A Study of Baricitinib (LY3009104) in Children From 6 Years to Less Than 18 Years of Age With Alopecia Areata (BRAVE-AA-PEDS)

2022-502700-78-00 Protocol I4V-MC-JAIO Therapeutic confirmatory (Phase III) Ongoing, recruitment ended

Start 1 Sep 2023 · Status Ongoing, recruitment ended · 5 EU/EEA countries · 43 sites · Protocol I4V-MC-JAIO

Overview

Sponsor-declared trial summary

Phase Therapeutic confirmatory (Phase III)
Status Ongoing, recruitment ended
Participants planned 765
Countries 5
Sites 43

Alopecia areata (AA)

To test the hypothesis that the high dose or the low dose of baricitinib is superior to placebo in the treatment of pediatric participants with AA

Key facts

Sponsor
Eli Lilly & Co.
Participant type
Pediatric, Patients
Age range
0-17 years
Gender
Male and Female
Therapeutic area
Diseases [C] - Skin and Connective Tissue Diseases [C17]
Trial duration
1 Sep 2023 → ongoing
Decision date (initial)
2023-08-29
Transition trial
No
Low-intervention
No
Rare-disease indication
No
Vulnerable population
Yes

External identifiers

EU CT number
2022-502700-78-00
WHO UTN
U1111-1288-2979

Trial design

CTIS Part I — objectives, methods, condition coding

Main objective

Scope: Efficacy, Safety, Pharmacokinetic

To test the hypothesis that the high dose or the low dose of baricitinib is superior to placebo in the treatment of pediatric participants with AA

Conditions and MedDRA coding

Alopecia areata (AA)

Regulatory references

EMA paediatric investigation plan (PIP)
EMEA-001220-PIP08-20
Plan to share IPD
Yes

Eligibility criteria

Principal inclusion / exclusion criteria as submitted by sponsor

Inclusion criteria 3

  1. Have severe areata alopecia (AA) for at least 1 year
  2. Current AA episode of at least 6 months’ duration with hair loss encompassing ≥50% of the scalp
  3. Current episode of severe to very severe alopecia areata of less than 8 years. - Participants who have severe AA for ≥ 8 years may be enrolled if episodes of regrowth, spontaneous or under treatment, have been observed on the affected areas over the past 8 years

Exclusion criteria 3

  1. Participants must not have primarily “diffuse” type of alopecia areata
  2. Participants must not be currently experiencing other forms of alopecia or any other health problem that would make it difficult to see how the study drug is working on alopecia areata
  3. Participants must not have topical applied to scalp within 4 weeks of randomization

Endpoints

Primary and secondary outcome measures (English text)

Primary endpoints 1

  1. Percentage of participants achieving an absolute Severity of Alopecia Tool (SALT) ≤ 20

Investigational products

Investigational medicinal products (IMPs), comparators, placebo, auxiliary

Test 4

Baricitinib

SUB180983 · Substance

Active substance
Baricitinib
Pharmaceutical form
FILM-COATED TABLET
Route of administration
ORAL USE
Max daily dose
4 mg milligram(s)
Max total dose
3808 mg milligram(s)
Max treatment duration
136 Week(s)
Authorisation status
Authorised
ATC code
- — -
Marketing authorisation
-
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
Yes
Modification description
IMP is packaged for clinical trials use. IMP is manufactured with commercial drug substance (baricitinib) and unit formula as Olumiant. Drug product and excipients may have different facilities, specifications, methods, shelf-life, and packaging. No commercial debossing on tablets. All still appropriate for clinical trial use.

Baricitinib

PRD10309000 · Product

Active substance
Baricitinib
Pharmaceutical form
TABLET
Route of administration
ORAL USE
Max daily dose
4 mg milligram(s)
Max total dose
3808 mg milligram(s)
Max treatment duration
136 Week(s)
Authorisation status
Not Authorised
MA holder
ELI LILLY AND COMPANY LIMITED
Paediatric formulation
No
Orphan designation
No

Baricitinib

SUB180983 · Substance

Active substance
Baricitinib
Pharmaceutical form
FILM-COATED TABLET
Route of administration
ORAL USE
Max daily dose
4 mg milligram(s)
Max total dose
3808 mg milligram(s)
Max treatment duration
136 Week(s)
Authorisation status
Authorised
ATC code
- — -
Marketing authorisation
-
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
Yes
Modification description
IMP is packaged for clinical trials use. IMP is manufactured with commercial drug substance (baricitinib) and unit formula as Olumiant. Drug product and excipients may have different facilities, specifications, methods, shelf-life, and packaging. No commercial debossing on tablets. All still appropriate for clinical trial use.

