A Phase 2 interventional study of Risankizumab and Placebo for risankizumab in Hidradenitis Suppurativa, sponsored by AbbVie. Completed at 59 sites in 8 countries. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2022-08-11.
Sponsored by AbbVie · Phase 2, Interventional, and Treatment
The primary objective of this study is to assess the safety and efficacy of risankizumab 180 mg and 360 mg versus placebo for the treatment of signs and symptoms of moderate to severe hidradenitis suppurativa (HS) in adult participants diagnosed for at least one year before the Baseline visit.
277 studies on the registry are indexed under Hidradenitis Suppurativa; 88 are open to participants now.
This study's enrollment of 243 is above the median of 45 across 195 interventional studies indexed under Hidradenitis Suppurativa.
Browse Hidradenitis Suppurativa studies →AbbVie is the lead sponsor of 953 studies on the registry; 136 are open to participants now.
Of its 350 completed or terminated interventional studies of FDA-regulated products, 210 (60%) have results posted.
Counted across the registry records on this site, refreshed daily.
Exclusion Criteria:
In Period A, participants receive blinded risankizumab 180 mg via a subcutaneous (SC) injection at Weeks 0 (Baseline), 1, 2, 4, and 12.
Drug: Risankizumab
In Period A, participants receive blinded risankizumab 360 mg via a SC injection at Weeks 0 (Baseline), 1, 2, 4, and 12.
Drug: Risankizumab
In Period A, participants receive blinded placebo via a SC injection at Weeks 0 (Baseline), 1, 2, 4, and 12.
Drug: Placebo for risankizumab
In Period A, participants receive blinded risankizumab 180 mg via a subcutaneous (SC) injection at Weeks 0 (Baseline), 1, 2, 4, and 12. In Period B, participants receive blinded placebo at Weeks 16, 17, and 18. Starting at Week 20, participants receive open-label risankizumab 360 mg every 8 weeks (q8w) at Weeks 20, 28, 36, 44, 52, and 60.
Drug: Risankizumab · Drug: Placebo for risankizumab
In Period A, participants receive blinded risankizumab 360 mg via a SC injection at Weeks 0 (Baseline), 1, 2, 4, and 12. In Period B, participants receive blinded placebo at Weeks 16, 17, and 18. Starting at Week 20, participants receive open-label risankizumab 360 mg q8w at Weeks 20, 28, 36, 44, 52, and 60.
Drug: Risankizumab · Drug: Placebo for risankizumab
In Period A, participants receive blinded placebo via a SC injection at Weeks 0 (Baseline), 1, 2, 4, and 12. In Period B, participants receive blinded risankizumab 360 mg at Weeks 16, 17, and 18. Starting at Week 20, participants receive open-label risankizumab 360 mg q8w at Weeks 20, 28, 36, 44, 52, and 60.
Drug: Risankizumab · Drug: Placebo for risankizumab
Risankizumab is administered as a SC injection in pre-filled syringe (PFS)
Also known as: ABBV-066, SKYRIZI
Placebo for risankizumab is administered as a SC injection in PFS
Percentage of Participants Achieving Hidradenitis Suppurativa Clinical Response (HiSCR) at Week 16
HiSCR is defined as at least a 50% reduction from Baseline in the total abscess and inflammatory nodule (AN) count, with no increase in abscess or draining fistula counts.
Time frame: Baseline (Week 0), Week 16
Percentage of Participants Achieving ≥ 30% Reduction and ≥ 1 Unit Reduction From Baseline in Patient's Global Assessment (PGA) of Skin Pain Numerical Rating Scale (NRS30) at Week 8 Among Participants With Baseline Numerical Rating Scale (NRS) ≥ 3
NRS30 is evaluated based on worst skin pain in a 24-hour recall period (maximal daily pain), ranging from 0 (no skin pain) to 10 (skin pain as bad as you can imagine). The percentage of participants who achieved at least 30% reduction and at least 1 unit reduction from Baseline at Week 8 in the PGA of Skin Pain (NRS30) - at worst, among participants with Baseline NRS ≥ 3, is presented.
