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NCT05556265

A Study to Evaluate Efficacy and Safety of Deucravacitinib in Participants With Alopecia Areata

Terminated Phase 2 Results posted Last updated 31 May 2025
What this trial tests

Phase 2 trial testing Deucravacitinib in Alopecia Areata in 94 participants. Terminated before completion.

Timeline
8 November 2022
Primary endpoint
6 January 2024
16 May 2024

Quick facts

Lead sponsorBristol-Myers Squibb
PhasePhase 2
StatusTerminated
Study typeINTERVENTIONAL
Allocationrandomized
Designparallel
Maskingdouble
Primary purposetreatment
Enrollment94
Start date8 November 2022
Primary completion6 January 2024
Estimated completion16 May 2024
Sites28 locations across France, Japan, Poland, Canada, Australia, United States

Drugs / interventions tested

Conditions studied

Sponsor

Bristol-Myers Squibb — full company profile →

Who can join

Adults 18 to 65, any sex, with Alopecia Areata. Patients with the condition only — healthy volunteers not accepted.

Results — posted to ClinicalTrials.gov

Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.

Change From Baseline in Severity of Alopecia Tool Score at Week 24 in Placebo-Controlled Treatment Period Primary · Baseline (Day 1) and Week 24

The Severity of Alopecia Tool (SALT) score is a quantitative rating scale for measuring the severity of alopecia areata based on the amount of terminal hair loss in each of the 4 quadrants of the scalp: back region, top region, left and right regions of the scalp. To calculate a SALT score, the degree of scalp hair loss, as a percentage of each scalp region affected, is determined. Each region is multiplied by it's respective weighting factor (percentage surface area of the scalp in that area; back region \[24%\], top region \[40%\], left region \[18%\] and, right region \[18%\]), in order to

GroupValue95% CI
Placebo-Controlled: Deucravacitinib 6 mg QD-5.809± 13.3892
Placebo-Controlled: Deucravacitinib 6 mg BID1.027± 14.7258
Placebo-7.302± 17.8732
Number of Participants With Treatment Emergent Adverse Events in Placebo-Controlled Period Primary · From first dose (Day 1) and up to 30 days after last dose for all participants (up to approximately 28 weeks)

An Adverse Event (AE) is defined as any new untoward medical occurrence or worsening of a pre-existing medical condition in a clinical investigation participant administered study treatment and that does not necessarily have a causal relationship with this treatment. Serious Adverse Event (SAE) is defined as any untoward medical occurrence that, at any dose results in death, is life-threatening, requires inpatient hospitalization or causes prolongation of existing hospitalization. Adverse event of interest included herpes zoster, malignancy, opportunistic infection or tuberculosis infection.

Treatment Emergent Adverse Events
GroupValue95% CI
Placebo-Controlled: Deucravacitinib 6 mg QD25
Placebo-Controlled: Deucravacitinib 6 mg BID28
Placebo20
Serious Treatment Emergent Adverse Events
GroupValue95% CI
Placebo-Controlled: Deucravacitinib 6 mg QD1
Placebo-Controlled: Deucravacitinib 6 mg BID1
Placebo0
Treatment Emergent Adverse Events Leading to Discontinuation of Study
GroupValue95% CI
Placebo-Controlled: Deucravacitinib 6 mg QD1
Placebo-Controlled: Deucravacitinib 6 mg BID3
Placebo0
TEAE of Interest-Herpes Zoster
GroupValue95% CI
Placebo-Controlled: Deucravacitinib 6 mg QD1
Placebo-Controlled: Deucravacitinib 6 mg BID0
Placebo0
TEAE of Interest-Malignancy-Bowen's Disease)
GroupValue95% CI
Placebo-Controlled: Deucravacitinib 6 mg QD0
Placebo-Controlled: Deucravacitinib 6 mg BID1
Placebo0
TEAE of Interest-Malignancy-Nodular lymphocyte predominant Hodgkin Lymphoma
GroupValue95% CI
Placebo-Controlled: Deucravacitinib 6 mg QD0
Placebo-Controlled: Deucravacitinib 6 mg BID1
Placebo0
TEAE of Interest - Opportunistic Infections
GroupValue95% CI
Placebo-Controlled: Deucravacitinib 6 mg QD0
Placebo-Controlled: Deucravacitinib 6 mg BID0
Placebo0
TEAE of Interest - Tuberculosis Infection
GroupValue95% CI
Placebo-Controlled: Deucravacitinib 6 mg QD0
Placebo-Controlled: Deucravacitinib 6 mg BID0
Placebo0
Number of Participants With Treatment Emergent Adverse Events in Active Treatment Period Primary · From first dose (Day 1) of Week 25 and up to 30 days after last dose for all participants (up to approximately 28 weeks)

