Clinical Trials Logo

Clinical Trial Details — Status: Completed

Administrative data

NCT number NCT05149313
Other study ID # M-17923-30
Secondary ID 2021-002967-23
Status Completed
Phase Phase 3
First received
Last updated
Start date December 23, 2021
Est. completion date May 7, 2024

Study information

Verified date May 2024
Source Almirall, S.A.
Contact n/a
Is FDA regulated No
Health authority
Study type Interventional

Clinical Trial Summary

The main purpose of this study is to evaluate the efficacy of lebrikizumab compared with placebo in participants not adequately controlled with cyclosporine or for whom cyclosporine is not medically advisable up to Week 16.


Recruitment information / eligibility

Status Completed
Enrollment 331
Est. completion date May 7, 2024
Est. primary completion date January 30, 2023
Accepts healthy volunteers No
Gender All
Age group 12 Years and older
Eligibility Inclusion Criteria: - Adults and adolescents (aged greater than or equal to (>=) 12 to <18 years at the time of Informed Consent Form (ICF)/Informed Assent Form (IAF) and weighing >=40 kilograms). - Chronic AD that has been present for >=1 year before the Screening visit. - EASI score >=16 at the Baseline Visit. - IGA score >=3 (moderate) (scale of 0 [clear] to 4 [severe]) at the Baseline visit. - >=10% BSA of AD involvement at the Baseline visit. - Inadequate response to existing topical medications - Failure to cyclosporine or non-medically advisable to receive/continue receiving cyclosporine - Signed ICF (and informed assent for adolescents as required) Exclusion Criteria: - Treatment with TCS within 1 week before the Baseline visit. - Treatment with topical calcineurin inhibitors, phosphodiesterase-4 inhibitors such as crisaborole, or cannabinoids within 2 week before the Baseline visit. - Treatment with interleukin 4 (IL-4) or interleukin 3 (IL-13) antagonists biological therapies before the Baseline visit. Exception: previous treatment with dupilumab will be allowed in a subset of patients - Treatment with immunosuppressive/immunomodulating drugs, phototherapy and photochemotherapy within 4 weeks before the Baseline visit - Uncontrolled chronic disease that might require bursts of oral corticosteroids - Serious, opportunistic, chronic or recurring infections within 3 months of Screening or before randomization - Current or chronic infection with hepatitis B virus, current infection with hepatitis C virus, known liver cirrhosis and/or chronic hepatitis of any etiology - Known or suspected history of immunosuppression, history of HIV infection or positive HIV serology at Screening - Any clinically significant laboratory test results obtained at the Screening visit - Presence of skin comorbidities that may interfere with study assessments - Have had an important side effect to TCS that would prevent further use.

Study Design


Related Conditions & MeSH terms


Intervention

Biological:
Lebrikizumab
Lebrikizumab solution for injection administered subcutaneously.
Drug:
Lebrikizumab-matching Placebo
Matching Placebo solution for injection administered subcutaneously.

Locations

Country Name City State
Austria Alm Site 1 Graz
Belgium Alm Site 2 Gent
France Alm Site 14 Bordeaux
France Alm Site 17 Le Mans
France Alm Site 19 Lille
France Alm Site 20 Lille
France Alm Site 13 Martigues
France Alm Site 16 Nantes
France Alm Site 15 Nice
France Alm Site 18 Pierre-Bénite
France Alm Site 12 Reims
Germany Alm Site 28 Bad Bentheim
Germany Alm Site 30 Berlin
Germany Alm Site 24 Blankenfelde
Germany Alm Site 32 Bonn
Germany Alm Site 31 Frankfurt
Germany Alm Site 27 Göttingen
Germany Alm Site 26 Hamburg
Germany Alm Site 29 Kiel
Germany Alm Site 25 Marburg
Netherlands Alm Site 34 Bergen Op Zoom
Netherlands Alm Site 33 Rotterdam
Netherlands Alm Site 35 Utrecht
Poland Alm Site 45 Bialystok
Poland Alm Site 43 Chorzów
Poland Alm Site 38 Katowice
Poland Alm Site 41 Kraków
Poland Alm Site 46 Kraków
Poland Alm Site 37 Lódz
Poland Alm Site 39 Lublin
Poland Alm Site 48 Ostrowiec Swietokrzyski
Poland Alm Site 44 Rzeszów
Poland Alm Site 36 Szczecin
Poland Alm Site 42 Warsaw
Poland Alm Site 47 Warszawa
Poland Alm Site 40 Wroclaw
Spain Alm Site 10 Alicante
Spain Alm Site 3 Badalona
Spain Alm Site 6 Barcelona
Spain Alm Site 8 Barcelona
Spain Alm Site 4 Bilbao
Spain Alm Site 5 Madrid
Spain Alm Site 11 Mieres
Spain Alm Site 7 Sevilla
Spain Alm Site 9 Zaragoza
United Kingdom Alm Site 23 Poole
United Kingdom Alm Site 22 Salford
United Kingdom Alm Site 21 Southampton

Sponsors (1)

Lead Sponsor Collaborator
Almirall, S.A.

