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Clinical Trial Details — Status: Completed

Administrative data

NCT number NCT03745638
Other study ID # INCB 18424-303
Secondary ID 2018-003712-45
Status Completed
Phase Phase 3
First received
Last updated
Start date December 20, 2018
Est. completion date December 1, 2020

Study information

Verified date September 2023
Source Incyte Corporation
Contact n/a
Is FDA regulated No
Health authority
Study type Interventional

Clinical Trial Summary

The purpose of this study is to assess the efficacy and safety of twice daily ruxolitinib cream in adolescents and adults with Atopic Dermatitis (AD).


Recruitment information / eligibility

Status Completed
Enrollment 631
Est. completion date December 1, 2020
Est. primary completion date December 23, 2019
Accepts healthy volunteers No
Gender All
Age group 12 Years and older
Eligibility Inclusion Criteria: - Adolescents aged =12 to 17 years, inclusive, and men and women aged =18 years. - Participants diagnosed with Atopic Dermatitis (AD) as defined by the Hanifin and Rajka criteria. - AD duration of at least 2 years. - Participants with an Investigator's Global Assessment (IGA) score of 2 to 3 at screening and Baseline [Vehicle Controlled (VC) Period] and 0 to 4 at Week 8 [Long-Term Safety (LTS) Period]. - Participants with percentage of Body Surface Area (% BSA) (excluding scalp) of AD involvement of 3% to 20% at screening and Baseline (VC Period) and 0% to 20% at Week 8 (LTS Period). - Participants who agree to discontinue all agents used to treat AD from screening through the final follow-up visit. - Participants who have at least 1 "target lesion" that measures approximately 10 cm^2 or more at screening and Baseline. Lesion must be representative of the participant's disease state and not be located on the hands, feet, or genitalia. - Willingness to avoid pregnancy or fathering of children. Exclusion Criteria: - Unstable course of AD (spontaneously improving or rapidly deteriorating) as determined by the investigator in the 4 weeks prior to Baseline. - Concurrent conditions and history of other diseases: - Immunocompromised. - Chronic or acute infection requiring treatment with systemic antibiotics, antivirals, antiparasitics, antiprotozoals, or antifungals within 2 weeks before Baseline. - Active acute bacterial, fungal, or viral skin infection within 1 week before Baseline. - Any other concomitant skin disorder, pigmentation, or extensive scarring that, in the opinion of the investigator, may interfere with the evaluation of AD lesions or compromise participant safety. - Presence of AD lesions only on the hands or feet without prior history of involvement of other classical areas of involvement such as the face or the folds. - Other types of eczema. - Any serious illness or medical, physical, or psychiatric condition(s) that, in the investigator's opinion, would interfere with full participation in the study, including administration of study drug and attending required study visits; pose a significant risk to the participant; or interfere with interpretation of study data. - Use of any of the following treatments within the indicated washout period before Baseline: - 5 half-lives or 12 weeks, whichever is longer - biologic agents (eg. dupilumab). - 4 weeks - systemic corticosteroids or adrenocorticotropic hormone analogs, cyclosporin, methotrexate, azathioprine, or other systemic immunosuppressive or immunomodulating agents (eg. mycophenolate or tacrolimus). - 2 weeks - immunizations and sedating antihistamines, unless on long-term stable regimen (nonsedating antihistamines are permitted). - 1 week - use of other topical treatments for AD (other than bland emollients). Diluted sodium hypochlorite "bleach" baths are allowed as long as they do not exceed 2 baths per week and their frequency remains the same throughout the study. - Participants who have previously received Janus kinase (JAK) inhibitors, systemic or topical. - Ultraviolet (UV) light therapy or prolonged exposure to natural or artificial sources of UV radiation within 2 weeks prior to Baseline and/or intention to have such exposure during the study, which is thought by the investigator to potentially impact the participant's AD. - Positive serology test results at screening for Human Immunodeficiency Virus (HIV) antibody. - Liver function tests: aspartate aminotransferase (AST) or alanine aminotransferase (ALT) = 2 × upper limit of normal (ULN); alkaline phosphatase and/or bilirubin > 1.5 × ULN (isolated bilirubin > 1.5 × ULN is acceptable if bilirubin is fractionated and direct bilirubin < 35%). - Pregnant or lactating participants, or those considering pregnancy. - History of alcoholism or drug addiction within 1 year before screening or current alcohol or drug use that, in the opinion of the investigator, will interfere with the participant's ability to comply with the administration schedule and study assessments. - Current treatment or treatment within 30 days or 5 half-lives (whichever is longer) before Baseline with another investigational medication or current enrollment in another investigational drug protocol.

