Study of Modzatinib (ATI-2138) in Adult Participants With Biopsy-proven Forms of Lichen Planus Not Adequately Controlled With Topical Therapies (ALPHA)
A Randomized, Double-Blind, Placebo-Controlled, Dose-Finding Study to Evaluate the Efficacy and Safety of Modzatinib (ATI-2138) in Adult Participants With Biopsy-Proven Forms of Lichen Planus Not Adequately Controlled With Topical Therapies (ALPHA)
This study evaluates modzatinib versus placebo in participants with biopsy-proven forms of moderate-to-severe lichen planus (LP).
Studieoversigt
Status
Status
Betingelser
Betingelser
Intervention / Behandling
Intervention / Behandling
Undersøgelsestype
Undersøgelsestype
Tilmelding (Anslået)
Tilmelding
Fase
Fase
- Fase 2
Kontakter og lokationer
Studiekontakt
Studiekontakt
- Navn: Aclaris Clinical Operations
- Telefonnummer: (484) 324-7933
- E-mail: clintrials@aclaristx.com
Deltagelseskriterier
Berettigelseskriterier
Berettigelseskriterier
Aldre berettiget til at studere
Tager imod sunde frivillige
Køn, der er berettiget til at studere
Beskrivelse
Key Inclusion Criteria:
- Participants must have biopsy-confirmed OLP, CLP, or LPP eligible for systemic therapy and a history of inadequate response to topical corticosteroids (TCS) of high or ultra-high potency (based on the World Health Organization [WHO] definition) for at least 4 weeks in the opinion of the Investigator.
Specific criteria for each subtype below:
- OLP: OLP IGA of ≥ 3 (moderate or severe) and either Baseline LP-related Pain or Burning Sensation NRS ≥ 3.
- CLP: CLP IGA ≥3 (moderate or severe) and Baseline LP-related Itch NRS ≥ 3.
- LPP: LPP IGA ≥ 3 (moderate or severe) and either Baseline LP-related Itch or Burning Sensation NRS ≥ 3.
- If using any of the permitted treatments (that is, topical treatments on the affected areas, oral pain medications, and systemic antihistamines), the dose and frequency should remain stable for at least 2 weeks prior to randomization (Day 1) and until Week 16 (OLP and CLP cohorts) or Week 24 (LPP cohort).
- Participant has a stable disease for at least 4 weeks prior to screening visit based on Investigator judgement.
- Participant must be willing and able to comply with all study procedures and must be available for the duration of the study.
Key Exclusion Criteria:
- Clinical history suspicious for and/or biopsy consistent with lichenoid drug eruption.
- History or diagnosed LP other than OLP, CLP, or LPP (for example, lichen planus pigmentosus, paraneoplastic mucosal lichen planus, hypertrophic lichen planus, as well as actinic, inverse, linear, or bullous variants).
- Participants with dysplastic changes in oral biopsy results.
- Participant has any clinically significant medical condition, other skin conditions (including skin, scalp or mucosa infections), or physical/laboratory/electrocardiogram (ECG)/vital signs abnormality that would, in the opinion of the investigator, put the participant at undue risk or interfere with the study assessments.
- Participant has any condition that could interfere with drug absorption including, but not limited to, short bowel syndrome, gastric bypass surgery (including sleeve gastrectomy). Participants with a history of gastric banding/segmentation are not to be excluded.
- Participant has a known or suspected allergy to modzatinib or any component of the investigational product.
- Participant is a female who is breastfeeding, pregnant, or who is planning to become pregnant during the study.
Note: Other protocol-defined inclusion and exclusion criteria may apply.
Studieplan
Hvordan er undersøgelsen tilrettelagt?
