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Prurigo NodularisPhase 3NCT04501679

A Study to Assess the Efficacy and Safety of Nemolizumab (CD14152) in Participants With Prurigo Nodularis (PN)

A Phase 3 study testing Nemolizumab in people with Prurigo Nodularis, run by Galderma R&D at 74 sites in 9 countries.

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

The primary objective was to assess the efficacy of nemolizumab (CD14152) compared to placebo in participants greater than or equal to (>=) 18 years of age with prurigo nodularis (PN) after a 16-week treatment period. Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Prurigo Nodularis
What is being tested?
Nemolizumab
Type of treatment
Injection or infusion
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
274 participants
Where
74 sitesin 9 countries
Study dates
11 Aug 2020to 31 Mar 2022
Phase
Phase 3
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 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Clinical diagnosis of PN for at least 6 months with: Pruriginous nodular lesions on upper limbs, trunk, and/or lower limbs, at least 20 nodules on the entire body with a bilateral distribution and Investigator Global Assessment (IGA) score more than equal to (>=) 3 (based on the IGA scale ranging from 0 to 4, in which 3 was moderate and 4 is severe) at both the screening and baseline visits
  • Severe pruritus was defined as follows on the PP NRS:
  • At the screening visit (Visit 1): PP NRS score was >= 7.0 for the 24-hour period immediately preceding the screening visit.
  • At the baseline visit (Visit 2): Mean of the daily intensity of the PP NRS score was >= 7.0 over the previous week
  • Female participants of childbearing potential (that is [i.e,], fertile, following menarche and until becoming post-menopausal unless permanently sterile) must agree to use at least 1 adequate and approved method of contraception throughout the study and for 12 weeks after the last study drug injection

Who cannot join

  • Body weight less than < 30 kg
  • Chronic pruritus resulting from another active condition other than PN, such as but not limited to scabies, lichen simplex chronicus, psoriasis, atopic dermatitis, contact dermatitis, acne, folliculitis, lichen planus, habitual picking/excoriation disorder, sporotrichosis, bullous autoimmune disease, end-stage renal disease, or cholestatic liver disease (example [eg] primary biliary cirrhosis) or diabetes mellitus or thyroid disease that is not adequately treated, as per standard of care
  • Unilateral lesions of prurigo (eg, only one arm affected)
  • History of or current confounding skin condition (eg, Netherton syndrome, cutaneous T-cell lymphoma [mycosis fungoides or Sezary syndrome], chronic actinic dermatitis, dermatitis herpetiformis)
  • Participants with a current medical history of chronic obstructive pulmonary disease and/or chronic bronchitis
  • Neuropathic and psychogenic pruritus such as but not limited to notalgia paresthetica, brachioradial pruritus, small fiber neuropathy, skin picking syndrome, or delusional parasitosis
  • Requiring rescue therapy for PN during the screening period or expected to require rescue therapy within 4 weeks following the baseline visit
  • Positive serology results (hepatitis B surface antigen [HBsAg] or hepatitis B core antibody [HBcAb], hepatitis C (HCV) antibody with positive confirmatory test for HCV (eg, polymerase chain reaction [PCR]), or human immunodeficiency virus antibody) at the screening visit

Trial locations and contacts

74 sites in 9 countries.

