A Phase 2 interventional study of IFX-1 and Placebo in Hidradenitis Suppurativa (HS), sponsored by InflaRx GmbH. Completed at 41 sites in 9 countries. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2021-04-08.
Sponsored by InflaRx GmbH · Phase 2, Interventional, and Treatment
The purpose of this study is to determine whether IFX-1 is safe and effective in the treatment of moderate to severe hidradenitis suppurativa.
Hidradenitis suppurativa (HS) is a chronic devastating skin disorder affecting areas rich in apocrine glands. HS is diagnosed by its clinical features and its chronicity. It is recognized by the presence of recurrent, painful, deep-seated, rounded nodules usually ending in abscesses and sinus tracts with suppuration and hypertrophic scarring. As complement C5a is involved in the underlying acute inflammatory responses, this study is set up based on the hypothesis that IFX-1 might be able to block C5a induced pro-inflammatory effects such as neutrophil activation and cytokine generation, potentially contributing to the local skin inflammation and tissue damage.
Exclusion Criteria:
Prior treatment with any of the following medications during the 28 days before Screening:
Placebo
Drug: Placebo
Minimum Dose IFX-1 (400 mg Q4W)
Drug: IFX-1
Low dose IFX-1 (800 mg Q4W)
Drug: IFX-1
Medium Dose IFX-1 (800 mg Q2W)
Drug: IFX-1
High Dose IFX-1 (1200 mg Q2W)
Drug: IFX-1
Single IV infusions of IFX-1 diluted in sodium chloride.
Also known as: CaCP29, Vilobelimab
Placebo
Number of Patients With Hidradenitis Suppurativa Clinical Response (HiSCR) Determined at Week 16
The primary efficacy endpoint of the percentage of patients with HiSCR at Week 16 was analyzed using the multiple comparisons procedure-modelling (MCP-Mod) procedure. The definition for response to treatment based on HiSCR relative to Baseline was: at least 50% reduction in abscesses and inflammatory nodule (AN) count (over all anatomical regions) with no increase in number of abscesses and in number of draining fistulas.
Time frame: Week 16
Number of Patients With Hidradenitis Suppurativa Clinical Response (HiSCR) Determined at Week 12
Endpoint of the percentage of patients with HiSCR at Week 12 was analyzed in the same way as the primary endpoint using the MCP-Mod procedure and the same definition of response.
Time frame: Week 12
Number of Patients With Flares Relative to Day 1
The number of patients with flares analyzed in terms of ≥ 25% increase in abscess and inflammatory nodule (AN) count among patients with a minimum increase of 2 in AN count compared to Day 1 was analyzed by descriptive statistics by time point.
Time frame: From Day 1 until Day 309
Absolute Change in Modified Sartorius Score (mSS) From Day 1.
The absolute change from Day 1 will be analyzed by descriptive statistics by time point. The mSS is a summation of HS lesions based on a number of factors including anatomical region, number and type of lesions, distance between relevant lesions and lesions clearly separated by normal skin in each region measured as HS clinical parameters. The scale title for mSS is points. The mSS has a minimum value of 0 and no upper limit. The higher the score the more severe is the disease/worse is the outcome.
Time frame: From Day 1 until Day 309
Absolute Change in Patient's Global Assessment of Skin Pain From Day 1.
The absolute changes from baseline were analyzed by descriptive statistics by time point. The Numeric Rating Scale (NRS) was used to assess the worst skin pain due to HS. The scale title for the NRS is points. Ratings for this item range from a minimum of 0 points (no skin pain) to a maximum of 10 points (skin pain as bad as you can imagine). The higher the score the more severe the disease/worse is the outcome.
Time frame: From Day 1 until Day 309
Percentage of Patients Achieving NRS30
This is a segmented numeric version of the visual analog scale in which a respondent selects a whole number (0-10) that best reflects the intensity of their pain. The scale title for the NRS is points. The minimum score is 0 points (No skin pain), and the maximum score is 10 points (Skin pain as bad as you can imagine). The higher the score the more severe is the disease/worse is the outcome. The number of patients with at least 30% reduction and at least 1 point reduction from Day 1 in Patients Global Assessment of Skin Pain are displayed. The analysis is based on the worst skin pain the patients reported at the respective visits.
Time frame: From Day 1 until Day 309
Percentage of Patients Achieving NRS50.
This is a segmented numeric version of the visual analog scale in which a respondent selects a whole number (0-10) that best reflects the intensity of their pain. The scale title for NRS is points. The minimum score is 0 points (No skin pain), and the maximum score is 10 points (Skin pain as bad as you can imagine). The higher the score the more severe is the disease/worse is the outcome. The number of patients with at least 50% reduction and at least 1 point reduction from Day 1 in Patients Global Assessment of Skin Pain are displayed. The analysis is based on the worst skin pain the patients reported at the respective visits.
