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Trial ยท NCT03852472

Evaluation of Safety and Efficacy of Avacopan in Subjects With Moderate to Severe Hidradenitis Suppurativa (AURORA)

NCT03852472, Phase 2, Completed, Amgen; results first posted 2024-03-15

3 sourcestrials-2026-11-12-0.5.0

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ConductScience Library. Evaluation of Safety and Efficacy of Avacopan in Subjects With Moderate to Severe Hidradenitis Suppurativa (AURORA). Trials, record NCT03852472. Release trials-2026-11-12-0.5.0, 12 Nov 2026. https://conductscience.org/library/trials/NCT03852472

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Trial

As registered on ClinicalTrials.gov, in the graph's capture of the registry.

Title
Evaluation of Safety and Efficacy of Avacopan in Subjects With Moderate to Severe Hidradenitis Suppurativa (AURORA)
NCT number
NCT03852472
Status
Completed
Phases
Phase 2
Enrollment
435 participants, actual
Lead sponsor
Amgen
Conditions
Hidradenitis Suppurativa, Acne Inversa
Interventions
Avacopan, Placebo
First posted
2019-02-25
Last updated
2025-03-17
Results first posted
2024-03-15

Source ClinicalTrials.gov

Registered outcomes10

Each outcome the trial registered, primary first, in ClinicalTrials.gov's words.

ListOutcomeTime frameDescription
PrimaryPercentage of Subjects Achieving Hidradenitis Suppurativa Clinical Response (HiSCR) at Week 12.Baseline to Week 12
The percentage of subjects achieving Hidradenitis Suppurativa Clinical Response (HiSCR) at Week 12 in the ITT1 population using the NRI-CMH Test. A response was defined as a reduction of at least 50 in abscess and inflammatory nodule (AN) count with no increase in abscess count and no increase in draining fistula count compared with baseline. The ITT1 population was defined as all subjects who were randomized at baseline and received at least 1 dose of investigational product during period 1. NRI- non-responder imputation; CMH- Cochran-Mantel-Haenszel. Percentage values have been reported as opposed to proportion values to allow for statistical analyses.
SecondaryChange From Baseline in Total AN Count at Week 12Baseline to Week 12
The Change from Baseline in total AN (abscess and inflammatory nodule) count at Week 12 using MMRM and OC in the ITT1 population. The ITT1 population was defined as all subjects who were randomized at baseline and received at least 1 dose of investigational product during period 1. MMRM - mixed effects model for repeated measures; OC- observed case
Secondary
Number of Responders Achieving at Least 30% Reduction and at Least 1 Unit Reduction From Baseline in the Subject's Global Assessment of Skin Pain (NRS30) in Subjects With a Baseline NRS of at Least 3, Evaluated at Week 12
Baseline to Week 12
NRS30 = The number of responders achieving at least 30% reduction and at least 1 unit reduction from baseline in the subject's global assessment of skin pain score. Percentage is based on the number of subjects with a baseline pain score of at least 3 in each treatment group. Weekly averages of daily pain will be calculated based on subjects' daily diary recording of the worst pain experienced in the previous 24 hours. The ITT1 population was defined as all subjects who were randomized at baseline and received at least 1 dose of investigational product during period 1. NRI- non-responder imputation
SecondaryArea Under the Curve From Time 0-3hrs (AUC 0-3hrs) of Metabolite M1 Plasma Concentration on Day 1Day 1The Area under the curve from Time 0-3hrs (AUC 0-3hrs) of Metabolite M1 plasma concentration on Day 1 in the PK population. PK- pharmacokinetics
SecondaryNumber of Responders With Baseline Hurley Stage II Who Achieved an AN Count of 0, 1, or 2 at Week 12Baseline and Week 12
The number of responders With Baseline Hurley Stage II Who Achieved an Abscess and Inflammatory Nodule (AN) Count of 0, 1, or 2 at Week 12 using the NRI-CMH Test in the ITT1 population. Hurley Stage II disease is defined as having 1 or more widely separated recurrent abscesses with tract formation and scars. The ITT1 population was defined as all subjects who were randomized at baseline and received at least 1 dose of investigational product during period 1.
SecondaryChange of IHS4 Score Relative to Baseline at Week 12.Baseline and Week 12
The ITT1 population was defined as all subjects who were randomized at baseline and received at least 1 dose of investigational product during period 1. IHS4 score (points) = (number of nodules multiplied by 1) + (number of abscesses multiplied by 2) + \[number of draining tunnels (fistulae/sinuses) multiplied by 4\]. A score of 3 or less signifies mild HS, a score of 4-10 signifies moderate HS and a score of 11 or higher signifies severe HS. IHS4- International HS Severity Scoring System
SecondaryChange From Baseline in Inflammatory Nodule Count at Week 12Baseline and Week 12A reduction in AN signifies improvement. The ITT1 population was defined as all subjects who were randomized at baseline and received at least 1 dose of investigational product during period 1.
SecondaryChange From Baseline in Abscess Count at Week 12Baseline and Week 12
A reduction in abscess count signifies improvement. The ITT1 population was defined as all subjects who were randomized at baseline and received at least 1 dose of investigational product during period 1.
SecondaryChange From Baseline in Draining Fistula Count at Week 12Baseline and Week 2, Week 4, Week 8 and Week 12The ITT1 population was defined as all subjects who were randomized at baseline and received at least 1 dose of investigational product during period 1.
SecondaryChange From Baseline to Week 12 in the Modified Sartorius Score to Quantify the Severity Change of HSBaseline and Week 2, Week 4, Week 8 and Week 12
Twelve body areas will be evaluated to calculate the Sartorius and modified Sartorius scores: left and right axillae, left and right inframammary areas, intermammary area, left and right buttocks, left and right inguinocrural folds, perianal area, perineal area, and other. The presence of nodules, abscesses, fistulae, scars, and other findings will be recorded. The longest distance between two lesions and whether lesions are separated by normal skin is recorded. A score of 4 indicates the least severe disease, and higher scores indicate increasingly severe disease. There is no upper limit in the score. The ITT1 population was defined as all subjects who were randomized at baseline and received at least 1 dose of investigational product during period 1.

