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Business decision; no safety concerns.
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The purpose of this study is to evaluate the efficacy and safety of ruxolitinib cream in adult participants with diagnosis of chronic hand eczema (CHE) and moderate to severe disease activity (Investigator's Global Assessement (IGA) of CHE score 3 or 4).
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Ruxolitinib | Experimental | Ruxolitinib cream 1.5% twice daily (BID) for 16 weeks followed by ruxolitinib cream 1.5% BID for an additional 16-week treatment extension period. |
|
| Vehicle | Placebo Comparator | Vehicle cream for 16 weeks followed by crossover to ruxolitinib cream 1.5% BID in a 16-week treatment extension period. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Ruxolitinib cream | Drug | Ruxolitinib cream is a topical formulation applied as a thin film to affected areas. |
|
| Measure | Description | Time Frame |
|---|---|---|
| Proportion of participants achieving Investigator's Global Assessment-Chronic Hand Eczema Treatment Success (IGA-CHE-TS) | The Investigator's Global Assessment for chronic hand eczema (IGA-CHE) is an instrument used in clinical trials to rate the severity of the participant's global chronic hand eczema (CHE) and is based on a 5-point scale ranging from 0 (clear) to 4 (severe). IGA-CHE treatment success (IGA-CHE TS) is defined as an IGA-CHE score of 0 (clear) or 1 (almost clear) with a ≥2-step improvement from baseline. | Week 16 |
| Measure | Description | Time Frame |
|---|---|---|
| Proportion of participants with a ≥ 4-point improvement in chronic hand eczema (CHE) related Itch NRS score | The Itch NRS is a validated, self-reported, instrument for measurement of itch intensity and subject will rate the intensity of their itch on an 11-point scale ranging from 0 (no itch) to 10 (worst itch imaginable) on a daily basis. | Week 16 |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Haq Nawaz, MD | Incyte Corporation | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Southwest Skin Specialists Phoenix Biltmore | Phoenix | Arizona | 85018 | United States | ||
| Raoof Md Encino |
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Participants will receive ruxolitinib cream (1.5%) or vehicle cream for 16 weeks, after which they will be offered the opportunity to receive ruxilitinib cream (1.5%) in the open-label treatment extension period for another 16 weeks.
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| Vehicle | Drug | Vehicle cream is a topical formulation applied as a thin film to affected areas. |
|
| Proportion of participants with a ≥ 2-point improvement in CHE-related Pain NRS score | The Pain NRS is a validated, self-reported, instrument for measurement of itch intensity and subject will rate the intensity of their pain on an 11-point scale ranging from 0 (no pain) to 10 (worst pain imaginable). | Week 16 |
| Change from baseline in the modified Total Lesion Symptom Score (mTLSS) | The mTLSS is a validated tool for assessing hand eczema. The scale quantifies the 7 features (erythema, scaling, hyperkeratosis/lichenification, vesiculation, oedema, fissures, and pruritus/pain) of HE (0 = none, 1 = mild, 2 = moderate, and 3 = severe). | Up to Week 32 |
| Proportion of participants achieving an IGA-CHE-TS from baseline | The Investigator's Global Assessment for chronic hand eczema (IGA-CHE) is an instrument used in clinical trials to rate the severity of the participant's global chronic hand eczema (CHE) and is based on a 5-point scale ranging from 0 (clear) to 4 (severe). IGA-CHE treatment success (IGA-CHE TS) is defined as an IGA-CHE score of 0 (clear) or 1 (almost clear) with a ≥2-step improvement from baseline. | Up to Week 32 |
