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Clinical Trial Details — Status: Active, not recruiting

Administrative data

NCT number NCT03569293
Other study ID # M16-045
Secondary ID 2022-502938-30-0
Status Active, not recruiting
Phase Phase 3
First received
Last updated
Start date August 13, 2018
Est. completion date October 9, 2025

Study information

Verified date March 2024
Source AbbVie
Contact n/a
Is FDA regulated No
Health authority
Study type Interventional

Clinical Trial Summary

The objective of this study is to assess the efficacy and safety of upadacitinib for the treatment of adolescent and adult participants with moderate to severe atopic dermatitis (AD) who are candidates for systemic therapy.


Description:

This study includes a 35-day screening period, a 16-week double-blind period, a blinded extension period up to Week 260, and a 30-day follow-up visit. Participants who meet eligibility criteria in the main study will be randomized in a 1:1:1 ratio to receive a daily oral dose of upadacitinib 30 mg or upadacitinib 15 mg or matching placebo. Upon completion of enrollment of 810 participants in the main study, a supplemental study will continue to enroll adolescents (adolescent sub-study) until a total of 180 adolescent participants are enrolled in the overall study (main study + adolescent sub-study). Randomization for the main study will be stratified by baseline disease severity (validated Investigator Global Assessment scale for Atopic Dermatitis [vIGA-AD] score of moderate [3] versus severe [4]), by geographic region (United States [US]/Puerto Rico/Canada, Japan, China, and Other), and by age (adolescent [ages 12 to 17] versus adult [ages 18 to 75]). The separate randomization for the adolescent sub-study will be stratified by baseline disease severity (moderate [vIGA-AD 3] vs. severe [vIGA-AD 4]) and by geographic region (US/Puerto Rico/Canada and Other). At Week 16 of the main study and the adolescent sub-study, participants in the placebo group will be re-randomized in a 1:1 ratio to receive daily oral doses of upadacitinib 30 mg or upadacitinib 15 mg in the blinded extension period. In the main study the re-randomization at Week 16 will be stratified by Week 16 50% improvement in Eczema Area and Severity Index [EASI 50] responder [yes/no], geographic region [US/Puerto Rico/Canada, China [Mainland], Japan, and other], and age group [adolescent/adult]. For the adolescent sub-study, the re-randomization will be stratified by EASI 50 responder (Yes/No) and by geographic region (US/Puerto Rico/Canada and Other). Participants originally randomized to upadacitinib will continue upadacitinib in the extension period at the same dose. Starting at the Week 4 visit, rescue treatment for AD may be provided at the discretion of the investigator if medically necessary. The Primary Analysis for the main study will be conducted after all ongoing participants have completed Week 16. In addition, a Primary Analysis for the adolescent population (including the adolescent participants from the main study and the adolescent sub-study) will be conducted after all ongoing adolescent participants have completed Week 16.


Recruitment information / eligibility

Status Active, not recruiting
Enrollment 912
Est. completion date October 9, 2025
Est. primary completion date January 6, 2021
Accepts healthy volunteers No
Gender All
Age group 12 Years to 75 Years
Eligibility Inclusion Criteria: - Body weight of = 40 kg at Baseline Visit for participants between = 12 and < 18 years of age - Chronic atopic dermatitis (AD) with onset of symptoms at least 3 years before Baseline Visit and subject meets Hanifin and Rajka criteria. - Active moderate to severe AD defined by: - Eczema Area and Severity Index (EASI) score = 16 at the Screening and Baseline Visits; - Validated Investigator's Global Assessment (vIGA) score = 3 at the Screening and Baseline Visits; - = 10% Body surface area (BSA) of AD involvement at the Screening and Baseline Visits; - Baseline weekly average of daily Worst Pruritus NRS = 4. - Candidate for systemic therapy or have recently required systemic therapy for AD - Subject has applied a topical emollient (moisturizer) twice daily for at least 7 days before the Baseline Visit. - Documented history of inadequate response to topical corticosteroids (TCS) or topical calcineurin inhibitor (TCI) or documented systemic treatment for AD within 6 months before Baseline Visit Exclusion Criteria: - Prior exposure to any Janus kinase (JAK) inhibitor - Unable or unwilling to discontinue current atopic dermatitis treatments prior to the study - Requirement of prohibited medications during the study - Other active skin diseases or skin infections requiring systemic treatment or would interfere with appropriate assessment of atopic dermatitis lesions - Female subject who is pregnant, breastfeeding, or considering pregnancy during the study

Study Design


Related Conditions & MeSH terms


Intervention

Drug:
Placebo for Upadacitinib
Tablets taken orally once a day
Upadacitinib
Tablets taken orally once a day

