Sanford

Alopecia areata AA is a condition where the immune system attacks hair follicles, causing hair loss mainly on the head and face but possibly on other body parts. This research evaluates the safety, effectiveness, and tolerance of upadacitinib, an approved drug, in adolescents and adults with severe AA. The study is a Phase 3 randomized, placebo-controlled, double-blind trial enrolling about 1500 participants worldwide. Participants are randomly assigned to one of three groups receiving different treatments two doses of upadacitinib or placebo. In initial periods, some may switch from placebo to upadacitinib based on their Severity of Alopecia Tool SALT score. Those completing early parts may enter an extension phase receiving upadacitinib for up to 108 weeks. Treatment involves taking oral tablets once daily for up to 160 weeks, with possible re-randomization at Weeks 24 and 52. Throughout the study, participants attend regular clinic visits for medical assessments, blood tests, side effect monitoring, and questionnaires to track treatment effects. Researchers measure hair loss improvement using SALT scores and record adverse events over approximately 164 weeks. Participants are followed for up to 30 days after their last dose for safety monitoring.

Researchers are evaluating the safety and effectiveness of ABBV-CLS-628, an investigational drug, for treating adults with Autosomal Dominant Polycystic Kidney Disease ADPKD, a genetic condition that causes fluid-filled cysts to develop in the kidneys. This Phase 2 study involves about 240 adult participants aged 18 to 55 with specific classifications of ADPKD and certain kidney function levels. Participants are randomly assigned to one of four groups, receiving either one of three different doses of ABBV-CLS-628 or a placebo. The treatment is given as an intravenous infusion every four weeks for 92 weeks. After the treatment period, participants will be followed for up to 15 weeks to monitor ongoing effects. During the study, participants will attend regular hospital or clinic visits for medical assessments, blood tests, safety monitoring, and completing questionnaires. Researchers will measure changes in total kidney volume and kidney function over time, as well as record any adverse events. The study monitors participants closely to evaluate both the benefits and risks of the treatment throughout the nearly two-year participation period.

Researchers are conducting a combined Phase 2b and Phase 3 clinical trial to study CSL300 Clazakizumab in adults with end stage kidney disease ESKD who are undergoing maintenance dialysis. The study aims to find the right dose of CSL300 and then evaluate its effect on cardiovascular outcomes and safety in people with systemic inflammation and either atherosclerotic cardiovascular disease ASCVD or diabetes. This is a randomized, double-blind, placebo-controlled study involving multiple centers. Participants will receive intravenous IV administration of either CSL300 or a placebo. The Phase 2b part focuses on determining the appropriate dose of CSL300 compared to placebo over about 12 weeks, while the Phase 3 part examines CSL300s effect on cardiovascular events over approximately five years. The study includes different dosing groups in Phase 2b and a larger comparison of CSL300 versus placebo in Phase 3. During the study, participants will be monitored regularly with blood tests that measure inflammation markers such as high-sensitivity C-reactive protein hs-CRP, cardiovascular events, and safety outcomes. Researchers will track changes in various blood components and adverse events up to 32 weeks in Phase 2b and follow cardiovascular outcomes for up to five years in Phase 3. The total participation lasts through these periods with scheduled assessments to evaluate treatment effects and safety.

Researchers are evaluating the efficacy, safety, tolerability, and pharmacokinetics of VX-147 in adults and children aged 10 to 65 who have APOL1-mediated proteinuric kidney disease. This study includes participants with specific APOL1 genotypes and aims to understand how VX-147 affects kidney function over time in this population. Participants are randomly assigned to receive different doses of VX-147 or a matching placebo. Those in the initial phase Part A will receive their assigned treatment for at least 96 weeks. Participants who complete Part A will then receive VX-147 for an additional 96 weeks in Part B. The study uses tablets taken orally and includes a placebo control group. During the trial, participants will be monitored regularly for changes in urine protein to creatinine ratio and kidney function measured by estimated glomerular filtration rate eGFR. Safety and tolerability are assessed through tracking adverse events throughout the study, which may last around four years after the last participant enrolls. Blood levels of VX-147 will also be measured, and pediatric participants will be asked about their satisfaction with the tablet form.

This research aims to assess the safety and effectiveness of deuruxolitinib in adolescents aged 12 to less than 18 years who have severe alopecia areata, characterized by 50% or greater scalp hair loss. The study includes a double-blind, randomized, placebo-controlled treatment phase followed by an open-label extension. The goal is to better understand how well deuruxolitinib works and how safe it is for this age group with significant hair loss. Participants will be randomly assigned to receive either deuruxolitinib tablets or matching placebo tablets taken orally twice daily for 24 weeks during the initial treatment period. Following this, all participants will have the opportunity to receive deuruxolitinib for an additional 52 weeks in an open-label extension phase. This design allows comparison of the drug to placebo and longer-term evaluation of the drugs effects. Throughout the study, participants will have regular assessments of their hair loss using the Severity of Alopecia Tool SALT at multiple time points up to week 24 and beyond. Safety will be closely monitored by tracking side effects, vital signs, heart tests, lab results, and physical exams. Additional measurements include patient and clinician impressions of improvement, quality of life, and mental health assessments. The total study duration can extend up to 76 weeks of treatment plus safety follow-up to fully evaluate outcomes and tolerability.

Researchers are evaluating the maximal use of ruxolitinib cream in adolescents and adults with hidradenitis suppurativa, a chronic skin condition characterized by painful abscesses and nodules. This phase 1 trial aims to study the safety and pharmacokinetics of ruxolitinib cream applied topically in affected areas, focusing on participants with moderate to severe disease involving multiple body regions. Participants will apply ruxolitinib 1.5% cream as a thin layer twice daily to the affected skin areas. The study follows a single-group design without a placebo or comparison group, with treatment and observation lasting up to 24 weeks. During this period, participants avoid using other topical or systemic antibiotics for their condition. Throughout the study, participants will undergo regular assessments to monitor any treatment-emergent adverse events, including events leading to treatment interruption or discontinuation. Pharmacokinetic measures such as maximum concentration, time to maximum concentration, and area under the curve of the drug in the body will be collected. The study spans from screening through 24 weeks of treatment, with safety and drug behavior carefully tracked during this time.