A Phase 2a Proof-of-Concept Trial of Bempikibart (ADX-914) for the Treatment of Severe Alopecia Areata (SIGNAL-AA)
SIGNAL-AA
A Phase 2a, Randomized, Double-blind, Placebo-Controlled, Proof-of-Concept Trial With Part B and Open-label Extension of Bempikibart (ADX-914) for the Treatment of Severe Alopecia Areata (SIGNAL-AA)
2 other identifiers
interventional
75
2 countries
33
Brief Summary
Part A is a randomized, double-blind, placebo-controlled, multi-center Proof-of-Concept (POC) Trial in subjects with severe Alopecia Areata. All participants in Part A have completed participation. Part B is a multicenter, open-label study to assess the efficacy, safety, and tolerability of bempikibart (ADX-914) in participants with severe Alopecia Areata.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P50-P75 for phase_2
Started Sep 2023
Typical duration for phase_2
33 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
August 15, 2023
CompletedFirst Posted
Study publicly available on registry
August 30, 2023
CompletedStudy Start
First participant enrolled
September 12, 2023
CompletedPrimary Completion
Last participant's last visit for primary outcome
June 1, 2026
CompletedStudy Completion
Last participant's last visit for all outcomes
September 1, 2026
ExpectedMay 8, 2026
May 1, 2026
2.7 years
August 15, 2023
May 5, 2026
Conditions
Keywords
Outcome Measures
Primary Outcomes (2)
Part A: Mean relative percent change in SALT score
Part A: Mean relative percent change in SALT score at 24 weeks compared with baseline
24 Weeks
Part B: Mean percent change from baseline in SALT score
Part B: Mean percent change from baseline in SALT score at Week 36
36 weeks
Secondary Outcomes (9)
Part A: Mean relative percentage change SALT score compared with baseline at Weeks 6,12, and 18.
18 Weeks
Part A: Mean relative percentage change in SALT score at 24 weeks compared with treatment nadir.
24 Weeks
Part A: Absolute change in SALT score compared with baseline at Weeks 6, 12, 18, and 24.
24 Weeks
Part A: Proportion of participants who achieve ≥30% and ≥50% relative reduction in SALT score compared with baseline at Weeks 12, 18, and 24.
24 Weeks
Part A: Proportion of participants with absolute SALT score ≤5, ≤10, ≤20, and ≤30 at Weeks 12, 18, and 24.
24 Weeks
- +4 more secondary outcomes
Study Arms (1)
Experimental: bempikibart (ADX-914)
EXPERIMENTAL200mg dose of bempikibart (ADX-914) administered via injection under the skin
Interventions
Subcutaneous administration of bempikibart (ADX-914)
Eligibility Criteria
You may qualify if:
- Adult men and women, aged 18 to 75 years, inclusive, at the time of informed consent.
- Clinical diagnosis of severe to very severe alopecia areata, defined as the presence of ≥50% total scalp hair loss at screening and baseline as measured by the SALT score.
You may not qualify if:
- History of or diagnosis at screening of any another form of alopecia based on assessment by investigator.
- History (lifetime) or presence of hair transplants.
- History (lifetime) or presence of micropigmentation of the scalp (Note: Microblading of the eyebrows is permitted).
- Use of systemic, topical, or device-based therapy for AA.
- History of, recent, or current clinically serious viral, bacterial, fungal, or parasitic infection or mycobacterial infection or at risk of serious infection.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Q32 Bio Inc.lead
Study Sites (33)
Scottsdale, Arizona
Scottsdale, Arizona, 85255, United States
Fayetteville, Arkansas
Fayetteville, Arkansas, 72703, United States
Hot Springs, Arkansas
Hot Springs, Arkansas, 71913, United States
Encinitas, California
Encinitas, California, 92024, United States
Fountain Valley, California
Fountain Valley, California, 92708, United States
Lomita, California
Lomita, California, 90717, United States
New Haven, Connecticut
New Haven, Connecticut, 06519, United States
Miami, Florida
Miami, Florida, 33173, United States
Tampa, Florida
Tampa, Florida, 33613, United States
Clarksville, Indiana
Clarksville, Indiana, 47129, United States
Bowling Green, Kentucky
Bowling Green, Kentucky, 42104, United States
Burlington, Massachusetts
Burlington, Massachusetts, 01805, United States
Troy, Michigan
Troy, Michigan, 48084, United States
Warren, Michigan
Warren, Michigan, 48192, United States
New York, New York
New York, New York, 10012, United States
New York, New York
New York, New York, 10023, United States
Wilmington, North Carolina
Wilmington, North Carolina, 28405, United States
Bexley, Ohio
Bexley, Ohio, 43209, United States
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Canton, Ohio, 44718, United States
Mason, Ohio
Mason, Ohio, 45040, United States
Mayfield Heights, Ohio
Mayfield Heights, Ohio, 44124, United States
Portland, Oregon
Portland, Oregon, 97225, United States
Austin, Texas
Austin, Texas, 78759, United States
Frisco, Texas
Frisco, Texas, 75034, United States
Houston, Texas
Houston, Texas, 77056, United States
San Antonio, Texas
San Antonio, Texas, 78213, United States
Jordan, Utah
Jordan, Utah, 84095, United States
Spokane, Washington
Spokane, Washington, 99202, United States
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Calgary, Alberta, T1Y 0B4, Canada
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Winnipeg, Manitoba, R3M 3Z4, Canada
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Oakville, Ontario, L6J 7W5, Canada
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Peterborough, Ontario, K9J 5K2, Canada
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Waterloo, Ontario, N2J 1C4, Canada
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Design
- Study Type
- interventional
- Phase
- phase 2
- Allocation
- NA
- Masking
- NONE
- Masking Details
- Part A was double blind-randomized. Part B and OLE are open label.
- Purpose
- TREATMENT
- Intervention Model
- SINGLE GROUP
- Sponsor Type
- INDUSTRY
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
August 15, 2023
First Posted
August 30, 2023
Study Start
September 12, 2023
Primary Completion
June 1, 2026
Study Completion (Estimated)
September 1, 2026
Last Updated
May 8, 2026
Record last verified: 2026-05