Locations

Country Name City State
Argentina Instituto de Neumonología y Dermatología /ID# 203444 Ciudad Autonoma de Buenos Aire Ciuadad Autonoma De Buenos Aires
Argentina Psoriahue Med Interdisciplinar /ID# 202451 Ciudad Autonoma de Buenos Aire Ciuadad Autonoma De Buenos Aires
Argentina Framingham Centro Medico /ID# 202688 La Plata Buenos Aires
Australia Skin Health Institute Inc /ID# 204791 Carlton Victoria
Australia Holdsworth House Medical Practice /ID# 211236 Darlinghurst New South Wales
Australia Fremantle Dermatology /ID# 205305 Fremantle Western Australia
Australia North Eastern Health Specialists /ID# 205802 Hectorville South Australia
Australia Woden Dermatology /ID# 205799 Phillip Australian Capital Territory
Bosnia and Herzegovina University Clinical Centre of the Republic of Srpska /ID# 202666 Banja Luka Republika Srpska
Bosnia and Herzegovina University Clinical Centre of the Republic of Srpska /ID# 202667 Banja Luka Republika Srpska
Bosnia and Herzegovina Clinical Center University of Sarajevo /ID# 202668 Sarajevo
Bosnia and Herzegovina Clinical Center University of Sarajevo /ID# 202669 Sarajevo
Bulgaria UMHAT Dr Georgi Stranski EAD /ID# 201521 Pleven
Bulgaria UMHAT Alexandrovska EAD /ID# 201519 Sofiya Sofia
Bulgaria UMHAT Professor Stoyan Kirkovich /ID# 201522 Stara Zagora
Canada Dermatology Research Institute Inc. /ID# 200318 Calgary Alberta
Canada Kirk Barber Research, CA /ID# 200324 Calgary Alberta
Canada Dr. Irina Turchin PC Inc. /ID# 200322 Fredericton New Brunswick
Canada Hamilton Health Sciences - McMaster University Medical Centre /ID# 200313 Hamilton Ontario
Canada Dr. Wei Jing Loo Medicine Prof /ID# 206051 London Ontario
Canada Lynderm Research Inc. /ID# 200315 Markham Ontario
Canada Dr. David Gratton Dermat Inc. /ID# 200309 Montreal Quebec
Canada Innovaderm Research Inc. /ID# 200320 Montréal Quebec
Canada Dermatology Ottawa Research Centre /ID# 200319 Ottawa Ontario
Canada Dre Angelique Gagne-Henley M.D. inc. /ID# 200326 Saint-Jerome Quebec
Canada Karma Clinical Trials /ID# 200316 St. John's Newfoundland and Labrador
Canada Dr. Chih-ho Hong Medical Inc. /ID# 200311 Surrey British Columbia
Canada Enverus Medical Research /ID# 200307 Surrey British Columbia
Canada K. Papp Clinical Research /ID# 200317 Waterloo Ontario
Canada Wiseman Dermatology Research /ID# 200323 Winnipeg Manitoba
China Beijing Friendship Hospital /ID# 202601 Beijing
China Peking University People's Hospital /ID# 202549 Beijing Beijing
China Peking University Third Hospital /ID# 202612 Beijing Beijing
China Sun Yat-sen Memorial Hospital of Sun Yat-sen University /ID# 208597 Guangzhou Guangdong
China The Third Affiliated Hospital Of Sun Yat-Sen University /ID# 202548 Guangzhou Guangdong
China The second Affiliated hospital of Zhejiang University school of Medicine /ID# 202608 Hangzhou Zhejiang
China Huashan Hospital of Fudan University /ID# 205760 Shanghai
China Ruijin Hospital, Shanghai Jiaotong University School of Medicine /ID# 202554 Shanghai Shanghai
China The First Hospital of China Medical University /ID# 202615 Shenyang Liaoning
China Union Hospital affiliated to Tongji Medical College of Huazhong University of Sc /ID# 208598 Wuhan
Colombia Ctr Int de Reum del Caribe SAS /ID# 201620 Barranquilla Atlantico
Colombia Clinisalud del sur /ID# 218100 Medellin Antioquia
Colombia Fundacion Centro de Excelencia en Enfermedades Cronicas no Transmisibles - FUNCE /ID# 201905 Monteria Cordoba
Colombia Fundacion Hospital San Vicente de Paul - Rionegro /ID# 202043 Rionegro Antioquia
Croatia Duplicate_Klinicki bolnicki centar Osijek /ID# 201523 Osijek Osjecko-baranjska Zupanija
Croatia Klinicki bolnicki centar Rijeka /ID# 217423 Rijeka Primorsko-goranska Zupanija
Croatia Klinicki bolnicki centar Split /ID# 201527 Split Splitsko-dalmatinska Zupanija
Croatia Klinicki bolnicki centar Zagreb /ID# 201879 Zagreb Grad Zagreb
Croatia Klinika za djecje bolesti Zagreb /ID# 203151 Zagreb Grad Zagreb
Denmark Aarhus University Hospital /ID# 200737 Aarhus N Midtjylland
Denmark Bispebjerg and Frederiksberg Hospital /ID# 200979 Copenhagen NV Hovedstaden
Denmark Herlev and Gentofte Hospital /ID# 200736 Hellerup Hovedstaden
Estonia North Estonia Medical Centre /ID# 200951 Mustamäe Linnaosa Harjumaa
Estonia Confido Private Medical Clinic /ID# 200846 Tallinn Harjumaa
Estonia Tartu University Hospital /ID# 200847 Tartu Linn Tartumaa
Finland Kuopio University Hospital /ID# 202449 Kuopio
Finland Terveystalo Tampere /ID# 201117 Tampere
Finland Mehiläinen Neo /ID# 201116 Turku Varsinais-Suomi
France Centre Hospitalier du Mans /ID# 205991 Le Mans CEDEX 9 Sarthe
France Hopital Saint Vincent de Paul /ID# 218253 Lille Cedex
France Le Bateau BLanc /ID# 206833 Martigues
France CHU de Nantes, Hotel Dieu -HME /ID# 206377 Nantes Pays-de-la-Loire
France AP-HP - Hopital Necker /ID# 218364 Paris
France HCL - Hôpital Lyon Sud /ID# 201529 Pierre Benite CEDEX Auvergne-Rhone-Alpes
France Hôpital Charles-Nicolle /ID# 201525 Rouen
France CHU Toulouse - Hopital Larrey /ID# 201528 Toulouse
Germany Universitaetsklinikum Bonn /ID# 202086 Bonn
Germany Universitaetsklinikum Frankfurt /ID# 202089 Frankfurt am Main Hessen
Germany TFS Trial Form Support GmbH /ID# 202083 Hamburg
Germany Medizinische Hochschule Hannover /ID# 202091 Hannover
Germany Universitaetsklinikum Schleswig-Holstein Campus Kiel /ID# 202255 Kiel Schleswig-Holstein
Germany Universitaetsmedizin der Johannes Gutenberg-Universitaet Mainz /ID# 205192 Mainz
Germany Universitaetsklinikum Muenster /ID# 202085 Muenster Nordrhein-Westfalen
Germany Duplicate_Klinikum rechts der Isar - Technische Universitaet Muenchen /ID# 202087 Munich Bayern
Germany CMS3 Company for Medical Study /ID# 205193 Selters Rheinland-Pfalz
Italy Azienda Ospedaliero Universitaria Ospedali Riuniti di Ancona /ID# 200692 Ancona
Italy A.O.U. di Bologna Policlinico S.Orsola-Malpighi /ID# 200746 Bologna
Italy A.O.U. Policlinico G. Rodolico S.Marco- Presidio G.Rodolico /ID# 200741 Catania
Italy Azienda Ospedaliera Universitaria Federico II /ID# 200750 Napoli
Italy Azienda Ospedaliero Universitaria Pisana-Stabilimento di Santa Chiara /ID# 200695 Pisa
Italy Fondazione PTV Policlinico Tor Vergata /ID# 201136 Rome Roma
Japan University of Yamanashi Hospital /ID# 204174 Chuo-shi Yamanashi
Japan Fukuoka University Hospital /ID# 201309 Fukuoka-shi Fukuoka
Japan Kyushu Central Hospital of the Mutual Aid Association of Public School Teachers /ID# 202891 Fukuoka-shi Fukuoka
Japan Gifu University Hospital /ID# 201760 Gifu-shi Gifu
Japan University Hospital Kyoto Prefectural University of Medicine /ID# 201876 Kyoto-shi Kyoto
Japan Aichi Medical University Hospital /ID# 202833 Nagakute-shi Aichi
Japan Takagi Dermatology Clinic /ID# 201238 Obihiro-shi Hokkaido
Japan Ogaki Municipal Hospital /ID# 203463 Ogaki-shi Gifu
Japan Kume Clinic /ID# 201912 Sakai-shi Osaka
Japan Medical Cooperation Kojinkai Sapporo Skin Clinic /ID# 201239 Sapporo-shi Hokkaido