Study Design


Related Conditions & MeSH terms


Intervention

Drug:
Ruxolitinib Cream
Ruxolitinib cream applied topically to the affected area as a thin film twice daily.
Vehicle Cream
Matching vehicle cream applied topically to the affected area as a thin film twice daily.

Locations

Country Name City State
Canada Lynderm Research Inc Markham Ontario
Canada York Dermatology Center Richmond Hill Ontario
Canada K. Papp Clinical Research Waterloo Ontario
Canada Siena Medical Reserch Corporation Westmount Quebec
Canada Windsor Clinical Research Inc. Windsor Ontario
Canada XLR8 Medical Research Windsor Ontario
France CHRU de Brest - Hopital Morvan Brest
France Le Bateau Blanc - Imm. A Martigues
France Hôpital L'archet 2 Nice
France Centre Hospitalier Lyon Sud Pierre-Bénite
France Hôpital Charles Nicolle Rouen
Germany Universitätsklinikum Bonn Bonn Nordrhein-Westfalen
Germany Elben Klinken Stade - Buxtehude Buxtehude Niedersachsen
Germany Universitätsklinikum Carl Gustav Carus an der TU Dresden Dresden Sachsen
Germany Universitätsklinikum Frankfurt Frankfurt am Main
Germany Universitatsklinikum Schleswig-Holstein Lübeck Schleswig-Holstein
Hungary Synexus (DRS) - Synexus Magyarország Kft. Budapest Budapest
Hungary Synexus Affiliate - Synexus Magyarorszag Kft. Debrecen Debrecen
Hungary Synexus (DRS) - Synexus Magyarország Kft. Gyula Gyula
Hungary Pécsi Tudományegyetem Pécs
Hungary Allergo-Derm Bakos Kft. Szolnok
Hungary Synexus (DRS) - Synexus Magyarország Kft. Zalaegerszeg Zalaegerszeg
Italy Fondazione Policlinico Universitario A Gemelli Roma
Poland Synexus - Gdansk Gdansk Pomorskie
Poland Synexus - Katowice Katowice
Poland Centrum Medyczne Krakow - PRATIA - PPDS Krakow
Poland ETG Lublin Lublin
Poland Synexus Polska Sp. z o.o. Oddzial w Poznaniu Poznan
Poland Laser Clinic S.C. Szczecin Zachodniopomorskie
Poland Alergo-Med Specjalistyczna Przychodnia Lekarska Sp. z.o.o Tarnow
Poland ETG Warszawa Warsaw
Poland Klinika Ambroziak Warsaw Mazowieckie
Poland Medycyna Kliniczna Marzena Waszczak-Jeka Warszawa
Poland Royalderm Warszawa
Poland Centrum Medyczne ADAMAR Wroclaw Dolnoslaskie
Poland Synexus - Wroclaw Wroclaw Dolnoslaskie
Poland ETG Zgierz Zgierz Lódzkie
United States Cahaba Dermatology Birmingham Alabama
United States Clearlyderm Boca Raton - BTC - PPDS Boca Raton Florida
United States PI Coor Clinical Research LLC Burke Virginia
United States Family Medicine Associates Of Texas Carrollton Texas
United States Henry Ford Medical Center Detroit Michigan
United States Forest Hills Dermatology Group Forest Hills New York
United States First OC Dermatology Fountain Valley California
United States Synexus Clinical Research Us Inc. Greer Greer South Carolina
United States Cyn3rgy Research - Clinedge - PPDS Gresham Oregon
United States West End Dermatology Henrico Virginia
United States Ohio Pediatric Research Assn Inc Huber Heights Ohio
United States Dawes Fretzin Clinical Research Group LLC Indianapolis Indiana
United States Alliance for Multispecialty Research, LLC Knoxville Tennessee
United States Olympian Clinical Research Largo Florida
United States JDR Dermatology Research Las Vegas Nevada
United States Dermatology Research Associates Los Angeles California
United States Skin Sciences, PLLC Louisville Kentucky
United States Clinical Research Institute Of Southern Oregon - Crisor Medford Oregon
United States Acevedo Clinical Research Miami Florida
United States AdvancedPharma CR LLC Miami Florida
United States Well Pharma Medical Research Corporation Miami Florida
United States DS Research New Albany Indiana
United States Sadick Dermatology New York New York
United States Michael W Simon MD Nicholasville Kentucky
United States Sneeze Wheeze and Itch Associates LLC Normal Illinois
United States Central Sooner Research Norman Oklahoma
United States Dermatology Specialists Inc Oceanside California
United States Kansas City Dermatology P.A. Overland Park Kansas
United States Elite Clinical Studies Phoenix Arizona
United States Oregon Health and Science University Portland Oregon
United States Oregon Medical Research Center PC Portland Oregon
United States Wake Research Associates, LLC Raleigh North Carolina
United States Integrated Research Group Inc. Riverside California
United States DermAssociates Rockville Maryland
United States Progressive Clinical Research PA San Antonio Texas
United States Aeroallergy Research Lab Of Savannah Savannah Georgia
United States Clinical Research Atlanta - ERN-PPDS Stockbridge Georgia
United States ForCare Clinical Research Tampa Florida
United States University of South Florida Tampa Florida
United States Jordan Valley Medical Center West Jordan Utah
United States Metabolic Research Institute Inc West Palm Beach Florida
United States Advanced Rx Clinical Research Westminster California

