1] [2] Mean (Standard Deviation) Unit of measure: Units on a scale |
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Number Analyzed | 20 participants | 45 participants | 65 participants | |
4.852 (3.3237) | 4.987 (2.7120) | 4.945 (2.8879) | ||
[1]
Measure Description:
Participants were asked to rate their worst skin pain in the last 24 hours on an 11-point numerical rating scale (NRS) ranging from 0 (no skin pain) to 10 (skin pain as bad as you can imagine) on a daily basis using an electronic diary. Baseline PGA skin pain score is defined as the last non-missing weekly average score, calculated based on the daily scores from the past 7 days (with non-missing values in 4 or more days of the 7 day period), before the date of the first administration of study drug. [2]
Measure Analysis Population Description: Participants with available data
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PGA Skin Pain Score In Participants with a Baseline Value ≥ 3
[1] [2] Mean (Standard Deviation) Unit of measure: Units on a scale |
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Number Analyzed | 12 participants | 33 participants | 45 participants | |
7.168 (2.0395) | 6.180 (2.1107) | 6.444 (2.1155) | ||
[1]
Measure Description:
Participants were asked to rate their worst skin pain in the last 24 hours on an 11-point numerical rating scale ranging from 0 (no skin pain) to 10 (skin pain as bad as you can imagine) on a daily basis using an electronic diary. Baseline PGA skin pain score is defined as the last non-missing weekly average score, calculated based on the daily scores from the past 7 days (with non-missing values in 4 or more days of the 7 day period), before the date of the first administration of study drug. [2]
Measure Analysis Population Description: Participants with a Baseline PGA skin pain score ≥ 3
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Name/Title: | Global Medical Services |
Organization: | AbbVie |
Phone: | 800-633-9110 |
EMail: | abbvieclinicaltrials@abbvie.com |
Responsible Party: | AbbVie |
ClinicalTrials.gov Identifier: | NCT04430855 |
Other Study ID Numbers: |
M20-040 |
First Submitted: | June 11, 2020 |
First Posted: | June 12, 2020 |
Results First Submitted: | January 10, 2023 |
Results First Posted: | February 6, 2023 |
Last Update Posted: | February 6, 2023 |