Trial Outcomes & Findings for A Trial to Assess the Effect of Delgocitinib Cream 20 mg/g on the Molecular Signature, Safety, and Efficacy in Adults With Frontal Fibrosing Alopecia (NCT NCT05332366)

NCT ID: NCT05332366

Last Updated: 2025-03-06

Results Overview

CXCL9, CXCL10 and IFN-γ are small proteins that act as chemical messengers, especially in the immune system.

Recruitment status

COMPLETED

Study phase

PHASE2

Target enrollment

35 participants

Primary outcome timeframe

Baseline and Week 12

Results posted on

2025-03-06

Participant Flow

The trial was conducted in the United States and consisted of 2 cohorts: Cohort 1 included 30 subjects with FFA and Cohort 2 included 5 healthy postmenopausal female subjects. Both cohorts were conducted in parallel.

Eligible subjects were randomized into the trial after a screening period. They were assigned to receive either delgocitinib cream or a placebo twice daily for 12 weeks. After completing this period, they continued using delgocitinib cream for another 12 weeks.

Participant milestones

Participant milestones
Measure
Delgocitinib - Delgocitinib
Participants were blinded and randomised to delgocitinib cream treatment for the first 12 weeks, followed by an open label treatment with delgocitinib cream treatment for another 12 weeks. Delgocitinib cream: Cream for topical application
Placebo - Delgocitinib
Participants were blinded and randomised to placebo cream treatment for the first 12 weeks, followed by an open label treatment with delgocitinib cream treatment for another 12 weeks. Delgocitinib cream: Cream for topical application Delgocitinib cream vehicle: The cream vehicle is similar to the delgocitinib cream except that it does not contain any active ingredient.
No Treatment
Participants did not receive any treatment. They only provided a molecular signature of healthy skin to act as a control.
Overall Study
STARTED
15
15
5
Overall Study
COMPLETED
15
15
5
Overall Study
NOT COMPLETED
0
0
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

A Trial to Assess the Effect of Delgocitinib Cream 20 mg/g on the Molecular Signature, Safety, and Efficacy in Adults With Frontal Fibrosing Alopecia

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Delgocitinib - Delgocitinib
n=15 Participants
Participants were blinded and randomised to delgocitinib cream treatment for the first 12 weeks, followed by an open label treatment with delgocitinib cream treatment for another 12 weeks. Delgocitinib cream: Cream for topical application
Placebo - Delgocitinib
n=15 Participants
Participants were blinded and randomised to placebo cream treatment for the first 12 weeks, followed by an open label treatment with delgocitinib cream treatment for another 12 weeks. Delgocitinib cream: Cream for topical application Delgocitinib cream vehicle: The cream vehicle is similar to the delgocitinib cream except that it does not contain any active ingredient.
No Treatment
n=5 Participants
Participants did not receive any treatment. They will only provide a molecular signature of healthy skin to act as a control.
Total
n=35 Participants
Total of all reporting groups
Age, Continuous
66.2 years
STANDARD_DEVIATION 6.82 • n=99 Participants
62.6 years
STANDARD_DEVIATION 12.64 • n=107 Participants
67.4 years
STANDARD_DEVIATION 9.81 • n=206 Participants
64.8 years
STANDARD_DEVIATION 10.0 • n=7 Participants
Sex: Female, Male
Female
15 Participants
n=99 Participants
15 Participants
n=107 Participants
5 Participants
n=206 Participants
35 Participants
n=7 Participants
Sex: Female, Male
Male
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
0 Participants
n=7 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
2 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
2 Participants
n=7 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
13 Participants
n=99 Participants
15 Participants
n=107 Participants
5 Participants
n=206 Participants
33 Participants
n=7 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
0 Participants
n=7 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
0 Participants
n=7 Participants
Race (NIH/OMB)
Asian
1 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
1 Participants
n=7 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
0 Participants
n=7 Participants
Race (NIH/OMB)
Black or African American
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
0 Participants
n=7 Participants
Race (NIH/OMB)
White
14 Participants
n=99 Participants
15 Participants
n=107 Participants
5 Participants
n=206 Participants
34 Participants
n=7 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
0 Participants
n=7 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
0 Participants
n=7 Participants
Region of Enrollment
United States
15 participants
n=99 Participants
15 participants
n=107 Participants
5 participants
n=206 Participants
35 participants
n=7 Participants
Height (cm)
163.34 units on a scale
STANDARD_DEVIATION 7.557 • n=99 Participants
162.49 units on a scale
STANDARD_DEVIATION 6.970 • n=107 Participants
165.20 units on a scale
STANDARD_DEVIATION 8.415 • n=206 Participants
163.24 units on a scale
STANDARD_DEVIATION 7.257 • n=7 Participants
Weight (kg)
68.41 units on a scale
STANDARD_DEVIATION 15.245 • n=99 Participants
75.41 units on a scale
STANDARD_DEVIATION 16.503 • n=107 Participants
72.40 units on a scale
STANDARD_DEVIATION 17.418 • n=206 Participants
71.98 units on a scale
STANDARD_DEVIATION 15.950 • n=7 Participants

