NCT05905783

Brief Summary

Izokibep is a small protein molecule that acts as a selective, potent inhibitor of interleukin 17A, to which it binds with high affinity. This study investigates izokibep in participants with active Hidradenitis Suppurativa (HS), including tumor necrosis factor-alpha inhibitor (TNFi) naïve participants, and those who had an inadequate response or intolerance to TNFi, or for whom TNFi is contraindicated.

Trial Health

63
Monitor

Trial Health Score

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

Enrollment
258

participants targeted

Target at P50-P75 for phase_3

Timeline
Completed

Started Jun 2023

Geographic Reach
8 countries

98 active sites

Status
terminated

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

June 7, 2023

Completed
8 days until next milestone

First Posted

Study publicly available on registry

June 15, 2023

Completed
7 days until next milestone

Study Start

First participant enrolled

June 22, 2023

Completed
1.1 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

July 24, 2024

Completed
6 months until next milestone

Study Completion

Last participant's last visit for all outcomes

January 27, 2025

Completed
9 months until next milestone

Results Posted

Study results publicly available

October 15, 2025

Completed
Last Updated

October 15, 2025

Status Verified

December 1, 2024

Enrollment Period

1.1 years

First QC Date

June 7, 2023

Results QC Date

September 8, 2025

Last Update Submit

September 29, 2025

Conditions

Outcome Measures

Primary Outcomes (1)

  • Percentage of Participants Achieving Hidradenitis Suppurativa Clinical Response 75 (HiSCR75) at Week 12

    The percentage of participants achieving HiSCR75 was defined as meeting all 3 criteria below: * (\[abscess and inflammatory nodule (AN) count at baseline - AN count at current visit\] / AN count at baseline) × 100% ≥ 75% * Abscess count at baseline ≥ abscess count at the current visit * Draining fistula count at baseline ≥ draining fistula count at the current visit. HiSCR75 was evaluated using nonresponse imputation (NRI) and multiple imputation (MI) methods.

    Week 12

Secondary Outcomes (9)

  • Percentage of Participants Achieving HiSCR90 at Week 12

    Week 12

  • Percentage of Participants Achieving HiSCR100 at Week 12

    Week 12

  • Percentage of Participants Achieving HiSCR50 at Week 12

    Week 12

  • Percentage of Participants Who Experienced One or More (≥ 1) Disease Flare at Week 12

    Up to Week 12

  • Change From Baseline in Dermatology Life Quality Index (DLQI)

    Baseline and Week 12

  • +4 more secondary outcomes

Study Arms (2)

Group 1

EXPERIMENTAL

Participants will receive placebo as a subcutaneous (SC) injection every week (QW) from Day 1 to Week 15. Participants will then receive izokibep as a SC injection QW from Week 16 to Week 51.

Drug: PlaceboDrug: Izokibep

Group 2

EXPERIMENTAL

Participants will receive izokibep QW from Day 1 to Week 51.

Drug: Izokibep

Interventions

Solution for injection

Group 1

Solution for injection

Group 1Group 2

Eligibility Criteria

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

You may qualify if:

  • General
  • Participant has provided signed informed consent including consenting to comply with the requirements and restrictions listed in the informed consent form (ICF) and in protocol
  • years of age or older
  • No known history of active tuberculosis unless adequately treated according to World Health Organization/Center for Disease Control and Prevention therapeutic guidance and determined to be fully recovered by a tuberculosis specialist
  • Type of Participant and Disease Characteristics
  • Diagnosis of HS for ≥ 6 months prior to first dose of study drug
  • Hidradenitis suppurativa lesions present in ≥ 2 distinct anatomic areas, one of which is Hurley Stage II or Hurley Stage III
  • A total AN count of ≥ 5 at screening and Day 1 prior to enrollment/randomization
  • Participant must have had an inadequate response to oral antibiotics OR exhibited recurrence after discontinuation to, OR demonstrated intolerance to, OR have a contraindication to oral antibiotics for treatment of their HS
  • Must agree to use daily or a minimum of 3 days a week over-the-counter topical antiseptics
  • Participant must be willing to complete a daily skin pain diary