| Change from baseline in CHE-related Itch Numerical Rating Scale (NRS) score (weekly average) | The Itch NRS is a validated, self-reported, instrument for measurement of itch intensity and subject will rate the intensity of their itch on an 11-point scale ranging from 0 (no itch) to 10 (worst itch imaginable). | Up to Week 32 |
| Change from baseline in CHE-related Pain NRS score (weekly average) | The Pain NRS is a validated, self-reported, instrument for measurement of itch intensity and subject will rate the intensity of their pain on an 11-point scale ranging from 0 (no pain) to 10 (worst pain imaginable). | Up to Week 32 |
| Time to ≥ 4-point improvement from baseline in CHE-related Itch NRS score | The Itch NRS is a validated, self-reported, instrument for measurement of itch intensity and subject will rate the intensity of their itch on an 11-point scale ranging from 0 (no itch) to 10 (worst itch imaginable) on a daily basis. | Up to Week 32 |
| Time to ≥ 2-point improvement from baseline in CHE-related Pain NRS score. | The Pain NRS is a validated, self-reported, instrument for measurement of itch intensity and subject will rate the intensity of their pain on an 11-point scale ranging from 0 (no pain) to 10 (worst pain imaginable) on a daily basis. | Up to Week 32 |
| Percentage change in Hand Eczema Severity Index (HECSI) | The Hand Eczema Severity Index (HECSI) is an instrument used in clinical trials to rate the severity of 6 clinical signs (erythema, infiltration/papulation, vesicles, fissures, scaling, and oedema) and the extent of the lesions in each of the 5 hand regions (fingertips, fingers [except fingertips], palm of hands, back of hands, and wrists) by use of standard scales. | Week 16 |
| Proportion of Participants with HECSI-75 | HECSI is an instrument used in clinical trials to rate the severity of 6 clinical signs (erythema, infiltration/papulation, vesicles, fissures, scaling, and oedema) and the extent of the lesions in each of the 5 hand regions (fingertips, fingers [except fingertips], palm of hands, back of hands, and wrists) by use of standard scales. | Weeks 2, 8, 16 and 32 |
| Proportion of participants with HECSI-90 | HECSI is an instrument used in clinical trials to rate the severity of 6 clinical signs (erythema, infiltration/papulation, vesicles, fissures, scaling, and oedema) and the extent of the lesions in each of the 5 hand regions (fingertips, fingers [except fingertips], palm of hands, back of hands, and wrists) by use of standard scales. | Weeks 2, 8, 16, and 32 |
| Mean Patient Global Impression of Change (PGIC) score | The Patient Global Impression of Change (PGIC)is based on a 7-point scale and the participant will rate each question from the start of treatment as 1-very much improved, 2-much improved, 3-minimally improved, 4-no change, 5-minimally worse, 6-much worse, and 7-very much worse. | Up to Week 32 |
| Proportion of participants with each score on the PGIC | The PGIC is based on a 7-point scale and the participant will rate each question from the start of treatment as 1-very much improved, 2-much improved, 3-minimally improved, 4-no change, 5-minimally worse, 6-much worse, and 7-very much worse. | Up to Week 32 |
| Proportion of Participants with a score of either 1 or 2 on the PGIC | The PGIC is based on a 7-point scale and the participant will rate each question from the start of treatment as 1-very much improved, 2-much improved, 3-minimally improved, 4-no change, 5-minimally worse, 6-much worse, and 7-very much worse. | Up to Week 32 |
| Encino |
| California |
| 91436 |
| United States |
| First Oc Dermatology | Fountain Valley | California | 92708 | United States |
