AzTrials
AzTrials

Hidradenitis SuppurativaPhase 2NCT03852472

Evaluation of Safety and Efficacy of Avacopan in Subjects With Moderate to Severe Hidradenitis Suppurativa (AURORA)

A Phase 2 study testing Avacopan in people with Hidradenitis Suppurativa and Acne Inversa, run by Amgen at 91 sites in United States.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
Search all trials

Trial summary

Phase 2 study of Avacopan in Subjects with Moderate to Severe Hidradenitis Suppurativa Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Hidradenitis Suppurativa, Acne Inversa
What is being tested?
Avacopan
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
435 participants
Where
91 sitesUnited States
Study dates
21 Dec 2018to 9 Mar 2021
Phase
Phase 2
Are there results?
Yes, posted in the registrySummary in the doctors' view

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • At least 18 years of age
  • Clinical diagnosis of HS (Hurley Stage II or III), confirmed by a dermatologist, for at least 6 months prior to Screening
  • HS lesions are present in at least 2 distinct anatomic areas
  • Inadequate or loss of response to a systemic course of antibiotics typically of at least 90 days
  • Must have at least 5 inflammatory nodules or abscesses at screening
  • Use adequate birth control for subject and partners of child bearing potential
  • Willing and able to give written Informed Consent

Who cannot join

  • Pregnant or breast-feeding
  • Any other skin disease that may interfere with the assessment of HS
  • Rapidly progressive, expanding HS within 30 days prior to screening
  • More than 20 draining fistulae at screening
  • Any anti-TNF-α treatment for HS or for other conditions prior to Day 1 visit will be prohibited. Exception: Subjects who were previously treated with an anti-TNF-α drug and discontinued treatment >12 weeks prior to Day 1 visit are allowed for enrollment
  • Systemic antibiotics are generally excluded
Show all 10Show fewer
  • Topical antibiotics use within 14 days prior to Day 1 is excluded
  • Have started a topical prescription medicine for HS within 14 days prior to screening
  • A systemic medicine for HS, including biologics and other systemic therapies
  • Have received within 14 days prior to Day 1 visit or is expected to require oral or transdermal opioid analgesics (except for tramadol) for any reason

Trial locations and contacts

91 sites in 1 country.