An Adverse Event (AE) is defined as any new untoward medical occurrence or worsening of a pre-existing medical condition in a clinical investigation participant administered study treatment and that does not necessarily have a causal relationship with this treatment. Serious Adverse Event (SAE) is defined as any untoward medical occurrence that, at any dose results in death, is life-threatening, requires inpatient hospitalization or causes prolongation of existing hospitalization. Adverse event of interest included Herpes zoster, malignancy, opportunities infection or tuberculosis infection.

Treatment Emergent Adverse Events
GroupValue95% CI
Active Treatment Period: Deucravacitinib 6 mg QD21
Active Treatment Period: Deucravacitinib 6 mg BID17
Active Treatment Period: Placebo Followed by Deucravacitinib 6 mg QD13
Active Treatment Period: Placebo Followed by Deucravacitinib 6 mg BID14
Serious Treatment Emergent Adverse Events
GroupValue95% CI
Active Treatment Period: Deucravacitinib 6 mg QD0
Active Treatment Period: Deucravacitinib 6 mg BID1
Active Treatment Period: Placebo Followed by Deucravacitinib 6 mg QD0
Active Treatment Period: Placebo Followed by Deucravacitinib 6 mg BID0
Treatment Emergent Adverse Events Leading to Discontinuation of Study
GroupValue95% CI
Active Treatment Period: Deucravacitinib 6 mg QD1
Active Treatment Period: Deucravacitinib 6 mg BID0
Active Treatment Period: Placebo Followed by Deucravacitinib 6 mg QD1
Active Treatment Period: Placebo Followed by Deucravacitinib 6 mg BID0
TEAE of Interest-Herpes Zoster
GroupValue95% CI
Active Treatment Period: Deucravacitinib 6 mg QD0
Active Treatment Period: Deucravacitinib 6 mg BID0
Active Treatment Period: Placebo Followed by Deucravacitinib 6 mg QD0
Active Treatment Period: Placebo Followed by Deucravacitinib 6 mg BID0
TEAE of Interest-Malignancy-Bowen's Disease
GroupValue95% CI
Active Treatment Period: Deucravacitinib 6 mg QD0
Active Treatment Period: Deucravacitinib 6 mg BID0
Active Treatment Period: Placebo Followed by Deucravacitinib 6 mg QD0
Active Treatment Period: Placebo Followed by Deucravacitinib 6 mg BID0
TEAE of Interest-Malignancy-Nodular lymphocyte predominant Hodgkin Lymphoma
GroupValue95% CI
Active Treatment Period: Deucravacitinib 6 mg QD0
Active Treatment Period: Deucravacitinib 6 mg BID0
Active Treatment Period: Placebo Followed by Deucravacitinib 6 mg QD0
Active Treatment Period: Placebo Followed by Deucravacitinib 6 mg BID0
TEAE of Interest - Opportunistic Infections
GroupValue95% CI
Active Treatment Period: Deucravacitinib 6 mg QD0
Active Treatment Period: Deucravacitinib 6 mg BID0
Active Treatment Period: Placebo Followed by Deucravacitinib 6 mg QD0
Active Treatment Period: Placebo Followed by Deucravacitinib 6 mg BID0
TEAE of Interest - Tuberculosis Infection
GroupValue95% CI
Active Treatment Period: Deucravacitinib 6 mg QD0
Active Treatment Period: Deucravacitinib 6 mg BID0
Active Treatment Period: Placebo Followed by Deucravacitinib 6 mg QD0
Active Treatment Period: Placebo Followed by Deucravacitinib 6 mg BID0
Number of Participants With Worst Toxicity Grade Change From Baseline to Grade 3/Grade 4 in Laboratory Test Results as Per Common Terminology Criteria for Adverse Events (CTCAE) v5.0 in Placebo-Controlled Period Primary · From first dose (Day 1) through Week 24

Blood samples were collected for assessment of laboratory test results. All abnormalities were graded as per CTCAE v5.0 on a scale from 1 to 4, with Grade 1 being mild and asymptomatic; Grade 2 is moderate requiring minimal, local or noninvasive intervention; Grade 3 is severe or medically significant but not immediately life-threatening; Grade 4 events are usually severe enough to require hospitalization.

