A Single and Multiple Ascending Dose Trial of KT-474 in Healthy Adult Volunteers and Patients With Atopic Dermatitis (AD) or Hidradenitis Suppurativa (HS)
A Phase 1 Randomized, Placebo-controlled, Single and Multiple Ascending Dose Trial to Evaluate the Safety, Tolerability, Pharmacokinetics, and Pharmacodynamics of Orally Administered KT-474 in Healthy Adult Volunteers and Patients With Atopic Dermatitis (AD) or Hidradenitis Suppurativa (HS)
KT-474 is an oral heterobifunctional small molecule IRAK4 degrader being developed for the treatment of interleukin-1 receptor (IL-1R)/toll-like receptor (TLR)-driven immune-inflammatory diseases. This first-in-human (FIH) study will characterize the safety, tolerability and the pharmacokinetics/pharmacodynamics (PK/PD) of a single ascending dose and multiple ascending doses of KT-474 in healthy volunteers and patients with atopic dermatitis (AD) or hidradenitis suppurativa (HS). The effects of food on the absorption of KT-474 will also be evaluated in healthy volunteers.
Registry Overview
Registry-reported information. Elapsed time and enrollment totals alone do not measure study progress or recruitment pace.
Recruitment status
completed
Actual enrollment (reported)
154 participants
Study completion date
October 20, 2022
Actual (reported)
Listed locations
1 countries · 14 sites
Trial Relationships
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Related Scientific Literature
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Study Timeline
Dates and qualifiers reported by the registry. Estimated dates do not confirm that a milestone has occurred.
Incidence and severity of treatment emergent Adverse Events
up to 28 days
Incidence and frequency of use of concomitant medication
up to 28 days
Secondary Outcomes (10)
Area under the curve plasma concentration from time zero to infinity [AUC(0-∞)] (single dose only)
up to 28 days
Area under the curve plasma concentration from time zero to last measurable concentration [AUC(0-last)]
up to 28 days
Area under the plasma concentration-time curve during a dosing interval [AUC(0-tau)]
up to 28 days
Maximum observed plasma concentration (Cmax)
up to 28 days
Time to maximum observed plasma concentration (Tmax)
up to 28 days
+5 more secondary outcomes
Other Outcomes (4)
IRAK4 levels in peripheral blood mononuclear cells
up to 28 days
IRAK4 levels in skin
up to 28 days
Percentage Change from baseline in Total Abscess and Inflammatory Nodule (AN) Count, Skin Pain Numerical Rating Scale (NRS), Peak pruritis NRS, and HS Physician's Global Assessment (HS-PGA) in HS patients
up to 42 days
+1 more other outcomes
Study Arms (5)
Single ascending dose cohorts in healthy subjects
EXPERIMENTAL
Healthy volunteer subject cohorts randomized 6:2 receiving a single dose of KT-474 or placebo. The first cohort will receive 25 mg of KT-474 or placebo. Dose escalation will occur if KT-474 or placebo is tolerated.
Drug: KT-474/Placebo
Multiple ascending dose cohorts in healthy subjects
EXPERIMENTAL
Healthy volunteer subject cohorts randomized 9:3 to receive KT-474 or placebo for 14 days continuous dosing. The first cohort will receive a dose of KT-474 or placebo determined to be safe based on data generated in the SAD portion.
Drug: KT-474/Placebo
Food Effect Cohort in healthy subjects
EXPERIMENTAL
Interventions
KT-474/PlaceboDrug
KT-474 or matching placebo oral tablet(s)
Food Effect Cohort in healthy subjectsMultiple ascending dose cohorts in healthy subjectsMultiple dose cohorts in healthy subjectsSingle ascending dose cohorts in healthy subjects
KT-474Drug
Eligibility Criteria
Age18 Years - 55 Years
Sexall
Healthy VolunteersYes
Age GroupsAdult (18-64)
You may qualify if:
Male and female subjects, including female subjects of child bearing potential, between the ages of 18 and 55 with a weight at least 50 kg and a body mass index (BMI) between 18.0 and 30.0 kg/m2.
Subjects confirmed as negative in severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection test at Screening and on Day -2.
Agarwal S, McDonald AA, Campbell V, Chen D, Davis J, Rong H, Mishkin A, Slavin A, Gollerkeri A, Gollob JA. Pharmacokinetics and Pharmacodynamics of KT-474, a Novel Selective Interleukin-1 Receptor-Associated Kinase 4 (IRAK4) Degrader, in Healthy Adults. Clin Transl Sci. 2025 Mar;18(3):e70181. doi: 10.1111/cts.70181.
