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Phase 2 N=186 Randomized Triple-blind Treatment

Topical Ruxolitinib Evaluation in Chronic Hand Eczema

Hand Eczema

Enrolled (actual)
186
Serious AEs
2.3%
Results posted
Jul 2025
Primary outcome: Primary: Percentage of Participants With Investigator's Global Assessment-Chronic Hand Eczema Treatment Success (IGA-CHE-TS) at Week 16 — 53.2; 10.9 percentage of participants — p=<0.0001

Study Design & Population

Study type
Interventional
Phase
Phase 2
Interventions
Ruxolitinib cream (Drug); Vehicle (Drug)
Age
Adult, Older Adult · 18+ yrs
Sex
All
Sponsor
Incyte Corporation
Primary completion
Jul 2024

Outcome Measures

OutcomeResultp-value
PRIMARY
Percentage of Participants With Investigator's Global Assessment-Chronic Hand Eczema Treatment Success (IGA-CHE-TS) at Week 16
53.2; 10.9 <0.0001 sig
SECONDARY
Percentage of Participants Achieving ITCH4 Response at Weeks 4 and 16
46.7; 17.6; 52.2; 23.1 <0.0001 sig
SECONDARY
Percentage of Participants Achieving ITCH4 Response at Day 3 and Week 1 (Day 7)
12.9; 6.0; 28.0; 9.5 0.1789
SECONDARY
Percentage of Participants With Investigator's Global Assessment-Chronic Hand Eczema Treatment Success (IGA-CHE-TS) at Each Post-Baseline Visit
22.5; 1.2; 37.8; 4.8; 44.3; 3.8 <0.0001 sig
SECONDARY
Change From Baseline in CHE-related Itch NRS Score at Each Post-Baseline Visit
6.68; 6.63; -3.03; -1.34; -3.88; -2.02
SECONDARY
Time to ≥4-point Improvement From Baseline in CHE-related Itch NRS Score
15.0; 29.0 0.0025 sig
SECONDARY
Change From Baseline in CHE-related Pain NRS Score at Each Post-Baseline Visit
6.14; 6.06; -2.86; -1.27; -3.82; -1.83
SECONDARY
Percentage of Participants Achieving ≥2-point Improvement in CHE-related Skin Pain NRS Score From Baseline to Week 16
59.0; 34.1; 76.7; 47.5; 74.4; 52.0
SECONDARY
Time to ≥2-point Improvement From Baseline in CHE-related Skin Pain NRS Score
5.0; 8.0 0.1319
SECONDARY
Percentage Change in Hand Eczema Severity Index (HECSI) Score From Baseline to Week 16
-54.93; -16.68; -69.58; -26.00; -77.25; -33.81
SECONDARY
Patient Global Impression of Change (PGIC) Score at Each Post-Baseline Visit
1.85; 3.21; 1.74; 3.09; 1.64; 3.04
SECONDARY
Change From Baseline in Dermatology Life Quality Index (DLQI) Score at Weeks 2, 4, 8, 12, 16, 24, and 32
13.17; 11.84; -7.95; -3.62; -8.68; -4.78
SECONDARY
Number of Participants With the Indicated EQ-5D-5L Dimension Scores at Weeks 2, 4, 8, 12, 16, 24, and 32
70; 73; 14; 8; 5; 6
SECONDARY
Change From Baseline in EQ-5D-5L Visual Analog Scale (VAS) Score at Weeks 2, 4, 8, 12, 16, 24, and 32
74.21; 73.93; 8.85; 4.05; 10.73; 5.38
SECONDARY
Change From Baseline in Quality of Life in Hand Eczema Questionnaire (QOLHEQ) Total Score at Weeks 2, 4, 8, 12, 16, 24, 32, and Follow-up
75.19; 66.52; -43.16; -21.98; -50.22; -25.10
SECONDARY
Change From Baseline in Work Productivity and Activity Impairment Questionnaire v2.0 in Chronic Hand Dermatitis (WPAI-ChHD) Score at Weeks 2, 4, 8, 12, 16, 24, 32, and Follow-up
5.68; 2.32; -4.90; -0.90; -3.15; 0.82
SECONDARY
Number of Participants With Any Treatment-emergent Adverse Event (TEAE) in the DBVC Period
36; 29
SECONDARY
Number of Participants With Any ≥Grade 3 TEAE in the DBVC Period
2; 1
SECONDARY
Number of Participants With Any TEAE in the OLE Period
10; 25
SECONDARY
Number of Participants With Any ≥Grade 3 TEAE in the OLE Period
1; 1
SECONDARY
Number of Participants With Clinically Meaningful Changes or Trends in Laboratory (Hematology and Serum Chemistry) Parameters or Vital Signs in the DBVC Period
0; 0
SECONDARY
Number of Participants With Clinically Meaningful Changes or Trends in Laboratory (Hematology and Serum Chemistry) Parameters or Vital Signs in the OLE Period
0; 0

Summary

The purpose of this study is to evaluate the efficacy and safety of ruxolitinib cream in adult participants with diagnosis of chronic hand eczema (CHE) and moderate to severe disease activity (Investigator's Global Assessement (IGA) of CHE score 3 or 4).

Eligibility Criteria

Inclusion Criteria

  • Diagnosis of CHE for at least 6 months prior to screening. Diagnosis of chromic hand eczema (CHE) as defined by hand eczema (HE) lasting > 3 months or ≥ 2 flares within the previous 12 months.
  • Screening and baseline IGA-CHE 3 or 4.
  • Baseline CHE-related Itch NRS ≥ 4.
  • Have been treated with at least 1 prescription CHE therapy or if such therapy was not advisable or contraindicated.
  • Willingness to avoid pregnancy or fathering children based on the criteria defined in the protocol.

Exclusion Criteria

  • Known triggers for CHE (allergic or irritant, such as those identified by previous patch tests) cannot be avoided during the course of this study.
  • Any serious illness or medical, physical, or psychiatric condition(s).
  • Laboratory values outside of the protocol-defined criteria.
  • Use of protocol-defined treatments within the indicated washout period before baseline.
  • Psoralen ultraviolet A (PUVA) or ultraviolet B (UVB) therapy on the hands within 4 weeks before baseline.
  • Pregnant or lactating participants, or those considering pregnancy during the period of their study participation.

Other protocol-defined Inclusion/Exclusion Criteria may apply.

View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT05906628). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication.

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