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Alopecia AreataPhase 3THRIVE-AA1NCT04518995

Study to Evaluate the Efficacy and Safety of CTP-543 in Adults With Moderate to Severe Alopecia Areata (THRIVE-AA1)

A Phase 3 study testing CTP-543 in people with Alopecia Areata, run by Concert Pharmaceuticals at 72 sites in 5 countries.

Completed

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

Official record
Search all trials

Trial summary

This study evaluates the safety and effectiveness of an investigational study drug (called CTP-543) in adults (18 years and older) who have 50% or greater scalp hair loss. Read more about this study

Who is it for?
Ages 18 to 65 years
Conditions the study is for
Alopecia Areata
What is being tested?
CTP-543
Type of treatment
Pill or oral medicine
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
706 participants
Where
72 sitesin 5 countries
Study dates
23 Nov 2020to 19 Apr 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 to 65 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Clinical presentation compatible with alopecia areata with a current episode lasting at least 6 months and not exceeding 10 years at the time of Screening. Total disease duration greater than 10 years is permitted.
  • At least 50% scalp hair loss, as defined by a Severity of Alopecia Tool (SALT) score ≥50, at Screening and Baseline.
  • Willing to comply with the study visits and requirements of the study protocol.

Who cannot join

  • Treatment with other medications or agents within 1 month of Baseline or during the study that may affect hair regrowth or immune response.
  • Active scalp inflammation, psoriasis, or seborrheic dermatitis requiring topical treatment to the scalp, significant trauma to the scalp, or other scalp condition that may interfere with the SALT assessment, or untreated actinic keratosis anywhere on the body at Screening and/or Baseline.
  • Treatment with systemic immunosuppressive medications within 3 months of Screening or during the study, or biologics within 6 months of Screening or during the study.
  • Females who are nursing, pregnant, or planning to become pregnant while in the study, and for 30 days after last dose of study drug.
  • Clinically significant medical condition, psychiatric disease, or social condition, as determined by the Investigator, that may unfavorably alter the risk-benefit of study participation, adversely affect study compliance, or confound interpretation of study results.

Trial locations and contacts

72 sites in 5 countries.

72 sites in 5 countries

United States47 sites
  • Kern Research, Inc.

    Bakersfield, California, 93301

  • Bellaire Dermatology Associates

    Bellaire, Texas, 77401

  • Bexley Dermatology Research

    Bexley, Ohio, 43209

  • Total Skin and Beauty Dermatology Center

    Birmingham, Alabama, 35205

  • Massachusetts General Hospital - Clinic

    Boston, Massachusetts, 02114

  • Brigham and Women's Hospital

    Boston, Massachusetts, 02115

  • Colorado Center for Dermatology and Skin Surgery

    Centennial, Colorado, 80111

  • Clinical Research Center of the Carolinas

    Charleston, South Carolina, 29407

  • Darst Dermatology

    Charlotte, North Carolina, 28277

  • Dermatology Specialists of Charlotte

    Charlotte, North Carolina, 28277

  • Denova Research

    Chicago, Illinois, 60611

  • Northwestern Memorial Hospital, Department of Dermatology

    Chicago, Illinois, 60611

  • Clarkston Skin Research

    Clarkston, Michigan, 48346

  • Dermatology Treatment and Research Center

    Dallas, Texas, 75230

  • Colorado Medical Research Center

    Denver, Colorado, 80210

  • California Dermatology & Clinical Research Institute

    Encinitas, California, 92024

  • Palmetto Clinical Trial Services

    Fountain Inn, South Carolina, 29644

  • Minnesota Clinical Study Center

    Fridley, Minnesota, 55432

  • Skin Laser and Surgery Specialists of NJ

    Hackensack, New Jersey, 07601

  • Austin Institute for Clinical Research, Inc.

    Houston, Texas, 77056

  • Dawes Fretzin Clinical Research Group, LLC

    Indianapolis, Indiana, 46250

  • UC Irvine Dermatology Clinical Research Center

    Irvine, California, 92697

  • Clinical Investigation Specialists, Inc.