Time frame: From Day 1 until Day 309
Absolute Change in Dermatology Life Quality Index (DLQI) Score From Day 1.
The changes from Day 1 will be analyzed by descriptive statistics by time point. A score is documented for each of the 10 DLQI items, ranging from 0 to 3 for each item. The scale title for DLQI is points. The total score is the sum of the responses to all 10 DLQI items, ranging from the minimum of 0 points to the maximum of 30 points. A higher score corresponds to worse health related quality of life/outcome.
Time frame: From Day 1 until Day 309
Safety Parameters (Adverse Events) Will be Assessed.
The number of patients with any treatment emergent adverse event (adverse events that started after first infusion of IMP) was analyzed by time point.
Time frame: From Day 1 until Day 309
| Milestone | Cohort 1 | Cohort 2 | Cohort 3 | Cohort 4 | Cohort 5 |
|---|---|---|---|---|---|
| Started | 37 | 34 | 36 | 36 | 36 |
| Completed | 34 | 30 | 32 | 30 | 31 |
| Not completed | 3 | 4 | 4 | 6 | 5 |
| Milestone | Cohort 1 | Cohort 2 | Cohort 3 | Cohort 4 | Cohort 5 |
|---|---|---|---|---|---|
| Started | 0 | 0 | 72 | 84 | 0 |
| Number of patients in cohort 1 (main period) crossed over to cohort 3 or 4 | 0 | 0 | 16 | 18 | 0 |
| Number of patients in cohort 2 (main period) crossed over to cohort 3 or 4 | 0 | 0 | 12 | 18 | 0 |
| Number of patients in cohort 3 (main period) crossed over to cohort 3 or 4 | 0 | 0 | 17 | 15 | 0 |
| Number of patients in cohort 4 (main period) crossed over to cohort 3 or 4 | 0 | 0 | 12 | 18 | 0 |
| Number of patients in cohort 5 (main period) crossed over to cohort 3 or 4 | 0 | 0 | 15 | 16 | 0 |
| Completed | 0 | 0 | 67 | 54 | 0 |
| Not completed | 0 | 0 | 5 | 30 | 0 |
The primary efficacy endpoint of the percentage of patients with HiSCR at Week 16 was analyzed using the multiple comparisons procedure-modelling (MCP-Mod) procedure. The definition for response to treatment based on HiSCR relative to Baseline was: at least 50% reduction in abscesses and inflammatory nodule (AN) count (over all anatomical regions) with no increase in number of abscesses and in number of draining fistulas.
| Participants | Cohort 1 | Cohort 2 | Cohort 3 | Cohort 4 | Cohort 5 |
|---|---|---|---|---|---|
| HiSCR Responder | 16 | 12 | 17 | 12 | 15 |
| HiSCR Non-responder | 18 | 18 | 16 | 19 | 18 |
Endpoint of the percentage of patients with HiSCR at Week 12 was analyzed in the same way as the primary endpoint using the MCP-Mod procedure and the same definition of response.
| Participants | Cohort 1 | Cohort 2 | Cohort 3 | Cohort 4 | Cohort 5 |
|---|---|---|---|---|---|
| HiSCR Responder | 14 | 14 | 12 | 13 | 13 |
| HiSCR Non-responder | 20 | 17 | 21 | 19 | 19 |
The number of patients with flares analyzed in terms of ≥ 25% increase in abscess and inflammatory nodule (AN) count among patients with a minimum increase of 2 in AN count compared to Day 1 was analyzed by descriptive statistics by time point.
| Participants | Main Period: Cohort 1 | Main Period: Cohort 2 | Main Period: Cohort 3 | Main Period: Cohort 4 | Main Period: Cohort 5 | Extension Period: Cohort 3 | Extension Period: Cohort 4 |
|---|---|---|---|---|---|---|---|
| Patient with flares | 6 | 3 | 1 | 0 | 1 | 3 | 5 |
| Patient without flares | 28 | 27 | 31 | 30 | 31 | 64 | 47 |
The absolute change from Day 1 will be analyzed by descriptive statistics by time point. The mSS is a summation of HS lesions based on a number of factors including anatomical region, number and type of lesions, distance between relevant lesions and lesions clearly separated by normal skin in each region measured as HS clinical parameters. The scale title for mSS is points. The mSS has a minimum value of 0 and no upper limit. The higher the score the more severe is the disease/worse is the outcome.
