Hidradenitis Suppurativa Study of Izokibep

Recruitment Status
TERMINATED - HAS RESULTS
(See Contacts and Locations)Verified November 2024 by ACELYRIN Inc.
Sponsor
ACELYRIN Inc.
Information Provided by (Responsible Party)
ACELYRIN Inc.
Clinicaltrials.gov Identifier
NCT05905783
Other Study ID Numbers:
22107
First Submitted
June 6, 2023
First Posted
June 14, 2023
Results First Posted
September 7, 2025
Last Update Posted
October 14, 2025
Last Verified
November 2024

ClinicalTrials.gov processed this data on September 2025Link to the current ClinicalTrials.gov record .

History of Changes

Study Details

Study Description

Condition or DiseaseIntervention/Treatment
Hidradenitis Suppurativa
Drug: PlaceboDrug: Izokibep

Study Design

Study TypeInterventional
Actual Enrollment258 participants
Design AllocationRandomized
Interventional ModelParallel Assignment
MaskingDouble
Primary PurposeTreatment
Official TitleA Randomized, Double-blind, Placebo-controlled, Multicenter, Phase 3 Study to Evaluate the Efficacy and Safety of Izokibep in Subjects With Moderate to Severe Hidradenitis Suppurativa
Study Start DateJune 21, 2023
Actual Primary Completion DateJuly 23, 2024
Actual Study Completion DateJanuary 26, 2025

Groups and Cohorts

Group/CohortIntervention/Treatment
Group 1
Participants will receive placebo as a subcutaneous (SC) injection every week (QW) from Day 1 to Week 15. Participants will then receive izokibep as a SC injection QW from Week 16 to Week 51.
Drug: Placebo
Solution for injection
Group 2
Participants will receive izokibep QW from Day 1 to Week 51.
Drug: Izokibep
Solution for injection

