A Study Evaluating BFB759 in Moderate to Severe Hidradenitis Suppurativa
COMPASS 2-HS
A Phase 2, Dose Ranging, Randomized, Double-blind, Placebo-controlled Study to Evaluate the Efficacy and Safety of BFB759 in Patients With Moderate to Severe Hidradenitis Suppurativa
2 other identifiers
interventional
210
7 countries
58
Brief Summary
This is a double-blind, placebo-controlled study where subjects are participating for approximately 36 to 40 weeks. The study compares how well BFB759 works and how safe it is compared with a placebo.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for phase_2
Started Nov 2025
58 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
Study Start
First participant enrolled
November 3, 2025
CompletedFirst Submitted
Initial submission to the registry
November 13, 2025
CompletedFirst Posted
Study publicly available on registry
December 17, 2025
CompletedPrimary Completion
Last participant's last visit for primary outcome
August 1, 2027
ExpectedStudy Completion
Last participant's last visit for all outcomes
August 1, 2027
May 29, 2026
May 1, 2026
1.7 years
November 13, 2025
May 28, 2026
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Efficacy of BFB759 in HS
To evaluate the efficacy of BFB759 in adult male and female participants with HS as measured by the change in the number of abscesses and inflammatory nodules (AN count).
Baseline to Week 16 and baseline to Week 32
Secondary Outcomes (5)
Evaluate the clinical activity of BFB759 using HiSCR50
Baseline to Week 16 and baseline to Week 32
Evaluate the safety/tolerability of BFB759
routinely over 21 months (about 22 visits during the course of study)
To evaluate the clinical activity of BFB759 using the International Hidradenitis Suppurativa Severity Score System (IHS4)
Baseline to Week 16 and baseline to Week 32
To evaluate the clinical activity of BFB759 using the Skin Pain Numerical Rating Scale (NRS)
Baseline to Week 16 and baseline to Week 32
To evaluate the clinical activity of BFB759 using the Hidradenitis Suppurativa-Investigator Global Assessment (HS-IGA)
Baseline to Week 16 and baseline to Week 32
Study Arms (3)
Active - high dose
EXPERIMENTALBFB759 loading dose followed by BFB759 maintenance high dose every 2 weeks (Q2W) through Week 14 (inclusive), which is followed by placebo Q2W at Weeks 16 through 30 (inclusive).
Active - low dose
EXPERIMENTALBFB759 loading dose followed by BFB759 maintenance mid-dose Q2W through Week 14 (inclusive).
Placebo
PLACEBO COMPARATORPlacebo Q2W for 14 weeks. At Week 16, participants in Placebo group who are still enrolled in the study and receiving treatment will be re-randomized (1:1) into 2 groups (Cross 1 and Cross 2) to receive BFB759 * Cross 1 will receive BFB759 loading dose followed by BFB759 maintenance low-dose Q2W through Week 30 (inclusive). * Cross 2 will receive BFB759 loading dose followed by BFB759 maintenance mid-dose Q2W through Week 30 (inclusive).
Interventions
BFB759 is a human mAb that inhibits multiple pro-inflammatory cytokines that contribute to the pathogenesis of multiple disease processes characterized by aberrant inflammation, including hidradenitis suppurativa.
Eligibility Criteria
You may qualify if:
- Are adults (18 to 75 years) with a diagnosis of hidradenitis suppurativa for at least one year.
- Have moderate to severe disease not well controlled by systemic antibiotic treatment.
- Are willing to follow study instructions, attend regular visits, and avoid certain other medications during the study.
You may not qualify if:
- Have certain infections or other immune conditions.
- Recently used medications that could interfere with the study.