74 sites in 9 countries

United States22 sites
  • Galderma Investigational Site

    Anderson, South Carolina, 29621

  • Galderma Investigational Site

    Aventura, Florida, 33180

  • Galderma Investigational Site

    Boston, Massachusetts, 02111

  • Galderma Investigational Site

    Chicago, Illinois, 60602

  • Galderma Investigational Site

    Cincinnati, Ohio, 45627

  • Galderma Investigational Site

    Dallas, Texas, 75230

  • Galderma Investigational Site

    Dripping Springs, Texas, 78620

  • Galderma Investigational Site

    Dublin, Ohio, 43016

  • Galderma Investigational Site

    Fountain Valley, California, 92708

  • Galderma Investigational Site

    Indianapolis, Indiana, 46250

  • Galderma Investigational Site

    Louisville, Kentucky, 40241

  • Galderma Investigational Site

    Miami, Florida, 33136

  • Galderma Investigational Site

    Morgantown, West Virginia, 26505

  • Galderma Investigational Site

    Murfreesboro, Tennessee, 37130

  • Galderma Investigational Site

    New York, New York, 10021

  • Galderma Investigational Site

    North Miami Beach, Florida, 33162-4708

  • Galderma Investigational Site

    Ormond Beach, Florida, 32174

  • Galderma Investigational Site

    Pflugerville, Texas, 78660

  • Galderma Investigational Site

    Saint Joseph, Michigan, 49085

  • Galderma Investigational Site

    San Diego, California, 92123

  • Galderma Investigational Site

    Washington D.C., District of Columbia, 20037

  • Galderma Investigational Site

    Webster, Texas, 77004

Other trials in United States

Poland16 sites
  • Galderma Investigational Site

    Bydgoszcz, 85-065

  • Galderma Investigational Site

    Chorzów, 41-500

  • Galderma Investigational Site

    Krakow, 31-559

  • Galderma Investigational Site

    Lodz, 90-265

  • Galderma Investigational Site

    Lodz, 90-436

  • Galderma Investigational Site

    Lublin, 20-081

  • Galderma Investigational Site

    Olsztyn, 10-229

  • Galderma Investigational Site

    Ostrowiec Świętokrzyski, 27-400

  • Galderma Investigational Site

    Rzeszów, 35-055

  • Galderma Investigational Site

    Szczecin, 71-434

  • Galderma Investigational Site

    Warsaw, 01-518

  • Galderma Investigational Site

    Warsaw, 01-817

  • Galderma Investigational Site

    Warsaw, 02-507

  • Galderma Investigational Site

    Warsaw, 02-758

  • Galderma Investigational Site

    Wroclaw, 50-566

  • Galderma Investigational Site

    Wroclaw, 51-318

Other trials in Poland

France12 sites
  • Galderma Investigational Site

    Bordeaux, 33000

  • Galderma Investigational Site

    Brest, 29200

  • Galderma Investigational Site

    Lille, 59037

  • Galderma Investigational Site

    Nantes, 44093

  • Galderma Investigational Site

    Nice, 06202

  • Galderma Investigational Site

    Paris, 75020

  • Galderma Investigational Site

    Paris, 75475

  • Galderma Investigational Site

    Pierre-Bénite, 69495

  • Galderma Investigational Site

    Rouen, 76000

  • Galderma Investigational Site

    Saint-Etienne, 42055

  • Galderma Investigational Site

    Toulouse, 31000

  • Galderma Investigational Site

    Valence, 26953

Other trials in France

Belgium5 sites
  • Galderma Investigational Site

    Brussels, 1200

  • Galderma Investigational Site

    Ghent, 9000

  • Galderma Investigational Site

    Jette, 1090

  • Galderma Investigational Site

    Leuven, 3000

  • Galderma Investigational Site

    Liège, 4000

Other trials in Belgium

Canada5 sites
  • Galderma Investigational Site

    Bathurst, M3H 5Y8

  • Galderma Investigational Site

    Calgary, T2G 1B1

  • Galderma Investigational Site

    London, N6H 5L5

  • Galderma Investigational Site

    Markham, L3P 1X2

  • Galderma Investigational Site

    North York, Ontario, M2M 4J5

Other trials in Canada

South Korea5 sites
  • Galderma Investigational Site

    Gyeonggi-do, 15355

  • Galderma Investigational Site

    Seoul, 02841

  • Galderma Investigational Site

    Seoul, 03722

  • Galderma Investigational Site

    Seoul, 04763

  • Galderma Investigational Site

    Seoul, 07441

Other trials in South Korea

Switzerland5 sites
  • Galderma Investigational Site

    Bern, 3010

  • Galderma Investigational Site

    Buochs, 6374

  • Galderma Investigational Site

    Lausanne, 1011

  • Galderma Investigational Site

    Sankt Gallen, 9007

  • Galderma Investigational Site

    Weinfelden, 8570

Other trials in Switzerland

Netherlands2 sites
  • Galderma Investigational Site

    Groningen, 9713

  • Galderma Investigational Site

    Utrecht, 3508

Other trials in Netherlands

Spain2 sites
  • Galderma Investigational Site

    Barcelona, 08041

  • Galderma Investigational Site

    Las Palmas de Gran Canaria, 35019

Other trials in Spain

About this study

Official title: A Randomized, Double-Blind, Placebo-Controlled Study to Assess the Efficacy and Safety of Nemolizumab (CD14152) in Subjects With Prurigo Nodularis

The primary objective was to assess the efficacy of nemolizumab (CD14152) compared to placebo in participants greater than or equal to (>=) 18 years of age with prurigo nodularis (PN) after a 16-week treatment period.

Being tested
Nemolizumab, Placebo
Keywords
Prurigo, Neurodermatitis, Pruritus, Skin diseases
Medical subject headings
Prurigo, Neurodermatitis, Pruritus, Skin Diseases

What participants receive

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

  • NemolizumabDrug

    Also called CD14152

    Participants received either 30 mg or 60 mg dose of nemolizumab as SC injection.

  • PlaceboDrug

    Participants received matching placebo as SC injection.