Japan NTT Medical Center Tokyo /ID# 201759 Shinagawa-ku Tokyo
Malaysia Hospital Selayang /ID# 204378 Batu Caves Selangor
Malaysia Queen Elizabeth Hospital /ID# 204379 Division Pantai Barat Utara Sabah
Malaysia Hospital Raja Permaisuri Bainun /ID# 204375 Ipoh Perak
New Zealand Clinical Trials NZ /ID# 205335 Hamilton
Puerto Rico Cruz-Santana, Carolina, PR /ID# 201096 Carolina
Puerto Rico Ponce Medical School Foundation /ID# 201821 Ponce
Puerto Rico Clinical Research Puerto Rico /ID# 203309 San Juan
Romania Spitalul Clinic Colentina /ID# 205860 Bucuresti
Romania Cabinet Medical de Dermatovenerologie Dr. Remus Orasan /ID# 205862 Cluj Napoca
Russian Federation Chelyabinsk Regional Clinical Dermatovenerologic Dispensary /ID# 201996 Chelyabinsk Chelyabinskaya Oblast
Russian Federation Clinical Dermatovenerology Dispensary /ID# 203439 Krasnodar Krasnodarskiy Kray
Russian Federation National Medical Research Center for Children's Health /ID# 203440 Moscow
Russian Federation Saratov State Medical University n.a. V.I. Razumovskiy /ID# 201595 Saratov Saratovskaya Oblast
Russian Federation Ural Research Institute of dermatovenerology and immunopathology /ID# 201593 Yekaterinburg Sverdlovskaya Oblast
Switzerland Universitätsspital Basel /ID# 201599 Basel Basel-Stadt
Switzerland Inselspital, Universitätsspital Bern /ID# 201598 Bern
Switzerland Hôpitaux Universitaires Genève /ID# 201600 Genève Geneve
Switzerland CHUV, Centre hospitalier universitaire vaudois /ID# 200910 Lausanne Vaud
Switzerland CHUV, Centre hospitalier universitaire vaudois /ID# 206505 Lausanne Vaud
Turkey Hacettepe University Faculty of Medicine /ID# 204099 Ankara
Turkey Istanbul University-Cerrahpasa, Cerrahpasa Medical Faculty /ID# 204100 Istanbul
Turkey Erciyes University Medical Fac /ID# 204098 Melikgazi Kayseri
Turkey Gazi Universitesi Tip Fakultes /ID# 204176 Yenimahalle
Ukraine ME "Rivne Regional Dermatology and Venereology Dispensary" of RRC /ID# 210504 Rivne
Ukraine Military Hospital of Military-Medical Clinical Center of Southern Region /ID# 201962 Zaporizhzhya Zaporizka Oblast
United Kingdom West Middlesex University Hospital /ID# 202273 Isleworth London, City Of
United Kingdom Barts Health NHS Trust /ID# 201043 London London, City Of
United Kingdom Chelsea and Westminster Hospital NHS Foundation Trust9 /ID# 201971 London
United Kingdom Guy's and St Thomas' NHS Foundation Trust /ID# 201192 London London, City Of
United Kingdom Northern Care Alliance NHS Group /ID# 201194 Salford
United States Arlington Research Center, Inc /ID# 200391 Arlington Texas
United States Orion Clinical Research /ID# 204703 Austin Texas
United States Bakersfield Derma & Skin Cance /ID# 200433 Bakersfield California
United States Northeast Dermatology /ID# 201338 Beverly Massachusetts
United States Clearlyderm Dermatology /ID# 208371 Boca Raton Florida
United States Skin Care Research, LLC /ID# 200811 Boca Raton Florida
United States Massachusetts General Hospital /ID# 200474 Boston Massachusetts
United States Montefiore Medical Center /ID# 200456 Bronx New York
United States Christie Clinic, LLC /ID# 200427 Champaign Illinois
United States Coastal Clinical Research Center of the Carolinas /ID# 200402 Charleston South Carolina
United States Clin Res Inst of Michigan, LLC /ID# 208019 Chesterfield Michigan
United States Northwestern University Feinberg School of Medicine /ID# 201644 Chicago Illinois
United States Olympian Clinical Research /ID# 202914 Clearwater Florida
United States Velocity clinical research /ID# 202653 Cleveland Ohio
United States Clinical Trials Management, LLC - Covington /ID# 212658 Covington Louisiana
United States Menter Dermatology Res Inst /ID# 200390 Dallas Texas
United States Modern Research Associates, PL /ID# 200705 Dallas Texas
United States Henry Ford Medical Center /ID# 204191 Detroit Michigan
United States First OC Dermatology /ID# 201910 Fountain Valley California
United States Dermdox Dermatology Centers, PC /ID# 213782 Hazleton Pennsylvania
United States Dawes Fretzin, LLC /ID# 200366 Indianapolis Indiana
United States Clinical Partners, LLC /ID# 200460 Johnston Rhode Island
United States Forest Hills Dermatology Group /ID# 209244 Kew Gardens New York
United States Cleaver Dermatology /ID# 202825 Kirksville Missouri
United States Multi-Speciality Research Associates /ID# 213254 Lake City Florida
United States Clinical Research Consortium /ID# 200734 Las Vegas Nevada
United States California Allergy and Asthma Medical Group /ID# 200727 Los Angeles California
United States GSI Clinical Research, LLC /ID# 200849 Margate Florida
United States Clinical Trials Management, LLC - Metairie /ID# 212659 Metairie Louisiana
United States Florida International Rsrch cr /ID# 218507 Miami Florida
United States Allergy & Asthma Associates of Southern California /ID# 200733 Mission Viejo California
United States Icahn School of Medicine at Mount Sinai /ID# 200370 New York New York
United States Dermatology Clinical Trials /ID# 205876 Newport Beach California
United States Tory P Sullivan, MD PA /ID# 200671 North Miami Beach Florida
United States Lynn Health Science Institute (LHSI) /ID# 212676 Oklahoma City Oklahoma
United States Newton Clinical Research /ID# 204169 Oklahoma City Oklahoma
United States Advanced Dermatology of the Midlands /ID# 201689 Omaha Nebraska
United States Leavitt Medical Associates of Florida /ID# 200880 Ormond Beach Florida
United States Alliance Dermatology and MOHs /ID# 200375 Phoenix Arizona
United States Oregon Health and Science University /ID# 200992 Portland Oregon
United States Oregon Medical Res Center PC /ID# 200428 Portland Oregon
United States AllCutis Research Inc /ID# 200981 Portsmouth New Hampshire
United States Integrated Dermatology of Massachusetts, LLC /ID# 209468 Quincy Massachusetts
United States UC Davis /ID# 203622 Sacramento California
United States Synergy Dermatology /ID# 200842 San Francisco California
United States San Luis Derm and Laser Clinic /ID# 200372 San Luis Obispo California
United States Clear Dermatology & Aesthetics Center /ID# 201256 Scottsdale Arizona
United States Dermatology Physicians of Connecticut /ID# 200928 Shelton Connecticut
United States The South Bend Clinic Center /ID# 200371 South Bend Indiana
United States Dermatology Specialists of Spokane /ID# 202068 Spokane Washington
United States Stanford University /ID# 200440 Stanford California
United States Precision Clinical Research /ID# 209002 Sunrise Florida
United States J. Schwartz, MD, PLLC /ID# 202121 Troy New York
United States Care Access Research - Walnut Creek /ID# 200940 Walnut Creek California
United States Duplicate_George Washington Univ Med /ID# 200364 Washington District of Columbia
United States Foxhall Research Center /ID# 213682 Washington District of Columbia
United States Center for Clinical Studies - Webster TX /ID# 203185 Webster Texas
United States Integrated Clinical Research LLC /ID# 200900 West Palm Beach Florida

