Trial Outcomes & Findings for Assessment of the Safety, Tolerability and Efficacy of MEDI8968 in Subjects With Moderate to Severe Hidradenitis Suppurativa (NCT NCT01838499)

NCT ID: NCT01838499

Last Updated: 2016-09-01

Results Overview

Percentage of subjects achieving a clinically significant response measured by the proportion of subjects who achieve 0, 1, or 2 PGA by the end of week 12

Recruitment status

TERMINATED

Study phase

PHASE2

Target enrollment

224 participants

Primary outcome timeframe

12 weeks

Results posted on

2016-09-01

Participant Flow

221 subjects enrolled, 109 randomised. Enrolment for ERF based on info databased, as per programmed outputs and the CSR - the criteria being to have provided written consent. 3 additional patients were accounted for in the PRF. M and F subjects with moderate to severe HS were randomised to MEDI8968 or Placebo. 29 centres in the US involved.

Randomisation to treatment was stratified by PGA score on the day of randomisation (Stratum 1=PGA score of 3; Stratum 2=PGA score of 4 or 5).

Participant milestones

Participant milestones
Measure
MEDI8968
SC injection
Saline
SC injection
Overall Study
STARTED
55
54
Overall Study
COMPLETED
31
37
Overall Study
NOT COMPLETED
24
17

Reasons for withdrawal

Reasons for withdrawal
Measure
MEDI8968
SC injection
Saline
SC injection
Overall Study
Protocol Violation
0
1
Overall Study
Lost to Follow-up
2
4
Overall Study
Lack of Efficacy
1
2
Overall Study
Adverse Event
2
1
Overall Study
Withdrawal by Subject
19
9

Baseline Characteristics

Assessment of the Safety, Tolerability and Efficacy of MEDI8968 in Subjects With Moderate to Severe Hidradenitis Suppurativa

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
MEDI8968
n=55 Participants
SC injection
Saline
n=54 Participants
SC injection
Total
n=109 Participants
Total of all reporting groups
Age, Continuous
37.5 Years
STANDARD_DEVIATION 11.08 • n=99 Participants
36.4 Years
STANDARD_DEVIATION 12.42 • n=107 Participants
36.9 Years
STANDARD_DEVIATION 11.72 • n=206 Participants
Sex: Female, Male
Female
45 Participants
n=99 Participants
38 Participants
n=107 Participants
83 Participants
n=206 Participants
Sex: Female, Male
Male
10 Participants
n=99 Participants
16 Participants
n=107 Participants
26 Participants
n=206 Participants

PRIMARY outcome

Timeframe: 12 weeks

Population: FAS

Percentage of subjects achieving a clinically significant response measured by the proportion of subjects who achieve 0, 1, or 2 PGA by the end of week 12

Outcome measures

Outcome measures
Measure
MEDI8968
n=55 Participants
SC injection
Saline
n=54 Participants
SC injection
1) Percentage of Subjects Achieving a Clinically Relevant Response in Physician Global Assessment (PGA), With Score 0,1 or 2 From Baseline to 12 Weeks
Non-responders (%)
76.4 % of patients
81.5 % of patients
1) Percentage of Subjects Achieving a Clinically Relevant Response in Physician Global Assessment (PGA), With Score 0,1 or 2 From Baseline to 12 Weeks
Responders (%)
23.6 % of patients
18.5 % of patients

SECONDARY outcome

Timeframe: 12 weeks

Percentage of subjects achieving a clinically significant response measured by the proportion of subjects who are "minimally improved", "much improved" or "very much improved" on the Patient's Global Impression of Change (PGIC)

Outcome measures

Outcome measures
Measure
MEDI8968
n=55 Participants
SC injection
Saline
n=54 Participants
SC injection
2) Subject's Global Impression of Change Reported on PGIC Scale (1-7 Point Scale Ranging From 1 "Very Much Improved" to 7 "Very Much Worse")
Responders (%)
49.1 % of patients
55.6 % of patients
2) Subject's Global Impression of Change Reported on PGIC Scale (1-7 Point Scale Ranging From 1 "Very Much Improved" to 7 "Very Much Worse")
Non-Responders (%)
50.9 % of patients
44.4 % of patients

SECONDARY outcome

Timeframe: 12 weeks

Population: FAS (LOCF)

Assessment of change in pain via Numerical Rating Scale. Daily pain is reported by the subject using an 11-point 0 (no pain) to 10 (worst pain imaginable) numeric rating scale. Baseline score is the average of the values collected in the 7 days prior to first dose of study drug. Each Visit score is the average of the values collected in the 7 days prior to that visit.

