Hidradenitis Suppurativa (HS)Phase 2MainsailNCT07384975
A Study to Assess NAV-240 in Adult Participants With Hidradenitis Suppurativa
A Phase 2 study testing NAV-240 in people with Hidradenitis Suppurativa (HS), run by Navigator Medicines, Inc. at 41 sites in 8 countries.
Trial summary
The main objective of this study is to determine if NAV-240 works more effectively than a dummy treatment (placebo) for participants with moderate-to-severe HS. The main endpoint of this study is the percentage of participants achieving Hidradenitis Suppurativa Clinical Response (HiSCR) 75 at Week 16, meaning at least… Read more about this study
- Who is it for?
- Ages 18 to 70 years
- Conditions the study is for
- Hidradenitis Suppurativa (HS)
- What is being tested?
- NAV-240
- Type of treatment
- Injection or infusion
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 150 participants
- Where
- 41 sitesin 8 countries
- Study dates
- 5 Jan 2026to Oct 2027
- Phase
- Phase 2
- Are there results?
- Not yet: the study is under way
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 70 years
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Diagnosis of stable HS for ≥ 2 months
- Abscesses and Inflammatory Nodules (lesion) count ≥ 5
- Inflammatory HS lesions in at least 2 different body regions, one of which must be Hurley Stage II or III
- Inadequate response to at least one course of antibiotics
- Topical antiseptics/washes are not required but allowed. If in use, the participant must agree to use one single product consistently through Week 16.
- Use of oral antibiotics is allowed during the study under the following conditions: the dose and regimen must remain stable until Week 16. Allowed oral antibiotics include doxycycline, minocycline, or tetracycline.
- Female participants of childbearing potential must have a negative pregnancy test
- Participants of reproductive potential must use a highly effective method of contraception
Who cannot join
- > 20 draining tunnel count
- Active skin disease (bacterial, fungal, viral infection) that, in the opinion of the Investigator, could interfere with assessment of HS or requires treatment with antibiotic(s) also used to treat HS.
- Has had major surgery, including HS surgery, within 12 weeks prior to Day 1
- History of alcohol or drug abuse within the past 2 years.
- A positive urine drug screen at Screening
- History or evidence of human immunodeficiency virus (HIV), hepatitis B or hepatitis C virus (HCV), or a positive test at Screening
Show all 10Show fewer
- History or current diagnosis of active or latent pulmonary or extrapulmonary TB infection or a positive test at Screening
- History of moderate to severe heart failure or recent (within past 6 months) cerebrovascular accident, myocardial infarction, or coronary stenting.
- Any history of malignancy (including lymphoma and leukemia) other than a successfully treated and considered cured non-metastatic cutaneous squamous cell carcinoma, basal cell carcinoma or localized carcinoma in situ
- History of immune deficiency
Trial locations and contacts
41 sites in 8 countries. Contact the study team or a site near you to ask about taking part.
Vice President, Development Operations contact
41 sites in 8 countries
United States14 sites, 14 recruiting
- Recruiting
Beth Israel Deaconess Medical Center
Boston, Massachusetts, 02215
- Recruiting
Accel Research Sites Network
Maitland, Florida, 32751
- Recruiting
Floridian Research Institute
Miami, Florida, 33179
- Recruiting
Cordova Research Institute
Miami, Florida, 33182
- Recruiting
Kentucky Advanced Medical Research LLC
Murray, Kentucky, 42071
- Recruiting
Ziaderm Research, LLC
North Miami Beach, Florida, 33162
- Recruiting
Medical Dermatology Specialist
Phoenix, Arizona, 85006
- Recruiting
StracSkin, PLLC
Portsmouth, New Hampshire, 03801
- Recruiting
SKY Integrative Medical Center
Ridgeland, Mississippi, 39157
- Recruiting
Scottsdale Clinical Trials
Scottsdale, Arizona, 85260
- Recruiting
