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Alopecia AreataPhase 2NCT04784533

A Study to Evaluate the Durability of Response of CTP-543 in Adult Patients With Moderate to Severe Alopecia Areata

A Phase 2 study testing CTP-543 in people with Alopecia Areata, run by Concert Pharmaceuticals 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

This study is designed to evaluate the regrowth of hair with CTP-543 and subsequent durability of that regrowth following dose reduction in adult patients with moderate to severe alopecia areata. 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
317 participants
Where
39 sitesUnited States
Study dates
26 Feb 2021to 16 May 2023
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 65 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Definitive diagnosis of alopecia areata with a current episode of scalp hair loss 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

39 sites in 1 country.

39 sites in 1 country

United States39 sites
  • Kern Research, Inc.

    Bakersfield, California, 93301

  • Bexley Dermatology Research

    Bexley, Ohio, 43209

  • Total Skin and Beauty Dermatology Center, PC

    Birmingham, Alabama, 35205

  • Skin Care Research, LLC

    Boca Raton, Florida, 33486

  • Hope Clinical Research

    Canoga Park, California, 91303

  • 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

  • Michigan Center for Research Company, LLC

    Clarkston, Michigan, 48346

  • Remington Davis

    Columbus, Ohio, 43215

  • Dermatology Treatment and Research Center, PA

    Dallas, Texas, 75230

  • Colorado Medical Research Center, Inc.

    Denver, Colorado, 80210

  • California Dermatology & Clinical Research Institute

    Encinitas, California, 92024

  • Skin Laser and Surgery Specialists of New Jersey

    Hackensack, New Jersey, 07601

  • Skin Care Research, LLC

    Hollywood, Florida, 33021

  • Austin Institute for Clinical Research

    Houston, Texas, 77056

  • University of California, Irvine

    Irvine, California, 92697

  • DS Research

    Louisville, Kentucky, 40241

  • University of Minnesota Department of Dermatology

    Minneapolis, Minnesota, 55455

  • Minnesota Clinical Study Center

    New Brighton, Minnesota, 55112

  • Yale University Church Street Research Unit

    New Haven, Connecticut, 06519

  • Quest Dermatology Research

    Northridge, California, 91324

  • Kaiser Permanente

    Oakland, California, 94611

  • Skin Specialists, PC

    Omaha, Nebraska, 68144

  • Palmtree Clinical Research, Inc.

    Palm Springs, California, 92262

  • Austin Institute for Clinical Research, Inc.

    Pflugerville, Texas, 78660

  • The Indiana Clinical Trials Center, PC

    Plainfield, Indiana, 46168

  • Dermatology Associates of Plymouth Meeting

    Plymouth Meeting, Pennsylvania, 19462

  • Northwest Dermatology

    Portland, Oregon, 97210

  • Rhode Island Hospital

    Providence, Rhode Island, 02903

  • North Carolina Dermatology Associates, PLLC

    Raleigh, North Carolina, 27617

  • West End Dermatology Associates

    Richmond, Virginia, 23233

  • Kaiser Permanente

    San Francisco, California, 94118

  • Center for Dermatology and Plastic Surgery/CCT Research

    Scottsdale, Arizona, 85260

  • Springville Dermatology/CCT Research

    Springville, Utah, 84663

  • Vital Prospects Clinical Research Institute, PC

    Tulsa, Oklahoma, 74136

  • PEAK Research, LLC

    Upper Saint Clair, Pennsylvania, 15241

Other trials in United States

About this study

Official title: A Study to Evaluate Maintenance of Hair Regrowth Following Dose Reduction of CTP-543 in Adult Patients With Moderate to Severe Alopecia Areata

This study is designed to evaluate the regrowth of hair with CTP-543 and subsequent durability of that regrowth following dose reduction in adult patients with moderate to severe alopecia areata.

