Atopic Dermatitis Clinical Trial
Official title:
A Phase 3 Randomized, Placebo-Controlled, Double-Blind Study to Evaluate Upadacitinib in Adolescent and Adult Subjects With Moderate to Severe Atopic Dermatitis
Verified date | March 2024 |
Source | AbbVie |
Contact | n/a |
Is FDA regulated | No |
Health authority | |
Study type | Interventional |
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.
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 |
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 |
Lead Sponsor | Collaborator |
---|---|
AbbVie |
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,
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 |
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