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PruritusPhase 2NCT03343639

Study of the Efficacy, Safety and Tolerability of Serlopitant for the Treatment of Pruritus (Itch) With Plaque Psoriasis

A Phase 2 study testing 5 mg Serlopitant Tablets in people with Pruritus and Psoriasis, run by Vyne Therapeutics Inc. at 39 sites in United States.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

Study of the efficacy, safety, and tolerability of serlopitant for the treatment of pruritus in adults with plaque psoriasis Read more about this study

Who is it for?
Ages 18 to 80 years
Conditions the study is for
Pruritus, Psoriasis
What is being tested?
5 mg Serlopitant Tablets
Type of treatment
Pill or oral medicine
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
204 participants
Where
39 sitesUnited States
Study dates
1 Nov 2017to 12 Nov 2018
Phase
Phase 2
Are there results?
Yes, posted in the registrySummary in the doctors' view

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 to 80 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Male or female, age 18-80 years at consent.
  • Diagnosis of plaque psoriasis for at least 6 months prior to randomization.
  • Presence of plaque psoriasis in any anatomic location, covering ≤ 10% BSA in total, at the Screening and Baseline visits.
  • Pruritus of at least 4 weeks' duration prior to the initial Screening visit, and throughout the screening period prior to randomization.
  • Subjects must be willing to discontinue use of all psoriasis therapies other than the following, for the duration of the study: bland emollients (e.g., Cetaphil, Eucerin, Aquaphor) on any anatomic location; coal tar shampoos, limited to use on scalp.
  • WI-NRS initial screening score consistent with severe pruritus.
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  • WI-NRS scores during the 2 weeks of screening consistent with sever pruritus.
  • All female subjects who are of childbearing potential must be willing to practice highly effective contraception (i.e., pregnancy prevention method with a failure rate of < 1% per year) from the time of the initial Screening visit until 2 weeks after last dose of study drug.
  • Weight ≥ 32 kg at the Screening and Baseline visits.
  • Willing and able to complete daily eDiary entries within a consistent timeframe for the duration of the study.
  • Subjects must have ≥ 80% eDiary completion rate during the two weeks of the screening period immediately prior to randomization.

