ClinicalTrials.gg
CompletedNCT02196324Updated May 20, 2021Results posted

A Randomized Placebo-Controlled Study of the Neurokinin-1 (NK1) Receptor Antagonist Serlopitant Prurigo Nodularis (PN)

A Phase 2 interventional study of serlopitant and Placebo in Prurigo Nodularis, sponsored by Vyne Therapeutics Inc.. Completed at 15 sites in Germany. Open to participants aged 18 Years to 80 Years. Per ClinicalTrials.gov, last updated 2021-05-20.

Sponsored by Vyne Therapeutics Inc. · Phase 2, Interventional, and Treatment

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Phase
Phase 2
Study type
Interventional
Enrollment
128
Allocation
Randomized
Ages
18 Years to 80 Years
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-14

Among 230 studies in Dermatitis, Atopic with a site in Germany — 19 open to participants now, 42 under way, 9 of them phase 3. Dermatitis, Atopic · Germany.

Enrollment
126th of 205
128 · median 195
Started
2014
with 7 others
Phase 2
81 of 230
4 open now
Registered
61st of 230
by date

Among the 230 studies in Dermatitis, Atopic with a site in Germany, this one is the 126th largest by enrollment of the 205 interventional ones that give a count, is one of 8 that started in 2014, is one of 81 in phase 2, and was the 61st registered.

Dermatitis, Atopic

1,592 studies on the registry are indexed under Dermatitis, Atopic; 287 are open to participants now.

Browse Dermatitis, Atopic studies →

Open to participants now

19 of the 230 studies in Dermatitis, Atopic with a site in Germany are open now. Recruiting first, the newest first:

14 more — sign in →

All 19 open studies →

A study can be open while its sites in Germany have not opened yet or have stopped. Only those recruiting at a site in Germany →

Who these studies take

Of the 195 Dermatitis, Atopic studies recruiting now, 83 (43%) set no upper age limit and 96 (49%) stop at 75 or younger; 94 take children under 18; 52 take healthy volunteers.

This study: 18 Years to 80 Years · all sexes · no healthy volunteers.

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02

Study summary

The purpose of this study is to demonstrate whether or not VPD-737, an NK1 receptor antagonist is safe and effective for treatment of prurigo nodularis versus placebo.

Read the detailed description

The sensation of itch is transmitted to the brain through the nervous system. Several chemicals are involved in transmitting this signal.This trial of VPD 737 is intended to treat this condition by blocking one of the chemicals involved in the transmission of the itch signal. This is an oral drug administered once daily It has been used in other trials and has shown to be safe at the doses used in this trial. The trial will involve once daily pills for 8 weeks. Subject will be asked to fill out questionnaires both electronically and on paper during the study period. Patients will also be monitored for safety and will have blood taken for testing and several points during the trial. Overall participation will last about 14 weeks

03

Conditions studied

  • Prurigo Nodularis

Browse trials for

Keywords

  • Prurigo Nodularis
  • Atopic Dermatitis
  • Lichen-simplex chronicus
04

Who can participate

Ages eligible
18 Years to 80 Years
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Subjects meeting all of the following criteria will be eligible for study entry:

    1. Males or females who are at least 18 years and no more than 80 years of age at Screening.
    2. Must have PN (defined as the presence of pruritic nodules due to chronic pruritus,) of more than 6 weeks duration despite treatment with current therapies such as antihistamines or ("treatment resistant" PN).
    3. Must have PN lesions on both arms, both legs, and/or the trunk (ie, the lesions must not be localized).
    4. Must have a VAS pruritus score of 70 or greater within 72 hours of Baseline.
    5. Males, non-fecund females (ie, surgically sterilized, if procedure was done 12 months before screening or subject is , without menses for 12 months before screening), or females of using an acceptable method of for a period of 35 days before the first dosing, and all females must have a negative pregnancy test at the screening and baseline visits:

      Note 1: Acceptable methods of birth control include any one of the following:

      abstinence, vasectomized sexual partner, hormonal methods (ie, birth-control pill, hormonal IUD, Depo-Provera, implants, patch, intravaginal device [NuvaRing]), intrauterine device (IUD [copper banded coils]), diaphragm, cervical cap, or condom with spermicidal jelly or foam. Subjects using oral contraceptives must also use a reliable backup method of birth control during the study and until the first menses after the last dose of study medication or for 14 days menses after the last dose of study medication.

    6. Willing and able to understand and provide written .
    7. Willing and able to comply with study requirements and restrictions including the discontinuation of all current therapies for pruritus.
    8. Subjects must be in good health as determined by medical history, physical examination, and results of Electro Cardio Gram () and clinical laboratory tests (including urinalysis).
    9. Agreeing to confidential use and storage of all data and use of all anonymized data for publication including scientific publication.