Baricitinib

PRD10162774 · Product

Active substance
Baricitinib
Pharmaceutical form
ORAL SUSPENSION
Route of administration
ORAL USE
Max daily dose
4 mg milligram(s)
Max total dose
3808 mg milligram(s)
Max treatment duration
136 Week(s)
Authorisation status
Not Authorised
MA holder
ELI LILLY AND COMPANY LIMITED
Paediatric formulation
Yes
Orphan designation
No

Placebo 1

A placebo to match LY3009104

N/A · Product

Other product name
N/A
Pharmaceutical form
N/A
ATC code
N/A — N/A
Marketing authorisation
N/A
MA holder
N/A
MA country
Iceland
Paediatric formulation
No

Sponsors and contacts

Sponsor organisations, regulatory contacts, third parties

Eli Lilly & Co.

Sponsor organisation
Eli Lilly & Co.
Address
Lilly Technology Center Building 324
City
Indianapolis
Postcode
46221
Country
United States

Scientific contact point

Organisation
Eli Lilly & Co.
Contact name
Lilly Clinical Trials information desk

Public contact point

Organisation
Eli Lilly & Co.
Contact name
Lilly Clinical Trials information desk

Third parties 10

OrganisationCity, countryDuties
Cyberchrome Inc.
ORG-100042286
Branford, United States Other
Greenphire LLC
ORG-100041621
King Of Prussia, United States Other
Icon Clinical Research Limited
ORG-100008322
Dublin 18, Ireland On site monitoring, Code 10, Code 12, Other, Code 2, Laboratory analysis, Code 5, Data management
Altasciences Compagnie Inc.
ORG-100037610
Laval, Canada Laboratory analysis
RWS Life Sciences Inc.
ORG-100042348
East Hartford, United States Other
Covance Bioanalytical Services LLC
ORG-100037229
Indianapolis, United States Laboratory analysis
Signant Health Management Limited
ORG-100040504
Reading, United Kingdom E-data capture
Cleveland Clinic Foundation
ORG-100028017
Cleveland, United States Other, Laboratory analysis
Veeva Systems Inc.
ORG-100006053
Pleasanton, United States Data management, E-data capture
AG Mednet Inc.
ORG-100039869
Boston, United States Other

Locations

5 EU/EEA countries · 43 investigational sites

By country

CountryMS statusPlanned subjectsSites
France Ongoing, recruitment ended 28 5
Germany Ongoing, recruitment ended 55 10
Hungary Ongoing, recruitment ended 28 2
Poland Ongoing, recruitment ended 250 18
Spain Ongoing, recruitment ended 53 8
Rest of world
Japan, Taiwan, United States, Argentina, Australia, Korea, Republic of, Mexico, Canada
351

Investigational sites

France

5 sites · Ongoing, recruitment ended
Centre Hospitalier Universitaire De Nice
Dermatology, 151 Route De Saint Antoine, 06200, Nice
Centre Hospitalier Regional Universitaire De Tours
Pedriatric Medicine, 49 Boulevard Beranger, 37000, Tours
Centre D'etude De La Peau Et Du Cheveu
Dermatology, 1 Avenue Claude Vellefaux, 75010, Paris
Assistance Publique Hopitaux De Marseille
Dermatology, 264 Rue Saint Pierre, 13005, Marseille
Centre Hospitalier Universitaire De Nantes
Dermatology, 1 Place Alexis Ricordeau, 44000, Nantes

Germany

10 sites · Ongoing, recruitment ended
Universitaetsklinikum Schleswig-Holstein
Institut für Entzündungsmedizin, Ratzeburger Allee 160, 23538, Lübeck
Universitaetsklinikum Carl Gustav Carus Dresden an der Technischen Universitaet Dresden AöR
Klinik und Poliklinik für Dermatologie, Fetscherstrasse 74, Johannstadt-Nord, Dresden
Universitaetsklinikum Frankfurt AöR
Klinik für Dermatologie, Venerologie und Allergologie, Theodor-Stern-Kai 7, 60590, Frankfurt Am Main
Katholisches Kinderkrankenhaus Wilhelmstift gGmbH
Dermatologie, Liliencronstrasse 130, Rahlstedt, Hamburg
BAG Dres. med. Quist PartG
N/A, Haifa-Allee 20, 55128, Mainz
Thermalsole und Schwefelbad Bentheim GmbH
Fachabteilung Dermatologie, Am Bade 1, 48455, Bad Bentheim
Universitaetsklinikum Muenster AöR
Klinik für Hautkrankheiten, Von-Esmarch-Strasse 58, Sentrup, Muenster
Universitaetsklinikum Halle (Saale) AöR
Universitätsklinik und Poliklinik für Dermatologie und Venerologie, Ernst-Grube-Strasse 40, Kroellwitz, Halle Saale
University Medical Center Hamburg-Eppendorf
Institut für Versorgungsforschung in der Dermatologie und bei Pflegeberufen, Martinistrasse 52, Eppendorf, Hamburg
Charite Universitaetsmedizin Berlin KöR
Klinik für Dermatologie, Venerologie und Allergologie, Chariteplatz 1, Mitte, Berlin

