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Clinical Trial Details — Status: Completed

Administrative data

NCT number NCT04212169
Other study ID # D9182C00001
Secondary ID 2019-003304-12
Status Completed
Phase Phase 2
First received
Last updated
Start date December 9, 2019
Est. completion date September 20, 2022

Study information

Verified date August 2023
Source AstraZeneca
Contact n/a
Is FDA regulated No
Health authority
Study type Interventional

Clinical Trial Summary

This is a research study to determine the efficacy and safety of investigational drug MEDI3506 for the treatment of adult subjects with Atopic Dermatitis.


Description:

This is a research study to determine the efficacy and safety of investigational drug MEDI3506 for the treatment of adult subjects with Atopic Dermatitis. Each participant will be assigned randomly to a treatment arm, which could be different strengths of the active treatment or a placebo which does not contain active treatment. Both Participants and investigators will be masked to the treatment assignment. Approximately 152 participants will take part in this study. There is a 4 weeks screening period to determine eligibility. After eligibility is confirmed, participants will receive investigational drug or placebo during the 16 weeks treatment period. This is then followed by an 8-week follow-up period.


Recruitment information / eligibility

Status Completed
Enrollment 148
Est. completion date September 20, 2022
Est. primary completion date July 21, 2022
Accepts healthy volunteers No
Gender All
Age group 18 Years to 65 Years
Eligibility Inclusion Criteria: - Age 18 to 65 years inclusive at the time of consent. - Body mass index between 19.0 and 40.0 kg/m2 inclusive. - Documented history of chronic AD, for at least 1 year prior to screening Visit 1. - Meets at minimum 1 of the criteria, as follows: - History of inadequate response to topical medications for AD - Subject intolerance to treatment with topical medications for AD, or - Topical medications are otherwise medically inadvisable - AD that affects = 10% of the body surface area (BSA). - An EASI score of = 12 at Visit 1 and = 16 at Visit 3 (Day 1). - An IGA score of = 3. Exclusion Criteria: - Any active medical or psychiatric condition, or other reason, that would interfere with evaluation of the investigational product or interpretation of subject safety or study results. - Any other clinically relevant abnormal findings from physical examination (including vital signs and electrocardiogram [ECG]) or from safety laboratory analysis. - Active dermatologic conditions that might confound the diagnosis of AD or would interfere with the assessment of the skin. - Known active allergic or irritant contact dermatitis.

Study Design


Related Conditions & MeSH terms


Intervention

Drug:
MEDI3506
multiple doses
Placebo
multiple doses

Locations

Country Name City State
Australia Research Site Box Hill
Australia Research Site Carlton
Australia Research Site East Melbourne
Australia Research Site Fremantle
Germany Research Site Berlin
Germany Research Site Dresden
Germany Research Site Hamburg
Germany Research Site Mahlow
Poland Research Site Bialystok
Poland Research Site Kielce
Poland Research Site Lódz
Poland Research Site Poznan
Poland Research Site Skierniewice
Poland Research Site Wroclaw
Spain Research Site Alcobendas
Spain Research Site Leganés
Spain Research Site Sevilla
United Kingdom Research Site Corby
United Kingdom Research Site High Wycombe
United Kingdom Research Site Kenilworth
United Kingdom Research Site Northwood
United Kingdom Research Site Romford
United Kingdom Research Site Shipley
United Kingdom Research Site Sidcup
United Kingdom Research Site Wokingham
United States Research Site Baton Rouge Louisiana
United States Research Site Birmingham Alabama
United States Research Site Charlotte North Carolina
United States Research Site Jacksonville Florida
United States Research Site Memphis Tennessee
United States Research Site Miami Florida
United States Research Site Orlando Florida
United States Research Site Providence Rhode Island
United States Research Site San Antonio Texas
United States Research Site San Antonio Texas
United States Research Site Santa Monica California
United States Research Site Spartanburg South Carolina
United States Research Site Tulsa Oklahoma

Sponsors (1)

