Study of EQ101 in Adult Subjects With Moderate to Severe Alopecia Areata

Last updated: April 8, 2025
Sponsor: Equillium
Overall Status: Completed

Phase

2

Condition

Hair Loss

Alopecia

Treatment

EQ101

Clinical Study ID

NCT05589610
EQ101-104-01
  • Ages 18-60
  • All Genders

Study Summary

The purpose of this study is to assess the safety, PK, and PD of EQ101 as well as measure the efficacy of EQ101 at Week 24 compared to Baseline in adult subjects with moderate to severe AA. The study consists of 3 phases: a screening phase of up to 5 weeks, a treatment phase of 24 weeks, and a follow-up phase of 4 weeks. Study drug will be administered via intravenous (IV) push weekly.

Eligibility Criteria

Inclusion

Key Inclusion Criteria:

1.Subjects have AA, meeting all of the following criteria:

  1. Clinical diagnosis of AA with no other aetiology of hair loss ;

  2. At least 35% scalp hair loss, as defined by a SALT score ≥ 35, at Screening andBaseline. Approximately 25% of subjects with 35% to <50% scalp hair loss and 25% mayhave AT/AU.

  3. Current episode of hair loss lasting > 6 months to < 7 yrs at time of Screening; and

  4. No appreciable change in terminal hair regrowth within 6 months of the baselinevisit.

Exclusion

Key Exclusion Criteria:

  1. Known history of, or currently experiencing, male pattern androgenetic alopecia orfemale pattern hair loss

  2. History of scalp hair transplantation.

  3. Other scalp disease that may impact AA assessment or require topical treatment

  4. Unwilling to maintain a consistent hair style, including shampoo and hair products,and to refrain from weaves or extensions throughout the course of the study, orshaving of scalp.

  5. Use of adhesive or difficult to remove hairpiece or wigs during the study

  6. Have undergone significant trauma or major surgery within 8 weeks of the first doseof study drug or considered in imminent need for surgery or with elective surgeryscheduled to occur during the study.

  7. Participation in other clinical studies involving investigational drug(s) within 4weeks prior to the baseline visit.

  8. Treatment with an oral JAK inhibitor within 6 months prior to the baseline visit.

  9. Have previously been treated with an oral JAK inhibitor for AA for at least 12 weekswithout achieving at least a 25% improvement in SALT score.

  10. Have been treated with any cell-depleting agents including but not limited torituximab: within 6 months of the baseline visit, or 5 half-lives (if known), oruntil lymphocyte count returns to normal, whichever is longer.

  11. Have been treated with any biologics within 12 weeks or 5 half-lives of the baselinevisit, whichever is longer.

  12. Have been treated with any oral immune suppressants within 8 weeks of the baselinevisit.

  13. Have received intralesional injections of corticosteroid or platelet-rich plasma (PRP) in the scalp within 6 weeks of the baseline visit.

  14. Have used phototherapy, contact sensitisers, contact irritants, or cryotherapywithin 4 weeks of the baseline visit.

  15. Have used topical treatments applied to the scalp, eyebrows, or eyelashes (e.g.,corticosteroid cream; JAK inhibitors; medicated shampoo; minoxidil (Rogaine); orherbal hair care that could affect AA) within 4 weeks of the baseline visit.

  16. Have current or recent history of clinically significant severe, progressive, oruncontrolled renal, hepatic, haematological, gastrointestinal, metabolic, endocrine,pulmonary, cardiovascular, psychiatric, immunologic/rheumatologic or neurologicdisease; or have any other severe acute or chronic medical or psychiatric conditionor laboratory abnormality

  17. Have a known immunodeficiency disorder.

  18. History of solid organ or haematological transplantation.

  19. History of a lymphoproliferative disease or malignancy, other than adequatelytreated non-melanoma skin cancer or cervical carcinoma with no evidence ofrecurrence.

  20. Have active acute or chronic infection

  21. Abnormalities in clinical laboratory tests at Screening:

  22. Absolute neutrophil count (ANC) <1.0 × 109/L.

  23. Liver function tests ( ALT and AST) >3 x ULN.

  24. Total bilirubin >1.5 times ULN (unless isolated Gilbert's syndrome)

  25. Serum creatinine >1.5 ULN.

Study Design

Total Participants: 36
Treatment Group(s): 1
Primary Treatment: EQ101
Phase: 2
Study Start date:
December 19, 2022
Estimated Completion Date:
April 30, 2024

Study Description

This is a multicentre, Phase 2, open-label PoC study of EQ101 in adult subjects with at least 35% scalp hair loss due to AA. Approximately, 30 subjects will be enrolled in the study. During the 24-week treatment period, subjects will be dosed once weekly with EQ101 2 mg/kg IV. Subjects then will be followed up for an additional 4 weeks. The maximum duration of study participation will be approximately 33 weeks.

Eligible subjects must be between the ages of 18 and 60 years, have a clinical diagnosis of AA with a scalp hair loss of ≥ 35% at Screening and Baseline. Approximately 25% of subjects with 35% to < 50% scalp hair loss and approximately 25% may have AT and/or AU. In addition, each subject's current hair loss episode must have lasted at least 6 months but not more than 7 years and there can be no appreciable improvement in terminal hair regrowth within 6 months of Baseline.

Safety, efficacy, PK, and PD assessments will be made during the study. Safety assessments will include AEs (i.e., type, severity, frequency, seriousness, causality) and clinical safety lab results. Efficacy measurements will include Clinical Investigator assessments (e.g., SALT, ClinRO for eyebrows (EB), eyelashes (EL), and body hair changes) and assessments made by study subjects (e.g., Scalp Hair Assessment PRO, and PRO measures for EB, EL, and body hair changes).

Connect with a study center

  • Sinclair Dermatology

    East Melbourne,
    Australia

    Site Not Available

  • Fremantle Dermatology

    Fremantle,
    Australia

    Site Not Available

  • Premier Specialists

    Kogarah,
    Australia

    Site Not Available

  • Veracity Clinical Research

    Woolloongabba,
    Australia

    Site Not Available

  • Optimal Clinical Trials Limited

    Auckland,
    New Zealand

    Site Not Available

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