Countries where clinical trial is conducted

Austria,  Belgium,  France,  Germany,  Netherlands,  Poland,  Spain,  United Kingdom, 

Outcome

Type Measure Description Time frame Safety issue
Primary Percentage of Participants Achieving EASI 75 (>=75% Reduction From Baseline in EASI Score) at Week 16 The Eczema Area and Severity Index (EASI) is used to assess the severity and extent of AD; it is a composite index with scores ranging from 0 to 72, with higher values indicating more severe and or extensive disease. Baseline, Week 16
Secondary Percentage of Participants With an Investigator Global Assessment (IGA) Score of 0 or 1 and 2-point Improvement at Week 16 The IGA is an instrument used to globally rate the severity of the participants's AD. It is based on a 5-point scale ranging from 0 (clear), 1 (almost clear), 2 (mild), 3 (moderate) and 4 (severe), and a score is selected using descriptors that best describe the overall appearance of the lesions at a given time point. The score is based on an overall assessment of the degree of erythema, papulation/induration, oozing/crusting (minimal, palpable induration and significant induration). Week 16
Secondary Percentage of Participants With 4-point Improvement in Pruritus Numeric Rating Score (NRS) The Pruritus NRS is an 11-point scale used by participants to rate their worst itch severity over the past 24 hours, with 0 indicating "No itch," and 10 indicating "Worst itch imaginable. Week 16
Secondary Percentage of Participants Achieving EASI90 The EASI is used to assess the severity and extent of AD; it is a composite index with scores ranging from 0 to 72, with higher values indicating more severe and or extensive disease. EASI 90 is defined as 90% reduction from baseline in the EASI score. Week 16
Secondary Percentage of Participants Achieving EASI 75, 90 and 50 The EASI is used to assess the severity and extent of AD; it is a composite index with scores ranging from 0 to 72, with higher values indicating more severe and or extensive disease. EASI 75 is defined as 75% reduction from baseline in the EASI score. EASI 90 is defined as 90% reduction from baseline in the EASI score. EASI 50 is defined as 50% reduction from baseline in the EASI score. Up to Week 16
Secondary Change From Baseline in Body Surface Area (BSA) The BSA assessment estimates the extent of disease or skin involvement with respect to AD and is expressed as a percentage of total body surface. BSA will be determined by the Investigator or designee using the participant palm = 1% BSA rule. The participant's palm is measured from the wrist to the proximal interphalangeal and thumb. Baseline up to Week 16
Secondary Change From Baseline in Scoring Atopic Dermatitis (SCORAD) SCORAD is a validated clinical tool for assessing the extent and intensity of AD. There are 3 components: surface involvement, intensity part and subjective assessment. Surface involvement is assessed as proportion of involved surface area segment by segment by applying the rule of 9s and reported as the sum of all areas, with a score ranging from 0 to 100. Intensity part of the SCORAD consists of 6 items: erythema, oedema, oozing/crusting, excoriation, lichenification, and dryness. Each item is graded as follows: none (0), mild (1), moderate (2), or severe (3) (for a maximum of 18 total points). Subjective assessment of itch and of sleeplessness is recorded for each symptom using a visual analogue scale (VAS), where 0 is no itch (or sleeplessness) and 10 is the worst imaginable itch (or sleeplessness), for maximum possible score of 20. Formula is: A/5+7B/2+C, A: extent (0-100), B: intensity (0-18), C: subjective symptoms (0-20). The maximum score is 103 (higher values worse outcome). Baseline up to Week 16
Secondary Change From Baseline in Pruritus NRS The Pruritus NRS is an 11-point scale used by participants to rate their worst itch severity over the past 24 hours, with 0 indicating "No itch," and 10 indicating "Worst itch imaginable." Baseline up to Week 16
Secondary Change From Baseline in the Sleep Loss Using PRO Sleep loss will be assessed by all participants using a patient-related outcome (PRO) instrument. Participants (and if applicable, with help of parents/caregiver if required) will rate their sleep on a 5-point Likert scale (with scores ranging from 0 [not at all] to 4 [unable to sleep at all]). Assessments will be recorded by the participant using an electronic Diary. Baseline up to Week 16
Secondary Change from Baseline in Patient-Oriented Eczema Measure (POEM) The POEM is a 7-item, validated questionnaire completed by the participant (and, if applicable, with help of parents/caregiver if required) to assess disease symptoms. Participants are asked to respond to questions on skin dryness, itching, flaking, cracking, sleep loss, bleeding, and weeping. All answers carry equal weight, with a total possible score ranging from 0 to 28 (answers scored as: No days = 0; 1-2 days = 1; 3-4 days = 2; 5-6 days = 3; every day = 4. A high score is indicative of a poor quality of life (QoL). POEM responses will be captured weekly using an electronic Diary. Baseline up to Week 16
