ClinicalTrials.gg
CompletedNCT05593432Updated Oct 24, 2024Results posted

A Study to Evaluate the Efficacy and Safety of Ruxolitinib Cream in Participants With Cutaneous Lichen Planus

A Phase 2 interventional study of Ruxolitinib cream and Vehicle cream in Cutaneous Lichen Planus, sponsored by Incyte Corporation. Completed at 24 sites in 2 countries. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2024-10-24.

Sponsored by Incyte Corporation · Phase 2, Interventional, and Treatment

Phase
Phase 2
Study type
Interventional
Enrollment
64
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

The purpose of this study will be to evaluate efficacy and safety of Ruxolitinib cream in participants With Cutaneous Lichen Planus. This is randomized, double-blind, vehicle-controlled (DBVC) study with a DBVC period of 16 weeks followed by an open label period (OLE) period of 16 weeks.

02

Conditions studied

  • Cutaneous Lichen Planus

Keywords

  • Lichen Planus
  • Skin Diseases
  • 18424
  • Ruxolitinib
  • topical cream
03

In context

Lichen Planus

74 studies on the registry are indexed under Lichen Planus; 15 are open to participants now.

This study's enrollment of 64 is above the median of 30 across 55 interventional studies indexed under Lichen Planus.

Browse Lichen Planus studies →

Lead sponsor

Incyte Corporation is the lead sponsor of 288 studies on the registry; 34 are open to participants now.

Of its 149 completed or terminated interventional studies of FDA-regulated products, 95 (64%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years and older
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

  • Clinical diagnosis of LP with predominant cutaneous involvement.
  • IGA score of 3 or 4 at screening and baseline.
  • Baseline LP-related Itch NRS score ≥ 4.
  • Willingness to avoid pregnancy or fathering children.

Exclusion criteria

Exclusion Criteria:

  • Concurrent conditions and history of other diseases:

    1. Variants of LP deemed by the investigators to be inappropriate for topical treatment, including but not limited to predominant mucosal (such as oral or vaginal) LP.
    2. Active ongoing inflammatory diseases of the skin other than LP that might confound the evaluation of LP lesions or compromise participant safety.
    3. Any other concomitant skin disorder (eg, generalized erythroderma such as Netherton's syndrome), pigmentation, or extensive scarring that in the opinion of the investigator may interfere with the evaluation of LP lesions or compromise participant safety.
    4. (eg, lymphoma, acquired immunodeficiency syndrome, or Wiskott-Aldrich syndrome).
    5. Chronic or acute infection requiring treatment with systemic antibiotics, antivirals, antiparasitics, antiprotozoals, or antifungals within 2 weeks before baseline.
    6. Active acute bacterial, fungal, or viral skin infection (eg, herpes simplex, herpes zoster, chickenpox, clinically infected AD, or impetigo) within 1 week before baseline.
  • Laboratory values outside of the protocol-defined criteria.
  • Pregnant or lactating participants, or those considering pregnancy during the period of their study participation.
  • Other exclusive criteria may apply.
Terms in these criteria, in plain language(1)

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.

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.

05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Triple (Participant, Care provider, Investigator)
Enrollment
64 participants (actual)

Study arms

  • Experimental
    Ruxolitinib cream

    Ruxolitinib 1.5% cream BID for 16 weeks, followed by ruxolitinib cream BID 16-week open-label extension.

    Drug: Ruxolitinib cream · Drug: Vehicle cream

  • Placebo comparator
    Vehicle Cream

    Vehicle cream BID for 16 weeks, followed by ruxolitinib 1.5% cream BID in a 16-week open-label extension.

    Drug: Vehicle cream

Interventions

  • Ruxolitinib cream is a topical formulation applied as a thin film to affected areas.

    Also known as: INCB018424 cream

  • DrugVehicle cream

    Vehicle cream is matching in appearance to ruxolitinib cream and is to be applied in the same manner as ruxolitinib cream.

06

What researchers measure

Primary outcomes

  1. Percentage of Participants Achieving Investigator's Global Assessment-Treatment Success (IGA-TS) at Week 16

    The Investigator's Global Assessment (IGA) is a modified global assessment tool to assess the severity of lesions. Grading was based on 0 (clear), 1 (almost clear), 2 (mild), 3 (moderate), and 4 (severe). IGA-TS response was defined as an IGA score of 0 or 1 with a ≥2-grade improvement from Baseline at Week 16.

    Time frame: Baseline; Week 16

Secondary outcomes

  1. Percentage of Participants Achieving IGA-TS at Each Scheduled Post-Baseline Visit in the Double-Blind, Vehicle-Controlled Period

    The IGA is a global assessment tool to assess the severity of lesions. The IGA includes items such as depigmentation/hypopigmentation, lichenification (fine wrinkling/cigarette paper skin), excoriations, petechiae/ecchymosis, telangiectasias, erosions, fissures, or ulcers. Grading was based on 0 (clear), 1 (almost clear), 2 (mild), 3 (moderate), and 4 (severe). IGA-TS response was defined as an IGA score of 0 or 1 with a ≥2-grade improvement from Baseline at each scheduled post-Baseline visit. Participants with a score of 0 have a morphology of: no inflammatory signs (no erythema, no induration/papulation). Postinflammatory hyperpigmentation and/or hypopigmentation may be present. Participants with a score of 1 have a morphology of: barely perceptible erythema, barely perceptible induration/papulation/elevation, and/or minimal scale. Features include palpable, slightly erythematous papules.

