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Clinical Trial Details — Status: Active, not recruiting

Administrative data

NCT number NCT03607422
Other study ID # M18-891
Secondary ID 2022-502936-38-0
Status Active, not recruiting
Phase Phase 3
First received
Last updated
Start date July 27, 2018
Est. completion date December 3, 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 a minimum 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 overall (main study + adolescent sub-study). Randomization in 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, 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, 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 December 3, 2025
Est. primary completion date March 11, 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 = 12 and < 18 years of age - Chronic atopic dermatitis (AD) with onset of symptoms at least 3 years prior to Baseline and subject meets Hanifin and Rajka criteria - Active moderate to severe AD defined by Eczema Area and Severity Index (EASI) = 16, validated Investigator's Global Assessment (vIGA) = 3, body surface area (BSA) affected by AD = 10%, and weekly average of daily Worst Pruritus numerical rating scale (NRS) score = 4. - Candidate for systemic therapy or have recently required systemic therapy for AD - Documented history (within 6 months prior to Baseline) of inadequate response to topical corticosteroid (TCS) or topical calcineurin inhibitor (TCI) or documented systemic treatment for AD or for whom topical treatments are otherwise medically inadvisable due to side effects or safety risks Exclusion Criteria: - Prior exposure to any Janus kinase (JAK) inhibitor - Unable or unwilling to discontinue current AD 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
Australia The Skin Centre /ID# 205922 Benowa Queensland
Australia Box Hill Hospital /ID# 206023 Box Hill Victoria
Australia Monash Children's Hospital /ID# 217917 Clayton Victoria
Australia Sinclair Dermatology /ID# 217791 East Melbourne Victoria
Australia Murdoch Children's Research Institute /ID# 205667 Parkville Victoria
Australia The Royal Melbourne Hospital /ID# 205919 Parkville Victoria
Australia The Skin Hospital /ID# 217846 Westmead New South Wales
Austria Ordensklinikum Linz GmbH Elisabethinen /ID# 206573 Linz Oberoesterreich
Austria Landeskrankenhaus Salzburg-Universitätsklinikum der PMU (LKH) /ID# 208281 Salzburg
Austria Universitaetsklinikum St. Poelten /ID# 206909 Sankt Poelten Niederoesterreich
Austria Klinik Donaustadt /ID# 206572 Vienna Wien
Belgium UZ Gent /ID# 205181 Gent Oost-Vlaanderen
Belgium Centre Hospitalier Universitaire du Sart Tilman CHU de Liege /ID# 204938 Liege
Belgium UCL Saint-Luc /ID# 205537 Woluwe-Saint-Lambert Bruxelles-Capitale
Bulgaria Acibadem City Clinic Tokuda University Hospital EAD /ID# 205292 Sofia
Bulgaria Medical center Sveti Panteleimon /ID# 210414 Sofia
Bulgaria Medical complex Doverie /ID# 211289 Sofia
Bulgaria Military Medical Academy Multiprofile Hospital /ID# 205291 Sofia
Canada SimcoDerm Medical and Surgical Dermatology Center /ID# 206333 Barrie Ontario
Canada Alberta DermaSurgery Centre /ID# 205422 Edmonton Alberta
Canada Stratica Medical /ID# 205415 Edmonton Alberta
Canada Kingsway Clinical Research /ID# 206005 Etobicoke Ontario
Canada Dr. Dusan Sajic Medicine Professional Corporation /ID# 206890 Guelph Ontario
Canada The Guenther Dermatology Research Centre /ID# 206772 London Ontario
Canada DermEdge Research Inc. /ID# 206036 Mississauga Ontario
Canada Dr. S.K. Siddha Medicine Professional Corporation /ID# 207138 Newmarket Ontario
Canada Allergy Research Canada Inc. /ID# 213547 Niagara Falls Ontario
Canada Skinsense Medical Research /ID# 206873 Saskatoon Saskatchewan
Canada Skin Care Studio /ID# 205420 St. John's Newfoundland and Labrador
Canada Dr. Lyne Giroux Medicine Professional Corporation /ID# 206771 Sudbury Ontario
Canada Niakosari Medicine Professional Corporation /ID# 206004 Toronto Ontario
Canada Pacific Derm /ID# 206797 Vancouver British Columbia
Canada UBC Department of Dermatology and Skin Science The Skin Care Centre /ID# 207837 Vancouver British Columbia
Croatia Naftalan - Specijalna bolnica za medicinsku rehabilitaciju /ID# 203448 Ivanic-Grad Zagrebacka Zupanija
Croatia DermaPlus - Poliklinika za dermatologiju i venerologiju /ID# 205429 Zagreb Grad Zagreb