Lead Sponsor Collaborator
AstraZeneca

Countries where clinical trial is conducted

United States,  Australia,  Germany,  Poland,  Spain,  United Kingdom, 

Outcome

Type Measure Description Time frame Safety issue
Primary Percent Change From Baseline to Week 16 in EASI Score The EASI evaluates 4 anatomic regions for severity and extent of key disease signs and focuses on the acute and chronic signs of inflammation (ie, erythema, edema, papulation, excoriation, and lichenification). The maximum score is 72, with higher values indicating more severe disease. Analysis was performed using mixed effect model for repeated measures and MCP-mod dose response model. Week 16
Secondary Percentage of Subjects Achieving a 90% Reduction From Baseline in EASI Score at Week 16 To further assess the effects of MEDI3506 compared with placebo on AD disease severity, in adult subjects with moderate-to-severe AD. Responders are subjects who achieved at least 90% reduction from baseline in EASI score. Week 16
Secondary Percentage of Subjects Achieving a 75% Reduction From Baseline in EASI Score at Week 16 To further assess the effects of MEDI3506 compared with placebo on AD disease severity, in adult subjects with moderate-to-severe AD. Responders are subjects who achieved at least 75% reduction from baseline in EASI score. Week 16
Secondary Percentage of Subjects Achieving a 50% Reduction From Baseline in EASI Score at Week 16 To further assess the effects of MEDI3506 compared with placebo on AD disease severity, in adult subjects with moderate-to-severe AD. Responders are subjects who achieved at least 50% reduction from baseline in EASI score. Week 16
Secondary Percentage of Subjects Achieving an IGA of 0 (Clear) or 1 (Almost Clear) With at Least a 2 Grade Reduction From Baseline Score at Week 16 The IGA allows investigators to assess overall AD disease severity at 1 given time point and consists of a 5-point severity scale from clear to very severe disease (0 = clear, 1 = almost clear, 2 = mild disease, 3 = moderate disease, and 4 = severe disease). Week 16
Secondary Percentage of Subjects Achieving a Reduction of = 3 From Baseline to Week 16 in Weekly Mean of Daily Peak Pruritus NRS Peak pruritus (ie, worst itch experienced in the previous 24 hours) assessed using an Numerical Rating Scale (NRS; 0 to 10) with 0 = no itch and 10 = worst imaginable itch. The daily assessments were summarised as a weekly mean. Week 16
Secondary Change From Baseline to Week 16 in Weekly Mean of Daily Peak Pruritus NRS Peak pruritus (ie, worst itch experienced in the previous 24 hours) assessed using an Numerical Rating Scale (NRS; 0 to 10) with 0 = no itch and 10 = worst imaginable itch. The daily assessments were summarised as a weekly mean. Week 16
Secondary Change From Baseline to Week 16 in Weekly Mean of Daily Peak Skin Pain NRS Skin pain (ie, worst skin pain experienced in the previous 24 hours) assessed using an NRS (0 to 10) with 0 = no pain and 10 = worst imaginable pain. The daily assessments were summarised as a weekly mean. Week 16
Secondary SCORAD: Percent Change From Baseline to Week 16 SCORAD is a clinical tool for assessing the severity of AD that evaluates the extent and intensity of AD lesions, in addition to subjective symptoms. The maximum total score is 103, with higher values indicating more severe disease. Week 16
Secondary Change From Baseline to Week 16 in Percentage Body Surface Area (BSA) Affected by AD Change in percentage of body surface area (BSA) affected by AD from baseline at week 16. Week 16
Secondary Change From Baseline to Week 16 in DLQI The Dermatology Life Quality Index (DLQI) is a 10-item, patient- completed, health-related quality of life assessment of dermatology conditions with a recall period of 1 week. Each item is scored on a 4-point Likert scale with 0 = not at all /not relevant, 1 = a little, 2 = a lot, and 3 = very much. The score from each item is summed, and the maximum total score is 30 while the minimum score is 0. Higher score means highest (adverse) effect on participant's life. Week 16
Secondary Patient Description of Atopic Dermatitis or Eczema From Patient Global Impression of Severity at Week 16 The Patient Global Impression of Severity (PGI-S) is a tool that allows patients to rate the severity of a condition over the past 7 days with response options of "No symptoms", "Very mild", "Mild", "Moderate", "Severe" and "Very severe". Week 16
