A Phase 3, Placebo-controlled, Double-blind Study Assessing Rocatinlimab in Prurigo Nodularis

Recruitment Status
ACTIVE, NOT RECRUITING
(See Contacts and Locations)Verified April 2026 by Amgen
Sponsor
Amgen
Information Provided by (Responsible Party)
Amgen
Clinicaltrials.gov Identifier
NCT06527404
Other Study ID Numbers:
20230053
First Submitted
July 22, 2024
First Posted
July 29, 2024
Last Update Posted
May 4, 2026
Last Verified
April 2026

ClinicalTrials.gov processed this data on May 2026Link to the current ClinicalTrials.gov record .

History of Changes

Study Details

Study Description

Condition or DiseaseIntervention/Treatment
Prurigo Nodularis
Drug: RocatinlimabDrug: RocatinlimabDrug: PlaceboDrug: Rocatinlimab

Study Design

Study TypeInterventional
Actual Enrollment469 participants
Design AllocationRandomized
Interventional ModelParallel Assignment
MaskingDouble
Primary PurposeTreatment
Official TitleA Phase 3, 52-Week, Multicenter, Randomized, Placebo-controlled, Double-blind Study to Assess the Efficacy, Safety, and Tolerability of Rocatinlimab in Adult Subjects With Prurigo Nodularis Who Are Inadequately Controlled on Topical Therapies or Not Eligible for Topical Therapies
Study Start DateJuly 17, 2024
Actual Primary Completion DateApril 16, 2026
Actual Study Completion Date8mos 1w from now

Groups and Cohorts

Group/CohortIntervention/Treatment
Arm A: Blinded Treatment
Participants will receive rocatinlimab dose 1 subcutaneously (SC) during Treatment Period A and B.
Drug: Rocatinlimab
SC Injection
Arm B: Blinded Treatment
Participants will receive rocatinlimab dose 2 SC during Treatment Period A and B.
Drug: Rocatinlimab
SC Injection
Arm C: Blinded Treatment
Participants will receive matching placebo SC during Treatment Period A and B.
Drug: Placebo
SC Injection
Arm D: Open-label
Participants will receive open-label rocatinlimab dose 1 SC during Treatment Period B.
Drug: Rocatinlimab
SC Injection

