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Trial ยท NCT04242498

A Study to Evaluate the Efficacy and Safety of Bimekizumab in Study Participants With Moderate to Severe Hidradenitis Suppurativa

NCT04242498, Phase 3, Completed, UCB Biopharma SRL; results first posted 2024-12-05

3 sourcestrials-2026-11-12-0.5.0

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ConductScience Library. A Study to Evaluate the Efficacy and Safety of Bimekizumab in Study Participants With Moderate to Severe Hidradenitis Suppurativa. Trials, record NCT04242498. Release trials-2026-11-12-0.5.0, 12 Nov 2026. https://conductscience.org/library/trials/NCT04242498

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Trial

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

Title
A Study to Evaluate the Efficacy and Safety of Bimekizumab in Study Participants With Moderate to Severe Hidradenitis Suppurativa
NCT number
NCT04242498
Status
Completed
Phases
Phase 3
Enrollment
509 participants, actual
Lead sponsor
UCB Biopharma SRL
Conditions
Hidradenitis Suppurativa
Interventions
Bimekizumab, Placebo
First posted
2020-01-27
Last updated
2026-10-26
Other registries' IDs
eudract:2019-002551-42
Results first posted
2024-12-05

Source ClinicalTrials.gov

Registered outcomes9

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

ListOutcomeTime frameDescription
PrimaryPercentage of Participants Achieving Clinical Response as Measured by Hidradenitis Suppurativa Clinical Response 50 (HiSCR50) at Week 16Week 16
HiSCR50 was defined as at least a 50 percent (%) reduction from Baseline in the total abscess and inflammatory nodule (AN) count, with no increase from Baseline in abscess or draining tunnel count. Intermittent missing data are imputed using multiple imputation with Markov Chain Monte Carlo (MCMC) method followed by monotone regression for monotone missing data. Lesion counts were imputed and then dichotomized to obtain the response status. Participants who experienced an intercurrent event were treated as nonresponders following the intercurrent event. An intercurrent event was defined as receipt of systemic antibiotic rescue medication or discontinuation of study treatment due to an adverse event (AE) or lack of efficacy. Percentages of participants shown do not account for model effects using the logistic regression model.
SecondaryPercentage of Participants Achieving Clinical Response as Measured by Hidradenitis Suppurativa Clinical Response 75 (HiSCR75) at Week 16Week 16
HiSCR75 was defined as at least a 75% reduction from Baseline in the total AN count, with no increase from Baseline in abscess or draining tunnel count. Intermittent missing data were imputed using multiple imputation with MCMC method followed by monotone regression for monotone missing data. Lesion counts were imputed and then dichotomized to obtain the response status. Participants who experienced an intercurrent event were treated as nonresponders following the intercurrent event. An intercurrent event was defined as receipt of systemic antibiotic rescue medication or discontinuation of study treatment due to an AE or lack of efficacy. Percentages of participants shown do not account for model effects using the logistic regression model.
SecondaryPercentage of Participants With Flare by Week 16From Baseline to Week 16
Flare was defined as a greater than or equal to (\>=) 25% increase in AN count with an absolute increase in AN count of \>= 2 relative to Baseline. Intermittent missing data were imputed using multiple imputation with MCMC method followed by monotone regression for monotone missing data. Lesion counts were imputed and then dichotomized to obtain the response status. Participants who experienced an intercurrent event prior to experiencing a flare were treated as having experienced a flare at all flare assessments on and after the intercurrent event date. An intercurrent event was defined as receipt of systemic antibiotic rescue medication or discontinuation of study treatment due to an AE or lack of efficacy. Percentages of participants shown do not account for model effects using the logistic regression model.
SecondaryAbsolute Change From Baseline in Dermatology Life Quality Index (DLQI) Total Score at Week 16Baseline, Week 16
The DLQI is a patient-reported questionnaire designed for use in adult participants with skin diseases and Hidradenitis Suppurativa (HS). The DLQI is a skin disease-specific questionnaire aimed at the evaluation of how symptoms and treatment affect patients' health related quality of life (HRQoL), with a recall period of 7 days. This instrument asks participants 10 questions about symptoms and feelings, daily activities, leisure, work and school, personal relationships, and treatment. The scoring of each answer for the DLQI is on a scale range of 0 (not at all) to 3 (very much). The DLQI total score was calculated by adding the score of each question. The maximum score is 30, and the minimum score is 0. The higher the score, the more quality of life is impaired. Participants who experienced an intercurrent event were treated as missing following the intercurrent event and imputed using the multiple imputation method for missing data.