Croatia Djecja bolnica Srebrnjak /ID# 205926 Zagreb Grad Zagreb
Croatia Poliklinika Vlatka Cavka d.o.o. /ID# 211126 Zagreb Grad Zagreb
Czechia Fakultni nemocnice Plzen /ID# 205096 Plzen
Czechia Fakultni Nemocnice v Motole /ID# 218192 Praha
Czechia Sanatorium profesora Arenbergera /ID# 205098 Praha
Czechia Vseobecna fakultni nemocnice v Praze /ID# 205201 Praha
Czechia Krajska zdravotni, a.s. - Masarykova nemocnice v Usti nad Labem, o. z. /ID# 205097 Usti nad Labem
Denmark Aarhus University Hospital /ID# 205524 Aarhus N Midtjylland
Denmark Sjællands Universitetshospital /ID# 205960 Roskilde Sjælland
France Hopital Prive d'Antony /ID# 206553 Antony Ile-de-France
France Hopital Saint-Andre /ID# 206554 Bordeaux
France CHRU de Brest - Hopital Morvan /ID# 206555 Brest
France C.H. de Bretagne Sud /ID# 206910 Lorient
France AP-HP - Hopital Saint-Louis /ID# 206552 Paris
Germany Klinikum Darmstadt /ID# 207483 Darmstadt
Germany Universitaetsklinikum Carl Gustav Carus an der TU Dresden /ID# 205767 Dresden
Germany Universitaetsklinikum Hamburg-Eppendorf (UKE) /ID# 207982 Hamburg
Germany Universitaetsklinikum Schleswig-Holstein Campus Kiel /ID# 206658 Kiel Schleswig-Holstein
Germany Dermatologische Gemeinschaftspraxis Mahlow /ID# 205765 Mahlow
Germany Haut- und Laserzentrum Hunsrück /ID# 205768 Simmern
Germany Hautarztpraxis Dr. med. Matthias Hoffmann /ID# 205766 Witten
Germany CentroDerm GmbH /ID# 206861 Wuppertal
Greece 251 Airforce General Hospital /ID# 205841 Athens Attiki
Greece 401 GSNA - 401 Army General Hospital /ID# 205352 Athens Attiki
Greece General Hospital Andreas Syggros /ID# 204527 Athens Attiki
Greece Papageorgiou General Hospital Thessaloniki /ID# 204526 Stavroupoli (Thessalonikis) Thessaloniki
Hungary Drug Research Center /ID# 217855 Balatonfured Veszprem
Hungary Clinexpert Kft /ID# 211246 Budapest
Hungary Synexus Magyarorszag Kft. /ID# 206008 Budapest
Hungary Bugat Pal Korhaz /ID# 211247 Gyöngyös Heves
Hungary Somogy Megyei Kaposi Mor Oktato Korhaz /ID# 205611 Kaposvár Somogy
Hungary Borsod-Abauj-Zemplen Megyei Kozponti Korhaz es Egyetemi Oktatokorhaz /ID# 218072 Miskolc Borsod-Abauj-Zemplen
Hungary Pecsi Tudomanyegyetem Klinikai Kozpont /ID# 205085 Pecs
Ireland South Infirmary Victoria University Hospital /ID# 204265 Cork
Ireland St James Hospital /ID# 204264 Dublin 8 Dublin
Ireland University Hospital Galway /ID# 209965 Galway
Ireland University Hospital Waterford /ID# 204266 Waterford
Italy ASST Spedali civili di Brescia /ID# 205927 Brescia
Italy Azienda Ospedaliero Universitaria di Cagliari- Presidio Ospedaliero /ID# 205168 Cagliari
Italy Presidio Ospedaliero San Salvatore /ID# 205167 L'Aquila
Italy Azienda Ospedaliero-Universitaria di Modena /ID# 205169 Modena
Italy Fondazione Policlinico Universitario Agostino Gemelli IRCCS-Università Cattolica /ID# 205987 Rome Lazio
Italy IRCCS Istituti Fisioterapici Ospitalieri-Istituto Dermatologico San Gallicano /ID# 205986 Rome Lazio
Korea, Republic of Korea University Ansan Hospital /ID# 206342 Ansan Gyeonggido
Korea, Republic of SoonChunHyang University Buchon Hospital /ID# 206391 Buncheon Gyeonggido
Korea, Republic of The Catholic University of Korea Incheon St.Mary's Hospital /ID# 206529 Incheon
Korea, Republic of Chung-Ang University Hostipal /ID# 206397 Seoul
Korea, Republic of Hallym University Kangnam Sacred Heart Hospital /ID# 206343 Seoul
Korea, Republic of Seoul National University Hospital /ID# 206396 Seoul
Korea, Republic of Ajou University Hospital /ID# 206341 Suwon Gyeonggido
Netherlands Centrum Oosterwal /ID# 209640 Alkmaar
Netherlands Bravis Ziekenhuis /ID# 206676 Bergen op Zoom Noord-Brabant
Netherlands Reinier de Graaf /ID# 205811 Delft
Netherlands Universitair Medisch Centrum Groningen /ID# 205162 Groningen
New Zealand Greenlane Clinical Centre /ID# 205664 Epsom Auckland
Portugal CCA Braga - Hospital de Braga /ID# 205854 Braga
Portugal Centro Hospitalar de Leiria, EPE /ID# 209906 Leiria
Portugal Centro Hospitalar Universitário de Lisboa Norte, EPE - Hospital de Santa Maria /ID# 205839 Lisboa
Portugal Hospital CUF Descobertas /ID# 205431 Lisboa
Portugal Centro Hospitalar Universitario de Sao Joao, EPE /ID# 205679 Porto
Portugal CHP, EPE- Hospital Geral de Sa /ID# 205187 Porto
Singapore Changi General Hospital /ID# 205223 Singapore