Outcome Measures

Primary Outcome Measures
  1. Percentage of Participants Achieving Hidradenitis Suppurativa Clinical Response 75 (HiSCR75) at Week 12
    The percentage of participants achieving HiSCR75 was defined as meeting all 3 criteria below: * (\[abscess and inflammatory nodule (AN) count at baseline - AN count at current visit\] / AN count at baseline) × 100% ≥ 75% * Abscess count at baseline ≥ abscess count at the current visit * Draining fistula count at baseline ≥ draining fistula count at the current visit. HiSCR75 was evaluated using nonresponse imputation (NRI) and multiple imputation (MI) methods.
Secondary Outcome Measures
  1. Percentage of Participants Achieving HiSCR90 at Week 12
    The percentage of participants achieving HiSCR90 was defined as meeting all 3 criteria below: * (\[AN count at baseline - AN count at current visit\] / AN count at baseline) × 100% ≥ 90% * Abscess count at baseline ≥ abscess count at the current visit * Draining fistula count at baseline ≥ draining fistula count at the current visit. HiSCR90 was evaluated using nonresponse imputation (NRI) and multiple imputation (MI) methods.
  2. Percentage of Participants Achieving HiSCR100 at Week 12
    The percentage of participants achieving HiSCR100 was defined as meeting all 3 criteria below: * (\[AN count at baseline - AN count at current visit\] / AN count at baseline) × 100% = 100% * Abscess count at baseline ≥ abscess count at the current visit * Draining fistula count at baseline ≥ draining fistula count at the current visit. HiSCR100 was evaluated using nonresponse imputation (NRI) and multiple imputation (MI) methods.
  3. Percentage of Participants Achieving HiSCR50 at Week 12
    The percentage of participants achieving HiSCR50 was defined as meeting all 3 criteria below: * \[(AN count at baseline - AN count at current visit) / AN count at baseline\] × 100% ≥ 50% * Abscess count at baseline ≥ abscess count at the current visit * Draining fistula count at baseline ≥ draining fistula count at the current visit. HiSCR50 was evaluated using nonresponse imputation (NRI) and multiple imputation (MI) methods.
  4. Percentage of Participants Who Experienced One or More (≥ 1) Disease Flare at Week 12
    HS flares were defined as ≥ 25% increase in AN count with a minimum increase of 2 AN relative to baseline, i.e. participants must meet all the following criteria: * (AN count at current visit- AN count at baseline) / AN count at baseline ×100% ≥ 25% * AN count at current visit- AN count at baseline ≥ 2. Participants who received antibiotic therapy that could affect HS were imputed as non-response (NRI). Other participants with missing data were imputed with multiple imputation.
  5. Change From Baseline in Dermatology Life Quality Index (DLQI)
    DLQI included 10 items arranged in 6 categories: symptoms and feelings, daily activity, leisure, work or study, interpersonal relationships, and treatment. The total score could range from 0 (no impact to life quality) to 30 (maximum impact).
  6. Percentage of Participants With Baseline Hurley Stage II Who Achieved AN Count of 0, 1, or 2 at Week 12
    Calculated as observed values of 0, 1, or 2 for AN count (abscess count + inflammatory nodule count). AN count of 0, 1, or 2 was evaluated using nonresponse imputation (NRI) and multiple imputation (MI) methods.
  7. Percentage of Participants With Baseline NRS ≥ 4 Achieving at Least 3-point Reduction at Week 12 in Numeric Rating Scale (NRS) Patient Global Assessment of Skin Pain at Its Worst
    NRS in Patient Global Assessment of Skin Pain ranged from 0 (no skin pain) to 10 (skin pain bad as you can imagine). The skin pain score at each visit was calculated using average of daily scores among the 7 days up to and including the day of visit, with a minimum of 4 days (consecutive or non-consecutive) with scores required. Reduction in NRS was evaluated using nonresponse imputation (NRI) and multiple imputation (MI) methods.
  8. Number of Participants With Treatment-emergent Adverse Events (TEAEs), Serious AEs (SAEs) and Adverse Event of Special Interest (AESIs) in Period 1
    An AE is any untoward medical occurrence in a clinical study participant, temporally associated with the use of study drug, whether or not considered related to the study drug. An SAE is defined as any untoward medical occurrence that, at any dose, meets one or more of the criteria listed: results in death, is life threatening, requires inpatient hospitalization or prolongation of existing hospitalization, results in persistent or significant disability/incapacity, is a congenital anomaly/birth defect, or is an important medical event. The following events of special interest were monitored in this study: candida infection; inflammatory bowel disease (IBD); suicidal ideation; malignancies; major adverse cardiovascular and cerebrovascular events; tuberculosis; infections; cytopenias and systemic hypersensitivity reactions. Clinically significant changes in vital signs and laboratory tests recorded after treatment administration were documented as TEAEs.
  9. Number of Participants With TEAEs, SAEs and AESIs in Period 2
    An AE is any untoward medical occurrence in a clinical study participant, temporally associated with the use of study drug, whether or not considered related to the study drug. An SAE is defined as any untoward medical occurrence that, at any dose, meets one or more of the criteria listed: results in death, is life threatening, requires inpatient hospitalization or prolongation of existing hospitalization, results in persistent or significant disability/incapacity, is a congenital anomaly/birth defect, or is an important medical event. The following events of special interest were monitored in this study: candida infection; IBD; suicidal ideation; malignancies; major adverse cardiovascular and cerebrovascular events; tuberculosis; infections; cytopenias and systemic hypersensitivity reactions. Clinically significant changes in vital signs and laboratory tests recorded after treatment administration were documented as TEAEs.