| score on a scale | Main Period: Cohort 1 | Main Period: Cohort 2 | Main Period: Cohort 3 | Main Period: Cohort 4 | Main Period: Cohort 5 | Extension Period: Cohort 3 | Extension Period: Cohort 4 |
|---|---|---|---|---|---|---|---|
| Absolute Change in Modified Sartorius Score (mSS) From Day 1. | -16.4 ± 30.78 | -17.5 ± 48.43 | -29.4 ± 32.35 | -22.9 ± 52.00 | -35.2 ± 101.91 | -47.9 ± 70.87 | -27.5 ± 45.02 |
The absolute changes from baseline were analyzed by descriptive statistics by time point. The Numeric Rating Scale (NRS) was used to assess the worst skin pain due to HS. The scale title for the NRS is points. Ratings for this item range from a minimum of 0 points (no skin pain) to a maximum of 10 points (skin pain as bad as you can imagine). The higher the score the more severe the disease/worse is the outcome.
| score on a scale | Main Period: Cohort 1 | Main Period: Cohort 2 | Main Period: Cohort 3 | Main Period: Cohort 4 | Main Period: Cohort 5 | Extension Period: Cohort 3 | Extension Period: Cohort 4 |
|---|---|---|---|---|---|---|---|
| Absolute Change in Patient's Global Assessment of Skin Pain From Day 1. | -1.2 ± 2.82 | -0.1 ± 2.68 | -0.7 ± 2.37 | -1.5 ± 2.92 | -1.8 ± 3.03 | -1.5 ± 2.94 | -1.3 ± 2.52 |
This is a segmented numeric version of the visual analog scale in which a respondent selects a whole number (0-10) that best reflects the intensity of their pain. The scale title for the NRS is points. The minimum score is 0 points (No skin pain), and the maximum score is 10 points (Skin pain as bad as you can imagine). The higher the score the more severe is the disease/worse is the outcome. The number of patients with at least 30% reduction and at least 1 point reduction from Day 1 in Patients Global Assessment of Skin Pain are displayed. The analysis is based on the worst skin pain the patients reported at the respective visits.
| Participants | Main Period: Cohort 1 | Main Period: Cohort 2 | Main Period: Cohort 3 | Main Period: Cohort 4 | Main Period: Cohort 5 | Extension Period: Cohort 3 | Extension Period: Cohort 4 |
|---|---|---|---|---|---|---|---|
| Percentage of Patients Achieving NRS30 | 7 | 6 | 5 | 9 | 8 | 12 | 10 |
This is a segmented numeric version of the visual analog scale in which a respondent selects a whole number (0-10) that best reflects the intensity of their pain. The scale title for NRS is points. The minimum score is 0 points (No skin pain), and the maximum score is 10 points (Skin pain as bad as you can imagine). The higher the score the more severe is the disease/worse is the outcome. The number of patients with at least 50% reduction and at least 1 point reduction from Day 1 in Patients Global Assessment of Skin Pain are displayed. The analysis is based on the worst skin pain the patients reported at the respective visits.
| Participants | Main Period: Cohort 1 | Main Period: Cohort 2 | Main Period: Cohort 3 | Main Period: Cohort 4 | Main Period: Cohort 5 | Extension Period: Cohort 3 | Extension Period: Cohort 4 |
|---|---|---|---|---|---|---|---|
| Percentage of Patients Achieving NRS50. | 6 | 3 | 2 | 7 | 5 | 7 | 5 |
The changes from Day 1 will be analyzed by descriptive statistics by time point. A score is documented for each of the 10 DLQI items, ranging from 0 to 3 for each item. The scale title for DLQI is points. The total score is the sum of the responses to all 10 DLQI items, ranging from the minimum of 0 points to the maximum of 30 points. A higher score corresponds to worse health related quality of life/outcome.
| score on a scale | Main Period: Cohort 1 | Main Period: Cohort 2 | Main Period: Cohort 3 | Main Period: Cohort 4 | Main Period: Cohort 5 | Extension Period: Cohort 3 | Extension Period: Cohort 4 |
|---|---|---|---|---|---|---|---|
| Absolute Change in Dermatology Life Quality Index (DLQI) Score From Day 1. | -1.5 ± 6.11 | 0.6 ± 6.39 | -2.6 ± 7.19 | -5.0 ± 5.90 | -2.4 ± 5.24 | -1.5 ± 7.18 | -2.0 ± 6.52 |
The number of patients with any treatment emergent adverse event (adverse events that started after first infusion of IMP) was analyzed by time point.
