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Alopecia AreataPhase 3THRIVE-AA2NCT04797650

Study to Evaluate the Efficacy and Safety of CTP-543 in Adults With Moderate to Severe Alopecia Areata (THRIVE-AA2)

A Phase 3 study testing CTP-543 in people with Alopecia Areata, run by Concert Pharmaceuticals at 63 sites in 7 countries.

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

This study evaluates the safety and effectiveness of an investigational study drug (called CTP-543) in adults (18 years and older) who have 50% or greater scalp hair loss. Read more about this study

Who is it for?
Ages 18 to 65 years
Conditions the study is for
Alopecia Areata
What is being tested?
CTP-543
Type of treatment
Pill or oral medicine
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
517 participants
Where
63 sitesin 7 countries
Study dates
10 Jun 2021to 29 Jun 2022
Phase
Phase 3
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 to 65 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Clinical presentation compatible with alopecia areata with a current episode lasting at least 6 months and not exceeding 10 years at the time of Screening. Total disease duration greater than 10 years is permitted.
  • At least 50% scalp hair loss, as defined by a Severity of Alopecia Tool (SALT) score ≥50, at Screening and Baseline.
  • Willing to comply with the study visits and requirements of the study protocol.

Who cannot join

  • Treatment with other medications or agents within 1 month of Baseline or during the study that may affect hair regrowth or immune response.
  • Active scalp inflammation, psoriasis, or seborrheic dermatitis requiring topical treatment to the scalp, significant trauma to the scalp, or other scalp condition that may interfere with the SALT assessment, or untreated actinic keratosis anywhere on the body at Screening and/or Baseline.
  • Treatment with systemic immunosuppressive medications within 3 months of Screening or during the study, or biologics within 6 months of Screening or during the study.
  • Females who are nursing, pregnant, or planning to become pregnant while in the study, and for 30 days after last dose of study drug.
  • Clinically significant medical condition, psychiatric disease, or social condition, as determined by the Investigator, that may unfavorably alter the risk-benefit of study participation, adversely affect study compliance, or confound interpretation of study results.

Trial locations and contacts

63 sites in 7 countries.

63 sites in 7 countries

United States25 sites
  • MetroBoston Clinical Partners, LLC

    Brighton, Massachusetts, 02135

  • The Rector and Visitors of the University of Virginia

    Charlottesville, Virginia, 22903

  • Clinical Research Institute of Michigan, LLC

    Chesterfield, Michigan, 48087

  • Galen Research

    Chesterfield, Missouri, 63005

  • Hamzavi Dermatology

    Fort Gratiot, Michigan, 48059

  • Johnson Dermatology

    Fort Smith, Arkansas, 72916

  • North Texas Center for Clinical Research

    Frisco, Texas, 75034

  • Elixir Research Group

    Houston, Texas, 77077

  • The Skin Wellness Center

    Knoxville, Tennessee, 37922

  • Vivida Dermatology

    Las Vegas, Nevada, 89148

  • Dermatology Research Associates

    Los Angeles, California, 90045

  • Dermatologists of Southwest Ohio

    Mason, Ohio, 45040

  • University of Miami Hospital

    Miami, Florida, 33124

  • Floridian Research Institute LLC

    Miami, Florida, 33145

  • Icahn School of Medicine at Mount Sinai

    New York, New York, 10029

  • Columbia University Medical Center - Department of Dermatology

    New York, New York, 10032

  • Alliance Dermatology & Mohs Center

    Phoenix, Arizona, 85032

  • Oregon Medical Research

    Portland, Oregon, 97223

  • University of Rochester

    Rochester, New York, 14642

  • Velocity Clinical Research/Gateway

    Salt Lake City, Utah, 84101

  • Velocity Clinical Research/Swinyer-Woseth Dermatology

    Salt Lake City, Utah, 84117

  • Progressive Clinical Research

    San Antonio, Texas, 78213

  • Jordan Valley Dermatology Center

    South Jordan, Utah, 84095

  • The Dermatology Group P.C.

