NCT03011892

Brief Summary

The purpose of this study is to establish the efficacy of each strength of ruxolitinib cream once daily (QD) or twice daily (BID) in participants with atopic dermatitis as compared with vehicle cream BID.

Trial Health

90
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
307

participants targeted

Target at P75+ for phase_2

Timeline
Completed

Started Jan 2017

Shorter than P25 for phase_2

Geographic Reach
2 countries

52 active sites

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

First Submitted

Initial submission to the registry

January 3, 2017

Completed
2 days until next milestone

First Posted

Study publicly available on registry

January 5, 2017

Completed
4 days until next milestone

Study Start

First participant enrolled

January 9, 2017

Completed
1 year until next milestone

Primary Completion

Last participant's last visit for primary outcome

January 10, 2018

Completed
2 months until next milestone

Study Completion

Last participant's last visit for all outcomes

March 12, 2018

Completed
3.1 years until next milestone

Results Posted

Study results publicly available

April 9, 2021

Completed
Last Updated

April 9, 2021

Status Verified

March 1, 2021

Enrollment Period

1 year

First QC Date

January 3, 2017

Results QC Date

January 25, 2021

Last Update Submit

March 16, 2021

Conditions

Keywords

Atopic dermatitiseczemapruritusJanus kinase (JAK) inhibitors

Outcome Measures

Primary Outcomes (1)

  • Mean Percentage Change From Baseline in Eczema Area and Severity Index (EASI) Score at Week 4 in Participants Treated With Ruxolitinib 1.5% Cream Twice a Day (BID) Compared With Participants Treated With Vehicle Cream BID

    EASI is a validated composite scoring system integrating the proportion of the body region (area) involved and the intensity of key signs of atopic dermatitis (AD). The EASI score examines 4 areas of the body and weights them for participants 8 years of age and older as follows: Head/Neck (H) = 0.1, Upper limbs (UL) = 0.2, Trunk (T) = 0.3, and Lower limbs (LL) = 0.4. The severity strata for the EASI 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. The total EASI score for each region is calculated by multiplying the severity score by the area score, with adjustment for the proportion of the body region to the whole body. The total EASI score ranges from 0 to 72. A higher score indicated worse disease status, and a negative change from baseline indicated improvement.

    Baseline and Week 4

Secondary Outcomes (9)

  • Mean Percentage Change From Baseline in EASI Score at Week 4 in Participants Treated With Ruxolitinib QD Compared With Participants Treated With Vehicle Cream BID

    Baseline and Week 4

  • Mean Percentage Change From Baseline in EASI Score at Week 4 in Participants Treated With Ruxolitinib QD/BID Cream Compared With Participants Treated With Triamcinolone 0.1% Cream BID Followed by Vehicle

    Baseline and Week 4

  • Mean Percentage Change From Baseline in EASI Score at Week 2 and Week 8

    Baseline, Week 2 and 8

  • Percentage of Participants Who Achieve a ≥ 50% Improvement From Baseline in EASI (EASI-50) at Weeks 2, 4, and 8

    Week 2, 4 and 8

  • Percentage Change From Baseline in EASI Score at Week 4

    Baseline and Week 4

  • +4 more secondary outcomes

Study Arms (12)

Double Blind (DB): Vehicle BID

PLACEBO COMPARATOR

Participants applied vehicle cream twice daily (BID) for 8 weeks DB period.

Drug: Vehicle Cream BID

DB: Triamcinolone (TAC) 0.1% BID/Vehicle Cream BID

ACTIVE COMPARATOR

Participants applied triamcinolone 0.1% cream BID for 4 weeks followed by vehicle cream for 4 weeks in DB period.

Drug: Triamcinolone 0.1% Cream BIDDrug: Vehicle Cream BID

DB: Ruxolitinib 0.15% Once Daily (QD)

EXPERIMENTAL

Participants applied ruxolitinib 0.15% cream QD for 8 weeks in DB period.