Exclusion criteria

Exclusion Criteria:

  • Subjects not eligible for the study are those who:
  • Have chronic pruritus due conditions other than PN, such as the following conditions:
  • Lichen simplex chronicus
  • Lichen amyloidosus
  • Localized pruritus (e.g., only one arm affected)
  • Neuropathic and psychogenic pruritus (notalgia paresthetica, brachioradial pruritus, somatoform prurigo, dilusional parasitosis, depression associated prurigo)
  • Active dermatoses needing immediate therapy such as atopic dermatitis (without PN) or bullous pemphigoid;
  • Have a history of use (within the specified time periods) of the medications listed below. Prior to randomization, a subject who used any of these medications must undergo a equal to the length of the interval specified below (eg, 2 weeks for antihistamines, 4 weeks for naltrexone, and 4 weeks for cyclosporine A).
  • Topical or systemic antihistamines, (used ≤2 weeks prior to the baseline visit) [loratindine, or cetirizine may act as rescue medication during treatment];
  • Topical calcineurin inhibitors, topical capsaicin, menthol, camphor, polidocanol, topical antibiotics, antiseptic baths and cleansing lotions (used ≤2 weeks prior to the baseline visit);
  • Topical (used ≤2 weeks prior to the baseline visit);
  • Naltrexone, paroxetine, fluvoxamine, amitriptyline, gabapentin, pregabalin, or UVtherapy (prescribed for the pruritus treatment) (used ≤4 weeks prior to the baseline visit);
  • Systemic steroids (used ≤4 weeks prior to the baseline visit);
  • Cyclosporine A and other (used ≤4 weeks prior to the baseline visit).
  • Have any medical condition or disability that would interfere with the assessment of safety or efficacy in this trial or would compromise the ability of the subject to undergo study procedures or to give .
  • Have any chronic or acute medical condition that, in the opinion of the investigator, might interfere with the study results or place the subject at undue risk.
  • Have a history of sensitivity to any components of the study material.
  • Are females of who are unwilling to use adequate or who are breast feeding.
  • Have chronic renal disease, ie, serum creatinine greater than 2.4 mg/dL.
  • Have (AST) or alanine aminotransferase (ALT) greater than 2 times the . Subjects with or C who have normal liver function may be enrolled.
  • Have a current (such as Hodgkin's lymphoma, B or T cell lymphoma, or myeloma) or blood cell dyscrasia (eg, polycythemia or myelofibrosis) that might lead to systemic chronic pruritus.
  • Subjects with untreated hyperthyroidism.
  • Have pruritus of psychiatric etiology (eg, delusions of parasitosis, obsessive compulsive disorder, or major depression) or neuropathic etiology (eg, due to shingles, spinal cord injury or with neurologic deficit).
  • Have pruritus due to urticaria, drug allergy, or infection (such as pityriasis rosea or tinea or active [HIV]). Note: Subjects with HIV who have undetectable viral load, CD 4 counts >200 cells/cc, and stable retroviral therapy may enroll.
  • Are on medications known to cause pruritus (ie, Erbitux®, opioids, cocaine, amphetamines, and angiotensin converting enzyme [ACE] inhibitors) and are suspected of having drug-induced pruritus.
  • Have taken medications within 30 days prior to Screening.
  • Are currently participating in any other clinical study.
  • Have a history (within the previous 4 weeks) of use of tricyclic antidepressants, selective serotonin reuptake inhibitors (SSRI), serotonin-norepinephrine reuptake inhibitors (SNRIS), monoamine oxidase (MAO) inhibitors, opioids, immunemodulators (e.g. azathioprine, methotrexate, mycophenolate mofetil, cyclosporine A, antibodies), or neuroactive medications (e.g. pregabalin, gabapentin).
  • Have a history (within the previous 4 weeks) of use of sedatives or tranquilizers.

Subjects must undergo an appropriate washout period from any sedatives or tranquilizers before enrolling in the study.

  • Are currently treated with strong inhibitors (e.g. conazole, ketoconazole, fluconazole, itraconazole, voroconazole etc. or erythromycin). The co-administration of moderate CYP3A4 inhibitors to VPD-737 may be allowed with investigator agreement and appropriate safety monitoring.
  • Received ultraviolet B (UVB) or psoralen + ultraviolet A (PUVA) treatment within 30 days prior to Screening.
  • Within the past 12 months, have expressed suicidal ideation with some intent to act.
  • Started or changed creams, or emollients including over-the-counter (OTC) preparations or bath oil treatment for relief of pruritus within 2 weeks prior to Screening.
  • Have any social or medical condition (eg, alcoholism, drug dependency, psychotic state) that, in the investigator's opinion, might interfere with the subject's ability to comply with the requirements of the protocol.
  • Are employees of the study site or of the Sponsor's company.
Terms in these criteria, in plain language(15)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Corticosteroids (steroids)

Anti-inflammatory medicines such as prednisone, prednisolone and dexamethasone — not the anabolic steroids used for muscle.

Studies differ in what they allow: check which steroid medicines, routes (tablets, injections, creams, inhalers, eye drops) and doses this study accepts.

Postmenopausal

Periods have stopped for good: usually no period for 12 months in a row without another medical reason, sometimes confirmed by a blood test (FSH).

Childbearing potential

Able to become pregnant: from the first period until menopause, unless permanently unable to through surgery (removal of the womb, or of both ovaries or both fallopian tubes).

Criteria for people of childbearing potential usually ask for a negative pregnancy test and for contraception during the study and for a time after it.

Contraception

Ways of preventing pregnancy. “Highly effective” methods fail less than 1% of the time a year when used correctly — for example an IUD or an implant.