Design detaljer
- Primært formål: Behandling
- Tildeling: Randomiseret
- Interventionel model: Parallel tildeling
- Maskning: Firedobbelt
Antal våben
Våben og indgreb
Deltagergruppe / ArmDeltagergruppe / Arm |
Intervention / BehandlingIntervention / Behandling |
|---|---|
|
Eksperimentel: Oral Erosive Lichen Planus (OLP) Cohort
Participants will receive modzatinib or placebo administered orally twice daily (BID) for 16 weeks. |
Oral tablets Oral tablets
Andre navne:
|
|
Eksperimentel: Cutaneous Lichen Planus (CLP) Cohort
Participants will receive modzatinib or placebo administered orally BID for 16 weeks. |
Oral tablets Oral tablets
Andre navne:
|
|
Eksperimentel: Lichen Planopilaris (LPP) Cohort
Participants will receive modzatinib or placebo administered orally BID for 24 weeks. |
Oral tablets Oral tablets
Andre navne:
|
Hvad måler undersøgelsen?
Primære resultatmål
Primære resultatmål
Resultatmål |
Tidsramme |
|---|---|
|
Participants With OLP: Change From Baseline in Activity Score of the Oral Disease Severity Score (ODSS) at Week 16
Tidsramme: Baseline, Week 16
|
Baseline, Week 16
|
|
Participants With CLP: Change From Baseline in Modified Lichen Planus Area and Severity Index (LPASI) Score at Week 16
Tidsramme: Baseline, Week 16
|
Baseline, Week 16
|
|
Participants With LPP: Change From Baseline in Lichen Planopilaris Activity Index (LPPAI) Score at Week 24
Tidsramme: Baseline, Week 24
|
Baseline, Week 24
|
Sekundære resultatmål
Sekundære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
|---|---|---|
|
Percentage of Participants With Investigator Global Assessment (IGA) Score of 0 or 1 and at Least a 2-point Improvement Over Time
Tidsramme: Baseline up to Week 26
|
Baseline up to Week 26
|
|
|
Participants With OLP: Change From Baseline in Activity Score of the ODSS Over Time
Tidsramme: Baseline, up to Week 18
|
Baseline, up to Week 18
|
|
|
Participants With OLP: Change From Baseline in Total ODSS Over Time
Tidsramme: Baseline, up to Week 18
|
Baseline, up to Week 18
|
|
|
Participants With OLP: Change From Baseline in Total Reticulation Erythema and Ulceration (REU) Score Over Time
Tidsramme: Baseline, up to Week 18
|
Baseline, up to Week 18
|
|
|
Participants With OLP: Change From Baseline in Weekly Average of Daily Worst Pain Numeric Rating Scale (NRS) Scores Over Time
Tidsramme: Baseline, up to Week 18
|
Baseline, up to Week 18
|
|
|
Participants With OLP: Change From Baseline in Weekly Average of Daily Worst Burning Sensation NRS Scores Over Time
Tidsramme: Baseline, up to Week 18
|
Baseline, up to Week 18
|
|
|
Participants With CLP: Change From Baseline in Modified LPASI Score Over Time
Tidsramme: Baseline, up to Week 18
|
Baseline, up to Week 18
|
|
|
Participants With CLP: Change From Baseline in Weekly Average of Daily Worst Itch NRS Scores Over Time
Tidsramme: Baseline, up to Week 18
|
Baseline, up to Week 18
|
|
|
Participants With LPP: Change From Baseline in LPPAI Score Over Time
Tidsramme: Baseline, up to Week 26
|
Baseline, up to Week 26
|
|
|
Participants With LPP: Change From Baseline in Activity Score Over Time
Tidsramme: Baseline, up to Week 26
|
Activity score represents the sum of the 3 severity signs from the LPPAI * body surface area (BSA). |
Baseline, up to Week 26
|
|
Participants With LPP: Change From Baseline in Weekly Average of Daily Worst Itch NRS Scores Over Time
Tidsramme: Baseline, up to Week 26
|
Baseline, up to Week 26
|
|
|
Participants With LPP: Change From Baseline in Weekly Average of Daily Worst Pain NRS Scores Over Time
Tidsramme: Baseline, up to Week 26
|
Baseline, up to Week 26
|
|
|
Participants With LPP: Change From Baseline in Weekly Average of Daily Worst Burning Sensation NRS Scores Over Time
