This study is a randomized, double-blind, placebo-controlled, multicenter Phase Ib/II clinical study designed to evaluate the efficacy, safety, and PK characteristics of HL-300 ointment with different concentration regimens for mild-to-moderate AD.
In the study, it is planned to enroll approximately 148-156 trial participants, divided into two cohorts. Cohort 1: a randomized, double-blind, placebo-parallel controlled study design, planning to enroll 140 trial participants, randomized in a 1:1:1:1 ratio to the study group or placebo group, with baseline disease severity (mild \[vIGA-AD = 2\] and moderate \[vIGA-AD = 3\]) set as stratification factors to ensure balanced participant status across groups. Cohort 2: an open-label, intensive sampling design, planning to enroll 8 trial participants for each dosage strength, enrolled separately, with continuous dosing for 8 days. The study includes a screening period, a treatment period, and a follow-up period. The quality management system for this trial aims to prospectively integrate quality by design into all aspects of the trial to ensure the rights and interests, safety, and well-being of trial participants, and to guarantee the reliability of the generated data and the scientific validity of the trial results. This system strictly adheres to the principles of ICH E6(R3) and ICH E8(R1), employing a risk-based and proportionate approach. During the trial design phase, the investigators have systematically identified the critical to quality (CtQ) factors for ensuring the quality of this trial. Given the known safety profile of JAK inhibitors (e.g., infections, hematologic abnormalities, hepatic and renal function effects, thrombosis, etc.), the CtQ factors for this trial will specifically focus on: * Trial participant safety: Identification, recording, assessment, and timely reporting of Adverse Events (AEs) and Serious Adverse Events (SAEs). * Key efficacy data: Accuracy and integrity of data collection related to the primary and secondary endpoints of the trial (e.g., vIGA-AD, EASI, BSA, WI-NRS, DLQI, SCORAD, etc.). * Critical processes: Strict adherence to inclusion/exclusion criteria during participant screening \[e.g., exclusion of severe infections (including herpes zoster, tuberculosis, and other opportunistic infections) and active infections, hematologic toxicity (anemia, neutropenia), elevated transaminases, and high-risk thrombosis population\], protocol-mandated laboratory tests (e.g., blood routine, blood biochemistry, urinalysis, coagulation function, etc.), completeness of randomization and blinding, concomitant medication management (e.g., contraindications for topical medications for AD or AD-related skin infections, systemic treatments for AD, systemic immunosuppressants or immunomodulators, other JAK inhibitors, etc.), rules for suspension/termination of dosing.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
QUADRUPLE
Enrollment
156
Hangzhou First People's Hospital
Hangzhou, Zhejiang, China
RECRUITINGEczema Area and Severity Index (EASI)
Percentage change from baseline in Eczema Area and Severity Index (EASI) score at Week 4 (W4). The EASI score ranges from 0 to 72, with higher scores indicating more severe AD.
Time frame: 4 weeks
Eczema Area and Severity Index(EASI)
Change from baseline in EASI score at Weeks 1, 2, 3, 4, and 6 after treatment. The EASI score ranges from 0 to 72, with higher scores indicating more severe AD.
Time frame: at Weeks 1, 2, 3, and 6 after treatment.
EASI50(≥50% improvement from baseline in EASI score)
Proportion of trial participants with ≥50% improvement from baseline in EASI score (EASI50) at Weeks 1, 2, 3, 4, and 6 after treatment. The EASI score ranges from 0 to 72, with higher scores indicating more severe AD.
Time frame: at Weeks 1, 2, 3, 4, and 6 after treatment
EASI75(≥75% improvement from baseline in EASI score)
Proportion of trial participants with ≥75% improvement from baseline in EASI score (EASI75) at Weeks 1, 2, 3, 4, and 6 after treatment. The EASI score ranges from 0 to 72, with higher scores indicating more severe AD.
Time frame: at Weeks 1, 2, 3, 4, and 6 after treatment
EASI90(≥90% improvement from baseline in EASI score)
Proportion of trial participants with ≥90% improvement from baseline in EASI score (EASI90) at Weeks 1, 2, 3, 4, and 6 after treatment. The EASI score ranges from 0 to 72, with higher scores indicating more severe AD.
Time frame: at Weeks 1, 2, 3, 4, and 6 after treatment.
Validated Investigator Global Assessment for Atopic Dermatitis(vIGA-AD)
Proportion of trial participants achieving vIGA-AD score of 0 (clear) or 1 (almost clear) and ≥2-point improvement from baseline at Weeks 1, 2, 3, 4, and 6 after treatment. The vIGA-AD scale divides disease severity into 5 grades (0 = clear; 1 = almost clear; 2 = mild; 3 = moderate; 4 = severe), each corresponding to specific skin lesion morphological characteristics. A higher grade indicates greater severity.
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Group A receives the investigational product at a concentration of 1.0%, BID,4 weeks.
Time frame: at Weeks 1, 2, 3, 4, and 6 after treatment.
Validated Investigator Global Assessment for Atopic Dermatitis(vIGA-AD)
Proportion of trial participants achieving vIGA-AD score of 0 or 1 at Weeks 1, 2, 3, 4, and 6 after treatment. The vIGA-AD scale divides disease severity into 5 grades (0 = clear; 1 = almost clear; 2 = mild; 3 = moderate; 4 = severe), each corresponding to specific skin lesion morphological characteristics. A higher grade indicates greater severity.
Time frame: at Weeks 1, 2, 3, 4, and 6 after treatment.
Numeric Rating Scale (NRS)
Change from baseline in weekly average itch Numeric Rating Scale (NRS) at Weeks 1, 2, 3, 4, and 6 after treatment. This scale assesses the most severe itch intensity subjectively felt by the trial participant due to AD in the past 24 h. The scale rates itch intensity on 10 levels (0 means no itch, 10 means the worst itch imaginable), with integer scores.The higher the score, the greater the disease severity.
Time frame: at Weeks 1, 2, 3, 4, and 6 after treatment.
Numeric Rating Scale (NRS)
Percentage of trial participants with ≥4-point improvement from baseline in weekly average itch NRS at Weeks 1, 2, 3, 4, and 6 after treatment. This scale assesses the most severe itch intensity subjectively felt by the trial participant due to AD in the past 24 h. The scale rates itch intensity on 10 levels (0 means no itch, 10 means the worst itch imaginable), with integer scores.The higher the score, the greater the disease severity.
Time frame: at Weeks 1, 2, 3, 4, and 6 after treatment
Scoring Atopic Dermatitis(SCORAD)
\]Change from baseline and percentage change from baseline in Scoring Atopic Dermatitis (SCORAD) at Weeks 1, 2, 3, 4, and 6 after treatment. The SCORAD score ranging from 0 to 103 points. Based on the score, the condition is classified as mild (0-24 points), moderate (25-50 points), and severe (\>50 points).
Time frame: at Weeks 1, 2, 3, 4, and 6 after treatment.
Body Surface Area (BSA)
Change from baseline and percentage change from baseline in Body Surface Area (BSA) affected by AD at Weeks 1, 2, 3, 4, and 6 after treatment. The BSA ranges from 0% to 100%. The larger the range, the more severe the affected area.
Time frame: at Weeks 1, 2, 3, 4, and 6 after treatment.
Dermatology Life Quality Index (DLQI)
Change from baseline in Dermatology Life Quality Index (DLQI) score at Weeks 1, 2, 3, 4, and 6 after treatment. DLQI contains 10 questions, with a total score ranging from 0 to 30.The higher the score, the greater the impact on quality of life.
Time frame: at Weeks 1, 2, 3, 4, and 6 after treatment.