HEMOGLOBIN, LOW
GroupValue95% CI
Placebo-Controlled: Deucravacitinib 6 mg QD0
Placebo-Controlled: Deucravacitinib 6 mg BID0
Placebo0
PLATELET COUNT, LOW
GroupValue95% CI
Placebo-Controlled: Deucravacitinib 6 mg QD0
Placebo-Controlled: Deucravacitinib 6 mg BID0
Placebo0
LEUKOCYTES, LOW
GroupValue95% CI
Placebo-Controlled: Deucravacitinib 6 mg QD0
Placebo-Controlled: Deucravacitinib 6 mg BID0
Placebo0
ALANINE AMINOTRANSFERASE (ALT), HIGH
GroupValue95% CI
Placebo-Controlled: Deucravacitinib 6 mg QD0
Placebo-Controlled: Deucravacitinib 6 mg BID0
Placebo0
ALKALINE PHOSPHATASE (ALP), HIGH
GroupValue95% CI
Placebo-Controlled: Deucravacitinib 6 mg QD0
Placebo-Controlled: Deucravacitinib 6 mg BID0
Placebo0
ASPARTATE AMINOTRANSFERASE (AST), HIGH
GroupValue95% CI
Placebo-Controlled: Deucravacitinib 6 mg QD0
Placebo-Controlled: Deucravacitinib 6 mg BID0
Placebo0
BILIRUBIN, TOTAL, HIGH
GroupValue95% CI
Placebo-Controlled: Deucravacitinib 6 mg QD0
Placebo-Controlled: Deucravacitinib 6 mg BID0
Placebo0
CREATININE, ENZYMATIC, HIGH
GroupValue95% CI
Placebo-Controlled: Deucravacitinib 6 mg QD0
Placebo-Controlled: Deucravacitinib 6 mg BID0
Placebo0
Number of Participants With Worst Toxicity Grade Change From Baseline to Grade 3/Grade 4 in Laboratory Test Results as Per Common Terminology Criteria for Adverse Events (CTCAE) v5.0 in in Active Treatment Period Primary · From Week 25 to Week 52

Blood samples were collected for assessment of laboratory test results. All abnormalities are graded as per CTCAE v5.0 on a scale from 1 to 4, with Grade 1 being mild and asymptomatic; Grade 2 is moderate requiring minimal, local or noninvasive intervention; Grade 3 is severe or medically significant but not immediately life-threatening; Grade 4 events are usually severe enough to require hospitalization.

