~80 spots leftby Apr 2026

Difelikefalin + Topical Corticosteroid for Eczema

(KIND-1 Trial)

Recruiting at63 trial locations
Age: 18+
Sex: Any
Travel: May Be Covered
Time Reimbursement: Varies
Trial Phase: Phase 3
Waitlist Available
Sponsor: Cara Therapeutics, Inc.
Stay on Your Current Meds
Pivotal Trial (Near Approval)
Prior Safety Data
Breakthrough Therapy

Trial Summary

What is the purpose of this trial?

This trial is testing a pill called difelikefalin to see if it can help reduce severe itching in adults with eczema. The pill is taken along with a common eczema cream. Difelikefalin works by blocking the signals that cause itching.

Research Team

CT

Cara Therapeutics

Principal Investigator

Cara Therapeutics

Eligibility Criteria

Adults with moderate to severe itching due to atopic dermatitis (AD) can join this study. They must not be pregnant or nursing and should have a confirmed diagnosis of active AD without clinical infection. Participants shouldn't have any other medical conditions that could risk their safety or affect the study's results.

Inclusion Criteria

I am not pregnant or breastfeeding.
It seems like there might be some missing information for me to accurately summarize this criterion. Can you provide more details or context?
I experience moderate to severe itching.
See 6 more

Exclusion Criteria

I have a skin infection due to atopic dermatitis.
My itching is not caused by atopic dermatitis.
Subject has any clinically significant medical condition or physical/laboratory/ECG/vital signs abnormality that would, in the opinion of the investigator, put the subject at undue risk or interfere with interpretation of study results

Treatment Details

Interventions

  • Difelikefalin (Opioid Analgesic)
  • Topical Corticosteroid Cream (Corticosteroid)
Trial OverviewThe trial is testing oral difelikefalin in two doses (0.25 mg and 0.5 mg) as an add-on treatment alongside a topical corticosteroid cream for adults with itchy skin from AD. It's randomized and double-blind, meaning participants are assigned treatments by chance and neither they nor the researchers know who gets what.
Participant Groups
4Treatment groups
Experimental Treatment
Active Control
Placebo Group
Group I: Difelikefalin 0.5 mg tablets plus TCS creamExperimental Treatment2 Interventions
Oral difelikefalin tablets administered twice daily. TCS cream applied by study subjects to skin lesions once a day until control is achieved, then as needed.
Group II: Difelikefalin 0.25 mg tablets plus TCS creamExperimental Treatment2 Interventions
Oral difelikefalin tablets administered twice daily. TCS cream applied by study subjects to skin lesions once a day until control is achieved, then as needed.
Group III: Placebo tablets plus TCS creamActive Control2 Interventions
Oral placebo tablets administered twice daily. TCS cream applied by study subjects to skin lesions once a day until control is achieved, then as needed
Group IV: Placebo tablets plus Vehicle cream (Part A only)Placebo Group2 Interventions
Oral placebo tablets administered twice daily. Vehicle cream applied by study subjects to skin lesions once a day until control is achieved, then as needed

Find a Clinic Near You

Who Is Running the Clinical Trial?

Cara Therapeutics, Inc.

Lead Sponsor

Trials
24
Recruited
5,100+