SecondaryAbsolute Change From Baseline in Worst Skin Pain Score at Week 16Baseline, Week 16
Absolute change from Baseline in worst Skin Pain score at Week 16 was assessed using the worst skin pain item in the Hidradenitis Suppurativa Symptom Daily Diary (HSSDD). Worst skin pain during the past 24 hours was assessed daily using an 11-point numeric rating scale (NRS) which ranges from 0 (no skin pain) to 10 (skin pain as bad as you can imagine). The worst skin pain score was derived from the weekly average of daily scores, defined as the sum of the scored item over the course of the study week divided by the number of days in which the item was completed, relative to each respective visit date. Intermittent missing data are imputed using multiple imputation with MCMC method followed by monotone regression for monotone missing data. Participants who experienced an intercurrent event were treated as missing following the intercurrent event and imputed using the multiple imputation method for missing data. Mean values shown do not account for model effects using the ANCOVA model.
SecondaryPercentage of Participants Achieving Skin Pain Response at Week 16Week 16
Skin pain response at Week 16, as assessed by "worst skin pain" item in HSSDD, was defined as an improvement in weekly worst skin pain score of at least 3 points versus Baseline. Worst skin pain during the past 24 hours was assessed daily using an 11-point numeric rating scale (NRS) which ranges from 0 (no skin pain) to 10 (skin pain as bad as you can imagine). Worst skin pain score was derived from weekly average of daily scores (sum of scored item over study week/number of days in which item completed, relative to each respective visit). Intermittent missing data were imputed using multiple imputation with MCMC method followed by monotone regression for monotone missing data. Weekly pain scores were imputed and then dichotomized to obtain response status. Participants who experienced an intercurrent event were treated as non-responders following the intercurrent event. Percentages of participants shown do not account for model effects using logistic regression model.
SecondaryPercentage of Participants With Treatment-emergent Adverse Events (TEAEs) During the StudyFrom Baseline (Day 1) until Safety Follow-Up (up to Week 71)
An AE is any untoward medical occurrence in a patient or clinical study participant, temporally associated with the use of investigational medicinal product (IMP), whether or not considered related to the IMP. An AE could therefore be any unfavorable and unintended sign (including an abnormal laboratory finding), symptom, or disease (new or exacerbated) temporally associated with the use of IMP. Treatment-emergent AEs are defined as those AEs that have a start date on or following the first dose of study treatment through the final dose of study treatment + 140 days (covering the 20-week Safety Follow-Up \[SFU\] period).
SecondaryPercentage of Participants With Serious Treatment-emergent Adverse Events During the StudyFrom Baseline (Day 1) until Safety Follow-Up (up to Week 71)
A serious adverse event (SAE) is defined as any untoward medical occurrence that, at any dose: Results in death; Is life-threatening, Requires inpatient hospitalization or prolongation of existing hospitalization; Results in persistent disability/incapacity; Is a congenital anomaly/birth defect; Important medical events. Treatment-emergent AEs are defined as those AEs that have a start date on or following the first dose of study treatment through the final dose of study treatment + 140 days (covering the 20-week SFU period).
SecondaryPercentage of Participants With Treatment-emergent Adverse Events (TEAEs) Leading to Withdrawal From the StudyFrom Baseline (Day 1) until Safety Follow-Up (up to Week 71)
An AE is any untoward medical occurrence in a patient or clinical study participant, temporally associated with the use of IMP, whether or not considered related to the IMP. An AE could therefore be any unfavorable and unintended sign (including an abnormal laboratory finding), symptom, or disease (new or exacerbated) temporally associated with the use of IMP. Treatment-emergent AEs are defined as those AEs that have a start date on or following the first dose of study treatment through the final dose of study treatment + 140 days (covering the 20-week SFU period). TEAEs leading to discontinuation of the study are reported.

