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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT05764161
Registration number
NCT05764161
Ethics application status
Date submitted
1/03/2023
Date registered
10/03/2023
Titles & IDs
Public title
A Study to Evaluate the Efficacy and Safety of Ruxolitinib Cream in Participants With Prurigo Nodularis (PN)
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Scientific title
A Phase 3, Double-Blind, Randomized, Vehicle-Controlled, Efficacy and Safety Study of Ruxolitinib Cream in Participants With Prurigo Nodularis
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Secondary ID [1]
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INCB18424-320
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Universal Trial Number (UTN)
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Trial acronym
TRuE-PN2
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Prurigo Nodularis
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Condition category
Condition code
Skin
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Dermatological conditions
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Intervention/exposure
Study type
Interventional(has expanded access)
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Description of intervention(s) / exposure
Treatment: Drugs - Ruxolitinib Cream
Treatment: Drugs - Vehicle Cream
Experimental: Ruxolitinib 1.5% Cream - Participants apply ruxolitinib 1.5% cream topically to the affected areas as a thin film BID for 12 weeks during the DBVC period. Participants who have completed the treatment during DBVC period will enter the open label extension (OLE) period for up to 40 weeks.
Placebo comparator: Vehicle Cream - Participants apply ruxolitinib matching vehicle cream topically to the affected areas as a thin film twice daily (BID) for 12 weeks during the DBVC period. Participants who have completed the treatment during DBVC period will enter the open label extension (OLE) period for up to 40 weeks.
Treatment: Drugs: Ruxolitinib Cream
Ruxolitinib cream 1.5% twice daily (BID) during the continuous and open label treatment period.
Treatment: Drugs: Vehicle Cream
Ruxolitinib matching vehicle cream 1.5% twice daily (BID) during the vehicle-controlled period.
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Intervention code [1]
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Treatment: Drugs
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Comparator / control treatment
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Control group
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Outcomes
Primary outcome [1]
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Worst-Itch Numeric Rating Scale (WI-NRS) = 4-point improvement in WI-NRS score Response
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Assessment method [1]
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Defined as achieving a = 4-point improvement (reduction) in Worst Itch Numeric Rating Scale (WI-NRS) score from baseline.
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Timepoint [1]
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Week 12
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Secondary outcome [1]
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WI-NRS4 Response
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Assessment method [1]
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Defined as achieving a = 4-point improvement (reduction) in WI-NRS score from baseline.
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Timepoint [1]
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Week 4
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Secondary outcome [2]
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Overall Treatment Success (TS)
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Assessment method [2]
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Defined as achieving both a WI-NRS4 response and an Investigator's Global Assessment for Stage of Chronic Prurigo Treatment Success (IGA-CPG-S-TS).
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Timepoint [2]
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Week 12
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Secondary outcome [3]
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IGA-CPG-S-TS
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Assessment method [3]
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Defined as an IGA-CPG-S score of 0 or 1 with a = 2 grade improvement from baseline
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Timepoint [3]
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Week 12
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Secondary outcome [4]
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WI-NRS4 Response
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Assessment method [4]
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Defined as achieving a = 4-point improvement (reduction) in WI-NRS score from baseline.
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Timepoint [4]
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Day 7
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Secondary outcome [5]
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Proportion of participants with WI-NRS4 at each postbaseline visit.
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Assessment method [5]
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Defined as percentage of participants that achieve a = 4-point improvement in WI-NRS score
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Timepoint [5]
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Up to 52 weeks
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Secondary outcome [6]
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Change from baseline in WI-NRS score
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Assessment method [6]
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Defined as change in Intensity of itch. Itch will be measured using an NRS used to indicate the intensity of the worst itching over the past 24 hours using a 0 to 10 numeric rating scale, where "0" represents "no itching" and "10" represents "worst itching imaginable".
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Timepoint [6]
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Up to 52 weeks
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Secondary outcome [7]
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Time to = 2-point improvement from baseline in WI-NRS score
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Assessment method [7]
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Participants rate pruritus daily on Worst Itch \[pruritis\] Numerical Rating Scale (0=no pruritus; 10=worst imaginable pruritus)
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Timepoint [7]
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Up to 52 weeks
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Secondary outcome [8]
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Time to = 4-point improvement from baseline in WI-NRS score
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Assessment method [8]
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Defined as time taken for the participant to achieve a =4 improvement in NRS scale compared to baseline
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Timepoint [8]
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Up to 52 weeks
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Secondary outcome [9]
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Skin pain response, defined as a = 2-point improvement in Skin Pain NRS score
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Assessment method [9]
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Itch NRS is an 11-point scale (0 to 10) where 0 is "no itch" and 10 is the "worst itch imaginable".