FWD Clinical Research
Tamarac, Florida, 33321
- Recruiting
MplusM - D&H Tamarac Research Center
Tamarac, Florida, 33321
- Recruiting
ForCare Clinical Research
Tampa, Florida, 33613
- Recruiting
Equity Medical, LLC
The Bronx, New York, 10455
Poland6 sites, 6 recruiting
- Recruiting
Holsamed
Katowice
- Recruiting
Dermedic Jacek Zdybski
Kielce
- Recruiting
Labderm Essence
Ossy
- Recruiting
Klinika Ambroziak Dermatologia
Warsaw
- Recruiting
OT CO Zdrowie
Warsaw
- Recruiting
Centrum Columbus
Wroclaw
Germany5 sites, 5 recruiting
- Recruiting
St. Josef Hospital Bochum - Dermatologie, Venerologie und Allergologie
Bochum
- Recruiting
J. W. Goethe Universitaet Frankfurt Zentrum f. Dermatologie
Frankfurt
- Recruiting
Universitaetsklinikum Schleswig-Holstein (UKSH) - Campus Kiel - Klinik fuer Dermatologie, Venerologie und Allergologie
Kiel
- Recruiting
Universitaetsklinikum Schleswig-Holstein (UKSH) - Campus Luebeck
Lübeck
- Recruiting
BAG Dres. med. Quist PartG
Mainz
Bulgaria4 sites, 4 recruiting
- Recruiting
Medical Center Medconsult Pleven
Lovech
- Recruiting
MC Medconsult Pleven
Pleven
- Recruiting
Ambulatory for Specialized Medical Help - skin and venereal diseases
Sofia
- Recruiting
Diagnostic Consultative Center Fokus-5 Medical Establishment for Outpatient Care EOOD
Sofia
Georgia4 sites, 4 recruiting
- Recruiting
LTD Aversi Clinic - Dermatology
Tbilisi
- Recruiting
LTD Israel-Georgian Medical Research Clinic Healthycore
Tbilisi
- Recruiting
LTD MediClub Georgia
Tbilisi
- Not yet recruiting
LTD Multiprofile Clinic Consilium Medulla
Tbilisi
Canada3 sites, 3 recruiting
- Recruiting
Centre de Recherche Saint-Louis (Quebec)
Montreal, Quebec, QC H1Y 3L1
- Recruiting
FACET Dermatology
Toronto, Ontario, M4E 1R7
- Recruiting
Research Toronto
Toronto, Ontario, M4W 2N2
Romania3 sites, 3 recruiting
- Recruiting
Futuremeds Romania - Brasov - Dermatology
Brasov
- Recruiting
Spitalul Clinic Colentina - Dermatology II
Bucharest
- Recruiting
Futuremeds Romania - Galati - Dermatology
Galati
Hungary2 sites, 2 recruiting
- Recruiting
Debreceni Egyetem Klinikai Központ - Dermatology
Debrecen
- Recruiting
Pécsi Tudományegyetem Klinikai Központ - Bőr-, Nemikórtani és Onkoderma
Pécs
About this study
Official title: A Phase 2a, Multicenter, Randomized, Double-blind, Placebo-controlled Study of NAV-240 in Adult Participants With Moderate-to-Severe Hidradenitis Suppurativa
The main objective of this study is to determine if NAV-240 works more effectively than a dummy treatment (placebo) for participants with moderate-to-severe HS. The main endpoint of this study is the percentage of participants achieving Hidradenitis Suppurativa Clinical Response (HiSCR) 75 at Week 16, meaning at least a 75% reduction in inflamed skin bumps (abscess and inflammatory nodule (AN) count) with no increase in number of abscesses or draining tunnels (channels under the skin that leak fluid or pus) compared to the baseline (start of the study).
Participants will:
- Receive NAV-240 dose 1, NAV-240 dose 2 or placebo as a drip into the veins (intravenous infusion).
- Visit the clinic up to 9 times for checkups and tests over 22 weeks.
- Complete a daily diary about their skin pain.
- Conditions
- Hidradenitis Suppurativa (HS)
- Being tested
- NAV-240, Placebo to match NAV-240
- Keywords
- NAV-240, HS, Hidradenitis Suppurativa, Phase 2, Moderate-to-Severe HS
- Medical subject headings
- Hidradenitis Suppurativa
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
NAV-240Drug
NAV-240 for Intravenous Infusion
Placebo to match NAV-240Drug
Placebo to match NAV-240 for Intravenous Infusion
| Study group | Role | What they receive |
|---|---|---|
| NAV-240 Dose 1 | Experimental | NAV-240 Dose 1 Receives: Drug: NAV-240 |
| NAV-240 Dose 2 | Experimental | NAV-240 Dose 2 Receives: Drug: NAV-240 |
| Placebo | Placebo comparator | Placebo Receives: Drug: Placebo to match NAV-240 |
What is being measured
The primary outcome is the main question the study is designed to answer.