Who cannot join

  • Prior treatment with serlopitant.
  • Prior treatment with other neurokinin-1 receptor (NK1-R) antagonists (e.g., aprepitant, fosaprepitant, rolapitant) is not allowed within 1 year prior to randomization.
  • Clinical worsening of psoriasis in the opinion of the investigator (e.g., increase in affected BSA or severity requiring use of systemic psoriasis therapies) within 12 weeks prior to randomization.
  • Predominance of non-plaque forms of psoriasis (e.g., guttate, drug-induced, pustular, erythrodermic).
  • Presence of any concurrent medical condition that provides a clearly defined etiology for pruritus other than psoriasis. These include but are not limited to urticaria, atopic dermatitis or other dermatologic conditions, hepatic or renal disease, psychogenic pruritus, drug reaction, untreated hyperthyroidism, and infection.
  • Treatment with systemic biologic therapies including but not limited to etanercept, infliximab, adalimumab, ustekinumab, secukinumab, or ixekizumab, within 6 months or 5 half-lives (whichever is longer) prior to randomization.
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  • Treatment with systemic non-biologic psoriasis therapies, including but not limited to systemic corticosteroids, phosphodiesterase-4 inhibitors, Janus kinase inhibitors, cyclosporine, methotrexate, retinoids, hydroxyurea, mycophenolate mofetil, thioguanine, sirolimus, azathioprine, or fumaric acid derivatives, within 12 weeks prior to randomization.
  • Treatment with any of the following therapies within 4 weeks prior to randomization:
  • Any topical/local psoriasis therapies other than those permitted per inclusion #4, including but not limited to topical corticosteroids, vitamin D analogues, calcineurin inhibitors, phosphodiesterase-4 inhibitors, Janus kinase inhibitors, non-shampoo forms of coal tar, salicylates, retinoids, anthralin, or excimer laser.
  • Non-systemic corticosteroids that do not involve skin application (e.g., inhaled, intranasal, or intra-articular corticosteroids) will be permitted.
  • Phototherapy, with or without psoralen. c. Use of an indoor tanning facility, or sun exposure likely to result in sunburn.
  • Systemic therapies with recognized anti-pruritic properties including but not limited to H1 antihistamines, doxepin, mirtazapine, gabapentin, pregabalin, cannabinoids, and kappa opioid receptor agonists.
  • Any topical anti-pruritic therapies, including but not limited to H1 antihistamines, doxepin, capsaicin, or medicated emollients (e.g., menthol or pramoxine).
  • Strong CYP3A4 inhibitors.
  • Treatment with any investigational therapy within 4 weeks or 5 half-lives (whichever is longer) prior to randomization.
  • Serum creatinine, total bilirubin, alanine aminotransferase (ALT) or aspartate aminotransferase (AST) > 2x the upper limit of normal (ULN) during screening.
  • History of malignancy within 5 years prior to randomization, with the exception of completely treated and non-metastatic basal cell carcinoma or squamous cell carcinoma of the skin.
  • Presence of any of the following conditions meeting DSM-5 diagnostic criteria within 3 years prior to randomization: major depressive disorder, bipolar disorder, schizophrenia, psychotic disorder, intellectual disability, severe alcohol use disorder, or other known psychiatric condition meeting DSM-5 diagnostic criteria which may confound the assessment of serlopitant safety or efficacy, compromise the safety of the subject, or interfere with the subject's ability to comply with protocol-mandated activities.
  • Suicidal ideation within 3 years prior to randomization, or history of suicide attempt at any time.
  • Known active hepatitis infection.
  • Known history of human immunodeficiency virus (HIV) infection.
  • Documented history of parasitic infection, including skin parasites such as scabies, within 12 months prior to randomization.
  • History of hypersensitivity to serlopitant or any of its components.
  • Currently pregnant or breastfeeding female subject.
  • Presence of any medical condition or disability that, in the investigator's opinion, could interfere with the assessment of serlopitant safety or efficacy, compromise the safety of the subject, or interfere with the subject's ability to comply with protocol-mandated activities; this includes any clinically significant screening ECG abnormalities any may include some clinically significant screening laboratory abnormalities.
  • Unless specifically excluded per exclusion #9, clinically significant laboratory abnormalities at screening which are unlikely to interfere with the assessment of safety or efficacy in this trial, compromise the safety of the subject, or interfere with the subject's ability to comply with protocol mandated activities are permitted.
  • Planned or anticipated major surgical procedure or other activity that would interfere with the subject's ability to comply with protocol-mandated assessments (e.g., extended international travel) during the subject's participation in the study.

Trial locations and contacts

39 sites in 1 country.