HEMOGLOBIN, LOW
GroupValue95% CI
Active Treatment Period: Deucravacitinib 6 mg QD0
Active Treatment Period: Deucravacitinib 6 mg BID0
Active Treatment Period: Placebo Followed by Deucravacitinib 6 mg QD0
Active Treatment Period: Placebo Followed by Deucravacitinib 6 mg BID0
PLATELET COUNT, LOW
GroupValue95% CI
Active Treatment Period: Deucravacitinib 6 mg QD0
Active Treatment Period: Deucravacitinib 6 mg BID0
Active Treatment Period: Placebo Followed by Deucravacitinib 6 mg QD0
Active Treatment Period: Placebo Followed by Deucravacitinib 6 mg BID0
LEUKOCYTES, LOW
GroupValue95% CI
Active Treatment Period: Deucravacitinib 6 mg QD0
Active Treatment Period: Deucravacitinib 6 mg BID0
Active Treatment Period: Placebo Followed by Deucravacitinib 6 mg QD0
Active Treatment Period: Placebo Followed by Deucravacitinib 6 mg BID0
ALANINE AMINOTRANSFERASE (ALT), HIGH
GroupValue95% CI
Active Treatment Period: Deucravacitinib 6 mg QD0
Active Treatment Period: Deucravacitinib 6 mg BID0
Active Treatment Period: Placebo Followed by Deucravacitinib 6 mg QD0
Active Treatment Period: Placebo Followed by Deucravacitinib 6 mg BID0
ALKALINE PHOSPHATASE (ALP), HIGH
GroupValue95% CI
Active Treatment Period: Deucravacitinib 6 mg QD0
Active Treatment Period: Deucravacitinib 6 mg BID0
Active Treatment Period: Placebo Followed by Deucravacitinib 6 mg QD0
Active Treatment Period: Placebo Followed by Deucravacitinib 6 mg BID0
ASPARTATE AMINOTRANSFERASE (AST), HIGH
GroupValue95% CI
Active Treatment Period: Deucravacitinib 6 mg QD0
Active Treatment Period: Deucravacitinib 6 mg BID0
Active Treatment Period: Placebo Followed by Deucravacitinib 6 mg QD0
Active Treatment Period: Placebo Followed by Deucravacitinib 6 mg BID0
BILIRUBIN, TOTAL, HIGH
GroupValue95% CI
Active Treatment Period: Deucravacitinib 6 mg QD0
Active Treatment Period: Deucravacitinib 6 mg BID0
Active Treatment Period: Placebo Followed by Deucravacitinib 6 mg QD0
Active Treatment Period: Placebo Followed by Deucravacitinib 6 mg BID0
CREATININE, ENZYMATIC, HIGH
GroupValue95% CI
Active Treatment Period: Deucravacitinib 6 mg QD0
Active Treatment Period: Deucravacitinib 6 mg BID0
Active Treatment Period: Placebo Followed by Deucravacitinib 6 mg QD0
Active Treatment Period: Placebo Followed by Deucravacitinib 6 mg BID0
Number of Participants With Marked Electrocardiogram Abnormalities in Placebo-Controlled Period Primary · First dose (Day 1) to Week 24

A 12-lead ECG was performed after the participant remained supine for at least 5 minutes prior to the ECG. The ECG results read by the principal study investigator or a qualified and delegated designee as per local requirements

QTCF 450 -< 480 MILLISECONDS (MSEC)
GroupValue95% CI
Placebo-Controlled: Deucravacitinib 6 mg QD0
Placebo-Controlled: Deucravacitinib 6 mg BID2
Placebo1
QTCF 480 -< 500 MSEC
GroupValue95% CI
Placebo-Controlled: Deucravacitinib 6 mg QD0
Placebo-Controlled: Deucravacitinib 6 mg BID0
Placebo0
QTCF >= 500 MSEC
GroupValue95% CI
Placebo-Controlled: Deucravacitinib 6 mg QD0
Placebo-Controlled: Deucravacitinib 6 mg BID0
Placebo0
QTCF 30 < CHANGE FROM BASELINE <= 60 MSEC
GroupValue95% CI
Placebo-Controlled: Deucravacitinib 6 mg QD0
Placebo-Controlled: Deucravacitinib 6 mg BID1
Placebo0
QTCF CHANGE FROM BASELINE > 60 MSEC
GroupValue95% CI
Placebo-Controlled: Deucravacitinib 6 mg QD0
Placebo-Controlled: Deucravacitinib 6 mg BID0
Placebo0
PR INTERVAL >= 200 MSEC
GroupValue95% CI
Placebo-Controlled: Deucravacitinib 6 mg QD2
Placebo-Controlled: Deucravacitinib 6 mg BID0
Placebo1
QRS INTERVAL >= 120 MSEC
GroupValue95% CI
Placebo-Controlled: Deucravacitinib 6 mg QD0
Placebo-Controlled: Deucravacitinib 6 mg BID0
Placebo1
Number of Participants With Marked Electrocardiogram Abnormalities in Active Treatment Period Primary · Week 25 to Week 52

A 12-lead ECG should be performed after the participant has remained supine for at least 5 minutes prior to the ECG. The ECG results will be read by the principal study investigator or a qualified and delegated designee as per local requirements