Drug: Ruxolitinib 0.15% Cream QD

DB: Ruxolitinib 0.5% QD

EXPERIMENTAL

Participants applied ruxolitinib 0.5% cream QD for 8 weeks in DB period.

Drug: Ruxolitinib 0.5% Cream QD

DB: Ruxolitinib 1.5% QD

EXPERIMENTAL

Participants applied ruxolitinib 1.5% cream QD for 8 weeks in DB period.

Drug: Ruxolitinib 1.5% Cream QD

DB: Ruxolitinib 1.5% BID

EXPERIMENTAL

Participants applied ruxolitinib 1.5% cream BID for 8 weeks in DB period.

Drug: Ruxolitinib 1.5% Cream BID

Open-Label (OL): Vehicle BID to Ruxolitinib 1.5% BID

PLACEBO COMPARATOR

Following DB Period, at Week 8, participants who met criteria (compliant with the protocol and no safety concerns) received open-label treatment with ruxolitinib 1.5% cream BID for 4 weeks.

Drug: Ruxolitinib 1.5% Cream BID

OL: TAC BID/Vehicle BID to Ruxolitinib 1.5% BID

ACTIVE COMPARATOR

Following DB Period, at Week 8, participants who met criteria (compliant with the protocol and no safety concerns) received open-label treatment with ruxolitinib 1.5% cream BID for 4 weeks.

Drug: Ruxolitinib 1.5% Cream BID

OL: Ruxolitinib 0.15% QD to Ruxolitinib 1.5% BID

EXPERIMENTAL

Following DB Period, at Week 8, participants who met criteria (compliant with the protocol and no safety concerns) received open-label treatment with ruxolitinib 1.5% cream BID for 4 weeks.

Drug: Ruxolitinib 1.5% Cream BID

OL: Ruxolitinib 0.5% QD to Ruxolitinib 1.5% BID

EXPERIMENTAL

Following DB Period, at Week 8, participants who met criteria (compliant with the protocol and no safety concerns) received open-label treatment with ruxolitinib 1.5% cream BID for 4 weeks.

Drug: Ruxolitinib 1.5% Cream BID

OL: Ruxolitinib 1.5% QD to Ruxolitinib 1.5% BID

EXPERIMENTAL

Following DB Period, at Week 8, participants who met criteria (compliant with the protocol and no safety concerns) received open-label treatment with ruxolitinib 1.5% cream BID for 4 weeks.

Drug: Ruxolitinib 1.5% Cream BID

OL: Ruxolitinib 1.5% BID to Ruxolitinib 1.5% BID

EXPERIMENTAL

Following DB Period, at Week 8, participants who met criteria (compliant with the protocol and no safety concerns) received open-label treatment with ruxolitinib 1.5% cream BID for 4 weeks.

Drug: Ruxolitinib 1.5% Cream BID

Interventions

Ruxolitinib 0.15% cream QD

Also known as: INCB018424
DB: Ruxolitinib 0.15% Once Daily (QD)

Ruxolitinib 0.5% cream QD

Also known as: INCB018424
DB: Ruxolitinib 0.5% QD

Ruxolitinib 1.5% cream QD

Also known as: INCB018424
DB: Ruxolitinib 1.5% QD

Ruxolitinib 1.5% cream BID

Also known as: INCB018424
DB: Ruxolitinib 1.5% BIDOL: Ruxolitinib 0.15% QD to Ruxolitinib 1.5% BIDOL: Ruxolitinib 0.5% QD to Ruxolitinib 1.5% BIDOL: Ruxolitinib 1.5% BID to Ruxolitinib 1.5% BIDOL: Ruxolitinib 1.5% QD to Ruxolitinib 1.5% BIDOL: TAC BID/Vehicle BID to Ruxolitinib 1.5% BIDOpen-Label (OL): Vehicle BID to Ruxolitinib 1.5% BID