    Time frame: Baseline; Weeks 2, 4, 8, 12, and 16

  2. Percentage of Participants Achieving IGA-TS at Each Scheduled Post-Baseline Visit in the Open-label Extension Period

    The IGA is a global assessment tool to assess the severity of lesions. The IGA includes items such as depigmentation/hypopigmentation, lichenification (fine wrinkling/cigarette paper skin), excoriations, petechiae/ecchymosis, telangiectasias, erosions, fissures, or ulcers. Grading was based on 0 (clear), 1 (almost clear), 2 (mild), 3 (moderate), and 4 (severe). IGA-TS response was defined as an IGA score of 0 or 1 with a ≥2-grade improvement from Baseline at each scheduled post-Baseline visit. Participants with a score of 0 have a morphology of: no inflammatory signs (no erythema, no induration/papulation). Postinflammatory hyperpigmentation and/or hypopigmentation may be present. Participants with a score of 1 have a morphology of: barely perceptible erythema, barely perceptible induration/papulation/elevation, and/or minimal scale. Features include palpable, slightly erythematous papules.

    Time frame: Baseline; Weeks 18, 20, 24, 28, and 32

  3. Percentage of Participants With ITCH4 at Each Scheduled Post-Baseline Visit in the Double-Blind, Vehicle-Controlled Period

    ITCH4 response was defined as a ≥4-point improvement in the Itch Numeric Rating Scale (NRS) score from Baseline at each scheduled post-Baseline visit, up to and including Week 32. The Itch NRS is a daily participant-reported measure (24-hour recall) of the worst level of itch intensity. Participants were instructed to complete and record their Itch NRS in a diary each evening beginning on the day of screening through Week 32 or treatment discontinuation. Participants rated itch severity of their lichen planus by selecting a number from 0 (no itch) to 10 (worst imaginable itch) that best described the worst level of itch they experienced in the past 24 hours.

    Time frame: Baseline; Weeks 2, 4, 8, 12, and 16

  4. Percentage of Participants With ITCH4 at Each Scheduled Post-Baseline Visit in the Open-label Extension Period

    ITCH4 response was defined as a ≥4-point improvement in the Itch Numeric Rating Scale (NRS) score from Baseline at each scheduled post-Baseline visit, up to and including Week 32. The Itch NRS is a daily participant-reported measure (24-hour recall) of the worst level of itch intensity. Participants were instructed to complete and record their Itch NRS in a diary each evening beginning on the day of screening through Week 32 or treatment discontinuation. Participants rated itch severity of their lichen planus by selecting a number from 0 (no itch) to 10 (worst imaginable itch) that best described the worst level of itch they experienced in the past 24 hours.

    Time frame: Baseline; Weeks 18, 20, 24, 28, and 32

  5. Time to Achieve ITCH4 in the Double-blind, Vehicle-controlled Period

    ITCH4 response was defined as a ≥4-point improvement in the Itch Numeric Rating Scale (NRS) score from Baseline at each scheduled post-Baseline visit, up to and including Week 32. The Itch NRS is a daily participant-reported measure (24-hour recall) of the worst level of itch intensity. Participants were instructed to complete and record their Itch NRS in a diary each evening beginning on the day of screening through Week 32 or treatment discontinuation. Participants rated itch severity of their lichen planus by selecting a number from 0 (no itch) to 10 (worst imaginable itch) that best described the worst level of itch they experienced in the past 24 hours.

    Time frame: up to Week 16

  6. Change From Baseline in the Skin Pain NRS Score at Each Scheduled Post-Baseline Visit in the Double-Blind, Vehicle-Controlled Period

    Participants were instructed to complete and record the Skin Pain NRS in a diary each evening beginning on the day of screening through Week 32 or treatment discontinuation. Participants rated their pain, which included all types of pain (e.g., burning, tearing, pulling, stabbing, etc.) severity of lichen planus by selecting a number from 0 (no pain) to 10 (worst imaginable pain) that best described the worst level of pain they experienced in the past 24 hours. Change from Baseline was calculated as the post-Baseline value minus the Baseline value.

    Time frame: Baseline; Weeks 2, 4, 8, 12, and 16

  7. Change From Baseline in the Skin Pain NRS Score at Each Scheduled Post-Baseline Visit in the Open-label Extension Period

    Participants were instructed to complete and record the Skin Pain NRS in a diary each evening beginning on the day of screening through Week 32 or treatment discontinuation. Participants rated their pain, which included all types of pain (e.g., burning, tearing, pulling, stabbing, etc.) severity of lichen planus by selecting a number from 0 (no pain) to 10 (worst imaginable pain) that best described the worst level of pain they experienced in the past 24 hours. Change from Baseline was calculated as the post-Baseline value minus the Baseline value.

