Study of the Effect of Fostamatinib Upon Cutaneous Inflammation in the Setting of Hidradenitis Suppurativa
An Exploratory, Proof-of-Concept Study of the Effect of Fostamatinib Upon Cutaneous Inflammation in the Setting of Hidradenitis Suppurativa
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Detailed Description
Sample size: 20 patients Study duration: 16 weeks
Primary Endpoints:
Alterations in Gene Expression Profiling, cell counts (CD3+, CD11c+, Neutrophil Elastase+, CD20+, CD138+) at Week 4 compared to Baseline.
Alterations in Gene Expression Profiling, cell counts (CD3+, CD11c+, Neutrophil Elastase+, CD20+, CD138+) at Week 12 compared to Baseline.
Secondary Endpoints:
Safety and Tolerability (Grade 2/3 Adverse Effects); Changes in Disease Activity (Measures by AN count and IHS4 scoring).
Study procedures Clinical Examination, Patient Questionnaires, Skin Biopsy, Blood Draw, medical photography
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Phase 2
Contacts and Locations
Study Contact
Study Contact
- Name: Trina Vincent, R.N.
- Phone Number: +61280381044
- Email: trina.vincent@holdsworthhouse.com.au
Study Contact Backup
- Name: John Frew, MBBS
- Phone Number: 02 93317228
- Email: john.frew@holdsworthhouse.com.au
Study Locations
-
-
New South Wales
-
Sydney, New South Wales, Australia, 2010
- Holdsworth House Medical Practice
-
-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Moderate to Severe (Hurley Stage 2 or 3) Hidradenitis Suppurativa as determined by the PI
Exclusion Criteria:
- Uncontrolled hypertension (systolic blood pressure [BP] ≥135 mmHg and/or diastolic BP ≥85 mmHg), unstable angina, congestive heart failure of New York Heart Association classification III or IV, serious cardiac arrhythmia requiring treatment (exceptions: atrial fibrillation, paroxysmal supraventricular tachycardia) at screening.
- History of myocardial infarction within 3 months prior to screening.
- Shock or hypotension requiring vasoactive peptides, such as dopamine, norepinephrine, epinephrine, or dobutamine at screening or at randomization.
- Renal function impairment with creatinine clearance <30 mL/min at screening (estimated glomerular filtration rate will be calculated using the modification of diet in renal disease equation).
- Liver function impairment with aspartate aminotransferase/alanine aminotransferase >=3x the upper limit of normal or bilirubin >2X the upper limit of normal at screening.
- Neutrophil count <1000/µL at screening.
- History of an allergic reaction or hypersensitivity to the study treatment or any component of the study treatment formulation.
- Has documented HIV infection or documented, active hepatitis B or hepatitis C infection.
- Women lactating, pregnant or of childbearing potential who are not willing to avoid becoming pregnant during the study.
- Individuals with concurrent use of systemic antibiotics/ oral retinoids/ systemic immunosuppressants (those with prior use of these medications must have conducted a washout period of 4 weeks or 5 half-lives of the drug, whichever is longer).
- Any medical, psychological or social condition that, in the opinion of the Investigator, would jeopardize the health or well-being of the participant during any study procedures or the integrity of the data.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: N/A
- Interventional Model: Single Group Assignment
- Masking: None (Open Label)
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Experimental: Open Label Fostamatinib
Open label Fostamatinib 100mg dose adjusted by the Principal Investigator after week 1
|
Open label Fostamatinib
Other Names:
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Week 4 evaluation
Time Frame: 4 weeks
|
Alterations in Gene Expression Profiling, cell counts (CD3+, CD11c+, Neutrophil Elastase+, CD20+, CD138+) at Week 4 compared to
|
4 weeks
|
|
Week 12 evaluation
Time Frame: 12 weeks
|
Alterations in Gene Expression Profiling, cell counts (CD3+, CD11c+, Neutrophil Elastase+, CD20+, CD138+) at Week 12 compared to Baseline
|
12 weeks
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Grade 2/3 Adverse Events
Time Frame: 12 weeks
|
Number of Grade 2/3 Adverse Effects of Fostamatinib over the 12 Week course of treatment.
|
12 weeks
|
|
Abscess and Nodule Count Week 4
Time Frame: 4 weeks
|
Changes in Abscess and Nodule count at Week 4 compared to baseline
|
4 weeks
|
|
International Hidradenitis Suppurativa Severity Score (IHS4) Week 4
Time Frame: 4 weeks
|
Changes in IHS4 score at Week 4 compared to baseline
|
4 weeks
|
|
Abscess and Nodule count week 12
Time Frame: 12 weeks
|
Changes in Abscess and Nodule count at Week 12 compared to baseline
|
12 weeks
|
|
International Hidradenitis Suppurativa Severity Score (IHS4) Week 12
Time Frame: 12 weeks
|
Changes in IHS4 score at Week 12 compared to baseline
|
12 weeks
|
|
Physician Rated Overall Disease Severity
Time Frame: 12 weeks
|
Changes in physician rated overall disease severity by visual analogue scale (0-10) at week 12 compared to baseline
|
12 weeks
|
|
Dermatology Life Quality Index (DLQI)
Time Frame: 12 weeks
|
Changes in the DLQI (0-30) at week 12 compared to baseline
|
12 weeks
|
Collaborators and Investigators
Sponsor
Sponsor
Collaborators
Collaborators
Investigators
Investigators
- Principal Investigator: John Frew, MBBS, Holdsworth House Medical Practice
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Actual)
Primary Completion
Study Completion (Actual)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Actual)
First Posted
Study Record Updates
Last Update Posted (Actual)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
Other Study ID Numbers
- JFR-001
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
product manufactured in and exported from the U.S.
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