| Participants | Main Period: Cohort 1 | Main Period: Cohort 2 | Main Period: Cohort 3 | Main Period: Cohort 4 | Main Period: Cohort 5 | Extension Period: Cohort 3 | Extension Period: Cohort 4 |
|---|---|---|---|---|---|---|---|
| Safety Parameters (Adverse Events) Will be Assessed. | 26 | 26 | 21 | 24 | 22 | 39 | 49 |
Collected over The observation period for Adverse Events (AEs) will start with confirmation of signed informed consent at Screening and ends at the Follow-up visit at Week 44.. Non-serious events are listed at a 5% frequency threshold.
| Group | Deaths | Serious | Other |
|---|---|---|---|
| Main Period: Cohort 1 | 0/36 (0%) | 0/36 (0%) | 26/36 (72.2%) |
| Main Period: Cohort 2 | 0/34 (0%) | 0/34 (0%) | 26/34 (76.5%) |
| Main Period: Cohort 3 | 0/35 (0%) | 1/35 (2.9%) | 21/35 (60%) |
| Main Period: Cohort 4 | 0/36 (0%) | 2/36 (5.6%) | 24/36 (66.7%) |
| Main Period: Cohort 5 | 0/36 (0%) | 3/36 (8.3%) | 22/36 (61.1%) |
| Extension Period: Cohort 3 | 0/72 (0%) | 2/72 (2.8%) | 34/72 (47.2%) |
| Extension Period: Cohort 4 | 0/84 (0%) | 3/84 (3.6%) | 49/84 (58.3%) |
| Event | Main Period: Cohort 1 | Main Period: Cohort 2 | Main Period: Cohort 3 | Main Period: Cohort 4 | Main Period: Cohort 5 | Extension Period: Cohort 3 | Extension Period: Cohort 4 |
|---|---|---|---|---|---|---|---|
| DyspnoeaRespiratory, thoracic and mediastinal disorders | 0/36 | 0/34 | 1/35 | 0/36 | 0/36 | 0/72 | 0/84 |
| Abscess bacterialInfections and infestations | 0/36 | 0/34 | 0/35 | 1/36 | 0/36 | 0/72 | 0/84 |
| PneumoniaInfections and infestations | 0/36 | 0/34 | 0/35 | 0/36 | 1/36 | 0/72 | 0/84 |
| SepsisInfections and infestations | 0/36 | 0/34 | 0/35 | 1/36 | 0/36 | 0/72 | 0/84 |
| Chronic obstructive pulmonary diseaseRespiratory, thoracic and mediastinal disorders | 0/36 | 0/34 | 0/35 | 0/36 | 1/36 | 0/72 | 0/84 |
| HidradenitisSkin and subcutaneous tissue disorders | 0/36 | 0/34 | 0/35 | 0/36 | 1/36 | 0/72 | 2/84 |
| Bile duct stoneHepatobiliary disorders | 0/36 | 0/34 | 0/35 | 0/36 | 0/36 | 1/72 | 0/84 |
| Cholangitis infectiveInfections and infestations | 0/36 | 0/34 | 0/35 | 0/36 | 0/36 | 1/72 | 0/84 |
| Femoral neck fractureInjury, poisoning and procedural complications | 0/36 | 0/34 | 0/35 | 0/36 | 0/36 | 1/72 | 0/84 |
| SciaticaNervous system disorders | 0/36 | 0/34 | 0/35 | 0/36 | 0/36 | 1/72 | 0/84 |
| Event | Main Period: Cohort 1 | Main Period: Cohort 2 | Main Period: Cohort 3 | Main Period: Cohort 4 | Main Period: Cohort 5 | Extension Period: Cohort 3 | Extension Period: Cohort 4 |
|---|---|---|---|---|---|---|---|
| HidradenitisSkin and subcutaneous tissue disorders | 5/36 | 4/34 | 2/35 | 7/36 | 6/36 | 8/72 | 10/84 |
| NasopharyngitisInfections and infestations | 6/36 | 4/34 | 6/35 | 4/36 | 3/36 | 4/72 | 8/84 |
| HeadacheNervous system disorders | 6/36 | 4/34 | 0/35 | 4/36 | 5/36 | 4/72 | 6/84 |
| DiarrhoeaGastrointestinal disorders | 0/36 | 4/34 | 2/35 | 3/36 | 1/36 | 2/72 | 2/84 |