    Kenosha, Wisconsin, 53144

  • DS Research

    Louisville, Kentucky, 40241

  • University of Minnesota Department of Dermatology

    Minneapolis, Minnesota, 55455

  • DS Research

    New Albany, Indiana, 47150

  • Yale University, Church Street Research Unit

    New Haven, Connecticut, 06519

  • Sadick Research Group

    New York, New York, 10075

  • Quest Dermatology Research

    Northridge, California, 91324

  • Kaiser Permanente

    Oakland, California, 94611

  • Qualmedica Research LLC

    Owensboro, Kentucky, 42301

  • Austin Institute for Clinical Research, Inc.

    Pflugerville, Texas, 78660

  • University of Pennsylvania

    Philadelphia, Pennsylvania, 19104

  • The Indiana Clinical Trials Center, PC

    Plainfield, Indiana, 46168

  • Dermatology Associates Of Plymouth Meeting

    Plymouth Meeting, Pennsylvania, 19462

  • Northwest Dermatology Institute

    Portland, Oregon, 97210

  • Rhode Island Hospital

    Providence, Rhode Island, 02903

  • West End Dermatology Associates

    Richmond, Virginia, 23233

  • Kaiser Permanente South Sacramento

    Sacramento, California, 95823

  • Dermatology Clinical Research Center of San Antonio

    San Antonio, Texas, 78229

  • Kaiser Permanente

    San Francisco, California, 94118

  • Lenus Research & Medical Group, LLC

    Sweetwater, Florida, 33172

  • Clinical Research Trials of Florida, Inc.

    Tampa, Florida, 33607

  • Forward Clinical Trials Inc.

    Tampa, Florida, 33624

  • Vital Prospects Clinical Research Institute, P.C.

    Tulsa, Oklahoma, 74136

  • PEAK Research

    Upper Saint Clair, Pennsylvania, 15241

  • Wake Forest University Health Sciences, Department of Dermatology

    Winston-Salem, North Carolina, 27157

Other trials in United States

Canada14 sites
  • SimcoDerm Medical and Surgical Dermatology Center

    Barrie, Ontario, L4M 7G1

  • Dermatology Research Institute

    Calgary, Alberta, T1Y 0B4

  • Kirk Barber Research

    Calgary, Alberta, T2G 1B1

  • Guelph Dermatology Research

    Guelph, Ontario, N1L 0B7

  • Dr Wei Jing Loo Medicine Professional Corporation

    London, Ontario, N6H 5L5

  • Lynderm Research Inc.

    Markham, Ontario, L3P 1X3

  • Innovaderm Research Inc. - Clinic

    Montreal, Quebec, H2X 2V1

  • Dr. S. K. Siddha Medicine Professional Corporation

    Newmarket, Ontario, L3Y 5G8

  • The Centre for Clinical Trials

    Oakville, Ontario, L6J 7W5

  • JRB Research Inc.

    Ottawa, Ontario, K1H 7X3

  • Enverus Medical Research

    Surrey, British Columbia, V3V 0C6

  • Research Toronto

    Toronto, Ontario, M4W 2N4

  • K. Papp Clinical Research Inc.

    Waterloo, Ontario, N2J 1C4

  • Wiseman Dermatology Research Inc.

    Winnipeg, Manitoba, R3M 3Z4

Other trials in Canada

France5 sites
  • Hôpital Saint-André - Chu de Bordeaux

    Bordeaux, New Aquitaine, 33075

  • Hôpital Saint-Louis - Gh de La Rochelle

    La Rochelle, New Aquitaine, 17000

  • Hôpital La Timone-Dermatologie

    Marseille, 13385

  • Hôpital Hotel Dieu - Chu de Nantes

    Nantes, Pays de la Loire Region, 44093

  • Hôpital Saint Louis, Centre de Santé Sabouraud

    Paris, 75010

Other trials in France

Poland4 sites
  • Vita Longa Sp.Zo.O

    Katowice, 40-748

  • SGD S.C.