Triamcinolone 0.1% cream BID

DB: Triamcinolone (TAC) 0.1% BID/Vehicle Cream BID

Vehicle cream BID

DB: Triamcinolone (TAC) 0.1% BID/Vehicle Cream BIDDouble Blind (DB): Vehicle BID

Eligibility Criteria

Age18 Years - 70 Years
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Participants diagnosed with atopic dermatitis (AD) as defined by the Hanifin and Rajka criteria.
  • Participants with a history of AD for at least 2 years.
  • Participants with an Investigator's Global Assessment (IGA) score of 2 to 3 at screening and baseline.
  • Participants with body surface area (BSA) of AD involvement, excluding the face and intertriginous areas, of 3% to 20% at screening and baseline.
  • Participants who agree to discontinue all agents used to treat AD from screening through the final follow-up visit.

You may not qualify if:

  • Participants with evidence of active acute or chronic infections.
  • Use of topical treatments for AD (other than bland emollients) within 2 weeks of baseline.
  • Systemic immunosuppressive or immunomodulating drugs (eg, oral or injectable corticosteroids, methotrexate, cyclosporine, mycophenolate mofetil, azathioprine) within 4 weeks or 5 half-lives of baseline (whichever is longer).
  • Participants with other dermatologic disease besides AD whose presence or treatments could complicate the assessment of disease (eg, psoriasis).
  • Participants with a history of other diseases besides dermatologic disorders (eg, other autoimmune diseases) taking treatments that could complicate assessments.
  • Participants with cytopenias at screening, defined as:
  • Leukocytes \< 3.0 × 10\^9/L.
  • Neutrophils \< lower limit of normal.
  • Hemoglobin \< 10 g/dL.
  • Lymphocytes \< 0.8 × 10\^9/L
  • Platelets \< 100 × 10\^9/L.
  • Participants with severely impaired liver function (Child-Pugh Class C) or end-stage renal disease (ESRD) on dialysis or at least 1 of the following:
  • Serum creatinine \> 1.5 mg/dL.
  • Alanine aminotransferase (ALT) or aspartate aminotransferase (AST) ≥ 1.5 × upper limit of normal.
  • Participants taking potent systemic cytochrome P450 3A4 inhibitors or fluconazole within 2 weeks or 5 half-lives, whichever is longer, before the baseline visit (topical agents with limited systemic availability are permitted).
  • +1 more criteria

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (52)

