ClinicalTrials.gg
CompletedNCT06603077LOTUSUpdated Apr 21, 2026

A Study to Evaluate the Efficacy and Safety of AVTX-009 in Patients With Moderate to Severe Hidradenitis Suppurativa

A Phase 2 interventional study of AVTX-009 Regimen 1 and AVTX-009 Regimen 2 in Hidradenitis Suppurativa, sponsored by Avalo Therapeutics, Inc.. Completed at 89 sites in 13 countries. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-04-21.

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

Phase
Phase 2
Study type
Interventional
Enrollment
253
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

The main purpose of this study is to evaluate the efficacy and safety of AVTX-009 compared with placebo in patients with moderate to severe Hidradenitis Suppurativa (HS).

Read the detailed description

This is a randomized, double-blind, placebo-controlled, parallel-group, Phase 2 study. Patients will be randomized to one of two AVTX-009 dose regimens or matching placebo in a 1:1:1 ratio.

The study will comprise:

  1. A Screening Period which will last up to 28 days.
  2. A Treatment Period up to 16 weeks.
  3. A Follow-up period of 6 weeks after the last dose of study drug.

The maximum clinical trial duration for each participant is 24 weeks.

02

Conditions studied

  • Hidradenitis Suppurativa

Keywords

  • Hidradenitis Suppurativa
  • HS
  • acne inversa
  • AVTX-009
  • LY2189102
  • FL-101
03

In context

Hidradenitis Suppurativa

284 studies on the registry are indexed under Hidradenitis Suppurativa; 87 are open to participants now.

This study's enrollment of 253 is above the median of 45 across 199 interventional studies indexed under Hidradenitis Suppurativa.

Browse Hidradenitis Suppurativa studies →

Lead sponsor

Avalo Therapeutics, Inc. is the lead sponsor of 10 studies on the registry; none are open to participants now.

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

  1. Signs and symptoms of hidradenitis suppurativa (HS) for at least 6 months prior to Screening.
  2. At least 5 inflammatory lesions in at least 2 distinct anatomical areas, at least 1 of which is Hurley Stage 2 or 3.

Exclusion criteria

Exclusion Criteria:

  1. Has a draining fistula count of ≥ 20.
  2. Has another active skin inflammatory condition, infection (viral, bacterial, or fungal), or another active ongoing inflammatory disease (other than HS) that requires treatment with a prohibited medication, which could interfere with the assessment of HS.
  3. History of chronic or recurrent infectious disease, including but not limited to chronic renal infection, chronic lung infection, recurrent urinary tract infection, or open, draining or infected skin wounds or ulcers (not related to HS).
  4. Has severe, progressive and/or uncontrolled renal, hepatic, hematologic, endocrine, pulmonary, cardiac, neurologic or disease.
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
Double (Participant, Investigator)
Enrollment
253 participants (actual)

Study arms

  • Experimental
    AVTX-009 Regimen 1

    Patients will receive AVTX-009 regimen 1.

    Drug: AVTX-009 Regimen 1

  • Experimental
    AVTX-009 Regimen 2

    Patients will receive AVTX-009 regimen 2.

    Drug: AVTX-009 Regimen 2

  • Placebo comparator
    Placebo

    Patients will receive matching placebo.

    Drug: Placebo

Interventions

  • AVTX-009 will be administered as a subcutaneous injection every 4 weeks.

  • AVTX-009 will be administered as a subcutaneous injection every 2 weeks.

  • DrugPlacebo

    Matching placebo will be administered as a subcutaneous injection every 2 weeks.

06

What researchers measure

Primary outcomes

  1. Proportion of patients achieving Hidradenitis Suppurativa Clinical Response 75 (HiSCR75)

    HiSCR75 is defined as at least a 75% reduction in the total abscess and inflammatory nodule count, with no increase in abscess count and no increase in draining fistula count, relative to Baseline.

    Time frame: At Week 16

Secondary outcomes

  1. Proportion of patients achieving HiSCR50

    HiSCR50 is defined as at least a 50% reduction in the total abscess and inflammatory nodule count, with no increase in abscess count and no increase in draining fistula count, relative to Baseline.

    Time frame: At Week 16

  2. Proportion of patients achieving HiSCR90

    HiSCR90 is defined as at least a 90% reduction in the total abscess and inflammatory nodule count, with no increase in abscess count and no increase in draining fistula count, relative to Baseline.

    Time frame: At Week 16

  3. Change from Baseline in International HS Severity Score System (IHS4)

    IHS4 score is calculated by the number of nodules (multiplied by 1) plus the number of abscesses (multiplied by 2) plus the number of draining tunnels (multiplied by 4). A total score of 3 or less signifies mild disease, 4 to 10 signifies moderate disease, and 11 or higher signifies severe disease.