    Verona, New Jersey, 07044

  • Velocity Clinical Research - Providence

    Warwick, Rhode Island, 02886

Other trials in United States

Poland9 sites
  • Twoja Przychodnia - Centrum Medyczne Nowa Sól

    Nowa Sól, Lubusz Voivodeship, 67-100

  • Etg Siedlce

    Siedlce, Masovian Voivodeship, 08-110

  • Etg Skierniewice

    Skierniewice, Łódź Voivodeship, 96-100

  • Twoja Przychodnia - Szczecinskie Centrum Medyczne

    Szczecin, 71-434

  • Ot.Co Clinic Klinika Osipowicz & Turkowski Sp. Z O.O.

    Warsaw, Masovian Voivodeship, 00-716

  • Rcmed Oddzial Warszawa

    Warsaw, Masovian Voivodeship, 00-892

  • Carpe Diem Centrum Medycyny Estetycznej

    Warsaw, Masovian Voivodeship, 02-664

  • Etg Warszawa

    Warsaw, Masovian Voivodeship, 02-793

  • Wromedica I. Bielicka, A. Strzalkowska S.C.

    Wroclaw, Lower Silesian Voivodeship, 50-685

Other trials in Poland

Germany8 sites
  • Fachklinik Bad Bentheim - Dermatologische Studienambulanz

    Bad Bentheim, Lower Saxony, 48455

  • Clinical Research Center for Hair and Skin Science, Dept of Dermatology, Charité Universitätsmedizin Berlin

    Berlin, 10117

  • Dermatologische Studienambulanz

    Bochum, North Rhine-Westphalia, 44791

  • Universitätsklinikum Erlangen Hautklinik

    Erlangen, 91054

  • Universitätsklinikum Frankfurt Klinik Für Dermatologie, Venerologie Und Allergologie

    Frankfurt am Main, Hesse, 60590

  • Klinikum Rechts Der Isar, Technische Universität München

    Munich, Bavaria, 80802

  • University Hospital Muenster

    Münster, North Rhine-Westphalia, 48149

  • Universitaetsklinikum Tübingen

    Tübingen, Baden-Wurttemberg, 72076

Other trials in Germany

Spain8 sites
  • Hospital Del Mar

    Barcelona, Catalonia, 08001

  • Hospital Santa Creu I Sant Pau

    Barcelona, Catalonia, 08041

  • Hospital Clinic de Barcelona

    Barcelona, 08036

  • Hospital Universitario Reina Sofia

    Córdoba, 14004

  • Hospital Universitario Ramón Y Cajal - Edificio Consultas Externas

    Madrid, 28034

  • Hospital Doce de Octubre

    Madrid, 28041

  • Hospital Universitario La Paz

    Madrid, 28046

  • Hospital Universitario Infanta Leonor

    Madrid, 28081

Other trials in Spain

Canada7 sites
  • Kingsway Clinical Research

    Etobicoke, Ontario, M8X1Y9

  • Medical Arts Health Research Group

    Kelowna, British Columbia, V1Y 4N7

  • North Bay Dermatology Centre

    North Bay, Ontario, P1B 3Z7

  • Centre de Recherche Saint-Louis

    Québec, G1W4R4

  • Centre de Recherche Dermatologique du Quebec Metropolitan

    Québec, L4B1A5

  • Care Clinic Ltd.

    Red Deer, Alberta, T4N6V7

  • The Centre for Dermatology

    Richmond Hill, Ontario, L4B1A5

Other trials in Canada

Hungary4 sites
  • Semmelweis Egyetem, Általános Orvostudományi Kar, Bőr-, Nemikórtani És Bőronkológiai Klinika

    Budapest, Pest County, 1085

  • Bugát Pál Kórház

    Gyöngyös, Heves County, 3200

  • Pécsi Tudományegyetem Klinikai Központ, Bőr-, Nemikórtani És Onkodermatológiai Klinika

    Pécs, Baranya, 7632

  • Szte Áok Szent-Györgyi Albert Klinikai Központ Bőrgyógyászati És Allergológiai Klinika