Time frame: Baseline (Week 0) to Week 8
Percentage of Participants Achieving ≥ 30% Reduction and ≥ 1 Unit Reduction From Baseline in PGA of Skin Pain Numerical Rating Scale (NRS30) at Week 16 Among Participants With Baseline Numerical Rating Scale (NRS) ≥ 3
NRS30 is evaluated based on worst skin pain in a 24-hour recall period (maximal daily pain), ranging from 0 (no skin pain) to 10 (skin pain as bad as you can imagine). The percentage of participants who achieved at least 30% reduction and at least 1 unit reduction from Baseline at Week 16 in the PGA of Skin Pain (NRS30) - at worst, among participants with Baseline NRS ≥ 3, is presented.
Time frame: Baseline (Week 0) to Week 16
Percentage of Participants Who Experienced ≥ 25% Increase in Abscess and Inflammatory Nodule (AN) Counts in Period A With a Minimum Increase of 2 Relative to Baseline
Time frame: Baseline (Week 0) to Week 16
Change From Baseline in Dermatology Life Quality Index (DLQI) Score at Week 16
The DLQI is a 10-item validated questionnaire used to assess the impact of HS disease symptoms and treatment on quality of life (QoL). It consists of 10 questions evaluating impact of skin diseases on different aspects of a participant's QoL over the prior week, including symptoms and feelings, daily activities, leisure, work or school, personal relationships, and the side effects of treatment. DLQI scores range from 0 to 30, with a higher score indicating a more impaired QoL.
Time frame: Baseline (Week 0) to Week 16
Change From Baseline in HS-Related Swelling Based on the Hidradenitis Suppurativa Symptom Assessment (HSSA) Swollen Skin Score at Week 16
HSSA is a 9-item participant-reported outcome (PRO) questionnaire developed to assess the symptoms of HS. HS-related swelling is scored on an 11-point NRS, where 0 represents no symptoms and 10 represents extreme symptom experience.
Time frame: Baseline (Week 0) to Week 16
Change From Baseline in HS-Related Odor Based on the HSSA Bad Smell Score at Week 16
HSSA is a 9-item PRO questionnaire developed to assess the symptoms of HS. HS-related odor is scored on an 11-point NRS, where 0 represents no symptoms and 10 represents extreme symptom experience.
Time frame: Baseline (Week 0) to Week 16
Change From Baseline in HS-Related Worst Drainage Based on the HSSA Worst Drainage Score at Week 16
HSSA is a 9-item PRO questionnaire developed to assess the symptoms of HS. HS-related worst drainage is scored on an 11-point NRS, where 0 represents no symptoms and 10 represents extreme symptom experience.
Time frame: Baseline (Week 0) to Week 16
| Milestone | Placebo / Risankizumab 360 mg | Risankizumab 180 mg / Risankizumab 360 mg | Risankizumab 360 mg / Risankizumab 360 mg |
|---|---|---|---|
| Started | 82 | 80 | 81 |
| Never received study drug | 0 | 0 | 1 |
| Completed | 74 | 70 | 75 |
| Not completed | 8 | 10 | 6 |
| Withdrew: Adverse event | 2 | 2 | 1 |
| Withdrew: Withdrawal by subject | 2 | 2 | 2 |
| Withdrew: Lost to follow-up | 3 | 1 | 0 |
| Withdrew: Lack of efficacy | 0 | 2 | 2 |
| Withdrew: Covid-19 infection | 0 | 1 | 0 |
| Withdrew: Covid-19 logistical restrictions | 0 | 2 | 1 |
| Withdrew: Other, not specified | 1 | 0 | 0 |
| Milestone | Placebo / Risankizumab 360 mg | Risankizumab 180 mg / Risankizumab 360 mg | Risankizumab 360 mg / Risankizumab 360 mg |
|---|---|---|---|
| Started | 74 | 70 | 75 |
| Entered period b and received study drug | 74 | 70 | 74 |
| Completed | 4 | 7 | 4 |
| Not completed | 70 | 63 | 71 |
| Withdrew: Adverse event | 3 | 1 | 1 |
| Withdrew: Withdrawal by subject | 1 | 3 | 0 |
| Withdrew: Lack of efficacy | 3 | 1 | 1 |
| Withdrew: Lost to follow-up | 1 | 1 | 4 |
| Withdrew: Other, not specified | 62 | 57 | 65 |
HiSCR is defined as at least a 50% reduction from Baseline in the total abscess and inflammatory nodule (AN) count, with no increase in abscess or draining fistula counts.