PRIMARY outcome

Timeframe: Baseline and Week 12

Population: No data was collected for "No Treatment" Arm/Groups".

CXCL9, CXCL10 and IFN-γ are small proteins that act as chemical messengers, especially in the immune system.

Outcome measures

Outcome measures
Measure
Delgocitinib - Delgocitinib
n=15 Participants
Participants were blinded and randomised to delgocitinib cream treatment for the first 12 weeks, followed by an open label treatment with delgocitinib cream treatment for another 12 weeks. Delgocitinib cream: Cream for topical application
Placebo - Delgocitinib
n=15 Participants
Participants were blinded and randomised to placebo cream treatment for the first 12 weeks, followed by an open label treatment with delgocitinib cream treatment for another 12 weeks. Delgocitinib cream: Cream for topical application Delgocitinib cream vehicle: The cream vehicle is similar to the delgocitinib cream except that it does not contain any active ingredient.
No Treatment
Participants did not receive any treatment. They will only provide a molecular signature of healthy skin to act as a control.
Change in Expression of Chemokine (C-X-C Motif) Ligand 9 (CXCL9), Chemokine (C-X-C Motif) Ligand 10 (CXCL10), and Interferon (IFN)-γ From Baseline to Week 12.
Chemokine (C-X-C motif) ligand 10 (CXCL10)
-2.60 Fold-changes
-1.10 Fold-changes
Change in Expression of Chemokine (C-X-C Motif) Ligand 9 (CXCL9), Chemokine (C-X-C Motif) Ligand 10 (CXCL10), and Interferon (IFN)-γ From Baseline to Week 12.
(C-X-C motif) ligand 9 (CXCL9)
-3.10 Fold-changes
-1.12 Fold-changes
Change in Expression of Chemokine (C-X-C Motif) Ligand 9 (CXCL9), Chemokine (C-X-C Motif) Ligand 10 (CXCL10), and Interferon (IFN)-γ From Baseline to Week 12.
Interferon (IFN)-γ
-1.49 Fold-changes
-1.097 Fold-changes

SECONDARY outcome

Timeframe: Between baseline and Week 12

Population: No investigational product was administered in Cohort 2 "No Treatment" Arm/Groups" and thereby were no treatment-emergent AESIs reported in this trial for "No Treatment" Arm/Groups".

Treatment emergent adverse events (TEAEs) were defined as any AEs with onset date on or after the first study treatment dosing.