    Szeged, Csongrád-csanád, 6720

Other trials in Hungary

France2 sites
  • Chru de Brest - Hôpital Morvan

    Brest, Finestère, 29609 CEDEX

  • Centre Hospitalier Universitaire de Nice - Hôpital Archet 2

    Nice, Alpes-maritimes, 06202 CEDEX 3

Other trials in France

About this study

Official title: A Double-Blind, Randomized, Placebo-Controlled Study to Evaluate the Efficacy and Safety of CTP-543 in Adult Patients With Moderate to Severe Alopecia Areata

This study evaluates the safety and effectiveness of an investigational study drug (called CTP-543) in adults (18 years and older) who have 50% or greater scalp hair loss.

Conditions
Alopecia Areata
Being tested
CTP-543 matching placebo, CTP-543
Keywords
Alopecia, Hair loss, Hair disease, CTP-543
Medical subject headings
Alopecia Areata, Alopecia, Hair Diseases

What participants receive

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

  • CTP-543 matching placeboDrug

    Administered as tablets.

  • CTP-543Drug

    Administered as tablets.

Study groups in NCT04797650
Study groupRoleWhat they receive
PlaceboPlacebo comparatorParticipants received CTP-543 matched placebo tablets, orally, twice daily (BID) for up to 24 weeks.
Receives: Drug: CTP-543 matching placebo
CTP-543 8 mg BIDExperimentalParticipants received CTP-543 8 mg tablets, orally, BID for up to 24 weeks.
Receives: Drug: CTP-543
CTP-543 12 mg BIDExperimentalParticipants received CTP-543 12 mg tablets, orally, BID for up to 24 weeks.
Receives: Drug: CTP-543

What is being measured

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

  1. Percentage of Participants Achieving an Absolute Severity of Alopecia Tool (SALT) Score ≤20 at Week 24

    SALT is a quantitative assessment of scalp hair loss with scores ranging in severity from 0 (no scalp hair loss) to a maximum of 100 (complete scalp hair loss).

    Measured: Week 24

Secondary outcomes (15)
  1. Percentage of Responders on the Hair Satisfaction Participants Reported Outcome (SPRO) Scale at Weeks 12, 16, 20, and 24

    SPRO is a questionnaire answered by the participant and designed to measure how satisfied alopecia areata participants are with their hair at the time of the assessment. The responses range from 1 to 5: 1= very satisfied, 2= satisfied, 3= neither satisfied nor dissatisfied, 4= dissatisfied, and 5= very dissatisfied. Responders were defined as participants with responses of "satisfied" or "very satisfied".

    Measured: Weeks 12, 16, 20, and 24

  2. Percentage of Participants Achieving an Absolute SALT Score of ≤20 at Weeks 4, 8, 12, 16, and 20

    SALT is a quantitative assessment of scalp hair loss with scores ranging in severity from 0 (no scalp hair loss) to a maximum of 100 (complete scalp hair loss).

    Measured: Weeks 4, 8, 12, 16, and 20

  3. Relative Change in SALT Scores From Baseline at Weeks 4, 8, 12, 16, 20, and 24

    SALT is a quantitative assessment of scalp hair loss with scores ranging in severity from 0 (no scalp hair loss) to a maximum of 100 (complete scalp hair loss). Relative change (percent change) to baseline is calculated as: 100 x ([post-baseline SALT score - baseline SALT score]/baseline SALT score).

    Measured: Baseline, Weeks 4, 8, 12, 16, 20, and 24

  4. Percentage of Responders Assessed Using the Clinician Global Impression of Improvement (CGI-I) at Weeks 12, 16, 20, and 24

    The CGI-I is a questionnaire that asks the clinician to evaluate the improvement or worsening of the participant's alopecia areata as compared to the start of the study on a 7-point scale. Responses range from 1 (very much worse) to 7 (very much improved). Responders were defined as participants with responses of 6 (much improved) or 7 (very much improved).