Criteria usually say which methods count and how long to keep using them after the last dose, sometimes for male participants too. Some studies accept a partner’s vasectomy if it was confirmed successful and that person is the participant’s only sexual partner.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

ECG (electrocardiogram)

A recording of the heart’s electrical activity, taken with stickers on the chest, arms and legs. It takes a few minutes and does not hurt.

Washout period

A planned gap after a treatment, so that its effects can lessen before the study treatment or a study assessment. Ask the study team and the doctor who prescribed it before changing any medicine.

Immunosuppression

A weakened immune system. It can come from an illness, such as HIV or some blood cancers, or from medicines that turn the immune system down, for example after an organ transplant or for an autoimmune disease; steroids at higher doses count.

Read whether the line is about a condition or about medicines, and which medicines and doses it means.

ALT and AST (liver enzymes)

Two enzymes measured in a routine blood test of the liver. Higher levels can mean the liver is under strain or damaged. SGPT and SGOT are older names for ALT and AST.

Criteria usually give a limit as a multiple of the upper limit of normal (ULN), often higher when cancer has spread to the liver.

ULN (upper limit of normal)

The top of the normal range for a blood test, as set by the laboratory that runs it. Each lab prints its own range next to your result.

“≤ 2.5 × ULN” means the result can be up to two and a half times that top value.

Hepatitis B tests

Hepatitis B is a virus that infects the liver. These are separate tests: HBsAg positive usually means a current infection (a recent vaccination can briefly cause it too); total anti-HBc (HBcAb) positive means an infection now or in the past; HBV DNA measures how much virus is in the blood.

Some studies accept a past infection if HBV DNA is undetectable, sometimes with antiviral medicine during the study. Check what this study allows.

Cancer (malignancy)

Malignancy means cancer. Criteria about another or earlier malignancy ask whether you have had a different cancer, usually within a set number of years.

Some are commonly allowed, such as treated skin cancers other than melanoma and early cancers removed completely — check the exceptions this study lists.

HIV

The human immunodeficiency virus, which weakens the immune system.

Many studies now accept people whose HIV is controlled on treatment, judged by the viral load and the CD4 count. Check the limits this study sets.

Investigational drug or device

A drug or device being studied in a clinical trial.

It may be new, or already approved and being studied for another use, dose or form. Criteria often leave out people who took part in another study of one within a recent period, commonly 30 days or five half-lives.

CYP3A (CYP3A4) inhibitors and inducers

CYP3A is a group of enzymes, mainly CYP3A4, in the liver and gut that break down many medicines. Some medicines, supplements and foods (grapefruit, St John’s wort) slow them down or speed them up, which changes how much of a study drug stays in the body.

Studies list them so they can be avoided or switched; bring a list of everything you take, including supplements.

05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
128 participants (actual)

Study arms

  • Active comparator
    serlopitant 5 mg tablets

    serlopitant 5 mg tablets

    Drug: serlopitant

  • Placebo comparator
    Placebo tablets

    Placebo tablets

    Drug: Placebo

Interventions

  • NK1 receptor antagonist

    Also known as: VPD-737

  • DrugPlacebo

    Placebo

06

What researchers measure

Primary outcomes

  1. Average Visual Analog Scale at Baseline

    At study visits, participants recorded a mark for pruritus severity on a 10-cm horizontal line. This thermometer-type scale was marked with ratings of "no itch" (0 cm) and worst imaginable itch" (10 cm). Average Visual Analog Scale (VAS) (average itch over the past 24 hours) was recorded. Higher scores indicated worse outcome.

    Time frame: At Baseline

  2. Average Visual Analog Scale at Week 2

    At study visits, participants recorded a mark for pruritus severity on a 10-cm horizontal line. This thermometer-type scale was marked with ratings of "no itch" (0 cm) and worst imaginable itch" (10 cm). Average VAS (average itch over the past 24 hours) was recorded. Higher scores indicated worse outcome.

    Time frame: At Week 2

  3. Average Visual Analog Scale at Week 4

    At study visits, participants recorded a mark for pruritus severity on a 10-cm horizontal line. This thermometer-type scale was marked with ratings of "no itch" (0 cm) and worst imaginable itch" (10 cm). Average VAS (average itch over the past 24 hours) was recorded. Higher scores indicated worse outcome.

    Time frame: At Week 4

  4. Average Visual Analog Scale at Week 8

    At study visits, participants recorded a mark for pruritus severity on a 10-cm horizontal line. This thermometer-type scale was marked with ratings of "no itch" (0 cm) and worst imaginable itch" (10 cm). Average VAS (average itch over the past 24 hours) was recorded. Higher scores indicated worse outcome.

    Time frame: At Week 8

Secondary outcomes

  1. Number of Participants With Improvement in Pruritus as Reported on Verbal Rating Scale (VRS) - Pruritus

    At study visits, participants used the VRS to rate their skin sensations (pruritus, burning, and stinging) using a 5-point scale (0 = not present; 1 = mild present; 2 = moderately present; 3 = severely present; and 4 = very severely present). Higher scores indicated worse outcome.

    Time frame: At Baseline and Week 8

  2. Number of Participants With Improvement in Burning as Reported on Verbal Rating Scale (VRS) - Burning

    At study visits, participants used the VRS to rate their skin sensations (pruritus, burning, and stinging) using a 5-point scale (0 = not present; 1 = mild present; 2 = moderately present; 3 = severely present; and 4 = very severely present). Higher scores indicated worse outcome.