QTCF 450 -< 480 MILLISECONDS (MSEC)
GroupValue95% CI
Active Treatment Period: Deucravacitinib 6 mg QD0
Active Treatment Period: Deucravacitinib 6 mg BID0
Active Treatment Period: Placebo Followed by Deucravacitinib 6 mg QD0
Active Treatment Period: Placebo Followed by Deucravacitinib 6 mg BID0
QTCF 480 -< 500 MSEC
GroupValue95% CI
Active Treatment Period: Deucravacitinib 6 mg QD0
Active Treatment Period: Deucravacitinib 6 mg BID0
Active Treatment Period: Placebo Followed by Deucravacitinib 6 mg QD0
Active Treatment Period: Placebo Followed by Deucravacitinib 6 mg BID0
QTCF >= 500 MSEC
GroupValue95% CI
Active Treatment Period: Deucravacitinib 6 mg QD0
Active Treatment Period: Deucravacitinib 6 mg BID0
Active Treatment Period: Placebo Followed by Deucravacitinib 6 mg QD0
Active Treatment Period: Placebo Followed by Deucravacitinib 6 mg BID0
QTCF 30 < CHANGE FROM BASELINE <= 60 MSEC
GroupValue95% CI
Active Treatment Period: Deucravacitinib 6 mg QD1
Active Treatment Period: Deucravacitinib 6 mg BID1
Active Treatment Period: Placebo Followed by Deucravacitinib 6 mg QD1
Active Treatment Period: Placebo Followed by Deucravacitinib 6 mg BID1
QTCF CHANGE FROM BASELINE > 60 MSEC
GroupValue95% CI
Active Treatment Period: Deucravacitinib 6 mg QD0
Active Treatment Period: Deucravacitinib 6 mg BID0
Active Treatment Period: Placebo Followed by Deucravacitinib 6 mg QD0
Active Treatment Period: Placebo Followed by Deucravacitinib 6 mg BID0
PR INTERVAL >= 200 MSEC
GroupValue95% CI
Active Treatment Period: Deucravacitinib 6 mg QD1
Active Treatment Period: Deucravacitinib 6 mg BID0
Active Treatment Period: Placebo Followed by Deucravacitinib 6 mg QD1
Active Treatment Period: Placebo Followed by Deucravacitinib 6 mg BID1
QRS INTERVAL >= 120 MSEC
GroupValue95% CI
Active Treatment Period: Deucravacitinib 6 mg QD1
Active Treatment Period: Deucravacitinib 6 mg BID0
Active Treatment Period: Placebo Followed by Deucravacitinib 6 mg QD1
Active Treatment Period: Placebo Followed by Deucravacitinib 6 mg BID0
Number of Participants With Abnormalities in Marked Vital Signs in Placebo-Controlled Period Primary · First dose (Day 1) to Week 24

Vital signs such as systolic blood pressures (SBP), diastolic blood pressure (DBP) and heart rate were assessed. The evaluation of the marked abnormality criteria is based on participants highest change from baseline in the period. Blood pressure and heart rate were to be measured after the participant has been resting quietly for at least 5 minutes.

HEART RATE > 100 BPM AND CHANGE FROM BASELINE > 30 BPM
GroupValue95% CI
Placebo-Controlled: Deucravacitinib 6 mg QD0
Placebo-Controlled: Deucravacitinib 6 mg BID1
Placebo0
HEART RATE < 55 BPM AND CHANGE FROM BASELINE < -15 BPM
GroupValue95% CI
Placebo-Controlled: Deucravacitinib 6 mg QD1
Placebo-Controlled: Deucravacitinib 6 mg BID0
Placebo0
SBP >140 MM HG AND CHANGE FROM BASELINE > 20 MM HG
GroupValue95% CI
Placebo-Controlled: Deucravacitinib 6 mg QD1
Placebo-Controlled: Deucravacitinib 6 mg BID4
Placebo1
SBP <90 MM HG AND CHANGE FROM BASELINE < -20 MM HG
GroupValue95% CI
Placebo-Controlled: Deucravacitinib 6 mg QD0
Placebo-Controlled: Deucravacitinib 6 mg BID0
Placebo1
DBP >90 MM HG AND CHANGE FROM BASELINE > 10 MM HG
GroupValue95% CI
Placebo-Controlled: Deucravacitinib 6 mg QD3
Placebo-Controlled: Deucravacitinib 6 mg BID0
Placebo1
DBP <55 MM HG AND CHANGE FROM BASELINE < -10 MM HG
GroupValue95% CI
Placebo-Controlled: Deucravacitinib 6 mg QD0
Placebo-Controlled: Deucravacitinib 6 mg BID0
Placebo1
Number of Participants With Abnormalities in Marked Vital Signs in Active Treatment Period Primary · Week 25 to Week 52

