A Phase 3 Study to Assess Efficacy Safety and Tolerability of Remibrutinib in Adult and Adolescent Patients With Moderate to Severe Hidradenitis Suppurativa

Last updated: June 4, 2026
Sponsor: Novartis Pharmaceuticals
Overall Status: Active - Not Recruiting

Phase

3

Condition

Rosacea

Allergy

Scalp Disorders

Treatment

Placebo 2

Placebo 1

Remibrutinib Dose B

Clinical Study ID

NCT06840392
CLOU064J12302
2024-513266-19-00
  • Ages 12-100
  • All Genders

Study Summary

The purpose of this study is to establish the efficacy, safety, and tolerability of remibrutinib (LOU064) Dose A and Dose B compared to placebo in participants with moderate to severe hidradenitis suppurativa (HS).

Eligibility Criteria

Inclusion

Key Inclusion Criteria:

  1. Male and female participants ≥ 12 years of age at the time of signing of theinformed consent.

  2. Diagnosis of HS based on clinical history and physical examination for at least 6months prior to the Baseline visit.

  3. Participants with moderate to severe HS defined as:

  • A total of at least 5 AN count (abscesses and/or inflammatory nodules) AND

  • Inflammatory lesions should affect at least 2 distinct anatomic areas (e.g.,left and right axillae)

Exclusion

Key Exclusion Criteria:

  1. Presence of more than 20 fistulae/tunnels (both draining and non-draining) in totalat baseline.

  2. Any active skin disease or conditions that may interfere with the assessment of HS.

  3. Previous exposure to remibrutinib or other BTK inhibitors.

  4. Use of other investigational drugs within 5 half-lives of enrollment, or within 30days (for small molecules) prior to randomization, or until the pharmacodynamiceffect has returned to baseline (for biologics), whichever is longer.

  5. Significant bleeding risk or coagulation disorders.

  6. History of gastrointestinal bleeding.

  7. Requirement for anti-platelet (except for acetylsalicylic acid up to 100 mg/d orclopidogrel up to 75 mg/d) or anti-coagulant medication.

  8. History or current hepatic disease.

  9. Evidence of clinically significant cardiovascular, neurological, psychiatric,pulmonary, renal, hepatic, endocrine, metabolic, hematological disorders,gastrointestinal disease or immunodeficiency that, in the Investigator's opinion,would compromise the safety of the participant, interfere with the interpretation ofthe study results or otherwise preclude participation or protocol adherence of theparticipant.

  10. History of hypersensitivity to any of the study drug constituents.

  11. Known or suspected infectious disease that is active, chronic or recurrent whichprecludes the participant from participating in the trial as per investigator'sassessment. These infectious diseases include and are not limited to opportunisticinfections (e.g., tuberculosis, atypical mycobacterioses, listeriosis oraspergillosis) and/or known or suspected Human Immunodeficiency Virus (HIV)infection. Should it be required by local regulations and/or considered appropriateby the investigator, an HIV test can be performed to confirm eligibility.

  12. History of live attenuated vaccine administration within 6 weeks prior torandomization or requirement to receive these vaccinations at any time while onstudy treatment.

  13. Major surgery within 8 weeks prior to screening or planned surgery for the durationof the study.

Other protocol-defined inclusion/exclusion criteria may apply.

Study Design

Total Participants: 565
Treatment Group(s): 4
Primary Treatment: Placebo 2
Phase: 3
Study Start date:
March 20, 2025
Estimated Completion Date:
October 21, 2027

Study Description

The total duration of the study is 76 weeks and consists of: Screening (up to 4 weeks), Treatment Period 1 (16 weeks, double-blind treatment with remibrutinib (Dose A or Dose B) or placebo, Treatment Period 2 (52 weeks, treatment with remibrutinib (Dose A or Dose B) and Safety Follow-Up (treatment-free follow-up for 4 weeks).

Participants who prematurely discontinue study treatment (either during Treatment Period 1 or Treatment Period 2) are encouraged to remain in the study. Participants who do not wish to remain in the study will enter a 4-week Safety Follow-Up period.

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  • Novartis Investigative Site

    CABA, C1012AAY
    Argentina

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    Caba, C1205AAO
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    Atlanta, Georgia 30303
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    Atlanta 4180439, Georgia 4197000 30303
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    Chicago, Illinois 60611
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    West Dundee, Illinois 60118
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    Las Vegas, Nevada 89119
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    New Hyde Park, New York 11040
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    New York, New York 10023
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    Boardman, Ohio 44512
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    Columbus, Ohio 43210
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    Fairborn, Ohio 45324
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    Mayfield Heights, Ohio 44124
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    Charleston, South Carolina 29407
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    Goodlettsville, Tennessee 37072-2301
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  • Accurate Clinical Research

    Humble, Texas 77346
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    Webster, Texas 77598
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    Arlington, Virginia 22206
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    Danville, Virginia 24541
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    Vienna, Virginia 22182
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