    Krakow, 31-147

  • My Clinic

    Warsaw, 00-144

  • Royalderm Agnieszka Nawrocka

    Warsaw, 02-962

Other trials in Poland

Spain2 sites
  • Hospital Clínico Y Provincial de Barcelona

    Barcelona, 8036

  • H. U. Ramón y Cajal

    Madrid, 28034

Other trials in Spain

About this study

Official title: A Double-Blind, Randomized, Placebo-Controlled Study to Evaluate the Efficacy and Safety of CTP-543 in Adult Patients With Moderate to Severe Alopecia Areata (THRIVE-AA1)

This study evaluates the safety and effectiveness of an investigational study drug (called CTP-543) in adults (18 years and older) who have 50% or greater scalp hair loss.

Conditions
Alopecia Areata
Being tested
CTP-543 matching placebo, CTP-543
Keywords
Alopecia, Hair loss, Hair disease, CTP-543
Medical subject headings
Alopecia Areata, Alopecia, Hair Diseases

What participants receive

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

  • CTP-543 matching placeboDrug

    Administered as tablets.

  • CTP-543Drug

    Administered as tablets.

  • CTP-543Drug

    Administered as tablets.

Study groups in NCT04518995
Study groupRoleWhat they receive
PlaceboExperimentalParticipants received CTP-543 matched placebo tablets, orally, twice daily (BID) for up to 24 weeks.
Receives: Drug: CTP-543 matching placebo
CTP-543 8 mg BIDExperimentalParticipants received CTP-543 8 mg tablets, orally, BID for up to 24 weeks.
Receives: Drug: CTP-543
CTP-543 12 mg BIDPlacebo comparatorParticipants received CTP-543 12 mg tablets, orally, BID for up to 24 weeks.
Receives: Drug: CTP-543

What is being measured

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

  1. Percentage of Participants Achieving an Absolute Severity of Alopecia Tool (SALT) Score of ≤20 at Week 24

    SALT is a quantitative assessment of scalp hair loss with scores ranging in severity from 0 (no scalp hair loss) to a maximum of 100 (complete scalp hair loss).

    Measured: Week 24

Secondary outcomes (15)
  1. Percentage of Responders on the Hair Satisfaction Patient Reported Outcome (SPRO) Scale at Weeks 12, 16, 20, and 24

    SPRO is a questionnaire answered by the participant and designed to measure how satisfied alopecia areata participants are with their hair at the time of the assessment. The responses range from 1 to 5: 1= very satisfied, 2= satisfied, 3= neither satisfied nor dissatisfied, 4= dissatisfied, and 5= very dissatisfied. Responders were defined as participants with responses of "satisfied" or "very satisfied".

    Measured: Weeks 12, 16, 20, and 24

  2. Percentage of Participants Achieving an Absolute SALT Score of ≤20 at Weeks 4, 8, 12, 16, and 20

    SALT is a quantitative assessment of scalp hair loss with scores ranging in severity from 0 (no scalp hair loss) to a maximum of 100 (complete scalp hair loss).

    Measured: Weeks 4, 8, 12, 16, and 20

  3. Relative Change in SALT Scores From Baseline at Weeks 4, 8, 12, 16, 20, and 24

    SALT is a quantitative assessment of scalp hair loss with scores ranging in severity from 0 (no scalp hair loss) to a maximum of 100 (complete scalp hair loss). Relative change (percent change) to baseline is calculated as: 100 x ([post-baseline SALT score - baseline SALT score]/baseline SALT score).

    Measured: Baseline, Weeks 4, 8, 12, 16, 20, and 24

  4. Percentage of Responders Assessed Using the Clinician Global Impression of Improvement (CGI-I) at Weeks 12, 16, 20, and 24

    The CGI-I is a questionnaire that asks the clinician to evaluate the improvement or worsening of the participant's alopecia areata as compared to the start of the study on a 7-point scale. Responses range from 1 (very much worse) to 7 (very much improved). Responders were defined as participants with responses of 6 (much improved) or 7 (very much improved).