Vital signs such as systolic blood pressures (SBP), diastolic blood pressure (DBP) and heart rate were assessed. The evaluation of the marked abnormality criteria is based on participants highest change from baseline in the period. Blood pressure and heart rate were to be measured after the participant had been resting quietly for at least 5 minutes.

HEART RATE > 100 BPM AND CHANGE FROM BASELINE > 30 BPM
GroupValue95% CI
Active Treatment Period: Deucravacitinib 6 mg QD0
Active Treatment Period: Deucravacitinib 6 mg BID0
Active Treatment Period: Placebo Followed by Deucravacitinib 6 mg QD0
Active Treatment Period: Placebo Followed by Deucravacitinib 6 mg BID1
HEART RATE < 55 BPM AND CHANGE FROM BASELINE < -15 BPM
GroupValue95% CI
Active Treatment Period: Deucravacitinib 6 mg QD1
Active Treatment Period: Deucravacitinib 6 mg BID1
Active Treatment Period: Placebo Followed by Deucravacitinib 6 mg QD0
Active Treatment Period: Placebo Followed by Deucravacitinib 6 mg BID0
SBP >140 MM HG AND CHANGE FROM BASELINE > 20 MM HG
GroupValue95% CI
Active Treatment Period: Deucravacitinib 6 mg QD1
Active Treatment Period: Deucravacitinib 6 mg BID1
Active Treatment Period: Placebo Followed by Deucravacitinib 6 mg QD0
Active Treatment Period: Placebo Followed by Deucravacitinib 6 mg BID1
SBP <90 MM HG AND CHANGE FROM BASELINE < -20 MM HG
GroupValue95% CI
Active Treatment Period: Deucravacitinib 6 mg QD0
Active Treatment Period: Deucravacitinib 6 mg BID0
Active Treatment Period: Placebo Followed by Deucravacitinib 6 mg QD0
Active Treatment Period: Placebo Followed by Deucravacitinib 6 mg BID0
DBP >90 MM HG AND CHANGE FROM BASELINE > 10 MM HG
GroupValue95% CI
Active Treatment Period: Deucravacitinib 6 mg QD0
Active Treatment Period: Deucravacitinib 6 mg BID1
Active Treatment Period: Placebo Followed by Deucravacitinib 6 mg QD0
Active Treatment Period: Placebo Followed by Deucravacitinib 6 mg BID3
DBP <55 MM HG AND CHANGE FROM BASELINE < -10 MM HG
GroupValue95% CI
Active Treatment Period: Deucravacitinib 6 mg QD1
Active Treatment Period: Deucravacitinib 6 mg BID0
Active Treatment Period: Placebo Followed by Deucravacitinib 6 mg QD1
Active Treatment Period: Placebo Followed by Deucravacitinib 6 mg BID0
Percentage of Participants Achieving a ≥ 50% Reduction in Severity of Alopecia Tool (SALT) Score (SALT50 Response) From Baseline at Week 24 Secondary · Baseline (Day 1) and Week 24

The Severity of Alopecia Tool (SALT) score is a quantitative rating scale for measuring the severity of alopecia areata based on the amount of terminal hair loss in each of the 4 quadrants of the scalp; back region, top region, left and right regions of the scalp. To calculate a SALT score, the degree of scalp hair loss, as a percentage of each scalp region affected, is determined. Each region is multiplied by its respective weighting factor (percentage surface area of the scalp in that area; Back region \[24%\], Left Region \[18%\], Right Region \[18%\], Top Region \[40%\]), in order to achie