Eligibility Criteria

Ages Eligible for Study(Adult, Older Adult)
Sexes Eligible for StudyAll
Accepts Healthy VolunteersNo
Inclusion Criteria
General
Participant has provided signed informed consent including consenting to comply with the requirements and restrictions listed in the informed consent form (ICF) and in protocol
18 years of age or older
No known history of active tuberculosis unless adequately treated according to World Health Organization/Center for Disease Control and Prevention therapeutic guidance and determined to be fully recovered by a tuberculosis specialist Type of Participant and Disease Characteristics
Diagnosis of HS for ≥ 6 months prior to first dose of study drug
Hidradenitis suppurativa lesions present in ≥ 2 distinct anatomic areas, one of which is Hurley Stage II or Hurley Stage III
A total AN count of ≥ 5 at screening and Day 1 prior to enrollment/randomization
Participant must have had an inadequate response to oral antibiotics OR exhibited recurrence after discontinuation to, OR demonstrated intolerance to, OR have a contraindication to oral antibiotics for treatment of their HS
Must agree to use daily or a minimum of 3 days a week over-the-counter topical antiseptics
Participant must be willing to complete a daily skin pain diary
Exclusion Criteria
Medical Conditions
Draining fistula count of \> 20
Outpatient surgery ≤ 8 weeks prior or inpatient surgery ≤ 12 weeks prior to enrollment/randomization
Other active skin disease or condition that could interfere with study assessments
History of active inflammatory bowel disease (IBD) OR symptoms within the last year that may be suggestive of IBD
Chronic pain not associated with HS
Uncontrolled, clinically significant system disease
History of demyelinating disease or neurological symptoms suggestive of demyelinating disease
Malignancy within 5 years
The participant is at risk of self-harm or harm to others
Active infection or history of certain infections
Tuberculosis or fungal infection seen on available chest x-ray taken within 3 months prior to first dose of study drug or at screening (Exception: documented evidence of completed treatment and clinically resolved)
Known history of human immunodeficiency virus (HIV) Other protocol defined Inclusion/Exclusion criteria may apply