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Timepoint [9]
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Skin pain response, defined as a = 2-point improvement in Skin Pain NRS score
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Secondary outcome [10]
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Change from baseline in Skin Pain NRS score
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Assessment method [10]
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Itch NRS is an 11-point scale (0 to 10) where 0 is "no itch" and 10 is the "worst itch imaginable".
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Timepoint [10]
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Up to 52 weeks
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Secondary outcome [11]
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IGA-TS response, defined as achieving IGA TS at each postbaseline visit.
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Assessment method [11]
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The IGA-CPG-s for chronic prurigo nodularis considers the number of nodules, also referred to as lesions, and uses them to determine an overall severity rating on a 5-point scale ranging from 0 (clear skin) to 4 (severe).
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Timepoint [11]
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Up to 56 weeks
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Secondary outcome [12]
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IGA-CPG-A 0 or 1 response, defined as achieving an IGA score of 0 or 1 at each postbaseline visit.
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Assessment method [12]
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The IGA-CPG-A is an overall PN severity rating on a 5-point scale ranging from 0 (clear skin) to 4 (severe disease). The IGA-CPG-A score is based on disease activity based on % of PN lesions with excoriations or crusts.
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Timepoint [12]
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Up to 56 weeks
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Secondary outcome [13]
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> 75% healed lesions from baseline in PAS at each postbaseline visit.
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Assessment method [13]
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PAS includes 5 items; descriptive of the type, predominant type, distribution, and quantity of pruriginous lesions, and disease activity in terms of percentage of pruriginous lesions with excoriations/crusts on top.
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Timepoint [13]
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Up to 56 weeks
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Secondary outcome [14]
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Number of Treatment-emergent adverse events (TEAEs)
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Assessment method [14]
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TEAE defined as any adverse event either reported for the first time or worsening of a pre-existing event after first dose of study drug.
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Timepoint [14]
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Up to 56 weeks
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Secondary outcome [15]
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Change from baseline in Dermatology Life Quality Index (DLQI) score at each postbaseline visit.
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Assessment method [15]
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The DLQI is a simple, 10-question validated questionnaire to measure how much the skin problem has affected the participant over the previous 7 days
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Timepoint [15]
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Up to 56 weeks
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Secondary outcome [16]
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Change from baseline in EQ-5D-5L score at each postbaseline visit.
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Assessment method [16]
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The EQ-5D-5L questionnaire is a standardized, validated instrument for use as a measure of health outcome
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Timepoint [16]
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Up to 56 weeks
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Eligibility
Key inclusion criteria
* Clinical diagnosis of PN = 3 months before screening.
* = 6 pruriginous lesions on = 2 different body areas (such as right and left leg) at screening and baseline having a treatment area <20% BSA.
* IGA-CPG-S score of = 2 at screening and baseline.
* Baseline PN-related WI-NRS score = 7.
* Willingness to avoid pregnancy or fathering children.
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Minimum age
18
Years
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Maximum age
99
Years
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
* Chronic pruritus due to a condition other than PN
* Total estimated BSA treatment area (excluding the scalp) > 20%.
* Neuropathic and psychogenic pruritus
* Active atopic dermatitis lesions within 3 months of screening and baseline.
* Uncontrolled thyroid function
* Concurrent skin or other serious or unstable medical conditions which may interfere with the evaluation of PN such as immunocompromised status, acute/chronic infections, active malignancy, history of TB, history of DVT/VTE, etc Protocol defined abnormal laboratory results.
* Use of any protocol-defined prohibited medication unless a washout is completed or use of medication known to cause itching.
* Psoralen and ultraviolet A or ultraviolet B therapy within 4 weeks before baseline or Ultraviolet light therapy or prolonged exposure to natural or artificial sources of ultraviolet radiation (within 2 weeks before baseline
* Pregnant or lactating, or considering pregnancy.
* History of alcoholism or drug addiction within 1 year
* Known allergy or reaction to any of the components of the study drug.
* Committed to a mental health institution by virtue of an order issued either by the judicial or the administrative authorities.
* Employees of the sponsor or investigator or otherwise dependents of them.
* The following participants are excluded in France:
1. Vulnerable populations according to article L.1121-6 of the French Public Health Code.
2. Adults under legal protection or who are unable to express their consent per article L.1121-8 of the French Public Health Code.
3. Individuals not affiliated with the social security system.
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
Blinded (masking used)
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Who is / are masked / blinded?
