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Clinical Trial Details — Status: Completed

Administrative data

NCT number NCT04162769
Other study ID # APD334-201
Secondary ID
Status Completed
Phase Phase 2
First received
Last updated
Start date October 4, 2019
Est. completion date October 11, 2021

Study information

Verified date October 2022
Source Arena Pharmaceuticals
Contact n/a
Is FDA regulated No
Health authority
Study type Interventional

Clinical Trial Summary

The purpose of this study is to determine whether etrasimod is a safe and effective treatment for moderate-to-severe atopic dermatitis (AD).


Recruitment information / eligibility

Status Completed
Enrollment 140
Est. completion date October 11, 2021
Est. primary completion date September 9, 2020
Accepts healthy volunteers No
Gender All
Age group 18 Years to 70 Years
Eligibility Inclusion criteria: - Participants with chronic atopic dermatitis, defined by Hanifin and Rajka criteria, that has been present for at least 1 year prior to the Screening Visit - Participants with Eczema Area and Severity Index (EASI) = 12 at the Screening Visit and = 16 at the Baseline Visit - Participants with validated Investigator's Global Assessment (vIGA) score = 3 (on the 0 to 4 vIGA scale, in which 3 = moderate and 4 = severe) involvement at the Screening and Baseline visits Exclusion Criteria: - Presence of skin comorbidities that would interfere with study assessments of the underlying disease.

Study Design


Related Conditions & MeSH terms


Intervention

Drug:
Etrasimod 1 mg
Etrasimod 1 mg tablet taken by mouth, once daily
Etrasimod 2 mg
Etrasimod 2 mg tablet taken by mouth, once daily.
Etrasimod matching placebo
Etrasimod matching placebo tablet by mouth, once daily.

Locations

Country Name City State
Australia Sinclair Dermatology East Melbourne Victoria
Australia Premier Specialists PTY LTD Kogarah New South Wales
Canada Diex Recherche Sherbrooke Inc. Sherbrooke Quebec
United States Gadolin Research Beaumont Texas
United States Hope Clinical Research Canoga Park California
United States Clinical Research of West Florida Clearwater Florida
United States Modern Research Associates, PLLC Dallas Texas
United States Prohealth Research Center Doral Florida
United States First OC Dermatology Fountain Valley California
United States FMC Science Georgetown Texas
United States Aby's New Generation Research, Inc. Hialeah Florida
United States Skin Care Research, LLC Hollywood Florida
United States Advanced Research Institute of Miami LLC Homestead Florida
United States Amber Pediatrics Research, LLC Homestead Florida
United States Marvel Research LLC Huntington Beach California
United States ADVA Clinical Research, Inc Inglewood California
United States FMC Science Lampasas Texas
United States Excel Clinical Research Las Vegas Nevada
United States Skin Sciences PLLC Louisville Kentucky
United States Amber Pediatrics Research, LLC Miami Florida
United States Skin Research of South Florida Miami Florida
United States South Miami Medical & Research Group. Inc Miami Florida
United States Amber Clinical Research, LLC Miami Shores Florida
United States Greenwich Village Dermatology New York New York
United States Alliance for Multispecialty Research Norfolk Virginia
United States Providence Clinical Research North Hollywood California
United States Quality Clinical Research Inc Omaha Nebraska
United States ODRC Enterprises, LLC dba Oregon Dermatology and Research Center Portland Oregon
United States Health Concepts Rapid City South Dakota
United States Clinical Research Partners, LLC Richmond Virginia
United States Quinn Healthcare/SKYCRNG Ridgeland Mississippi
United States IMA Clinical Research, LLC Saint Petersburg Florida
United States TCR Medical Corporation San Diego California
United States Spartanburg Medical Research Spartanburg South Carolina
United States Premier Clinical Research Spokane Washington
United States Clinical Research of West Florida, Inc. Tampa Florida
United States Noble Clinical Research Tucson Arizona
United States Rophe Adult and Pediatric Medicine/SKYCRNG Union City Georgia

Sponsors (1)

