Actively Recruiting
A Phase 2, Multicenter, Randomized, Double-Blind, Placebo-Controlled Trial to Assess Efficacy and Safety of Zasocitinib in Moderate to Severe Hidradenitis Suppurativa
Led by Takeda · Updated on 2026-03-06
90
Participants Needed
49
Research Sites
N/A
Total Duration
On this page
AI-Summary
What this Trial Is About
Hidradenitis Suppurativa HS is a skin condition that causes painful bumps, abscesses, scars, and tunnels in areas where the skin rubs together. This condition may start when hair follicles become damaged, triggering the immune system and allowing bacteria to worsen the symptoms. Researchers are evaluating the safety, effectiveness, and tolerance of a drug called zasocitinib in adults with moderate to severe HS compared with a placebo in this Phase 2 clinical trial. Participants will be randomly assigned to receive either zasocitinib or a placebo for the first 16 weeks in a double-blind period. After this, all participants will receive zasocitinib for an additional 36 weeks in an open-label period. The placebo capsules look like zasocitinib but contain no medicine. Treatment dosing involves a specific dose of zasocitinib labeled as Dose A. During the study, participants will visit the clinic 12 times for assessments. Researchers will monitor the percentage of participants achieving a 75 reduction in HS symptoms at week 16 as the primary outcome. They will also track safety through adverse events and other measures throughout the 56 weeks of treatment. Participants will undergo evaluations including clinical exams, questionnaires, and safety tests to understand treatment effects and tolerability.
CONDITIONS
Brief Title
A Study of Zasocitinib in Adults With Hidradenitis Suppurativa
Who Can Participate
Eligibility Criteria
You may qualify if you...
- Participant is willing and able to understand and comply with all trial procedures, including use of digital tools
- Provided written informed consent before any trial procedures
- Diagnosed with hidradenitis suppurativa by a dermatologist with symptoms for at least 6 months and stable signs for 2 months
- HS lesions present in at least 2 distinct anatomical areas, with at least one area at Hurley Stage II or III
- Has 5 or more inflammatory lesions (abscesses plus nodules) at screening and Day 1
- History of inadequate response or intolerance to a previous course of oral antibiotic for HS
- Aged 18 years or older at consent; for those 65 or older in EU/EEA, favorable benefit-risk assessment required
- Meets birth control requirements if of childbearing potential, including effective contraception use
- In EU/EEA, no anticipated risk according to regulatory guidelines regarding JAK inhibitors
You will not qualify if you...
- More than 20 draining tunnels at screening or Day 1
- Other active skin diseases or conditions interfering with HS assessment
- Diagnosed with sarcoidosis, systemic lupus erythematosus, active inflammatory bowel disease, or other inflammatory diseases like psoriasis or rheumatoid arthritis
- History or signs of active tuberculosis or latent TB without proper prophylaxis
- Active or serious herpes virus infections
- Hepatitis C or B infections as specified, or positive HIV serology
- Recent or ongoing serious infections, including bacterial, viral, or fungal infections requiring hospitalization or IV treatment
- History of opportunistic infections
- Clinically significant unstable medical conditions or vital sign abnormalities
- History of compromised immunity or new/unstable autoimmune diseases
- Major surgery within 60 days before Day 1 or planned during trial
- Severe or uncontrolled hypertension
- History of severe heart failure or lymphoproliferative disease
- Recent serious pulmonary illnesses requiring hospitalization or steroids
- Cardiovascular events within 6 months unless benefit-risk assessment supports inclusion
- Significant psychiatric illness or recent severe depression or suicidal behavior
- Abnormal lab values including blood counts, liver, kidney function, or thyroid hormone levels beyond limits
- History of significant drug allergies or allergy to zasocitinib
- Pregnancy, lactation, or plans to become pregnant during trial
- Substance abuse history within 12 months
- Recent blood or plasma donation or planned donation during trial
- Trial site employee or dependent relationship with trial staff
- Inability to give informed consent as per local regulations
- History of malignancy within 5 years except certain treated skin or cervical cancers
- History or current substance use or tobacco use disorder unless benefit-risk assessment supports inclusion
Research Team
T
Takeda Contact
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