This is a multicenter, randomized, double-blind, 4-arm, placebo-controlled study to evaluate the efficacy and safety of twice-daily (BID) oral difelikefalin (CR845) in adult subjects with atopic dermatitis (AD) and moderate to severe pruritus.
The study will consist of a 30-day Screening period, a 7-day Run-In period, a 12-week Placebo-Controlled Treatment period followed by a 4-week Active Extension period and a Follow Up visit approximately 7 days after the last dose of study drug. All subjects will sign an informed consent form (ICF) and undergo screening for study eligibility. Subjects will be randomized to receive either placebo or difelikefalin (CR845) tablets at a dose of 0.25 mg, 0.5 mg, or 1.0 mg, orally BID. Intake of the first dose of study drug will be at Day 1. Subjects who complete the Placebo-Controlled Treatment period of the study will transition into the Active Extension upon completion of the Week 12 visit assessments. All subjects in the Active Extension will receive difelikefalin (CR845).
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
DOUBLE
Enrollment
401
Oral difelikefalin 0.25 mg administered twice daily
Oral difelikefalin 0.5 mg administered twice daily
Oral difelikefalin 1.0 mg administered twice daily
Change from baseline in the weekly mean of the daily 24-hour Itch-Numeric Rating Scale (I-NRS) score at Week 12.
Time frame: Baseline, Week 12
Reduction of itch intensity as assessed by the proportion of patients achieving an improvement from baseline ≥4 points with respect to the weekly mean of the daily 24-hour I-NRS score at Week 12
Time frame: Week 12
Improvement in itch-related quality of life as assessed by the change from baseline to Week 12 in 5-D Itch Scale score
Time frame: Baseline, Week 12
Improvement in itch-related quality of life as assessed by the change from baseline to Week 12 in total Skindex-10 Scale score
Time frame: Baseline, Week 12
Improvement in itch-related quality of life as assessed by the change from baseline to Week 12 in Sleep Quality Assessment.
Time frame: Baseline, Week 12
Percent of subjects with adverse events.
Time frame: Baseline, Week 12
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Oral Placebo administered twice daily
Cara Therapeutics Study Site
Anniston, Alabama, United States
Cara Therapeutics Study Site
Birmingham, Alabama, United States
Cara Therapeutics Study Site
Scottsdale, Arizona, United States
Cara Therapeutics Study Site
Bryant, Arkansas, United States
Cara Therapeutics Study Site
Fountain Valley, California, United States
Cara Therapeutics Study Site
Lomita, California, United States
Cara Therapeutics Study Site
Cromwell, Connecticut, United States
Cara Therapeutics Study Site
Farmington, Connecticut, United States
Cara Therapeutics Study Site
Aventura, Florida, United States
Cara Therapeutics Study Site 2
Miami, Florida, United States
...and 30 more locations