Sponsors (1)

Lead Sponsor Collaborator
AbbVie

Countries where clinical trial is conducted

United States,  Argentina,  Australia,  Bosnia and Herzegovina,  Bulgaria,  Canada,  China,  Colombia,  Croatia,  Denmark,  Estonia,  Finland,  France,  Germany,  Italy,  Japan,  Malaysia,  New Zealand,  Puerto Rico,  Romania,  Russian Federation,  Switzerland,  Turkey,  Ukraine,  United Kingdom, 

Outcome

Type Measure Description Time frame Safety issue
Primary Main Study: Percentage of Participants Achieving at Least a 75% Reduction in Eczema Area and Severity Index Score (EASI 75) From Baseline at Week 16 EASI is a tool used to measure the extent (area) and severity of atopic eczema based on assessments of the head/neck, trunk, upper limbs and lower limbs. For each region the area score is recorded as the percentage of skin affected by eczema. For each region, the severity score is calculated as the sum of the intensity scores (scored as none [0], mild [1], moderate [2], or severe [3]) for redness (erythema, inflammation), thickness (induration, papulation, swelling - acute eczema), scratching (excoriation), and lichenification (lined skin, prurigo nodules - chronic eczema).
The total EASI score for each region is calculated by multiplying the severity score by the area score, with adjustment for the proportion of the body region to the whole body. The final EASI score is the sum of the 4 region scores and ranges from 0 to 72 where higher scores represent worse disease.
Baseline and Week 16
Primary Main Study: Percentage of Participants Achieving Validated Investigator Global Assessment for Atopic Dermatitis (vIGA-AD) of 0 or 1 With a Reduction From Baseline of = 2 Points at Week 16 The vIGA-AD is a validated assessment instrument to rate the severity of atopic dermatitis globally, based on the following scale:
0 - Clear: No inflammatory signs of AD;
1 - Almost clear: Barely perceptible erythema, induration/papulation and/or lichenification;
2 - Mild: Slight but definite erythema, induration/papulation and/or minimal lichenification. No oozing or crusting;
3 - Moderate: Clearly perceptible erythema, induration/papulation and/or lichenification, oozing or crusting may be present;
4 - Severe: Marked erythema, induration/papulation and/or lichenification; Oozing or crusting may be present.
Baseline and Week 16
Secondary Main Study: Percentage of Participants Achieving a Reduction of = 4 Points From Baseline in Worst Pruritus Numerical Rating Scale (NRS) at Week 16 Participants were asked to rate itch (pruritus) intensity at its worst during the past 24 hours on a daily basis using an 11-point scale from 0 (no itch) to 10 (worst imaginable itch). Pruritus NRS was analyzed based on weekly rolling averages of daily scores. Baseline (last available rolling average before the first dose of study drug) and Week 16
Secondary Main Study: Percentage of Participants Achieving a 90% Reduction From Baseline in EASI Score (EASI 90) at Week 16 EASI is a tool used to measure the extent (area) and severity of atopic eczema based on assessments of the head/neck, trunk, upper limbs and lower limbs. For each region the area score is recorded as the percentage of skin affected by eczema. For each region, the severity score is calculated as the sum of the intensity scores (scored as none [0], mild [1], moderate [2], or severe [3]) for redness (erythema, inflammation), thickness (induration, papulation, swelling - acute eczema), scratching (excoriation), and lichenification (lined skin, prurigo nodules - chronic eczema).
The total EASI score for each region is calculated by multiplying the severity score by the area score, with adjustment for the proportion of the body region to the whole body. The final EASI score is the sum of the 4 region scores and ranges from 0 to 72 where higher scores represent worse disease.
Baseline and Week 16
Secondary Main Study: Percentage of Participants Achieving a Reduction of = 4 Points From Baseline in Worst Pruritus NRS at Week 4 Participants were asked to rate itch (pruritus) intensity at its worst during the past 24 hours on a daily basis using an 11-point scale from 0 (no itch) to 10 (worst imaginable itch). Pruritus NRS was analyzed based on weekly rolling averages of daily scores. Baseline (last available rolling average before the first dose of study drug) and Week 4
Secondary Main Study: Percentage of Participants Achieving an EASI 75 Response at Week 2 EASI is a tool used to measure the extent (area) and severity of atopic eczema based on assessments of the head/neck, trunk, upper limbs and lower limbs. For each region the area score is recorded as the percentage of skin affected by eczema. For each region, the severity score is calculated as the sum of the intensity scores (scored as none [0], mild [1], moderate [2], or severe [3]) for redness (erythema, inflammation), thickness (induration, papulation, swelling - acute eczema), scratching (excoriation), and lichenification (lined skin, prurigo nodules - chronic eczema).
The total EASI score for each region is calculated by multiplying the severity score by the area score, with adjustment for the proportion of the body region to the whole body. The final EASI score is the sum of the 4 region scores and ranges from 0 to 72 where higher scores represent worse disease.
An EASI 75 response is defined as at least a 75% reduction (improvement) from Baseline in EASI score.
Baseline and Week 2
Secondary Main Study: Percentage of Participants Achieving a Reduction of = 4 Points From Baseline in Worst Pruritus NRS at Week 1 Participants were asked to rate itch (pruritus) intensity at its worst during the past 24 hours on a daily basis using an 11-point scale from 0 (no itch) to 10 (worst imaginable itch). Pruritus NRS was analyzed based on weekly rolling averages of daily scores. Baseline (last available rolling average before the first dose of study drug) and Week 1
Secondary Main Study: Percentage of Participants Achieving a Reduction of = 4 Points From Baseline in Worst Pruritus NRS at Day 2 Participants were asked to rate itch (pruritus) intensity at its worst during the past 24 hours on a daily basis using an 11-point scale from 0 (no itch) to 10 (worst imaginable itch).
The percentage of participants who had a 4-point or greater improvement from Baseline in Worst Pruritus NRS score at Day 2 was pre-specified as a ranked secondary endpoint for participants in the upadacitinib 30 mg group versus placebo group only.
Baseline and Day 2
Secondary Main Study: Percentage of Participants Achieving a Reduction of = 4 Points From Baseline in Worst Pruritus NRS at Day 3 Participants were asked to rate itch (pruritus) intensity at its worst during the past 24 hours on a daily basis using an 11-point scale from 0 (no itch) to 10 (worst imaginable itch).
The percentage of participants who had a 4-point or greater improvement in Worst Pruritus NRS score from Baseline at Day 3 was pre-specified as a ranked secondary endpoint for participants in the upadacitinib 15 mg group versus placebo group only.
Baseline and Day 3
