This is a parallel, Phase 2b, randomized, double-blind, placebo-controlled, multicenter study to assess the efficacy, safety, and tolerability of lunsekimig monotherapy in adult participants (aged 18 to 80 years, inclusive) with moderate-to-severe atopic dermatitis (AD). This study explores the efficacy and safety of 3 subcutaneous (SC) dose regimens of lunsekimig in adult participants with moderate-to-severe AD who have a documented history, within 6 months prior to baseline, of an inadequate response to topical treatments or for whom topical therapies are not advised. The study consists of 6 arms: 3 parallel dosing regimens and matching placebo arms. Additionally, participants have the option of engaging in a dense pharmacokinetic/pharmodynamic (PK/PD) sampling subgroup. The study duration will be up to approximately 36 weeks, including up to 4 weeks of screening, 24 weeks of treatment period and an 8-week safety follow-up period.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
TRIPLE
Enrollment
150
Pharmaceutical form: Solution for injection in vial Route of administration: Subcutaneous injection
Pharmaceutical form: Solution for injection in vial Route of administration: Subcutaneous injection
T. Joseph Raoof MD Inc-Site Number: 8400004
Encino, California, United States
Integrative Skin Science and Research-Site Number: 8400002
Sacramento, California, United States
Clinical Trials Research Institute-Site Number: 8400003
Thousand Oaks, California, United States
Skin Care Research-Site Number: 8400013
Boca Raton, Florida, United States
Driven Research LLC-Site Number: 8400020
Coral Gables, Florida, United States
Percent change in Eczema Area and Severity Index (EASI) score from baseline to Week 24
Eczema Area and Severity index is an Investigator-assessed validated tool used to measure the extent (area) and severity of atopic dermatitis (AD). Total score ranges from 0 to 72 with a higher score indicating increased extent and severity of AD.
Time frame: From Baseline throughout the study, up to Week 24
Proportion of participants achieving EASI-75 at Week 24
EASI 75 is defined by reduction of EASI score by ≥75% from baseline
Time frame: From Baseline throughout the study, up to Week 24
Proportion of participants with a Validated Investigator Global Assessment Scale for Atopic Dermatitis (vIGA-AD) score of 0 (clear) or 1 (almost clear) and a reduction from Baseline of ≥2 points at Week 24
The Validated Investigator Global Assessment Scale for Atopic Dermatitis (vIGA-AD) score is a 5-point scale used to determine severity of AD and clinical response to treatment, ranging from 0 (clear) to 4 (severe).
Time frame: From Baseline throughout the study, up to Week 24
Proportion of participants with reduction (improvement) of ≥4 in the weekly average of daily Peak Pruritis-Numerical Rating Scale (PP-NRS) score from Baseline to Week 24
The Peak Pruritis-Numerical Rating Scale (PP-NRS) is a validated single-item patient-reported outcome (PRO) to assess worst itch intensity on a scale of 0 to 10, with 0 being "no itch" and 10 being "worst itch imaginable".
Time frame: From Baseline throughout the study, up to Week 24
Absolute change from Baseline in EASI score at Week 24
Eczema Area and Severity index is an Investigator-assessed validated tool used to measure the extent (area) and severity of atopic dermatitis (AD). Total score ranges from 0 to 72 with a higher score indicating increased extent and severity of AD.
Time frame: From Baseline throughout the study, up to Week 24
Percent change from Baseline in EASI score throughout the study
Eczema Area and Severity index is an Investigator-assessed validated tool used to measure the extent (area) and severity of atopic dermatitis (AD). Total score ranges from 0 to 72 with a higher score indicating increased extent and severity of AD.
Time frame: From Baseline throughout the study, up to Week 24
Proportion of participants with a vIGA-AD score of 0 (clear) or 1 (almost clear) at Week 24
The Validated Investigator Global Assessment Scale for Atopic Dermatitis (vIGA-AD) score is a 5-point scale used to determine severity of AD and clinical response to treatment, ranging from 0 (clear) to 4 (severe).
Time frame: From Baseline throughout the study, up to Week 24
Proportion of participants with a response of vIGA-AD 0 or 1 and a reduction from Baseline of ≥2 points throughout the study
The Validated Investigator Global Assessment Scale for Atopic Dermatitis (vIGA-AD) score is a 5-point scale used to determine severity of AD and clinical response to treatment, ranging from 0 (clear) to 4 (severe).
Time frame: From Baseline throughout the study, up to Week 24
Percent change in the weekly average of daily PPNRS scores from Baseline to Week 24
The Peak Pruritis-Numerical Rating Scale (PP-NRS) is a validated single-item patient-reported outcome (PRO) to assess worst itch intensity on a scale of 0 to 10, with 0 being "no itch" and 10 being "worst itch imaginable".
Time frame: From Baseline throughout tje study, up to Week 24
Percent change in the weekly average of daily sleep disturbance NRS score from Baseline to Week 24
The Sleep Disturbance-Numerical Rating Scale (SD-NRS) is a validated single item 0-10 numerical rating scale assessing sleep disturbance associated with AD, with 0 being 'no sleep loss related to the symptoms of AD' and 10 being 'I did not sleep at all' due to the symptoms of AD.
Time frame: From Baseline throughout the study, up to Week 24
Percent change in the weekly average of daily skin pain NRS score from Baseline to Week 24
The Skin Pain-NRS is a whole number scale ranging from 0 to 10 with a 24-hour recall period, with 0 = no pain and 10 = worst possible pain imaginable. The threshold for determining clinically meaningful change is ≥ 4-point change in the weekly average SP-NRS.