| Marvel Clinical Research Llc | Huntington Beach | California | 92647 | United States |
| Well Pharma Medical Research Corporation | Miami | Florida | 33173 | United States |
| Psoriasis Treatment Center of South Florida | Pembroke Pines | Florida | 33028 | United States |
| Lenus Research Medical Group, Llc | Sweetwater | Florida | 33172 | United States |
| Delricht Research | Marietta | Georgia | 30060 | United States |
| Arlington Dermatology | Rolling Meadows | Illinois | 60008 | United States |
| Midwest Allergy Sinus Asthma, Sc | Springfield | Illinois | 62604 | United States |
| Dermatologist Specialist | Louisville | Kentucky | 40241 | United States |
| Grafton Dermatology and Cosmetic Surgery | Houma | Louisiana | 70364 | United States |
| Delricht Research | New Orleans | Louisiana | 70115 | United States |
| Washington University | St Louis | Missouri | 63110 | United States |
| Jubilee Clinical Research Inc | Las Vegas | Nevada | 89106 | United States |
| Juva Skin and Laser Center | New York | New York | 10022 | United States |
| Oregon Medical Research Center | Portland | Oregon | 97223 | United States |
| Oregon Health & Science University | Portland | Oregon | 97239 | United States |
| Clinical Neuroscience Solutions Cns Healthcare Memphis Research Center | Memphis | Tennessee | 38119 | United States |
| International Clinical Research Tennessee Llc | Murfreesboro | Tennessee | 37130 | United States |
| Austin Institute For Clinical Research Aicr Pflugerville | Houston | Texas | 77056 | United States |
| Progressive Clinical Research | San Antonio | Texas | 78213 | United States |
| Center For Clinical Studies Webster | Webster | Texas | 77598 | United States |
| University of Utah | Murray | Utah | 84107 | United States |
| West End Dermatology Associates | Richmond | Virginia | 23233 | United States |
| Dermatology Specialists of Spokane | Spokane | Washington | 99202 | United States |
| Dermatology Research Institute Inc. | Calgary | Alberta | T2J 7E1 | Canada |
| Care Clinic | Red Deer | Alberta | T4P-1K4 | Canada |
| Cca Medical Research | Ajax | Ontario | L1S 7K8 | Canada |
| Lynderm Research Inc | Markham | Ontario | L3P 1X3 | Canada |
| Fakultni Nemocnice U Sv. Anny V Brne | Brno | 656 91 | Czechia |
| Ccr Ostrava S.R.O. | Ostrava | 702 00 | Czechia |
| Ccr Czech A.S. | Pardubice | 53000 | Czechia |
| Clintrial S.R.O. | Prague | 100 00 | Czechia |
| Krajska Zdravotni A.S. - Masarykova Nemocnice V Usti Nad Labem O.Z. | Ústí nad Labem | 401 13 | Czechia |
| Klinikum Der Johann Wolfgang Goethe-Universitaet | Frankfurt | 60590 | Germany |
| Derma-Study-Center Friedrichshafen Gmbh | Friedrichshafen | 88045 | Germany |
| Dermatologikum Hamburg Gemeinschaftspraxis Gbr | Hamburg | 20354 | Germany |
| Universitaetsklinikum Schleswig-Holstein | Kiel | 24105 | Germany |
| Praxis Dr. Beate Schwarz | Langenau | 89129 | Germany |
| Beldio Research Gmbh | Memmingen | 87700 | Germany |
| Klifos - Klinische Forschung Osnabruck | Osnabrück | 49074 | Germany |
| Centrum Badawcze Panaceum Agnieszka Brzezicka, Magdalena Lenkiewicz Sp. Z O.O. | Elblag | 82-300 | Poland |
| Etg Warszawa | Warsaw | 02-793 | Poland |
| Hospital General Universitario de Alicante | Alicante | 03010 | Spain |
| Hospital de La Santa Creu I Sant Pau | Barcelona | 08041 | Spain |
| Hospital General Universitario Gregorio Maranon | Madrid | 28007 | Spain |
| Hospital de Manises | Manises | 46940 | Spain |
| Hospital Universitario Quironsalud Madrid | Pozuelo de Alarcón | 28223 | Spain |
| ID | Term |
|---|---|
| D004485 | Eczema |
| D003872 | Dermatitis |
| D012871 | Skin Diseases |
| ID | Term |
|---|---|
| D017437 | Skin and Connective Tissue Diseases |
| D017443 | Skin Diseases, Eczematous |
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