A Study to Evaluate the Safety and Efficacy of Ruxolitinib Phosphate Cream Applied Topically to Adults With Atopic Dermatitis
A Phase 2, Randomized, Dose-Ranging, Vehicle-Controlled and Triamcinolone 0.1% Cream-Controlled Study to Evaluate the Safety and Efficacy of INCB018424 Phosphate Cream Applied Topically to Adults With Atopic Dermatitis
1 other identifier
interventional
307
2 countries
52
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
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for phase_2
Started Jan 2017
Shorter than P25 for phase_2
52 active sites
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
CompletedFirst Posted
Study publicly available on registry
January 5, 2017
CompletedStudy Start
First participant enrolled
January 9, 2017
CompletedPrimary Completion
Last participant's last visit for primary outcome
January 10, 2018
CompletedStudy Completion
Last participant's last visit for all outcomes
March 12, 2018
CompletedResults Posted
Study results publicly available
April 9, 2021
CompletedApril 9, 2021
March 1, 2021
1 year
January 3, 2017
January 25, 2021
March 16, 2021
Conditions
Keywords
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 COMPARATORParticipants applied vehicle cream twice daily (BID) for 8 weeks DB period.
DB: Triamcinolone (TAC) 0.1% BID/Vehicle Cream BID
ACTIVE COMPARATORParticipants applied triamcinolone 0.1% cream BID for 4 weeks followed by vehicle cream for 4 weeks in DB period.
DB: Ruxolitinib 0.15% Once Daily (QD)
EXPERIMENTALParticipants applied ruxolitinib 0.15% cream QD for 8 weeks in DB period.
DB: Ruxolitinib 0.5% QD
EXPERIMENTALParticipants applied ruxolitinib 0.5% cream QD for 8 weeks in DB period.
DB: Ruxolitinib 1.5% QD
EXPERIMENTALParticipants applied ruxolitinib 1.5% cream QD for 8 weeks in DB period.
DB: Ruxolitinib 1.5% BID
EXPERIMENTALParticipants applied ruxolitinib 1.5% cream BID for 8 weeks in DB period.
Open-Label (OL): Vehicle BID to Ruxolitinib 1.5% BID
PLACEBO COMPARATORFollowing 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.
OL: TAC BID/Vehicle BID to Ruxolitinib 1.5% BID
ACTIVE COMPARATORFollowing 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.
OL: Ruxolitinib 0.15% QD to Ruxolitinib 1.5% BID
EXPERIMENTALFollowing 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.
OL: Ruxolitinib 0.5% QD to Ruxolitinib 1.5% BID
EXPERIMENTALFollowing 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.
OL: Ruxolitinib 1.5% QD to Ruxolitinib 1.5% BID
EXPERIMENTALFollowing 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.
OL: Ruxolitinib 1.5% BID to Ruxolitinib 1.5% BID
EXPERIMENTALFollowing 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.
Interventions
Ruxolitinib 0.15% cream QD
Ruxolitinib 0.5% cream QD
Ruxolitinib 1.5% cream QD
Ruxolitinib 1.5% cream BID
Triamcinolone 0.1% cream BID
Vehicle cream BID
Eligibility Criteria
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
BURKE PHARMACEUTICAL RESEARCH, 601 W. Commerce
Bryant, Arkansas, 72022, United States
ENCINO RESEARCH CENTER, 16133 Ventura Blvd
Encino, California, 91436, United States
DERMATOLOGY RESEARCH ASSOCIATES,8930 South Sepulveda Blvd
Los Angeles, California, 90045, United States
DERMATOLOGY SPECIALISTS, INC, 3629 Vista Way
Oceanside, California, 92056, United States
INTEGRATED RESEARCH GROUP, INC, 4646 Brockton Avenue
Riverside, California, 92506, United States
SAN LUIS DERMATOLOGY AND LASER CLINIC, 15 Santa Rosa Street
San Luis Obispo, California, 93405, United States
NEW ENGLAND RESEARCH ASSOCIATES LLC, 5520 Park Avenue
Trumbull, Connecticut, 06611, United States
DS RESEARCH, 2241 Green Valley Road
New Albany, Indiana, 47150, United States
THE INDIANA CLINICAL TRIALS CENTER, 824 Edwards Drive
Plainfield, Indiana, 46168, United States
DERMRESEARCH, 1169 Eastern Parkway 2310
Louisville, Kentucky, 40217, United States
DS RESEARCH, 3810 Springhurst Blvd
Louisville, Kentucky, 40241, United States
ACTIVMED PRACTICES & RESEARCH, INC, 138 Conant Street
