A Phase 2a Proof-of-Concept Trial of Bempikibart (ADX-914) for the Treatment of Severe Alopecia Areata (SIGNAL-AA)

Last updated: October 29, 2025
Sponsor: Q32 Bio Inc.
Overall Status: Active - Not Recruiting

Phase

2

Condition

Alopecia

Rash

Hair Loss

Treatment

ADX-914

Placebo

bempikibart (ADX-914)

Clinical Study ID

NCT06018428
ADX-914-203
SIGNAL-AA
  • Ages 18-75
  • All Genders

Study Summary

Part A is a randomized, double-blind, placebo-controlled, multi-center Proof-of-Concept (POC) Trial in subjects with severe Alopecia Areata. All participants in Part A have completed participation.

Part B is a multicenter, open-label study to assess the efficacy, safety, and tolerability of bempikibart (ADX-914) in participants with severe Alopecia Areata.

Eligibility Criteria

Inclusion

Key Inclusion Criteria:

  1. Adult men and women, aged 18 to 75 years, inclusive, at the time of informedconsent.

  2. Clinical diagnosis of severe to very severe alopecia areata, defined as the presenceof ≥50% total scalp hair loss at screening and baseline as measured by the SALTscore.

Exclusion

Key Exclusion Criteria:

  1. History of or diagnosis at screening of any another form of alopecia based onassessment by investigator.

  2. History (lifetime) or presence of hair transplants.

  3. History (lifetime) or presence of micropigmentation of the scalp (Note: Microbladingof the eyebrows is permitted).

  4. Use of systemic, topical, or device-based therapy for AA.

  5. History of, recent, or current clinically serious viral, bacterial, fungal, orparasitic infection or mycobacterial infection or at risk of serious infection.

Study Design

Total Participants: 75
Treatment Group(s): 3
Primary Treatment: ADX-914
Phase: 2
Study Start date:
September 12, 2023
Estimated Completion Date:
September 30, 2026

Study Description

Part A is a Phase IIa, Randomized, Double-blind, Placebo-controlled, multi-center Proof-of-Concept (POC) study in adult subjects with severe Alopecia Areata (AA). Bempikibart (ADX-914) or matching placebo is administered subcutaneously in the clinic setting every 2 weeks for 24 weeks, with follow-up for 12 weeks. Subjects will be randomized 3:1 to drug vs placebo. All participants in Part A have completed participation.

Part B is a multicenter, open-label study comprised of a screening period of up to 4 weeks, a treatment period of 36 weeks, and a follow-up period of 16 weeks, for a total study duration of up to 56 weeks.

Open Label Extension Cohort is a multicenter, open-label extension to assess the long-term efficacy, safety, and tolerability of bempikibart (ADX-914) in participants with severe AA who experienced hair regrowth as participants in Part A of the study. Participants enrolled in the Open Label Extension Cohort will receive bempikibart (ADX-914) for a duration of 6 months followed by a 16-week follow-up period.