Sponsors (1)

Lead Sponsor Collaborator
Incyte Corporation

Countries where clinical trial is conducted

United States,  Canada,  France,  Germany,  Hungary,  Italy,  Poland, 

Outcome

Type Measure Description Time frame Safety issue
Primary Percentage of Participants Who Achieved Investigator's Global Assessment - Treatment Success (IGA-TS) at Week 8 The IGA is an overall eczema severity rating on a 5-point scale ranging from 0 (clear skin) to 4 (severe disease). The score is based on an overall assessment of the degree of erythema, induration/papulation, and oozing/crusting. The IGA-TS is defined as an IGA score of 0 (clear skin) or 1 (almost clear skin) with = 2 grade improvement from Baseline. Baseline to Week 8
Secondary VC Period: Percentage of Participants Who Achieved Eczema Area and Severity Index 75 (EASI75) EASI scoring system examines 4 areas of the body and weights them for participants of at least 8 years of age. Each of the 4 body regions is assessed separately for erythema (E), induration/papulation/edema (I), excoriations (Ex), and lichenification (l) for an average degree of severity of each sign in each region. The severity strata for the EASI are as follows: 0 = clear; 0.1 to 1.0 = almost clear; 1.1 to 7.0 = mild; 7.1 to 21.0 = moderate; 21.1 to 50.0 = severe; 50.1 to 72.0 = very severe. An EASI75 responder was defined as a participant achieving 75% or greater improvement from Baseline in EASI score. Baseline to Week 8
Secondary VC Period: Percentage of Participants With a = 4-Point Improvement in Itch Numerical Rating Scale (NRS) Score The Itch NRS is a daily participant-reported measure (24-hour recall), using a diary, of the worst level of itch intensity. Participants were asked to rate the itching severity because of their AD in the daily diary by selecting a number from 0 (no itch) to 10 (worst imaginable itch) that best described their worst level of itching in the past 24 hours. Baseline to Week 8
Secondary VC Period: Percentage of Participants With a Clinically Meaningful (= 6-Point) Improvement in the Patient-Reported Outcomes Measurement Information System (PROMIS) Short Form - Sleep Disturbance (8b - 24-Hour Recall) Score The PROMIS Short Form - Sleep Disturbance (8b) questionnaire assesses participant's self-reported perceptions of sleep quality, sleep depth, and restoration associated with sleep. It is a 5-point scale with a range in score from 8 to 40, with higher scores indicating greater severity of sleep disturbance. Each item asks the participant to rate the severity of the participant's sleep disturbance. Baseline to Week 8
Secondary VC Period: Percentage of Participants With a Clinically Meaningful (= 6-Point) Improvement in the PROMIS Short Form - Sleep-Related Impairment (8a - 24-Hour Recall) The PROMIS Short Form - Sleep-Related Impairment (8a) questionnaire assesses participant's self-reported perceptions of alertness, sleepiness, and tiredness during usual waking hours and the perceived functional impairments during wakefulness associated with sleep problems or impaired alertness. The questionnaire has 8 simple questions with a 5-point scale with a range in score from 8 to 40, with higher scores indicating greater severity of sleep-related impairment. Each item asks the participant to rate the severity of the participant's sleep impairment. Baseline to Week 8
Secondary VC Period: Percentage of Participants With at Least One Treatment-Emergent Adverse Event (TEAE) and Treatment-Emergent Serious Adverse Event (SAE) An AE is any untoward medical occurrence associated with the use of a drug in humans, whether or not considered drug-related. An AE can therefore be any unfavorable and unintended sign (including an abnormal laboratory finding), symptom, or disease (new or exacerbated) temporally associated with the use of study treatment. A SAE is defined as any untoward medical occurrence that, at any dose results in death, is life-threatening, requires inpatient hospitalization or prolongation of existing hospitalization, results in persistent or significant disability/incapacity, is a congenital anomaly/birth defect or an important medical event may be considered serious when, based on appropriate medical judgment, the event may jeopardize the participant and may require medical or surgical intervention to prevent one of the outcomes listed above. A TEAE or treatment emergent SAE is any AE or SAE either reported for first time or worsening of a pre-existing event after first dose of study drug. From first dose up to Week 8