Hungary

2 sites · Ongoing, recruitment ended
University Of Pecs
PTE KK Bőr-, Nemikórtani és Onkodermatológiai Klinika, Akac Utca 1, 7632, Pecs
University Of Debrecen
Bőrgyógyászati Klinika, Nagyerdei Korut 98, 4032, Debrecen

Poland

18 sites · Ongoing, recruitment ended
Care Clinic Sp. z o.o.
N/A, Ul. Ligocka 103, 40-568, Katowice
Provita 001
N/A, Ul. Baboszewska 1/2U4, 02-647, Warsaw
Specjalistyczny gabinet dermatologiczny Aplikacyjno-Badawczy Marek Brzewski Pawel Brzewski SC
N/A, ulica Zbozowa 2/25, 30-002, Krakow
Evimed Sp. z o.o.
N/A, Ul. Jana Pawla Woronicza 16, 02-625, Warsaw
Dorota Bystrzanowska High­ Med Przychodnia Specjalistyczna
N/A, Ul. Jana Kasprowicza 27/2, 01-817, Warszawa
Uniwersytecki Szpital Kliniczny Im. Fryderyka Chopina W Rzeszowie
Klinika Dermatologii, Ul. Fryderyka Szopena 2, 35-055, Rzeszow
Klinika Ambroziak Sp. z o.o.
N/A, Ul. Ulica Kosiarzy 9a, 02-953, Warsaw
Panstwowy Instytut Medyczny Ministerstwa Spraw Wewnetrznych I Administracji
Klinika Dermatologii, Ul. Woloska 137, 02-507, Warsaw
Dermedic Jacek Zdybski
N/A, Sienkiewicza 65/14/II, 27-400, Ostrowiec Swietokrzyski
Medicover Integrated Clinical Services Sp. z o.o.
N/A, Ul. Jana Karola Chodkiewicza 19c, 85-065, Bydgoszcz
Laser Clinic S.C. dr Tomasz Kochanowski dr Andrzej Królicki
N/A, Al. Piastow 65/U5, 70-332, Szczecin
Dermoklinika-Medyczne Centrum s.c. M.Kierstan J.Narbutt A.Lesiak
N/A, Al. Tadeusza Kosciuszki 93, 90-436, Lodz
Royalderm Agnieszka Nawrocka
N/A, ulica Krzysztofa Kieslowskiego 3B/3, 02-962, Warszawa
Centrum Badan Klinicznych Pi-House Sp. z o.o.
N/A, Ul. Na Zaspe 3, 80-546, Gdansk
NZOZ Specjalistyczny Osrodek Dermatologiczny ”Dermal”
N/A, Ul. Nowy Swiat 17/5, 15-453, Bialystok
Gabinet Dermatologiczny Beata Krecisz
N/A, Ul. Generala Andersa 5/U, 25-217, Kielce
Cityclinic Przychodnia Lekarsko-Psychologiczna Matusiak sp.p.
N/A, Ul. Ul. Sliczna 13, 50-566, Wroclaw
Provita Sp. z o.o.
N/A, Ul. Fabryczna 13d, 40-611, Katowice

Spain

8 sites · Ongoing, recruitment ended
Hospital Universitario Infanta Leonor
Dermatology department, Avenida Gran Via Del Este 80, 28031, Madrid
Icr Medical S.L.
Dermatology department, Calle De Serrano 143, 28006, Madrid
Hospital Universitario Basurto
Dermatology department, Montevideo Etorbidea 16-18, 48013, Bilbao
Hospital Universitari Germans Trias I Pujol
Dermatology department, Carretera Canyet 1a Planta, 08916, Badalona
Hospital Universitario 12 De Octubre
Dermatology department, Bloque D, Avenida De Cordoba S/n, Madrid
Hospital General Universitario De Valencia
Dermatology department, Avenida Del Tres Cruces 2, 46014, Valencia
Hospital General Universitario Dr. Balmis
Dermatology department, Avinguda Del Pintor Baeza 12, 03010, Alicante
Hospital Del Mar
Dermatology department, Passeig Maritim De La Barceloneta 25-29, 08003, Barcelona