Study groups in NCT04501679
Study groupRoleWhat they receive
NemolizumabExperimentalParticipants weighing less than (<) 90 kilogram (kg) received two subcutaneous (SC) injections of 30 milligrams (mg) nemolizumab (60 mg loading dose) at baseline then one SC injection once for every 4 weeks (Q4W). Participants weighing greater than or equal to (>=) 90 kg received two SC injections of 30 mg nemolizumab (60 mg total) at baseline (no loading dose) and two SC injections Q4W throughout the treatment period of 16 weeks.
Receives: Drug: Nemolizumab
PlaceboPlacebo comparatorParticipants weighing < 90 kg received two SC injections of matching placebo at baseline, then one SC injection Q4W. Participants weighing >= 90 kg received two SC injections of matching placebo at baseline, then two SC injections Q4W throughout the treatment period of 16 weeks.
Receives: Drug: Placebo

What is being measured

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

  1. Number of Participants With an Improvement of Greater Than or Equal to (>=) 4 From Baseline in Weekly Average Peak Pruritus Numeric Rating Scale (PP NRS) at Week 16

    The Peak Pruritus NRS is a scale that was used by the participants to report the intensity of their pruritus (itch) during the last 24 hours. For maximum itch intensity: the scores were provided on a scale of 0 to 10, with 0 being 'no itch' and 10 being 'worst itch imaginable'. Higher scores indicate worse outcome. Weekly values are calculated as average of 7 consecutive days data up to the target study day (excluding) and set to missing, if less than 4 days data are available. Analysis window extension was applied to both timepoints, as described in the SAP. If a subject received any rescue therapy, the data at/after receipt of rescue therapy are considered as non-responders. Subjects with missing results are considered as non-responders.

    Measured: Baseline, Week 16

  2. Number of Participants With an Investigator Global Assessment (IGA) Success at Week 16

    IGA success is defined as clear (0) or almost clear (1), and a reduction from baseline of greater than or equal to 2 points at week 16. Full scale is scored from 0-4, higher score indicates more severe symptoms. If a subject received any rescue therapy, the data at/after receipt of rescue therapy are considered as non-responders. Subjects with missing results are considered as non-responders.

    Measured: Baseline, Week 16

Secondary outcomes (6)
  1. Number of Participants With an Improvement of >= 4 From Baseline in Weekly Average PP NRS at Week 4

    The Peak Pruritus NRS is a scale that was used by the participants to report the intensity of their pruritus (itch) during the last 24 hours. For maximum itch intensity: the scores were provided on a scale of 0 to 10, with 0 being 'no itch' and 10 being 'worst itch imaginable'. Higher scores indicate worse outcome. Weekly values are calculated as average of 7 consecutive days data up to the target study day (excluding) and set to missing, if less than 4 days data are available. Analysis window extension was applied to baseline, as described in the SAP. If a subject received any rescue therapy, the data at/after receipt of rescue therapy are considered as non-responders. Subjects with missing results are considered as non-responders.

    Measured: Baseline, Week 4

  2. Number of Participants With PP NRS < 2 at Week 16

    The Peak Pruritus NRS is a scale that was used by the participants to report the intensity of their pruritus (itch) during the last 24 hours. For maximum itch intensity: the scores were provided on a scale of 0 to 10, with 0 being 'no itch' and 10 being 'worst itch imaginable'. Higher scores indicate worse outcome. Weekly values are calculated as average of 7 consecutive days data up to the target study day (excluding) and set to missing, if less than 4 days data are available. Analysis window extension was applied to week 16, as described in the SAP. If a subject received any rescue therapy, the data at/after receipt of rescue therapy are considered as non-responders. Subjects with missing results are considered as non-responders.

    Measured: Week 16

  3. Number of Participants With an Improvement of >=4 From Baseline in Sleep Disturbance Numeric Rating Scale (SD NRS) at Week 16

    The SD NRS is a scale to be used by the participants to report the degree of their sleep loss related to PN. The baseline SD NRS was determined based on the average of daily SD NRS (score ranging from 0 to 10) during the 7 days up to the treatment start (including until treatment start time) (rounding to nearest whole number is not permitted). A minimum of 4 daily scores out of the 7 days up to baseline study day is required for this calculation. On a scale of 0 to 10, with 0 being 'no sleep loss related to the symptoms of my skin disease (prurigo nodularis)' and 10 being 'I did not sleep at all due to the symptoms of prurigo nodularis'. Higher scores indicate worse outcome. Analysis window extension was applied to both timepoints, as described in the SAP. If a subject received any rescue therapy, the data at/after receipt of rescue therapy are considered as non-responders. Subjects with missing results are considered as non-responders.