    Time frame: At Baseline and Week 8

  3. Number of Participants With Improvement in Stinging as Reported on Verbal Rating Scale (VRS) - Stinging

    At study visits, participants used the VRS to rate their skin sensations (pruritus, burning, and stinging) using a 5-point scale (0 = not present; 1 = mild present; 2 = moderately present; 3 = severely present; and 4 = very severely present). Higher scores indicated worse outcome.

    Time frame: At Baseline and Week 8

  4. Worst Visual Analog Scale (VAS)

    At study visits, participants recorded a mark for pruritus severity on a 10-cm horizontal line. This thermometer-type scale was marked with ratings of "no itch" (0 cm) and worst imaginable itch" (10 cm). Worst VAS (worst itch over the past 24 hours) was recorded. Higher scores indicated worse outcome.

    Time frame: At Baseline, Weeks 2, 4, and 8

  5. Number of Participants With Improvement in Pruritus as Reported on Patient Global Assessment (PGA)

    The PGA included a question: Did the pruritus improve during the treatment period (yes/no).

    Time frame: At Weeks 2, 4, and 8

  6. Numeric Rating Scale (NRS)

    Numeric Rating Scale: Using the patient diary, participants rated the following using an 11-point NRS (0 = no itching; to 10 = worst itch imaginable): average itching over the past 24 hours (Average NRS). Higher scores indicated worse outcome.

    Time frame: At Baseline, Weeks 2, 4, and 8

  7. Dermatology Life Quality Index (DLQI)

    At each visit, participants completed a DLQI questionnaire. The DLQI is a validated questionnaire consisting of 10 questions relating to the degree to which the participant's skin condition affected his/her daily activities. The DLQI questionnaire is designed for use in adults, i.e. participants over the age of 16. The scoring of each question is as follows: Very much: scored 3, A lot: scored 2, A little: scored 1, Not at all: scored 0, Not relevant: scored 0, Question 7, 'prevented work or studying': scored 3. The DLQI is calculated by summing the score of each question resulting in a maximum of 30 and a minimum of 0. The higher the score, the more quality of life is impaired. Interpreting the DLQI Scores: 0 - 1: no effect at all on participant's life, 2 - 5: small effect on participant's life, 6 - 10: moderate effect on participant's life, 11 - 20: very large effect on participant's life, 21 - 30: extremely large effect on participant's life.

    Time frame: At Baseline, Weeks 2, 4, and 8

  8. Pruritus-specific Quality of Life (ItchyQoL)

    At each visit, participants completed an ItchyQoL questionnaire. The ItchyQoL is a validated questionnaire consisting of 22 questions based on the concerns and issues pertinent to participants with pruritus. Items should be scored for the following answers: Never: 1, Rarely: 2, Sometimes: 3, Often: 4, All the time:5. Higher scores indicated worse outcome. Total Score is obtained by calculating the unweighted mean of all ItchyQoL questions.

    Time frame: At Baseline, Weeks 2, 4, and 8

  9. Patient Benefit Index, Version for Patients With Pruritus (PBI-P)

    At Visits 2 and 5 (or Early termination) only, participants completed the standardized and validated PBI-P questionnaire. Prior to treatment, the first page of the questionnaire, the Patient Needs Questionnaire (PNQ), was administered to determine how different benefits of therapy were relevant for the individual participant. After treatment, using the Patient Benefit Questionnaire (PBQ), participants were asked to evaluate the extent to which the benefits they indicated were important to them were, in fact, realized. From all the items taken together, a weighted total benefit value was calculated, which represented the patient relevant therapy benefits. The mean score greater than 1 is considered to represent a clinically relevant improvement. The items are rated on a 5-point scale with values from 0 (not at all) to 4 (very), allowing for "does/did not apply to me" = 5; and missing value = -9. Higher scores indicated better outcome.

    Time frame: At Week 8 / End of Treatment

  10. Number of Participants With Improvement in PN Lesions as Reported on Investigator Global Assessment (IGA)

    Using the IGA, physicians rated change in PN lesions (if any) from +5 ("markedly improved") to -5 ("markedly worse"). Higher scores indicated better outcome.

    Time frame: At Week 8

  11. Number of Participants With Improvement on Prurigo Activity Score (PAS)

    Using the PAS, physicians described, localized, counted, and measured PN lesions. One of the 7 items was: Activity Stage (Stage 0-4: 0 = 0%, 1 = 1-25%, 2 = 26-50%, 3 = 51-75%, 4 = \> 75%) a. Prurigo lesions with excoriations/crusts Participants with PAS activity stage (prurigo lesions with excoriations/crusts) is presented in the below table.

    Time frame: At Day 1 and Week 8

  12. Participants With Rescue Medication Usage

    Rescue medications included cetirizine hydrochloride, desloratadine, levocetirizine, and loratadine.

    Time frame: Pre-treatment, upto 8 Weeks

  13. Number of Participants With Adverse Events (AEs)

    An AE was defined as any untoward medical occurrence associated with the use of a drug in humans, whether or not considered drug related. An AE (also referred to as an adverse experience) could be any unfavorable and unintended sign (eg, an abnormal laboratory finding), symptom, or disease temporally associated with the use of a study drug, without any judgment about causality.