Singapore KK Women's & Children Hospital /ID# 206693 Singapore
Singapore National Skin Centre /ID# 205222 Singapore Central Singapore
Singapore National University Hospital /ID# 205224 Singapore
Singapore Singapore General Hospital /ID# 205225 Singapore
Spain Hospital Clinic de Barcelona /ID# 210564 Barcelona
Spain Hospital Parc de Salut del Mar /ID# 204709 Barcelona
Spain Hospital Universitario Reina Sofia /ID# 204712 Cordoba
Spain Hospital Sant Joan de Deu /ID# 218047 Esplugues de Llobregat Barcelona
Spain Hospital Campus de la Salud /ID# 205544 Granada
Spain Hospital General Universitario Gregorio Maranon /ID# 204380 Madrid
Spain Hospital Infantil Universitario Nino Jesus /ID# 210437 Madrid
Spain Hospital Universitario Infanta Leonor /ID# 204710 Madrid
Spain Hospital Vital Alvarez Buylla /ID# 205770 Mieres Asturias
Spain Hospital General Universitario de Valencia /ID# 210565 Valencia
Taiwan Taipei Medical University Shuang Ho Hospital /ID# 204804 New Taipei City
Taiwan Chung Shan Medical University Hospital /ID# 205092 Taichung
Taiwan National Taiwan University Hospital /ID# 204803 Taipei City
Taiwan Linkou Chang Gung Memorial Ho /ID# 204783 Taoyuan City
United Kingdom Barts Health NHS Trust /ID# 206491 London London, City Of
United Kingdom Northwick Park Hospital /ID# 205250 Middlesex Harrow
United Kingdom The Newcastle Upon Tyne Hospitals NHS Foundation Trust /ID# 204993 Newcastle Upon Tyne
United Kingdom University Hospital Plymouth NHS Trust /ID# 204649 Plymouth
United Kingdom University Hospital Southampton NHS Foundation Trust /ID# 205711 Southampton Hampshire
United States Georgia Pollens Clinical Research Centers, Inc /ID# 218567 Albany Georgia
United States University of New Mexico School of Medicine /ID# 206756 Albuquerque New Mexico
United States David Fivenson, MD, PLC /ID# 206903 Ann Arbor Michigan
United States University of Michigan Comprehensive Cancer Center Michigan Medicine /ID# 206895 Ann Arbor Michigan
United States Metroplex Dermatology /ID# 213307 Arlington Texas
United States Ideal Clinical Research Inc. /ID# 209880 Aventura Florida
United States Bellaire Dermatology /ID# 205470 Bellaire Texas
United States Bellingham Asthma Allergy and Immunology Clinic /ID# 210357 Bellingham Washington
United States Total Skin and Beauty Derm Ctr /ID# 205129 Birmingham Alabama
United States Skin Care Research, LLC /ID# 207099 Boca Raton Florida
United States Treasure Valley Medical Research /ID# 210298 Boise Idaho
United States Midflorida Clinical Research, Inc. /ID# 213700 Brandon Florida
United States New England Research Associates, LLC /ID# 206896 Bridgeport Connecticut
United States Fordham Dermatology /ID# 218508 Bronx New York
United States The Dermatology Clinic of Arkansas /ID# 218749 Bryant Arkansas
United States Great Lakes Clinical Trials /ID# 205830 Chicago Illinois
United States Clinical Research of West Florida, Inc /ID# 206146 Clearwater Florida
United States University Hospitals Case Medical Center /ID# 206639 Cleveland Ohio
United States Duplicate_Summit Medical Group /ID# 213863 Clifton New Jersey
United States Raga Clinical Studies, LLC. /ID# 206749 Crown Point Indiana
United States Center for Clinical Studies /ID# 213186 Cypress Texas
United States Dermatology Treatment and Research Center, PA /ID# 205473 Dallas Texas
United States Revival Research /ID# 208383 Doral Florida
United States Universal Axon Clinical Research /ID# 213703 Doral Florida
United States Encino Research Center /ID# 207472 Encino California
United States Epiphany Dermatology - Fort Worth /ID# 210073 Fort Worth Texas
United States Cyn3rgy Research /ID# 218064 Gresham Oregon
United States Ashira Dermatology /ID# 205512 Gurnee Illinois
United States Clinical Investigation Specialists, Inc. /ID# 206898 Gurnee Illinois
United States Skin Laser and Surgery Specialists of NY and NJ /ID# 206754 Hackensack New Jersey
United States Care Access Research /ID# 218476 Hoboken New Jersey
United States Hutchinson Clinic /ID# 205970 Hutchinson Kansas
United States University of California Irvine /ID# 205136 Irvine California
United States Clinical Research Solutions, LLC /ID# 218416 Jackson Tennessee
United States Clinical Investigation Specialist, Inc - Kenosha /ID# 215933 Kenosha Wisconsin
United States Innovative Clinical Research - Lafayette /ID# 208400 Lafayette Colorado