UAB DERMATOLOGY, 2000 6th Avenue South

Birmingham, Alabama, 35233, United States

Location

BURKE PHARMACEUTICAL RESEARCH, 601 W. Commerce

Bryant, Arkansas, 72022, United States

Location

ENCINO RESEARCH CENTER, 16133 Ventura Blvd

Encino, California, 91436, United States

Location

DERMATOLOGY RESEARCH ASSOCIATES,8930 South Sepulveda Blvd

Los Angeles, California, 90045, United States

Location

DERMATOLOGY SPECIALISTS, INC, 3629 Vista Way

Oceanside, California, 92056, United States

Location

INTEGRATED RESEARCH GROUP, INC, 4646 Brockton Avenue

Riverside, California, 92506, United States

Location

SAN LUIS DERMATOLOGY AND LASER CLINIC, 15 Santa Rosa Street

San Luis Obispo, California, 93405, United States

Location

NEW ENGLAND RESEARCH ASSOCIATES LLC, 5520 Park Avenue

Trumbull, Connecticut, 06611, United States

Location

DS RESEARCH, 2241 Green Valley Road

New Albany, Indiana, 47150, United States

Location

THE INDIANA CLINICAL TRIALS CENTER, 824 Edwards Drive

Plainfield, Indiana, 46168, United States

Location

DERMRESEARCH, 1169 Eastern Parkway 2310

Louisville, Kentucky, 40217, United States

Location

DS RESEARCH, 3810 Springhurst Blvd

Louisville, Kentucky, 40241, United States

Location

ACTIVMED PRACTICES & RESEARCH, INC, 138 Conant Street

Beverly, Massachusetts, 01915, United States

Location

TUFTS MEDICAL CENTER, 800 Washington Street

Boston, Massachusetts, 02111, United States

Location

HENRY FORD HOSPITAL, 3031 West Grand Blvd

Detroit, Michigan, 48202, United States

Location

WASHINGTON UNIVERSITY - DERMATOLOGY, 4921 Parkview Place

St Louis, Missouri, 63110, United States

Location

WASHINGTON UNIVERSITY - DERMATOLOGY, 969 Mason Road

St Louis, Missouri, 63141, United States

Location

ACTIVMED PRACTICES AND RESEARCH, INC, 110 Corporate Drive

Portsmouth, New Hampshire, 03801, United States

Location

HASSMAN RESEARCH INSTITUTE, LLC, 175 Cross Keys Road

Berlin, New Jersey, 08009, United States

Location

DERMATOLOGY CONSULTING SERVICES, PLLC, 2444 North Main Street

High Point, North Carolina, 27262, United States

Location

WAKE RESEARCH ASSOCIATES LLC, 3100 Duraleigh Road

Raleigh, North Carolina, 27612, United States

Location

DERMATOLOGISTS OF GREATER COLUMBUS, 2359 East Main Street

Bexley, Ohio, 43209, United States

Location

RAPID MEDICAL RESEARCH, INC, 3619 Park East Drive

Cleveland, Ohio, 44122, United States

Location

CENTRAL SOONER RESEARCH, 900 North Porter

Norman, Oklahoma, 73071, United States

Location

PARISH DERMATOLOGY, INC, 1845 Walnut Street

Philadelphia, Pennsylvania, 19103, United States

Location

PEAK RESEARCH LLC, 2589 Washington Rd

Upper Saint Clair, Pennsylvania, 15241, United States

Location

ARLINGTON RESEARCH CENTER, INC, 711 East Lamar Blvd

Arlington, Texas, 76011, United States

Location

DERMRESEARCH INC., 8140 North Mopac Expressway

Austin, Texas, 78759, United States

Location

J&S STUDIES, INC, 1710 Crescent Pointe Pkwy

College Station, Texas, 77845, United States

Location

CENTER FOR CLINICAL STUDIES (CCS), 1401 Binz

Houston, Texas, 77004, United States

Location

SUZANNE BRUCE AND ASSOCIATES, PA, 1900 St. James Place

Houston, Texas, 77056, United States

Location

CLINICAL TRIALS OF TEXAS, INC, 7940 Floyd Curl Drive

San Antonio, Texas, 78229, United States

Location

DERMATOLOGY CLINICAL RESEARCH CENTER OF SAN ANTONIO, 7810 Louis Pasteur

San Antonio, Texas, 78229, United States

Location

CENTER FOR CLINICAL STUDIES, 451 North Texas Avenue

Webster, Texas, 77598, United States

Location

CHARLOTTESVILLE DERMATOLOGY, 600 Peter Jefferson Parkway

Charlottesville, Virginia, 22911, United States

Location

