A Phase 2a Proof-of-Concept Trial of Bempikibart (ADX-914) for the Treatment of Severe Alopecia Areata (SIGNAL-AA)

Last updated: April 16, 2025
Sponsor: Q32 Bio Inc.
Overall Status: Active - Recruiting

Phase

2

Condition

Hair Loss

Alopecia

Treatment

ADX-914

Placebo

bempikibart (ADX-914)

Clinical Study ID

NCT06018428
ADX-914-203
SIGNAL-AA
  • Ages 18-75
  • All Genders

Study Summary

Part A is a randomized, double-blind, placebo-controlled, multi-center Proof-of-Concept (POC) Trial in subjects with severe Alopecia Areata. All participants in Part A have completed participation.

Part B is a multicenter, open-label study to assess the efficacy, safety, and tolerability of bempikibart (ADX-914) in participants with severe Alopecia Areata.

Eligibility Criteria

Inclusion

Key Inclusion Criteria:

  1. Adult men and women, aged 18 to 75 years, inclusive, at the time of informedconsent.

  2. Clinical diagnosis of severe to very severe alopecia areata, defined as the presenceof ≥50% total scalp hair loss at screening and baseline as measured by the SALTscore.

Exclusion

Key Exclusion Criteria:

  1. History of or diagnosis at screening of any another form of alopecia based onassessment by investigator.

  2. History (lifetime) or presence of hair transplants.

  3. History (lifetime) or presence of micropigmentation of the scalp (Note: Microbladingof the eyebrows is permitted).

  4. Use of systemic, topical, or device-based therapy for AA.

  5. History of, recent, or current clinically serious viral, bacterial, fungal, orparasitic infection or mycobacterial infection or at risk of serious infection.

Study Design

Total Participants: 75
Treatment Group(s): 3
Primary Treatment: ADX-914
Phase: 2
Study Start date:
September 12, 2023
Estimated Completion Date:
September 30, 2026

Study Description

Part A is a Phase IIa, Randomized, Double-blind, Placebo-controlled, multi-center Proof-of-Concept (POC) study in adult subjects with severe Alopecia Areata (AA). Bempikibart (ADX-914) or matching placebo is administered subcutaneously in the clinic setting every 2 weeks for 24 weeks, with follow-up for 12 weeks. Subjects will be randomized 3:1 to drug vs placebo. All participants in Part A have completed participation.

Part B is a multicenter, open-label study comprised of a screening period of up to 4 weeks, a treatment period of 36 weeks, and a follow-up period of 16 weeks, for a total study duration of up to 56 weeks.

Open Label Extension Cohort is a multicenter, open-label extension to assess the long-term efficacy, safety, and tolerability of bempikibart (ADX-914) in participants with severe AA who experienced hair regrowth as participants in Part A of the study. Participants enrolled in the Open Label Extension Cohort will receive bempikibart (ADX-914) for a duration of 6 months followed by a 16-week follow-up period.

Connect with a study center

  • Scottsdale, Arizona

    Scottsdale, Arizona 85255
    United States

    Completed

  • Fayetteville, Arkansas

    Fayetteville, Arkansas 72703
    United States

    Active - Recruiting

  • Hot Springs, AR

    Hot Springs, Arkansas 71913
    United States

    Active - Recruiting

  • Hot Springs, Arkansas

    Hot Springs, Arkansas 71913
    United States

    Completed

  • Encinitas, CA

    Encinitas, California 92024
    United States

    Active - Recruiting

  • Encinitas, California

    Encinitas, California 92024
    United States

    Active - Recruiting

  • Fountain Valley, CA

    Fountain Valley, California 92708
    United States

    Active - Recruiting

  • Fountain Valley, California

    Fountain Valley, California 92708
    United States

    Site Not Available

  • Lomita, California

    Lomita, California 90717
    United States

    Completed

  • New Haven, Connecticut

    New Haven, Connecticut 06519
    United States

    Site Not Available

  • Miami, Florida

    Miami, Florida 33173
    United States

    Completed

  • Tampa, Florida

    Tampa, Florida 33613
    United States

    Active - Recruiting

  • Clarksville, Indiana

    Clarksville, Indiana 47129
    United States

    Completed

  • Burlington, Massachusetts

    Burlington, Massachusetts 01805
    United States

    Site Not Available

  • Troy, Michigan

    Troy, Michigan 48084
    United States

    Completed

  • Warren, Michigan

    Warren, Michigan 48192
    United States

    Completed

  • New York, New York

    New York, New York 11211
    United States

    Active - Recruiting

  • Wilmington, North Carolina

    Wilmington, North Carolina 28405
    United States

    Active - Recruiting

  • Bexley, OH

    Bexley, Ohio 43209
    United States

    Active - Recruiting

  • Bexley, Ohio

    Bexley, Ohio 43209
    United States

    Active - Recruiting

  • Mason, Ohio

    Mason, Ohio 45040
    United States

    Active - Recruiting

  • Mayfield Heights, Ohio

    Mayfield Heights, Ohio 44124
    United States

    Active - Recruiting

  • Portland, Oregon

    Portland, Oregon 97225
    United States

    Completed

  • Austin, Texas

    Austin, Texas 78759
    United States

    Completed

  • Frisco, Texas

    Frisco, Texas 75034
    United States

    Completed

  • Houston, Texas

    Houston, Texas 77056
    United States

    Active - Recruiting

  • San Antonio, TX

    San Antonio, Texas 78213
    United States

    Active - Recruiting

  • San Antonio, Texas

    San Antonio, Texas 78213
    United States

    Completed

  • Jordan, Utah

    Jordan, Utah 84095
    United States

    Active - Recruiting

  • Spokane, Washington

    Spokane, Washington 99202
    United States

    Active - Recruiting

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