91 sites in 1 country

United States91 sites
  • Clinical Site

    Athens, Ohio, 45701

  • Clinical Site

    Atlanta, Georgia, 30322

  • Clinical Site

    Austin, Texas, 78660

  • Clinical Site

    Austin, Texas, 78745

  • Clinical Site

    Beverly, Massachusetts, 01915

  • Clinical Site

    Bexley, Ohio, 43209

  • Clinical Site

    Birmingham, Alabama, 35233

  • Clinical Site

    Birmingham, Alabama, 35244

  • Clinical Site

    Boca Raton, Florida, 33486

  • Clinical Site

    Boise, Idaho, 83713

  • Clinical Site

    Boston, Massachusetts, 02101

  • Clinical Site

    Chapel Hill, North Carolina, 27516

  • Clinical Site

    Charleston, South Carolina, 29407

  • Clinical Site

    Charlotte, North Carolina, 028277

  • Clinical Site

    Charlotte, North Carolina, 28209

  • Clinical Site

    Charlotte, North Carolina, 28277

  • Clinical Site

    Clarkston, Michigan, 48346

  • Clinical Site

    Clearwater, Florida, 33765

  • Clinical Site

    Cleveland, Ohio, 44106

  • Clinical Site

    Crown Point, Indiana, 46307

  • Clinical Site

    Dallas, Texas, 75231

  • Clinical Site

    Drexel Hill, Pennsylvania, 19026

  • Clinical Site

    Evansville, Indiana, 47715

  • Clinical Site

    Fort Gratiot, Michigan, 48059

  • Clinical Site

    Fort Smith, Arkansas, 72916

  • Clinical Site

    Fountain Valley, California, 92708

  • Clinical Site

    Fremont, California, 94538

  • Clinical Site

    Fullerton, California, 92821

  • Clinical Site

    Hershey, Pennsylvania, 17033

  • Clinical Site

    Hialeah, Florida, 33016

  • Clinical Site

    Hollywood, Florida, 33021

  • Clinical Site

    Homestead, Florida, 33030

  • Clinical Site

    Houston, Texas, 77054

  • Clinical Site

    Houston, Texas, 77056

  • Clinical Site

    Houston, Texas, 77084

  • Clinical Site

    Huntington Beach, California, 92647

  • Clinical Site

    Indianapolis, Indiana, 46250

  • Clinical Site

    Inglewood, California, 90301

  • Clinical Site

    Largo, Maryland, 20774

  • Clinical Site

    Los Angeles, California, 90025

  • Clinical Site

    Los Angeles, California, 90045

  • Clinical Site

    Los Angeles, California, 90057

  • Clinical Site

    Louisville, Kentucky, 40217

  • Clinical Site

    Manhattan Beach, California, 90266

  • Clinical Site

    Marietta, Georgia, 30060

  • Clinical Site

    Marion, Ohio, 43302

  • Clinical Site

    Mason, Ohio, 45040

  • Clinical Site

    Metairie, Louisiana, 70006

  • Clinical Site

    Miami, Florida, 33125

  • Clinical Site

    Miami, Florida, 33144

  • Clinical Site

    Miami, Florida, 33173

  • Clinical Site

    Minneapolis, Minnesota, 55455

  • Clinical Site

    Mobile, Alabama, 36608

  • Clinical Site

    Morgantown, West Virginia, 26505

  • Clinical Site

    Nashville, Tennessee, 37215

  • Clinical Site

    New Orleans, Louisiana, 70124

  • Clinical Site

    New York, New York, 10012

  • Clinical Site

    Newnan, Georgia, 30263

  • Clinical Site

    Newport Beach, California, 92660

  • Clinical Site

    Norman, Oklahoma, 73071

  • Clinical Site

    Northridge, California, 91324

  • Clinical Site

    Ocala, Florida, 34470

  • Clinical Site

    Omaha, Nebraska, 68144

  • Clinical Site

    Orlando, Florida, 32819

  • Clinical Site

    Pembroke Pines, Florida, 33028

  • Clinical Site

    Philadelphia, Pennsylvania, 19104

  • Clinical Site

    Phoenix, Arizona, 85006

  • Clinical Site

    Portland, Oregon, 97210

  • Clinical Site

    Quincy, Massachusetts, 94598

  • Clinical Site

    Redwood City, California, 94063

  • Clinical Site

    Rochester, New York, 14623

  • Clinical Site

    Rogers, Arkansas, 72758

  • Clinical Site

    Saint Joseph, Michigan, 49085

  • Clinical Site

    San Antonio, Texas, 78218

  • Clinical Site

    Sandy Springs, Georgia, 30328

  • Clinical Site

    Scottsdale, Arizona, 85255

  • Clinical Site

    Skokie, Illinois, 60077

  • Clinical Site

    Skokie, Illinois, 60640

  • Clinical Site

    Spokane, Washington, 99202

  • Clinical Site

    St Louis, Missouri, 63110

  • Clinical Site

    Sugar Land, Texas, 77027

  • Clinical Site

    Tampa, Florida, 33603

  • Clinical Site

    Tampa, Florida, 33614

  • Clinical Site

    Tampa, Florida, 33624

  • Clinical Site

    Thousand Oaks, California, 91320

  • Clinical Site

    Troy, Michigan, 48084

  • Clinical Site

    Verona, New Jersey, 07044

  • Clinical Site

    Walnut Creek, California, 94598

  • Clinical Site

    Warwick, Rhode Island, 02886

  • Clinical Site

    Weston, Florida, 33327

  • Clinical Site

    Wilmington, North Carolina, 28401

Other trials in United States

About this study

Official title: A Randomized , Double-Blind, Placebo-Controlled, Parallel Group, Phase 2 Study to Evaluate the Safety and Efficacy of Avacopan in Subjects With Moderate to Severe Hidradenitis Suppurativa

Phase 2 study of Avacopan in Subjects with Moderate to Severe Hidradenitis Suppurativa

Read the detailed description

A Randomized, Double-Blind, Placebo-Controlled, Parallel Group, Phase 2 study in subjects with moderate to severe Hidradenitis Suppurativa.