Lead Sponsor Collaborator
Arena Pharmaceuticals

Countries where clinical trial is conducted

United States,  Australia,  Canada, 

Outcome

Type Measure Description Time frame Safety issue
Primary Double-blind Treatment Period: Percent Change in Eczema Area and Severity Index (EASI) Score EASI evaluates severity of participant's AD based on severity of AD clinical signs and percent (%) of body surface area (BSA) affected. EASI is a composite scoring assessment of the affected area in 4 specific disease characteristics (erythema, thickness [induration, papulation, edema], scratching [excoriation], and lichenification), which was each assessed on a scale of "0" (absent) through "3" (severe). The EASI Area Score is documented for 4 regions of the body. Region 1: head and neck; Region 2: trunk (including genital area); Region 3: upper limbs; and Region 4: lower limbs (including buttocks), with the area of AD involvement assessed as a percentage by body area and converted to a score of 0 to 6. Total EASI score ranged from 0 to 72; higher score indicated greater severity of AD. Baseline is defined as Day 1 pre-randomization assessments. Baseline (Day 1) and Week 12
Secondary Double-blind Treatment Period: Percentage of Participants Achieving EASI-75 EASI-75 is defined as a 75% reduction or greater in EASI score from Baseline to Week 12. Baseline is defined as Day 1 pre-randomization assessments. Baseline (Day 1) and Week 12
Secondary Double-blind Treatment Period: Percentage of Participants Achieving a Validated Investigator Global Assessment (vIGA) 0 or 1 Score and a Reduction From Baseline of >= 2 Points The vIGA scale for AD is a 5-point scale to measure disease severity. The vIGA score was selected using descriptors that best described the overall appearance of skin lesions at a given time point using the following scoring: 0 = clear (no inflammatory signs of AD); 1 = almost clear (barely perceptible erythema and papulation); 2 = mild (slight but definite erythema and papulation); 3 = moderate (clearly perceptible erythema and papulation); and 4 = severe (marked erythema and papulation); Higher score indicated greater severity. Baseline is defined as Day 1 pre-randomization assessments. Baseline (Day 1) and Week 12
Secondary Double-blind Treatment Period: Percent Change in Weekly Peak Pruritus Numerical Rating Scale (NRS) From an Itch Daily Diary Pruritus NRS is an assessment tool that was used to report the intensity of a participant's pruritus (itch). The scale for the pruritus NRS ranged from 0 to 10 with 0 being "no itch" and 10 being "the worst itch imaginable; higher scores indicated greater severity. Baseline is defined as Day 1 pre-randomization assessments. Baseline (Day 1) and Week 12
Secondary Double-blind Treatment Period: Percentage of Participants With Improvement (Reduction) in Peak Pruritus NRS Greater Than or Equal to (>=)3 From an Itch Daily Diary Pruritus NRS is an assessment tool that was used to report the intensity of a participant's pruritus (itch). The scale for the pruritus NRS ranged from 0 to 10 with 0 being "no itch" and 10 being "the worst itch imaginable; higher scores indicated greater severity. Percentage of participants with improvement (reduction) in peak pruritus NRS >=3 from an itch daily diary is presented. Baseline is defined as Day 1 pre-randomization assessments. Baseline (Day 1) and Week 12
Secondary Double-blind Treatment Period: Percentage of Participants Achieving EASI-50 EASI-50 is defined as a 50% reduction or greater of EASI from Baseline to Week 12. Percentage of participants achieving EASI-50 is presented. Baseline is defined as Day 1 pre-randomization assessments. Baseline (Day 1) and Week 12
Secondary Double-blind Treatment Period: Percentage of Participants Achieving EASI-90 EASI-90 is defined as as a 90% reduction or greater of EASI from Baseline to Week 12. Percentage of participants achieving EASI-90 is presented Baseline is defined as Day 1 pre-randomization assessments. Baseline (Day 1) and Week 12
Secondary Double-blind Treatment Period: Percent Change in Percent Body Surface Area (BSA) BSA affected by AD were assessed for each section of the body. The possible highest score for each region was: head and neck (9%), anterior trunk (18%), back (18%), upper limbs (18%), lower limbs (36%), and genitals (1%) and were reported as a percentage of all major body sections combined; higher % BSA indicated greater severity. Baseline is defined as Day 1 pre-randomization assessments Baseline (Day 1) and Week 12
Secondary Open-label Extension (OLE) Period: Percent Change in EASI EASI evaluates severity of participant's AD based on severity of AD clinical signs and percent (%) of body surface area (BSA) affected. EASI is a composite scoring assessment of the affected area in 4 specific disease characteristics (erythema, thickness [induration, papulation, edema], scratching [excoriation], and lichenification), which was each assessed on a scale of "0" (absent) through "3" (severe). The EASI Area Score is documented for 4 regions of the body. Region 1: head and neck; Region 2: trunk (including genital area); Region 3: upper limbs; and Region 4: lower limbs (including buttocks), with the area of AD involvement assessed as a percentage by body area and converted to a score of 0 to 6. Total EASI score ranged from 0 to 72; higher score indicated greater severity of AD. Baseline is defined as the last measurement prior to the first etrasimod dose started at Week 16. Baseline (Week 16) and Week 68
