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Study of the Efficacy, Safety, and Tolerability of Serlopitant for Pruritus (Itch) in Atopic Dermatitis
This is a double-blind, randomized, placebo-controlled study. Approximately 450 subjects will be randomized in a 1:1:1 ratio to receive daily oral doses of serlopitant 1 mg, 5 mg, or placebo for 6 weeks. During the screening period, subjects will be provided with an electronic device for recording electronic diary (eDiary) assessments throughout the study. This eDiary will be used to capture efficacy endpoint data and treatment information. At the Baseline visit, eligible subjects will be randomized, and study drug dispensed beginning with a loading dose of 3 tablets to be taken at bedtime that same day. Starting on Study Day 2, subjects will take one tablet per day at bedtime. Treatment will continue for 6 weeks. The primary efficacy endpoint will be assessed during Week 6. After completion of the 6-week treatment period, all subjects will enter a 4-week follow-up period.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Serlopitant High Dose | Experimental | serlopitant tablets - high dose |
|
| Serlopitant Low Dose | Experimental | serlopitant tablets - low dose |
|
| Placebo Oral Tablet | Placebo Comparator | matching placebo tablets |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Serlopitant High Dose | Drug | serlopitant tablets - high dose |
| |
| Measure | Description | Time Frame |
|---|---|---|
| Change in WI-NRS From Baseline to Week 6 | Worst Itch Numeric Rating Scale (WI-NRS). 11-point scale ranging from 0 (no itch) to 10 (worst itch imaginable). Higher scores indicate greater itch intensity. The primary outcome is the change in WI-NRS score between the visit and Baseline. | Week 6 compared to Baseline |
| Measure | Description | Time Frame |
|---|---|---|
| WI-NRS 4-point Responder Rate at Week 6 | Worst Itch Numeric Rating Scale (WI-NRS). 11-point scale ranging from 0 (no itch) to 10 (worst itch imaginable). Higher scores indicate greater itch intensity. A 4-point responder is a subject who had at least a 4-point reduction in score between Week 6 and baseline. | Week 6 compared to Baseline |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Mary Spellman, MD | Vyne Therapeutics Inc. | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Study Site 332 | Anniston | Alabama | United States | |||
| Study Site 363 |
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| ID | Title | Description |
|---|---|---|
| FG000 | Serlopitant 5 mg | Subjects received a 3-tablet oral loading dose on the first day of the treatment period followed by an oral 5 mg dose of Serlopitant taken once daily by mouth for 6 weeks |
| FG001 | Serlopitant 1 mg |
| Title | Milestones | Reasons Not Completed | |||||
|---|---|---|---|---|---|---|---|
| Overall Study |
|
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| Type | Includes Protocol | Includes SAP | Includes ICF | Document Label | Document Date | Document Uploaded Date | Document File Name |
|---|---|---|---|---|---|---|---|
| Prot | Yes | No | No | Study Protocol | Nov 21, 2017 | Jan 14, 2019 |
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| Placebo Oral Tablet |
| Drug |
placebo tablet |
|
| Serlopitant Low Dose | Drug | serlopitant tablets - low dose |
|
| Change in Quality of Life (ItchyQoL) From Baseline to Week 6 |
ItchyQoL is a 22-item pruritus-specific instrument that measures the degree to which pruritus affects quality-of-life. The responses to the items are Never (1), Rarely (2), Sometimes (3), Often (4) and All the Time (5). A higher score corresponds to a more adverse impact. The overall score is the average of the 22 items ranging from 1 to 5. |
| Week 6 compared to Baseline |
| Birmingham |
| Alabama |
| United States |
| Study Site 340 | Hoover | Alabama | United States |
| Study Site 364 | Glendale | Arizona | United States |
| Study Site 334 | Cerritos | California | United States |
| Study Site 386 | Encinitas | California | United States |
| Study Site 366 | Fountain Valley | California | United States |
| Study Site 338 | Los Angeles | California | United States |
| Study Site 383 | North Hollywood | California | United States |
| Study Site 374 | Oceanside | California | United States |
| Study Site 347 | San Diego | California | United States |
| Study Site 356 | San Diego | California | United States |
| Study Site 333 | San Francisco | California | United States |
| Study Site 376 | Santa Monica | California | United States |
| Study Site 358 | Denver | Colorado | United States |
| Study Site 370 | Jacksonville | Florida | United States |
| Study Site 331 | Miami | Florida | United States |
| Study Site 348 | Miami | Florida | United States |
| Study Site 378 | Miami | Florida | United States |
| Study Site 353 | Pinellas Park | Florida | United States |
| Study Site 368 | Tampa | Florida | United States |
| Study Site 377 | Tampa | Florida | United States |
| Study Site 369 | Atlanta | Georgia | United States |
| Study Site 349 | Savannah | Georgia | United States |
| Study Site 381 | Chicago | Illinois | United States |
| Study Site 360 | New Albany | Indiana | United States |
| Study Site 380 | Bardstown | Kentucky | United States |
| Study Site 344 | Louisville | Kentucky | United States |
| Study Site 379 | Boston | Massachusetts | United States |
| Study Site 350 | Warren | Michigan | United States |
| Study Site 371 | Saint Joseph | Missouri | United States |
| Study Site 387 | Las Vegas | Nevada | United States |
| Study Site 352 | Berlin | New Jersey | United States |
| Study Site 375 | Forest Hills | New York | United States |