    Time frame: Baseline (Day 1) and Week 16

  4. Change from Baseline in total abscess and inflammatory nodule (AN) count

    An abscess is a circumscribed collection of purulent exudates frequently associated with swelling, erythema, and other signs of inflammation, such as fluctuance, tenderness, and pain. An inflammatory nodule is a raised, deep-seated, three-dimensional, round nodule, greater than 10 mm in diameter. It is tender and erythematous without evidence of fluctuance.

    Time frame: Baseline (Day 1) and Week 16

  5. Change from Baseline in draining fistula count

    Draining fistula is defined as a pathologic passageway connecting to the skin surface from dermis or subcutaneous tissue that drains serous or purulent fluid, either spontaneously or by gentle palpation.

    Time frame: Baseline (Day 1) and Week 16

  6. Percentage of patients achieving at least a 30% reduction and at least a 1-unit reduction from Baseline on a Numerical Rating Scale (NRS) in Patient's Global Assessment of Skin Pain (PGA Skin Pain) among subjects with Baseline NRS ≥3 (NRS30)

    The skin pain NRS is a single-item measure to capture the patient's self-reported skin pain severity by rating the worst level of skin pain in the last 24 hours as a number on a numerical rating scale from 0 (no pain) to 10 (worst pain imaginable).

    Time frame: Baseline (Day 1) and Week 16

  7. Percentage of patients with flares

    The number of patients with flares will be programmatically calculated based on the assessed lesion counts. A flare is defined as ≥ 25% increase in AN count plus an increase of ≥ 2 in AN count compared to Baseline.

    Time frame: From Baseline (Day 1) to Week 16

  8. AVTX-009 anti-drug antibodies (ADA)

    The incidence of patients with AVTX-009 anti-drug antibodies (ADA).

    Time frame: From Baseline (Day 1) to Week 20

  9. Safety and tolerability of AVTX-009

    Incidence of adverse events (AEs).