Secondary LTS Period: Percentage of Participants With at Least One TEAE and Treatment Emergent SAE An AE is any untoward medical occurrence associated with the use of a drug in humans, whether or not considered drug-related. An AE can therefore be any unfavorable and unintended sign (including an abnormal laboratory finding), symptom, or disease (new or exacerbated) temporally associated with the use of study treatment. A SAE is defined as any untoward medical occurrence that, at any dose results in death, is life-threatening, requires inpatient hospitalization or prolongation of existing hospitalization, results in persistent or significant disability/incapacity, is a congenital anomaly/birth defect or an important medical event may be considered serious when, based on appropriate medical judgment, the event may jeopardize the participant and may require medical or surgical intervention to prevent one of the outcomes listed above. A TEAE or treatment emergent SAE is any AE or SAE either reported for first time or worsening of a pre-existing event after first dose of study drug. From first dose date in LTS Period (Week 8) until last follow-up visit (up to 52 weeks)
Secondary VC Period: Percentage of Participants Who Achieved an IGA-TS at Weeks 2 and 4 The IGA is an overall eczema severity rating on a 0 (clear skin) to 4 (severe disease) scale. The score is based on an overall assessment of the degree of erythema, induration/papulation, and oozing/crusting. The IGA-TS is defined as an IGA score of 0 (clear skin) or 1 (almost clear skin) with = 2 grade improvement from Baseline. Baseline to Weeks 2 and 4
Secondary VC Period: Percentage of Participants Achieving IGA Scores of 0 or 1 The IGA is an overall eczema severity rating on a 5-point scale ranging from 0 (clear skin) to 4 (severe disease). The score is based on an overall assessment of the degree of erythema, induration/papulation, and oozing/crusting. IGA score signifies 0 (clear skin) and 1 (almost clear skin). Weeks 2, 4 and 8
Secondary LTS Period: Percentage of Participants Achieving IGA Scores of 0 or 1 The IGA is an overall eczema severity rating on a 0 (clear skin) to 4 (severe disease) scale. The score is based on an overall assessment of the degree of erythema, induration/papulation, and oozing/crusting. IGA score signifies 0 (clear skin) and 1 (almost clear skin). Weeks 8, 12, 16, 20, 24, 28, 32, 36, 40, 44, 48, and 52
Secondary VC Period: Percentage of Participants With a = 4-Point Improvement in Itch NRS Score From Baseline to Weeks 2 and 4 The Itch NRS is a daily participant-reported measure (24-hour recall), using a diary, of the worst level of itch intensity. Participants are asked to rate the itching severity because of their AD by selecting a number from 0 (no itch) to 10 (worst imaginable itch) that best describes their worst level of itching in the past 24 hours. Baseline to Weeks 2 and 4
Secondary VC Period: Percentage of Participants Achieving EASI50 EASI scoring system examines 4 areas of the body and weights them for participants of at least 8 years of age. Each of the 4 body regions is assessed separately for erythema (E), induration/papulation/edema (I), excoriations (Ex), and lichenification (l) for an average degree of severity of each sign in each region. The severity strata for the EASI are as follows: 0 = clear; 0.1 to 1.0 = almost clear; 1.1 to 7.0 = mild; 7.1 to 21.0 = moderate; 21.1 to 50.0 = severe; 50.1 to 72.0 = very severe. An EASI50 responder was defined as a participant achieving 50% or greater improvement from Baseline in EASI score. Weeks 2, 4 and 8
Secondary VC Period: Percentage of Participants Achieving EASI75 EASI scoring system examines 4 areas of the body and weights them for participants of at least 8 years of age. Each of the 4 body regions is assessed separately for erythema (E), induration/papulation/edema (I), excoriations (Ex), and lichenification (l) for an average degree of severity of each sign in each region. The severity strata for the EASI are as follows: 0 = clear; 0.1 to 1.0 = almost clear; 1.1 to 7.0 = mild; 7.1 to 21.0 = moderate; 21.1 to 50.0 = severe; 50.1 to 72.0 = very severe. An EASI75 responder was defined as a participant achieving 75% or greater improvement from Baseline in EASI score. Weeks 2 and 4
Secondary VC Period: Percentage of Participants Achieving EASI90 EASI scoring system examines 4 areas of the body and weights them for participants of at least 8 years of age. Each of the 4 body regions is assessed separately for erythema (E), induration/papulation/edema (I), excoriations (Ex), and lichenification (l) for an average degree of severity of each sign in each region. The severity strata for the EASI are as follows: 0 = clear; 0.1 to 1.0 = almost clear; 1.1 to 7.0 = mild; 7.1 to 21.0 = moderate; 21.1 to 50.0 = severe; 50.1 to 72.0 = very severe. An EASI90 responder was defined as a participant achieving 90% or greater improvement from Baseline in EASI score. Weeks 2, 4 and 8