| Study Site 373 | Rochester | New York | United States |
| Study Site 341 | High Point | North Carolina | United States |
| Study Site 355 | Shelby | North Carolina | United States |
| Study Site 337 | Oklahoma City | Oklahoma | United States |
| Study Site 345 | Johnston | Rhode Island | United States |
| Study Site 362 | Providence | Rhode Island | United States |
| Study Site 382 | Anderson | South Carolina | United States |
| Study Site 343 | Spartanburg | South Carolina | United States |
| Study Site 357 | Chattanooga | Tennessee | United States |
| Study Site 365 | Austin | Texas | United States |
| Study Site 335 | Houston | Texas | United States |
| Study Site 359 | Pflugerville | Texas | United States |
| Study Site 339 | Plano | Texas | United States |
| Study Site 361 | San Antonio | Texas | United States |
| Study Site 351 | Draper | Utah | United States |
| Study Site 342 | Norfolk | Virginia | United States |
| Study Site 336 | Richmond | Virginia | United States |
| Study Site 367 | Richmond | Virginia | United States |
Subjects received a 3-tablet oral loading dose on the first day of the treatment period followed by an oral 1 mg dose of Serlopitant taken once daily by mouth for 6 weeks
| FG002 | Placebo Oral Tablet | Subjects received a 3-tablet oral loading dose on the first day of the treatment period followed by an oral Placebo tablet taken once daily by mouth for 6 weeks |
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| ID | Title | Description |
|---|---|---|
| BG000 | Serlopitant 5 mg | Subjects received a 3-tablet oral loading dose on the first day of the treatment period followed by an oral 5 mg dose of Serlopitant taken once daily by mouth for 6 weeks |
| BG001 | Serlopitant 1 mg | Subjects received a 3-tablet oral loading dose on the first day of the treatment period followed by an oral 1 mg dose of Serlopitant taken once daily by mouth for 6 weeks |
| BG002 | Placebo Oral Tablet | Subjects received a 3-tablet Placebo oral loading dose on the first day of the treatment period followed by an oral Placebo tablet taken once daily by mouth for 6 weeks |
| BG003 | Total | Total of all reporting groups |
| Units | Counts |
|---|---|
| Participants |
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| Title | Description | Population Description | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Denominator Units Selected | Denominators | Classes | |||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Age, Categorical | Count of Participants | Participants |
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| Age, Continuous | Mean | Standard Deviation | years |
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| Sex: Female, Male | Count of Participants | Participants |
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| Race (NIH/OMB) | Count of Participants | Participants |
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| Region of Enrollment | Number | participants |
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| WI-NRS | Worst Itch Numeric Rating Scale (WI-NRS). 11-point scale ranging from 0 (no itch) to 10 (worst itch imaginable). Higher scores indicate greater itch intensity. Subject-reported score from reflection on past 24 hours. The baseline was established by averaging 7 daily scores leading up to randomization. | The row populations here represent the Full Analysis Set, not all subjects randomized. | Mean | Standard Deviation | units on a scale |
|
| Type | Title | Description | Population Description | Reporting Status | Anticipated Posting Date | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Time Frame | Units Analyzed | Denominator Units Selected | Arm/Group Information | Denominators | Classes | Analyses | ||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Primary | Change in WI-NRS From Baseline to Week 6 | Worst Itch Numeric Rating Scale (WI-NRS). 11-point scale ranging from 0 (no itch) to 10 (worst itch imaginable). Higher scores indicate greater itch intensity. The primary outcome is the change in WI-NRS score between the visit and Baseline. | These figures represent full analysis set. | Posted | Mean | Standard Deviation | score on a scale | Week 6 compared to Baseline |
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| Secondary | WI-NRS 4-point Responder Rate at Week 6 | Worst Itch Numeric Rating Scale (WI-NRS). 11-point scale ranging from 0 (no itch) to 10 (worst itch imaginable). Higher scores indicate greater itch intensity. A 4-point responder is a subject who had at least a 4-point reduction in score between Week 6 and baseline. | These figures represent full analysis set. | Posted | Count of Participants | Participants | Week 6 compared to Baseline |
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| Secondary | Change in Quality of Life (ItchyQoL) From Baseline to Week 6 | ItchyQoL is a 22-item pruritus-specific instrument that measures the degree to which pruritus affects quality-of-life. The responses to the items are Never (1), Rarely (2), Sometimes (3), Often (4) and All the Time (5). A higher score corresponds to a more adverse impact. The overall score is the average of the 22 items ranging from 1 to 5. | These figures represent all participants in the full analysis set who completed the ItchyQol assessment at both Baseline and Week 6. | Posted | Mean | Standard Deviation | score on a scale | Week 6 compared to Baseline |
|
Adverse Events (AEs) and Serious Adverse Events (SAEs) were recorded from the first study drug administration through the follow-up visit at Week 10. After the Week 10 visit, SAEs that are believed to be drug related will be reported, without a specific end time.