Outcomes10

Each outcome the trial posted results for, in ClinicalTrials.gov's words.

TypeOutcomeTime framePopulationUnitsMeasured as
PRIMARYPercentage of Subjects Achieving Hidradenitis Suppurativa Clinical Response (HiSCR) at Week 12.Baseline to Week 12percentage of participantsNUMBER
SECONDARYChange From Baseline in Total AN Count at Week 12Baseline to Week 12percentage of ANsMEAN
SECONDARY
Number of Responders Achieving at Least 30% Reduction and at Least 1 Unit Reduction From Baseline in the Subject's Global Assessment of Skin Pain (NRS30) in Subjects With a Baseline NRS of at Least 3, Evaluated at Week 12
Baseline to Week 12number of respondersNUMBER
SECONDARYArea Under the Curve From Time 0-3hrs (AUC 0-3hrs) of Metabolite M1 Plasma Concentration on Day 1Day 1h*ng/mLMEAN
SECONDARYNumber of Responders With Baseline Hurley Stage II Who Achieved an AN Count of 0, 1, or 2 at Week 12Baseline and Week 12number of respondersNUMBER
SECONDARYChange of IHS4 Score Relative to Baseline at Week 12.Baseline and Week 12score on a scaleMEAN
SECONDARYChange From Baseline in Inflammatory Nodule Count at Week 12Baseline and Week 12count of inflammatory nodulesMEAN
SECONDARYChange From Baseline in Abscess Count at Week 12Baseline and Week 12count of abscessesMEAN
SECONDARYChange From Baseline in Draining Fistula Count at Week 12Baseline and Week 2, Week 4, Week 8 and Week 12Draining FistulaeMEAN
SECONDARYChange From Baseline to Week 12 in the Modified Sartorius Score to Quantify the Severity Change of HSBaseline and Week 2, Week 4, Week 8 and Week 12score on a scaleMEAN

Results by group47

Each measurement the trial posted, group by group, in the words and numbers it posted.

OutcomeGroupCategoryValueSpreadUnits
Percentage of Subjects Achieving Hidradenitis Suppurativa Clinical Response (HiSCR) at Week 12.Placebo30.8percentage of participants
Percentage of Subjects Achieving Hidradenitis Suppurativa Clinical Response (HiSCR) at Week 12.Avacopan 10 mg22.4percentage of participants
Percentage of Subjects Achieving Hidradenitis Suppurativa Clinical Response (HiSCR) at Week 12.Avacopan 30 mg35.1percentage of participants
Change From Baseline in Total AN Count at Week 12Placebo-3.1Standard Deviation 8.57percentage of ANs
Change From Baseline in Total AN Count at Week 12Avacopan 10 mg-3.4Standard Deviation 10.58percentage of ANs
Change From Baseline in Total AN Count at Week 12Avacopan 30 mg-5.1Standard Deviation 8.41percentage of ANs
Number of Responders Achieving at Least 30% Reduction and at Least 1 Unit Reduction From Baseline in the Subject's Global Assessment of Skin Pain (NRS30) in Subjects With a Baseline NRS of at Least 3, Evaluated at Week 12
Placebo26number of responders
Number of Responders Achieving at Least 30% Reduction and at Least 1 Unit Reduction From Baseline in the Subject's Global Assessment of Skin Pain (NRS30) in Subjects With a Baseline NRS of at Least 3, Evaluated at Week 12
Avacopan 10 mg23number of responders
Number of Responders Achieving at Least 30% Reduction and at Least 1 Unit Reduction From Baseline in the Subject's Global Assessment of Skin Pain (NRS30) in Subjects With a Baseline NRS of at Least 3, Evaluated at Week 12
Avacopan 30 mg17number of responders
Area Under the Curve From Time 0-3hrs (AUC 0-3hrs) of Metabolite M1 Plasma Concentration on Day 1Avacopan 10 mg18.0Standard Deviation 8.23h*ng/mL

Participant flow50

How many started, completed or left each group, period by period.