Outcomes9

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

TypeOutcomeTime framePopulationUnitsMeasured as
PRIMARYPercentage of Participants Achieving Clinical Response as Measured by Hidradenitis Suppurativa Clinical Response 50 (HiSCR50) at Week 16Week 16The RS consisted of all study participants randomized into the study.percentage of participantsNUMBER
SECONDARYPercentage of Participants Achieving Clinical Response as Measured by Hidradenitis Suppurativa Clinical Response 75 (HiSCR75) at Week 16Week 16The RS consisted of all study participants randomized into the study.percentage of participantsNUMBER
SECONDARYPercentage of Participants With Flare by Week 16From Baseline to Week 16The RS consisted of all study participants randomized into the study.percentage of participantsNUMBER
SECONDARYAbsolute Change From Baseline in Dermatology Life Quality Index (DLQI) Total Score at Week 16Baseline, Week 16
The RS consisted of all study participants randomized into the study. Mean values shown do not account for model effects using the analysis of covariance (ANCOVA) model. Intercurrent event defined as receipt of systemic antibiotic rescue medication or discontinuation of study treatment due to AE or lack of efficacy.
score on a scaleMEAN
SECONDARYAbsolute Change From Baseline in Worst Skin Pain Score at Week 16Baseline, Week 16
The RS consisted of all study participants randomized into the study. Intercurrent event defined as receipt of systemic antibiotic rescue medication or discontinuation of study treatment due to AE or lack of efficacy.
score on a scaleMEAN
SECONDARYPercentage of Participants Achieving Skin Pain Response at Week 16Week 16
The RS consisted of all study participants randomized into the study. Here, number of participants analyzed included RS with HSSDD worst skin pain score \>=3 at Baseline. Intercurrent event defined as receipt of systemic antibiotic rescue medication or discontinuation of study treatment due to AE or lack of efficacy.
percentage of participantsNUMBER
SECONDARYPercentage of Participants With Treatment-emergent Adverse Events (TEAEs) During the StudyFrom Baseline (Day 1) until Safety Follow-Up (up to Week 71)
The Safety Set (SS) consisted of all study participants who received at least 1 dose (full or partial) of IMP. The MS consisted of all study participants who received at least 1 dose (full or partial) of BKZ in the Maintenance Treatment Period.
percentage of participantsNUMBER
SECONDARYPercentage of Participants With Serious Treatment-emergent Adverse Events During the StudyFrom Baseline (Day 1) until Safety Follow-Up (up to Week 71)
The SS consisted of all study participants who received at least 1 dose (full or partial) of IMP. The MS consisted of all study participants who received at least 1 dose (full or partial) of BKZ in the Maintenance Treatment Period.
percentage of participantsNUMBER
SECONDARYPercentage of Participants With Treatment-emergent Adverse Events (TEAEs) Leading to Withdrawal From the StudyFrom Baseline (Day 1) until Safety Follow-Up (up to Week 71)
The SS consisted of all study participants who received at least 1 dose (full or partial) of IMP. The MS consisted of all study participants who received at least 1 dose (full or partial) of BKZ in the Maintenance Treatment Period.
percentage of participantsNUMBER

Results by group39

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

OutcomeGroupCategoryValueSpreadUnits
Percentage of Participants Achieving Clinical Response as Measured by Hidradenitis Suppurativa Clinical Response 50 (HiSCR50) at Week 16Placebo32.295% Confidence Interval 21.4 to 42.9percentage of participants
Percentage of Participants Achieving Clinical Response as Measured by Hidradenitis Suppurativa Clinical Response 50 (HiSCR50) at Week 16BKZ Dosing Regimen 153.895% Confidence Interval 45.4 to 62.1percentage of participants
Percentage of Participants Achieving Clinical Response as Measured by Hidradenitis Suppurativa Clinical Response 50 (HiSCR50) at Week 16BKZ Dosing Regimen 252.095% Confidence Interval 46.1 to 57.8percentage of participants
Percentage of Participants Achieving Clinical Response as Measured by Hidradenitis Suppurativa Clinical Response 75 (HiSCR75) at Week 16Placebo15.695% Confidence Interval 7.2 to 24.0percentage of participants
Percentage of Participants Achieving Clinical Response as Measured by Hidradenitis Suppurativa Clinical Response 75 (HiSCR75) at Week 16BKZ Dosing Regimen 133.795% Confidence Interval 25.7 to 41.7percentage of participants
Percentage of Participants Achieving Clinical Response as Measured by Hidradenitis Suppurativa Clinical Response 75 (HiSCR75) at Week 16BKZ Dosing Regimen 235.795% Confidence Interval 30.1 to 41.3percentage of participants
Percentage of Participants With Flare by Week 16Placebo28.095% Confidence Interval 17.6 to 38.4percentage of participants
Percentage of Participants With Flare by Week 16BKZ Dosing Regimen 123.695% Confidence Interval 16.5 to 30.7percentage of participants
Percentage of Participants With Flare by Week 16BKZ Dosing Regimen 228.895% Confidence Interval 23.5 to 34.1percentage of participants
Absolute Change From Baseline in Dermatology Life Quality Index (DLQI) Total Score at Week 16Placebo-3.2Standard Error 0.6score on a scale