Proportion of participants achieving Hidradenitis Suppurativa Clinical Response (HiSCR) 75
HiSCR75 is defined as at least a 75% reduction in total abscess and inflammatory nodule count (AN count) with no increase in abscess count and no increase in draining tunnel count relative to baseline.
Measured: Baseline to Week 16
Secondary outcomes (7)
Proportion of participants achieving skin pain numeric rating scale (NRS) 30 response
NRS30 is defined as a ≥ 30% reduction and at least a 2-unit reduction from baseline in skin pain on the NRS, for participants with a baseline skin pain NRS ≥ 3, based on the weekly average of the worst skin pain in a 24-hour recall period (maximal daily pain). The skin pain NRS is a single-item measure designed to capture information on self-reported skin pain severity by rating "the worst level of skin pain in the past 24 hours" as a number on a numerical rating scale from 0 (no pain) to 10 (worst pain imaginable).
Measured: Baseline to Week 16
Proportion of participants achieving HiSCR50
HiSCR50 is defined as at least a 50% reduction in total AN count with no increase in abscess count and no increase in draining tunnel count relative to baseline.
Measured: Baseline to Week 16
Proportion of participants achieving a Dermatology Life Quality Index (DLQI) improvement (reduction) of ≥ 4 points among participants with DLQI ≥ 4 at baseline
The DLQI is a simple validated 10-item, dermatology-specific, quality-of-life (QoL) questionnaire. Each item in the questionnaire can receive an impairment degree on a 4-point-scale (0 - not at all, 3 - very much), and the higher the score, the greater the impairment of QoL.
Measured: Baseline to Week 16
Proportion of participants with HS flare
Measured: Baseline to Week 16
Change in the International Hidradenitis Suppurativa Severity Score System (IHS4) scores
The IHS4 score is arrived at by the number of nodules (multiplied by 1) plus the number of abscesses (multiplied by 2) plus the number of draining tunnels (multiplied by 4). A total score of 3 or less is a mild disease, 4-10 signifies moderate disease and 11 or higher signifies severe disease.
Measured: Baseline to Week 16
Change from baseline in AN count
Measured: Baseline to Week 16
Change from baseline in the number of draining tunnels
Measured: Baseline to Week 16
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted3 Feb 2026
- Study start5 Jan 2026
- Primary completionSep 2027 (estimated)
- Study completionOct 2027 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Hidradenitis Suppurativa (HS)Studies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
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
- Quadruple blind
- Who is masked
- Participant, Care provider, Investigator, Outcomes assessor
- Enrolment
- 150 participants (estimated)
Sponsor and investigators
- Lead sponsor
- Navigator Medicines, Inc.
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Lara Pupim, MD, MSCI, Study director, Navigator Medicines, Inc.
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT07384975
- Sponsor's protocol ID
- NAV-240-201
- Other IDs
- 2025-523557-33-00, 2025
- Acronym
- Mainsail
- Status last verified
- Jul 2026
- First submitted
- 26 Jan 2026
- Last updated
- 22 Jul 2026
- Results posted
- No
- Data monitoring committee
- Yes
- FDA-regulated drug
- Yes
- FDA-regulated device
- No
- Individual data sharing
- No
Study at a glance
From the registry record, last updated by the sponsor on 22 Jul 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Phase 2a, Multicenter, Randomized, Double-blind, Placebo-controlled Study of NAV-240 in Adult Participants With Moderate-to-Severe Hidradenitis Suppurativa
- ClinicalTrials.gov ID
- NCT07384975
- Acronym / sponsor ID
- Mainsail / NAV-240-201
- Conditions
- Hidradenitis Suppurativa (HS)
- Keywords
- NAV-240, HS, Hidradenitis Suppurativa, Phase 2, Moderate-to-Severe HS
- Phase
- Phase 2
- Study type
- Interventional
- Recruitment status
- Recruiting
- Enrolment
- 150 participants (estimated)
- Lead sponsor
- Navigator Medicines, Inc.Industry (pharma, biotech, devices)
- Study start
- 5 Jan 2026 (actual)
- Primary completion
- Sep 2027 (estimated)
- Study completion
- Oct 2027 (estimated)
- First posted
- 3 Feb 2026 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The main objective of this study is to determine if NAV-240 works more effectively than a dummy treatment (placebo) for participants with moderate-to-severe HS. The main endpoint of this study is the percentage of participants achieving Hidradenitis Suppurativa Clinical Response (HiSCR) 75 at Week 16, meaning at least a 75% reduction in inflamed skin bumps (abscess and inflammatory nodule (AN) count) with no increase in number of abscesses or draining tunnels (channels under the skin that leak fluid or pus) compared to the baseline (start of the study).