    Time frame: Baseline; Weeks 18, 20, 24, 28, and 32

  8. Number of Participants With Any Treatment-emergent Adverse Event (TEAE) During the Double-blind, Vehicle-controlled Period

    An adverse event (AE) was defined as any untoward medical occurrence associated with the use of a drug in humans, whether or not it is considered drug related. An AE could therefore have been any unfavorable or unintended sign (including an abnormal laboratory finding), symptom, or disease (new or exacerbated) temporally associated with the use of study drug. A TEAE was defined as an AE either reported for the first time or the worsening of a pre-existing event after the first application of study drug.

    Time frame: from Baseline to Week 16 plus 30 days

  9. Number of Participants With Any ≥Grade 3 TEAE During the Double-blind, Vehicle-controlled Period

    A TEAE was defined as an AE either reported for the first time or the worsening of a pre-existing event after the first application of study drug. The severity of AEs was assessed using the Common Terminology Criteria for Adverse Events (CTCAE) version 5.0 (v5.0) Grades 1 through 5. The investigator made an assessment of intensity for each AE and SAE reported during the study and assigned it to 1 of the following categories: Grade 1: mild; asymptomatic or mild symptoms; clinical or diagnostic observations only; treatment not indicated. Grade 2: moderate; minimal, local, or noninvasive treatment indicated; limiting age-appropriate activities of daily living. Grade 3: severe or medically significant but not immediately life-threatening; hospitalization or prolongation of hospitalization indicated; disabling; limiting self-care activities of daily living. Grade 4: life-threatening consequences; urgent treatment indicated. Grade 5: fatal.

    Time frame: from Baseline to Week 16 plus 30 days

  10. Number of Participants With Any TEAE During the Open-label Extension Period

    An AE was defined as any untoward medical occurrence associated with the use of a drug in humans, whether or not it is considered drug related. An AE could therefore have been any unfavorable or unintended sign (including an abnormal laboratory finding), symptom, or disease (new or exacerbated) temporally associated with the use of study drug. A TEAE was defined as an AE either reported for the first time or the worsening of a pre-existing event after the first application of study drug.

    Time frame: from Week 17 to Week 32 plus 30 days

  11. Number of Participants With Any ≥Grade 3 TEAE During the Open-label Extension Period

    A TEAE was defined as an AE either reported for the first time or the worsening of a pre-existing event after the first application of study drug. The severity of AEs was assessed using the CTCAE v5.0 Grades 1 through 5. The investigator made an assessment of intensity for each AE and SAE reported during the study and assigned it to 1 of the following categories: Grade 1: mild; asymptomatic or mild symptoms; clinical or diagnostic observations only; treatment not indicated. Grade 2: moderate; minimal, local, or noninvasive treatment indicated; limiting age-appropriate activities of daily living. Grade 3: severe or medically significant but not immediately life-threatening; hospitalization or prolongation of hospitalization indicated; disabling; limiting self-care activities of daily living. Grade 4: life-threatening consequences; urgent treatment indicated. Grade 5: fatal.

    Time frame: from Week 17 to Week 32 plus 30 days

07

Results

Posted Oct 24, 2024

Participant flow

16-Week DBVC Period
Participant flow — 16-Week DBVC Period
MilestoneDouble-Blind, Vehicle-Controlled (DBVC) Period: Ruxolitinib Cream 1.5% BIDDouble-Blind, Vehicle-Controlled Period: Vehicle Cream BIDOpen-Label Extension (OLE) Period: Ruxolitinib Cream 1.5% BIDOpen-Label Extension Period: Vehicle Cream to Ruxolitinib Cream 1.5% BID
Started323200
Completed302900
Not completed2300
Withdrew: Withdrawal by subject2300
16-Week OLE Period
Participant flow — 16-Week OLE Period
MilestoneDouble-Blind, Vehicle-Controlled (DBVC) Period: Ruxolitinib Cream 1.5% BIDDouble-Blind, Vehicle-Controlled Period: Vehicle Cream BIDOpen-Label Extension (OLE) Period: Ruxolitinib Cream 1.5% BIDOpen-Label Extension Period: Vehicle Cream to Ruxolitinib Cream 1.5% BID
Started003029
Completed002923
Not completed0016
Withdrew: Lack of efficacy0001
Withdrew: Lost to follow-up0012
Withdrew: Withdrawal by subject0003

Outcome measures

PrimaryPercentage of Participants Achieving Investigator's Global Assessment-Treatment Success (IGA-TS) at Week 16

The Investigator's Global Assessment (IGA) is a modified global assessment tool to assess the severity of lesions. Grading was based on 0 (clear), 1 (almost clear), 2 (mild), 3 (moderate), and 4 (severe). IGA-TS response was defined as an IGA score of 0 or 1 with a ≥2-grade improvement from Baseline at Week 16.