United States Styde Research, LLC /ID# 213469 Lewisville Texas
United States Allergy, Asthma & Immunology Associates, PC /ID# 218169 Lincoln Nebraska
United States Ark Clinical Research /ID# 218193 Long Beach California
United States Keck School of Medicine of USC /ID# 206971 Los Angeles California
United States Wallace Medical Group /ID# 205701 Los Angeles California
United States The Education & Research Foundation, Inc. /ID# 206900 Lynchburg Virginia
United States Marietta Dermatology Clinical Research /ID# 210317 Marietta Georgia
United States Awasty Research Network, LLC /ID# 206748 Marion Ohio
United States Velocity Clinical Research Hallandale Beach /ID# 207544 Medford Oregon
United States Lakes Research, LLC /ID# 209156 Miami Florida
United States Miami Dade Medical Research Institute /ID# 209413 Miami Florida
United States Floridian Clinical Research /ID# 207433 Miami Lakes Florida
United States Savin Medical Group, LLC /ID# 206902 Miami Lakes Florida
United States Stones River Dermatology /ID# 205178 Murfreesboro Tennessee
United States EPIC Medical Research /ID# 206382 Murray Utah
United States Advanced Research for Health Improvement /ID# 217987 Naples Florida
United States Advanced Research for Health Improvement /ID# 218003 Naples Florida
United States Arkansas Research Trials /ID# 218469 North Little Rock Arkansas
United States Skin Specialists, PC /ID# 205515 Omaha Nebraska
United States Child Hosp of Orange County,CA /ID# 205735 Orange California
United States Aspen Clinical Research /ID# 208399 Orem Utah
United States Complete Health Research /ID# 213459 Ormond Beach Florida
United States Palmtree Clinical Research Inc. /Id# 206184 Palm Springs California
United States Austin Institute for Clinical Research /ID# 206640 Pflugerville Texas
United States Arizona Research Center, Inc. /ID# 205795 Phoenix Arizona
United States Medical Dermatology Specialist /ID# 205516 Phoenix Arizona
United States Beacon Clinical Research, LLC /ID# 206894 Quincy Massachusetts
United States Derm Clin Res Ctr San Antonio /ID# 205469 San Antonio Texas
United States Rady Children's Hospital San Diego /ID# 208244 San Diego California
United States Agile Clinical Research Trials /ID# 218080 Sandy Springs Georgia
United States Southern California Derma. Inc /ID# 205734 Santa Ana California
United States Northshore University Health System Dermatology Clinical Trials Unit /ID# 205135 Skokie Illinois
United States Timber Lane Allergy & Asthma Research, LLC /ID# 206897 South Burlington Vermont
United States Precision Clinical Research /ID# 207364 Sunrise Florida
United States Clinical Research Trials of Florida, Inc. /ID# 206840 Tampa Florida
United States ForCare Clinical Research /ID# 205120 Tampa Florida
United States Continental Clinical Solutions /ID# 210327 Towson Maryland
United States Southside Dermatology /ID# 214451 Tulsa Oklahoma
United States Vital Prospects Clinical Research Institute, PC /ID# 205824 Tulsa Oklahoma
United States PMG Research of Wilmington LLC /ID# 205968 Wilmington North Carolina

Sponsors (1)

Lead Sponsor Collaborator
AbbVie

Countries where clinical trial is conducted

United States,  Australia,  Austria,  Belgium,  Bulgaria,  Canada,  Croatia,  Czechia,  Denmark,  France,  Germany,  Greece,  Hungary,  Ireland,  Italy,  Korea, Republic of,  Netherlands,  New Zealand,  Portugal,  Singapore,  Spain,  Taiwan,  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, no oozing or crusting;
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). 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 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). 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 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). 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 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 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). Worst 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. 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, no oozing or crusting;;
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). Worst 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. 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.
Week 16
See also
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