Outcome measures

Outcome measures
Measure
Delgocitinib - Delgocitinib
n=15 Participants
Participants were blinded and randomised to delgocitinib cream treatment for the first 12 weeks, followed by an open label treatment with delgocitinib cream treatment for another 12 weeks. Delgocitinib cream: Cream for topical application
Placebo - Delgocitinib
n=15 Participants
Participants were blinded and randomised to placebo cream treatment for the first 12 weeks, followed by an open label treatment with delgocitinib cream treatment for another 12 weeks. Delgocitinib cream: Cream for topical application Delgocitinib cream vehicle: The cream vehicle is similar to the delgocitinib cream except that it does not contain any active ingredient.
No Treatment
Participants did not receive any treatment. They will only provide a molecular signature of healthy skin to act as a control.
Number of Treatment-emergent Adverse Events (TEAEs) From Baseline to Week 12.
4 events
9 events

Adverse Events

Delgocitinib - Delgocitinib

Serious events: 0 serious events
Other events: 6 other events
Deaths: 0 deaths

Placebo - Delgocitinib

Serious events: 0 serious events
Other events: 10 other events
Deaths: 0 deaths

No Treatment

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

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
Delgocitinib - Delgocitinib
n=15 participants at risk
Participants were blinded and randomised to delgocitinib cream treatment for the first 12 weeks, followed by an open label treatment with delgocitinib cream treatment for another 12 weeks. Delgocitinib cream: Cream for topical application
Placebo - Delgocitinib
n=15 participants at risk
Participants were blinded and randomised to placebo cream treatment for the first 12 weeks, followed by an open label treatment with delgocitinib cream treatment for another 12 weeks. Delgocitinib cream: Cream for topical application Delgocitinib cream vehicle: The cream vehicle is similar to the delgocitinib cream except that it does not contain any active ingredient.
No Treatment
Participants did not receive any treatment. They only provided a molecular signature of healthy skin to act as a control.
General disorders
Pain
6.7%
1/15 • Number of events 1 • Baseline and week 12
No investigational product was administered for 'No Treatment' Arm/Groups; and thus collection of adverse events did not occur for the participants in this group.
0.00%
0/15 • Baseline and week 12
No investigational product was administered for 'No Treatment' Arm/Groups; and thus collection of adverse events did not occur for the participants in this group.
0/0 • Baseline and week 12
No investigational product was administered for 'No Treatment' Arm/Groups; and thus collection of adverse events did not occur for the participants in this group.
Infections and infestations
COVID-19
6.7%
1/15 • Number of events 1 • Baseline and week 12
No investigational product was administered for 'No Treatment' Arm/Groups; and thus collection of adverse events did not occur for the participants in this group.
46.7%
7/15 • Number of events 7 • Baseline and week 12
No investigational product was administered for 'No Treatment' Arm/Groups; and thus collection of adverse events did not occur for the participants in this group.
0/0 • Baseline and week 12
No investigational product was administered for 'No Treatment' Arm/Groups; and thus collection of adverse events did not occur for the participants in this group.
Infections and infestations
Pneumonia
0.00%
0/15 • Baseline and week 12
No investigational product was administered for 'No Treatment' Arm/Groups; and thus collection of adverse events did not occur for the participants in this group.
6.7%
1/15 • Number of events 1 • Baseline and week 12
No investigational product was administered for 'No Treatment' Arm/Groups; and thus collection of adverse events did not occur for the participants in this group.
0/0 • Baseline and week 12
No investigational product was administered for 'No Treatment' Arm/Groups; and thus collection of adverse events did not occur for the participants in this group.
Infections and infestations
Upper respiratory tract infection
0.00%
0/15 • Baseline and week 12
No investigational product was administered for 'No Treatment' Arm/Groups; and thus collection of adverse events did not occur for the participants in this group.
6.7%
1/15 • Number of events 1 • Baseline and week 12
No investigational product was administered for 'No Treatment' Arm/Groups; and thus collection of adverse events did not occur for the participants in this group.
0/0 • Baseline and week 12
No investigational product was administered for 'No Treatment' Arm/Groups; and thus collection of adverse events did not occur for the participants in this group.
Injury, poisoning and procedural complications
Arthropod bite
6.7%
1/15 • Number of events 1 • Baseline and week 12