| percentage of participants | Placebo | Risankizumab 180 mg | Risankizumab 360 mg |
|---|---|---|---|
| Percentage of Participants Achieving Hidradenitis Suppurativa Clinical Response (HiSCR) at Week 16 | 41.5 (29.3 to 53.7) | 46.8 (34.2 to 59.4) | 43.4 (31.0 to 55.8) |
NRS30 is evaluated based on worst skin pain in a 24-hour recall period (maximal daily pain), ranging from 0 (no skin pain) to 10 (skin pain as bad as you can imagine). The percentage of participants who achieved at least 30% reduction and at least 1 unit reduction from Baseline at Week 8 in the PGA of Skin Pain (NRS30) - at worst, among participants with Baseline NRS ≥ 3, is presented.
| percentage of participants | Placebo | Risankizumab 180 mg | Risankizumab 360 mg |
|---|---|---|---|
| Percentage of Participants Achieving ≥ 30% Reduction and ≥ 1 Unit Reduction From Baseline in Patient's Global Assessment (PGA) of Skin Pain Numerical Rating Scale (NRS30) at Week 8 Among Participants With Baseline Numerical Rating Scale (NRS) ≥ 3 | 33.0 (19.4 to 46.5) | 29.2 (15.9 to 42.6) | 40.0 (25.8 to 54.2) |
NRS30 is evaluated based on worst skin pain in a 24-hour recall period (maximal daily pain), ranging from 0 (no skin pain) to 10 (skin pain as bad as you can imagine). The percentage of participants who achieved at least 30% reduction and at least 1 unit reduction from Baseline at Week 16 in the PGA of Skin Pain (NRS30) - at worst, among participants with Baseline NRS ≥ 3, is presented.
| percentage of participants | Placebo | Risankizumab 180 mg | Risankizumab 360 mg |
|---|---|---|---|
| Percentage of Participants Achieving ≥ 30% Reduction and ≥ 1 Unit Reduction From Baseline in PGA of Skin Pain Numerical Rating Scale (NRS30) at Week 16 Among Participants With Baseline Numerical Rating Scale (NRS) ≥ 3 | 27.9 (15.0 to 40.7) | 31.1 (17.5 to 44.7) | 38.6 (24.4 to 52.7) |
| percentage of participants | Placebo | Risankizumab 180 mg | Risankizumab 360 mg |
|---|---|---|---|
| Percentage of Participants Who Experienced ≥ 25% Increase in Abscess and Inflammatory Nodule (AN) Counts in Period A With a Minimum Increase of 2 Relative to Baseline | 29.3 (18.0 to 40.5) | 22.5 (12.0 to 33.0) | 18.5 (8.8 to 28.2) |
The DLQI is a 10-item validated questionnaire used to assess the impact of HS disease symptoms and treatment on quality of life (QoL). It consists of 10 questions evaluating impact of skin diseases on different aspects of a participant's QoL over the prior week, including symptoms and feelings, daily activities, leisure, work or school, personal relationships, and the side effects of treatment. DLQI scores range from 0 to 30, with a higher score indicating a more impaired QoL.
| score on a scale | Placebo | Risankizumab 180 mg | Risankizumab 360 mg |
|---|---|---|---|
| Change From Baseline in Dermatology Life Quality Index (DLQI) Score at Week 16 | -2.1 (-3.9 to -0.4) | -3.5 (-5.2 to -1.8) | -3.7 (-5.5 to -2.0) |
HSSA is a 9-item participant-reported outcome (PRO) questionnaire developed to assess the symptoms of HS. HS-related swelling is scored on an 11-point NRS, where 0 represents no symptoms and 10 represents extreme symptom experience.