    Time frame: From the time of informed consent (Screening) until the last study visit (follow-up phone call, Week 10)

07

Results

Posted Feb 2, 2021

Participant flow

The participants were randomized at 15 sites in Germany.

Participant flow — Overall Study
MilestonePlaceboSerlopitant
Started6365
Completed4857
Not completed158
Withdrew: Withdrawal by subject84
Withdrew: Adverse event or serious adverse event63
Withdrew: Occurrence of an exclusion criterion01
Withdrew: Other10

Outcome measures

PrimaryAverage Visual Analog Scale at Baseline

At study visits, participants recorded a mark for pruritus severity on a 10-cm horizontal line. This thermometer-type scale was marked with ratings of "no itch" (0 cm) and worst imaginable itch" (10 cm). Average Visual Analog Scale (VAS) (average itch over the past 24 hours) was recorded. Higher scores indicated worse outcome.

Time frame:
At Baseline
Reported as:
Mean · Units on a scale
Average Visual Analog Scale at Baseline
Units on a scalePlaceboSerlopitant
Average Visual Analog Scale at Baseline7.92 ± 1.6307.88 ± 1.311
PrimaryAverage Visual Analog Scale at Week 2

At study visits, participants recorded a mark for pruritus severity on a 10-cm horizontal line. This thermometer-type scale was marked with ratings of "no itch" (0 cm) and worst imaginable itch" (10 cm). Average VAS (average itch over the past 24 hours) was recorded. Higher scores indicated worse outcome.

Time frame:
At Week 2
Reported as:
Mean · Units on a scale
Average Visual Analog Scale at Week 2
Units on a scalePlaceboSerlopitant
Average Visual Analog Scale at Week 27.01 ± 2.1876.06 ± 2.236
Statistical analysis
  • Placebo vs Serlopitant · Mixed Models Analysis · p = = 0.0111 · Mean difference (final values): -0.9 · 95% CI -1.5 to -0.2
PrimaryAverage Visual Analog Scale at Week 4

At study visits, participants recorded a mark for pruritus severity on a 10-cm horizontal line. This thermometer-type scale was marked with ratings of "no itch" (0 cm) and worst imaginable itch" (10 cm). Average VAS (average itch over the past 24 hours) was recorded. Higher scores indicated worse outcome.

Time frame:
At Week 4
Reported as:
Mean · Units on a scale
Average Visual Analog Scale at Week 4
Units on a scalePlaceboSerlopitant
Average Visual Analog Scale at Week 46.32 ± 2.4035.41 ± 2.719
Statistical analysis
  • Placebo vs Serlopitant · Mixed Models Analysis · p = = 0.0248 · Mean difference (final values): -1.0 · 95% CI -1.8 to -0.1
PrimaryAverage Visual Analog Scale at Week 8

At study visits, participants recorded a mark for pruritus severity on a 10-cm horizontal line. This thermometer-type scale was marked with ratings of "no itch" (0 cm) and worst imaginable itch" (10 cm). Average VAS (average itch over the past 24 hours) was recorded. Higher scores indicated worse outcome.

Time frame:
At Week 8
Reported as:
Mean · Units on a scale
Average Visual Analog Scale at Week 8
Units on a scalePlaceboSerlopitant
Average Visual Analog Scale at Week 85.56 ± 2.6304.21 ± 2.746
Statistical analysis
  • Placebo vs Serlopitant · Mixed Models Analysis · p = 0.0005 · Mean difference (final values): -1.7 · 95% CI -2.6 to -0.7
SecondaryNumber of Participants With Improvement in Pruritus as Reported on Verbal Rating Scale (VRS) - Pruritus

At study visits, participants used the VRS to rate their skin sensations (pruritus, burning, and stinging) using a 5-point scale (0 = not present; 1 = mild present; 2 = moderately present; 3 = severely present; and 4 = very severely present). Higher scores indicated worse outcome.

Time frame:
At Baseline and Week 8
Reported as:
Count of participants · Participants
Number of Participants With Improvement in Pruritus as Reported on Verbal Rating Scale (VRS) - Pruritus
ParticipantsPlaceboSerlopitant
Baseline, Mild Present20
Baseline, Moderately Present1817
Baseline, Severely Present2032
Baseline, Very Severely Present2215
Week 8, Not Present24
Week 8, Mild Present1127
Week 8, Moderately Present1817
Week 8, Severely Present97
Week 8, Very Severely Present52
SecondaryNumber of Participants With Improvement in Burning as Reported on Verbal Rating Scale (VRS) - Burning

At study visits, participants used the VRS to rate their skin sensations (pruritus, burning, and stinging) using a 5-point scale (0 = not present; 1 = mild present; 2 = moderately present; 3 = severely present; and 4 = very severely present). Higher scores indicated worse outcome.