The study is multicenter and will consist of three subject groups. Subjects will be randomized 1:1:1 to a treatment of 10mg avacopan twice daily, 30 mg avacopan twice daily or placebo twice daily for 12 weeks.

Following the 12 weeks double-blind treatment period, subjects on placebo will be re-randomized 1:1 to receive 10 mg or 30 mg avacopan twice daily for additional 24 weeks. Subjects treated with avacopan will continue to receive the same dose (either 10 mg or 30 mg twice daily) for additional 24 weeks.

Subjects will be on study treatment for 36 weeks and will be followed for 44 weeks for assessment of safety and efficacy.

Study acquired by Amgen and all disclosures were done by previous sponsor ChemoCentryx.

Primary efficacy analysis will be at 12 weeks.

Being tested
Avacopan, Placebo
Keywords
Avacopan, ChemoCentryx, Skin Disease, Inflammatory nodule, Abscess, Sinus formation, Fistula formation
Medical subject headings
Hidradenitis Suppurativa, Skin Diseases, Abscess

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • AvacopanDrug

    Also called CCX168

    Active treatment

  • PlaceboOther

    Placebo

Study groups in NCT03852472
Study groupRoleWhat they receive
Group APlacebo comparatorPlacebo twice daily (BID) for Period 1 of the study
Receives: Other: Placebo
Group BExperimentalAvacopan 10 mg twice daily (BID) for Period 1+2 of the study
Receives: Drug: Avacopan
Group CExperimentalAvacopan 30 mg twice daily (BID) for Period 1+2 of the study
Receives: Drug: Avacopan
Placebo to Avacopan 10 mgExperimentalTreatment period 2, subjects randomized to placebo during period 1 were rerandomized 1:1 to receive 10 mg or 30 mg avacopan BID in period 2.
Receives: Drug: Avacopan
Placebo to Avacopan 30 mgExperimentalTreatment period 2, subjects randomized to placebo during period 1 were rerandomized 1:1 to receive 10 mg or 30 mg avacopan BID in period 2.
Receives: Drug: Avacopan

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Percentage of Subjects Achieving Hidradenitis Suppurativa Clinical Response (HiSCR) at Week 12.

    The percentage of subjects achieving Hidradenitis Suppurativa Clinical Response (HiSCR) at Week 12 in the ITT1 population using the NRI-CMH Test. A response was defined as a reduction of at least 50 in abscess and inflammatory nodule (AN) count with no increase in abscess count and no increase in draining fistula count compared with baseline.

    The ITT1 population was defined as all subjects who were randomized at baseline and received at least 1 dose of investigational product during period 1.

    NRI- non-responder imputation; CMH- Cochran-Mantel-Haenszel. Percentage values have been reported as opposed to proportion values to allow for statistical analyses.

    Measured: Baseline to Week 12

Secondary outcomes (9)
  1. Change From Baseline in Total AN Count at Week 12

    The Change from Baseline in total AN (abscess and inflammatory nodule) count at Week 12 using MMRM and OC in the ITT1 population.

    The ITT1 population was defined as all subjects who were randomized at baseline and received at least 1 dose of investigational product during period 1.

    MMRM - mixed effects model for repeated measures; OC- observed case

    Measured: Baseline to Week 12

  2. Number of Responders Achieving at Least 30% Reduction and at Least 1 Unit Reduction From Baseline in the Subject's Global Assessment of Skin Pain (NRS30) in Subjects With a Baseline NRS of at Least 3, Evaluated at Week 12

    NRS30 = The number of responders achieving at least 30% reduction and at least 1 unit reduction from baseline in the subject's global assessment of skin pain score. Percentage is based on the number of subjects with a baseline pain score of at least 3 in each treatment group.

    Weekly averages of daily pain will be calculated based on subjects' daily diary recording of the worst pain experienced in the previous 24 hours.

    The ITT1 population was defined as all subjects who were randomized at baseline and received at least 1 dose of investigational product during period 1.