Secondary Main Study: Percentage of Participants Experiencing a Flare During the Double-blind Treatment Period A flare, characterized as a clinically meaningful worsening in EASI, is defined as an increase in EASI score of = 6.6 points from Baseline during the double-blind treatment period and prior to use of any rescue medication. Flare was assessed in participants with an EASI score of 65.4 or less at Baseline. From first dose of study drug to Week 16
Secondary Main Study: Percentage of Participants Achieving a Reduction of = 12 Points From Baseline in Atopic Dermatitis Impact Scale (ADerm-IS) Sleep Domain Score at Week 16 The ADerm-IS is a 10-item patient reported outcome (PRO) questionnaire designed to assess a variety of impacts that participants experience from their AD.
The ADerm-IS sleep domain consists of 3 questions designed to assess the impact of AD on sleep on a daily basis over a 24-hour recall period. The items include difficulty falling asleep, impact on sleep, and waking at night. Each question is scored on an 11-point NRS from 0 (no impact) to 10 (extreme impact). The ADerm-IS sleep domain score is the sum of the 3 item scores and ranges from 0 (no impact) to 30 (worst impact). The ADerm-IS sleep domain was analyzed based on weekly rolling averages of daily scores.
The minimal clinically important difference for ADerm-IS sleep domain score is 12.
Baseline (last available rolling average before the first dose of study drug) and Week 16
Secondary Main Study: Percentage of Participants Achieving a Reduction of = 4 Points From Baseline in Atopic Dermatitis Symptom Scale (ADerm-SS) Skin Pain Score at Week 16 The ADerm-SS is an 11-item PRO questionnaire designed to assess signs and symptoms that patients may experience due to AD using a 24-hour recall period. For the skin pain item participants were asked on a daily basis to indicate how bad their worst skin pain due to AD was in the past 24 hours on an NRS from 0 (no pain) to 10 (worst imaginable pain). The ADerm-SS skin pain score was analyzed using weekly rolling averages of daily scores. The minimal clinically important difference for ADerm-SS skin pain score is 4. Baseline (last available rolling average before the first dose of study drug) and Week 16
Secondary Main Study: Percentage of Participants Achieving a Reduction of = 28 Points From Baseline in ADerm-SS 7-Item Total Symptom Score (TSS-7) at Week 16 The ADerm-SS is an 11-item questionnaire designed to assess signs and symptoms that participants may experience due to AD using a 24-hour recall period. The 7-item total symptom score includes 7 symptoms (items 1-7 of the ADerm-SS), each assessed on a NRS from 0 (no symptom) to 10 (worst imaginable). The 7 symptoms included in the score are itch while asleep, itch while awake, skin pain (each assessed daily), skin cracking, skin cracking pain, dry skin, and skin flaking (assessed weekly). The TSS-7 score ranges from 0 to 70, with higher scores indicating worsening symptoms. The minimal clinically important difference for ADerm-SS TSS-7 is 28. Baseline and Week 16
Secondary Main Study: Percentage of Participants Achieving a Reduction of = 11 Points From Baseline in ADerm-IS Emotional State Domain Score at Week 16 The ADerm-IS is a 10-item PRO questionnaire designed to assess a variety of impacts that participants experience from their AD.
ADerm-IS emotional state sums three items [Items 8-10] measuring self-consciousness, embarrassment, and sadness with a 7-day recall. Each question is scored on an 11-point NRS from 0 (no impact) to 10 (extreme impact). The emotional state domain score ranges from 0 to 30, where higher scores represent worst impact.
The minimal clinically important difference for ADerm-IS emotional state domain score is 11.
Baseline and Week 16
Secondary Main Study: Percentage of Participants Achieving a Reduction of = 14 Points From Baseline in in ADerm-IS Daily Activities Domain Score at Week 16 The ADerm-IS is a 10-item PRO questionnaire designed to assess a variety of impacts that participants experience from their AD.
ADerm-IS daily activities sums four items measuring limitations of household, physical, and social activities, and difficulty concentrating with a 7-day recall. Each question is scored on an 11-point NRS from 0 (no impact) to 10 (extreme impact). The daily activities domain score ranges from 0 to 40, where higher scores represent worst impact.
The minimal clinically important difference for the ADerm-IS daily activities domain score is 14.
Baseline and Week 16
Secondary Main Study: Percentage of Participants Achieving a 100% Reduction From Baseline in EASI Score (EASI 100) at Week 16 EASI is a tool used to measure the extent (area) and severity of atopic eczema based on assessments of the head/neck, trunk, upper limbs and lower limbs. For each region the area score is recorded as the percentage of skin affected by eczema. For each region, the severity score is calculated as the sum of the intensity scores (scored as none [0], mild [1], moderate [2], or severe [3]) for redness (erythema, inflammation), thickness (induration, papulation, swelling - acute eczema), scratching (excoriation), and lichenification (lined skin, prurigo nodules - chronic eczema).
The total EASI score for each region is calculated by multiplying the severity score by the area score, with adjustment for the proportion of the body region to the whole body. The final EASI score is the sum of the 4 region scores and ranges from 0 to 72 where higher scores represent worse disease.
Baseline and Week 16
Secondary Main Study: Percent Change From Baseline in Worst Pruritus NRS at Week 16 Participants were asked to rate itch (pruritus) intensity at its worst during the past 24 hours on a daily basis using an 11-point scale from 0 (no itch) to 10 (worst imaginable itch). Pruritus NRS was analyzed based on weekly rolling averages of daily scores. A negative change from Baseline indicates improvement. Baseline (last available rolling average before the first dose of study drug) and Week 16
Secondary Main Study: Percent Change From Baseline in EASI Score at Week 16 EASI is a tool used to measure the extent (area) and severity of atopic eczema based on assessments of the head/neck, trunk, upper limbs and lower limbs. For each region the area score is recorded as the percentage of skin affected by eczema. For each region, the severity score is calculated as the sum of the intensity scores (scored as none [0], mild [1)] moderate [2], or severe [3]) for Redness (erythema, inflammation), Thickness (induration, papulation, swelling - acute eczema), Scratching (excoriation), and Lichenification (lined skin, prurigo nodules - chronic eczema).
The total EASI score for each region is calculated by multiplying the severity score by the area score, with adjustment for the proportion of the body region to the whole body. The final EASI score is the sum of the 4 region scores and ranges from 0 to 72 where higher scores represent worse disease; a negative change from Baseline indicates improvement.
Baseline and Week 16