Time frame:
At Baseline and Week 8
Reported as:
Count of participants · Participants
Number of Participants With Improvement in Burning as Reported on Verbal Rating Scale (VRS) - Burning
ParticipantsPlaceboSerlopitant
Baseline, Not Present1421
Baseline, Mild Present85
Baseline, Moderately Present1321
Baseline, Severely Present1812
Baseline, Very Severely Present95
Week 8, Not Present1131
Week 8, Mild Present910
Week 8, Moderately Present158
Week 8, Severely Present56
Week 8, Very Severely Present31
SecondaryNumber of Participants With Improvement in Stinging as Reported on Verbal Rating Scale (VRS) - Stinging

At study visits, participants used the VRS to rate their skin sensations (pruritus, burning, and stinging) using a 5-point scale (0 = not present; 1 = mild present; 2 = moderately present; 3 = severely present; and 4 = very severely present). Higher scores indicated worse outcome.

Time frame:
At Baseline and Week 8
Reported as:
Count of participants · Participants
Number of Participants With Improvement in Stinging as Reported on Verbal Rating Scale (VRS) - Stinging
ParticipantsPlaceboSerlopitant
Baseline, Not Present2621
Baseline, Mild Present814
Baseline, Moderately Present1116
Baseline, Severely Present910
Baseline, Very Severely Present83
Week 8, Not Present1830
Week 8, Mild Present812
Week 8, Moderately Present107
Week 8, Severely Present44
Week 8, Very Severely Present31
SecondaryWorst Visual Analog Scale (VAS)

At study visits, participants recorded a mark for pruritus severity on a 10-cm horizontal line. This thermometer-type scale was marked with ratings of "no itch" (0 cm) and worst imaginable itch" (10 cm). Worst VAS (worst itch over the past 24 hours) was recorded. Higher scores indicated worse outcome.

Time frame:
At Baseline, Weeks 2, 4, and 8
Reported as:
Mean · Units on a scale
Worst Visual Analog Scale (VAS)
Units on a scalePlaceboSerlopitant
Baseline8.75 ± 1.3168.43 ± 1.190
Week 27.92 ± 1.7336.85 ± 2.157
Week 47.46 ± 2.2856.19 ± 2.690
Week 86.73 ± 2.5914.82 ± 2.729
SecondaryNumber of Participants With Improvement in Pruritus as Reported on Patient Global Assessment (PGA)

The PGA included a question: Did the pruritus improve during the treatment period (yes/no).

Time frame:
At Weeks 2, 4, and 8
Reported as:
Count of participants · Participants
Number of Participants With Improvement in Pruritus as Reported on Patient Global Assessment (PGA)
ParticipantsPlaceboSerlopitant
Week 22337
Week 42943
Week 82547
SecondaryNumeric Rating Scale (NRS)

Numeric Rating Scale: Using the patient diary, participants rated the following using an 11-point NRS (0 = no itching; to 10 = worst itch imaginable): average itching over the past 24 hours (Average NRS). Higher scores indicated worse outcome.

Time frame:
At Baseline, Weeks 2, 4, and 8
Reported as:
Mean · Units on a scale
Numeric Rating Scale (NRS)
Units on a scalePlaceboSerlopitant
Baseline7.65 ± 1.6697.60 ± 1.455
Week 26.23 ± 2.0435.50 ± 1.944
Week 45.80 ± 2.1334.91 ± 2.158
Week 85.11 ± 2.3204.02 ± 2.190
Statistical analysis
  • Placebo vs Serlopitant · Mean difference (final values): -0.7 · 95% CI -1.4 to -0.0
  • Placebo vs Serlopitant · Mean difference (final values): -0.9 · 95% CI -1.7 to -0.1
  • Placebo vs Serlopitant · t-test, 2 sided · p = 0.0175 (p-value assume equal variance) · Mean difference (final values): -1.1 · 95% CI -2.0 to -0.2
SecondaryDermatology Life Quality Index (DLQI)

At each visit, participants completed a DLQI questionnaire. The DLQI is a validated questionnaire consisting of 10 questions relating to the degree to which the participant's skin condition affected his/her daily activities. The DLQI questionnaire is designed for use in adults, i.e. participants over the age of 16. The scoring of each question is as follows: Very much: scored 3, A lot: scored 2, A little: scored 1, Not at all: scored 0, Not relevant: scored 0, Question 7, 'prevented work or studying': scored 3. The DLQI is calculated by summing the score of each question resulting in a maximum of 30 and a minimum of 0. The higher the score, the more quality of life is impaired. Interpreting the DLQI Scores: 0 - 1: no effect at all on participant's life, 2 - 5: small effect on participant's life, 6 - 10: moderate effect on participant's life, 11 - 20: very large effect on participant's life, 21 - 30: extremely large effect on participant's life.

Time frame:
At Baseline, Weeks 2, 4, and 8
Reported as:
Mean · Units on a scale
Dermatology Life Quality Index (DLQI)
Units on a scalePlaceboSerlopitant
Baseline14.9 ± 7.0313.7 ± 6.76
Week 212.4 ± 6.9411.6 ± 6.20
Week 411.6 ± 6.5611.4 ± 6.80
Week 811.3 ± 6.8310.6 ± 7.31
Statistical analysis
  • Placebo vs Serlopitant · Mean difference (final values): -0.7 · 95% CI -3.1 to 1.6
  • Placebo vs Serlopitant · Mean difference (final values): -0.2 · 95% CI -2.7 to 2.3
  • Placebo vs Serlopitant · Mean difference (final values): -0.8 · 95% CI -3.6 to 2.1
SecondaryPruritus-specific Quality of Life (ItchyQoL)

At each visit, participants completed an ItchyQoL questionnaire. The ItchyQoL is a validated questionnaire consisting of 22 questions based on the concerns and issues pertinent to participants with pruritus. Items should be scored for the following answers: Never: 1, Rarely: 2, Sometimes: 3, Often: 4, All the time:5. Higher scores indicated worse outcome. Total Score is obtained by calculating the unweighted mean of all ItchyQoL questions.

