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Trial · NCT05259722

A 24 Week Trial to Compare the Efficacy and Safety of Delgocitinib Cream 20 mg/g Twice-daily With Alitretinoin Capsules Once-daily in Adult Participants With Severe Chronic Hand Eczema

NCT05259722, Phase 3, Completed, LEO Pharma; results first posted 2025-03-14

3 sourcestrials-2026-11-12-0.5.0

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ConductScience Library. A 24 Week Trial to Compare the Efficacy and Safety of Delgocitinib Cream 20 mg/g Twice-daily With Alitretinoin Capsules Once-daily in Adult Participants With Severe Chronic Hand Eczema. Trials, record NCT05259722. Release trials-2026-11-12-0.5.0, 12 Nov 2026. https://conductscience.org/library/trials/NCT05259722

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Trial

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

Title
A 24 Week Trial to Compare the Efficacy and Safety of Delgocitinib Cream 20 mg/g Twice-daily With Alitretinoin Capsules Once-daily in Adult Participants With Severe Chronic Hand Eczema
NCT number
NCT05259722
Status
Completed
Phases
Phase 3
Enrollment
513 participants, actual
Lead sponsor
LEO Pharma
Conditions
Chronic Hand Eczema
Interventions
Delgocitinib, Toctino
First posted
2022-02-28
Last updated
2025-05-09
Other registries' IDs
eudract:2021-003543-16
Results first posted
2025-03-14

Source ClinicalTrials.gov

Registered outcomes11

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

ListOutcomeTime frameDescription
PrimaryChange in HECSI Score From Baseline to Week 1212 weeks
The Hand Eczema Severity Index (HECSI) is an instrument used in clinical trials to rate the severity of 6 clinical signs (erythema, infiltration/papulation, vesicles, fissures, scaling, and oedema) and the extent of the lesions in each of the 5 hand regions (fingertips, fingers \[except fingertips\], palm of hands, back of hands, and wrists) by use of standard scales. The HECSI score will range from 0 (lowest possible score) to 360 (highest possible score) with a higher score indicating greater severity.
SecondaryHECSI-90 at Week 1212 weeks
The Hand Eczema Severity Index (HECSI) is an instrument used in clinical trials to rate the severity of 6 clinical signs (erythema, infiltration/papulation, vesicles, fissures, scaling, and oedema) and the extent of the lesions in each of the 5 hand regions (fingertips, fingers \[except fingertips\], palm of hands, back of hands, and wrists) by use of standard scales. The HECSI score will range from 0 (lowest possible score) to 360 (highest possible score), with a higher score indicating greater severity. HECSI-90 is defined as at least 90% improvement in HECSI score from baseline.
SecondaryIGA-CHE TS at Week 12.12 weeks
The Investigator's Global Assessment for chronic hand eczema (IGA-CHE) is an instrument used in clinical trials to rate the severity of the participant's global chronic hand eczema (CHE) and is based on a 5-point scale ranging from 0 (clear) to 4 (severe). IGA-CHE treatment success (IGA-CHE TS) is defined as an IGA-CHE score of 0 (clear) or 1 (almost clear) with a ≥2-step improvement from baseline.
SecondaryChange in HESD Itch Score (Weekly Average) From Baseline to Week 1212 weeks
The Hand Eczema Symptom Diary (HESD) is an eDiary in which participants will assess the worst severity of 6 individual signs and symptoms of CHE over the past 24 hours using an 11-point numeric rating scale with anchors of 0 ='no (symptom)' and 10 ='severe (symptom)' throughout the trial on a daily basis. This endpoint will only assess the 'itch' component.
SecondaryChange in HESD Pain Score (Weekly Average) From Baseline to Week 12.12 weeks
The Hand Eczema Symptom Diary (HESD) is an eDiary in which participants will assess the worst severity of 6 individual signs and symptoms of CHE over the past 24 hours using an 11-point numeric rating scale with anchors of 0 ='no (symptom)' and 10 ='severe (symptom)' throughout the trial on a daily basis. This endpoint will only assess the 'pain' component.
SecondaryAUC of HECSI-90 From Baseline up to Week 2424 weeks
The Hand Eczema Severity Index (HECSI) is an instrument used in clinical trials to rate the severity of 6 clinical signs (erythema, infiltration/papulation, vesicles, fissures, scaling, and oedema) and the extent of the lesions in each of the 5 hand regions (fingertips, fingers \[except fingertips\], palm of hands, back of hands, and wrists) by use of standard scales. The HECSI score will range from 0 (lowest possible score) to 360 (highest possible score) with a higher score indicating greater severity. HECSI-90 is defined as at least 90% improvement in HECSI score from baseline. The area under the curve (AUC) at participant level will be determined as follows: 1 will be assigned when response is observed and 0 otherwise. The AUC is interpreted as number of days with 90% reduction in HECSI score until Week 24.
SecondaryAUC of Change From Baseline in DLQI Score up to Week 2424 weeks
The Dermatology Life Quality Index (DLQI) is a validated questionnaire consisting of 10 items addressing the participant's perception of the impact of their skin disease on different aspects of their quality of life over the last week. The DLQI score is the sum of the 10 items (score ranging from 0 to 30); a high score is indicative of a poor quality of life. The area under the curve (AUC) at patient level will be determined from the change from baseline in DLQI score estimated as a piecewise linear function from Week 0 to Week 24. Differences will be analyzed with opposite sign to interpret positive area as improvement in scores and negative area as worsening.
SecondaryChange in HECSI Score From Baseline to Week 2424 weeks
The Hand Eczema Severity Index (HECSI) is an instrument used in clinical trials to rate the severity of 6 clinical signs (erythema, infiltration/papulation, vesicles, fissures, scaling, and oedema) and the extent of the lesions in each of the 5 hand regions (fingertips, fingers \[except fingertips\], palm of hands, back of hands, and wrists) by use of standard scales. The HECSI score will range from 0 (lowest possible score) to 360 (highest possible score) with a higher score indicating greater severity.
SecondaryNumber of Treatment-emergent AEs From Baseline up to Week 2626 weeks
An adverse event (AE) will be considered treatment emergent if started after the first application of investigational medicinal product (IMP), or if started before the first application of IMP and worsened in severity after first dose of IMP.
SecondaryNumber of Treatment-emergent SAEs From Baseline up to Week 2626 weeks
A serious adverse event (SAE) will be considered treatment emergent if started after the first application of investigational medicinal product (IMP), or if started before the first application of IMP and worsened in severity after first dose of IMP.