Secondary VC Period: Percent Change From Baseline in EASI Score EASI scoring system examines 4 areas of the body and weights them for participants of at least 8 years of age. Each of the 4 body regions is assessed separately for erythema (E), induration/papulation/edema (I), excoriations (Ex), and lichenification (l) for an average degree of severity of each sign in each region. The severity strata for the EASI are as follows: 0 = clear; 0.1 to 1.0 = almost clear; 1.1 to 7.0 = mild; 7.1 to 21.0 = moderate; 21.1 to 50.0 = severe; 50.1 to 72.0 = very severe. A negative change from Baseline indicates improvement. Baseline, Weeks 2, 4 and 8
Secondary VC Period: Percent Change From Baseline In SCORing Atopic Dermatitis (SCORAD) Score The SCORAD is a tool to assess extent and severity of eczema. To determine the extent, the rule of nines or handprint method is used to assess eczema affected area (A). To determine disease severity (B) it evaluates 6 clinical characteristics: 1. redness, 2. swelling, 3. oozing/crusting, 4. scratch marks, 5. lichenification, and 6. dryness on a 4-point scale of 0 to 3 (0=none, 1=mild, 2=moderate, 3=severe), added to give B with maximum score of 18. Subjective symptoms (C) of itch and sleeplessness are assessed using a visual analogue scale where 0 is no itch (or no sleeplessness) and 10 is the worst imaginable itch (or sleeplessness), added to give C with maximum score of 20. These 3 aspects: extent of disease (A: 0-1-2), disease severity (B: 0-18), & subjective symptoms (C: 0-20) combined using A/5 + 7*B/2+ C to give a maximum possible score of 103, where 0 = no disease and 103 = severe disease. A negative change from Baseline indicates improvement. Baseline, Weeks 2, 4 and 8
Secondary VC Period: Change From Baseline in Itch NRS Score The Itch NRS is a daily participant-reported measure (24-hour recall), using a diary, of the worst level of itch intensity. Participants are asked to rate the itching severity because of their AD by selecting a number from 0 (no itch) to 10 (worst imaginable itch) that best describes their worst level of itching in the past 24 hours. A negative change from Baseline indicates improvement. Baseline, Weeks 2, 4, and 8
Secondary VC Period: Time to Achieve Itch NRS Score Improvement of at Least 2, 3, or 4 Points The Itch NRS is a daily participant-reported measure (24-hour recall), using a diary, of the worst level of itch intensity. Participants were asked to rate the itching severity because of their AD by selecting a number from 0 (no itch) to 10 (worst imaginable itch) that best describes their worst level of itching in the past 24 hours. Kaplan-Meier estimation method was used for analyses. Up to Week 8
Secondary VC Period: Change From Baseline in Skin Pain NRS Score The Skin Pain NRS is a daily patient-reported measure (24-hour recall), using a diary, of the worst level of pain intensity from 0 (no pain) to 10 (worst imaginable pain). Participants will be asked, "Rate the pain severity from your atopic dermatitis skin changes by selecting a number that best describes your worst level of pain in the past 24 hours." A negative change from Baseline indicates improvement. Baseline, Weeks 2, 4, and 8
Secondary VC Period: Percentage of Participants With a Clinically Meaningful (= 6-Point) Improvement in the PROMIS Short Form - Sleep Disturbance (8b) 24-Hour Recall Score The PROMIS Short Form - Sleep Disturbance (8b) questionnaire assesses participant's self-reported perceptions of sleep quality, sleep depth, and restoration associated with sleep. This questionnaire is completed in the morning by the participant where each item asks the participant to rate the severity of the participant's sleep disturbance. It is a 5-point scale with a range in score from 8 to 40, with higher scores indicating greater severity of sleep disturbance. Weeks 2 and 4
Secondary VC Period: Percentage of Participants With a Clinically Meaningful (= 6-Point) Improvement in the PROMIS Short Form - Sleep-Related Impairment (8a) 24-Hour Recall Score The PROMIS Short Form - Sleep-Related Impairment (8a) questionnaire assesses participant's self-reported perceptions of alertness, sleepiness, and tiredness during usual waking hours and the perceived functional impairments during wakefulness associated with sleep problems or impaired alertness. The questionnaire is filled in the evening where each item asks the participant to rate the severity of the participant's sleep impairment. It has 8 simple questions with a 5-point scale with a range in score from 8 to 40, with higher scores indicating greater severity of sleep-related impairment. Weeks 2 and 4