Conditions
Alopecia Areata
Being tested
CTP-543, Placebo
Keywords
CTP-543
Medical subject headings
Alopecia Areata

What participants receive

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

  • CTP-543Drug

    Oral dosing

  • PlaceboDrug

    Oral dosing

Study groups in NCT04784533
Study groupRoleWhat they receive
Part A: Period 1 - CTP-543 8 mg BIDExperimentalParticipants received CTP-543 8 milligrams (mg) tablets, orally, twice daily (BID) for up to 24 weeks.
Receives: Drug: CTP-543
Part A: Period 1 - CTP-543 12 mg BIDExperimentalParticipants received CTP-543 12 mg tablets, orally, BID for up to 24 weeks.
Receives: Drug: CTP-543
Part A: Period 2 - CTP-543 8 mg BID to 4 mg BIDExperimentalParticipants who received CTP-543 8 mg during Period 1 of Part A and achieved an absolute severity of alopecia tool (SALT) score of ≤20 at Week 24, received CTP-543 4 mg tablets, orally, BID, for up to 24 weeks.
Receives: Drug: CTP-543
Part A: Period 2 - CTP-543 12 mg BID to 8 mg BIDExperimentalParticipants who received CTP-543 12 mg during Period 1 of Part A and achieved an absolute SALT score of ≤20 at Week 24, received CTP-543 8 mg tablets, orally, BID, for up to 24 weeks.
Receives: Drug: CTP-543
Part A: Period 2 - CTP-543 8 mg BID to PlaceboPlacebo comparatorParticipants who received CTP-543 8 mg during Period 1 of Part A and achieved an absolute SALT score of ≤20 at Week 24, received CTP-543 matched placebo tablets, orally, BID, for up to 24 weeks.
Receives: Drug: Placebo
Part A: Period 2 - CTP-543 12 mg BID to PlaceboPlacebo comparatorParticipants who received CTP-543 12 mg during Period 1 of Part A and achieved an absolute SALT score of ≤20 at Week 24, received CTP-543 matched placebo tablets, orally, BID, for up to 24 weeks.
Receives: Drug: Placebo
Part B: CTP-543 8 mg BID to 4 mg BID to 8 mg BIDExperimentalParticipants who received CTP-543 8 mg during Period 1, followed by CTP-543 4 mg during Period 2 of Part A and met the criteria for loss of regrowth maintenance (LOM) (absolute SALT score of > 20), received re-treatment with CTP-543 8 mg tablets, orally, BID, for up to 24 weeks.
Receives: Drug: CTP-543
Part B: CTP-543 12 mg BID to 8 mg BID to 12 mg BIDExperimentalParticipants who received CTP-543 12 mg during Period 1, followed by CTP-543 8 mg during Period 2 of Part A and met the criteria for LOM (absolute SALT score of > 20), received re-treatment with CTP-543 12 mg tablets, orally, BID, for up to 24 weeks.
Receives: Drug: CTP-543
Part B: CTP-543 8 mg BID to Placebo to 8 mg BIDExperimentalParticipants who received CTP-543 8 mg during Period 1, followed by CTP-543 matched placebo during Period 2 of Part A and met the criteria for LOM (absolute SALT score of > 20), received re-treatment with CTP-543 8 mg tablets, orally, BID, for up to 24 weeks.
Receives: Drug: CTP-543
Part B: CTP-543 12 mg BID to Placebo to 12 mg BIDExperimentalParticipants who received CTP-543 12 mg during Period 1, followed by CTP-543 matched placebo during Period 2 of Part A and met the criteria for LOM (absolute SALT score of > 20), received re-treatment with 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. Part A, Period 2: Percentage of Participants Achieving Loss of Regrowth Maintenance (LOM) Criteria Defined by Severity of Alopecia Tool (SALT) Score > 20 Following Dose Reduction

    SALT is a quantitative assessment of scalp hair loss with scores ranging from 0 (no scalp hair loss) to 100 (complete scalp hair loss). LOM is defined as an absolute SALT score >20. The percentage of participants achieving LOM criteria (SALT >20) was compared to the percentage of participants maintaining treatment success (SALT ≤ 20) for each of the following dose reduction conditions. Due to the variable time on study for each participant within Part A Period 2, the primary analysis visit was the end of Part A Period 2, where the last observed non-missing SALT value was selected for each participant.

    Measured: From Week 24 to Week 48

  2. Part A, Period 2: Percentage of Participants Achieving LOM Criteria Defined by SALT Score > 20 Following Drug Discontinuation

    SALT is a quantitative assessment of scalp hair loss with scores ranging from 0 (no scalp hair loss) to 100 (complete scalp hair loss). LOM is defined as an absolute SALT score >20. The percentage of participants achieving LOM criteria (SALT >20) was compared to the percentage of participants maintaining treatment success (SALT ≤ 20) for each of the following dose discontinuation conditions. Due to the variable time on study for each participant within Part A Period 2, the primary analysis visit was at the end of Part A Period 2, where the last observed non-missing SALT value was selected for each participant.

