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Serlopitant

Phase 3

Pruritus | Small molecule | Dermatology |VYNE Therapeutics Inc.|Last Updated: Feb 14, 2023

Success Probability
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Market & Valuation
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Trial Design
RandomizedDouble-BlindPLACEBO_CONTROLLEDDMC
Total Trials5
Total Enrollment1,501
FDA Designations
No designations recorded
Clinical trial landscape

Serlopitant · 8 trials · 6 indications

Phase 3 2Phase 2 6
NCT03677401Study of the Efficacy, Safety and Tolerability of Serlopitant for the Treatment of Pruritus (Itch) With Prurigo NodularisPruritus
COMPLETED295 Analytics
NCT03546816Study of the Efficacy, Safety and Tolerability of Serlopitant for the Treatment of Pruritus (Itch) With Prurigo NodularisPruritus
COMPLETED285 Analytics
PHASE3COMPLETED
Study of the Efficacy, Safety and Tolerability of Serlopitant for the Treatment of Pruritus (Itch) With Prurigo Nodularis
PruritusUnlock trial analytics
PHASE3COMPLETED
Study of the Efficacy, Safety and Tolerability of Serlopitant for the Treatment of Pruritus (Itch) With Prurigo Nodularis
PruritusUnlock trial analytics
Study Endpoints
Primary Endpoints
Percent of Participants With Worst Itch Numeric Rating Scale (WI-NRS) 4-point Responder Rate at Week 10
At Week 10

During the study, WI-NRS assessments were reported by the participant via eDiary once daily from screening/mid-screening visit through the follow-up visit. The Itch NRS is a validated, self reported, instrument for measurement of itch intensity and participants were asked to rate the intensity of their itch on an 11- point scale ranging from 0 (no itch) to 10 (worst itch imaginable); higher scores indicated greater itch intensity. A participant was a 4-point responder if their change from baseline is ≤ -4 (i.e. a decrease of at least 4).

Percent of Subjects With Worst-Itch Numeric Rating Scale 4-point Responder at Week 10
At Week 10

During the study, Worst Itch Numeric Rating Scale (WI-NRS) assessments were reported by the subject via eDiary once daily from screening/mid-screening visit through the follow-up visit. The Itch NRS is a validated, self-reported, instrument for measurement of itch intensity and subjects were asked to rate the intensity of their itch on an 11-point scale ranging from 0 (no itch) to 10 (worst itch imaginable); higher scores indicated greater itch intensity. Subjects were considered responders if they had at least a 4-point reduction from baseline in weekly average WI-NRS at Week 10.

Number of Patients Who Achieve at Least a 3-point Reduction in AI-NRS.
baseline and after two months of treatment

Participants will be asked to complete a daily itch diary with their average itch numeric rating scale (AI-NRS) over the past 24 hours. Score range: 0 to 10, higher scores mean more itching.

Worst Itch Numeric Rating Scale 4-point Responder Rate at Week 10
At Week 10

During the study, Worst Itch Numeric Rating Scale (WI-NRS) assessments was reported by the subject via eDiary. The daily NRS results were summarized. The daily results were averaged to create weekly measures. The Itch NRS is a validated, self-reported, instrument for measurement of itch intensity. It used a 24-hour recall period and asked subjects to rate the intensity of their itch on an 11-point scale ranging from 0 (no itch) to 10 (worst itch imaginable), higher scores indicated greater itch intensity. A subject was a 4-point responder if their change from baseline is ≤ -4 (i.e. a decrease of at least 4).

WI-NRS 4-point Responder Rate at Weeks 2 4, 6, and 8
At Weeks 2, 4, 6, and 8

During the study, Worst Itch Numeric Rating Scale (WI-NRS) assessments was reported by the subject via eDiary. The daily NRS results were summarized. The daily results were averaged to create weekly measures. The Itch NRS is a validated, self-reported, instrument for measurement of itch intensity. It used a 24-hour recall period and asked subjects to rate the intensity of their itch on an 11-point scale ranging from 0 (no itch) to 10 (worst itch imaginable), higher scores indicated greater itch intensity. A subject was a 4-point responder if their change from baseline is ≤ -4 (i.e. a decrease of at least 4).