Secondary VC Period: Change From Baseline in PROMIS Short Form - Sleep Disturbance (8b) 24-Hour Recall Score The PROMIS Short Form - Sleep Disturbance (8b) questionnaire assesses participant's self-reported perceptions of sleep quality, sleep depth, and restoration associated with sleep. This questionnaire is completed in the morning by the participant where each item asks the participant to rate the severity of the participant's sleep disturbance. It is a 5-point scale with a range in score from 8 to 40, with higher scores indicating greater severity of sleep disturbance. A negative change from Baseline indicates improvement. Baseline, Weeks 2, 4, and 8
Secondary VC Period: Change From Baseline in PROMIS Short Form - Sleep-Related Impairment (8a) 24-Hour Recall Score The PROMIS Short Form - Sleep-Related Impairment (8a) questionnaire assesses participant's self-reported perceptions of alertness, sleepiness, and tiredness during usual waking hours and the perceived functional impairments during wakefulness associated with sleep problems or impaired alertness. The questionnaire is filled in the evening where each item asks the participant to rate the severity of the participant's sleep impairment. It has 8 simple questions with a 5-point scale with a range in score from 8 to 40, with higher scores indicating greater severity of sleep-related impairment. A negative change from Baseline indicates improvement. Baseline, Weeks 2, 4, and 8
Secondary LTS Period: Change From Baseline in PROMIS Short Form - Sleep-Related Impairment (8a) 7-Day Recall Score The PROMIS Short Form - Sleep-Related Impairment (8a) questionnaire assesses participant's self-reported perceptions of alertness, sleepiness, and tiredness during usual waking hours and the perceived functional impairments during wakefulness associated with sleep problems or impaired alertness. The questionnaire is filled in the evening where each item asks the participant to rate the severity of the participant's sleep impairment. It has 8 simple questions with a 5-point scale with a range in score from 8 to 40, with higher scores indicating greater severity of sleep-related impairment. A negative change from Baseline indicates improvement. Baseline, Weeks 12, 24, and 52
Secondary LTS Period: Change From Baseline in PROMIS Short Form - Sleep Disturbance (8b) 7-Day Recall Score The PROMIS Short Form - Sleep Disturbance (8b) questionnaire assesses participant's self-reported perceptions of sleep quality, sleep depth, and restoration associated with sleep. This questionnaire is completed in the morning by the participant where each item asks the participant to rate the severity of the participant's sleep disturbance. It is a 5-point scale with a range in score from 8 to 40, with higher scores indicating greater severity of sleep disturbance. A negative change from Baseline indicates improvement. Baseline, Weeks 12, 24, and 52
Secondary VC Period: Change From Baseline in Atopic Dermatitis Afflicted Percentage of Body Surface Area (%BSA) Body surface area affected by AD was assessed for 4 separate body regions and is collected as part of the EASI assessment: head and neck, trunk (including genital region), upper extremities, and lower extremities (including the buttocks). Each body region was assessed for disease extent ranging from 0% to 100% involvement. The overall total percentage was reported based off of all 4 body regions combined, after applying specific multipliers to the different body regions to account for the percent of the total BSA represented by each of the 4 regions. Used the percentage of skin affected for each region (0 to 100%) in EASI as follows: BSA Total = 0.1*BSA head and neck + 0.3*BSA trunk + 0.2* BSA upper limbs + 0.4*BSA lower limbs. A negative change from Baseline indicates improvement. Baseline, Weeks 2, 4 and 8
Secondary LTS Period: Change From Baseline in Atopic Dermatitis Afflicted %BSA Body surface area affected by AD was assessed for 4 separate body regions and is collected as part of the EASI assessment: head and neck, trunk (including genital region), upper extremities, and lower extremities (including the buttocks). Each body region was assessed for disease extent ranging from 0% to 100% involvement. The overall total percentage was reported based off of all 4 body regions combined, after applying specific multipliers to the different body regions to account for the percent of the total BSA represented by each of the 4 regions. Used the percentage of skin affected for each region (0 to 100%) in EASI as follows: BSA Total = 0.1*BSA head and neck + 0.3*BSA trunk + 0.2* BSA upper limbs + 0.4*BSA lower limbs. A negative change from Baseline indicates improvement. Baseline, Weeks 12, 16, 20, 24, 28, 32, 36, 40, 44, 48 and 52