Time frame:
At Baseline, Weeks 2, 4, and 8
Reported as:
Mean · Units on a scale
Pruritus-specific Quality of Life (ItchyQoL)
Units on a scalePlaceboSerlopitant
Baseline3.68 ± 0.7373.52 ± 0.679
Week 23.50 ± 0.7953.36 ± 0.670
Week 43.36 ± 0.8633.26 ± 0.730
Week 83.33 ± 0.8763.09 ± 0.904
Statistical analysis
  • Placebo vs Serlopitant · Mean difference (final values): -0.1 · 95% CI -0.4 to 0.1
  • Placebo vs Serlopitant · Mean difference (final values): -0.1 · 95% CI -0.4 to 0.2
  • Placebo vs Serlopitant · Mean difference (final values): -0.2 · 95% CI -0.6 to 0.1
SecondaryPatient Benefit Index, Version for Patients With Pruritus (PBI-P)

At Visits 2 and 5 (or Early termination) only, participants completed the standardized and validated PBI-P questionnaire. Prior to treatment, the first page of the questionnaire, the Patient Needs Questionnaire (PNQ), was administered to determine how different benefits of therapy were relevant for the individual participant. After treatment, using the Patient Benefit Questionnaire (PBQ), participants were asked to evaluate the extent to which the benefits they indicated were important to them were, in fact, realized. From all the items taken together, a weighted total benefit value was calculated, which represented the patient relevant therapy benefits. The mean score greater than 1 is considered to represent a clinically relevant improvement. The items are rated on a 5-point scale with values from 0 (not at all) to 4 (very), allowing for "does/did not apply to me" = 5; and missing value = -9. Higher scores indicated better outcome.

Time frame:
At Week 8 / End of Treatment
Reported as:
Mean · Units on a scale
Patient Benefit Index, Version for Patients With Pruritus (PBI-P)
Units on a scalePlaceboSerlopitant
Patient Benefit Index, Version for Patients With Pruritus (PBI-P)0.81 ± 0.9841.16 ± 1.095
Statistical analysis
  • Placebo vs Serlopitant · t-test, 2 sided · p = 0.0625 (p-value assume equal variance.) · Mean difference (final values): 0.35 · 95% CI -0.02 to 0.72
SecondaryNumber of Participants With Improvement in PN Lesions as Reported on Investigator Global Assessment (IGA)

Using the IGA, physicians rated change in PN lesions (if any) from +5 ("markedly improved") to -5 ("markedly worse"). Higher scores indicated better outcome.

Time frame:
At Week 8
Reported as:
Count of participants · Participants
Number of Participants With Improvement in PN Lesions as Reported on Investigator Global Assessment (IGA)
ParticipantsPlaceboSerlopitant
Markedly Improved04
Largely Improved23
Moderately To Largely Improved43
Moderately Improved411
Mildly Improved917
Baseline147
Mildly Worse85
Moderately Worse44
Moderately To Largely Worse11
Largely Worse12
SecondaryNumber of Participants With Improvement on Prurigo Activity Score (PAS)

Using the PAS, physicians described, localized, counted, and measured PN lesions. One of the 7 items was: Activity Stage (Stage 0-4: 0 = 0%, 1 = 1-25%, 2 = 26-50%, 3 = 51-75%, 4 = \> 75%) a. Prurigo lesions with excoriations/crusts Participants with PAS activity stage (prurigo lesions with excoriations/crusts) is presented in the below table.

Time frame:
At Day 1 and Week 8
Reported as:
Count of participants · Participants
Number of Participants With Improvement on Prurigo Activity Score (PAS)
ParticipantsPlaceboSerlopitant
Day 1, 1 - 25 %75
Day 1, 26 - 50 %1819
Day 1, 51 - 75 %1719
Day 1, >75 %2121
Week 8, 0 %04
Week 8, 1 - 25 %1115
Week 8, 26 - 50 %1212
Week 8, 51 - 75 %1111
Week 8, >75 %1315
SecondaryParticipants With Rescue Medication Usage

Rescue medications included cetirizine hydrochloride, desloratadine, levocetirizine, and loratadine.

Time frame:
Pre-treatment, upto 8 Weeks
Reported as:
Count of participants · Participants
Participants With Rescue Medication Usage
ParticipantsPlaceboSerlopitant
Pre-treatment Rescue Medication Used1517
Used Rescue Medication128
SecondaryNumber of Participants With Adverse Events (AEs)

An AE was defined as any untoward medical occurrence associated with the use of a drug in humans, whether or not considered drug related. An AE (also referred to as an adverse experience) could be any unfavorable and unintended sign (eg, an abnormal laboratory finding), symptom, or disease temporally associated with the use of a study drug, without any judgment about causality.