Outcomes11

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

TypeOutcomeTime framePopulationUnitsMeasured as
PRIMARYChange in HECSI Score From Baseline to Week 1212 weeksscore on a scaleMEAN
SECONDARYHECSI-90 at Week 1212 weeksParticipantsCOUNT_OF_PARTICIPANTS
SECONDARYIGA-CHE TS at Week 12.12 weeksParticipantsCOUNT_OF_PARTICIPANTS
SECONDARYChange in HESD Itch Score (Weekly Average) From Baseline to Week 1212 weeksscore on a scaleMEAN
SECONDARYChange in HESD Pain Score (Weekly Average) From Baseline to Week 12.12 weeksscore on a scaleMEAN
SECONDARYAUC of HECSI-90 From Baseline up to Week 2424 weeksdays with 90% reduction in HECSI scoreMEAN
SECONDARYAUC of Change From Baseline in DLQI Score up to Week 2424 weeksdays * DLQI score reductionMEAN
SECONDARYChange in HECSI Score From Baseline to Week 2424 weeksscore on a scaleMEAN
SECONDARYNumber of Treatment-emergent AEs From Baseline up to Week 2626 weekseventsNUMBER
SECONDARYNumber of Treatment-emergent SAEs From Baseline up to Week 2626 weekseventsNUMBER