Secondary VC Period: Change From Baseline in Patient-Oriented Eczema Measure (POEM) Score The POEM is a 7-question quality-of-life assessment that asks how many days the participant has been bothered by various aspects of their skin condition during the past 7 days. It assesses disease symptoms (dryness, itching, flaking, cracking, sleep loss, bleeding and weeping) on a scale ranging from 0-4 (0 = no days, 1 = 1-2 days, 2 = 3-4 days, 3 = 5-6 days, 4 = everyday). The sum of the 7 items gives the total POEM score of 0 (clear or almost clear) to 28 (very severe eczema). High scores are indicative of more severe disease and poor quality of life. A negative change from Baseline indicates improvement. Baseline, Weeks 2, 4, and 8
Secondary LTS Period: Change From Baseline in POEM Score The POEM is a 7-question quality-of-life assessment that asks how many days the participant has been bothered by various aspects of their skin condition during the past 7 days. It assesses disease symptoms (dryness, itching, flaking, cracking, sleep loss, bleeding and weeping) on a scale ranging from 0-4 (0 = no days, 1 = 1-2 days, 2 = 3-4 days, 3 = 5-6 days, 4 = everyday). The sum of the 7 items gives the total POEM score of 0 (absent disease) to 28 (severe disease). High scores are indicative of more severe disease and poor quality of life. A negative change from Baseline indicates improvement. Baseline, Weeks 12, 24, and 52
Secondary VC Period: Change From Baseline in Dermatology Life Quality Index (DLQI) Score The DLQI is a simple, 10 question (Q) validated quality-of-life questionnaire to measure how much the skin problem has affected the participant. It covers 6 domains including symptoms and feelings (Q1 and Q2), daily activities (Q3 and Q4), leisure (Q5 and Q6), work and school (Q7), personal relationships (Q8 and Q9), and treatment(Q10). The recall Period of this scale is over the last week. Response categories include 0-not at all, 1-a little, 2-a lot, and 3-very much, and unanswered or not relevant responses scored as 0. Scores range from 0 ("no impact on participant's life") to 30 ("extremely large effect on participant's life"), and a 4-point change from Baseline is considered as the minimal clinically important difference threshold. A negative change from Baseline indicates less impact of the skin problem on participant's life. Baseline, Weeks 2, 4, and 8
Secondary LTS Period: Change From Baseline in DLQI Score The DLQI is a simple, 10 question (Q) validated quality-of-life questionnaire to measure how much the skin problem has affected the participant. It covers 6 domains including symptoms and feelings (Q1 and Q2), daily activities (Q3 and Q4), leisure (Q5 and Q6), work and school (Q7), personal relationships (Q8 and Q9), and treatment(Q10). The recall Period of this scale is over the last week. Response categories include 0-not at all, 1-a little, 2-a lot, and 3-very much, and unanswered or not relevant responses scored as 0. Scores range from 0 ("no impact on participant's life") to 30 ("extremely large effect on participant's life"), and a 4-point change from Baseline is considered as the minimal clinically important difference threshold. A negative change from Baseline indicates less impact of the skin problem on participant's life. Baseline, Weeks 12, 24, and 52
Secondary VC Period: Change From Baseline in Children Dermatology Life Quality Index (CDLQI) Score CDLQI is the youth/children's version of the DLQI. The CDLQI is a simple 10 question (Q) validated quality-of-life questionnaire. It covers 6 domains including symptoms and feelings (Q1 and Q2), leisure (Q4, Q5, and Q6), school or holidays (Q7), personal relationships (Q3 and Q8), sleep (Q9) and treatment (Q10). Response categories include 0-not at all, 1-a little, 2-a lot, and 3-very much, and unanswered or not relevant responses scored as 0. The total DLQI score is calculated by adding the score of each question resulting in a maximum score of 30 (extremely large effect on participant's life) and a minimum score of 0 (no impact on participant's life) and a 4-point change from Baseline is considered as the minimal clinically important difference threshold. A negative change from Baseline indicates less impact of the skin problem on participant's life. Baseline, Weeks 2, 4, and 8
Secondary LTS Period: Change From Baseline in CDLQI Score CDLQI is the youth/children's version of the DLQI. The CDLQI is a simple 10 question (Q) validated quality-of-life questionnaire. It covers 6 domains including symptoms and feelings (Q1 and Q2), leisure (Q4, Q5, and Q6), school or holidays (Q7), personal relationships (Q3 and Q8), sleep (Q9) and treatment (Q10). Response categories include 0-not at all, 1-a little, 2-a lot, and 3-very much, and unanswered or not relevant responses scored as 0. The total DLQI score is calculated by adding the score of each question resulting in a maximum score of 30 (extremely large effect on participant's life) and a minimum score of 0 (no impact on participant's life) and a 4-point change from Baseline is considered as the minimal clinically important difference threshold. A negative change from Baseline indicates less impact of the skin problem on participant's life. Baseline, Weeks 12, 24, and 52