Outcome measures

Outcome measures
Measure
MEDI8968
n=50 Participants
SC injection
Saline
n=50 Participants
SC injection
Change From Baseline to 12 Weeks in Numerical Assessment Scale Numerical Rating Scale for Pain
Week 4
-1.09 changes in scores on a scale
Standard Error 0.35
-1.02 changes in scores on a scale
Standard Error 0.36
Change From Baseline to 12 Weeks in Numerical Assessment Scale Numerical Rating Scale for Pain
Week 8
-1.76 changes in scores on a scale
Standard Error 0.36
-1.31 changes in scores on a scale
Standard Error 0.36
Change From Baseline to 12 Weeks in Numerical Assessment Scale Numerical Rating Scale for Pain
Week 12
-1.79 changes in scores on a scale
Standard Error 0.46
-1.76 changes in scores on a scale
Standard Error 0.47

Adverse Events

MEDI8968

Serious events: 2 serious events
Other events: 8 other events
Deaths: 0 deaths

Saline

Serious events: 2 serious events
Other events: 2 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
MEDI8968
n=55 participants at risk
SC injection
Saline
n=54 participants at risk
SC injection
Infections and infestations
Bacteraemia
0.00%
0/55 • 24 weeks. However, if a subject withdraws from treatment for any reason prior to week 24, the subject should continue to be seen up to 16 weeks after his/her last dose.
In the tables below all the SAEs are presented. In the Other Adverse events tables please note that a Frequency Threshold of 5% has been applies to reporting the AEs and associated summaries. If, within a treatment group the frequency \>= 5%, the associated information has been presented for both treatment arms.
1.9%
1/54 • Number of events 1 • 24 weeks. However, if a subject withdraws from treatment for any reason prior to week 24, the subject should continue to be seen up to 16 weeks after his/her last dose.
In the tables below all the SAEs are presented. In the Other Adverse events tables please note that a Frequency Threshold of 5% has been applies to reporting the AEs and associated summaries. If, within a treatment group the frequency \>= 5%, the associated information has been presented for both treatment arms.
Infections and infestations
Bacterial infection
0.00%
0/55 • 24 weeks. However, if a subject withdraws from treatment for any reason prior to week 24, the subject should continue to be seen up to 16 weeks after his/her last dose.
In the tables below all the SAEs are presented. In the Other Adverse events tables please note that a Frequency Threshold of 5% has been applies to reporting the AEs and associated summaries. If, within a treatment group the frequency \>= 5%, the associated information has been presented for both treatment arms.
1.9%
1/54 • Number of events 1 • 24 weeks. However, if a subject withdraws from treatment for any reason prior to week 24, the subject should continue to be seen up to 16 weeks after his/her last dose.
In the tables below all the SAEs are presented. In the Other Adverse events tables please note that a Frequency Threshold of 5% has been applies to reporting the AEs and associated summaries. If, within a treatment group the frequency \>= 5%, the associated information has been presented for both treatment arms.
Infections and infestations
Cellulitis
0.00%
0/55 • 24 weeks. However, if a subject withdraws from treatment for any reason prior to week 24, the subject should continue to be seen up to 16 weeks after his/her last dose.
In the tables below all the SAEs are presented. In the Other Adverse events tables please note that a Frequency Threshold of 5% has been applies to reporting the AEs and associated summaries. If, within a treatment group the frequency \>= 5%, the associated information has been presented for both treatment arms.
1.9%
1/54 • Number of events 1 • 24 weeks. However, if a subject withdraws from treatment for any reason prior to week 24, the subject should continue to be seen up to 16 weeks after his/her last dose.
In the tables below all the SAEs are presented. In the Other Adverse events tables please note that a Frequency Threshold of 5% has been applies to reporting the AEs and associated summaries. If, within a treatment group the frequency \>= 5%, the associated information has been presented for both treatment arms.
Infections and infestations
Influenza
1.8%
1/55 • Number of events 1 • 24 weeks. However, if a subject withdraws from treatment for any reason prior to week 24, the subject should continue to be seen up to 16 weeks after his/her last dose.
In the tables below all the SAEs are presented. In the Other Adverse events tables please note that a Frequency Threshold of 5% has been applies to reporting the AEs and associated summaries. If, within a treatment group the frequency \>= 5%, the associated information has been presented for both treatment arms.
0.00%
0/54 • 24 weeks. However, if a subject withdraws from treatment for any reason prior to week 24, the subject should continue to be seen up to 16 weeks after his/her last dose.
In the tables below all the SAEs are presented. In the Other Adverse events tables please note that a Frequency Threshold of 5% has been applies to reporting the AEs and associated summaries. If, within a treatment group the frequency \>= 5%, the associated information has been presented for both treatment arms.