Time frame:
From the time of informed consent (Screening) until the last study visit (follow-up phone call, Week 10)
Reported as:
Count of participants · Participants
Number of Participants With Adverse Events (AEs)
ParticipantsPlaceboSerlopitant
Participants with AEs3946
Participants with Treatment-emergent adverse events (TEAEs)3946
Participants with TEAEs leading to discontinuation63
Participants with TEAEs related to study drug2231
Participants with TEAEs by maximum severity, Mild1418
Participants with TEAEs by maximum severity, Moderate2222
Participants with TEAEs by maximum severity, Severe36
Participants with serious TEAEs23

Adverse events

Collected over From the time of informed consent (Screening) until the last study visit (follow-up phone call, Week 10).. Non-serious events are listed at a 5% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Placebo0/63 (0%)2/63 (3.2%)20/63 (31.7%)
Serlopitant0/64 (0%)3/64 (4.7%)31/64 (48.4%)
Most frequent serious events
Most frequent serious events
EventPlaceboSerlopitant
BradycardiaCardiac disorders1/630/64
SyncopeNervous system disorders1/630/64
Respiratory failureRespiratory, thoracic and mediastinal disorders1/630/64
NeurodermatitisSkin and subcutaneous tissue disorders1/630/64
VertigoEar and labyrinth disorders0/631/64
DizzinessNervous system disorders0/631/64
DepressionPsychiatric disorders0/631/64
Actinic elastosisSkin and subcutaneous tissue disorders0/631/64
Most frequent other events
Most frequent other events
EventPlaceboSerlopitant
NasopharyngitisInfections and infestations2/6311/64
PruritusSkin and subcutaneous tissue disorders7/633/64
DiarrhoeaGastrointestinal disorders3/637/64
FatigueGeneral disorders4/636/64
Urinary tract infectionInfections and infestations4/630/64
HeadacheNervous system disorders4/634/64
Oedema peripheralGeneral disorders0/634/64
DizzinessNervous system disorders1/634/64

Baseline characteristics

Intent-to-treat (ITT) population - all randomized participants who were treated. This population was analyzed based upon the treatment to which participants were randomized. Of the 128 randomized participants, 127 received study drug (63 placebo, 64 serlopitant) and comprised the ITT population.

Age, Continuous
Age, Continuous(Years)PlaceboSerlopitantTotal
Mean58.1 ± 11.1457.1 ± 12.0057.6 ± 11.54
Sex: Female, Male
Sex: Female, Male(Participants)PlaceboSerlopitantTotal
Female363167
Male273360
08

Study locations

15 sites
  • Study Site 07
    Berlin-Mitte, 10117, Germany
  • Study Site 08
    Bonn, 53127, Germany
  • Study Site 06
    Dresden, 01307, Germany
  • Study Site 12
    Dusseldorf, 40225, Germany
  • Study Site 02
    Frankfurt, 60590, Germany
  • Study Site 09
    Hamburg, 20246, Germany
  • Study Site 05
    Heidelberg, 69120, Germany
  • Study Site 03
    Kiel, 24105, Germany
  • Study Site 11
    Leipzig, 04103, Germany
  • Study Site 04
    Lubeck, 23538, Germany
  • Study Site 14
    Mainz, 55101, Germany
  • Study Site 01
    Muenster, 48149, Germany
  • Study Site 16
    München, 80337, Germany
  • Study Site 15
    Selters, 56242, Germany
  • Study Site 10
    Tübingen, 72076, Germany
09

References and documents

Publications

  • Kimel M, Zeidler C, Kwon P, Revicki D, Stander S. Validation of Psychometric Properties of the Itch Numeric Rating Scale for Pruritus Associated With Prurigo Nodularis: A Secondary Analysis of a Randomized Clinical Trial. JAMA Dermatol. 2020 Dec 1;156(12):1354-1358. doi: 10.1001/jamadermatol.2020.3071. PubMed 32936233 ↗

Individual participant data

Plan to share: No

10

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Ran from Jul 2014 to primary completion in May 2016, 22 months.

Results were first posted in Feb 2021, 4 years 8 months after primary completion.

Of 195 industry-sponsored phase 2 interventional studies under Dermatitis, Atopic, half reached primary completion within 13 months of starting (the median), counting those still running; a quarter within 9 and three quarters within 17. This study's 22 months is above that.

Counting every sponsor, half of 223 studies reached it within 14 months; a quarter within 10 and three quarters within 19.

How these figures are worked out, and which studies are left out of them.

Registered
Jul 14, 2014
First posted
Jul 22, 2014
StartActual
Jul 9, 2014
Primary completionActual
May 27, 2016
CompletionActual
Jun 10, 2016
Results first posted
Feb 2, 2021
Last update
May 20, 2021
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on May 20, 2021, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT02196324
Responsible party
Sponsor
First posted
Jul 22, 2014
Start date
Jul 9, 2014
Primary completion
May 27, 2016
Completion
Jun 10, 2016
Results posted
Feb 2, 2021
Last update
May 20, 2021

Study contacts

Sonja Staender, MD
principal investigator · University of Muenster, Germany

Oversight

Data monitoring committee
No
View the source record on ClinicalTrials.gov ↗

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This study is completed, as verified in May 2021. You cannot join it, but the record below documents what was studied.

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Studies of the drug tested here: Serlopitant

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