PeriodMilestoneGroupParticipantsUnits counted
Period 1 - 12 WeeksSTARTEDGroup A130
Period 1 - 12 WeeksSTARTEDGroup B134
Period 1 - 12 WeeksSTARTEDGroup C134
Period 1 - 12 WeeksSTARTEDPlacebo to Avacopan 10 mg0
Period 1 - 12 WeeksSTARTEDPlacebo to Avacopan 30 mg0
Period 1 - 12 WeeksExcluded Site 138 Subjects From ITT1Group A13
Period 1 - 12 WeeksExcluded Site 138 Subjects From ITT1Group B11
Period 1 - 12 WeeksExcluded Site 138 Subjects From ITT1Group C13
Period 1 - 12 WeeksExcluded Site 138 Subjects From ITT1Placebo to Avacopan 10 mg0
Period 1 - 12 WeeksExcluded Site 138 Subjects From ITT1Placebo to Avacopan 30 mg0

Adverse events161

Each adverse event the trial posted, group by group: the participants affected out of those at risk.

TypeEventOrgan systemGroupAffectedAt riskEvents
otherHidradenitisSkin and subcutaneous tissue disordersPlacebo Period 11712935
otherHidradenitisSkin and subcutaneous tissue disordersAvacopan 10 mg Period 11413415
otherHidradenitisSkin and subcutaneous tissue disordersAvacopan 30 mg Period 11213523
otherHidradenitisSkin and subcutaneous tissue disordersPlacebo to Avacopan 10 mg Period 25566
otherHidradenitisSkin and subcutaneous tissue disordersPlacebo to Avacopan 30 mg Period 285212
otherHidradenitisSkin and subcutaneous tissue disordersAvacopan 10 mg Period 21910830
otherHidradenitisSkin and subcutaneous tissue disordersAvacopan 30 mg Period 21910931
otherHeadacheNervous system disordersPlacebo Period 1412910
otherHeadacheNervous system disordersAvacopan 10 mg Period 181348
otherHeadacheNervous system disordersAvacopan 30 mg Period 141354

Adverse event totals21

The totals the trial posted for each group.

TotalGroupAffectedAt risk
Total, all-cause mortalityPlacebo Period 10129
Total, all-cause mortalityAvacopan 10 mg Period 10134
Total, all-cause mortalityAvacopan 30 mg Period 10135
Total, all-cause mortalityPlacebo to Avacopan 10 mg Period 2056
Total, all-cause mortalityPlacebo to Avacopan 30 mg Period 2052
Total, all-cause mortalityAvacopan 10 mg Period 20108
Total, all-cause mortalityAvacopan 30 mg Period 20109
Total, other adverse eventsPlacebo Period 122129
Total, other adverse eventsAvacopan 10 mg Period 118134
Total, other adverse eventsAvacopan 30 mg Period 115135

Papers0

The papers the trial lists on ClinicalTrials.gov.

None in this release.

Grants0

The grants NIH RePORTER links to the trial, newest funded first: NIH's, and some of AHRQ's, CDC's, FDA's and VA's. Each shows its title, principal investigators, organization and funder in its newest year.

None in this release.

Trial comparisons0

Comparisons of the trial's two groups, calculated by ConductScience from the counts it posted.

None in this release.

Tests0

The ConductCognition tests this trial's registered outcomes name, as ScienceGraph matched them in trial-tests-2026-11-12-0.2.1.

None in this release.

Data dates

The day each source was copied for this release.

ClinicalTrials.gov
2026-11-12
ClinicalTrials.gov
Results, from AACT
2026-03-23
AACT
NIH grant links
2026-11-13
NIH RePORTER

Sources 3

  • ClinicalTrials.gov's posted results, through CTTI's AACTFreely available. Acknowledgement requested
  • ClinicalTrials.govNo license stated
  • NIH RePORTER's clinical studies and project filesPublic domain
Each source's terms
  • ClinicalTrials.gov's posted results, through CTTI's AACTClinicalTrials.gov data via Aggregate Analysis of ClinicalTrials.gov (AACT), CTTI. CTTI makes its materials freely available and requests acknowledgement. https://aact.ctti-clinicaltrials.org/documentation/299
  • ClinicalTrials.govnone stated
  • NIH RePORTER's clinical studies and project filesPublic domain (NIH RePORTER)

ClinicalTrials.gov's data carry an international copyright outside the United States: https://clinicaltrials.gov/about-site/terms-conditions.

For software

Read this trial from software.

The record and each of its lists are JSON, twenty rows a page. No key.

GET https://conductscience.org/api/trials/v1/NCT03852472

GET https://conductscience.org/api/trials/v1/NCT03852472/results?page=2