    NRI- non-responder imputation

    Measured: Baseline to Week 12

  3. Area Under the Curve From Time 0-3hrs (AUC 0-3hrs) of Metabolite M1 Plasma Concentration on Day 1

    The Area under the curve from Time 0-3hrs (AUC 0-3hrs) of Metabolite M1 plasma concentration on Day 1 in the PK population.

    PK- pharmacokinetics

    Measured: Day 1

  4. Number of Responders With Baseline Hurley Stage II Who Achieved an AN Count of 0, 1, or 2 at Week 12

    The number of responders With Baseline Hurley Stage II Who Achieved an Abscess and Inflammatory Nodule (AN) Count of 0, 1, or 2 at Week 12 using the NRI-CMH Test in the ITT1 population. Hurley Stage II disease is defined as having 1 or more widely separated recurrent abscesses with tract formation and scars.

    The ITT1 population was defined as all subjects who were randomized at baseline and received at least 1 dose of investigational product during period 1.

    Measured: Baseline and Week 12

  5. Change of IHS4 Score Relative to Baseline at Week 12.

    The ITT1 population was defined as all subjects who were randomized at baseline and received at least 1 dose of investigational product during period 1.

    IHS4 score (points) = (number of nodules multiplied by 1) + (number of abscesses multiplied by 2) + [number of draining tunnels (fistulae/sinuses) multiplied by 4]. A score of 3 or less signifies mild HS, a score of 4-10 signifies moderate HS and a score of 11 or higher signifies severe HS.

    IHS4- International HS Severity Scoring System

    Measured: Baseline and Week 12

  6. Change From Baseline in Inflammatory Nodule Count at Week 12

    A reduction in AN signifies improvement. The ITT1 population was defined as all subjects who were randomized at baseline and received at least 1 dose of investigational product during period 1.

    Measured: Baseline and Week 12

  7. Change From Baseline in Abscess Count at Week 12

    A reduction in abscess count signifies improvement. The ITT1 population was defined as all subjects who were randomized at baseline and received at least 1 dose of investigational product during period 1.

    Measured: Baseline and Week 12

  8. Change From Baseline in Draining Fistula Count at Week 12

    The ITT1 population was defined as all subjects who were randomized at baseline and received at least 1 dose of investigational product during period 1.

    Measured: Baseline and Week 2, Week 4, Week 8 and Week 12

  9. Change From Baseline to Week 12 in the Modified Sartorius Score to Quantify the Severity Change of HS

    Twelve body areas will be evaluated to calculate the Sartorius and modified Sartorius scores: left and right axillae, left and right inframammary areas, intermammary area, left and right buttocks, left and right inguinocrural folds, perianal area, perineal area, and other. The presence of nodules, abscesses, fistulae, scars, and other findings will be recorded. The longest distance between two lesions and whether lesions are separated by normal skin is recorded. A score of 4 indicates the least severe disease, and higher scores indicate increasingly severe disease. There is no upper limit in the score. The ITT1 population was defined as all subjects who were randomized at baseline and received at least 1 dose of investigational product during period 1.

    Measured: Baseline and Week 2, Week 4, Week 8 and Week 12

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted25 Feb 2019
  2. Study start21 Dec 2018
  3. Primary completion14 Jan 2021
  4. Study completion9 Mar 2021

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Double blind
Who is masked
Participant, Investigator
Enrolment
435 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT03852472
Sponsor's protocol ID
CL016_168
Status last verified
Feb 2025
First submitted
22 Feb 2019
Last updated
17 Mar 2025
Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
Yes: De-identified individual patient data for variables necessary to address the specific research question in an approved data sharing request.

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing Avacopan in people with Hidradenitis Suppurativa and Acne Inversa, run by Amgen at 91 sites in United States.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 7 inclusion and 10 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 17 Mar 2025. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 91 sites in United States. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

Yes. Results are posted in the registry (first posted 15 Mar 2024). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Percentage of Subjects Achieving Hidradenitis Suppurativa Clinical Response (HiSCR) at Week 12. (time frame: Baseline to Week 12). It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 17 Mar 2025.

Free account

Log in to keep searching

You’ve used your 3 free searches. AzTrials is free: log in or create a free account to keep searching clinical trials and save the ones you want to follow.

Create a free accountLog in