WI-NRS 3-point Responder Rate at Weeks 2, 4, 6, 8, and 10
At Weeks 2, 4, 6, 8, and 10

During the study, Worst Itch Numeric Rating Scale (WI-NRS) assessments was reported by the subject via eDiary. The daily NRS results were summarized. The daily results were averaged to create weekly measures. The Itch NRS is a validated, self-reported, instrument for measurement of itch intensity. It used a 24-hour recall period and asked subjects to rate the intensity of their itch on an 11-point scale ranging from 0 (no itch) to 10 (worst itch imaginable), higher scores indicated greater itch intensity. A subject was a 3-point responder if their change from baseline is ≤ -3 (i.e. a decrease of at least 3). Results presented below is of subjects who were a 3-point responder but not a 4-point responder.

Change From Baseline in WI-NRS at Weeks 2, 4, 6, 8, and 10
At Weeks 2, 4, 6, 8, and 10

During the study, Worst Itch Numeric Rating Scale (WI-NRS) assessments was reported by the subject via eDiary. The daily NRS results were summarized. The daily results were averaged to create weekly measures. The Itch NRS is a validated, self-reported, instrument for measurement of itch intensity. It used a 24-hour recall period and asked subjects to rate the intensity of their itch on an 11-point scale ranging from 0 (no itch) to 10 (worst itch imaginable), higher scores indicated greater itch intensity.

Change From Baseline in Daily WI-NRS Scores Through Week 2
Through 2 weeks

During the study, Worst Itch Numeric Rating Scale (WI-NRS) assessments was reported by the subject via eDiary. The daily NRS results were summarized. The daily results were averaged to create weekly measures. The Itch NRS is a validated, self-reported, instrument for measurement of itch intensity. It used a 24-hour recall period and asked subjects to rate the intensity of their itch on an 11-point scale ranging from 0 (no itch) to 10 (worst itch imaginable), higher scores indicated greater itch intensity.

Change From Baseline in Worst-Itch Visual Analog Scale at Weeks 2, 4, 6, and 10
At Weeks 2, 4, 6, and 10

The Itch Visual Analog Scale (VAS) is a validated, self-reported instrument for measurement of itch intensity. It used a 24-hour recall period and asked subjects to rate the worst intensity of their itch on a 100-mm horizontal line ranging from 0 mm (no itch) to 100 mm (worst itch imaginable). Higher scores indicated greater itch intensity. The VAS measurement were summarized in centimeters. WI-VAS assessments were reported by the subject via a paper form administered at study visits.

WI-NRS 4-point Responder Rate at Week 8
8 weeks

Worst Itch Numeric Rating Scale (WI-NRS). 11-point scale ranging from 0 (no itch) to 10 (worst itch imaginable). Higher scores indicate greater itch intensity. A 4-point responder is a subject who had at least a 4-point reduction in score between Baseline and Week 8.

Change in 24-hour Objective Cough Frequency (Log Normalized Percent Change Relative to Placebo)
from Baseline to Day 84

Change in 24-hour objective cough frequency is total number of cough events during the monitoring period (24-hour interval)/24 (Total duration (in hours) for the monitoring period) which is captured through sound recordings by a custom-built digital recording device (VitaloJAK, Vitalograph, Ltd).

Change in WI-NRS From Baseline to Week 6
Week 6 compared to Baseline

Worst Itch Numeric Rating Scale (WI-NRS). 11-point scale ranging from 0 (no itch) to 10 (worst itch imaginable). Higher scores indicate greater itch intensity. The primary outcome is the change in WI-NRS score between the visit and Baseline.

Average Visual Analog Scale at Baseline
At Baseline

At study visits, participants recorded a mark for pruritus severity on a 10-cm horizontal line. This thermometer-type scale was marked with ratings of "no itch" (0 cm) and worst imaginable itch" (10 cm). Average Visual Analog Scale (VAS) (average itch over the past 24 hours) was recorded. Higher scores indicated worse outcome.

Average Visual Analog Scale at Week 2
At Week 2

At study visits, participants recorded a mark for pruritus severity on a 10-cm horizontal line. This thermometer-type scale was marked with ratings of "no itch" (0 cm) and worst imaginable itch" (10 cm). Average VAS (average itch over the past 24 hours) was recorded. Higher scores indicated worse outcome.

