ClinicalTrials.gg
RecruitingNCT07681271Updated Nov 10, 2026

A Phase 2 Study to Investigate the Efficacy, Safety and Tolerability of Remibrutinib (LOU064) in Adult Patients With Papulopustular Rosacea (PPR)

A Phase 2 interventional study of LOU064 and Placebo in Papulopustular Rosacea, sponsored by Novartis Pharmaceuticals. Recruiting at 17 sites in 9 countries. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-11-10.

Sponsored by Novartis Pharmaceuticals (part of Novartis) · Phase 2, Interventional, and Treatment

From the registry’s dates

  • Started Jul 2026; still recruiting 3 months later.
Updated Nov 10, 2026First sites in 4 new countries10 sites addedGo to Updates ↓
Phase
Phase 2
Study type
Interventional
Enrollment
100
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

This Phase 2 study aims to evaluate whether Bruton's tyrosine kinase (BTK) inhibition with remibrutinib can produce a clinically meaningful reduction in inflammatory lesions in adults with moderate-to-severe papulopustular rosacea, while also assessing safety and tolerability of remibrutinib in this indication.

Read the detailed description

This is a multicenter, randomized, participant and Investigator-blinded, placebo-controlled, parallel-group Phase 2 study designed to evaluate the efficacy, safety, and tolerability of remibrutinib in adults with moderate-to-severe PPR. Following a screening period of up to 30 days, which can be extended by a further 2 weeks only to allow washout from rosacea treatments and other systemic therapies as specified in the prohibited medication section, eligible participants will be randomized at baseline to receive either remibrutinib or matching placebo for a 16-week double-blind treatment phase. A safety follow up visit will occur approximately 30 days after the final dose.

02

Conditions studied

  • Papulopustular Rosacea

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Keywords

  • Papulopustular Rosacea
  • PPR
  • Ph2
  • efficacy
  • safety
  • tolerability
03

In context

Rosacea

233 studies on the registry are indexed under Rosacea; 23 are open to participants now.

This study's planned enrollment of 100 is above the median of 61 across 200 interventional studies indexed under Rosacea.

Browse Rosacea studies →

Lead sponsor

Novartis Pharmaceuticals is the lead sponsor of 2,718 studies on the registry; 221 are open to participants now.

Of its 585 completed or terminated interventional studies of FDA-regulated products, 438 (75%) 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

Eligibility criteria

Key Inclusion Criteria:

  • Signed must be obtained prior to participation in the study.
  • Adult ≥18 years with a clinical diagnosis of PPR.
  • Moderate-to-severe disease defined by a modified Investigator's Global Assessment (IGA) score of 3 or 4
  • The presence of 15 - 60 inflammatory (papular/pustular, max. 2 nodular) facial lesions at screening, with at least 15 lesions present at Day 1 (Baseline).
  • Completed requisite washout of systemic antibiotics (30 days) and other prohibited systemic therapies before randomization.
  • Willingness to refrain from initiating treatments or undergoing procedures that target or impact PPR during the double-blind period, and to use only protocol-allowed products.

Key Exclusion Criteria:

  • Presence of more than 2 nodular inflammatory lesions
  • Any active facial dermatoses or skin disease or condition that may interfere with assessment of PPR (e.g., seborrheic dermatitis, perioral dermatitis, acne, acneiform eruptions from biologic medications, -induced dermatitis resembling rosacea or acne).
  • History of to any of the study treatments or its or to drugs of similar chemical classes
  • Use of biologics within five half-lives prior to screening or until the expected pharmacodynamic (PD) effect has returned to baseline, whichever is longer; or longer if required by local regulations
  • Use of small molecules and/or that are not corticosteroids within 5 half-lives or within 30 days prior to screening, whichever is longer; or longer if required by local regulations
  • Any use of systemic corticosteroids, systemic antibiotics, or topical treatments (including corticosteroids, antibiotics, ivermectin, azelaic acid, or metronidazole) within 30 days prior to randomization, or any planned use of these agents during the study treatment period.
  • History of within 6 weeks prior to randomization or requirement to receive these vaccinations at any time while on study treatment.
  • Use, planned use, or failure to meet the protocol-defined for prohibited therapies. In particular, patients with pretreatment with remibrutinib or another BTK-inhibitor within 4 months prior to randomization.

Other protocol-defined inclusion/exclusion criteria may apply.

Terms in these criteria, in plain language(7)

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.

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.

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.

Hypersensitivity

An allergy, or another reaction of the immune system, to a substance. “Hypersensitivity to the study drug” means a known allergic reaction to it — not every side effect a medicine can have.

Excipients

The other ingredients in a medicine besides the active drug, such as fillers, colours or preservatives.

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.

Live vaccines

Vaccines made with a weakened form of the germ, such as measles–mumps–rubella (MMR), chickenpox and yellow fever. They can be risky when the immune system is weakened. Flu injections are not live; the nasal flu spray is.

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.

05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Double (Participant, Investigator)
Enrollment
100 participants (estimated)

Study arms

  • Experimental
    LOU064

    LOU064 administered by oral route

    Drug: LOU064

  • Placebo comparator
    Placebo

    Matching placebo

    Drug: Placebo

Interventions

  • DrugLOU064

    LOU064 administered by oral route

    Also known as: Remibrutinib

  • DrugPlacebo

    Matching placebo

06

What researchers measure

Primary outcomes

  1. Absolute change from baseline in facial inflammatory lesion count

    The facial inflammatory lesion count is defined as the sum of papules, pustules, and nodules present on the face. Lesions are visually counted across the full facial area (forehead, cheeks, nose, chin). A negative value indicates a reduction in lesions (clinical improvement), as lower counts reflect less inflammatory activity.