Secondary OLE Period: Number of Participants Achieving a EASI-75 Score EASI evaluates severity of participant's AD based on severity of AD clinical signs and percent (%) of body surface area (BSA) affected. EASI is a composite scoring assessment of the affected area in 4 specific disease characteristics (erythema, thickness [induration, papulation, edema], scratching [excoriation], and lichenification), which was each assessed on a scale of "0" (absent) through "3" (severe). The EASI Area Score is documented for 4 regions of the body. Region 1: head and neck; Region 2: trunk (including genital area); Region 3: upper limbs; and Region 4: lower limbs (including buttocks), with the area of AD involvement assessed as a percentage by body area and converted to a score of 0 to 6. Total EASI score ranged from 0 to 72; higher score indicated greater severity of AD. EASI-75 is defined as a >=75% reduction or greater of EASI from Baseline. Baseline (Week 16) and Week 68
Secondary OLE Period: Number of Participants Achieving a Validated Investigator Global Assessment (vIGA) 0 or 1 Score and a Reduction From Baseline of = 2 Points The vIGA scale for AD is a 5-point scale to measure disease severity. The vIGA score was selected using descriptors that best described the overall appearance of skin lesions at a given time point using the following scoring: 0 = clear (no inflammatory signs of AD); 1 = almost clear (barely perceptible erythema and papulation); 2 = mild (slight but definite erythema and papulation); 3 = moderate (clearly perceptible erythema and papulation); and 4 = severe (marked erythema and papulation); Higher score indicated greater severity. Baseline (Week 16) and Week 68
Secondary OLE Period: Percent Change in SCORing Atopic Dermatitis (SCORAD) Total Score The SCORAD is a validated measure of the extent and severity of AD using 3 components: A = extent or affected BSA, B = severity and C = subjective symptoms. The extent of AD was assessed as percentage of each defined body area and reported as the sum of all areas, with a maximum score of 100%. The severity of 6 specific symptoms was assessed using the following scale: none (0), mild (1), moderate (2), or severe (3) (for a maximum of 18 total points, assigned as "B" in the overall SCORAD calculation). Subjective assessment of itch and sleeplessness was recorded for each symptom by the participant or relative on a Visual Analogue Scale, where 0 is no itch (or sleeplessness) and 10 is the worst imaginable itch (or sleeplessness), with a maximum possible score of 20. This parameter is assigned as "C" in the overall SCORAD calculation. The total SCORAD ranged from 0 (no disease) to 103 (severe disease); higher score indicated more severe AD. Baseline (Week 16) and Week 68
Secondary OLE Period: Percent Change in Percent BSA BSA affected by AD were assessed for each section of the body. The possible highest score for each region was: head and neck (9%), anterior trunk (18%), back (18%), upper limbs (18%), lower limbs (36%), and genitals (1%) and were reported as a percentage of all major body sections combined; higher % BSA indicated greater severity. Baseline is defined as the last measurement prior to the first etrasimod dose started at Week 16. Baseline (Week 16) and Week 68
Secondary OLE Period: Percent Change in Weekly Peak Pruritus NRS From an Itch Daily Diary Pruritus NRS is an assessment tool that was used to report the intensity of a participant's pruritus (itch). The scale for the pruritus NRS ranged from 0 to 10 with 0 being "no itch" and 10 being "the worst itch imaginable; higher scores indicated greater severity. Baseline is defined as the last measurement prior to the first etrasimod dose started at Week 16. Baseline (Week 16) and Week 28
Secondary OLE Period: Change in Patient-Oriented Eczema Measure (POEM) The POEM is a participant-derived validated tool used for monitoring atopic eczema severity. The POEM consisted of 7 questions asking participants to rank how many days over the past 7 days they had experienced specific AD-related symptoms. Each of the 7 questions carried equal weight and was scored from 0 to 4 as follows: No days = 0; 1-2 days = 1; 3-4 days = 2; 5-6 days = 3; Every day = 4. The scores from the 7 questions were added up to give an overall POEM score as: 0-2 = 'clear/almost clear', 3-7 = 'mild', 8-16 = 'moderate', 17-24 = 'severe', and 25-28 = 'very severe atopic eczema'; higher scores indicated worse atopic eczema severity. Baseline is defined as the last measurement prior to the first etrasimod dose started at Week 16. Baseline (Week 16) and Week 68
Secondary OLE Period: Change in Dermatology Life Quality Index (DLQI) The DLQI is a validated 10-item questionnaire designed to measure the impact of skin disease on the Quality of Life (QoL). DLQI is a response to 10 items, which assessed QoL over the past week. For each item, the scale was rated as follows: 0 = "not at all"; 1 = "a little"; 2 = "a lot"; 3 = "very much," with an overall scoring system of 0 to 30; higher scores indicated a poor QoL. Baseline is defined as the last measurement prior to the first etrasimod dose started at Week 16. Baseline (Week 16) and Week 68
Secondary OLE Period: Change in Patient Global Assessment (PGA) of Disease PGA is an assessment tool that was used by participant to rate the disease and disease severity. Participants rated their overall well-being based on a 5-point Likert scale from poor to excellent. Response choices were: 1- 'Poor', 2- 'Fair', 3- 'Good', 4- 'Very Good,' or 5- 'Excellent'; higher scores indicated better well-being. For the 5-point Likert scale, a positive change from baseline indicates an improvement. Baseline is defined as the last measurement prior to the first etrasimod dose started at Week 16. Baseline (Week 16) and Week 68
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