Time frame:
Baseline; Week 16
Reported as:
Number · percentage of participants
Percentage of Participants Achieving Investigator's Global Assessment-Treatment Success (IGA-TS) at Week 16
percentage of participantsDouble-Blind, Vehicle-Controlled Period: Ruxolitinib Cream 1.5% BIDDouble-Blind, Vehicle-Controlled Period: Vehicle Cream BID
Percentage of Participants Achieving Investigator's Global Assessment-Treatment Success (IGA-TS) at Week 1650.0 (31.9 to 68.1)21.9 (9.3 to 40.0)
Statistical analysis
  • Double-Blind, Vehicle-Controlled Period: Ruxolitinib Cream 1.5% BID vs Double-Blind, Vehicle-Controlled Period: Vehicle Cream BID · Cochran-Mantel-Haenszel · p = 0.0129 (stratified by Baseline Investigator's Global Assessment (IGA) score (3 or 4)) · Response rate difference: 29.4 · 95% CI 7.55 to 51.33stratified by Baseline IGA score (3 or 4)
  • Double-Blind, Vehicle-Controlled Period: Ruxolitinib Cream 1.5% BID vs Double-Blind, Vehicle-Controlled Period: Vehicle Cream BID · Odds ratio (or): 4.04 · 95% CI 1.32 to 12.38stratified by Baseline IGA score (3 or 4)
SecondaryPercentage of Participants Achieving IGA-TS at Each Scheduled Post-Baseline Visit in the Double-Blind, Vehicle-Controlled Period

The IGA is a global assessment tool to assess the severity of lesions. The IGA includes items such as depigmentation/hypopigmentation, lichenification (fine wrinkling/cigarette paper skin), excoriations, petechiae/ecchymosis, telangiectasias, erosions, fissures, or ulcers. Grading was based on 0 (clear), 1 (almost clear), 2 (mild), 3 (moderate), and 4 (severe). IGA-TS response was defined as an IGA score of 0 or 1 with a ≥2-grade improvement from Baseline at each scheduled post-Baseline visit. Participants with a score of 0 have a morphology of: no inflammatory signs (no erythema, no induration/papulation). Postinflammatory hyperpigmentation and/or hypopigmentation may be present. Participants with a score of 1 have a morphology of: barely perceptible erythema, barely perceptible induration/papulation/elevation, and/or minimal scale. Features include palpable, slightly erythematous papules.

Time frame:
Baseline; Weeks 2, 4, 8, 12, and 16
Reported as:
Number · percentage of participants
Percentage of Participants Achieving IGA-TS at Each Scheduled Post-Baseline Visit in the Double-Blind, Vehicle-Controlled Period
percentage of participantsDouble-Blind, Vehicle-Controlled Period: Ruxolitinib Cream 1.5% BIDDouble-Blind, Vehicle-Controlled Period: Vehicle Cream BID
Week 29.7 (2.0 to 25.8)6.5 (0.8 to 21.4)
Week 425.8 (11.9 to 44.6)13.3 (3.8 to 30.7)
Week 851.6 (33.1 to 69.8)12.9 (3.6 to 29.8)
Week 1253.3 (34.3 to 71.7)24.1 (10.3 to 43.5)
Week 1653.3 (34.3 to 71.7)24.1 (10.3 to 43.5)
Statistical analysis
  • Double-Blind, Vehicle-Controlled Period: Ruxolitinib Cream 1.5% BID vs Double-Blind, Vehicle-Controlled Period: Vehicle Cream BID · Cochran-Mantel-Haenszel · p = 0.0141 · Response rate difference: 30.6 · 95% CI 7.71 to 53.51stratified by Baseline IGA score (3 or 4)
  • Double-Blind, Vehicle-Controlled Period: Ruxolitinib Cream 1.5% BID vs Double-Blind, Vehicle-Controlled Period: Vehicle Cream BID · Odds ratio (or): 4.16 · 95% CI 1.31 to 13.17stratified by Baseline IGA score (3 or 4)
SecondaryPercentage of Participants Achieving IGA-TS at Each Scheduled Post-Baseline Visit in the Open-label Extension Period

The IGA is a global assessment tool to assess the severity of lesions. The IGA includes items such as depigmentation/hypopigmentation, lichenification (fine wrinkling/cigarette paper skin), excoriations, petechiae/ecchymosis, telangiectasias, erosions, fissures, or ulcers. Grading was based on 0 (clear), 1 (almost clear), 2 (mild), 3 (moderate), and 4 (severe). IGA-TS response was defined as an IGA score of 0 or 1 with a ≥2-grade improvement from Baseline at each scheduled post-Baseline visit. Participants with a score of 0 have a morphology of: no inflammatory signs (no erythema, no induration/papulation). Postinflammatory hyperpigmentation and/or hypopigmentation may be present. Participants with a score of 1 have a morphology of: barely perceptible erythema, barely perceptible induration/papulation/elevation, and/or minimal scale. Features include palpable, slightly erythematous papules.