Secondary Change From Baseline to Week 16 in POEM The Patient-Oriented Eczema Measure (POEM) is a 7-item questionnaire for assessing disease symptoms including dryness, itching, flaking, cracking, sleep loss, bleeding, and weeping occurring in the past week. Each item is scored on a 5-point scale with 0 = no days, 1 = 1 to 2 days, 2 = 3 to 4 days, 3 = 5 to 6 days, and 4 = every day. The total POEM score is calculated by summing the score of each item resulting in a maximum of 28 and a minimum of 0, with higher values indicating severe disease Week 16
Secondary Change From Baseline to Week 16 in 5-D Itch The 5-D Itch Scale is a questionnaire consisting of 5 items used specifically to measure the course of itch by asking for the degree, duration, disability and distribution of the pruritus within the last 2 weeks. The scores from each item are summed, with maximum score of 25 and minimum score of 5. Higher score represent worse outcome Week 16
Secondary Occurrence of Adverse Events To assess the safety and tolerability of MEDI3506 compared with placebo, in adult subjects with moderate-to-severe AD. up to 24 weeks
Secondary Oral or Tympanic Temperature Taken During Vital Signs Assessment Collectively with other vital signs assessment are used to assess the safety and tolerability of MEDI3506 compared with placebo, in adult subjects with moderate-to-severe AD. Baseline, week 16 and week 24
Secondary Systolic Blood Pressure Taken During Vital Signs Assessment Collectively with other vital signs assessment are used to assess the safety and tolerability of MEDI3506 compared with placebo, in adult subjects with moderate-to-severe AD. Baseline, week 16 and week 24
Secondary Heart Rate Taken During Vital Signs Assessment Collectively with other vital signs assessment are used to assess the safety and tolerability of MEDI3506 compared with placebo, in adult subjects with moderate-to-severe AD. Baseline, week 16 and week 24
Secondary Respiratory Rate Collected During Vital Signs Assessment Collectively with other vital signs assessment are used to assess the safety and tolerability of MEDI3506 compared with placebo, in adult subjects with moderate-to-severe AD. Baseline, week 16 and week 24
Secondary Number of Participants With Abnormal Laboratory Assessments Relative to Normal Ranges for Haematology To assess the safety and tolerability of MEDI3506 compared with placebo, in adult subjects with moderate-to-severe AD. up to 24 weeks
Secondary Number of Participants With Abnormal Laboratory Assessments Relative to Normal Ranges for Serum Chemistry To assess the safety and tolerability of MEDI3506 compared with placebo, in adult subjects with moderate-to-severe AD. up to 24 weeks
Secondary Number of Participants With Abnormal Laboratory Assessments Relative to Normal Ranges for Urinalysis To assess the safety and tolerability of MEDI3506 compared with placebo, in adult subjects with moderate-to-severe AD. up to 24 weeks
Secondary Heart Rate (Beats/Min) Recorded on ECGs Collectively with other ECG parameters are used t assess the safety and tolerability of MEDI3506 compared with placebo, in adult subjects with moderate-to-severe AD. Baseline, week 16 and week 24
Secondary QT (Miliseconds) Recorded on ECGs Collectively with other ECG parameters are used to assess the safety and tolerability of MEDI3506 compared with placebo, in adult subjects with moderate-to-severe AD. Baseline, week 16 and week 24
Secondary Number of Participants With Investigator's Overall ECGs Evaluations, e.g. Normal/Abnormal and Their Clinical Significance Collectively with other ECG parameters are used to assess the safety and tolerability of MEDI3506 compared with placebo, in adult subjects with moderate-to-severe AD. Week 16 and week 24
Secondary Left Ventricular Ejection Fraction Measured by Echocardiogram To assess the safety and tolerability of MEDI3506 compared with placebo, in adult subjects with moderate-to-severe AD. Baseline and week 16
Secondary Serum MEDI3506 Concentration Profiles To evaluate the PK of MEDI3506 in adult subjects with moderate-to-severe AD. Week 16 and week 24
Secondary Occurence of Anti-drug Antibody During the Treatment and Follow-up Periods To evaluate the immunogenicity of MEDI3506 in adult subjects with moderate-to-severe AD. up to 24 weeks
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