    Measured: Weeks 12, 16, 20, and 24

  5. Percentage of Responders Assessed Using the Patient Global Impression of Improvement (PGI-I) at Weeks 12, 16, 20, and 24

    The PGI-I is a self-administered questionnaire that asks the participant to evaluate the improvement or worsening of their alopecia areata as compared to the start of the study on a 7-point scale. Responses range from 1 (very much worse) to 7 (very much improved). Responders were defined as participants with responses of 6 (much improved) or 7 (very much improved).

    Measured: Weeks 12, 16, 20, and 24

  6. Change in the Clinician Global Impression of Severity (CGI-S) Scores From Baseline at Weeks 12, 16, 20, and 24

    The CGI-S is a questionnaire that asks the clinician to evaluate the symptom severity of the participant's alopecia areata at the time of assessment. The symptom severity was rated on a scale ranging from 1 to 7, where 1=normal, no hair loss; 2=borderline hair loss; 3=mild hair loss; 4=moderate hair loss; 5=marked hair loss; 6=severe hair loss; 7=among the most extreme hair loss. Higher scores indicate more hair loss. A negative change from baseline indicates less hair loss.

    Measured: Baseline, Weeks 12, 16, 20, and 24

  7. Change in the Patient Global Impression of Severity (PGI-S) Scores From Baseline at Weeks 12, 16, 20, and 24

    The PGI-S is a self-administered questionnaire that asks the participant to evaluate the symptom severity of their alopecia areata at the time of assessment. Symptom severity was rated on a scale ranging from 1 to 7, where 1=normal, no hair loss; 2=borderline hair loss; 3=mild hair loss; 4=moderate hair loss; 5=marked hair loss; 6=severe hair loss; 7=among the most extreme hair loss. Higher scores indicate more hair loss. A negative change from baseline indicates less hair loss.

    Measured: Baseline, Weeks 12, 16, 20, and 24

  8. Percentage of Participants Achieving at Least a 75% and 90% Relative Reduction in SALT Score From Baseline at Weeks 12 and 24

    SALT is a quantitative assessment of scalp hair loss with scores ranging in severity from 0 (no scalp hair loss) to a maximum of 100 (complete scalp hair loss). Percentage of participants achieving at least a 75% and 90% relative reduction in SALT score from baseline at Weeks 12 and 24 are reported.

    Measured: Baseline, Weeks 12, and 24

  9. Change in the Brigham Eyebrow Tool for Alopecia (BETA) Scores From Baseline at Weeks 12 and 24

    BETA is a clinician-rated scale that assesses the total eyebrow hair present. The BETA score is calculated based on hair density and surface area of each individual eyebrow of the participant, ranging from 0 to 3, where 0 = no eyebrow, 1 = minimal eyebrow, 2 = moderate eyebrow, 3 = normal eyebrow. The BETA score is the sum of the right and left eyebrow scores, ranging from 0 to 6. Higher scores indicate less hair loss of eyebrows. A positive change from baseline indicates less hair loss of eyebrows.

    Measured: Baseline, Weeks 12, and 24

  10. Change in the Brigham Eyelash Tool for Alopecia (BELA) Scores From Baseline at Weeks 12 and 24

    BELA is a clinician-rated scale that assesses the total eyelash hair present. The BELA is calculated based on distribution and grade values, ranging from 0 (no eyelashes) to 3 (full eyelashes). The BELA score is the sum of the individual scores for the left and right eyes, ranging from 0 to 6. Higher scores indicate less hair loss of eyelashes. A positive change from baseline indicates less hair loss of eyelashes.

    Measured: Baseline, Weeks 12, and 24

  11. Change in the SPRO Scale From Baseline at Weeks 12, 16, 20, and 24

    SPRO is a questionnaire answered by the participant and designed to measure how satisfied alopecia areata participants are with their hair at the time of the assessment. The responses range from 1 to 5: 1= very satisfied, 2= satisfied, 3= neither satisfied nor dissatisfied, 4= dissatisfied, and 5= very dissatisfied. Higher scores indicate the greater hair dissatisfaction. A negative change from baseline indicate the greater hair satisfaction.