Outcome Measures

Primary Outcome Measures
  1. Global: Number of Participants Achieving Reduction from Baseline in Weekly Average of Daily Itch Score at Week 24
  2. US Only: Number of Participants Achieving Reduction from Baseline in Weekly Average of Daily Itch Score and Prurigo Nodularis Stage Assessment at Week 24
Secondary Outcome Measures
  1. Global: Number of Participants Achieving Improvement in Prurigo Nodularis Stage Assessment Score at Week 24
  2. Global: Number of Participants Achieving Reduction from Baseline in Weekly Average of Daily Itch Score and Prurigo Nodularis Stage Assessment at Week 24
  3. Global: Percentage Improvement from Baseline in Weekly Average of Daily Itch Score at Week 24
  4. Global: Number of Participants Achieving Reduction in Weekly Average Daily Prurigo Nodularis Skin Pain Assessment at Week 24 in Those with Baseline NRS Above Cutoff
  5. US Only: Number of Participants Achieving Reduction from Baseline in Weekly Average of Daily Itch Score at Week 24
  6. US Only: Number of Participants with Improvement in Prurigo Nodularis Stage Assessment at Week 24
  7. US Only: Percent Improvement from Baseline in Weekly Average of Daily Itch Score at Week 24
  8. US Only: Number of Participants Achieving Reduction from Baseline in Weekly Average of Daily Skin Pain Assessment at Week 24 in Participants With Baseline Score Greater Than or Equal to a Cutoff Score
  9. Change from Baseline in Weekly Average of Daily Itch Score at Weeks 24, 36 and 52
  10. Percent Improvement from Baseline in Weekly Average of Daily Itch Score at Week 36 and 52
  11. Number of Participants Achieving Reduction from Baseline in Weekly Average of Daily Itch Score at Weeks 16, 36 and 52
  12. Number of Participants Achieving Weekly Average of Daily Itch Score Less than a Cutoff Score at Week 36 and 52
  13. Change from Baseline in Prurigo Nodularis Stage Assessment Score at Week 24, 36, and 52
  14. Number of Participants Achieving Improvement in Prurigo Nodularis Stage Assessment Score at Weeks 36 and 52
  15. Number of Participants Achieving Improvement in Prurigo Nodularis Activity Assessment Score at Weeks 24, 36 and 52
  16. Change from Baseline in Quality of Life Assessment Score at Weeks 24, 36 and 52
  17. Number of Participants Achieving Reduction from Baseline in Quality of Life Assessment Score at Weeks 24, 36 and 52 in Participants with Baseline Score Greater Than or Equal to a Cutoff Score
  18. Change from Baseline in Weekly Average of Daily Skin Pain Assessment Score at Weeks 24, 36 and 52
  19. Change from Baseline in Weekly Average of Daily Sleep Disturbance Assessment Score at Weeks 24, 36 and 52
  20. Number of Participants Achieving Reduction from Baseline in Weekly Average of Daily Sleep Disturbance Assessment Score at Weeks 24, 36 and 52 in Participants with Baseline Weekly Average Score Greater Than or Equal to a Cutoff Score
  21. Number of Participants Achieving Reduction from Baseline in Weekly Average of Daily Itch Score and Prurigo Nodularis Stage Assessment at Week 36 and 52
  22. Number of Participants Achieving Reduction from Baseline in Weekly Average of Daily Skin Pain Assessment Score at Week 36 and 52 in Participants With Baseline Score Greater Than or Equal to a Cutoff Score
  23. Number of Participants Experiencing Treatment-emergent Adverse Events (TEAEs)
    An adverse event (AE) is any untoward medical occurrence in a clinical study subject irrespective of a causal relationship with the study treatment. TEAEs are any event that occurred after the participant received study treatment. Any clinically significant changes in vital signs, electrocardiograms, and clinical laboratory tests that occurred after study treatment administration will be recorded as TEAEs. A serious TEAE is any untoward medical occurrence that meets one of the following criteria: Is immediately life-threatening, requires in-patient hospitalization or prolongation of existing hospitalization, results in persistent or significant disability/incapacity, or another medically important serious event.
  24. Number of Participants Experiencing AEs of Special Interest (EOIs)
  25. Number of Participants with Anti-rocatinlimab Antibodies
  26. Serum Concentrations of Rocatinlimab
  27. Trough Concentration (Ctrough) of Rocatinlimab

Eligibility Criteria

Ages Eligible for Study(Adult, Older Adult)
Sexes Eligible for StudyAll
Accepts Healthy VolunteersNo
Inclusion Criteria
Age ≥ 18 years (or any legal adult age within the country if it is older than 18 years)
Clinical Diagnosis of Prurigo Nodularis that has been present for at least 3 months.
Patient-reported average Daily Itch Score based on electronic daily diary assessment the last 7 days prior to and including day 1.
Has ≥ 20 prurigo nodularis nodules in total with bilateral distribution on both legs and /or arms and /or trunk.
History of inadequate response to topical therapies of medium or higher potency or for whom topical treatments are otherwise medically inadvisable (eg, because of important side effects or safety risks).
Exclusion Criteria
Skin or systemic morbidities, other than prurigo nodularis, that have been active within the last 3 months that interfere with assessment of study outcomes including but not limited to atopic dermatitis (signs or symptoms other than dry skin or requiring treatment is not allowed; use of emollients and/or history of AD is allowed).
Prurigo nodularis secondary to medications.
Prurigo nodularis secondary to neurologic or psychiatric medical conditions.
Treatment with any systemic biologic immunosuppressive or systemic biologic immunomodulatory therapy for prurigo nodularis or any other autoimmune, inflammatory, or allergic disease within 12 weeks or 5 half-lives, whichever is longer, prior to day 1 prerandomization.
Treatment with live virus including live attenuated vaccination 12 weeks prior to day 1 prerandomization.