Participant flow42

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

PeriodMilestoneGroupParticipantsUnits counted
Initial Treatment Period: Week 0-16STARTEDPlacebo74
Initial Treatment Period: Week 0-16STARTEDBKZ Dosing Regimen 1144
Initial Treatment Period: Week 0-16STARTEDBKZ Dosing Regimen 2291
Initial Treatment Period: Week 0-16STARTEDPlacebo/BKZ Dosing Regimen 20
Initial Treatment Period: Week 0-16STARTEDBKZ Dosing Regimen 1/BKZ Dosing Regimen 10
Initial Treatment Period: Week 0-16STARTEDBKZ Dosing Regimen 2/BKZ Dosing Regimen 10
Initial Treatment Period: Week 0-16STARTEDBKZ Dosing Regimen 2/BKZ Dosing Regimen 20
Initial Treatment Period: Week 0-16COMPLETEDPlacebo69
Initial Treatment Period: Week 0-16COMPLETEDBKZ Dosing Regimen 1133
Initial Treatment Period: Week 0-16COMPLETEDBKZ Dosing Regimen 2262

Adverse events252

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

TypeEventOrgan systemGroupAffectedAt riskEvents
otherDiarrhoeaGastrointestinal disordersPlacebo6747
otherDiarrhoeaGastrointestinal disordersBKZ Dosing Regimen 151426
otherDiarrhoeaGastrointestinal disordersBKZ Dosing Regimen 21829021
otherDiarrhoeaGastrointestinal disordersPlacebo/BKZ Dosing Regimen 22693
otherDiarrhoeaGastrointestinal disordersBKZ Dosing Regimen 1/BKZ Dosing Regimen 161338
otherDiarrhoeaGastrointestinal disordersBKZ Dosing Regimen 2/BKZ Dosing Regimen 141305
otherDiarrhoeaGastrointestinal disordersBKZ Dosing Regimen 2/BKZ Dosing Regimen 231313
otherOral candidiasisInfections and infestationsPlacebo0740
otherOral candidiasisInfections and infestationsBKZ Dosing Regimen 151425
otherOral candidiasisInfections and infestationsBKZ Dosing Regimen 22429026

Adverse event totals21

The totals the trial posted for each group.

TotalGroupAffectedAt risk
Total, all-cause mortalityPlacebo074
Total, all-cause mortalityBKZ Dosing Regimen 10142
Total, all-cause mortalityBKZ Dosing Regimen 20290
Total, all-cause mortalityPlacebo/BKZ Dosing Regimen 2069
Total, all-cause mortalityBKZ Dosing Regimen 1/BKZ Dosing Regimen 10133
Total, all-cause mortalityBKZ Dosing Regimen 2/BKZ Dosing Regimen 10130
Total, all-cause mortalityBKZ Dosing Regimen 2/BKZ Dosing Regimen 20131
Total, other adverse eventsPlacebo1874
Total, other adverse eventsBKZ Dosing Regimen 140142
Total, other adverse eventsBKZ Dosing Regimen 2101290

Papers10

The papers the trial lists on ClinicalTrials.gov.

PMIDListed asSource
38795716DERIVEDPubMed
40153232RESULTPubMed
40172122RESULTPubMed
40652434RESULTPubMed
41107641RESULTPubMed
41248770RESULTPubMed
41689425RESULTPubMed
42247110DERIVEDPubMed
42482599RESULTPubMed
42525209RESULTPubMed

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/NCT04242498

GET https://conductscience.org/api/trials/v1/NCT04242498/results?page=2