Time frame: From Baseline throughout the study, up to Week 24
Change in percent Body Surface Area (BSA) affected by Atopic Dermatitis from Baseline to Week 24.
The BSA affected by AD will be assessed in 4 body regions: head/neck, trunk (including the genitals), upper extremities, and lower extremities (including the buttocks). Each body region should be evaluated from 0 to 100%. The percentage of the affected area will be multiplied by the proportion of that body region to the whole body.
Time frame: From Baseline throughout the study, up to Week 24
Proportion of participants achieving EASI-50 at Week 24
EASI-50 is defined by reduction of EASI score by ≥50% from baseline.
Time frame: From Baseline throughout the study, up to Week 24
Proportion of participants achieving EASI-90 at Week 24
EASI-90 is defined by reduction of EASI score by ≥90% from baseline.
Time frame: From Baseline throughout the study, up to Week 24
Proportion of participants with improvement (reduction) of ≥4 points in the weekly average of daily PP NRS scores from Baseline throughout the study
The Peak Pruritis-Numerical Rating Scale (PP-NRS) is a validated single-item patient-reported outcome (PRO) to assess worst itch intensity on a scale of 0 to 10, with 0 being "no itch" and 10 being "worst itch imaginable".
Time frame: From Baseline throughout the study, up to Week 24
Proportion of participants with improvement (reduction) of ≥4 points in the weekly average of daily SD-NRS scores from Baseline to Week 24, in participants with a baseline weekly average of daily SD-NRS scores of ≥4 points
The Sleep Disturbance-Numerical Rating Scale (SD-NRS) is a validated single item 0-10 numerical rating scale assessing sleep disturbance associated with AD, with 0 being 'no sleep loss related to the symptoms of AD' and 10 being 'I did not sleep at all' due to the symptoms of AD.
Time frame: From Baseline throughout the study, up to Week 24
Proportion of participants with improvement (reduction) of ≥4 points in the weekly average of daily Skin Pain NRS scores from Baseline to Week 24, in participants with a baseline weekly average of daily Skin Pain NRS scores of ≥4 points
The Skin Pain--Numerical Rating Scale (SP-NRS) is a whole number scale ranging from 0 to 10 with a 24-hour recall period, with 0 = no pain and 10 = worst possible pain imaginable. The threshold for determining clinically meaningful change is ≥ 4-point change in the weekly average SP-NRS.
Time frame: From Baseline throughout the study, up to Week 24
Percent change in Scoring of Atopic Dermatitis (SCORAD) Index from Baseline to Week 24
The Scoring of Atopic Dermatitis (SCORAD) Index is a validated clinical tool that was developed to standardize the evaluation of the extent and severity of AD. Total score ranges from 0 (absent disease) to 103 (severe disease).
Time frame: From Baseline throughout the study, up to Week 24
Proportion of participants with an improvement of ≥4 points in Dermatology Life Quality Index (DLQI) score from Baseline to Week 24 and throughout the study
The Dermatology Life Quality Index (DLQI) is a 10-item dermatology specific health-related quality of life (HRQoL) questionnaire. The total score is correlated to the detrimental effect of AD on QoL and ranges from 0 to 30, with a higher score indicating a poorer QoL.
Time frame: From Baseline throughout the study, up to Week 24
Percent change in Dermatology Life Quality Index (DLQI) score from Baseline to Week 24 and throughout the study
The Dermatology Life Quality Index (DLQI) is a 10-item dermatology specific health-related quality of life (HRQoL) questionnaire. The total score is correlated to the detrimental effect of AD on QoL and ranges from 0 to 30, with a higher score indicating a poorer QoL.
Time frame: From Baseline throughout the study, up to Week 24
Percent change in Patient Oriented Eczema Measure (POEM) score from Baseline to Week 24
The Scoring of Atopic Dermatitis (SCORAD) Index is a validated clinical tool that was developed to standardise the evaluation of the extent and severity of AD.
Time frame: From Baseline throughout the study, up to Week 24,
Percent change in Hospital Anxiety and Depression Scale (HADS) from Baseline to Week 24
The Hospital Anxiety and Depression Scale (HADS) is a 14-item patient-reported outcome (PRO) questionnaire used to assess states of anxiety and depression over the past week with two subscales. Each subscale (anxiety \& depression) ranges 0-21. The total HADS score ranges 0-42 with higher score indicating a poorer state.
Time frame: From Baseline throughout the study, up to to Week 24
Incidence of Antidrug antibody (ADA) against lunsekimig up to end of study
Time frame: From Baseline throughout the study, up to Week 32
Serum concentrations of lunsekimig throughout the study
Time frame: From Baseline throughout the study, up to Week 32
Serum concentrations of lunsekimig in the pharmacokinetic/pharmacodynamics (PK/PD) subgroup throughout the study
Time frame: From Baseline throughout the study, up to Week 32
Number of participants with treatment-emergent adverse events (TEAEs), including local reactions, adverse events of special interest (AESIs), and serious adverse events (SAEs)
Time frame: From Baseline throughout the study, up to Week 32
This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.
Revival Research Institute, LLC-Site Number: 8400021
Evans, Georgia, United States
Treasure Valley Medical Research-Site Number: 8400026
Boise, Idaho, United States
Southern Indiana Clinical Trials-Site Number: 8400024
New Albany, Indiana, United States
Indiana Clinical Trials Center, P.C.-Site Number: 8400018
Plainfield, Indiana, United States
Optima Research-Site Number: 8400019
Plainfield, Indiana, United States
...and 42 more locations