Infections and infestations
Staphylococcal infection
0.00%
0/55 • 24 weeks. However, if a subject withdraws from treatment for any reason prior to week 24, the subject should continue to be seen up to 16 weeks after his/her last dose.
In the tables below all the SAEs are presented. In the Other Adverse events tables please note that a Frequency Threshold of 5% has been applies to reporting the AEs and associated summaries. If, within a treatment group the frequency \>= 5%, the associated information has been presented for both treatment arms.
1.9%
1/54 • Number of events 1 • 24 weeks. However, if a subject withdraws from treatment for any reason prior to week 24, the subject should continue to be seen up to 16 weeks after his/her last dose.
In the tables below all the SAEs are presented. In the Other Adverse events tables please note that a Frequency Threshold of 5% has been applies to reporting the AEs and associated summaries. If, within a treatment group the frequency \>= 5%, the associated information has been presented for both treatment arms.
Infections and infestations
Urinary tract infection
0.00%
0/55 • 24 weeks. However, if a subject withdraws from treatment for any reason prior to week 24, the subject should continue to be seen up to 16 weeks after his/her last dose.
In the tables below all the SAEs are presented. In the Other Adverse events tables please note that a Frequency Threshold of 5% has been applies to reporting the AEs and associated summaries. If, within a treatment group the frequency \>= 5%, the associated information has been presented for both treatment arms.
1.9%
1/54 • Number of events 1 • 24 weeks. However, if a subject withdraws from treatment for any reason prior to week 24, the subject should continue to be seen up to 16 weeks after his/her last dose.
In the tables below all the SAEs are presented. In the Other Adverse events tables please note that a Frequency Threshold of 5% has been applies to reporting the AEs and associated summaries. If, within a treatment group the frequency \>= 5%, the associated information has been presented for both treatment arms.
Blood and lymphatic system disorders
Anaemia
0.00%
0/55 • 24 weeks. However, if a subject withdraws from treatment for any reason prior to week 24, the subject should continue to be seen up to 16 weeks after his/her last dose.
In the tables below all the SAEs are presented. In the Other Adverse events tables please note that a Frequency Threshold of 5% has been applies to reporting the AEs and associated summaries. If, within a treatment group the frequency \>= 5%, the associated information has been presented for both treatment arms.
1.9%
1/54 • Number of events 1 • 24 weeks. However, if a subject withdraws from treatment for any reason prior to week 24, the subject should continue to be seen up to 16 weeks after his/her last dose.
In the tables below all the SAEs are presented. In the Other Adverse events tables please note that a Frequency Threshold of 5% has been applies to reporting the AEs and associated summaries. If, within a treatment group the frequency \>= 5%, the associated information has been presented for both treatment arms.
Gastrointestinal disorders
Colitis
0.00%
0/55 • 24 weeks. However, if a subject withdraws from treatment for any reason prior to week 24, the subject should continue to be seen up to 16 weeks after his/her last dose.
In the tables below all the SAEs are presented. In the Other Adverse events tables please note that a Frequency Threshold of 5% has been applies to reporting the AEs and associated summaries. If, within a treatment group the frequency \>= 5%, the associated information has been presented for both treatment arms.
1.9%
1/54 • Number of events 1 • 24 weeks. However, if a subject withdraws from treatment for any reason prior to week 24, the subject should continue to be seen up to 16 weeks after his/her last dose.
In the tables below all the SAEs are presented. In the Other Adverse events tables please note that a Frequency Threshold of 5% has been applies to reporting the AEs and associated summaries. If, within a treatment group the frequency \>= 5%, the associated information has been presented for both treatment arms.
Gastrointestinal disorders
Diverticulum
0.00%
0/55 • 24 weeks. However, if a subject withdraws from treatment for any reason prior to week 24, the subject should continue to be seen up to 16 weeks after his/her last dose.
In the tables below all the SAEs are presented. In the Other Adverse events tables please note that a Frequency Threshold of 5% has been applies to reporting the AEs and associated summaries. If, within a treatment group the frequency \>= 5%, the associated information has been presented for both treatment arms.
1.9%
1/54 • Number of events 1 • 24 weeks. However, if a subject withdraws from treatment for any reason prior to week 24, the subject should continue to be seen up to 16 weeks after his/her last dose.
In the tables below all the SAEs are presented. In the Other Adverse events tables please note that a Frequency Threshold of 5% has been applies to reporting the AEs and associated summaries. If, within a treatment group the frequency \>= 5%, the associated information has been presented for both treatment arms.