Beverly, Massachusetts, 01915, United States
TUFTS MEDICAL CENTER, 800 Washington Street
Boston, Massachusetts, 02111, United States
HENRY FORD HOSPITAL, 3031 West Grand Blvd
Detroit, Michigan, 48202, United States
WASHINGTON UNIVERSITY - DERMATOLOGY, 4921 Parkview Place
St Louis, Missouri, 63110, United States
WASHINGTON UNIVERSITY - DERMATOLOGY, 969 Mason Road
St Louis, Missouri, 63141, United States
ACTIVMED PRACTICES AND RESEARCH, INC, 110 Corporate Drive
Portsmouth, New Hampshire, 03801, United States
HASSMAN RESEARCH INSTITUTE, LLC, 175 Cross Keys Road
Berlin, New Jersey, 08009, United States
DERMATOLOGY CONSULTING SERVICES, PLLC, 2444 North Main Street
High Point, North Carolina, 27262, United States
WAKE RESEARCH ASSOCIATES LLC, 3100 Duraleigh Road
Raleigh, North Carolina, 27612, United States
DERMATOLOGISTS OF GREATER COLUMBUS, 2359 East Main Street
Bexley, Ohio, 43209, United States
RAPID MEDICAL RESEARCH, INC, 3619 Park East Drive
Cleveland, Ohio, 44122, United States
CENTRAL SOONER RESEARCH, 900 North Porter
Norman, Oklahoma, 73071, United States
PARISH DERMATOLOGY, INC, 1845 Walnut Street
Philadelphia, Pennsylvania, 19103, United States
PEAK RESEARCH LLC, 2589 Washington Rd
Upper Saint Clair, Pennsylvania, 15241, United States
ARLINGTON RESEARCH CENTER, INC, 711 East Lamar Blvd
Arlington, Texas, 76011, United States
DERMRESEARCH INC., 8140 North Mopac Expressway
Austin, Texas, 78759, United States
J&S STUDIES, INC, 1710 Crescent Pointe Pkwy
College Station, Texas, 77845, United States
CENTER FOR CLINICAL STUDIES (CCS), 1401 Binz
Houston, Texas, 77004, United States
SUZANNE BRUCE AND ASSOCIATES, PA, 1900 St. James Place
Houston, Texas, 77056, United States
CLINICAL TRIALS OF TEXAS, INC, 7940 Floyd Curl Drive
San Antonio, Texas, 78229, United States
DERMATOLOGY CLINICAL RESEARCH CENTER OF SAN ANTONIO, 7810 Louis Pasteur
San Antonio, Texas, 78229, United States
CENTER FOR CLINICAL STUDIES, 451 North Texas Avenue
Webster, Texas, 77598, United States
CHARLOTTESVILLE DERMATOLOGY, 600 Peter Jefferson Parkway
Charlottesville, Virginia, 22911, United States
INSTITUTE FOR SKIN ADVANCEMENT, 4935 40th Avenue Nw
Calgary, Alberta, T3A 2N1, Canada
DR. CHIH-HO HONG MEDICAL INC., 15300 105 Avenue
Surrey, British Columbia, V3R 6A7, Canada
WISEMAN DERMATOLOGY RESEARCH INC, 6 - 1170 Taylor Avenue
Winnipeg, Manitoba, R3M 3Z4, Canada
CCA MEDICAL RESEARCH, 95 Bayly Street West
Ajax, Ontario, L1S 7K8, Canada
SIMCODERM MEDICAL AND SURGICAL DERMATOLOGY CENTER, 5 Quarry Ridge Road
Barrie, Ontario, L4M 7G1, Canada
LYNDERM RESEARCH INC, 25 Main Street Markham North
Markham, Ontario, L3P 1X2, Canada
DERMEDGE RESEARCH INC., 333 Lakeshore Road West
Mississauga, Ontario, L5H 1G9, Canada
NORTH BAY DERMATOLOGY CENTRE, 500 Cassells Street
North Bay, Ontario, P1B 3Z7, Canada
RESEARCH BY ICLS, 1344 Cornwall Road
Oakville, Ontario, L6J 7W5, Canada
OFFICE OF DR. MICHAEL ROBERN, 1 Centrepointe Drive
Ottawa, Ontario, K2G 6E2, Canada
SKIN CENTRE FOR DERMATOLOGY, 775 Monaghan Road
Peterborough, Ontario, K9J 5K2, Canada
YORK DERMATOLOGY CENTER, 250 Harding Blvd West
Richmond Hill, Ontario, L4C 9M7, Canada
RESEARCH TORONTO, 208 Bloor Street West
Toronto, Ontario, M5Sz 2B4, Canada
K. PAPP CLINICAL RESEARCH, 135 Union Street East
Waterloo, Ontario, N2J 1C4, Canada
XLR8 MEDICAL RESEARCH, 2425 Tecumseh Road East
Windsor, Ontario, N8W 1E6, Canada
WINDSOR CLINICAL RESEARCH INC, 2224 Walker Road
Windsor, Ontario, N8W 5L7, Canada
CLINIQUE DERMATOLOGIQUE DE SAINT-JEROME, 555 Boul. Saint-antoine
Saint-Jérôme, Quebec, J7Z 3B8, Canada
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.
PMID: 33982267DERIVEDKim 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.
PMID: 31629805DERIVED
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Results Point of Contact
- Title
- Study Director
- Organization
- Incyte Corporation
Study Officials
- STUDY DIRECTOR
Michael Kuligowski, MD
Incyte Corporation
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