Secondary Main Study: Percentage of Participants Achieving a Reduction of = 4 Points From Baseline in Patient Oriented Eczema Measure (POEM) Total Score at Week 16 The POEM is a 7-item, validated questionnaire used to assess disease symptoms in both children and adults. Participants respond to 7 questions, including dryness, itching, flaking, cracking, sleep loss, bleeding, and weeping, each scored on a 5-point scale based on frequency of occurrence during the previous week: 0 = no days, 1 = 1 to 2 days, 2 = 3 to 4 days, 3 = 5 to 6 days, and 4 = all days. Item scores are added to provide a total score ranging from 0 (clear) to 28 (very severe atopic eczema). A change in POEM score of 3.4 points is considered the minimal clinically important difference. Baseline and Week 16
Secondary Main Study: Percentage of Participants Achieving a Reduction of = 4 Points From Baseline in Dermatology Life Quality Index (DLQI) at Week 16 The DLQI is a 10-item validated questionnaire used to assess the impact of AD disease symptoms and treatment on quality of life (QoL). It consists of 10 questions evaluating impact of skin diseases on different aspects of a participant's QoL over the prior week, including symptoms and feelings, daily activities, leisure, work or school, personal relationships, and the side effects of treatment. Each item is scored on a 4-point scale (0 = not at all/not relevant; 1 = a little; 2 = a lot; and 3 = very much).
Item scores are added to provide a total score, ranging from 0 to 30, with higher scores indicating greater impairment of QoL.
the DLQI was administered to participants who were = 16 (16 to 75) years old at the time of the Screening visit.
Baseline and Week 16
Secondary Main Study: Percent Change From Baseline in Scoring Atopic Dermatitis (SCORAD) Score at Week 16 SCORAD is a clinical tool used to assess the extent and severity of eczema (SCORing Atopic Dermatitis). The extent is assessed using the rule of 9 to calculate the affected area (A) as a percentage of the whole body (0-100%). The intensity part of the SCORAD (B) consists of 6 items: erythema, oedema/papulation, excoriations, lichenification, oozing/crusts and dryness, each graded on a scale from 0 (none) to 3 (severe), for a total score of 0 to 18. Subjective items (C) include daily pruritus and sleeplessness, each scored on a visual analogue scale (VAS) from 0 to 10 (total score 0-20). SCORAD is calculated as A/5 + 7B/2 + C, and ranges from 0 to 103 (worst). A negative change from Baseline indicates improvement. Baseline and Week 16
Secondary Main Study: Percentage of Participants Achieving a Hospital Anxiety and Depression Scale-Anxiety (HADS-A) Score and Hospital Anxiety and Depression Scale-Depression (HADS-D) Score of < 8 at Week 16 The HADS is a 14-item questionnaire, with seven items related to anxiety (HADS-A) and seven items related to depression (HADS-D). Each item is scored from 0 to 3; scores for each subscale range from 0 to 21, with higher scores indicating more distress. For each domain, scores 7 or lower are considered normal, 8 to 10 are borderline, and 11 or higher indicate clinical anxiety or depression. Baseline and Week 16
Secondary Main Study: Percentage of Participants Achieving a DLQI Score of 0 or 1 at Week 16 The DLQI is a 10-item validated questionnaire used to assess the impact of AD disease symptoms and treatment on quality of life (QoL). It consists of 10 questions evaluating impact of skin diseases on different aspects of a participant's QoL over the prior week, including symptoms and feelings, daily activities, leisure, work or school, personal relationships, and the side effects of treatment. Each item is scored on a 4-point scale (0 = not at all/not relevant; 1 = a little; 2 = a lot; and 3 = very much).
Item scores are added to provide a total score, ranging from 0 to 30, with higher scores indicating greater impairment of QoL. A score of 0 or 1 means that the disease has no effect at all.
the DLQI was administered to participants who were = 16 (16 to 75) years old at the time of the Screening visit.
Week 16
Secondary Adolescents: Percentage of Participants Achieving an EASI 75 Response at Week 16 EASI is a tool used to measure the extent (area) and severity of atopic eczema based on assessments of the head/neck, trunk, upper limbs and lower limbs. For each region the area score is recorded as the percentage of skin affected by eczema. For each region, the severity score is calculated as the sum of the intensity scores (scored as none [0], mild [1], moderate [2], or severe [3]) for redness (erythema, inflammation), thickness (induration, papulation, swelling - acute eczema), scratching (excoriation), and lichenification (lined skin, prurigo nodules - chronic eczema).
The total EASI score for each region is calculated by multiplying the severity score by the area score, with adjustment for the proportion of the body region to the whole body. The final EASI score is the sum of the 4 region scores and ranges from 0 to 72 where higher scores represent worse disease.
An EASI 75 response is defined as at least a 75% reduction (improvement) from Baseline in EASI score.
Baseline and Week 16
Secondary Adolescents: Percentage of Participants Achieving a vIGA-AD of 0 or 1 With a Reduction From Baseline of = 2 Points at Week 16 The vIGA-AD is a validated assessment instrument to rate the severity of atopic dermatitis globally, based on the following scale:
0 - Clear: No signs of AD;
1 - Almost clear: Barely perceptible erythema, induration/papulation and/or lichenification;
2 - Mild: Slight but definite erythema, induration/papulation and/or minimal lichenification. No oozing or crusting;
3 - Moderate: Clearly perceptible erythema, induration/papulation and/or lichenification, possible oozing or crusting;
4 - Severe: Marked erythema, induration/papulation and/or lichenification; possible oozing or crusting.
Baseline and Week 16
Secondary Adolescents: Percentage of Participants Achieving a Reduction of = 4 Points From Baseline in Worst Pruritus NRS at Week 16 Participants were asked to rate itch (pruritus) intensity at its worst during the past 24 hours on a daily basis using an 11-point scale from 0 (no itch) to 10 (worst imaginable itch). Worst pruritus NRS was analyzed based on weekly rolling averages of daily scores. Baseline (last available rolling average before the first dose of study drug) and Week 16
Secondary Adolescents: Percentage of Participants Achieving an EASI 90 Response at Week 16 EASI is a tool used to measure the extent (area) and severity of atopic eczema based on assessments of the head/neck, trunk, upper limbs and lower limbs. For each region the area score is recorded as the percentage of skin affected by eczema. For each region, the severity score is calculated as the sum of the intensity scores (scored as none [0], mild [1], moderate [2], or severe [3]) for redness (erythema, inflammation), thickness (induration, papulation, swelling - acute eczema), scratching (excoriation), and lichenification (lined skin, prurigo nodules - chronic eczema).