    Time frame: From Baseline (Day 1) to Week 20

07

Study locations

89 sites
  • Clinical Site 1022
    Scottsdale, Arizona 85260, United States
  • Clinical Site 1037
    Scottsdale, Arizona 85260, United States
  • Clinical Site 1026
    Tucson, Arizona 85704, United States
  • Clinical Site 1032
    Northridge, California 91325, United States
  • Clinical Site 1019
    Pomona, California 91767, United States
  • Clinical Site 1009
    Sacramento, California 95815, United States
  • Clinical Site 1034
    Santa Monica, California 90024, United States
  • Clinical Site 1011
    Washington D.C., District of Columbia 20010, United States
  • Clinical Site 1029
    Boca Raton, Florida 33486, United States
  • Clinical Site 1002
    Coral Gables, Florida 33134, United States
  • Clinical Site 1015
    Maitland, Florida 32751, United States
  • Clinical Site 1027
    North Miami Beach, Florida 33162-4708, United States
  • Clinical Site 1013
    Tampa, Florida 33613, United States
  • Clinical Site 1008
    Savannah, Georgia 31419, United States
  • Clinical Site 1014
    Chicago, Illinois 60640, United States
  • Clinical Site 1028
    West Lafayette, Indiana 47906, United States
  • Clinical Site 1031
    Bowling Green, Kentucky 42104, United States
  • Clinical Site 1024
    Murray, Kentucky 42071, United States
  • Clinical Site 1042
    Boston, Massachusetts 02115-5804, United States
  • Clinical Site 1001
    Boston, Massachusetts 02215, United States
  • Clinical Site 1030
    Detroit, Michigan 48201, United States
  • Clinical Site 1007
    Fort Gratiot, Michigan 48059, United States
  • Clinical Site 1041
    Oakland, Michigan 48328, United States
  • Clinical Site 1003
    Portsmouth, New Hampshire 03801, United States
  • Clinical Site 1036
    Brooklyn, New York 10023, United States
  • Clinical Site 1016
    New York, New York 10003, United States
  • Clinical Site 1023
    The Bronx, New York 10467, United States
  • Clinical Site 1020
    Cincinnati, Ohio 45219, United States
  • Clinical Site 1010
    Cleveland, Ohio 44106, United States
  • Clinical Site 1017
    Dublin, Ohio 43016, United States
  • Clinical Site 1004
    Philadelphia, Pennsylvania 19103, United States
  • Clinical Site 1035
    Pittsburgh, Pennsylvania 15213, United States
  • Clinical Site 1018
    Johnston, Rhode Island 02919, United States
  • Clinical Site 1025
    Providence, Rhode Island 02903, United States
  • Clinical Site 1005
    Greenville, South Carolina 29615, United States
  • Clinical Site 1012
    Arlington, Texas 76011, United States
  • Clinical Site 1203
    Darlinghurst, New South Wales 2010, Australia
  • Clinical Site 1201
    Westmead, New South Wales 2145, Australia
  • Clinical Site 1204
    Woolloongabba, Queensland 4102, Australia
  • Clinical Site 1202
    Carlton, Victoria 3053, Australia
  • Clinical Site 1303
    Sofia, Sofia-Grad 1463, Bulgaria
  • Clinical Site 1302
    Lovech, 5500, Bulgaria
  • Clinical Site 1301
    Pleven, 5800, Bulgaria
  • Clinical Site 1304
    Stara Zagora, 6003, Bulgaria
  • Clinical Site 1105
    Edmonton, Alberta T5K 1X3, Canada
  • Clinical Site 1108
    Edmonton, Alberta T6W 4V4, Canada
  • Clinical Site 1103
    Barrie, Ontario L4M 7G1, Canada
  • Clinical Site 1104
    Hamilton, Ontario L8L 3C3, Canada
  • Clinical Site 1107
    London, Ontario N6A 2C2, Canada
  • Clinical Site 1106
    Toronto, Ontario M2N 3A6, Canada
  • Clinical Site 1110
    Montreal, Quebec H1Y 3L1, Canada
  • Clinical Site 1101
    Saskatoon, Saskatchewan S7K 2C1, Canada
  • Clinical Site 1111
    Québec, G1W 4R4, Canada
  • Clinical Site 1401
    Prague, Prague 100 34, Czechia
  • Clinical Site 1402
    Prague, Prague 150 06, Czechia
  • Clinical Site 1503
    Antony, Hauts-de-Seine 92160, France
  • Clinical Site 1505
    Amiens, Picardie 80054, France
  • Clinical Site 1502
    Lyon, Rhône 69003, France
  • Clinical Site 1501
    Rouen, Seine-Maritime 76031, France
  • Clinical Site 1504
    Paris, Île-de-France Region 75010, France
  • Clinical Site 1606
    Erlangen, Bavaria 91054, Germany
  • Clinical Site 1604
    Frankfurt am Main, Hesse 60590, Germany
  • Clinical Site 1601
    Bochum, North Rhine-Westphalia 44791, Germany
  • Clinical Site 1602
    Münster, North Rhine-Westphalia 48149, Germany
  • Clinical Site 1605
    Dresden, Saxony 01307, Germany
  • Clinical Site 2103
    Athens, Attica 124 62, Greece
  • Clinical Site 2101
    Athens, Attica 16121, Greece
  • Clinical Site 2102
    Efkarpia, Thessaloniki 56429, Greece
  • Clinical Site 1901
    Torrette, Ancona 60126, Italy
  • Clinical Site 1903
    Rozzano, Milano 20089, Italy
  • Clinical Site 1902
    Ferrara, 44124, Italy
  • Clinical Site 1908
    Milan, 20122, Italy
  • Clinical Site 1906
    Pisa, 56126, Italy
  • Clinical Site 1907
    Roma, 00144, Italy
  • Clinical Site 1904
    Roma, 168, Italy
  • Clinical Site 1702
    Wroclaw, Kuyavian-Pomeranian Voivodeship 51-685, Poland
  • Clinical Site 1706
    Wroclaw, Lower Silesian Voivodeship 50-566, Poland
  • Clinical Site 1703
    Bialystok, Podlaskie Voivodeship 15-453, Poland
  • Clinical Site 1701
    Warszawa, Pomeranian Voivodeship 02-507, Poland
  • Clinical Site 1705
    Warszawa, Pomeranian Voivodeship 02-962, Poland
  • Clinical Site 1704
    Ossy, Silesian Voivodeship 42-624, Poland
  • Clinical Site 2202
    Svidník, Presov 089 01, Slovakia
  • Clinical Site 2201
    Trnava, Trnava Region 917 75, Slovakia
  • Clinical Site 1801
    Manises, Valencia 46940, Spain
  • Clinical Site 1802
    Granada, 18012, Spain
  • Clinical Site 1803
    Madrid, 28034, Spain
  • Clinical Site 1804
    Seville, 41009, Spain
  • Clinical Site 2001
    Gaziantep, 27310, Turkey (Türkiye)
  • Clinical Site 2002
    Samsun, 55270, Turkey (Türkiye)
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Apr 21, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT06603077
Lead sponsor
Avalo Therapeutics, Inc.
Responsible party
Sponsor
First posted
Sep 19, 2024
Start date
Sep 16, 2024
Primary completion
Feb 23, 2026
Completion
Mar 17, 2026
Last update
Apr 21, 2026

Oversight

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

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Studies of the drug tested here: LY2189102

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