No investigational product was administered for 'No Treatment' Arm/Groups; and thus collection of adverse events did not occur for the participants in this group.
0.00%
0/15 • Baseline and week 12
No investigational product was administered for 'No Treatment' Arm/Groups; and thus collection of adverse events did not occur for the participants in this group.
0/0 • Baseline and week 12
No investigational product was administered for 'No Treatment' Arm/Groups; and thus collection of adverse events did not occur for the participants in this group.
Injury, poisoning and procedural complications
Incision site rash
6.7%
1/15 • Number of events 1 • Baseline and week 12
No investigational product was administered for 'No Treatment' Arm/Groups; and thus collection of adverse events did not occur for the participants in this group.
0.00%
0/15 • Baseline and week 12
No investigational product was administered for 'No Treatment' Arm/Groups; and thus collection of adverse events did not occur for the participants in this group.
0/0 • Baseline and week 12
No investigational product was administered for 'No Treatment' Arm/Groups; and thus collection of adverse events did not occur for the participants in this group.
Injury, poisoning and procedural complications
Procedural pain
6.7%
1/15 • Number of events 1 • Baseline and week 12
No investigational product was administered for 'No Treatment' Arm/Groups; and thus collection of adverse events did not occur for the participants in this group.
0.00%
0/15 • Baseline and week 12
No investigational product was administered for 'No Treatment' Arm/Groups; and thus collection of adverse events did not occur for the participants in this group.
0/0 • Baseline and week 12
No investigational product was administered for 'No Treatment' Arm/Groups; and thus collection of adverse events did not occur for the participants in this group.
Investigations
Antinuclear antibody positive
0.00%
0/15 • Baseline and week 12
No investigational product was administered for 'No Treatment' Arm/Groups; and thus collection of adverse events did not occur for the participants in this group.
6.7%
1/15 • Number of events 1 • Baseline and week 12
No investigational product was administered for 'No Treatment' Arm/Groups; and thus collection of adverse events did not occur for the participants in this group.
0/0 • Baseline and week 12
No investigational product was administered for 'No Treatment' Arm/Groups; and thus collection of adverse events did not occur for the participants in this group.
Metabolism and nutrition disorders
Hyperlipidaemia
0.00%
0/15 • Baseline and week 12
No investigational product was administered for 'No Treatment' Arm/Groups; and thus collection of adverse events did not occur for the participants in this group.
6.7%
1/15 • Number of events 1 • Baseline and week 12
No investigational product was administered for 'No Treatment' Arm/Groups; and thus collection of adverse events did not occur for the participants in this group.
0/0 • Baseline and week 12
No investigational product was administered for 'No Treatment' Arm/Groups; and thus collection of adverse events did not occur for the participants in this group.
Metabolism and nutrition disorders
Hyponatraemia
6.7%
1/15 • Number of events 1 • Baseline and week 12
No investigational product was administered for 'No Treatment' Arm/Groups; and thus collection of adverse events did not occur for the participants in this group.
0.00%
0/15 • Baseline and week 12
No investigational product was administered for 'No Treatment' Arm/Groups; and thus collection of adverse events did not occur for the participants in this group.
0/0 • Baseline and week 12
No investigational product was administered for 'No Treatment' Arm/Groups; and thus collection of adverse events did not occur for the participants in this group.
Musculoskeletal and connective tissue disorders
Back pain
6.7%
1/15 • Number of events 1 • Baseline and week 12
No investigational product was administered for 'No Treatment' Arm/Groups; and thus collection of adverse events did not occur for the participants in this group.
0.00%
0/15 • Baseline and week 12
No investigational product was administered for 'No Treatment' Arm/Groups; and thus collection of adverse events did not occur for the participants in this group.
0/0 • Baseline and week 12
No investigational product was administered for 'No Treatment' Arm/Groups; and thus collection of adverse events did not occur for the participants in this group.
Musculoskeletal and connective tissue disorders
Fibromyalgia
0.00%
0/15 • Baseline and week 12
No investigational product was administered for 'No Treatment' Arm/Groups; and thus collection of adverse events did not occur for the participants in this group.
6.7%
1/15 • Number of events 1 • Baseline and week 12