    Time frame: Baseline, Week 16

Secondary outcomes

  1. Proportion of participants with Investigator's Global Assessment (IGA,modified scale without erythema) grade 0 or 1, with at least 2 grade reduction from baseline

    The Investigator's Global Assessment is a clinician-reported outcome using a 5-point ordinal scale (0-4). Higher scores indicate more severe disease; lower scores indicate improvement. 0 = Clear 1. = Near clear 2. = Mild 3. = Moderate 4. = Severe

    Time frame: Baseline, Week 16

  2. Percentage change from baseline in facial inflammatory lesion count

    The facial inflammatory lesion count is defined as the sum of papules, pustules, and nodules present on the face. Lesions are visually counted across the full facial area (forehead, cheeks, nose, chin). Lower values indicate fewer lesions. A reduction from baseline represents clinical improvement.

    Time frame: Baseline, Week 16

07

Study locations

17 of 17 sites recruiting
  • Three A Research
    El Paso, Texas 79902, United States
    Recruiting
  • Novartis Investigative Site
    Sofia, 1528, Bulgaria
    Recruiting
  • Novartis Investigative Site
    Sofia, 1618, Bulgaria
    Recruiting
  • Novartis Investigative Site
    London, Ontario N6H 5L5, Canada
    Recruiting
  • Novartis Investigative Site
    Markham, Ontario L3P 1X3, Canada
    Recruiting
  • Novartis Investigative Site
    Guangzhou, Guangdong 510091, China
    Recruiting
  • Novartis Investigative Site
    Shanghai, 200040, China
    Recruiting
  • Novartis Investigative Site
    Hamburg, 20095, Germany
    Recruiting
  • Novartis Investigative Site
    Tübingen, 72076, Germany
    Recruiting
  • Novartis Investigative Site
    Cona, FE 44124, Italy
    Recruiting
  • Novartis Investigative Site
    Singapore, 119074, Singapore
    Recruiting
  • Novartis Investigative Site
    Singapore, 308205, Singapore
    Recruiting
  • Novartis Investigative Site
    Dongjak Gu, Seoul 07061, South Korea
    Recruiting
  • Novartis Investigative Site
    Icheon, 21431, South Korea
    Recruiting
  • Novartis Investigative Site
    Santiago de Compostela, A Coruna 15706, Spain
    Recruiting
  • Novartis Investigative Site
    Córdoba, 14004, Spain
    Recruiting
  • Novartis Investigative Site
    Granada, 18016, Spain
    Recruiting
08

References and documents

Individual participant data

Plan to share: Yes — Novartis is committed to sharing with qualified external researchers, access to patient-level data and supporting clinical documents from eligible studies. These requests are reviewed and approved by an independent 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. This trial data availability is according to the criteria and process described on www.clinicalstudydatarequest.com.

No publications or documents are linked to this record.

09

Timeline

2 registry updates 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

Started Jul 2026 (actual). Primary completion is estimated for Dec 2027, 16 months after the start.

Of 20 phase 2 interventional studies under Rosacea, half reached primary completion within 12 months of starting (the median), counting those still running; a quarter within 7 and three quarters within 16. This study's planned 16 months is above that.

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

Registered
Jun 26, 2026
First posted
Jul 2, 2026
StartActual
Jul 30, 2026
Primary completionEst.
Dec 7, 2027
CompletionEst.
Dec 7, 2027
Last update
Nov 10, 2026
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.
Sites
10 sites added — first sites in Bulgaria, Germany, Spain and Italy
Show 10 added (3 Spain, 2 Bulgaria, 2 Germany, 1 Singapore, 1 China, 1 Italy)
  • Novartis Investigative Site · Sofia, Bulgaria
  • Novartis Investigative Site · Sofia, Bulgaria
  • Novartis Investigative Site · Hamburg, Germany
  • Novartis Investigative Site · Singapore, Singapore
  • Novartis Investigative Site · Granada, Spain
  • Novartis Investigative Site · Guangzhou, China
  • Novartis Investigative Site · Tübingen, Germany
  • Novartis Investigative Site · Cona, Italy
  • Novartis Investigative Site · Santiago de Compostela, Spain
  • Novartis Investigative Site · Córdoba, Spain
across 2 updates, Oct 15, 2026 – Nov 10, 2026
Show all 2 updates
  1. Nov 10, 2026
    5 sites added — first site in Italy
    Show 5 added (2 Spain, 1 China, 1 Germany, 1 Italy)
    • Novartis Investigative Site · Guangzhou, China
    • Novartis Investigative Site · Tübingen, Germany
    • Novartis Investigative Site · Cona, Italy
    • Novartis Investigative Site · Santiago de Compostela, Spain
    • Novartis Investigative Site · Córdoba, Spain
    + 1 other change: verification date
  2. Oct 15, 2026
    5 sites added — first sites in Bulgaria, Germany and Spain
    Show 5 added (2 Bulgaria, 1 Germany, 1 Singapore, 1 Spain)
    • Novartis Investigative Site · Sofia, Bulgaria
    • Novartis Investigative Site · Sofia, Bulgaria
    • Novartis Investigative Site · Hamburg, Germany
    • Novartis Investigative Site · Singapore, Singapore
    • Novartis Investigative Site · Granada, Spain
    + 1 other change: verification date

From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗

10

Registry details

Key details

Study ID
NCT07681271
Responsible party
Sponsor
First posted
Jul 2, 2026
Start date
Jul 30, 2026
Primary completion
Dec 7, 2027 (estimated)
Completion
Dec 7, 2027 (estimated)
Last update
Nov 10, 2026

Study contacts

Novartis Pharmaceuticals
Contact
novartis.email@novartis.com
1-888-669-6682
Novartis Pharmaceuticals
Contact
+41613241111

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: Remibrutinib

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