GroupValue95% CI
Placebo-Controlled: Deucravacitinib 6 mg QD3.1
Placebo-Controlled: Deucravacitinib 6 mg BID0
Placebo6.5
Percentage of Participants Achieving a Severity of Alopecia Tool (SALT) Score ≤20 at Week 24 Secondary · Baseline (Day 1) and Week 24

The Severity of Alopecia Tool (SALT) score is a quantitative rating scale for measuring the severity of alopecia areata based on the amount of terminal hair loss in each of the 4 quadrants of the scalp; back region, top region, left and right regions of the scalp. To calculate a SALT score, the degree of scalp hair loss, as a percentage of each scalp region affected, is determined. Each region is multiplied by its respective weighting factor (percentage surface area of the scalp in that area; Back region \[24%\], Left Region \[18%\], Right Region \[18%\], Top Region \[40%\]), in order to achie

GroupValue95% CI
Placebo-Controlled: Deucravacitinib 6 mg QD3.1
Placebo-Controlled: Deucravacitinib 6 mg BID0
Placebo0
Percentage of Participants Achieving an Alopecia Areata Investigator Global Assessment (AA-IGA) Score of 0 or 1 at Week 24 With at Least a 2-Point Change From Baseline Secondary · Baseline (Day 1) and week 24

The AA-IGA utilizes a 5-points scale, in which the investigator assesses scalp hair loss based on the SALT assessment. The AA-IGA measures alopecia areata severity at a single point in time(without taking into account the baseline disease condition).The participant's scalp hair loss, as it look at the time of evaluation is scored as none (0) (0% scalp hair loss), limited (1) (1%-20% scalp hair loss), moderate (2) (21%-49% scalp hair loss), severe (3) (50%-94% scalp hair loss), or very severe (4)(95%-100 % scalp hair loss).

GroupValue95% CI
Placebo-Controlled: Deucravacitinib 6 mg QD3.1
Placebo-Controlled: Deucravacitinib 6 mg BID0
Placebo0

Adverse events — posted to ClinicalTrials.gov

Time frame: All cause mortality was collected from Week 0 to Week 52. Serious AEs were collected from informed consent form signing (Week -4) and up to 30 days after last dose for all participants (up to approximately 32 weeks and 28 weeks in Placebo-controlled and Active Treatment Period respectively). Non Serious AEs were collected from first dose (Day 1) and up to 30 days after last dose (up to approximately 28 weeks for each Placebo-controlled and Active Treatment Period).. Reporting threshold: 5%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Placebo-Controlled: Deucravacitinib 6 mg QD
Serious: 1/32 (3%)
Deaths: 0/32
Placebo-Controlled: Deucravacitinib 6 mg BID
Serious: 1/31 (3%)
Deaths: 0/31
Placebo
Serious: 0/31 (0%)
Deaths: 0/31
Active-Treatment Period: Deucravacitinib 6 mg QD
Serious: 0/32 (0%)
Deaths: 0/32
Active-Treatment Period: Deucravacitinib 6 mg BID
Serious: 1/26 (4%)
Deaths: 0/26
Active-Treatment Period: Placebo Followed by Deucravacitinib 6 mg QD
Serious: 0/16 (0%)
Deaths: 0/16
Active-Treatment Period: Placebo Followed by Deucravacitinib 6 mg BID
Serious: 0/15 (0%)
Deaths: 0/15

Serious adverse events (3 terms)

ReactionSystemPlacebo-Controlled: Deucra…Placebo-Controlled: Deucra…PlaceboActive-Treatment Period: D…Active-Treatment Period: D…Active-Treatment Period: P…Active-Treatment Period: P…
Viral upper respiratory tract infectionInfections and infestations
Ligament sprainInjury, poisoning and procedural complications
Nodular lymphocyte predominant Hodgkin LymphomaNeoplasms benign, malignant and unspecified (incl cysts and polyps)
Other adverse events (44 terms — click to expand)