    Measured: Baseline, Week 16

  4. Number of Participants With an Improvement of >=4 From Baseline in SD NRS at Week 4

    The SD NRS is a scale to be used by the participants to report the degree of their sleep loss related to PN. The baseline SD NRS was determined based on the average of daily SD NRS (score ranging from 0 to10) during the 7 days up to the treatment start (including until treatment start time) (rounding to nearest whole number is not permitted). A minimum of 4 daily scores out of the 7 days up to baseline study day is required for this calculation. On a scale of 0 to 10, with 0 being 'no sleep loss related to the symptoms of my skin disease (prurigo nodularis)' and 10 being 'I did not sleep at all due to the symptoms of prurigo nodularis'. Higher scores indicate worse outcome. Analysis window extension was applied to baseline, as described in the SAP. If a subject received any rescue therapy, the data at/after receipt of rescue therapy are considered as non-responders. Subjects with missing results are considered as non-responders.

    Measured: Baseline, Week 4

  5. Number of Participants With PP NRS < 2 at Week 4

    The Peak Pruritus NRS is a scale that was used by the participants to report the intensity of their pruritus (itch) during the last 24 hours. For maximum itch intensity: the scores were provided on a scale of 0 to 10, with 0 being 'no itch' and 10 being 'worst itch imaginable'. Higher scores indicate worse outcome. Weekly values are calculated as average of 7 consecutive days data up to the target study day (excluding) and set to missing, if less than 4 days data are available. If a subject received any rescue therapy, the data at/after receipt of rescue therapy are considered as non-responders. Subjects with missing results are considered as non-responders.

    Measured: Week 4

  6. Number of Participants With Adverse Events, Treatment Emergent Adverse Events (TEAEs), Adverse Events of Special Interest (AESIs), and Serious Adverse Events (SAEs)

    AE defined as any untoward medical occurrence in clinical study participant administered a medicinal product which does not necessarily have causal relationship with this treatment. TEAEs defined as AEs occurring after first administration of study drug until the last study visit. SAE was any untoward medical occurrence, in view of either Investigator or Sponsor, that resulted in death, was life-threatening, resulted in inpatient hospitalisation or prolongation of existing hospitalisation, resulted in persistent or significant disability/incapacity, was congenital anomaly/birth defect or was important medical event. AESI was noteworthy TEAE for study drug that was to be monitored closely and reported promptly. Relatedness to study drug was based on Investigator's discretion. Analysis was performed on safety population which included all randomised participants who received at least 1 administration of study drug.

    Measured: From baseline up to end of treatment period (16 Weeks)

Timeline

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

  1. First posted6 Aug 2020
  2. Study start11 Aug 2020
  3. Primary completion30 Mar 2022
  4. Study completion31 Mar 2022

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 3
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Double blind
Who is masked
Participant, Investigator
Enrolment
274 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04501679
Sponsor's protocol ID
RD.06.SPR.203065
Other IDs
2019-004789-17, 2019
Status last verified
Jul 2024
First submitted
30 Jul 2020
Last updated
10 Jul 2024
Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
Yes: Qualified researchers may request access to anonymized data sets from which results presented are derived.

Publications

  • Kwatra SG, Yosipovitch G, Legat FJ, Reich A, Paul C, Simon D, Naldi L, Lynde C, De Bruin-Weller MS, Nahm WK, Sauder M, Gharib R, Barbarot S, Szepietowski JC, Conrad C, Fleischer A, Laquer VT, Misery L, Serra-Baldrich E, Lapeere H, Ahmad F, Jabbar Lopez ZK, Piketty C, Stander S; OLYMPIA 2 Investigators. Phase 3 Trial of Nemolizumab in Patients with Prurigo Nodularis. N Engl J Med. 2023 Oct 26;389(17):1579-1589. doi: 10.1056/NEJMoa2301333.

    PubMed 37888917
  • Stander S, Rodriguez DN, Dias-Barbosa C, Filipenko D, Puelles J, Jabbar-Lopez ZK, Piketty C, Wiegmann H, Kwatra SG. Content Validity and Psychometric Validation of an Adapted Version of the Subject Sleep Diary in Prurigo Nodularis. Dermatol Ther (Heidelb). 2025 Jun;15(6):1405-1426. doi: 10.1007/s13555-025-01406-1. Epub 2025 Apr 23.

    PubMed 40266487

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing Nemolizumab in people with Prurigo Nodularis, run by Galderma R&D at 74 sites in 9 countries.

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 5 inclusion and 8 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 10 Jul 2024. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 74 sites in United States, Poland, France, Belgium, Canada and 4 more countries. 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 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.

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 10 Jul 2024). 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?

Number of Participants With an Improvement of Greater Than or Equal to (>=) 4 From Baseline in Weekly Average Peak Pruritus Numeric Rating Scale (PP NRS) at Week 16 (time frame: Baseline, Week 16). The study lists 2 primary outcomes in all. 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 NCT04501679, which also lists 2 linked publications.

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 10 Jul 2024.

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