The total EASI score for each region is calculated by multiplying the severity score by the area score, with adjustment for the proportion of the body region to the whole body. The final EASI score is the sum of the 4 region scores and ranges from 0 to 72 where higher scores represent worse disease.
An EASI 90 response is defined as at least a 90% reduction (improvement) from Baseline in EASI score.
Baseline and Week 16
Secondary Adolescents: Percentage of Participants Achieving a Reduction of = 4 Points From Baseline in Worst Pruritus NRS at Week 4 Participants were asked to rate itch (pruritus) intensity at its worst during the past 24 hours on a daily basis using an 11-point scale from 0 (no itch) to 10 (worst imaginable itch). Worst pruritus NRS was analyzed based on weekly rolling averages of daily scores. Baseline (last available rolling average before the first dose of study drug) and Week 4
Secondary Adolescents: Percentage of Participants Achieving an EASI 75 Response at Week 2 EASI is a tool used to measure the extent (area) and severity of atopic eczema based on assessments of the head/neck, trunk, upper limbs and lower limbs. For each region the area score is recorded as the percentage of skin affected by eczema. For each region, the severity score is calculated as the sum of the intensity scores (scored as none [0], mild [1], moderate [2], or severe [3]) for redness (erythema, inflammation), thickness (induration, papulation, swelling - acute eczema), scratching (excoriation), and lichenification (lined skin, prurigo nodules - chronic eczema).
The total EASI score for each region is calculated by multiplying the severity score by the area score, with adjustment for the proportion of the body region to the whole body. The final EASI score is the sum of the 4 region scores and ranges from 0 to 72 where higher scores represent worse disease.
An EASI 75 response is defined as at least a 75% reduction (improvement) from Baseline in EASI score.
Baseline and Week 2
Secondary Adolescents: Percentage of Participants Achieving a Reduction of = 4 Points From Baseline in Worst Pruritus NRS at Week 1 Participants were asked to rate itch (pruritus) intensity at its worst during the past 24 hours on a daily basis using an 11-point scale from 0 (no itch) to 10 (worst imaginable itch). Worst pruritus NRS was analyzed based on weekly rolling averages of daily scores. Baseline (last available rolling average before the first dose of study drug) and Week 1
Secondary Adolescents: Percentage of Participants Achieving a Reduction of = 4 Points From Baseline in Worst Pruritus NRS at Day 2 Participants were asked to rate itch (pruritus) intensity at its worst during the past 24 hours on a daily basis using an 11-point scale from 0 (no itch) to 10 (worst imaginable itch). Baseline and Day 2
Secondary Adolescents: Percentage of Participants Achieving a Reduction of = 4 Points From Baseline in Worst Pruritus NRS at Day 3 Participants were asked to rate itch (pruritus) intensity at its worst during the past 24 hours on a daily basis using an 11-point scale from 0 (no itch) to 10 (worst imaginable itch). Baseline and Day 3
Secondary Adolescents: Percentage of Participants Experiencing a Flare During the Double-blind Treatment Period A flare, characterized as a clinically meaningful worsening in EASI, is defined as an increase in EASI score of = 6.6 points from Baseline during the double-blind treatment period and prior to use of any rescue medication. Flares were assessed in participants with an EASI score of 65.4 or less at Baseline. From first dose of study drug to Week 16
Secondary Adolescents: Percentage of Participants Achieving a Reduction of = 12 Points From Baseline in ADerm-IS Sleep Domain Score at Week 16 The ADerm-IS is a 10-item patient reported outcome questionnaire designed to assess a variety of impacts that participants experience from their AD.
The ADerm-IS sleep domain consists of 3 questions designed to assess the impact of AD on sleep on a daily basis over a 24-hour recall period. The items include difficulty falling asleep, impact on sleep, and waking at night. Each question is scored on an 11-point NRS from 0 (no impact) to 10 (extreme impact). The ADerm-IS sleep domain score is the sum of the 3 item scores and ranges from 0 (no impact) to 30 (worst impact). The ADerm-IS sleep domain was analyzed based on weekly rolling averages of daily scores.
The minimal clinically important difference for ADerm-IS sleep domain score is 12.
Baseline (last available rolling average before the first dose of study drug) and Week 16
Secondary Adolescents: Percentage of Participants Achieving a Reduction of = 4 Points From Baseline in ADerm-SS Skin Pain Score at Week 16 The ADerm-SS is an 11-item PRO questionnaire designed to assess signs and symptoms that patients may experience due to AD using a 24-hour recall period. For the skin pain item participants were asked to indicate on a daily basis how bad their worst skin pain due to AD was in the past 24 hours on an NRS from 0 (no pain) to 10 (worst imaginable pain). The minimal clinically important difference for ADerm-SS skin pain score is 4.
The ADerm-SS skin pain score was analyzed based on weekly rolling averages of daily scores.
Baseline (last available rolling average before the first dose of study drug) and Week 16
Secondary Adolescents: Percentage of Participants Achieving a Reduction of = 28 Points From Baseline in ADerm-SS TSS-7 at Week 16 The ADerm-SS is an 11-item questionnaire designed to assess signs and symptoms that participants may experience due to AD using a 24-hour recall period. The 7-item total symptom score includes 7 symptoms (items 1-7 of the ADerm-SS), each assessed on a NRS from 0 (no symptom) to 10 (worst imaginable). The 7 symptoms included in the score are itch while asleep, itch while awake, skin pain (each assessed daily), skin cracking, skin cracking pain, dry skin, and skin flaking (assessed weekly). The TSS-7 score ranges from 0 to 70, with higher scores indicating worsening symptoms. The minimal clinically important difference for ADerm-SS TSS-7 is 28. Baseline and Week 16
Secondary Adolescents: Percentage of Participants Achieving a Reduction of = 11 Points From Baseline in ADerm-IS Emotional State Domain Score at Week 16 The ADerm-IS is a 10-item PRO questionnaire designed to assess a variety of impacts that participants experience from their AD.
ADerm-IS emotional state sums three items [Items 8-10] measuring self-consciousness, embarrassment, and sadness with a 7-day recall. Each question is scored on an 11-point NRS from 0 (no impact) to 10 (extreme impact). The emotional state domain score ranges from 0 to 30, where higher scores represent worst impact.
The minimal clinically important difference for ADerm-IS emotional state domain score is 11.
Baseline and Week 16
Secondary Adolescents: Percentage of Participants Achieving a Reduction of = 14 Points From Baseline in ADerm-IS Daily Activities Domain Score at Week 16 The ADerm-IS is a 10-item PRO questionnaire designed to assess a variety of impacts that participants experience from their AD.