Time frame:
Baseline; Weeks 18, 20, 24, 28, and 32
Reported as:
Number · percentage of participants
Percentage of Participants Achieving IGA-TS at Each Scheduled Post-Baseline Visit in the Open-label Extension Period
percentage of participantsOpen-Label Extension Period: Ruxolitinib Cream 1.5% BIDOpen-Label Extension Period: Vehicle Cream to Ruxolitinib Cream 1.5% BID
Week 1858.6 (38.9 to 76.5)25.0 (10.7 to 44.9)
Week 2062.1 (42.3 to 79.3)33.3 (16.5 to 54.0)
Week 2458.6 (38.9 to 76.5)44.0 (24.4 to 65.1)
Week 2858.6 (38.9 to 76.5)45.8 (25.6 to 67.2)
Week 3260.0 (40.6 to 77.3)60.9 (38.5 to 80.3)
SecondaryPercentage of Participants With ITCH4 at Each Scheduled Post-Baseline Visit in the Double-Blind, Vehicle-Controlled Period

ITCH4 response was defined as a ≥4-point improvement in the Itch Numeric Rating Scale (NRS) score from Baseline at each scheduled post-Baseline visit, up to and including Week 32. The Itch NRS is a daily participant-reported measure (24-hour recall) of the worst level of itch intensity. Participants were instructed to complete and record their Itch NRS in a diary each evening beginning on the day of screening through Week 32 or treatment discontinuation. Participants rated itch severity of their lichen planus by selecting a number from 0 (no itch) to 10 (worst imaginable itch) that best described the worst level of itch they experienced in the past 24 hours.

Time frame:
Baseline; Weeks 2, 4, 8, 12, and 16
Reported as:
Number · percentage of participants
Percentage of Participants With ITCH4 at Each Scheduled Post-Baseline Visit in the Double-Blind, Vehicle-Controlled Period
percentage of participantsDouble-Blind, Vehicle-Controlled Period: Ruxolitinib Cream 1.5% BIDDouble-Blind, Vehicle-Controlled Period: Vehicle Cream BID
Week 221.4 (8.3 to 41.0)3.3 (0.1 to 17.2)
Week 444.8 (26.4 to 64.3)7.1 (0.9 to 23.5)
Week 853.8 (33.4 to 73.4)7.4 (0.9 to 24.3)
Week 1252.0 (31.3 to 72.2)12.0 (2.5 to 31.2)
Week 1657.7 (36.9 to 76.6)19.2 (6.6 to 39.4)
Statistical analysis
  • Double-Blind, Vehicle-Controlled Period: Ruxolitinib Cream 1.5% BID vs Double-Blind, Vehicle-Controlled Period: Vehicle Cream BID · Cochran-Mantel-Haenszel · p = 0.0027 · Response rate difference: 40.3 · 95% CI 16.61 to 64.00stratified by Baseline IGA score (3 or 4)
  • Double-Blind, Vehicle-Controlled Period: Ruxolitinib Cream 1.5% BID vs Double-Blind, Vehicle-Controlled Period: Vehicle Cream BID · Odds ratio (or): 6.67 · 95% CI 1.85 to 24.02stratified by Baseline IGA score (3 or 4)
SecondaryPercentage of Participants With ITCH4 at Each Scheduled Post-Baseline Visit in the Open-label Extension Period

ITCH4 response was defined as a ≥4-point improvement in the Itch Numeric Rating Scale (NRS) score from Baseline at each scheduled post-Baseline visit, up to and including Week 32. The Itch NRS is a daily participant-reported measure (24-hour recall) of the worst level of itch intensity. Participants were instructed to complete and record their Itch NRS in a diary each evening beginning on the day of screening through Week 32 or treatment discontinuation. Participants rated itch severity of their lichen planus by selecting a number from 0 (no itch) to 10 (worst imaginable itch) that best described the worst level of itch they experienced in the past 24 hours.

Time frame:
Baseline; Weeks 18, 20, 24, 28, and 32
Reported as:
Number · percentage of participants
Percentage of Participants With ITCH4 at Each Scheduled Post-Baseline Visit in the Open-label Extension Period
percentage of participantsOpen-Label Extension Period: Ruxolitinib Cream 1.5% BIDOpen-Label Extension Period: Vehicle Cream to Ruxolitinib Cream 1.5% BID
Week 1872.7 (49.8 to 89.3)48.0 (27.8 to 68.7)
Week 2073.9 (51.6 to 89.8)63.6 (40.7 to 82.8)
Week 2479.2 (57.8 to 92.9)76.2 (52.8 to 91.8)
Week 2886.4 (65.1 to 97.1)76.5 (50.1 to 93.2)
Week 3284.2 (60.4 to 96.6)73.3 (44.9 to 92.2)
SecondaryTime to Achieve ITCH4 in the Double-blind, Vehicle-controlled Period

ITCH4 response was defined as a ≥4-point improvement in the Itch Numeric Rating Scale (NRS) score from Baseline at each scheduled post-Baseline visit, up to and including Week 32. The Itch NRS is a daily participant-reported measure (24-hour recall) of the worst level of itch intensity. Participants were instructed to complete and record their Itch NRS in a diary each evening beginning on the day of screening through Week 32 or treatment discontinuation. Participants rated itch severity of their lichen planus by selecting a number from 0 (no itch) to 10 (worst imaginable itch) that best described the worst level of itch they experienced in the past 24 hours.