You may not qualify if:

  • Medical Conditions
  • Draining fistula count of \> 20
  • Outpatient surgery ≤ 8 weeks prior or inpatient surgery ≤ 12 weeks prior to enrollment/randomization
  • Other active skin disease or condition that could interfere with study assessments
  • History of active inflammatory bowel disease (IBD) OR symptoms within the last year that may be suggestive of IBD
  • Chronic pain not associated with HS
  • Uncontrolled, clinically significant system disease
  • History of demyelinating disease or neurological symptoms suggestive of demyelinating disease
  • Malignancy within 5 years
  • The participant is at risk of self-harm or harm to others
  • Active infection or history of certain infections
  • Tuberculosis or fungal infection seen on available chest x-ray taken within 3 months prior to first dose of study drug or at screening (Exception: documented evidence of completed treatment and clinically resolved)
  • Known history of human immunodeficiency virus (HIV)

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (98)

Clinical Research Site

Birmingham, Alabama, 35233, United States

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Clinical Research Site

Scottsdale, Arizona, 85255, United States

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Clinical Research Site

Scottsdale, Arizona, 85260, United States

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Clinical Research Site

Fayetteville, Arkansas, 72703, United States

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Clinical Research Site

Encino, California, 91436, United States

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Clinical Research Site

Fountain Valley, California, 92708, United States

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Clinical Research Site

Fremont, California, 94538, United States

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Clinical Research Site

Los Angeles, California, 90045, United States

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Clinical Research Site

Santa Monica, California, 90404, United States

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Clinical Research Site

Boca Raton, Florida, 33486, United States

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Clinical Research Site

Brandon, Florida, 33511, United States

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Clinical Research Site

Coral Gables, Florida, 33134, United States

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Clinical Research Site

Hollywood, Florida, 33021, United States

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Clinical Research Site

Tampa, Florida, 33607, United States

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Clinical Research Site

Tampa, Florida, 33613, United States

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Atlanta, Georgia, 30315, United States

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Sandy Springs, Georgia, 30328, United States

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Savannah, Georgia, 31419, United States

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Springfield, Illinois, 62702, United States

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Indianapolis, Indiana, 46250, United States

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Plainfield, Indiana, 46168, United States

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Topeka, Kansas, 66614, United States

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Murray, Kentucky, 42071, United States

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Baton Rouge, Louisiana, 70808, United States

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Baton Rouge, Louisiana, 70809, United States

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New Orleans, Louisiana, 70115, United States

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Largo, Maryland, 20774, United States

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Boston, Massachusetts, 02215, United States

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Canton, Michigan, 48187, United States

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Troy, Michigan, 48084, United States

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Lebanon, New Hampshire, 03766, United States

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New York, New York, 10128, United States

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Charlotte, North Carolina, 28277, United States

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Boardman, Ohio, 44512, United States

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Mason, Ohio, 45040, United States

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Springfield, Ohio, 45505, United States

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Portland, Oregon, 97223, United States

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Hershey, Pennsylvania, 17033, United States

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Pittsburgh, Pennsylvania, 15213, United States

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Sugarloaf, Pennsylvania, 18249, United States

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Thompson's Station, Tennessee, 37179, United States

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Arlington, Texas, 76011, United States

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Frisco, Texas, 75034, United States

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Pflugerville, Texas, 78660, United States

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San Antonio, Texas, 78218, United States

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The Woodlands, Texas, 77380, United States

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Webster, Texas, 77598, United States

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Springville, Utah, 84663, United States

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West Jordan, Utah, 84088, United States

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Charlottesville, Virginia, 22908, United States

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Edmonton, Alberta, T6G1C3, Canada

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Edmonton, Alberta, T6H4J8, Canada

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Winnipeg, Manitoba, R3M3Z4, Canada

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North Bay, Ontario, P1B 3Z7, Canada

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Peterborough, Ontario, K9J5K2, Canada

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Toronto, Ontario, M2N3A6, Canada

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Toronto, Ontario, M4W2N4, Canada

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Toronto, Ontario, M5A3R6, Canada

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Waterloo, Ontario, N2J1C4, Canada