The people receiving the treatment/s
The people administering the treatment/s
The people assessing the outcomes
The people analysing the results/data
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Intervention assignment
Parallel
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Other design features
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Phase
Phase 3
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Type of endpoint/s
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Statistical methods / analysis
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Recruitment
Recruitment status
Recruiting
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Data analysis
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Reason for early stopping/withdrawal
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Other reasons
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Date of first participant enrolment
Anticipated
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Actual
12/06/2023
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
5/08/2025
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Actual
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Sample size
Target
180
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
NSW,QLD,VIC
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Recruitment hospital [1]
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Premier Specialists Pty Ltd - Kogarah
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Recruitment hospital [2]
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Novatrials - Kotara
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Recruitment hospital [3]
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Liverpool Hospital - Liverpool
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Recruitment hospital [4]
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Holdsworth House Medical Practice - Sydney
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Recruitment hospital [5]
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Westmead Hospital - Sydney
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Recruitment hospital [6]
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Veracity Clinical Research - Woolloongabba
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Recruitment hospital [7]
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The Alfred Hospital - Melbourne
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Recruitment hospital [8]
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Paratus Clinical Research, Woden - Phillip
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Recruitment postcode(s) [1]
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02217 - Kogarah
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Recruitment postcode(s) [2]
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02289 - Kotara
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Recruitment postcode(s) [3]
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02170 - Liverpool
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Recruitment postcode(s) [4]
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02010 - Sydney
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Recruitment postcode(s) [5]
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02145 - Sydney
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Recruitment postcode(s) [6]
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04102 - Woolloongabba
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Recruitment postcode(s) [7]
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03004 - Melbourne
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Recruitment postcode(s) [8]
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02606 - Phillip
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Recruitment outside Australia
Country [1]
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United States of America
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State/province [1]
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Alabama
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United States of America
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Arkansas
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United States of America
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California
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United States of America
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Florida
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United States of America
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Georgia
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United States of America
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Indiana
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United States of America
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Maryland
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United States of America
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Massachusetts
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United States of America
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Ohio
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United States of America
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Pennsylvania
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United States of America
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Texas
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Austria
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State/province [12]
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Graz
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Austria
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Linz
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Austria
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Vienna
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Bulgaria
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Pleven
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Bulgaria
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Ruse
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Bulgaria
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Sevlievo
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Bulgaria
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Sofia
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Bulgaria
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Stara Zagora
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Canada
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Ontario
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Canada
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Quebec
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Denmark
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Hellerup
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Denmark
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Roskilde
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France
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Bordeaux
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France
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Dijon
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France
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Lyon
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France
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Nice Cedex 3
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France
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Poitiers Cedex
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France
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Salouel
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Germany
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Bielefeld
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Germany
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Frankfurt Am Main
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Germany
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Göttingen
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Germany
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State/province [33]
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Mahlow
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Germany
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Muenster
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Italy
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Milano
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Italy
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Napoli
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Italy
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Perugia
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Italy
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Pisa
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Italy
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Rome
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Korea, Republic of
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Seoul
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Korea, Republic of
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Suwon
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Poland
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Krakow
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Poland
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Lodz
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Poland
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Lublin
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Poland
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Malbork
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Poland
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Poznan
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Poland
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Wroclaw
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Spain
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Badalona
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Spain
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Las Palmas de Gran Canaria
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Spain
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Madrid
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Spain
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Santiago de Compostela
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Switzerland
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Buochs
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Switzerland
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Lausanne
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Switzerland
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Zurich-flughafen
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Funding & Sponsors
Primary sponsor type
Commercial sector/industry
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Name
Incyte Corporation
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Address
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Country
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Ethics approval
Ethics application status
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Summary
Brief summary
The purpose of this study is to evaluate the safety and tolerability of Ruxolitinib cream in participants with Prurigo Nodularis (PN).
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Trial website
https://clinicaltrials.gov/study/NCT05764161
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Address
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Country
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Phone
0
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Fax
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Email
0
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Contact person for public queries
Name
0
0
Incyte Corporation Call Center (US)
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Address
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Country
0
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Phone
0
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1.855.463.3463
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Fax
0
0
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Email
0
0
[email protected]
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Contact person for scientific queries
Data sharing statement
Will individual participant data (IPD) for this trial be available (including data dictionaries)?
Yes
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What data in particular will be shared?
Incyte shares data with qualified external researchers after a research proposal is submitted. These requests are reviewed and approved by a review panel on the basis of scientific merit. All data provided is anonymized to respect the privacy of patients who have participated in the trial in line with applicable laws and regulations. The trial data availability is according to the criteria and process described on https://www.incyte.com/our-company/compliance-and-transparency
Supporting document/s available: Study protocol, Statistical analysis plan (SAP)
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When will data be available (start and end dates)?
Data will be shared after the primary publication or 2 years after the study has ended for market authorized products and indications.
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Available to whom?
Data from eligible studies will be shared with qualified researchers according to the criteria and process described in the Data Sharing section of the www.incyteclinicaltrials.com website. For approved requests, the researchers will be granted access to anonymized data under the terms of a data sharing agreement.
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Available for what types of analyses?
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How or where can data be obtained?
IPD available at link: https://www.incyte.com/our-company/compliance-and-transparency
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What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
No documents have been uploaded by study researchers.
Results not provided in
https://clinicaltrials.gov/study/NCT05764161