Study to Assess the Safety and Efficacy of Infliximab to Treat Hidradenitis Suppurtativa (HS2006)

Florida Academic Dermatology Centers

Status and phase: Completed; Phase 2

Conditions: Hidradenitis Suppurativa

Treatments: Drug: infliximab; Drug: Placebo Comparator

Study type: Interventional

Funder types: Other

Identifiers

NCT00795574

HS2006

Details and patient eligibility

About

A study to assess the safety and efficacy of the IV drug infliximab for the treatment of hidradenitis suppurativa

Enrollment: 38 patients

Sex: All

Ages: 16+ years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• Person must have moderate to severe Hidradenitis suppurativa
• Multiple ER or doctors visits related to HS
• Intralesional kenalog injection >5/year, but none within 3 months of entry
• HS >1 year duration
• Failed systemic retinoids, but not within 3 months of entry
• Failed at least one prior course of antibiotic therapy, which must not have been administered within 3 months of entry to the study (excluding the recommended antibiotic regimen given immediately before randomization for evidence of active infection
• History of surgery (reconstructive), but not within 3 months of entry

Exclusion criteria

• Women who are pregnant, nursing, or planning pregnancy within 6 months after the last infusion (this includes father's who plan on fathering a child within 6 months after their last infusion
• Known allergy against infliximab
• Use of other systemic anti-inflammatory medication except NSAIDs and low dose systemic steroids (equal or less than 10 mg daily prednisolone or equivalent).
• Have had any previous treatment with monoclonal antibodies or antibody fragments.
• Have a known history of serious infections (eg, hepatitis, pneumonia or pyelonephritis) in the previous 3 months.
• Have or have had an opportunistic infection (eg, herpes zoster [shingles], cytomegalovirus, Pneumocystis carinii, aspergillosis, histoplasmosis, or mycobacteria other than TB) within 6 months prior to screening.
• Are considered ineligible according to the TB eligibility assessment, screening, and early detection of reactivation rules defined in Section 26 on: Tuberculosis Eligibility Assessment, Screening, and Early Detection of Reactivation Rules.
• Have a history of lymphoproliferative disease, including lymphoma or signs suggestive of possible lymphoproliferative disease such as lymphadenopathy of unusual size or location (eg, nodes in the posterior triangle of the neck, infraclavicular, epitrochlear, or periaortic area), or splenomegaly.
• Currently have any known malignancy or have a history of malignancy within the previous 5 years, with the exception of basal cell or squamous cell carcinoma of the skin that has been fully excised with no evidence of recurrence.
• Have current signs or symptoms of severe, progressive or uncontrolled renal, hepatic, hematologic, gastrointestinal, endocrine, pulmonary, cardiac, neurologic, or cerebral disease.

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Crossover Assignment

Masking: Quadruple Blind

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38 participants in 2 patient groups, including a placebo group

infliximab

Experimental group

Description:

Double blind placebo cross-over

Treatment:

Drug: Placebo Comparator

Drug: infliximab

Placebo

Placebo Comparator group

Description:

Double blind placebo controlled cross-over

Treatment:

Drug: Placebo Comparator