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Saskatoon, Saskatchewan, S7K2C1, Canada

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Dijon, Bourgogne-Franche-Comté, 21000, France

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Montpellier, Occitanie, 34090, France

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Nantes, Pays de la Loire Region, 44000, France

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Toulon, 83000, France

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Darmstadt, Hesse, 64283, Germany

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Bad Bentheim, Lower Saxony, 48455, Germany

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Mainz, Rhineland-Palatinate, 55128, Germany

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Leipzig, Saxony, 04103, Germany

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Kiel, Schleswig-Holstein, 24148, Germany

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Debrecen, Hajdú-Bihar, 4032, Hungary

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Zalaegerszeg, Zala County, 8900, Hungary

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Budapest, 1036, Hungary

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Fukuoka, Fukoka Prefecture, 814-0180, Japan

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Clinical Research Site

Kitakyushu, Fukuoka, 807-8555, Japan

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Obihiro, Hokkaido Prefecture, 080-0013, Japan

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Clinical Research Site

Sapporo, Hokkaido Prefecture, 060-0063, Japan

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Clinical Research Site

Kawasaki, Kanagawa, 216-8511, Japan

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Clinical Research Site

Yokohama, Kanagawa, 236-0004, Japan

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Clinical Research Site

Kyoto, Kyoto, 602-8566, Japan

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Clinical Research Site

Osaka, Osaka, 589-8511, Japan

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Clinical Research Site

Shinjuku-Ku, Tokyo, 160-0023, Japan

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Clinical Research Site

tabashi City, Tokyo, 173-8610, Japan

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Clinical Research Site

Nishinomiya, 663-8186, Japan

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Clinical Research Site

Krakow, Lesser Poland Voivodeship, 30-001, Poland

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Clinical Research Site

Krakow, Lesser Poland Voivodeship, 90-436, Poland

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Clinical Research Site

Wroclaw, Lower Silesian Voivodeship, 50-566, Poland

Location

Clinical Research Site

Wroclaw, Lower Silesian Voivodeship, 51-318, Poland

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Clinical Research Site

Lublin, Lublin Voivodeship, 20-573, Poland

Location

Clinical Research Site

Katowice, Silesian Voivodeship, 40-611, Poland

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Clinical Research Site

Ożarowice, Silesian Voivodeship, 42-624, Poland

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Clinical Research Site

Sosnowiec, Silesian Voivodeship, 41-218, Poland

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Clinical Research Site

Lodz, Łódź Voivodeship, 90-265, Poland

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Clinical Research Site

Seville, Andalusia, 41009, Spain

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Clinical Research Site

Palma de Mallorca, Balearic Islands, 07120, Spain

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Clinical Research Site

Badalona, Catalonia, 08916, Spain

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Clinical Research Site

Barcelona, Catalonia, 08041, Spain

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Clinical Research Site

Manises, Valencia, 46940, Spain

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Clinical Research Site

Madrid, 28031, Spain

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MeSH Terms

Conditions

Hidradenitis Suppurativa

Condition Hierarchy (Ancestors)

Skin Diseases, BacterialBacterial InfectionsBacterial Infections and MycosesInfectionsSkin Diseases, InfectiousSuppurationSkin DiseasesSkin and Connective Tissue DiseasesHidradenitisSweat Gland Diseases

Results Point of Contact

Title
Clinical Trials Information Desk
Organization
Acelyrin Inc.

Study Officials

  • Shephard Mpofu

    ACELYRIN Inc.

    STUDY DIRECTOR

Publication Agreements

PI is Sponsor Employee
No
Restrictive Agreement
Yes

Study Design

Study Type
interventional
Phase
phase 3
Allocation
RANDOMIZED
Masking
DOUBLE
Who Masked
PARTICIPANT, INVESTIGATOR
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR

Study Record Dates

First Submitted

June 7, 2023

First Posted

June 15, 2023

Study Start

June 22, 2023

Primary Completion

July 24, 2024

Study Completion

January 27, 2025

Last Updated

October 15, 2025

Results First Posted

October 15, 2025

Record last verified: 2024-12

Locations