Ackerman L, Acloque G, Bacchelli S, Schwartz H, Feinstein BJ, La Stella P, Alavi A, Gollerkeri A, Davis J, Campbell V, McDonald A, Agarwal S, Karnik R, Shi K, Mishkin A, Culbertson J, Klaus C, Enerson B, Massa V, Kuhn E, Sharma K, Keaney E, Barnes R, Chen D, Zheng X, Rong H, Sabesan V, Ho C, Mainolfi N, Slavin A, Gollob JA. IRAK4 degrader in hidradenitis suppurativa and atopic dermatitis: a phase 1 trial. Nat Med. 2023 Dec;29(12):3127-3136. doi: 10.1038/s41591-023-02635-7. Epub 2023 Nov 13.
Healthy Volunteer SAD subject cohorts (up to 5) will receive a single dose of KT-474 in the fed state.
Drug: KT-474/Placebo
Multiple dose cohort in HS and AD patients
EXPERIMENTAL
A single cohort of up to 30 patients with AD or HS to receive a dose of KT-474 determined to be safe based on data generated in the healthy volunteer MAD portion, dosed daily X 28 days.
Drug: KT-474
Multiple dose cohorts in healthy subjects
EXPERIMENTAL
Healthy volunteer subject cohorts randomized 9:3 to receive KT-474 or placebo every other day over 14 days, and/or twice weekly over 15 days. The first cohort will receive a dose of KT-474 or placebo determined to be safe based on data generated in the SAD and MAD portion.
Drug: KT-474/Placebo
KT-474 oral tablet(s)
Multiple dose cohort in HS and AD patients
Registry-reported names are shown in full. Names without a link have not yet been matched to a Syfrah profile.
Evidence of a personally signed and dated informed consent document indicating that the subject has been informed of all pertinent aspects of the study.
Agreement and ability to comply with all contraception requirements if applicable.
All subjects must be willing and able to comply with scheduled visits, treatment plan, laboratory tests, and other study procedures.
You may not qualify if:
Evidence or history of a clinically significant medical condition or other condition that might significantly interfere with the absorption, distribution, metabolism, or excretion of study drug, or place the subject at an unacceptable risk as a participant in this study.
Healthy volunteers who have a clinically relevant history or presence of respiratory, GI, renal, hepatic, hematological, lymphatic, neurological, cardiovascular, psychiatric, musculoskeletal, genitourinary, immunological, dermatological, or connective tissue diseases or disorders.
Healthy volunteers who have any known factor, condition, or disease that might interfere with treatment compliance, study conduct or interpretation of the results such as drug or alcohol dependence or psychiatric disease.
Female Healthy volunteers who are pregnant, trying to become pregnant or lactating or breastfeeding.
Healthy volunteers who have participated in any investigational drug or device clinical study within 3 months prior to first dosing on this study.
Healthy volunteers who have previously participated in a study with an investigational product or device involving the dosing of a biological targeted at any immune pathway within 1 year prior to Screening.
Male or female patients aged 18 years to 55 years (inclusive) at the time of Screening, and in generally good health, except for AD or HS, and has a BMI of 17.5 to 35.0 kg/m2; and a total body weight \>50 kg (110 lb).
Diagnosis of AD or HS for at least 6 months.
Patients with AD: having at least 10% treatable percentage body surface area at Screening or on Admission (excluding the scalp and designated venous access areas).
Willingness and ability to comply with all contraception requirements as applicable based on reproductive status.
Has adequate venous access with venous access sites having AD-unaffected, non-infected skin to permit repeated PK sampling.
Female patients must have a negative result for the serum pregnancy test at the Screening Visit and on admission.
Evidence of a personally signed and dated informed consent document indicating that the patient has been informed of all pertinent aspects of the study.
Patients who are willing and able to comply with scheduled visits, treatment plan, laboratory tests, and other study procedures.
Patients with HS: A total Abscess and Inflammatory Nodule count of ≥4 at baseline
+10 more criteria
Contact the study team to confirm eligibility.
Hollywood, Florida, 33021, United States
Encore Medical Research, LLC. - Weston
Weston, Florida, 33331, United States
Dermatology and Skin Cancer Center of Leawood
Leawood, Kansas, 66211, United States
Dermatology and Skin Cancer Center of Overland Park
Overland Park, Kansas, 66223, United States
Dermatology and Skin Cancer Center of Lee's Summit
Lee's Summit, Missouri, 64064, United States
TKL Research
Fair Lawn, New Jersey, 07410, United States
U.S. Dermatology Partners Jollyville
Austin, Texas, 78759, United States
U.S. Dermatology Partners Cedar Park
Cedar Park, Texas, 78613, United States
DERIVED
Bacterial Infections and Mycoses
Infections
Skin Diseases, Infectious
Suppuration
Hidradenitis
Sweat Gland Diseases
February 23, 2021
Actual (reported)
Primary Completion
October 20, 2022
Actual (reported)
Study Completion
October 20, 2022
Actual (reported)
Last Updated
October 24, 2022
Record last verified: 2022-10
Source record
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Source: ClinicalTrials.gov.
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