Hepatobiliary disorders
Cholelithiasis
0.00%
0/55 • 24 weeks. However, if a subject withdraws from treatment for any reason prior to week 24, the subject should continue to be seen up to 16 weeks after his/her last dose.
In the tables below all the SAEs are presented. In the Other Adverse events tables please note that a Frequency Threshold of 5% has been applies to reporting the AEs and associated summaries. If, within a treatment group the frequency \>= 5%, the associated information has been presented for both treatment arms.
1.9%
1/54 • Number of events 1 • 24 weeks. However, if a subject withdraws from treatment for any reason prior to week 24, the subject should continue to be seen up to 16 weeks after his/her last dose.
In the tables below all the SAEs are presented. In the Other Adverse events tables please note that a Frequency Threshold of 5% has been applies to reporting the AEs and associated summaries. If, within a treatment group the frequency \>= 5%, the associated information has been presented for both treatment arms.
Metabolism and nutrition disorders
Hypokalaemia
0.00%
0/55 • 24 weeks. However, if a subject withdraws from treatment for any reason prior to week 24, the subject should continue to be seen up to 16 weeks after his/her last dose.
In the tables below all the SAEs are presented. In the Other Adverse events tables please note that a Frequency Threshold of 5% has been applies to reporting the AEs and associated summaries. If, within a treatment group the frequency \>= 5%, the associated information has been presented for both treatment arms.
1.9%
1/54 • Number of events 1 • 24 weeks. However, if a subject withdraws from treatment for any reason prior to week 24, the subject should continue to be seen up to 16 weeks after his/her last dose.
In the tables below all the SAEs are presented. In the Other Adverse events tables please note that a Frequency Threshold of 5% has been applies to reporting the AEs and associated summaries. If, within a treatment group the frequency \>= 5%, the associated information has been presented for both treatment arms.
Metabolism and nutrition disorders
Hypomagnesemia
0.00%
0/55 • 24 weeks. However, if a subject withdraws from treatment for any reason prior to week 24, the subject should continue to be seen up to 16 weeks after his/her last dose.
In the tables below all the SAEs are presented. In the Other Adverse events tables please note that a Frequency Threshold of 5% has been applies to reporting the AEs and associated summaries. If, within a treatment group the frequency \>= 5%, the associated information has been presented for both treatment arms.
1.9%
1/54 • Number of events 1 • 24 weeks. However, if a subject withdraws from treatment for any reason prior to week 24, the subject should continue to be seen up to 16 weeks after his/her last dose.
In the tables below all the SAEs are presented. In the Other Adverse events tables please note that a Frequency Threshold of 5% has been applies to reporting the AEs and associated summaries. If, within a treatment group the frequency \>= 5%, the associated information has been presented for both treatment arms.
Respiratory, thoracic and mediastinal disorders
Asthma
0.00%
0/55 • 24 weeks. However, if a subject withdraws from treatment for any reason prior to week 24, the subject should continue to be seen up to 16 weeks after his/her last dose.
In the tables below all the SAEs are presented. In the Other Adverse events tables please note that a Frequency Threshold of 5% has been applies to reporting the AEs and associated summaries. If, within a treatment group the frequency \>= 5%, the associated information has been presented for both treatment arms.
1.9%
1/54 • Number of events 1 • 24 weeks. However, if a subject withdraws from treatment for any reason prior to week 24, the subject should continue to be seen up to 16 weeks after his/her last dose.
In the tables below all the SAEs are presented. In the Other Adverse events tables please note that a Frequency Threshold of 5% has been applies to reporting the AEs and associated summaries. If, within a treatment group the frequency \>= 5%, the associated information has been presented for both treatment arms.
Infections and infestations
Pheumonia
3.6%
2/55 • Number of events 2 • 24 weeks. However, if a subject withdraws from treatment for any reason prior to week 24, the subject should continue to be seen up to 16 weeks after his/her last dose.
In the tables below all the SAEs are presented. In the Other Adverse events tables please note that a Frequency Threshold of 5% has been applies to reporting the AEs and associated summaries. If, within a treatment group the frequency \>= 5%, the associated information has been presented for both treatment arms.
0.00%
0/54 • 24 weeks. However, if a subject withdraws from treatment for any reason prior to week 24, the subject should continue to be seen up to 16 weeks after his/her last dose.
In the tables below all the SAEs are presented. In the Other Adverse events tables please note that a Frequency Threshold of 5% has been applies to reporting the AEs and associated summaries. If, within a treatment group the frequency \>= 5%, the associated information has been presented for both treatment arms.