Secondary Change From Baseline in Dermatology Life Quality Index (DLQI)/Children Dermatology Life Quality Index (CDLQI) The DLQI is a 10-item validated questionnaire completed by the participant or caregiver used to assess the impact of skin disease on the participant's QoL during the previous week. The 10 questions cover the following topics: symptoms, embarrassment, shopping and home care, clothes, social and leisure, sport, work or study, close relationships, sex, and treatment. Each question is scored from 0 to 3 ("not at all," "a little," "a lot," and "very much"), giving a total score ranging from 0 to 30. A high score is indicative of a poor QoL. The CDLQI is validated from adolescents younger than age of 16 years, which is based on a set of 10 questions different from those of the DLQI. Each question is scored from 0 to 3, giving a possible total score range from 0 (meaning no impact of skin disease on quality of life) to 30 (meaning maximum impact on quality of life). Up to Week 16
Secondary Percentage of Participants Achieving a 4-point Improvement in DLQI/CDLQI The DLQI is a 10-item validated questionnaire completed by the participant or caregiver used to assess the impact of skin disease on the participant's QoL during the previous week. The 10 questions cover the following topics: symptoms, embarrassment, shopping and home care, clothes, social and leisure, sport, work or study, close relationships, sex, and treatment. Each question is scored from 0 to 3 ("not at all," "a little," "a lot," and "very much"), giving a total score ranging from 0 to 30. A high score is indicative of a poor QoL. The CDLQI is validated from adolescents younger than age of 16 years, which is based on a set of 10 questions different from those of the DLQI. Each question is scored from 0 to 3, giving a possible total score range from 0 (meaning no impact of skin disease on quality of life) to 30 (meaning maximum impact on quality of life). Up to Week 16
Secondary Percentage of Participants with Topical Corticosteroids (TCS)-free Days Proportion of participants TCS- free days will be reported Baseline up to Week 16
Secondary Time to TCS-free Use Time to TCS- free Use (days) will be reported Up to Week 16
Secondary Change from Baseline in Skin Pain NRS The Skin Pain NRS is an 11-point scale completed by participants to rate their worst skin pain (example, discomfort or soreness) severity over the past 24 hours, with 0 indicating "No pain" and 10 indicating "Worst pain imaginable. Up to Week 16
Secondary Percentage of Participants Achieving a 4- point Improvement in Skin Pain NRS The Skin Pain NRS is an 11-point scale completed by participants to rate their worst skin pain (example, discomfort or soreness) severity over the past 24 hours, with O indicating "No pain" and 10 indicating "Worst pain imaginable. Week 16
See also
  Status Clinical Trial Phase
Completed NCT03563066 - Effect of Benralizumab in Atopic Dermatitis Phase 2
Terminated NCT04086121 - A Study to Test the Long-term Safety of BI 655130 in Patients With Atopic Eczema Who Took Part in Study 1368-0032 Phase 2
Recruiting NCT04011215 - Wool Clothing for the Management of Childhood Atopic Dermatitis (DESSINE2) N/A
Completed NCT04635072 - Stabilized Whole Rice Bran (SWRB) for Mild to Moderate Atopic Dermatitis Early Phase 1
Completed NCT02916888 - A Study Comparing the Quality of Life of Patients in the Treatment of Eczema by Pediatric Generalists and Specialists N/A
Completed NCT01945086 - A Study of Ustekinumab (STELARA®) in Adult Japanese Participants With Severe Atopic Dermatitis Phase 2
Completed NCT00541255 - A Long-Term Examination of Asthma From Childhood Through Adolescence
Terminated NCT04990440 - A Study of Bermekimab for the Treatment of Adult Participants With Moderate-to-Severe Atopic Dermatitis Phase 2
Completed NCT02900131 - Efficacy, Safety and Dose Finding Trial of Topical Jaungo Application in Atopic Dermatitis Patients Phase 2
Completed NCT03568136 - Investigation of Efficacy of Secukinumab in Patients With Moderate to Serve Atopic Dermatitis Phase 2
Recruiting NCT01631617 - Effects of Treatments on Atopic Dermatitis Phase 2
Completed NCT03672383 - Functional Study to Investigate the Efficacy of a New Medical Device (Modified Diprobase Formulation) N/A
Completed NCT03634345 - Drug Drug Interaction Study Evaluating the Effect of Fluvoxamine or Fluconazole on PK and Safety of PF-04965842. Phase 1
Enrolling by invitation NCT04761978 - Efficacy and Tolerance of JAK Inhibitors in ATU for Atopic Dermatitis
Completed NCT03663673 - Effect of Different Skin Creams on TEWL Phase 1
Recruiting NCT05177744 - Toxicity of Micro and Nano Plastics Combined With Environmental Contaminants on the Risk of Allergic Disease
Completed NCT03720470 - Study Evaluating Efficacy and Safety of PF-04965842 and Dupilumab in Adult Subjects With Moderate to Severe Atopic Dermatitis on Background Topical Therapy Phase 3
Completed NCT02637206 - Skin Irritation Study of GSK2894512 Cream Phase 1
Completed NCT05544591 - Evaluation of 611 in Chinese Adults With Moderate to Severe Atopic Dermatitis Phase 2
Completed NCT05094700 - A Study of a Polymeric Surfactant Technology Cleanser in Sensitive Skin Participants N/A