    Measured: Weeks 12, 16, 20, and 24

  5. Percentage of Responders Assessed Using the Patient Global Impression of Improvement (PGI-I) at Weeks 12, 16, 20, and 24

    The PGI-I is a self-administered questionnaire that asks the participant to evaluate the improvement or worsening of their alopecia areata as compared to the start of the study on a 7-point scale. Responses range from 1 (very much worse) to 7 (very much improved). Responders were defined as participants with responses of 6 (much improved) or 7 (very much improved).

    Measured: Weeks 12, 16, 20, and 24

  6. Change in the Clinician Global Impression of Severity (CGI-S) Scores From Baseline at Weeks 12, 16, 20, and 24

    The CGI-S is a questionnaire that asks the clinician to evaluate the symptom severity of the participant's alopecia areata at the time of assessment. The symptom severity was rated on a scale ranging from 1 to 7, where 1=normal, no hair loss; 2=borderline hair loss; 3=mild hair loss; 4=moderate hair loss; 5=marked hair loss; 6=severe hair loss; 7=among the most extreme hair loss. Higher scores indicate more hair loss. A negative change from baseline indicates less hair loss.

    Measured: Baseline, Weeks 12, 16, 20, and 24

  7. Change in the Patient Global Impression of Severity (PGI-S) Scores From Baseline at Weeks 12, 16, 20, and 24

    The PGI-S is a self-administered questionnaire that asks the participant to evaluate the symptom severity of their alopecia areata at the time of assessment. Symptom severity was rated on a scale ranging from 1 to 7, where 1= normal, no hair loss; 2= borderline hair loss; 3= mild hair loss; 4= moderate hair loss; 5= marked hair loss; 6= severe hair loss; 7= among the most extreme hair loss. Higher scores indicate more hair loss. A negative change from baseline indicates less hair loss.

    Measured: Baseline, Weeks 12, 16, 20, and 24

  8. Percentage of Participants Achieving at Least a 75% and 90% Relative Reduction in SALT Score From Baseline at Weeks 12 and 24

    SALT is a quantitative assessment of scalp hair loss with scores ranging in severity from 0 (no scalp hair loss) to a maximum of 100 (complete scalp hair loss). Percentage of participants achieving at least a 75% and 90% relative reduction in SALT score from baseline at Weeks 12 and 24 are reported.

    Measured: Baseline, Weeks 12, and 24

  9. Change in the Brigham Eyebrow Tool for Alopecia (BETA) Scores From Baseline at Weeks 12 and 24

    BETA is a clinician-rated scale that assesses the total eyebrow hair present. The BETA score is calculated based on hair density and surface area of each individual eyebrow of the participant, ranging from 0 to 3, where 0= no eyebrow, 1= minimal eyebrow, 2= moderate eyebrow, and 3= normal eyebrow. The BETA score is the sum of the right and left eyebrow scores, ranging from 0 to 6. Higher scores indicate less hair loss of eyebrows. A positive change from baseline indicates less hair loss of eyebrows.

    Measured: Baseline, Weeks 12, and 24

  10. Change in the Brigham Eyelash Tool for Alopecia (BELA) Scores From Baseline at Weeks 12 and 24

    BELA is a clinician-rated scale that assesses the total eyelash hair present. The BELA is calculated based on distribution and grade values, ranging from 0 (no eyelashes) to 3 (full eyelashes). The BELA score is the sum of the individual scores for the left and right eyes, ranging from 0 to 6. Higher scores indicate less hair loss of eyelashes. A positive change from baseline indicates less hair loss of eyelashes.

    Measured: Baseline, Weeks 12, and 24

  11. Change in the SPRO Scale From Baseline at Weeks 12, 16, 20, and 24

    SPRO is a questionnaire answered by the participant and designed to measure how satisfied alopecia areata participants are with their hair at the time of the assessment. The responses range from 1 to 5: 1= very satisfied, 2= satisfied, 3= neither satisfied nor dissatisfied, 4= dissatisfied, and 5= very dissatisfied. Higher scores indicate the greater hair dissatisfaction. A negative change from baseline indicate the greater hair satisfaction.