    Measured: Baseline, Weeks 12, 16, 20, and 24

  12. Percentage of Participants Achieving a ≥2-point Change From Baseline in the SPRO Scale at Weeks 12, 16, 20, and 24

    SPRO is a questionnaire answered by the participant and designed to measure how satisfied alopecia areata participants are with their hair at the time of the assessment. The responses range from 1 to 5: 1= very satisfied, 2= satisfied, 3= neither satisfied nor dissatisfied, 4= dissatisfied, and 5= very dissatisfied.

    Measured: Weeks 12, 16, 20, and 24

  13. Change in the Individual Items of the Hair Quality Patient Reported Outcome (QPRO) Scale From Baseline at Weeks 12, 16, 20, and 24

    The QPRO questionnaire provides additional details on key attributes of hair and helps provide context to the SPRO response. The individual items of QPRO are: Satisfied thickness hair coverage; Satisfied evenness hair coverage; How satisfied with your eyebrows; How satisfied with your eyelashes, scored on a scale ranging from 1 to 5 where 1=very satisfied, 2=satisfied, 3=neither satisfied nor dissatisfied, 4=dissatisfied, 5=very dissatisfied. Higher scores indicate the greater dissatisfaction on hair quality. A negative change from baseline indicate the greater satisfaction on hair quality.

    Measured: Baseline, Weeks 12, 16, 20, and 24

  14. Change in the Anxiety and Depression Scale Scores of the Hospital Anxiety and Depression Scale (HADS) From Baseline at Week 24

    HADS is a questionnaire designed to assess anxiety and depression symptoms which is completed by participants. The questionnaire is comprised of two separate scales with a total of 14 items: A 7-item scale related to anxiety and 7-item scale related to depression. Each item within both scales is scored using a 4-point scale, ranging from 0 to 3 and the total scores in each scale can range from 0 to 21. Separate scores were created for anxiety and depression. A score between 0-7 is considered normal, 8-10 is mild, 11-14 is moderate, and >14 is severe anxiety or depression. Higher scores indicate greater severity. A negative change from baseline indicates less severity.

    Measured: Baseline and Week 24

  15. Percentage of Participants Achieving an Absolute SALT Score of ≤10 at Week 24

    SALT is a quantitative assessment of scalp hair loss with scores ranging in severity from 0 (no scalp hair loss) to a maximum of 100 (complete scalp hair loss).

    Measured: Week 24

Timeline

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

  1. First posted19 Aug 2020
  2. Study start23 Nov 2020
  3. Primary completion19 Apr 2022
  4. Study completion19 Apr 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
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
706 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04518995
Sponsor's protocol ID
CP543.3001
Other IDs
2020-002704-40
Acronym
THRIVE-AA1
Status last verified
Apr 2023
First submitted
16 Aug 2020
Last updated
3 May 2023
Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
No

Publications

  • King B, Senna MM, Mesinkovska NA, Lynde C, Zirwas M, Maari C, Prajapati VH, Sapra S, Brzewski P, Osman L, Hanna S, Wiseman MC, Hamilton C, Cassella J. Efficacy and safety of deuruxolitinib, an oral selective Janus kinase inhibitor, in adults with alopecia areata: Results from the Phase 3 randomized, controlled trial (THRIVE-AA1). J Am Acad Dermatol. 2024 Nov;91(5):880-888. doi: 10.1016/j.jaad.2024.06.097. Epub 2024 Jul 23.

    PubMed 39053611

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing CTP-543 in people with Alopecia Areata, run by Concert Pharmaceuticals at 72 sites in 5 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 3 inclusion and 5 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 3 May 2023. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 72 sites in United States, Canada, France, Poland, Spain. 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 3 May 2023). 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?

Percentage of Participants Achieving an Absolute Severity of Alopecia Tool (SALT) Score of ≤20 at Week 24 (time frame: Week 24). 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 NCT04518995, 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 3 May 2023.

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