Time frame:
up to Week 16
Reported as:
Median · days
Time to Achieve ITCH4 in the Double-blind, Vehicle-controlled Period
daysDouble-Blind, Vehicle-Controlled Period: Ruxolitinib Cream 1.5% BIDDouble-Blind, Vehicle-Controlled Period: Vehicle Cream BID
Time to Achieve ITCH4 in the Double-blind, Vehicle-controlled Period17.0 (7.0 to 27.0)97.0 (31.0 to NA)
Statistical analysis
  • Double-Blind, Vehicle-Controlled Period: Ruxolitinib Cream 1.5% BID vs Double-Blind, Vehicle-Controlled Period: Vehicle Cream BID · Log Rank · p = 0.0008 · Hazard ratio (hr): 2.850 · 95% CI 1.510 to 5.381Cox regression model stratified by Baseline IGA score (3 or 4) was conducted to compare the difference in hazard rate between ruxolitinib 1.5% cream and vehicle cream
SecondaryChange From Baseline in the Skin Pain NRS Score at Each Scheduled Post-Baseline Visit in the Double-Blind, Vehicle-Controlled Period

Participants were instructed to complete and record the Skin Pain NRS in a diary each evening beginning on the day of screening through Week 32 or treatment discontinuation. Participants rated their pain, which included all types of pain (e.g., burning, tearing, pulling, stabbing, etc.) severity of lichen planus by selecting a number from 0 (no pain) to 10 (worst imaginable pain) that best described the worst level of pain they experienced in the past 24 hours. Change from Baseline was calculated as the post-Baseline value minus the Baseline value.

Time frame:
Baseline; Weeks 2, 4, 8, 12, and 16
Reported as:
Mean · scores on a scale
Change From Baseline in the Skin Pain NRS Score at Each Scheduled Post-Baseline Visit in the Double-Blind, Vehicle-Controlled Period
scores on a scaleDouble-Blind, Vehicle-Controlled Period: Ruxolitinib Cream 1.5% BIDDouble-Blind, Vehicle-Controlled Period: Vehicle Cream BID
Baseline4.86 ± 2.3034.51 ± 2.618
Week 2-1.69 ± 2.047-0.55 ± 0.975
Week 4-2.64 ± 2.307-0.69 ± 1.261
Week 8-2.96 ± 2.622-0.95 ± 1.385
Week 12-3.01 ± 2.823-0.84 ± 1.613
Week 16-3.02 ± 2.656-1.25 ± 2.263
SecondaryChange From Baseline in the Skin Pain NRS Score at Each Scheduled Post-Baseline Visit in the Open-label Extension Period

Participants were instructed to complete and record the Skin Pain NRS in a diary each evening beginning on the day of screening through Week 32 or treatment discontinuation. Participants rated their pain, which included all types of pain (e.g., burning, tearing, pulling, stabbing, etc.) severity of lichen planus by selecting a number from 0 (no pain) to 10 (worst imaginable pain) that best described the worst level of pain they experienced in the past 24 hours. Change from Baseline was calculated as the post-Baseline value minus the Baseline value.

Time frame:
Baseline; Weeks 18, 20, 24, 28, and 32
Reported as:
Mean · scores on a scale
Change From Baseline in the Skin Pain NRS Score at Each Scheduled Post-Baseline Visit in the Open-label Extension Period
scores on a scaleOpen-Label Extension Period: Ruxolitinib Cream 1.5% BIDOpen-Label Extension Period: Vehicle Cream to Ruxolitinib Cream 1.5% BID
Baseline4.86 ± 2.3034.51 ± 2.618
Week 18-3.65 ± 2.086-2.46 ± 2.253
Week 20-3.81 ± 2.079-2.96 ± 2.584
Week 24-3.82 ± 2.385-3.13 ± 2.868
Week 28-3.99 ± 2.272-3.54 ± 3.145
Week 32-4.25 ± 2.276-3.51 ± 3.470
SecondaryNumber of Participants With Any Treatment-emergent Adverse Event (TEAE) During the Double-blind, Vehicle-controlled Period

An adverse event (AE) was defined as any untoward medical occurrence associated with the use of a drug in humans, whether or not it is considered drug related. An AE could therefore have been any unfavorable or unintended sign (including an abnormal laboratory finding), symptom, or disease (new or exacerbated) temporally associated with the use of study drug. A TEAE was defined as an AE either reported for the first time or the worsening of a pre-existing event after the first application of study drug.

