958 Participants Needed

Ruxolitinib Cream for Atopic Dermatitis During Pregnancy

(OPERA-1 Trial)

Recruiting at 1 trial location
SH
IC
Overseen ByIncyte Corporation Call Center (US)
Age: < 65
Sex: Female
Trial Phase: Academic
Sponsor: Incyte Corporation
Must be taking: Ruxolitinib cream
No Placebo GroupAll trial participants will receive the active study treatment (no placebo)

What You Need to Know Before You Apply

What is the purpose of this trial?

This trial aims to determine if using ruxolitinib cream during pregnancy affects newborn health compared to those whose mothers did not use the cream. Ruxolitinib treats atopic dermatitis, a condition causing itchy and inflamed skin, and some women might use it during pregnancy. The study will compare the rates of major congenital malformations (birth defects) in infants from both groups. Women who may be suitable for this trial have been diagnosed with mild to moderate atopic dermatitis and are either using or not using ruxolitinib cream during pregnancy.

As a Phase 3 trial, this study represents the final step before FDA approval, offering participants a chance to contribute to important research on treatment safety during pregnancy.

Will I have to stop taking my current medications?

The trial does not specify if you need to stop taking your current medications, but it does exclude those who have used other investigational drugs recently or are currently in another drug study. It also excludes pregnancies exposed to other JAK inhibitors during certain periods.

What prior data suggests that ruxolitinib cream is safe during pregnancy?

Research has shown that ruxolitinib cream is usually safe to use. In earlier studies with animals like rats, no harmful effects on the survival or growth of embryos occurred, even at doses more than three times higher than those for humans. While these results are encouraging, the effects on human pregnancies remain unclear. To learn more, a registry tracks the health of pregnant women using this cream and their babies.12345

Why are researchers excited about this trial?

Researchers are excited about ruxolitinib cream for treating mild to moderate atopic dermatitis during pregnancy because it offers a targeted approach with potentially fewer systemic effects. Unlike standard treatments like topical corticosteroids or calcineurin inhibitors, ruxolitinib is a JAK inhibitor that specifically targets the pathways involved in inflammation. This specificity might lead to better control of symptoms with reduced risk to both mother and fetus. Additionally, the topical application of ruxolitinib cream allows for localized treatment, potentially minimizing exposure to the rest of the body.

What evidence suggests that ruxolitinib cream is safe for use during pregnancy?

Research shows that ruxolitinib cream effectively treats mild to moderate atopic dermatitis, a type of eczema. Studies have found significant skin improvements in people using this cream. More individuals achieved clearer skin with ruxolitinib than those who did not use it. The cream targets specific parts of the immune system, reducing inflammation and itching. While the current study compares infants of women exposed to ruxolitinib cream during pregnancy with those not exposed, earlier research supports the cream's effectiveness in treating eczema.34678

Are You a Good Fit for This Trial?

Inclusion Criteria

I am pregnant and have used ruxolitinib cream at least once during my pregnancy.
I am a woman aged 15-50 with a mild to moderate diagnosis of AD.
I am pregnant, have atopic dermatitis, and haven't used ruxolitinib cream.
See 5 more

Timeline for a Trial Participant

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks

Exposure

Women with atopic dermatitis are exposed to ruxolitinib cream during pregnancy

Up to the end of pregnancy

Follow-up

Participants are monitored for maternal, fetal, and infant outcomes, including major congenital malformations, up to 12 months after birth

12 months

What Are the Treatments Tested in This Trial?

Interventions

  • Ruxolitinib Cream

How Is the Trial Designed?

2

Treatment groups

Experimental Treatment

Group I: Infants of women not exposed to ruxolitinib cream during pregnancyExperimental Treatment1 Intervention
Group II: Infants of women exposed to ruxolitinib cream during pregnancyExperimental Treatment1 Intervention

Find a Clinic Near You

Who Is Running the Clinical Trial?

Incyte Corporation

Lead Sponsor

Trials
408
Recruited
66,800+
Steven Stein profile image

Steven Stein

Incyte Corporation

Chief Medical Officer since 2015

MD from University of Witwatersrand

Hervé Hoppenot profile image

Hervé Hoppenot

Incyte Corporation

Chief Executive Officer since 2014

MBA from ESSEC Business School

Citations

An Observational Retrospective Cohort Study Being ...

This study is to assess infant outcomes of women with AD who were exposed to ruxolitinib cream during pregnancy compared with a control cohort of women with AD ...

NCT06259669 | Study to Compare Maternal, Fetal, and ...

Study to Compare Maternal, Fetal, and Infant Outcomes of Women With Mild to Moderate Atopic Dermatitis Exposed to Ruxolitinib Cream During Pregnancy With an ...

215309Orig1s000 OTHER REVIEW(S) - accessdata.fda.gov

In a pre- and post-natal development study in rats, pregnant animals were dosed with ruxolitinib from implantation through lactation at doses ...

Incyte Announces Positive Topline Results from Phase 3 ...

The study met its primary endpoint and showed significantly more patients treated with ruxolitinib cream 0.75% and 1.5% achieved Investigator's ...

5.

incytedermreprints.com

incytedermreprints.com/Papp1

Efficacy and safety of ruxolitinib cream for the treatment of ...

There is a pregnancy registry that monitors pregnancy outcomes in pregnant persons exposed to OPZELURA during pregnancy. Pregnant persons exposed to OPZELURA ...

Study to Compare Maternal, Fetal, and Infant Outcomes of ...

Study to Compare Maternal, Fetal, and Infant Outcomes of Women With Mild to Moderate Atopic Dermatitis Exposed to Ruxolitinib Cream During Pregnancy With an ...

7.

opzelura.pregnancy.incyte.com

opzelura.pregnancy.incyte.com/

Opzelura

The OPZELURA® (ruxolitinib) Cream 1.5% Pregnancy Registry is an observational research study that monitors the pregnancy status and outcomes in participants ...

Side Effects | Atopic Dermatitis

It is not known if OPZELURA will harm your unborn baby. There is a pregnancy exposure registry for individuals who use OPZELURA during pregnancy. The ...