39 sites in 1 country

United States39 sites
  • Study Site 506

    Ann Arbor, Michigan, 48103

  • Study Site 220

    Beverly Hills, California, 90212

  • Study Site 516

    Bexley, Ohio, 43209

  • Study Site 213

    Boise, Idaho, 83704

  • Study Site 211

    Broomall, Pennsylvania, 19008

  • Study Site 221

    Bryant, Arkansas, 72022

  • Study Site 212

    Clearwater, Florida, 33761

  • Study Site 219

    Clinton Township, Michigan, 48038

  • Study Site 182

    College Station, Texas, 77845

  • Study Site 210

    Coral Gables, Florida, 33134

  • Study Site 201

    East Windsor, New Jersey, 08520

  • Study Site 375

    Forest Hills, New York, 11375

  • Study Site 204

    Fremont, California, 94538

  • Study Site 209

    Fridley, Minnesota, 55432

  • Study Site 224

    Houston, Texas, 77004

  • Study Site 345

    Johnston, Rhode Island, 02919

  • Study Site 228

    Louisville, Kentucky, 40202

  • Study Site 216

    Louisville, Kentucky, 40241

  • Study Site 331

    Miami, Florida, 33144

  • Study Site 348

    Miami, Florida, 33165

  • Study Site 205

    Murfreesboro, Tennessee, 37130

  • Study Site 360

    New Albany, Indiana, 47150

  • Study Site 500

    New York, New York, 10023

  • Study Site 217

    Norfolk, Virginia, 23502

  • Study Site 222

    North Miami Beach, Florida, 33162

  • Study Site 227

    Omaha, Nebraska, 68144

  • Study Site 359

    Pflugerville, Texas, 78660

  • Study Site 339

    Plano, Texas, 75024

  • Study Site 336

    Richmond, Virginia, 23220

  • Study Site 371

    Saint Joseph, Missouri, 64506

  • Study Site 203

    San Antonio, Texas, 78218

  • Study Site 356

    San Diego, California, 92108

  • Study Site 202

    San Diego, California, 92123

  • Study Site 215

    San Diego, California, 92123

  • Study Site 206

    Sanford, Florida, 32771

  • Study Site 376

    Santa Monica, California, 90404

  • Study Site 207

    South Bend, Indiana, 46617

  • Study Site 223

    Sugar Land, Texas, 77479

  • Study Site 226

    Webster, Texas, 77598

Other trials in United States

About this study

Official title: A Randomized, Double-Blind, Placebo-Controlled Study of the Efficacy, Safety, and Tolerability of Serlopitant for the Treatment of Pruritus in Adults With Plaque Psoriasis

Study of the efficacy, safety, and tolerability of serlopitant for the treatment of pruritus in adults with plaque psoriasis

Conditions
Pruritus, Psoriasis
Being tested
5 mg Serlopitant Tablets, Matching Placebo Tablets
Medical subject headings
Pruritus, Psoriasis

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • 5 mg Serlopitant TabletsDrug

    Also called VPD-737

    Serlopitant Tablets

  • Matching Placebo TabletsDrug

    Placebo Tablets

Study groups in NCT03343639
Study groupRoleWhat they receive
5 mg Serlopitant TabletsExperimentalSerlopitant Tablets
Receives: Drug: 5 mg Serlopitant Tablets
Matching Placebo TabletsPlacebo comparatorPlacebo Tablets
Receives: Drug: Matching Placebo Tablets

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. WI-NRS 4-point Responder Rate at Week 8

    Worst Itch Numeric Rating Scale (WI-NRS). 11-point scale ranging from 0 (no itch) to 10 (worst itch imaginable). Higher scores indicate greater itch intensity. A 4-point responder is a subject who had at least a 4-point reduction in score between Baseline and Week 8.

    Measured: 8 weeks

Secondary outcomes (3)
  1. WI-NRS 4-point Responder Rate at Week 4

    Worst Itch Numeric Rating Scale (WI-NRS). 11-point scale ranging from 0 (no itch) to 10 (worst itch imaginable). Higher scores indicate greater itch intensity. A 4-point responder is a subject who had at least a 4-point reduction in score between Baseline and Week 4.

    Measured: 4 weeks

  2. Change in WI-NRS From Baseline to Day 7

    Worst Itch Numeric Rating Scale (WI-NRS). 11-point scale ranging from 0 (no itch) to 10 (worst itch imaginable). Higher scores indicate greater itch intensity. The secondary outcome is the change in WI-NRS score at 7 days compared with Baseline.

    Measured: Change from baseline to day 7

  3. Change in WI-NRS From Baseline to Day 3

    Worst Itch Numeric Rating Scale (WI-NRS). 11-point scale ranging from 0 (no itch) to 10 (worst itch imaginable). Higher scores indicate greater itch intensity. The secondary outcome is the change in WI-NRS score at 3 days compared with Baseline.

    Measured: 3 days

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted17 Nov 2017
  2. Study start1 Nov 2017
  3. Primary completion23 Oct 2018
  4. Study completion12 Nov 2018

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
204 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT03343639
Sponsor's protocol ID
MTI-109
Status last verified
May 2021
First submitted
10 Nov 2017
Last updated
20 May 2021
Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No

Publications

  • Pariser DM, Bagel J, Lebwohl M, Yosipovitch G, Chien E, Spellman MC. Serlopitant for psoriatic pruritus: A phase 2 randomized, double-blind, placebo-controlled clinical trial. J Am Acad Dermatol. 2020 Jun;82(6):1314-1320. doi: 10.1016/j.jaad.2020.01.056. Epub 2020 Jan 30.

    PubMed 32007513

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing 5 mg Serlopitant Tablets in people with Pruritus and Psoriasis, run by Vyne Therapeutics Inc. at 39 sites in United States.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 11 inclusion and 27 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 20 May 2021. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 39 sites in United States. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

Yes. Results are posted in the registry (first posted 12 Jun 2019). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

WI-NRS 4-point Responder Rate at Week 8 (time frame: 8 weeks). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT03343639, which also lists 1 linked publication.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 20 May 2021.

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