The at risk safety population is a subset of participants who received at least one dose of study medication. This population is analyzed based upon the actual treatment received, at the highest dose received.
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| ID | Title | Description | Deaths (Affected) | Deaths (At Risk) | Serious Events (Affected) | Serious Events (At Risk) | Other Events (Affected) | Other Events (At Risk) |
|---|---|---|---|---|---|---|---|---|
| EG000 | Serlopitant 5 mg | Subjects received a 3-tablet oral loading dose on the first day of the treatment period followed by an oral 5 mg dose of Serlopitant taken once daily by mouth for 6 weeks | 1 | 161 | 2 | 161 | 27 | 161 |
| EG001 | Serlopitant 1 mg | Subjects received a 3-tablet oral loading dose on the first day of the treatment period followed by an oral 1 mg dose of Serlopitant taken once daily by mouth for 6 weeks | 0 | 160 | 1 | 160 | 22 | 160 |
| EG002 | Placebo Oral Tablet | Subjects received a 3-tablet oral loading dose on the first day of the treatment period followed by an oral Placebo tablet taken once daily by mouth for 6 weeks | 0 | 158 | 2 | 158 | 32 | 158 |
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Abscess jaw | Infections and infestations | Systematic Assessment |
| ||
| Eye injury | Injury, poisoning and procedural complications | Systematic Assessment |
| ||
| Colon cancer metastatic | Neoplasms benign, malignant and unspecified (incl cysts and polyps) | Systematic Assessment |
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| Cholecystitis acute | Hepatobiliary disorders | Systematic Assessment |
| ||
| Abortion spontaneous | Pregnancy, puerperium and perinatal conditions | Systematic Assessment |
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| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Dermatitis atopic | Skin and subcutaneous tissue disorders | Systematic Assessment |
| ||
| Urinary tract infection | Infections and infestations | Systematic Assessment |
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| Nasopharyngitis | Infections and infestations | Systematic Assessment |
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| Headache | Nervous system disorders | Systematic Assessment |
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| Somnolence | Nervous system disorders | Systematic Assessment |
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| Pruritus | Skin and subcutaneous tissue disorders | Systematic Assessment |
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| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Anna Gururajan | Menlo Therapeutics Inc. | (650) 486-1416 | agururajan@menlotx.com |
| Prot_000.pdf |
| SAP | No | Yes | No | Statistical Analysis Plan | Feb 7, 2018 | Jan 14, 2019 | SAP_001.pdf |
| ID | Term |
|---|---|
| D011537 | Pruritus |
| D003876 | Dermatitis, Atopic |
| ID | Term |
|---|---|
| D012871 | Skin Diseases |
| D017437 | Skin and Connective Tissue Diseases |
| D012877 | Skin Manifestations |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D012873 | Skin Diseases, Genetic |
| D030342 | Genetic Diseases, Inborn |
| D009358 | Congenital, Hereditary, and Neonatal Diseases and Abnormalities |
| D003872 | Dermatitis |
| D017443 | Skin Diseases, Eczematous |
| D006969 | Hypersensitivity, Immediate |
| D006967 | Hypersensitivity |
| D007154 | Immune System Diseases |
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| ID | Term |
|---|---|
| C551592 | serlopitant |
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