Time frame:
from Baseline to Week 16 plus 30 days
Reported as:
Count of participants · Participants
Number of Participants With Any Treatment-emergent Adverse Event (TEAE) During the Double-blind, Vehicle-controlled Period
ParticipantsDouble-Blind, Vehicle-Controlled Period: Ruxolitinib Cream 1.5% BIDDouble-Blind, Vehicle-Controlled Period: Vehicle Cream BID
Number of Participants With Any Treatment-emergent Adverse Event (TEAE) During the Double-blind, Vehicle-controlled Period159
SecondaryNumber of Participants With Any ≥Grade 3 TEAE During the Double-blind, Vehicle-controlled Period

A TEAE was defined as an AE either reported for the first time or the worsening of a pre-existing event after the first application of study drug. The severity of AEs was assessed using the Common Terminology Criteria for Adverse Events (CTCAE) version 5.0 (v5.0) Grades 1 through 5. The investigator made an assessment of intensity for each AE and SAE reported during the study and assigned it to 1 of the following categories: Grade 1: mild; asymptomatic or mild symptoms; clinical or diagnostic observations only; treatment not indicated. Grade 2: moderate; minimal, local, or noninvasive treatment indicated; limiting age-appropriate activities of daily living. Grade 3: severe or medically significant but not immediately life-threatening; hospitalization or prolongation of hospitalization indicated; disabling; limiting self-care activities of daily living. Grade 4: life-threatening consequences; urgent treatment indicated. Grade 5: fatal.

Time frame:
from Baseline to Week 16 plus 30 days
Reported as:
Count of participants · Participants
Number of Participants With Any ≥Grade 3 TEAE During the Double-blind, Vehicle-controlled Period
ParticipantsDouble-Blind, Vehicle-Controlled Period: Ruxolitinib Cream 1.5% BIDDouble-Blind, Vehicle-Controlled Period: Vehicle Cream BID
Number of Participants With Any ≥Grade 3 TEAE During the Double-blind, Vehicle-controlled Period00
SecondaryNumber of Participants With Any TEAE During the Open-label Extension Period

An AE was defined as any untoward medical occurrence associated with the use of a drug in humans, whether or not it is considered drug related. An AE could therefore have been any unfavorable or unintended sign (including an abnormal laboratory finding), symptom, or disease (new or exacerbated) temporally associated with the use of study drug. A TEAE was defined as an AE either reported for the first time or the worsening of a pre-existing event after the first application of study drug.

Time frame:
from Week 17 to Week 32 plus 30 days
Reported as:
Count of participants · Participants
Number of Participants With Any TEAE During the Open-label Extension Period
ParticipantsOpen-Label Extension Period: Ruxolitinib Cream 1.5% BIDOpen-Label Extension Period: Vehicle Cream to Ruxolitinib Cream 1.5% BID
Number of Participants With Any TEAE During the Open-label Extension Period811
SecondaryNumber of Participants With Any ≥Grade 3 TEAE During the Open-label Extension Period

A TEAE was defined as an AE either reported for the first time or the worsening of a pre-existing event after the first application of study drug. The severity of AEs was assessed using the CTCAE v5.0 Grades 1 through 5. The investigator made an assessment of intensity for each AE and SAE reported during the study and assigned it to 1 of the following categories: Grade 1: mild; asymptomatic or mild symptoms; clinical or diagnostic observations only; treatment not indicated. Grade 2: moderate; minimal, local, or noninvasive treatment indicated; limiting age-appropriate activities of daily living. Grade 3: severe or medically significant but not immediately life-threatening; hospitalization or prolongation of hospitalization indicated; disabling; limiting self-care activities of daily living. Grade 4: life-threatening consequences; urgent treatment indicated. Grade 5: fatal.

Time frame:
from Week 17 to Week 32 plus 30 days
Reported as:
Count of participants · Participants
Number of Participants With Any ≥Grade 3 TEAE During the Open-label Extension Period
ParticipantsOpen-Label Extension Period: Ruxolitinib Cream 1.5% BIDOpen-Label Extension Period: Vehicle Cream to Ruxolitinib Cream 1.5% BID
Number of Participants With Any ≥Grade 3 TEAE During the Open-label Extension Period01

Adverse events

Collected over from Baseline to Week 32 plus 30 days. Non-serious events are listed at a 5% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Vehicle Cream BID0/32 (0%)0/32 (0%)6/32 (18.8%)
Ruxolitinib Cream 1.5% BID0/60 (0%)0/60 (0%)14/60 (23.3%)
Most frequent other events
Most frequent other events
EventVehicle Cream BIDRuxolitinib Cream 1.5% BID
NasopharyngitisInfections and infestations1/325/60
HypothyroidismEndocrine disorders2/320/60
COVID-19Infections and infestations1/323/60
SinusitisInfections and infestations1/323/60
Upper respiratory tract infectionInfections and infestations0/323/60
Urinary tract infectionInfections and infestations1/323/60