Contacts and Locations

Sponsors and CollaboratorsAmgen
Locations
University of Alabama at Birmingham | Birmingham Alabama, United States, 35233First OC Dermatology | Fountain Valley California, United States, 92708Los Angeles Universal Research Center | Los Angeles California, United States, 90057Paradigm Clinical Research Center Inc | San Diego California, United States, 92108Wolverine Clinical Trials | Santa Ana California, United States, 92706Direct Helpers Research Center | Hialeah Florida, United States, 33012Southern Clinical Research | Miami Florida, United States, 33125University of Miami Hospital | Miami Florida, United States, 33125Miami Dermatology and Laser Institute | Miami Florida, United States, 33173Wellness Clinical Research | Miami Lakes Florida, United States, 33016Clinical Research Trials of Florida Inc | Tampa Florida, United States, 33607Olympian Clinical Research - Tampa | Tampa Florida, United States, 33615Emory University | Atlanta Georgia, United States, 30322Endeavor Health Clinical Trials Center | Skokie Illinois, United States, 60077The Indiana Clinical Trials Center PC | Plainfield Indiana, United States, 46168Revival Research Institute, LLC | Troy Michigan, United States, 48084Icahn School of Medicine at Mount Sinai | New York New York, United States, 10028Optima Research | Boardman Ohio, United States, 44512University Hospitals Cleveland Medical Center | Cleveland Ohio, United States, 44106Wright State Physicians | Fairborn Ohio, United States, 45324Hightower Clinical | Oklahoma City Oklahoma, United States, 73102Center For Clinical Studies PLLC | Houston Texas, United States, 77004Clarity Dermatology | Lancaster Texas, United States, 75146Springville Dermatology | Springville Utah, United States, 84663Hospital Universitario Austral | Derqui, Pilar Buenos Aires, Argentina, B1629ODTInstituto de Investigaciones Clinicas de Cordoba | Córdoba Córdoba Province, Argentina, X5000AAWInstituto de Neumonologia y Dermatologia | Buenos Aires Distrito Federal, Argentina, 1425Derma Internacional | Buenos Aires Distrito Federal, Argentina, C1426EGRCentro de investigacion clinica y epidemiologica | San Miguel D Tucuman Tucumán Province, Argentina, T4000DPLParra Dermatologia | Mendoza , Argentina, M5500AWDSt George Dermatology and Skin Cancer Centre | Kogarah New South Wales, Australia, 2217Veracity Clinical Research | Woolloongabba Queensland, Australia, 4102Box Hill Hospital | Box Hill Victoria, Australia, 3128The Alfred Hospital | Melbourne Victoria, Australia, 3004The Royal Melbourne Hospital | Parkville Victoria, Australia, 3050Medizinische Universitaet Graz | Graz , Austria, 8036Ordensklinikum Linz Elisabethinen | Linz , Austria, 4020Universite Catholique de Louvain Cliniques Universitaires Saint Luc | Brussels , Belgium, 1200Universitaire Ziekenhuizen Leuven Gasthuisberg | Leuven , Belgium, 3000Centre Hospitalier Universitaire de Liege - Sart Tilman | Liège , Belgium, 4000Clinica Instituto Bahiano de Imunoterapia - Medicina, Reumatologia e Dermatologia ltda | Salvador Estado de Bahia, Brazil, 41820-020Irmandade da Santa Casa de Misericordia de Porto Alegre | Porto Alegre Rio Grande do Sul, Brazil, 90020-090Universidade Estadual Paulista Julio de Mesquita Filho | Botucatu São Paulo, Brazil, 18618-686Fundacao Abc - Centro Univ Fmabc | Santo André São Paulo, Brazil, 09060-870Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo | São Paulo São Paulo, Brazil, 05403-002IBPClin