Tidsramme: Baseline, up to Week 26
|
Baseline, up to Week 26
|
|
|
Participants With LPP: Change From Baseline in Trichoscopy Parameters: Number of Hairs Over Time
Tidsramme: Baseline, up to Week 26
|
Baseline, up to Week 26
|
|
|
Participants With LPP: Change From Baseline in Trichoscopy Parameters: Hair Diameter Over Time
Tidsramme: Baseline, up to Week 26
|
Baseline, up to Week 26
|
|
|
Participants With LPP: Change From Baseline in Trichoscopy Parameters: Hair Density Over Time
Tidsramme: Baseline, up to Week 26
|
Baseline, up to Week 26
|
|
|
Percentage of Participants in Each Category of Patient Global Impression of Change (PGIC) Over Time
Tidsramme: Baseline up to Week 26
|
Baseline up to Week 26
|
|
|
Participants With OLP: Change From Baseline in OLP Symptom Severity Measure (OLPSSM) Total Score Over Time
Tidsramme: Baseline, up to Week 18
|
Baseline, up to Week 18
|
|
|
Participants With OLP: Change From Baseline in Oral Health Impact Profile (OHIP)-14 Total Score Over Time
Tidsramme: Baseline, up to Week 18
|
Baseline, up to Week 18
|
|
|
Participants With CLP and LPP: Change From Baseline in Dermatology Life Quality Index (DLQI) Total Score Over Time
Tidsramme: Baseline, up to Week 18 (for CLP) and Week 26 (for LPP)
|
Baseline, up to Week 18 (for CLP) and Week 26 (for LPP)
|
|
|
Participants With CLP and LPP: Percentage of Participants With 4-point Improvement or Greater From Baseline in DLQI Total Score Over Time
Tidsramme: Baseline up to Week 18 (for CLP) and Week 26 (for LPP)
|
Baseline up to Week 18 (for CLP) and Week 26 (for LPP)
|
|
|
Number of Participants With Treatment-emergent Adverse Events (TEAEs) and Serious Adverse Events (SAEs)
Tidsramme: Baseline up to Week 18 (for OLP and CLP) and Week 26 (for LPP)
|
Baseline up to Week 18 (for OLP and CLP) and Week 26 (for LPP)
|
|
|
Peak Concentration of Modzatinib
Tidsramme: Baseline up to Week 16 (for OLP and CLP) and Week 24 (for LPP)
|
Baseline up to Week 16 (for OLP and CLP) and Week 24 (for LPP)
|
|
|
Trough Concentration of Modzatinib
Tidsramme: Baseline up to Week 16 (for OLP and CLP) and Week 24 (for LPP)
|
Baseline up to Week 16 (for OLP and CLP) and Week 24 (for LPP)
|
Samarbejdspartnere og efterforskere
Sponsor
Sponsor
Datoer for undersøgelser
Studer store datoer
Studiestart (Anslået)
Studiestart
Primær færdiggørelse (Anslået)
Primær færdiggørelse
Studieafslutning (Anslået)
Studieafslutning
Datoer for studieregistrering
Først indsendt
Først indsendt
Først indsendt, der opfyldte QC-kriterier
Først indsendt, der opfyldte QC-kriterier
Først opslået (Faktiske)
Først opslået
Opdateringer af undersøgelsesjournaler
Sidste opdatering sendt (Faktiske)
Sidste opdatering sendt
Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier
Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier
Sidst verificeret
Sidst verificeret
Mere information
Begreber relateret til denne undersøgelse
Nøgleord
Yderligere relevante MeSH-vilkår
Andre undersøgelses-id-numre
Andre undersøgelses-id-numre
- ATI-2138-LP-201
- 2026-528195-17-00 (Ctis)
Plan for individuelle deltagerdata (IPD)
Planlægger du at dele individuelle deltagerdata (IPD)?
Lægemiddel- og udstyrsoplysninger, undersøgelsesdokumenter
Studerer et amerikansk FDA-reguleret lægemiddelprodukt
Studerer et amerikansk FDA-reguleret enhedsprodukt
Disse oplysninger blev hentet direkte fra webstedet clinicaltrials.gov uden ændringer. Hvis du har nogen anmodninger om at ændre, fjerne eller opdatere dine undersøgelsesoplysninger, bedes du kontakte register@clinicaltrials.gov. Så snart en ændring er implementeret på clinicaltrials.gov, vil denne også blive opdateret automatisk på vores hjemmeside .