| score on a scale | Placebo | Risankizumab 180 mg | Risankizumab 360 mg |
|---|---|---|---|
| Change From Baseline in HS-Related Swelling Based on the Hidradenitis Suppurativa Symptom Assessment (HSSA) Swollen Skin Score at Week 16 | -0.870 (-1.416 to -0.324) | -0.751 (-1.338 to -0.165) | -0.885 (-1.436 to -0.334) |
HSSA is a 9-item PRO questionnaire developed to assess the symptoms of HS. HS-related odor is scored on an 11-point NRS, where 0 represents no symptoms and 10 represents extreme symptom experience.
| score on a scale | Placebo | Risankizumab 180 mg | Risankizumab 360 mg |
|---|---|---|---|
| Change From Baseline in HS-Related Odor Based on the HSSA Bad Smell Score at Week 16 | -0.677 (-1.160 to -0.195) | -0.635 (-1.149 to -0.120) | -0.442 (-0.928 to 0.044) |
HSSA is a 9-item PRO questionnaire developed to assess the symptoms of HS. HS-related worst drainage is scored on an 11-point NRS, where 0 represents no symptoms and 10 represents extreme symptom experience.
| score on a scale | Placebo | Risankizumab 180 mg | Risankizumab 360 mg |
|---|---|---|---|
| Change From Baseline in HS-Related Worst Drainage Based on the HSSA Worst Drainage Score at Week 16 | -0.630 (-1.154 to -0.107) | -0.882 (-1.440 to -0.324) | -0.705 (-1.233 to -0.176) |
Collected over From the first dose of study medication until 20 weeks after the last dose. Part A overall mean duration on study drug was 108.5 days. Part B overall mean duration on study drug was 179.9 days.. Non-serious events are listed at a 5% frequency threshold.
| Group | Deaths | Serious | Other |
|---|---|---|---|
| Placebo | 0/82 (0%) | 2/82 (2.4%) | 19/82 (23.2%) |
| Risankizumab 180 mg | 0/80 (0%) | 3/80 (3.8%) | 21/80 (26.3%) |
| Risankizumab 360 mg | 0/80 (0%) | 2/80 (2.5%) | 26/80 (32.5%) |
| Placebo / Risankizumab 360 mg | 0/74 (0%) | 3/74 (4.1%) | 26/74 (35.1%) |
| Risankizumab 180 mg / Risankizumab 360 mg | 0/70 (0%) | 4/70 (5.7%) | 12/70 (17.1%) |
| Risankizumab 360 mg / Risankizumab 360 mg | 0/74 (0%) | 0/74 (0%) | 19/74 (25.7%) |
| Event | Placebo | Risankizumab 180 mg | Risankizumab 360 mg | Placebo / Risankizumab 360 mg | Risankizumab 180 mg / Risankizumab 360 mg | Risankizumab 360 mg / Risankizumab 360 mg |
|---|---|---|---|---|---|---|
| SMALL INTESTINAL OBSTRUCTIONGastrointestinal disorders | 0/82 | 0/80 | 1/80 | 0/74 | 1/70 | 0/74 |
| TONSILLITISInfections and infestations | 0/82 | 0/80 | 0/80 | 0/74 | 1/70 | 0/74 |
| URINARY TRACT INFECTIONInfections and infestations | 0/82 | 0/80 | 0/80 | 0/74 | 1/70 | 0/74 |
| INTERVERTEBRAL DISC PROTRUSIONMusculoskeletal and connective tissue disorders | 0/82 | 0/80 | 0/80 | 0/74 | 1/70 | 0/74 |
| DEEP VEIN THROMBOSISVascular disorders | 0/82 | 0/80 | 0/80 | 0/74 | 1/70 | 0/74 |
| APPENDICITISInfections and infestations | 0/82 | 0/80 | 0/80 | 1/74 | 0/70 | 0/74 |
| CELLULITISInfections and infestations | 0/82 | 0/80 | 0/80 | 1/74 | 0/70 | 0/74 |