ReactionSystemPlacebo-Controlled: Deucra…Placebo-Controlled: Deucra…PlaceboActive-Treatment Period: D…Active-Treatment Period: D…Active-Treatment Period: P…Active-Treatment Period: P…
NasopharyngitisInfections and infestations
FolliculitisInfections and infestations
Upper respiratory tract infectionInfections and infestations
AcneSkin and subcutaneous tissue disorders
Aphthous ulcerGastrointestinal disorders
DiarrhoeaGastrointestinal disorders
COVID-19Infections and infestations
Urinary tract infectionInfections and infestations
HeadacheNervous system disorders
Food poisoningGastrointestinal disorders
Mouth ulcerationGastrointestinal disorders
PyrexiaGeneral disorders
CystitisInfections and infestations
GastroenteritisInfections and infestations
Oral herpesInfections and infestations
SinusitisInfections and infestations
TonsillitisInfections and infestations
Blood creatine phosphokinase increasedInvestigations
Weight increasedInvestigations
HypercholesterolaemiaMetabolism and nutrition disorders
Back painMusculoskeletal and connective tissue disorders
Muscle spasmsMusculoskeletal and connective tissue disorders
CoughRespiratory, thoracic and mediastinal disorders
EczemaSkin and subcutaneous tissue disorders
PruritusSkin and subcutaneous tissue disorders
RosaceaSkin and subcutaneous tissue disorders
UrticariaSkin and subcutaneous tissue disorders
HypoacusisEar and labyrinth disorders
Abdominal painGastrointestinal disorders
Amalgam tattooGastrointestinal disorders
MassGeneral disorders
Seasonal allergyImmune system disorders
CellulitisInfections and infestations
ConjunctivitisInfections and infestations
Fungal infectionInfections and infestations
InfluenzaInfections and infestations
LaryngitisInfections and infestations
Nail infectionInfections and infestations
PharyngitisInfections and infestations
Vulvovaginal candidiasisInfections and infestations

Most-reported serious reactions: Viral upper respiratory tract infection, Ligament sprain, Nodular lymphocyte predominant Hodgkin Lymphoma.

Data from ClinicalTrials.gov NCT05556265 adverse events section.

Sponsor's own description

The purpose of this study is to evaluate the efficacy of deucravacitinib versus placebo at Week 24 and safety and tolerability of deucravacitinib versus placebo in adults with alopecia areata.

Publications & conference data

8 peer-reviewed publications reference this trial (live from Europe PMC):

  1. JAK/STAT pathway: Extracellular signals, diseases, immunity, and therapeutic regimens.
    Hu Q, Bian Q, Rong D, Wang L, et al · · 2023 · cited 190× · PMID 36911202 · DOI 10.3389/fbioe.2023.1110765
  2. Inhibition of T-cell activity in alopecia areata: recent developments and new directions.
    Passeron T, King B, Seneschal J, Steinhoff M, et al · · 2023 · cited 54× · PMID 38022501 · DOI 10.3389/fimmu.2023.1243556
  3. Tyk2 Targeting in Immune-Mediated Inflammatory Diseases.
    Rusiñol L, Puig L. · · 2023 · cited 54× · PMID 36834806 · DOI 10.3390/ijms24043391
  4. Allosteric TYK2 inhibition: redefining autoimmune disease therapy beyond JAK1-3 inhibitors.
    Jensen LT, Attfield KE, Feldmann M, Fugger L. · · 2023 · cited 45× · PMID 37863021 · DOI 10.1016/j.ebiom.2023.104840
  5. Deucravacitinib for the treatment of psoriatic arthritis: the evidence so far.
    Martins A, Lé AM, Torres T. · · 2023 · cited 10× · PMID 37168876 · DOI 10.7573/dic.2023-2-7
  6. Rapid hair regrowth in an alopecia universalis patient with deucravacitinib: A case report.
    Oliel S, Moussa S, Stanciu M, Netchiporouk E. · · 2023 · cited 5× · PMID 38033914 · DOI 10.1177/2050313x231213135
  7. Fine-tuning SLE treatment: the potential of selective TYK2 inhibition.
    Satoh-Kanda Y, Nakayamada S, Tanaka Y. · · 2024 · cited 4× · PMID 39740929 · DOI 10.1136/rmdopen-2024-005072
  8. Overview of alopecia areata for managed care and payer stakeholders in the United States.
    King B, Pezalla E, Fung S, Tran H, et al · · 2023 · cited 3× · PMID 37219075 · DOI 10.18553/jmcp.2023.22371

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