Other adverse events

Other adverse events
Measure
MEDI8968
n=55 participants at risk
SC injection
Saline
n=54 participants at risk
SC injection
Infections and infestations
Pheumonia
5.5%
3/55 • Number of events 3 • 24 weeks. However, if a subject withdraws from treatment for any reason prior to week 24, the subject should continue to be seen up to 16 weeks after his/her last dose.
In the tables below all the SAEs are presented. In the Other Adverse events tables please note that a Frequency Threshold of 5% has been applies to reporting the AEs and associated summaries. If, within a treatment group the frequency \>= 5%, the associated information has been presented for both treatment arms.
0.00%
0/54 • 24 weeks. However, if a subject withdraws from treatment for any reason prior to week 24, the subject should continue to be seen up to 16 weeks after his/her last dose.
In the tables below all the SAEs are presented. In the Other Adverse events tables please note that a Frequency Threshold of 5% has been applies to reporting the AEs and associated summaries. If, within a treatment group the frequency \>= 5%, the associated information has been presented for both treatment arms.
Gastrointestinal disorders
Diarrhoea
5.5%
3/55 • Number of events 3 • 24 weeks. However, if a subject withdraws from treatment for any reason prior to week 24, the subject should continue to be seen up to 16 weeks after his/her last dose.
In the tables below all the SAEs are presented. In the Other Adverse events tables please note that a Frequency Threshold of 5% has been applies to reporting the AEs and associated summaries. If, within a treatment group the frequency \>= 5%, the associated information has been presented for both treatment arms.
3.7%
2/54 • Number of events 2 • 24 weeks. However, if a subject withdraws from treatment for any reason prior to week 24, the subject should continue to be seen up to 16 weeks after his/her last dose.
In the tables below all the SAEs are presented. In the Other Adverse events tables please note that a Frequency Threshold of 5% has been applies to reporting the AEs and associated summaries. If, within a treatment group the frequency \>= 5%, the associated information has been presented for both treatment arms.
General disorders
Fatigue
5.5%
3/55 • Number of events 3 • 24 weeks. However, if a subject withdraws from treatment for any reason prior to week 24, the subject should continue to be seen up to 16 weeks after his/her last dose.
In the tables below all the SAEs are presented. In the Other Adverse events tables please note that a Frequency Threshold of 5% has been applies to reporting the AEs and associated summaries. If, within a treatment group the frequency \>= 5%, the associated information has been presented for both treatment arms.
0.00%
0/54 • 24 weeks. However, if a subject withdraws from treatment for any reason prior to week 24, the subject should continue to be seen up to 16 weeks after his/her last dose.
In the tables below all the SAEs are presented. In the Other Adverse events tables please note that a Frequency Threshold of 5% has been applies to reporting the AEs and associated summaries. If, within a treatment group the frequency \>= 5%, the associated information has been presented for both treatment arms.

Additional Information

Humphrey Gardner MD FCAP

AstraZeneca

Phone: +1 781 839 4523

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place