INSTITUTE FOR SKIN ADVANCEMENT, 4935 40th Avenue Nw

Calgary, Alberta, T3A 2N1, Canada

Location

DR. CHIH-HO HONG MEDICAL INC., 15300 105 Avenue

Surrey, British Columbia, V3R 6A7, Canada

Location

WISEMAN DERMATOLOGY RESEARCH INC, 6 - 1170 Taylor Avenue

Winnipeg, Manitoba, R3M 3Z4, Canada

Location

CCA MEDICAL RESEARCH, 95 Bayly Street West

Ajax, Ontario, L1S 7K8, Canada

Location

SIMCODERM MEDICAL AND SURGICAL DERMATOLOGY CENTER, 5 Quarry Ridge Road

Barrie, Ontario, L4M 7G1, Canada

Location

LYNDERM RESEARCH INC, 25 Main Street Markham North

Markham, Ontario, L3P 1X2, Canada

Location

DERMEDGE RESEARCH INC., 333 Lakeshore Road West

Mississauga, Ontario, L5H 1G9, Canada

Location

NORTH BAY DERMATOLOGY CENTRE, 500 Cassells Street

North Bay, Ontario, P1B 3Z7, Canada

Location

RESEARCH BY ICLS, 1344 Cornwall Road

Oakville, Ontario, L6J 7W5, Canada

Location

OFFICE OF DR. MICHAEL ROBERN, 1 Centrepointe Drive

Ottawa, Ontario, K2G 6E2, Canada

Location

SKIN CENTRE FOR DERMATOLOGY, 775 Monaghan Road

Peterborough, Ontario, K9J 5K2, Canada

Location

YORK DERMATOLOGY CENTER, 250 Harding Blvd West

Richmond Hill, Ontario, L4C 9M7, Canada

Location

RESEARCH TORONTO, 208 Bloor Street West

Toronto, Ontario, M5Sz 2B4, Canada

Location

K. PAPP CLINICAL RESEARCH, 135 Union Street East

Waterloo, Ontario, N2J 1C4, Canada

Location

XLR8 MEDICAL RESEARCH, 2425 Tecumseh Road East

Windsor, Ontario, N8W 1E6, Canada

Location

WINDSOR CLINICAL RESEARCH INC, 2224 Walker Road

Windsor, Ontario, N8W 5L7, Canada

Location

CLINIQUE DERMATOLOGIQUE DE SAINT-JEROME, 555 Boul. Saint-antoine

Saint-Jérôme, Quebec, J7Z 3B8, Canada

Location

Related Publications (2)

  • Gong X, Chen X, Kuligowski ME, Liu X, Liu X, Cimino E, McGee R, Yeleswaram S. Pharmacokinetics of Ruxolitinib in Patients with Atopic Dermatitis Treated With Ruxolitinib Cream: Data from Phase II and III Studies. Am J Clin Dermatol. 2021 Jul;22(4):555-566. doi: 10.1007/s40257-021-00610-x. Epub 2021 May 12.

  • Kim BS, Howell MD, Sun K, Papp K, Nasir A, Kuligowski ME; INCB 18424-206 Study Investigators. Treatment of atopic dermatitis with ruxolitinib cream (JAK1/JAK2 inhibitor) or triamcinolone cream. J Allergy Clin Immunol. 2020 Feb;145(2):572-582. doi: 10.1016/j.jaci.2019.08.042. Epub 2019 Oct 17.

MeSH Terms

Conditions

Dermatitis, AtopicEczemaPruritus

Interventions

ruxolitinibTriamcinolone

Condition Hierarchy (Ancestors)

Skin Diseases, GeneticGenetic Diseases, InbornCongenital, Hereditary, and Neonatal Diseases and AbnormalitiesDermatitisSkin DiseasesSkin and Connective Tissue DiseasesSkin Diseases, EczematousHypersensitivity, ImmediateHypersensitivityImmune System DiseasesSkin ManifestationsSigns and SymptomsPathological Conditions, Signs and Symptoms

Intervention Hierarchy (Ancestors)

PregnadienesPregnanesSteroidsFused-Ring CompoundsPolycyclic CompoundsSteroids, Fluorinated

Results Point of Contact

Title
Study Director
Organization
Incyte Corporation

Study Officials

  • Michael Kuligowski, MD

    Incyte Corporation

    STUDY DIRECTOR

Publication Agreements

PI is Sponsor Employee
No
Restriction Type
OTHER
Restrictive Agreement
Yes

Study Design

Study Type
interventional
Phase
phase 2
Allocation
RANDOMIZED
Masking
TRIPLE
Who Masked
PARTICIPANT, INVESTIGATOR, OUTCOMES ASSESSOR
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR

Study Record Dates

First Submitted

January 3, 2017

First Posted

January 5, 2017

Study Start

January 9, 2017

Primary Completion

January 10, 2018

Study Completion

March 12, 2018

Last Updated

April 9, 2021

Results First Posted

April 9, 2021

Record last verified: 2021-03

Data Sharing

IPD Sharing
Will not share

Locations