    Measured: From Week 24 to Week 48

  3. Part B: Percentage of Participants by Dose Group Who Achieved Restoration of Regrowth (ROR) at Week 24

    SALT is a quantitative assessment of scalp hair loss with scores ranging from 0 (no scalp hair loss) to 100 (complete scalp hair loss). ROR is defined as the participant's attainment of an absolute SALT score of ≤20 at Week 24 of re-treatment.

    Measured: Week 24 of re-treatment

Secondary outcomes (13)
  1. Part A, Period 2: Percentage of Participants Who Achieved LOM Criteria Defined by SALT Score > 20 Following Dose Reduction Conditions at Weeks 28, 32, 36, 40, 44, and 48

    SALT is a quantitative assessment of scalp hair loss with scores ranging from 0 (no scalp hair loss) to 100 (complete scalp hair loss). LOM is defined as an absolute SALT score >20.

    Measured: Weeks 28, 32, 36, 40, 44, and 48

  2. Part A, Period 2: Percentage of Participants Who Achieved LOM Criteria Defined by SALT > 20 Following Drug Discontinuation Conditions at Weeks 28, 32, 36, 40, 44, and 48

    SALT is a quantitative assessment of scalp hair loss with scores ranging from 0 (no scalp hair loss) to 100 (complete scalp hair loss). LOM is defined as an absolute SALT score >20.

    Measured: Weeks 28, 32, 36, 40, 44, and 48

  3. Part A, Period 1: Percentage of Responders as Assessed 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. SPRO responder is defined as a post-baseline response of 'very satisfied' or 'satisfied'.

    Measured: Weeks 12, 16, 20, and 24

  4. Part A, Period 1: Percentage of Participants Who Achieved an Absolute SALT Score ≤20 at Weeks 4, 8, 12, 16, 20, and 24

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

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

  5. Part A, Period 1: 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). Negative change indicates no hair loss.

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

  6. Part A, Period 1: 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

  7. Part A, Period 1: 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). PGI responder is a response of 'very much improved' or 'much improved'.

    Measured: Weeks 12, 16, 20, and 24

  8. Part A, Period 1: 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

  9. Part A, Period 1: 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

  10. Part A, Period 1: 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 indicates 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

  11. Part B: Percentage of Participants Who Achieved Restoration of Regrowth Criteria at Weeks 4, 8, 12, 16, 20, and 24

    SALT is a quantitative assessment of scalp hair loss with scores ranging from 0 (no scalp hair loss) to 100 (complete scalp hair loss). ROR is defined as the participant's attainment of an absolute SALT score of ≤20 during re-treatment.

    Measured: Weeks 4, 8, 12, 16, 20, and 24 of re-treatment

  12. Part B: Relative Change in SALT Scores From Part B 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 of re-treatment

  13. Number of Participants Experiencing at Least One Treatment-Emergent Adverse Events (TEAEs)

    An adverse event is any untoward medical occurrence that may appear or worsen in a participant during the course of a study. It may be a new intercurrent illness, a worsening concomitant illness, an injury, or any concomitant impairment of the patient's health, including laboratory test values, regardless of etiology. Any worsening (ie, any clinically significant adverse change in the frequency or intensity of a pre-existing condition) should be considered an adverse event. TEAEs were defined as any adverse event that occurs after administration of the first dose of study drug in each Part/Period (ie, on or after the day of the first dose in each Part/Period). TEAEs included both serious and non-serious TEAEs.

    Measured: From first dose of study drug up to last follow up visit (Week 76)

Timeline

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

  1. First posted5 Mar 2021
  2. Study start26 Feb 2021
  3. Primary completion16 May 2023
  4. Study completion16 May 2023

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
317 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04784533
Sponsor's protocol ID
CP543.2004
Status last verified
Oct 2024
First submitted
3 Mar 2021
Last updated
9 Oct 2024
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
No

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing CTP-543 in people with Alopecia Areata, run by Concert Pharmaceuticals 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 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 9 Oct 2024. 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 9 Oct 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?

Part A, Period 2: Percentage of Participants Achieving Loss of Regrowth Maintenance (LOM) Criteria Defined by Severity of Alopecia Tool (SALT) Score > 20 Following Dose Reduction (time frame: From Week 24 to Week 48). The study lists 3 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
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 9 Oct 2024.

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