Instituto Brasil de Pesquisa Clinica | Rio de Janeiro , Brazil, 20241-180Doctor Chih-Ho Hong Medical Incorporated | Surrey British Columbia, Canada, V3R 6A7Skincare Studio | St. John's Newfoundland and Labrador, Canada, A1E 1V4CCA Medical Research Corp | Ajax Ontario, Canada, L1S 7K8Centricity Research London Victoria | London Ontario, Canada, N6A 2C2Lovegrove Dermatology | London Ontario, Canada, N6A 5R9Lynderm Research Inc | Markham Ontario, Canada, L3P 1X3SKiN Centre for Dermatology | Peterborough Ontario, Canada, K9J 5K2York Dermatology Clinic and Research Centre | Richmond Hill Ontario, Canada, L4B 1L1Toronto Research Centre Inc | Toronto Ontario, Canada, M3H 5Y8AvantDerm | Toronto Ontario, Canada, M5A 3R6Alliance Clinical Trials | Waterloo Ontario, Canada, N2J 1C4Centre de Recherche Dermatologique du Quebec Metropolitain | Québec Quebec, Canada, G1V 4X7Enroll SpA | Providencia Santiago Metropolitan, Chile, 7500587Centro Medico Skinmed Spa | Santiago , Chile, 7580206Fundacion Innovacion Cardiovascular Clinica Ensenada | Santiago , Chile, 8380465Centro Internacional de Estudios Clinicos | Santiago , Chile, Clinical Research Chile SpA | Valdivia , Chile, 5110683Peking University First Hospital | Beijing Beijing Municipality, China, 100034Peking University Third Hospital | Beijing Beijing Municipality, China, 100191The First Affiliated Hospital of Fujian Medical University | Fuzhou Fujian, China, 350005The First Affiliated Hospital Sun-Yat Sen University | Guangzhou Guangdong, China, 510080Dermatology Hospital of Southern Medical University | Guangzhou Guangdong, China, 510091Nanfang Hospital Southern Medical University | Guangzhou Guangdong, China, 510515The First Affiliated Hospital of Guangxi Medical University | Nanning Guangxi, China, 530021Sanmenxia Central Hospital | Sanmenxia Henan, China, 472099The Second Xiangya Hospital of Central South University | Changsha Hunan, China, 410011Wuxi Peoples Hospital | Wuxi Jiangsu, China, 214043Dermatology Hospital of Jiangxi Province | Nanchang Jiangxi, China, 330000The First Bethune Hospital of Jilin University | Changchun Jilin, China, 130021The Second Affiliated Hospital Of Xi An Jiaotong University | Xi'an Shaanxi, China, 71004Huashan Hospital Affiliated to Fudan University | Shanghai Shanghai Municipality, China, 200040Shanghai Skin Disease Hospital | Shanghai Shanghai Municipality, China, 200443Chengdu Second Peoples Hospital | Chengdu Sichuan, China, 610017West China Hospital of Sichuan University | Chengdu Sichuan, China, 610041Tianjin Medical University General Hospital | Tianjin Tianjin Municipality, China, 300052The Second Affliated Hospital of Kunming Medical University | Kunming Yunnan, China, 650101Affiliated Hangzhou First Peoples Hospital School of Medicine Westlake University | Hangzhou Zhejiang, China, 310020Clinical Research Services Helsinki | Helsinki , Finland, 00180Oulun Yliopistollinen sairaala | Oulu , Finland, 90029Terveystalo Tampere | Tampere , Finland, 33100Centre Hospitalier Regional Universitaire de Brest - Hopital Morvan | Brest , France, 29200Centre Hospitalier Le Mans | Le Mans , France, 72037Cabinet du Docteur Ruer-Mulard Mireille | Martigues , France, 13500Centre Hospitalier Universitaire Archet 2 | Nice , France, 06202Centre Hospitalier Universitaire de Rouen - Hopital Charles Nicolle | Rouen , France, 76031Universitaetsklinikum Augsburg | Augsburg , Germany, 86156Fachklinik Bad Bentheim | Bad Bentheim , Germany, 48455Charite - Universitaetsmedizin Berlin, Campus Virchow | Berlin , Germany, 12203Rosenpark Research GmbH | Darmstadt , Germany, 64283Universitaetsklinikum Dresden | Dresden , Germany, 01307Universitaetsklinikum Schleswig-Holstein - Kiel | Kiel , Germany, 24105Universitaetsmedizin Mainz | Mainz , Germany, 55101Universitaetsklinikum Muenster | Münster , Germany, 48149Hautarztpraxis Mortazawi | Remscheid , Germany, 42897Universitaetsklinikum Tuebingen | Tübingen , Germany, 72076Helios Klinikum Wuppertal | Wuppertal , Germany, 42283University General Hospital Attikon | Athens , Greece, 12462Andreas Syngros Hospital Of Venereal And Dermatological Diseases | Athens , Greece, 16121General Hospital Of Nea Ionia Konstantopouleio Patision | Nea Ionia , Greece, 14233Ippokratio General Hospital of Thessaloniki | Thessaloniki , Greece, 54643Papageorgiou General Hospital | Thessaloniki , Greece, 56429Queen Mary Hospital, The University of Hong Kong | Hong Kong , Hong Kong, Obudai Egeszsegugyi Centrum Kft | Budapest , Hungary, 1036Debreceni Egyetem Klinikai Kozpont | Debrecen , Hungary, 4032Derm-Surg Kft | Kaposvár , Hungary, 7400DermaMed Research Kft | Orosháza , Hungary, 5900Pecsi Tudomanyegyetem Klinikai Kozpont | Pécs , Hungary, 7632Szegedi Tudomanyegyetem Szent-Gyorgyi Albert Klinikai Kozpont Altalanos Orvostudomanyi Kar | Szeged , Hungary, 6720Ospedale San Salvatore | LAquila , Italy, 67100Azienda Ospedaliera Luigi Sacco | Milan , Italy, 20157Azienda Ospedaliero Universitaria di Modena | Modena , Italy, 41124Azienda Ospedaliera di Perugia Ospedale Santa Maria della Misericordia | Perugia , Italy, 06156Fondazione Policlinico Tor Vergata | Roma , Italy, 00133Fujita Health University Hospital | Toyoake-shi Aichi-ken, Japan, 470-1192Ogaki Municipal Hospital | Ogaki-shi Gifu, Japan, 503-8502Medical Corporation Kojinkai Sapporo Skin Clinic | Sapporo Hokkaido, Japan, 060-0063Mito Kyodo General Hospital | Mito Ibaraki, Japan, 310-0015Kochi Medical School Hospital | Nankoku-shi Kochi, Japan, 783-8505Noguchi Dermatology Clinic | Kamimashiki-gun Kumamoto, Japan, 861-3106Nagasaki University Hospital | Nagasaki Nagasaki, Japan, 852-8501Kawasaki Medical School Hospital | Kurashiki-shi Okayama-ken, Japan, 701-0192Hayami Dermatology Clinic | Osaka Osaka, Japan, 537-0013Dokkyo Medical University Saitama Medical Center | Koshigaya-shi Saitama, Japan, 343-8555National Defense Medical College hospital | Tokorozawa-shi Saitama, Japan, 359-8513Institute of Science Tokyo Hospital | Bunkyo-ku Tokyo, Japan, 113-8519Tokyo Teishin Hospital | Chiyoda-ku Tokyo, Japan, 102-8798Shirasaki Dermatology Clinic | Takaoka-shi Toyama, Japan, 933-0871Tokyo Medical University Hospital | Shinjyuku-ku , Japan, 160-0023J Kisis | Riga , Latvia, 1003Outpatient clinic Veselibas Centrs 4 | Riga , Latvia, 1003Outpatient clinic Veselibascentrs 4 | Riga , Latvia, LV-1013Clínica de Enfermedades Crónicas y de Procedimientos Especiales | Morelia Michoacán, Mexico, 58249Instituto de Investigaciones Aplicadas a la Neurociencia A C | Durango , Mexico, 34000Universitair Medisch Centrum Utrecht | Utrecht , Netherlands, 3584 CXNiepubliczny Zaklad Opieki Zdrowotnej | Bialystok , Poland, 15-453Uniwersyteckie Centrum Kliniczne | Gdansk , Poland, 80-214AKK Medical Spolka z ograniczona odpowiedzialnoscia Centrum Medyczne Tu sie leczy | Gdansk , Poland, 80-280GynCentrum Spzoo NZOZ Holsamed - Oddzial Libero | Katowice , Poland, 40-600Amicare Spolka z ograniczona odpowiedzialnoscia