    Measured: Baseline, Weeks 12, 16, 20 and 24

  12. Percentage of Participants Achieving a ≥2-point Change From Baseline in the SPRO Scale at Weeks 12, 16, 20, and 24

    SPRO is a questionnaire answered by the participants and designed to measure how satisfied alopecia areata participants are with their hair at the time of the assessment. The responses range from 1 to 5: 1= very satisfied, 2= satisfied, 3= neither satisfied nor dissatisfied, 4= dissatisfied, and 5= very dissatisfied.

    Measured: Weeks 12, 16, 20, and 24

  13. Change in the Individual Items of the Hair Quality Patient Reported Outcome (QPRO) Scale From Baseline at Weeks 12, 16, 20, and 24

    The QPRO questionnaire provides additional details on key attributes of hair and helps provide context to the SPRO response. The individual items of QPRO are: Satisfied thickness hair coverage; Satisfied evenness hair coverage; How satisfied with your eyebrows; How satisfied with your eyelashes, scored on a scale ranging from 1 to 5 where 1=very satisfied, 2=satisfied, 3=neither satisfied nor dissatisfied, 4=dissatisfied, 5=very dissatisfied. Higher scores indicate the greater dissatisfaction on hair quality. A negative change from baseline indicate the greater satisfaction on hair quality.

    Measured: Baseline, Weeks 12, 16, 20, and 24

  14. Change in the Anxiety and Depression Scale Scores of the Hospital Anxiety and Depression Scale (HADS) From Baseline at Week 24

    HADS is questionnaire designed to assess anxiety and depression symptoms which is completed by participants. The questionnaire is comprised of two separate scales with a total of 14 items: A 7-item scale related to anxiety and 7-item scale related to depression. Each item within both scales is scored using a 4-point scale, ranging from 0 to 3 and the total scores in each scale can range from 0 to 21. Separate scores were created for anxiety and depression. A score between 0-7 is considered normal, 8-10 is mild, 11-14 is moderate, and >14 is severe anxiety or depression. Higher scores indicate greater severity. A negative change from baseline indicates less severity.

    Measured: Baseline and Week 24

  15. Percentage of Participants Achieving an Absolute SALT Score of ≤10 at Week 24

    SALT is a quantitative assessment of scalp hair loss with scores ranging from 0 (no scalp hair loss) to 100 (complete scalp hair loss).

    Measured: Week 24

Timeline

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

  1. First posted15 Mar 2021
  2. Study start10 Jun 2021
  3. Primary completion8 Jun 2022
  4. Study completion29 Jun 2022

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 3
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
517 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04797650
Sponsor's protocol ID
CP543.3002
Other IDs
2021-000387-30
Acronym
THRIVE-AA2
Status last verified
Jun 2023
First submitted
10 Mar 2021
Last updated
3 Jul 2023
Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
No

Publications

  • Tsianakas A, Passeron T, Magnolo N, Blume-Peytavi U, Kelly V, Day I, Serrao R, Guttman-Yassky E, Sticherling M, Csernus AE, Moreno-Arrones OM, Hamilton C, Cassella J. Efficacy and safety of deuruxolitinib, an oral selective Janus kinase 1/2 inhibitor, in adults with alopecia areata: Results from the THRIVE-AA2 Phase 3, randomized, double-blind, controlled trial. J Am Acad Dermatol. 2026 Apr;94(4):1134-1143. doi: 10.1016/j.jaad.2025.11.070. Epub 2025 Nov 27.

    PubMed 41317911

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing CTP-543 in people with Alopecia Areata, run by Concert Pharmaceuticals at 63 sites in 7 countries.

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 3 inclusion and 5 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 3 Jul 2023. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 63 sites in United States, Poland, Germany, Spain, Canada and 2 more countries. 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 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.

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 3 Jul 2023). 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 Participants Achieving an Absolute Severity of Alopecia Tool (SALT) Score ≤20 at Week 24 (time frame: Week 24). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT04797650, which also lists 1 linked publication.

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 3 Jul 2023.

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