- Are pregnant or breastfeeding.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (58)
Saguaro Dermatology
Phoenix, Arizona, 85008, United States
Encino Research Center
Encino, California, 91436, United States
Clinical Science Institute
Santa Monica, California, 90404, United States
Skin Care Research
Boca Raton, Florida, 33021, United States
Center for Skin Science and Innovation
Fort Lauderdale, Florida, 33308, United States
Ziaderm Research LLC
North Miami Beach, Florida, 33126, United States
Clinical Trials Management, LLC
Tampa, Florida, 33607, United States
DelRicht Research
Atlanta, Georgia, 30329, United States
Southeast Research Specialist LLC
Douglasville, Georgia, 30135, United States
The Indiana Clinical Trials Center, PC
Plainfield, Indiana, 46168, United States
DS Research of Kentucky
Louisville, Kentucky, 40241, United States
Martha Stewart
Mandeville, Louisiana, 70448, United States
Clinical Trials Management, LLC
Metairie, Louisiana, 70006, United States
DelRicht Research
New Orleans, Louisiana, 70115, United States
Oakland Hills Dermatology
Auburn Hills, Michigan, 48326, United States
MI Skin Innovations
Northville, Michigan, 48167, United States
DelRicht Research
Wildwood, Missouri, 63040, United States
JDR Dermatology Research LLC
Las Vegas, Nevada, 89145, United States
Skin Cancer and Dermatology Institute
Reno, Nevada, 89509, United States
Schweiger Dermatology, PC
Hackensack, New Jersey, 07601, United States
Equity Medical LLC
The Bronx, New York, 10455, United States
Optima Research - Boardman
Boardman, Ohio, 44512, United States
Apex Clinical Research Center, LLC
Canton, Ohio, 44718, United States
Apex Clinical Research Center, LLC
Mayfield Heights, Ohio, 44124, United States
UPMC Department of Dermatology
Pittsburgh, Pennsylvania, 15213, United States
Medical Univ of SC Department of Dermatology
Charleston, South Carolina, 29425, United States
DelRicht Research
Mt. Pleasant, South Carolina, 29464, United States
DelRicht Research
Smyrna, Tennessee, 37167, United States
DelRicht Research
Prosper, Texas, 75078, United States
Stryde Research-Epiphany Dermatology
Southlake, Texas, 76092, United States
Dermatology Specialists of Spokane
Spokane, Washington, 99202, United States
Medical Center Medconsult Burgas EOOD
Burgas, Bulgaria
Medical Center Medconsult Pleven-Lovech Branch
Lovech, Bulgaria
Medical Center Medconsult Pleven OOD
Pleven, Bulgaria
Medical Center Etika Ambulatory For Specialized Outpatient Medical Care OOD
Plovdiv, Bulgaria
Medical Center Rusemed
Rousse, Bulgaria
York Dermatology Clinical and Research Centre
Richmond Hill, Ontario, L4B 1L1, Canada
North York Research Inc.
Toronto, Ontario, M2N 3A6, Canada
CCR Ostrava s.r.o.
Ostrava, Czechia
Pratia Pardubice a.s.
Pardubice, Czechia
Sanatorium of Professor Arenbergera
Prague, Czechia
St. Josef-Hospital Bochum
Bochum, Germany
Universitatsklinikum Frankfurt Klinik fur Dermatologie, Venerologie und Allergologie
Frankfurt, Germany
University Clinic Dermatology Heidelberg
Heidelberg, Germany
University Hospital, Leipzig
Leipzig, Germany
University of Luebeck
Lübeck, Germany
Klinik und Poliklinik fur Dermatologie und Allergologie
Munich, Germany
NZOZ Specjal. Osrodek Dermatologiczny DERMAL
Bialystok, Poland
Luxderm Specjalistyczny Gabinet Dermatologiczny prof. dr hab. n. med. Dorota Krasowska
Lublin, Poland
Melita Medical
Wroclaw, Poland
Uniwersytecki Szpital Kliniczny im. Jana Mikulicza-Radeckiego we Wrocławiu
Wroclaw, Poland
Wojewódzki Szpital Specjalistyczny we Wrocławi,Oddział Dermatologiczny
Wroclaw, Poland
Hospital Universitario Virgen De Las Nieves
Granada, Spain
Hospital Asil de Granollers
Granollers, Spain
Hospital Universitario de Gran Canaria Doctor Negrin
Las Palmas de Gran Canaria, Spain
Hospital Gregorio Maranon
Madrid, Spain
Complejo Hospitalario Universitario de Pontevedra
Pontevedra, Spain
Hospital de Manises
Valencia, Spain
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Central Study Contacts
Study Design
- Study Type
- interventional
- Phase
- phase 2
- Allocation
- RANDOMIZED
- Masking
- QUADRUPLE
- Who Masked
- PARTICIPANT, CARE PROVIDER, INVESTIGATOR, OUTCOMES ASSESSOR
- Masking Details
- Placebo
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- INDUSTRY
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
November 13, 2025
First Posted
December 17, 2025
Study Start
November 3, 2025
Primary Completion (Estimated)
August 1, 2027
Study Completion (Estimated)
August 1, 2027
Last Updated
May 29, 2026
Record last verified: 2026-05
Data Sharing
- IPD Sharing
- Will not share