Baseline characteristics

Age, Continuous
Age, Continuous(years)Double-Blind, Vehicle-Controlled Period: Ruxolitinib Cream 1.5% BIDDouble-Blind, Vehicle-Controlled Period: Vehicle Cream BIDTotal
Mean56.3 ± 14.3558.2 ± 10.8657.3 ± 12.66
Sex: Female, Male
Sex: Female, Male(Participants)Double-Blind, Vehicle-Controlled Period: Ruxolitinib Cream 1.5% BIDDouble-Blind, Vehicle-Controlled Period: Vehicle Cream BIDTotal
Female222446
Male10818
Ethnicity (NIH/OMB)
Ethnicity (NIH/OMB)(Participants)Double-Blind, Vehicle-Controlled Period: Ruxolitinib Cream 1.5% BIDDouble-Blind, Vehicle-Controlled Period: Vehicle Cream BIDTotal
Hispanic or Latino112
Not Hispanic or Latino313162
Unknown or Not Reported000
Race/Ethnicity, Customized
Race/Ethnicity, Customized(Participants)Double-Blind, Vehicle-Controlled Period: Ruxolitinib Cream 1.5% BIDDouble-Blind, Vehicle-Controlled Period: Vehicle Cream BIDTotal
White/Caucasian211940
Black/African-American9918
Asian224
Biracial011
Mixed Race011
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Study locations

24 sites
  • Cahaba Dermatology
    Birmingham, Alabama 35244, United States
  • Medical Dermatology Specialists Phoenix
    Phoenix, Arizona 85006, United States
  • Mayo Clinic Arizona
    Scottsdale, Arizona 85259, United States
  • Wallace of Beverly Hills
    Los Angeles, California 90056, United States
  • Northshore Medical Group Dermatology Skokie
    Skokie, Illinois 60077, United States
  • Dawes Fretzin Clinical Research Group Llc
    Indianapolis, Indiana 46250, United States
  • Delricht Clinical Research-Clinedge-Ppds Baton Rouge
    Baton Rouge, Louisiana 70809, United States
  • Delricht Research - Touro Medical Center
    New Orleans, Louisiana 70115, United States
  • Dermassociates
    Rockville, Maryland 20850, United States
  • Minnesota Clinical Study Center
    New Brighton, Minnesota 55112, United States
  • Jdr Dermatology Research
    Las Vegas, Nevada 89148, United States
  • OPTISKIN
    New York, New York 10128, United States
  • Bexley Dermatology
    Bexley, Ohio 43209, United States
  • Clinohio Research Services
    Columbus, Ohio 43213, United States
  • Apex Clinical Research Center
    Mayfield Heights, Ohio 44124, United States
  • Central Sooner Research
    Norman, Oklahoma 73071, United States
  • Oregon Medical Research Center
    Portland, Oregon 97223, United States
  • University of Pennsylvania-Perelman School of Medicine
    Philadelphia, Pennsylvania 19104-5160, United States
  • International Clinical Research Ic Research Murfreesboro
    Murfreesboro, Tennessee 37130-2450, United States
  • Arlington Center For Dermatology
    Arlington, Texas 76011-3800, United States
  • Austin Institute For Clinical Research Aicr Pflugerville
    Pflugerville, Texas 78660, United States
  • University of Utah Health Care Midvalley Health Center Dermatology
    Murray, Utah 84107, United States
  • Wiseman Dermatology Research Inc
    Winnipeg, Manitoba R3M 3Z4, Canada
  • Dr. S. K. Siddha Medicine Professional Corporation
    Newmarket, Ontario L3Y 5G8, Canada
09

References and documents

Study documents

PDFs hosted by the registry, ClinicalTrials.gov.

Individual participant data

Plan to share: Yes — Incyte shares data with qualified external researchers after a research proposal is submitted. These requests are reviewed and approved by a review panel on the basis of scientific merit. All data provided is anonymized to respect the privacy of patients who have participated in the trial in line with applicable laws and regulations. The trial data availability is according to the criteria and process described on https://www.incyte.com/our-company/compliance-and-transparency

Supporting information: Study protocol, Statistical analysis plan

Time frame: Data will be shared after the primary publication or 2 years after the study has ended for market authorized products and indications.

Access criteria: Data from eligible studies will be shared with qualified researchers according to the criteria and process described in the Data Sharing section of the www.incyteclinicaltrials.com website. For approved requests, the researchers will be granted access to anonymized data under the terms of a data sharing agreement

Data sharing details ↗ · www.incyte.com

10

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Oct 24, 2024, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT05593432
Lead sponsor
Incyte Corporation
Responsible party
Sponsor
First posted
Oct 25, 2022
Start date
Nov 23, 2022
Primary completion
Oct 2, 2023
Completion
Feb 26, 2024
Results posted
Oct 24, 2024
Last update
Oct 24, 2024

Study contacts

Haq Nawaz, MD
study director · Incyte Corporation

Oversight

Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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This study is completed, as verified in Aug 2024. You cannot join it, but the record below documents what was studied.

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Studies of the drug tested here: Ruxolitinib

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