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Vixarelimab

Phase 2

Prurigo Nodularis | Small molecule | Other |Kiniksa Pharmaceuticals International, plc|Last Updated: Jan 13, 2026

Success Probability
Approval Probability 71%
TA Base Rate26%
Adjusted LOA41%
ML RiskLOW_RISK
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Market & Valuation
rNPV $3.2B
Market Size $9.4B
Revenue Basis $1.6B
Competitors 6
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Trial Design
RandomizedDouble-BlindPLACEBO_CONTROLLEDBiomarker
Total Trials1
Total Enrollment240
FDA Designations
No designations recorded
Clinical Trials (1)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT03816891Study to Assess the Efficacy, Safety, and Tolerability of Vixarelimab in Reducing Pruritus in Prurigo NodularisPHASE2 COMPLETED 240Mar 11, 2019Aug 24, 2023Jan 13, 202686 United States, Australia +11
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Study Endpoints
Primary Endpoints
Phase 2a & 2b: Percent Change From Baseline in Weekly Average Worst Itch-Numeric Rating Scale (WI-NRS) Score
at Week 8 (Phase 2a); at Week 16 (Phase 2b)

Participants rated pruritus daily on the Worst Itch \[pruritis\] Numeric Rating Scale (WI-NRS: 0=no pruritus; 10=worst imaginable pruritus). The least squares mean (LSM) and LSM difference were rounded up or down to the nearest single decimal place.

Secondary Endpoints
Phase 2a: Percentage of Participants Achieving at Least a 4-point Reduction From Baseline in Weekly Average WI-NRS at Week 8
Baseline, Week 8
Phase 2a: Percent Change From Baseline in Pruritus Visual Analog Scale (VAS) at Week 8
Baseline, Week 8
Phase 2a: Change From Baseline in Weekly Average of WI-NRS Over Time
Baseline, Weeks 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20, 21, 22, 23, 24
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Study Design & Arms
AllocationRANDOMIZED
MaskingQUADRUPLE
ModelPARALLEL
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
Phase 2a - Vixarelimab 360 mg SC Weekly (QW)EXPERIMENTALVixarelimab 720 mg loading dose followed by 360 mg weekly for 8 weeks (Protocol Version 3) or 16 weeks (Protocol Version 2)
Phase 2a - Placebo SC QWPLACEBO_COMPARATORPlacebo loading dose followed by placebo weekly for 8 weeks (Protocol Version 3) or 16 weeks (Protocol Version 2)
Phase 2b - Vixarelimab 540 mg SC Every 4 Weeks (Q4W; DBL)EXPERIMENTALVixarelimab 540 mg SC, every 4 weeks (Q4W) for 16 weeks during Double Blind Period
Phase 2b - Vixarelimab 360 mg SC, Q4W (DBL)EXPERIMENTALVixarelimab 360 mg SC, every 4 weeks (Q4W) for 16 weeks during Double Blind Period
Phase 2b - Vixarelimab 120 mg SC, Q4W (DBL)EXPERIMENTALVixarelimab 120 mg SC, every 4 weeks (Q4W) for 16 weeks during Double Blind Period
Phase 2b - Placebo SC, Q4W (DBL)PLACEBO_COMPARATORPlacebo SC, every 4 weeks (Q4W) for 16 weeks during Double Blind Period
Phase 2b - Vixarelimab 360 mg SC, Every 2 Weeks (Q2W; OLE)EXPERIMENTALVixarelimab 360 mg SC, every 2 weeks for 36 weeks during Open Label Extension
Interventions
NameTypeDescription
VixarelimabDRUGsolution for injection
PlaceboDRUGsolution for injection
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Eligibility Criteria
Age Range18 Years — 80 Years
SexALL
Healthy VolunteersNo
Study Sites86

Inclusion Criteria (apply to both Phase 2a and Phase 2b unless otherwise specified): 1. Male or female aged 18 to 75 years (Phase 2a), 18 to 80 years (Phase 2b) 2. Have clinical diagnosis of prurigo nodularis for at least 6 months 3. Have at least 10 nodules (Phase 2a), 20 nodules (Phase 2b) at the...

Countries:United StatesAustraliaAustriaBelgiumCanadaCzechiaFranceGermanyItalyPolandSouth KoreaTaiwanUnited Kingdom
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