Contacts and Locations

Sponsors and CollaboratorsACELYRIN Inc.
Locations
Clinical Research Site | Birmingham Alabama, United States, 35233Clinical Research Site | Scottsdale Arizona, United States, 85255Clinical Research Site | Scottsdale Arizona, United States, 85260Clinical Research Site | Fayetteville Arkansas, United States, 72703Clinical Research Site | Encino California, United States, 91436Clinical Research Site | Fountain Valley California, United States, 92708Clinical Research Site | Fremont California, United States, 94538Clinical Research Site | Los Angeles California, United States, 90045Clinical Research Site | Santa Monica California, United States, 90404Clinical Research Site | Boca Raton Florida, United States, 33486Clinical Research Site | Brandon Florida, United States, 33511Clinical Research Site | Coral Gables Florida, United States, 33134Clinical Research Site | Hollywood Florida, United States, 33021Clinical Research Site | Tampa Florida, United States, 33607Clinical Research Site | Tampa Florida, United States, 33613Clinical Research Site | Atlanta Georgia, United States, 30315Clinical Research Site | Sandy Springs Georgia, United States, 30328Clinical Research Site | Savannah Georgia, United States, 31419Clinical Research Site | Springfield Illinois, United States, 62702Clinical Research Site | Indianapolis Indiana, United States, 46250Clinical Research Site | Plainfield Indiana, United States, 46168Clinical Research Site | Topeka Kansas, United States, 66614Clinical Research Site | Murray Kentucky, United States, 42071Clinical Research Site | Baton Rouge Louisiana, United States, 70808Clinical Research Site | Baton Rouge Louisiana, United States, 70809Clinical Research Site | New Orleans Louisiana, United States, 70115Clinical Research Site | Largo Maryland, United States, 20774Clinical Research Site | Boston Massachusetts, United States, 02215Clinical Research Site | Canton Michigan, United States, 48187Clinical Research Site | Troy Michigan, United States, 48084Clinical Research Site | Lebanon New Hampshire, United States, 03766Clinical Research Site | New York New York, United States, 10128Clinical Research Site | Charlotte North Carolina, United States, 28277Clinical Research Site | Boardman Ohio, United States, 44512Clinical Research Site | Mason Ohio, United States, 45040Clinical Research Site | Springfield Ohio, United States, 45505Clinical Research Site | Portland Oregon, United States, 97223Clinical Research Site | Hershey Pennsylvania, United States, 17033Clinical Research Site | Pittsburgh Pennsylvania, United States, 15213Clinical Research Site | Sugarloaf Pennsylvania, United States, 18249Clinical Research Site | Thompson's Station Tennessee, United States, 37179Clinical Research Site | Arlington Texas, United States, 76011Clinical Research Site | Frisco Texas, United States, 75034Clinical Research Site | Pflugerville Texas, United States, 78660Clinical Research Site | San Antonio Texas, United States, 78218Clinical Research Site | The Woodlands Texas, United States, 77380Clinical Research Site | Webster Texas, United States, 77598Clinical Research Site | Springville Utah, United States, 84663Clinical Research Site | West Jordan Utah, United States, 84088Clinical Research Site | Charlottesville Virginia, United States, 22908Clinical Research Site | Edmonton Alberta, Canada, T6G1C3Clinical Research Site | Edmonton Alberta, Canada, T6H4J8Clinical Research Site | Winnipeg Manitoba, Canada, R3M3Z4Clinical Research Site | North Bay Ontario, Canada, P1B 3Z7Clinical Research Site | Peterborough Ontario, Canada, K9J5K2Clinical Research Site | Toronto Ontario, Canada, M2N3A6Clinical Research Site | Toronto Ontario, Canada, M4W2N4Clinical Research Site | Toronto Ontario, Canada, M5A3R6Clinical Research Site | Waterloo Ontario, Canada, N2J1C4Clinical Research Site | Saskatoon Saskatchewan, Canada, S7K2C1Clinical Research Site | Dijon Bourgogne-Franche-Comté, France, 21000Clinical Research Site | Montpellier Occitanie, France, 34090Clinical Research Site | Nantes Pays de la Loire Region, France, 44000Clinical Research Site | Toulon , France, 83000Clinical Research Site | Darmstadt Hesse, Germany, 64283Clinical Research Site | Bad Bentheim Lower Saxony, Germany, 48455Clinical Research Site | Mainz Rhineland-Palatinate, Germany, 55128Clinical Research Site | Leipzig Saxony, Germany, 04103Clinical Research Site | Kiel Schleswig-Holstein, Germany, 24148Clinical Research Site | Debrecen Hajdú-Bihar, Hungary, 4032Clinical Research Site | Zalaegerszeg Zala County, Hungary, 8900Clinical Research Site | Budapest , Hungary, 1036Clinical Research Site | Fukuoka Fukoka Prefecture, Japan, 814-0180Clinical Research Site | Kitakyushu Fukuoka, Japan, 807-8555Clinical Research Site | Obihiro Hokkaido Prefecture, Japan, 080-0013Clinical Research Site | Sapporo Hokkaido Prefecture, Japan, 060-0063Clinical Research Site | Kawasaki Kanagawa, Japan, 216-8511Clinical Research Site | Yokohama Kanagawa, Japan, 236-0004Clinical Research Site | Kyoto Kyoto, Japan, 602-8566Clinical Research Site | Osaka Osaka, Japan, 589-8511Clinical Research Site | Shinjuku-Ku Tokyo, Japan, 160-0023Clinical Research Site | tabashi City Tokyo, Japan, 173-8610Clinical Research Site | Nishinomiya , Japan, 663-8186Clinical Research Site | Krakow Lesser Poland Voivodeship, Poland, 30-001Clinical Research Site | Krakow Lesser Poland Voivodeship, Poland, 90-436Clinical Research Site | Wroclaw Lower Silesian Voivodeship, Poland, 50-566Clinical Research Site | Wroclaw Lower Silesian Voivodeship, Poland, 51-318Clinical Research Site | Lublin Lublin Voivodeship, Poland, 20-573Clinical Research Site | Katowice Silesian Voivodeship, Poland, 40-611Clinical Research Site | Ożarowice Silesian Voivodeship, Poland, 42-624Clinical Research Site | Sosnowiec Silesian Voivodeship, Poland, 41-218Clinical Research Site | Lodz Łódź Voivodeship, Poland, 90-265Clinical Research Site | Seville Andalusia, Spain, 41009Clinical Research Site | Palma de Mallorca Balearic Islands, Spain, 07120Clinical Research Site | Badalona Catalonia, Spain, 08916Clinical Research Site | Barcelona Catalonia, Spain, 08041Clinical Research Site | Manises Valencia, Spain, 46940Clinical Research Site | Madrid , Spain, 28031
Investigators
Study Director: Shephard Mpofu, ACELYRIN Inc.
Study Documents (Full Text)
Documents provided by ACELYRIN Inc.Study Protocol  May 13, 2024Documents provided by ACELYRIN Inc.Statistical Analysis Plan  December 9, 2024