Spolka Komandytowa Amicare Centrum Medyczne | Lodz , Poland, 91-495Dermedic Jacek Zdybski | Ostrowiec Świętokrzyski , Poland, 27-400Uniwersytecki Szpital Kliniczny imienia Fryderyka Chopina w Rzeszowie | Rzeszów , Poland, 35-055Velocity Skierniewice Spolka z Ograniczona Odpowiedzialnoscia | Skierniewice , Poland, 96-100Centrum Zdrowia Dziecka i Rodziny Im Jana Pawla II w Sosnowcu Osrodek Badan Klinicznych | Sosnowiec , Poland, 41-200Royalderm Agnieszka Nawrocka | Warsaw , Poland, 02-962Cityclinic Przychodnia Lekarsko Psychologiczna Matusiak Spolka Partnerska | Wroclaw , Poland, 50-566DermMedica Spzoo Centrum Columbus | Wroclaw , Poland, 51-503Unidade Local de Saude de Santa Maria, EPE - Hospital de Santa Maria | Lisbon , Portugal, 1649-035Hospital Cuf Descobertas | Lisbon , Portugal, 1998-018Unidade Local de Saude de Santo Antonio, EPE - Hospital de Santo Antonio | Porto , Portugal, 4099-001Spitalul Clinic Judetean de Urgenta Cluj-Napoca | Cluj-Napoca , Romania, 400347Spitalul Clinic Judetean Mures | Târgu Mureş , Romania, 540613Korea University Ansan Hospital | Ansansi, Gyeonggido , South Korea, 15355Korea University Anam Hospital | Seoul , South Korea, 02841Seoul National University Hospital | Seoul , South Korea, 03080Severance Hospital Yonsei University Health System | Seoul , South Korea, 03722Hanyang University Seoul Hospital | Seoul , South Korea, 04763Asan Medical Center | Seoul , South Korea, 05505Hallym University Kangnam Sacred Heart Hospital | Seoul , South Korea, 07441Hospital Universitario Reina Sofia | Córdoba Andalusia, Spain, 14004Hospital Universitario Miguel Servet | Zaragoza Aragon, Spain, 50009Hospital Universitario de Gran Canaria Doctor Negrin | Las Palmas de Gran Canaria Canary Islands, Spain, 35010Hospital Universitari Germans Trias i Pujol | Badalona Catalonia, Spain, 08916Hospital de la Santa Creu i Sant Pau | Barcelona Catalonia, Spain, 08041Hospital General Universitario de Alicante | Alicante Valencia, Spain, 03010Hospital Universitario de La Princesa | Madrid , Spain, 28006Hospital Universitario La Paz | Madrid , Spain, 28046Diagnostiskt Centrum Hud i Sickla | Nacka , Sweden, 131 54Akademiska sjukhuset | Uppsala , Sweden, 751 85Inselspital Bern | Bern , Switzerland, 3010Universitaetsspital Zuerich | Zuerich Flughafen , Switzerland, 8058Kaohsiung Chang Gung Memorial Hospital | Kaohsiung City , Taiwan, 83301National Taiwan University Hospital | Taipei , Taiwan, 10002Mackay Memorial Hospital Taipei Branch | Taipei , Taiwan, 10449Taipei Veterans General Hospital | Taipei , Taiwan, 11217Linkou Chang Gung Memorial Hospital | Taoyuan , Taiwan, 33305Ankara Bilkent Sehir Hastanesi | Ankara , Turkey (Türkiye), 06800Adnan Menderes Universitesi Medical Faculty | Aydin , Turkey (Türkiye), 09100Pamukkale Universitesi Tip Fakultesi Hastanesi | Denizli , Turkey (Türkiye), 20160Gaziantep Universitesi Tip Fakultesi Hastanesi | Gaziantep , Turkey (Türkiye), 27310Izmir Demokrasi Universitesi Buca Seyfi Demirsoy Egitim ve Arastirma Hastanesi | Izmir , Turkey (Türkiye), 35390Ondokuz Mayis Universitesi Tip Fakultesi Hastanesi | Samsun , Turkey (Türkiye), 55200Queen Elizabeth University Hospital | Glasgow , United Kingdom, G51 4TFChapel Allerton Hospital | Leeds , United Kingdom, LS7 4SARoyal London Hospital | London , United Kingdom, E11 1NRGuys Hospital | London , United Kingdom, SE1 9RTAmeli-Biogroup Limited | Waltham Abbey , United Kingdom, EN9 1JH
Investigators
Study Director: MD, Amgen