Participants will:
- Receive NAV-240 dose 1, NAV-240 dose 2 or placebo as a drip into the veins (intravenous infusion).
- Visit the clinic up to 9 times for checkups and tests over 22 weeks.
- Complete a daily diary about their skin pain.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Quadruple blind (participant, care provider, investigator, outcomes assessor)
- Number of arms
- 3
| Arm | Type | Receives |
|---|---|---|
| NAV-240 Dose 1 | Experimental | Drug: NAV-240NAV-240 Dose 1 |
| NAV-240 Dose 2 | Experimental | Drug: NAV-240NAV-240 Dose 2 |
| Placebo | Placebo comparator | Drug: Placebo to match NAV-240Placebo |
Who may qualify
- Ages
- 18 to 70 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (8 listed)
- Diagnosis of stable HS for ≥ 2 months
- Abscesses and Inflammatory Nodules (lesion) count ≥ 5
- Inflammatory HS lesions in at least 2 different body regions, one of which must be Hurley Stage II or III
- Inadequate response to at least one course of antibiotics
- Topical antiseptics/washes are not required but allowed. If in use, the participant must agree to use one single product consistently through Week 16.
Key exclusion criteria (10 listed)
- > 20 draining tunnel count
- Active skin disease (bacterial, fungal, viral infection) that, in the opinion of the Investigator, could interfere with assessment of HS or requires treatment with antibiotic(s) also used to treat HS.
- Has had major surgery, including HS surgery, within 12 weeks prior to Day 1
- History of alcohol or drug abuse within the past 2 years.
- A positive urine drug screen at Screening
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| NAV-240NAV-240 for Intravenous Infusion | Drug | NAV-240 Dose 1, NAV-240 Dose 2 |
| Placebo to match NAV-240Placebo to match NAV-240 for Intravenous Infusion | Drug | Placebo |
Primary outcome
Proportion of participants achieving Hidradenitis Suppurativa Clinical Response (HiSCR) 75
Time frame: Baseline to Week 16
HiSCR75 is defined as at least a 75% reduction in total abscess and inflammatory nodule count (AN count) with no increase in abscess count and no increase in draining tunnel count relative to baseline.
7 secondary outcomes
Proportion of participants achieving skin pain numeric rating scale (NRS) 30 response
Time frame: Baseline to Week 16
Proportion of participants achieving HiSCR50
Time frame: Baseline to Week 16
Proportion of participants achieving a Dermatology Life Quality Index (DLQI) improvement (reduction) of ≥ 4 points among participants with DLQI ≥ 4 at baseline
Time frame: Baseline to Week 16
Proportion of participants with HS flare
Time frame: Baseline to Week 16
Change in the International Hidradenitis Suppurativa Severity Score System (IHS4) scores
Time frame: Baseline to Week 16
Change from baseline in AN count
Time frame: Baseline to Week 16
Change from baseline in the number of draining tunnels
Time frame: Baseline to Week 16
Results and safety
This study is still under way. Results are not available in the source record yet.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 22 Jul 2026.
- Individual participant dataSharing planned: No
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part.
Vice President, Development Operations contact
Lara Pupim, MD, MSCI study director
Navigator Medicines, Inc.
41 sites in 8 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 2 study testing NAV-240 in people with Hidradenitis Suppurativa (HS), run by Navigator Medicines, Inc. at 41 sites in 8 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 8 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: looking for participants now, as of the sponsor's last update on 22 Jul 2026. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 41 sites in United States, Poland, Germany, Bulgaria, Georgia and 3 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 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?
This study is still under way. Results are not available in the source record yet.
How can a doctor refer a patient or contact the research team?
Contact Associate Director, Clinical Operations (+1 415 251 7753, info@navigatormeds.com), or a site near the patient. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Proportion of participants achieving Hidradenitis Suppurativa Clinical Response (HiSCR) 75 (time frame: Baseline to Week 16). 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 22 Jul 2026.