| BREAST CANCERNeoplasms benign, malignant and unspecified (incl cysts and polyps) | 0/82 | 0/80 | 0/80 | 1/74 | 0/70 | 0/74 |
| ENDOMETRIOSISReproductive system and breast disorders | 0/82 | 0/80 | 0/80 | 1/74 | 0/70 | 0/74 |
| OVARIAN CYSTReproductive system and breast disorders | 0/82 | 0/80 | 0/80 | 1/74 | 0/70 | 0/74 |
| Event | Placebo | Risankizumab 180 mg | Risankizumab 360 mg | Placebo / Risankizumab 360 mg | Risankizumab 180 mg / Risankizumab 360 mg | Risankizumab 360 mg / Risankizumab 360 mg |
|---|---|---|---|---|---|---|
| HEADACHENervous system disorders | 9/82 | 6/80 | 11/80 | 7/74 | 1/70 | 4/74 |
| HIDRADENITISSkin and subcutaneous tissue disorders | 7/82 | 3/80 | 2/80 | 6/74 | 8/70 | 10/74 |
| NASOPHARYNGITISInfections and infestations | 3/82 | 6/80 | 7/80 | 1/74 | 4/70 | 1/74 |
| DIARRHOEAGastrointestinal disorders | 4/82 | 2/80 | 2/80 | 5/74 | 1/70 | 2/74 |
| URINARY TRACT INFECTIONInfections and infestations | 1/82 | 4/80 | 3/80 | 4/74 | 0/70 | 0/74 |
| ECZEMASkin and subcutaneous tissue disorders | 0/82 | 0/80 | 2/80 | 1/74 | 0/70 | 4/74 |
| UPPER RESPIRATORY TRACT INFECTIONInfections and infestations | 1/82 | 1/80 | 4/80 | 2/74 | 0/70 | 0/74 |
| BACK PAINMusculoskeletal and connective tissue disorders | 2/82 | 3/80 | 4/80 | 2/74 | 0/70 | 1/74 |
| Age, Continuous(years) | Placebo / Risankizumab 360 mg | Risankizumab 180 mg / Risankizumab 360 mg | Risankizumab 360 mg / Risankizumab 360 mg | Total |
|---|---|---|---|---|
| Mean | 37.2 ± 11.97 | 38.9 ± 11.45 | 38.2 ± 11.99 | 38.1 ± 11.77 |
| Sex: Female, Male(Participants) | Placebo / Risankizumab 360 mg | Risankizumab 180 mg / Risankizumab 360 mg | Risankizumab 360 mg / Risankizumab 360 mg | Total |
|---|---|---|---|---|
| Female | 48 | 53 | 51 | 152 |
| Male | 34 | 27 | 30 | 91 |
| Race/Ethnicity, Customized(Participants) | Placebo / Risankizumab 360 mg | Risankizumab 180 mg / Risankizumab 360 mg | Risankizumab 360 mg / Risankizumab 360 mg | Total |
|---|---|---|---|---|
| Hispanic or Latino | 9 | 10 | 7 | 26 |
| Not Hispanic or Latino | 73 | 70 | 74 | 217 |
| Race/Ethnicity, Customized(Participants) | Placebo / Risankizumab 360 mg | Risankizumab 180 mg / Risankizumab 360 mg | Risankizumab 360 mg / Risankizumab 360 mg | Total |
|---|---|---|---|---|
| White | 68 | 63 | 62 | 193 |
| Black or African American | 4 | 12 | 9 | 25 |
| Asian | 8 | 4 | 9 | 21 |
| American Indian or Alaska Native | 0 | 1 | 0 | 1 |
| Multiple Races | 2 | 0 | 1 | 3 |
| Abscess and Inflammatory Nodule (AN) Count(abscess and inflammatory nodules) | Placebo / Risankizumab 360 mg | Risankizumab 180 mg / Risankizumab 360 mg | Risankizumab 360 mg / Risankizumab 360 mg | Total |
|---|---|---|---|---|
| Mean | 15.7 ± 28.42 | 13.7 ± 11.42 | 12.5 ± 8.24 | 14.0 ± 18.36 |
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Supporting information: Study protocol, Sap, Csr
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