Country notifications

Trial-start, recruitment-start, end and early-termination notifications submitted per Member State

Country Trial startTrial end Recruitment startRecruitment end Early termination
France 2023-09-06 2023-09-18 2025-08-29
Germany 2023-10-30 2023-12-13 2025-09-26
Hungary 2023-09-06 2023-10-18 2025-08-28
Poland 2023-09-01 2023-09-14 2025-11-26
Spain 2023-09-05 2023-09-25 2025-08-25

Results and documents

Annex IV summary of results, Annex V layperson summary, and all documents registered in CTIS for this trial

Documents 71 files

Public protocol annexes, IB summaries, regulatory submissions and post-authorisation documents registered in CTIS.

TypeTitleVersion
Protocol (for publication) D1_Protocol 2022-502700-78-00_FP f
Protocol (for publication) D1_Protocol_2022-502700-78-00_Ve_TC_NFP e
Protocol (for publication) D4_Patient facing document Pediatric Peer Relationships_HU_NFP 2.0
Protocol (for publication) D4_Patient facing document PROMIS Depressive Symptoms_HU_NFP 2.0
Protocol (for publication) D4_Patient facing document PROMIS Peer Relationships_HU_NFP 2.0
Protocol (for publication) D4_Patient facing document statement_FP N/A
Recruitment arrangements (for publication) K1_NTF Recruitment Materials 1.0
Recruitment arrangements (for publication) K1_Recruit-ICF process 1
Recruitment arrangements (for publication) K1_Recruit-ICF process 1.0
Recruitment arrangements (for publication) K1_Recruit-ICF process 2-0
Recruitment arrangements (for publication) K1_Recruit-ICF process_FP 2.0
Recruitment arrangements (for publication) K1_Recruit-ICF process_FP 1-0
Recruitment arrangements (for publication) K1_Recruitment Arrangements Template 1.0
Recruitment arrangements (for publication) K1_Recruitment Arrangements_FP 1-0
Recruitment arrangements (for publication) K2_BARICITINIB-SYRINGE-CT-IFU-JAIO_FP N/A
Recruitment arrangements (for publication) K2_IFU_FP N/A
Recruitment arrangements (for publication) K2_NTF Recruitment Materials 1
Recruitment arrangements (for publication) K2_NTF Recruitment Materials 1-0
Recruitment arrangements (for publication) K2_Recruitment material_IFU_FP N/A
Recruitment arrangements (for publication) K2_Recruitment material_NTF 2_re Recruitment Procedures_FP 1.0
Recruitment arrangements (for publication) K2_Recruitment material_Placeholder_FP N/A
Recruitment arrangements (for publication) K2_Recruitment Material_placeholder_FP N/A
Recruitment arrangements (for publication) K2_Recruitment material_Placeholder_FP N/A
Recruitment arrangements (for publication) K2_Recruitment materials_IFU_FP N/A
Recruitment arrangements (for publication) K2_Rectruitment Material_Placeholder_FP N/A
Recruitment arrangements (for publication) K2_Rectruitment Material_Placeholder_FP N/A
Recruitment arrangements (for publication) K2_Study Visit Guide_FP 3.0
Recruitment arrangements (for publication) K2_Study Visit Guide_FP 3.0
Recruitment arrangements (for publication) K2_Study Visit Guide_FP 3.0
Subject information and informed consent form (for publication) L1_Opt Photo ICF Addendum_Parent_Participant-Assent 12-17_FP 1
Subject information and informed consent form (for publication) L1_Optional Photography Consent Assent 13-18_FP 1.0
Subject information and informed consent form (for publication) L1_SIS-ICF_Adult 5.0
Subject information and informed consent form (for publication) L1_SIS-ICF_Assent 12-17 2.0
Subject information and informed consent form (for publication) L1_SIS-ICF_Assent 6-11 1.0
Subject information and informed consent form (for publication) L1_SIS-ICF_Assent 6-11 yrs_FP 4
Subject information and informed consent form (for publication) L1_SIS-ICF_Assent_Older Children (12-17) 5.0
Subject information and informed consent form (for publication) L1_SIS-ICF_Assent_Younger Children (6-11)_FP 2.0
Subject information and informed consent form (for publication) L1_SIS-ICF_Child 11-14y 2.0
Subject information and informed consent form (for publication) L1_SIS-ICF_Child 15-17y 3.0
Subject information and informed consent form (for publication) L1_SIS-ICF_Child less 10y 2.0
Subject information and informed consent form (for publication) L1_SIS-ICF_Country Reimbursement and Reminder_FP 3.0
Subject information and informed consent form (for publication) L1_SIS-ICF_Greenphire Adult 1-0
Subject information and informed consent form (for publication) L1_SIS-ICF_Greenphire Parents 1-0
Subject information and informed consent form (for publication) L1_SIS-ICF_Information form 12-17 yrs_FP 5
Subject information and informed consent form (for publication) L1_SIS-ICF_Main 3.0
Subject information and informed consent form (for publication) L1_SIS-ICF_Opt Photography Add Adult-Parents_FP N/A
Subject information and informed consent form (for publication) L1_SIS-ICF_Opt Photography Add Assent (12-17)_FP N/A
Subject information and informed consent form (for publication) L1_SIS-ICF_Parent 3.0
Subject information and informed consent form (for publication) L1_SIS-ICF_Parent_FP 6.1
Subject information and informed consent form (for publication) L1_SIS-ICF_Parents 5.0
Subject information and informed consent form (for publication) L1_SIS-ICF_Participant with Pregnant Partner_FP 1.0
Subject information and informed consent form (for publication) L1_SIS-ICF_Patient_FP 5
Subject information and informed consent form (for publication) L1_SIS-ICF_PP 2.0
Subject information and informed consent form (for publication) L1_SIS-ICF_Pregnant Partner Participant 1-0
Subject information and informed consent form (for publication) L1_SIS-ICF_Pregnant Partner_FP 1.0
Subject information and informed consent form (for publication) L1_SIS-ICF_Reimbursement_FP 2.0
Subject information and informed consent form (for publication) L1_SIS-ICF_Younger Adult_Legal Rep_FP 4.0
Subject information and informed consent form (for publication) L1_SISICF_Assent 13-17 1
Subject information and informed consent form (for publication) L1_SISICF_Assent 6-12 2.0
Subject information and informed consent form (for publication) L1_SISICF_Main ICF Adults-Parents 5.0
Subject information and informed consent form (for publication) L1_SISICF_PP 1
Subject information and informed consent form (for publication) L1_SISICF_Reimbursement 1
Subject information and informed consent form (for publication) L2_Pt. Card 1.0
Subject information and informed consent form (for publication) L2_SIS-ICF_Pregnant Partner 1.1
Summary of Product Characteristics (SmPC) (for publication) E2_SmPC baricitinib_FP N/A
Synopsis of the protocol (for publication) D1_Protocol synopsis DE 2022-502700-78-00_FP f
Synopsis of the protocol (for publication) D1_Protocol synopsis EN 2022-502700-78-00_FP f
Synopsis of the protocol (for publication) D1_Protocol synopsis ES 2022-502700-78-00_FP f
Synopsis of the protocol (for publication) D1_Protocol synopsis FR 2022-502700-78-00_FP f
Synopsis of the protocol (for publication) D1_Protocol synopsis HU 2022-502700-78-00_FP f
Synopsis of the protocol (for publication) D1_Protocol synopsis PL 2022-502700-78-00_FP f