Results by group22

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

OutcomeGroupCategoryValueSpreadUnits
Change in HECSI Score From Baseline to Week 12Delgocitinib Cream 20 mg/g-67.6Standard Error 3.37score on a scale
Change in HECSI Score From Baseline to Week 12Alitretinoin Capsules 30 mg Per Capsule-51.5Standard Error 3.36score on a scale
HECSI-90 at Week 12Delgocitinib Cream 20 mg/g96Participants
HECSI-90 at Week 12Alitretinoin Capsules 30 mg Per Capsule65Participants
IGA-CHE TS at Week 12.Delgocitinib Cream 20 mg/g68Participants
IGA-CHE TS at Week 12.Alitretinoin Capsules 30 mg Per Capsule42Participants
Change in HESD Itch Score (Weekly Average) From Baseline to Week 12Delgocitinib Cream 20 mg/g-3.0Standard Error 0.22score on a scale
Change in HESD Itch Score (Weekly Average) From Baseline to Week 12Alitretinoin Capsules 30 mg Per Capsule-2.4Standard Error 0.21score on a scale
Change in HESD Pain Score (Weekly Average) From Baseline to Week 12.Delgocitinib Cream 20 mg/g-2.9Standard Error 0.23score on a scale
Change in HESD Pain Score (Weekly Average) From Baseline to Week 12.Alitretinoin Capsules 30 mg Per Capsule-2.3Standard Error 0.23score on a scale

Participant flow6

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

PeriodMilestoneGroupParticipantsUnits counted
Overall StudySTARTEDDelgocitinib Cream 20 mg/g254
Overall StudySTARTEDAlitretinoin Capsules 30 mg Per Capsule259
Overall StudyCOMPLETEDDelgocitinib Cream 20 mg/g219
Overall StudyCOMPLETEDAlitretinoin Capsules 30 mg Per Capsule154
Overall StudyNOT COMPLETEDDelgocitinib Cream 20 mg/g35
Overall StudyNOT COMPLETEDAlitretinoin Capsules 30 mg Per Capsule105

Adverse events74

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

TypeEventOrgan systemGroupAffectedAt riskEvents
otherDry eyeEye disordersDelgocitinib Cream 20 mg/g02530
otherDry eyeEye disordersAlitretinoin Capsules 30 mg Per Capsule72477
otherDiarrhoeaGastrointestinal disordersDelgocitinib Cream 20 mg/g02530
otherDiarrhoeaGastrointestinal disordersAlitretinoin Capsules 30 mg Per Capsule52475
otherLip dryGastrointestinal disordersDelgocitinib Cream 20 mg/g02530
otherLip dryGastrointestinal disordersAlitretinoin Capsules 30 mg Per Capsule82478
otherNauseaGastrointestinal disordersDelgocitinib Cream 20 mg/g12531
otherNauseaGastrointestinal disordersAlitretinoin Capsules 30 mg Per Capsule1424715
otherCOVID-19Infections and infestationsDelgocitinib Cream 20 mg/g52535
otherCOVID-19Infections and infestationsAlitretinoin Capsules 30 mg Per Capsule92479

Adverse event totals6

The totals the trial posted for each group.

TotalGroupAffectedAt risk
Total, all-cause mortalityDelgocitinib Cream 20 mg/g0253
Total, all-cause mortalityAlitretinoin Capsules 30 mg Per Capsule0247
Total, other adverse eventsDelgocitinib Cream 20 mg/g58253
Total, other adverse eventsAlitretinoin Capsules 30 mg Per Capsule143247
Total, serious adverse eventsDelgocitinib Cream 20 mg/g5253
Total, serious adverse eventsAlitretinoin Capsules 30 mg Per Capsule12247

Papers1

The papers the trial lists on ClinicalTrials.gov.

PMIDListed as
40252681RESULT

Source PubMed

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 comparisons4

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

ComparisonSource
Delgocitinib Cream 20 mg/g vs Alitretinoin Capsules 30 mg Per Capsule: HECSI-90 at Week 12Trial comparisons
Delgocitinib Cream 20 mg/g vs Alitretinoin Capsules 30 mg Per Capsule: IGA-CHE TS at Week 12.Trial comparisons
Delgocitinib Cream 20 mg/g vs Alitretinoin Capsules 30 mg Per Capsule: deaths from any causeTrial comparisons
Delgocitinib Cream 20 mg/g vs Alitretinoin Capsules 30 mg Per Capsule: serious adverse eventsTrial comparisons

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.

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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/NCT05259722

GET https://conductscience.org/api/trials/v1/NCT05259722/results?page=2