| Pain of skinSkin and subcutaneous tissue disorders | 0/36 | 3/34 | 1/35 | 0/36 | 0/36 | 1/72 | 1/84 |
| FatigueGeneral disorders | 2/36 | 0/34 | 3/35 | 2/36 | 3/36 | 0/72 | 1/84 |
| InfluenzaInfections and infestations | 2/36 | 0/34 | 0/35 | 0/36 | 3/36 | 2/72 | 2/84 |
| NauseaGastrointestinal disorders | 2/36 | 2/34 | 1/35 | 1/36 | 2/36 | 0/72 | 2/84 |
| Viral upper respiratory tract infectionInfections and infestations | 0/36 | 2/34 | 0/35 | 0/36 | 0/36 | 0/72 | 0/84 |
| PyrexiaGeneral disorders | 1/36 | 2/34 | 0/35 | 0/36 | 2/36 | 2/72 | 0/84 |
Baseline analysis performed for safety analysis set (SAS)
| Age, Categorical(Participants) | Cohort 1 | Cohort 2 | Cohort 3 | Cohort 4 | Cohort 5 | Total |
|---|---|---|---|---|---|---|
| <=18 years | 0 | 0 | 0 | 0 | 0 | 0 |
| Between 18 and 65 years | 35 | 33 | 35 | 36 | 35 | 174 |
| >=65 years | 1 | 1 | 0 | 0 | 1 | 3 |
| Age, Continuous(years) | Cohort 1 | Cohort 2 | Cohort 3 | Cohort 4 | Cohort 5 | Total |
|---|---|---|---|---|---|---|
| Median | 34.5 (27.0 to 42.5) | 39.0 (33.0 to 45.0) | 35.0 (25.0 to 46.0) | 37.0 (31.0 to 46.0) | 33.5 (27.5 to 41.0) | 36.0 (29.0 to 45.0) |
| Sex: Female, Male(Participants) | Cohort 1 | Cohort 2 | Cohort 3 | Cohort 4 | Cohort 5 | Total |
|---|---|---|---|---|---|---|
| Female | 21 | 16 | 18 | 20 | 23 | 98 |
| Male | 15 | 18 | 17 | 16 | 13 | 79 |
| Ethnicity (NIH/OMB)(Participants) | Cohort 1 | Cohort 2 | Cohort 3 | Cohort 4 | Cohort 5 | Total |
|---|---|---|---|---|---|---|
| Hispanic or Latino | 0 | 1 | 1 | 1 | 4 | 7 |
| Not Hispanic or Latino | 36 | 33 | 34 | 35 | 32 | 170 |
| Unknown or Not Reported | 0 | 0 | 0 | 0 | 0 | 0 |
| Race (NIH/OMB)(Participants) | Cohort 1 | Cohort 2 | Cohort 3 | Cohort 4 | Cohort 5 | Total |
|---|---|---|---|---|---|---|
| American Indian or Alaska Native | 0 | 0 | 0 | 0 | 1 | 1 |
| Asian | 0 | 1 | 0 | 0 | 0 | 1 |
| Native Hawaiian or Other Pacific Islander | 0 | 0 | 0 | 0 | 0 | 0 |
| Black or African American | 3 | 2 | 4 | 4 | 4 | 17 |
| White | 33 | 31 | 29 | 32 | 27 | 152 |
| More than one race | 0 | 0 | 1 | 0 | 1 | 2 |
| Unknown or Not Reported | 0 | 0 | 1 | 0 | 3 | 4 |
| Region of Enrollment(Participants) | Cohort 1 | Cohort 2 | Cohort 3 | Cohort 4 | Cohort 5 | Total |
|---|---|---|---|---|---|---|
| Greece | 9 | 5 | 9 | 10 | 14 | 47 |
| Canada | 1 | 0 | 2 | 4 | 1 | 8 |
| Netherlands | 2 | 0 | 1 | 1 | 2 | 6 |
| United States | 4 | 7 | 8 | 7 | 7 | 33 |
| Denmark | 2 | 2 | 1 | 0 | 0 | 5 |
| Poland | 11 | 9 | 4 | 8 | 6 | 38 |
| Bulgaria | 2 | 4 | 2 | 1 | 0 | 9 |
| France | 4 | 3 | 5 | 3 | 4 | 19 |
| Germany | 1 | 4 | 3 | 2 | 2 | 12 |
| Baseline AN (total abscess and inflammatory nodule) count(lesions) | Cohort 1 | Cohort 2 | Cohort 3 | Cohort 4 | Cohort 5 | Total |
|---|---|---|---|---|---|---|
| Median | 9.5 (5.0 to 15.0) | 9.0 (6.0 to 15.0) | 8.0 (7.0 to 17.0) | 10.0 (6.0 to 16.0) | 12.5 (5.5 to 15.5) | 9.0 (6.0 to 16.0) |
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