ADerm-IS daily activities sums four items measuring limitations of household, physical, and social activities, and difficulty concentrating with a 7-day recall. Each question is scored on an 11-point NRS from 0 (no impact) to 10 (extreme impact). The daily activities domain score ranges from 0 to 40, where higher scores represent worst impact.
The minimal clinically important difference for the ADerm-IS daily activities domain score is 14.
Baseline and Week 16
Secondary Adolescents: Percentage of Participants Achieving an EASI 100 Response at Week 16 EASI is a tool used to measure the extent (area) and severity of atopic eczema based on assessments of the head/neck, trunk, upper limbs and lower limbs. For each region the area score is recorded as the percentage of skin affected by eczema. For each region, the severity score is calculated as the sum of the intensity scores (scored as none [0], mild [1], moderate [2], or severe [3]) for redness (erythema, inflammation), thickness (induration, papulation, swelling - acute eczema), scratching (excoriation), and lichenification (lined skin, prurigo nodules - chronic eczema).
The total EASI score for each region is calculated by multiplying the severity score by the area score, with adjustment for the proportion of the body region to the whole body. The final EASI score is the sum of the 4 region scores and ranges from 0 to 72 where higher scores represent worse disease.
An EASI 100 response is defined as a 100% reduction (improvement) from Baseline in EASI score.
Baseline and Week 16
Secondary Adolescents: Percent Change From Baseline in Worst Pruritus NRS at Week 16 Participants were asked to rate itch (pruritus) intensity at its worst during the past 24 hours on a daily basis using an 11-point scale from 0 (no itch) to 10 (worst imaginable itch). Pruritus NRS was analyzed based on weekly rolling averages of daily scores. A negative change from Baseline indicates improvement. Baseline (last available rolling average before the first dose of study drug) and Week 16
Secondary Adolescents: Percent Change From Baseline in EASI Score at Week 16 EASI is a tool used to measure the extent (area) and severity of atopic eczema based on assessments of the head/neck, trunk, upper limbs and lower limbs. For each region the area score is recorded as the percentage of skin affected by eczema. For each region, the severity score is calculated as the sum of the intensity scores (scored as none [0], mild [1)] moderate [2], or severe [3]) for Redness (erythema, inflammation), Thickness (induration, papulation, swelling - acute eczema), Scratching (excoriation), and Lichenification (lined skin, prurigo nodules - chronic eczema).
The total EASI score for each region is calculated by multiplying the severity score by the area score, with adjustment for the proportion of the body region to the whole body. The final EASI score is the sum of the 4 region scores and ranges from 0 to 72 where higher scores represent worse disease; a negative change from Baseline indicates improvement.
Baseline and Week 16
Secondary Adolescents: Percentage of Participants Achieving a Reduction of = 4 Points From Baseline in POEM Total Score at Week 16 The POEM is a 7-item, validated questionnaire used to assess disease symptoms in both children and adults. Participants respond to 7 questions, including dryness, itching, flaking, cracking, sleep loss, bleeding, and weeping, each scored on a 5-point scale based on frequency of occurrence during the previous week: 0 = no days, 1 = 1 to 2 days, 2 = 3 to 4 days, 3 = 5 to 6 days, and 4 = all days. Item scores are added to provide a total score ranging from 0 (clear) to 28 (very severe atopic eczema). A change in POEM score of 3.4 points is considered the minimal clinically important difference. Baseline and Week 16
Secondary Adolescents: Percentage of Participants Achieving a Reduction of = 4 Points From Baseline in DLQI Score at Week 16 The DLQI is a 10-item validated questionnaire used to assess the impact of AD disease symptoms and treatment on quality of life (QoL). It consists of 10 questions evaluating impact of skin diseases on different aspects of a participant's QoL over the prior week, including symptoms and feelings, daily activities, leisure, work or school, personal relationships, and the side effects of treatment. Each item is scored on a 4-point scale (0 = not at all/not relevant; 1 = a little; 2 = a lot; and 3 = very much).
Item scores are added to provide a total score, ranging from 0 to 30, with higher scores indicating greater impairment of QoL.
the DLQI was administered to participants who were = 16 (16 to 75) years old at the time of the Screening visit.
Baseline and Week 16
Secondary Adolescents: Percent Change From Baseline in SCORAD Score at Week 16 SCORAD is a clinical tool used to assess the extent and severity of eczema (SCORing Atopic Dermatitis). The extent is assessed using the rule of 9 to calculate the affected area (A) as a percentage of the whole body (0-100%). The intensity part of the SCORAD (B) consists of 6 items: erythema, oedema/papulation, excoriations, lichenification, oozing/crusts and dryness, each graded on a scale from 0 (none) to 3 (severe), for a total score of 0 to 18. Subjective items (C) include daily pruritus and sleeplessness, each scored on a visual analogue scale (VAS) from 0 to 10 (total score 0-20). SCORAD is calculated as A/5 + 7B/2 + C, and ranges from 0 to 103 (worst). A negative change from Baseline indicates improvement. Baseline and Week 16
Secondary Adolescents: Percentage of Participants Achieving HADS-A Score and HADS-D Score of < 8 at Week 16 The HADS is a 14-item questionnaire, with seven items related to anxiety (HADS-A) and seven items related to depression (HADS-D). Each item is scored from 0 to 3; scores for each subscale range from 0 to 21, with higher scores indicating more distress. For each domain, scores 7 or lower are considered normal, 8 to 10 are borderline, and 11 or higher indicate clinical anxiety or depression. Baseline and Week 16
Secondary Adolescents: Percentage of Participants Achieving a DLQI Score of 0 or 1 at Week 16 The DLQI is a 10-item validated questionnaire used to assess the impact of AD disease symptoms and treatment on quality of life (QoL). It consists of 10 questions evaluating impact of skin diseases on different aspects of a participant's QoL over the prior week, including symptoms and feelings, daily activities, leisure, work or school, personal relationships, and the side effects of treatment. Each item is scored on a 4-point scale (0 = not at all/not relevant; 1 = a little; 2 = a lot; and 3 = very much).
Item scores are added to provide a total score, ranging from 0 to 30, with higher scores indicating greater impairment of QoL. A score of 0 or 1 means that the disease has no effect at all.
the DLQI was administered to participants who were = 16 (16 to 75) years old at the time of the Screening visit.
Baseline and Week 16
See also
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