Secondary VC Period: Mean Patient Global Impression of Change (PGIC) Score at Weeks 2, 4, and 8 The PGIC is a participants' self-reporting measure that reflects their belief about the efficacy of treatment. It is a 7-point scale where participants rate the questions as: 1=very much improved, 2=much improved, 3=minimally improved, 4=no change, 5=minimally worse, 6=much worse, and 7=very much worse. The lower score indicates improvement. Weeks 2, 4, and 8
Secondary VC Period: Percentage of Participants With Each Score on the PGIC at Weeks 2, 4, and 8 The PGIC is a participants' self-reporting measure that reflects their belief about the efficacy of treatment. It is a 7-point scale where participants rate the questions as: 1=very much improved, 2=much improved, 3=minimally improved, 4=no change, 5=minimally worse, 6=much worse, and 7=very much worse. The lower score indicates improvement. Weeks 2, 4, and 8
Secondary VC Period: Percentage of Participants With a Score of Either 1 or 2 on the PGIC at Weeks 2, 4, and 8 The PGIC is a participants' self-reporting measure that reflects their belief about the efficacy of treatment. It is a 7-point scale where participants rate the questions as: 1=very much improved, 2=much improved, 3=minimally improved, 4=no change, 5=minimally worse, 6=much worse, and 7=very much worse. The lower score indicates improvement. Weeks 2, 4, and 8
Secondary VC Period: Change From Baseline in EuroQuality of Life Five Dimensions (EQ-5D-5L) Visual Analogue Scale (VAS) Score EQ-5D-5L questionnaire has 2 parts: EQ-5D-5L descriptive system & EQ-VAS. EQ-5D is a validated, self-administered, generic utility questionnaire wherein participants rate their current health state based on 5 dimensions: mobility, self-care, usual activities, pain/discomfort, and anxiety/depression. 5L indicates that for each dimension, there are 5 levels:1=no problems,2=slight problems,3=moderate problems,4=severe problems, and 5=extreme problems. EQ-5D-5L score is assessed using VAS that ranges from 0 to 100 millimetres (mm), where 0 indicates "worst health you can imagine" and 100 indicates "best health you can imagine". The participant was asked to indicate his/her health state over past 7 days in each of the 5 dimensions. Digits for the 5 dimensions can be combined into a 5-digit number that describes the participant's health state. In the EQ-VAS, participants had to record their health state on a scale ranging from 0 to 100. A positive change from Baseline indicates improvement. Baseline, Weeks 2, 4, and 8
Secondary VC Period: Change From Baseline in Work Productivity and Activity Impairment Questionnaire: Specific Health Problem (WPAI-SHP) Version 2.0 (v2.0) The WPAI-SHP is a 6-item participant questionnaire developed to measure the effect of overall health and specific symptoms on productivity at work and regular activities outside of it in the past 7 days. The WPAI-SHP consists of 6 questions as follows: 1=currently employed; 2=hours missed due to AD; 3=hours missed other reasons; 4=hours actually worked; 5=degree AD affected productivity while working; 6=degree AD affected regular activities and the computed percentage, range for each sub scale is from 0 to 100, with higher values indicating greater impairment and less productivity. A negative change from Baseline indicates improvement. Baseline, Weeks 2, 4, and 8
Secondary LTS Period: Change From Baseline in WPAI-SHP v2.0 The WPAI-SHP is a 6-item participant questionnaire developed to measure the effect of overall health and specific symptoms on productivity at work and regular activities outside of it in the past 7 days. The WPAI-SHP consists of 6 questions as follows: 1=currently employed; 2=hours missed due to AD; 3=hours missed other reasons; 4=hours actually worked; 5=degree AD affected productivity while working; 6=degree AD affected regular activities and the computed percentage, range for each sub scale is from 0 to 100, with higher values indicating greater impairment and less productivity. A negative change from Baseline indicates improvement. Baseline, Weeks 12, 24, 36, and 52
Secondary VC Period: Trough Plasma Concentrations of Ruxolitinib Plasma samples were collected just before the morning application of study drug during each specified time point. Pre-dose at Weeks 2, 4 and 8
Secondary LTS Period: Trough Plasma Concentrations of Ruxolitinib Plasma samples were collected just before the morning application of study drug during each specified time point. Pre-dose at Weeks 12, 16, 20, 24, 28, 32, 36, 40, 44, 48 and 52
See also
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