Average Visual Analog Scale at Week 4
At Week 4

At study visits, participants recorded a mark for pruritus severity on a 10-cm horizontal line. This thermometer-type scale was marked with ratings of "no itch" (0 cm) and worst imaginable itch" (10 cm). Average VAS (average itch over the past 24 hours) was recorded. Higher scores indicated worse outcome.

Average Visual Analog Scale at Week 8
At Week 8

At study visits, participants recorded a mark for pruritus severity on a 10-cm horizontal line. This thermometer-type scale was marked with ratings of "no itch" (0 cm) and worst imaginable itch" (10 cm). Average VAS (average itch over the past 24 hours) was recorded. Higher scores indicated worse outcome.

Secondary Endpoints
Percent of Participants With WI-NRS 4-point Responder Rate at Week 4
At Week 4
Percent of Participants With WI-NRS 4-point Responder Rate at Week 2
At Week 2
Change From Baseline in WI-NRS at Weeks 2, 4, 6, and 10
At Weeks 2, 4, 6, and 10
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Study Design & Arms
AllocationRANDOMIZED
MaskingQUADRUPLE
ModelPARALLEL
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
5 mg Serlopitant TabletsEXPERIMENTAL -
Matching Placebo TabletsPLACEBO_COMPARATOR -
Placebo Oral TabletPLACEBO_COMPARATORParticipants will undergo two months of dosing with a placebo (inactive drug or sugar pill), followed by one month of washout. After the washout period, all participants were invited to participate in an open-label extension study with serlopitant 5 mg daily. The duration of the open-label extension study was either 12 months (for those who enrolled before May 2020) or 3 months (for those who registered after May 2020) due to drug availability.
Serlopitant TabletACTIVE_COMPARATORParticipants will undergo two months of Serlopitant 5mg daily per oral, followed by one month of washout. After the washout period, all participants were invited to participate in an open-label extension study with serlopitant 5 mg daily. The duration of the open-label extension study was either 12 months (for those who enrolled before May 2020) or 3 months (for those who registered after May 2020) due to drug availability.
5 mg Placebo TabletsPLACEBO_COMPARATORPlacebo Tablets
Serlopitant High DoseEXPERIMENTALserlopitant tablets - high dose
Serlopitant Low DoseEXPERIMENTALserlopitant tablets - low dose
serlopitant 5 mg tabletsACTIVE_COMPARATORserlopitant 5 mg tablets
Placebo tabletsPLACEBO_COMPARATORPlacebo tablets
Interventions
NameTypeDescription
5mg Serlopitant TabletsDRUGSerlopitant Tablets
Placebo TabletsDRUGPlacebo Tablets
Serlopitant TabletDRUGSerlopitant is a small molecule, highly selective NK1-R (neurokinin-1 receptor) antagonist. Two critical mediators of the urge to scratch are Substance P, or SP, and its receptor, NK1-R. SP is a naturally occurring peptide in the tachykinin neuropeptide family. Tachykinins have a broad range of functions in the nervous and immune systems. SP binding of NK1-R has been shown to be a key mediator of sensory nerve signaling, including the itch-scratch reflex and the vomiting reflex.
Placebo Oral TabletDRUGThe placebo is a tablet that looks like a drug but has no drug or other active ingredient in it.
5 mg Serlopitant TabletsDRUGSerlopitant Tablets
Matching Placebo TabletsDRUGPlacebo Tablets
Serlopitant High DoseDRUGserlopitant tablets - high dose
Serlopitant Low DoseDRUGserlopitant tablets - low dose
serlopitantDRUGNK1 receptor antagonist
PlaceboDRUGPlacebo
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Eligibility Criteria
Age Range18 Years to N/A
SexALL
Healthy VolunteersNo
Study Sites40

Inclusion Criteria (Subjects must meet the following criteria to be randomized into the study: 1. Male or female, age 18 years or older at consent. 2. Prurigo nodularis (PN), with at least ten nodules on at least two different body surface areas. 3. Idiopathic PN, or an identified pruritic conditio...

Countries:AustriaGermanyPolandUnited StatesUnited Kingdom
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