Connect with a study center

  • Clinical Trials

    Calgary, Alberta T1Y 0B4
    Canada

    Site Not Available

  • Clinical Trials

    Calgary 5913490, Alberta 5883102 T1Y 0B4
    Canada

    Site Not Available

  • Clinical Trials

    Winnipeg, Manitoba R3M 3Z4
    Canada

    Site Not Available

  • Clinical Trials

    Winnipeg 6183235, Manitoba 6065171 R3M 3Z4
    Canada

    Site Not Available

  • Clinical Trials

    Oakville, Ontario L6J 7W5
    Canada

    Site Not Available

  • Clinical Trials

    Peterborough, Ontario K9J 5K2
    Canada

    Site Not Available

  • Clinical Trials

    Waterloo, Ontario N2J 1C4
    Canada

    Site Not Available

  • Clinical Trials

    Oakville 6092122, Ontario 6093943 L6J 7W5
    Canada

    Site Not Available

  • Clinical Trials

    Peterborough 6101645, Ontario 6093943 K9J 5K2
    Canada

    Site Not Available

  • Clinical Trials

    Waterloo 6176823, Ontario 6093943 N2J 1C4
    Canada

    Site Not Available

  • Scottsdale, Arizona

    Scottsdale, Arizona 85255
    United States

    Site Not Available

  • Scottsdale, Arizona

    Scottsdale 5313457, Arizona 5551752 85255
    United States

    Site Not Available

  • Fayetteville, Arkansas

    Fayetteville, Arkansas 72703
    United States

    Site Not Available

  • Hot Springs, AR

    Hot Springs, Arkansas 71913
    United States

    Active - Recruiting

  • Hot Springs, Arkansas

    Hot Springs, Arkansas 71913
    United States

    Site Not Available

  • Fayetteville, Arkansas

    Fayetteville 4110486, Arkansas 4099753 72703
    United States

    Site Not Available

  • Hot Springs, Arkansas

    Hot Springs 4115412, Arkansas 4099753 71913
    United States

    Site Not Available

  • Encinitas, CA

    Encinitas, California 92024
    United States

    Active - Recruiting

  • Encinitas, California

    Encinitas, California 92024
    United States

    Site Not Available

  • Fountain Valley, CA

    Fountain Valley, California 92708
    United States

    Active - Recruiting

  • Fountain Valley, California

    Fountain Valley, California 92708
    United States

    Site Not Available

  • Lomita, California

    Lomita, California 90717
    United States

    Site Not Available

  • Encinitas, California

    Encinitas 5346646, California 5332921 92024
    United States

    Site Not Available

  • Fountain Valley, California

    Fountain Valley 5350207, California 5332921 92708
    United States

    Site Not Available

  • Lomita, California

    Lomita 5367767, California 5332921 90717
    United States

    Site Not Available

  • New Haven, Connecticut

    New Haven, Connecticut 06519
    United States

    Site Not Available

  • New Haven, Connecticut

    New Haven 4839366, Connecticut 4831725 06519
    United States

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  • Miami, Florida

    Miami, Florida 33173
    United States

    Site Not Available

  • Tampa, Florida

    Tampa, Florida 33613
    United States

    Site Not Available

  • Miami, Florida

    Miami 4164138, Florida 4155751 33173
    United States

    Site Not Available

  • Tampa, Florida

    Tampa 4174757, Florida 4155751 33613
    United States

    Site Not Available

  • Clarksville, Indiana

    Clarksville, Indiana 47129
    United States

    Site Not Available

  • Clarksville, Indiana

    Clarksville 4255836, Indiana 4921868 47129
    United States

    Site Not Available

  • Bowling Green, Kentucky

    Bowling Green, Kentucky 42104
    United States

    Site Not Available

  • Bowling Green, Kentucky

    Bowling Green 4285268, Kentucky 6254925 42104
    United States

    Site Not Available

  • Burlington, Massachusetts

    Burlington, Massachusetts 01805
    United States

    Site Not Available

  • Burlington, Massachusetts

    Burlington 4931737, Massachusetts 6254926 01805
    United States

    Site Not Available

  • Troy, Michigan

    Troy, Michigan 48084
    United States

    Site Not Available

  • Warren, Michigan

    Warren, Michigan 48192
    United States

    Site Not Available

  • Troy, Michigan

    Troy 5012639, Michigan 5001836 48084
    United States

    Site Not Available

  • Warren, Michigan

    Warren 5014051, Michigan 5001836 48192
    United States

    Site Not Available

  • New York, New York

    New York, New York 10012
    United States

    Site Not Available

  • New York, New York

    New York 5128581, New York 5128638 10023
    United States

    Site Not Available

  • Wilmington, North Carolina

    Wilmington, North Carolina 28405
    United States

    Site Not Available

  • Wilmington, North Carolina

    Wilmington 4499379, North Carolina 4482348 28405
    United States

    Site Not Available

  • Bexley, OH

    Bexley, Ohio 43209
    United States

    Active - Recruiting

  • Bexley, Ohio

    Bexley, Ohio 43209
    United States

    Site Not Available

  • Clinical Trials

    Canton, Ohio 44718
    United States

    Site Not Available

  • Mason, Ohio

    Mason, Ohio 45040
    United States

    Site Not Available

  • Mayfield Heights, Ohio

    Mayfield Heights, Ohio 44124
    United States

    Site Not Available

  • Bexley, Ohio

    Bexley 4506487, Ohio 5165418 43209
    United States

    Site Not Available

  • Clinical Trials

    Canton 5149222, Ohio 5165418 44718
    United States

    Site Not Available

  • Mason, Ohio

    Mason 4517698, Ohio 5165418 45040
    United States

    Site Not Available

  • Mayfield Heights, Ohio

    Mayfield Heights 5162188, Ohio 5165418 44124
    United States

    Site Not Available

  • Portland, Oregon

    Portland, Oregon 97225
    United States

    Site Not Available

  • Portland, Oregon

    Portland 5746545, Oregon 5744337 97225
    United States

    Site Not Available

  • Austin, Texas

    Austin, Texas 78759
    United States

    Site Not Available

  • Frisco, Texas

    Frisco, Texas 75034
    United States

    Site Not Available

  • Houston, Texas

    Houston, Texas 77056
    United States

    Site Not Available

  • San Antonio, TX

    San Antonio, Texas 78213
    United States

    Active - Recruiting

  • San Antonio, Texas

    San Antonio, Texas 78213
    United States

    Site Not Available

  • Austin, Texas

    Austin 4671654, Texas 4736286 78759
    United States

    Site Not Available

  • Frisco, Texas

    Frisco 4692559, Texas 4736286 75034
    United States

    Site Not Available

  • Houston, Texas

    Houston 4699066, Texas 4736286 77056
    United States

    Site Not Available

  • San Antonio, Texas

    San Antonio 4726206, Texas 4736286 78213
    United States

    Site Not Available

  • Jordan, Utah

    Jordan, Utah 84095
    United States

    Site Not Available

  • Jordan, Utah

    Jordan 5776547, Utah 5549030 84095
    United States

    Site Not Available

  • Spokane, Washington

    Spokane, Washington 99202
    United States

    Site Not Available

  • Spokane, Washington

    Spokane 5811696, Washington 5815135 99202
    United States

    Site Not Available

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