Application history

11 submissions — initial application plus substantial / non-substantial modifications

#TypeCodeSubmittedReference MSConclusionDecision date
1 INITIAL IN 2023-05-02 France Acceptable with conditions
2023-08-25
2023-08-28
2 SUBSEQUENT ADDITION OF MSC APP-2 2023-09-22 Acceptable with conditions
2023-08-25
2023-10-23
3 NON SUBSTANTIAL MODIFICATION NSM-1 2023-11-23 Acceptable with conditions
2023-08-25
2023-11-23
4 SUBSTANTIAL MODIFICATION SM-1 2024-04-10 France Acceptable
2024-07-15
2024-07-16
5 SUBSTANTIAL MODIFICATION SM-2 2025-03-14 France Acceptable
2025-05-06
2025-05-06
6 NON SUBSTANTIAL MODIFICATION NSM-2 2025-06-18 France Acceptable
2025-05-06
2025-06-18
7 NON SUBSTANTIAL MODIFICATION NSM-3 2025-07-15 France Acceptable
2025-05-06
2025-07-15
8 NON SUBSTANTIAL MODIFICATION NSM-4 2025-08-14 France Acceptable
2025-05-06
2025-08-14
9 SUBSTANTIAL MODIFICATION SM-3 2025-09-02 France Acceptable 2025-09-12
10 SUBSTANTIAL MODIFICATION SM-4 2025-09-02 Acceptable 2025-09-26
11 SUBSTANTIAL MODIFICATION SM-5 2026-01-27 Acceptable 2026-03-31