No investigational product was administered for 'No Treatment' Arm/Groups; and thus collection of adverse events did not occur for the participants in this group.
0/0 • Baseline and week 12
No investigational product was administered for 'No Treatment' Arm/Groups; and thus collection of adverse events did not occur for the participants in this group.
Musculoskeletal and connective tissue disorders
Sjogren's syndrome
6.7%
1/15 • Number of events 1 • Baseline and week 12
No investigational product was administered for 'No Treatment' Arm/Groups; and thus collection of adverse events did not occur for the participants in this group.
0.00%
0/15 • Baseline and week 12
No investigational product was administered for 'No Treatment' Arm/Groups; and thus collection of adverse events did not occur for the participants in this group.
0/0 • Baseline and week 12
No investigational product was administered for 'No Treatment' Arm/Groups; and thus collection of adverse events did not occur for the participants in this group.
Musculoskeletal and connective tissue disorders
Trigger finger
0.00%
0/15 • Baseline and week 12
No investigational product was administered for 'No Treatment' Arm/Groups; and thus collection of adverse events did not occur for the participants in this group.
6.7%
1/15 • Number of events 1 • Baseline and week 12
No investigational product was administered for 'No Treatment' Arm/Groups; and thus collection of adverse events did not occur for the participants in this group.
0/0 • Baseline and week 12
No investigational product was administered for 'No Treatment' Arm/Groups; and thus collection of adverse events did not occur for the participants in this group.
Nervous system disorders
Headache
6.7%
1/15 • Number of events 1 • Baseline and week 12
No investigational product was administered for 'No Treatment' Arm/Groups; and thus collection of adverse events did not occur for the participants in this group.
0.00%
0/15 • Baseline and week 12
No investigational product was administered for 'No Treatment' Arm/Groups; and thus collection of adverse events did not occur for the participants in this group.
0/0 • Baseline and week 12
No investigational product was administered for 'No Treatment' Arm/Groups; and thus collection of adverse events did not occur for the participants in this group.
Reproductive system and breast disorders
Vulvovaginal dryness
0.00%
0/15 • Baseline and week 12
No investigational product was administered for 'No Treatment' Arm/Groups; and thus collection of adverse events did not occur for the participants in this group.
6.7%
1/15 • Number of events 1 • Baseline and week 12
No investigational product was administered for 'No Treatment' Arm/Groups; and thus collection of adverse events did not occur for the participants in this group.
0/0 • Baseline and week 12
No investigational product was administered for 'No Treatment' Arm/Groups; and thus collection of adverse events did not occur for the participants in this group.
Skin and subcutaneous tissue disorders
Actinic keratosis
6.7%
1/15 • Number of events 1 • Baseline and week 12
No investigational product was administered for 'No Treatment' Arm/Groups; and thus collection of adverse events did not occur for the participants in this group.
0.00%
0/15 • Baseline and week 12
No investigational product was administered for 'No Treatment' Arm/Groups; and thus collection of adverse events did not occur for the participants in this group.
0/0 • Baseline and week 12
No investigational product was administered for 'No Treatment' Arm/Groups; and thus collection of adverse events did not occur for the participants in this group.
Skin and subcutaneous tissue disorders
Hand dermatitis
0.00%
0/15 • Baseline and week 12
No investigational product was administered for 'No Treatment' Arm/Groups; and thus collection of adverse events did not occur for the participants in this group.
6.7%
1/15 • Number of events 1 • Baseline and week 12
No investigational product was administered for 'No Treatment' Arm/Groups; and thus collection of adverse events did not occur for the participants in this group.
0/0 • Baseline and week 12
No investigational product was administered for 'No Treatment' Arm/Groups; and thus collection of adverse events did not occur for the participants in this group.

Additional Information

Clinical Disclosure

Leo Pharma

Phone: +4544945888

Results disclosure agreements

  • Principal investigator is a sponsor employee The sponsor seeks publication of all clinical trials in peer-reviewed journals within 12 months after completion or termination of the clinical trial, regardless of whether the findings are positive or negative. If no publication is submitted by the sponsor within these 12 months, the investigator has the right to publish the results from clinical trial generated by him/herself.
  • Publication restrictions are in place

Restriction type: OTHER