MedPath

A Study Evaluating APG777 in Atopic Dermatitis

Phase 2
Recruiting
Conditions
Atopic Dermatitis
Interventions
Drug: Placebo
Registration Number
NCT06395948
Lead Sponsor
Apogee Therapeutics, Inc.
Brief Summary

This is a two-part study that will evaluate the safety and efficacy of APG777 in participants with moderate-to-severe Atopic Dermatitis (AD). Part A (Proof-of-concept) and Part B (Dose-regimen Finding) will evaluate the safety and efficacy of various induction and maintenance dose regimens of APG777 compared to placebo. The study duration for any individual participant will be up to 106 weeks which includes: screening, induction, maintenance, and post-treatment follow-up periods. Participants randomized in Part A are not permitted to participate in Part B.

Detailed Description

Not available

Recruitment & Eligibility

Status
RECRUITING
Sex
All
Target Recruitment
391
Inclusion Criteria
  • Have a diagnosis of AD that has been present for >=1 year prior to the Screening visit
  • Moderate-to-severe AD at Screening and Baseline visits
  • History of inadequate response to treatment with topical medications, or medical determination that topical therapies are inadvisable
  • Applied a stable dose of non-medicated over-the-counter emollient/moisturizer of their choice on their skin for >=14 days prior to Baseline visit and agrees to continue using the same moisturizer throughout the study except the day of the study visits.
  • Have completed itch questionnaires in the electronic diary for >=4 of 7 days prior to Baseline visit
Exclusion Criteria
  • Participation in a prior study with APG777.
  • Prior treatment with protocol-specified monoclonal antibodies (mAbs)
  • Has used any AD-related topical medications within 7 days prior to Baseline visit.
  • Has used systemic treatments (other than biologics) and/or phototherapies and/or laser therapy that could affect AD within 4 weeks prior to Baseline visit

Note: Other protocol defined inclusion/exclusion criteria may apply.

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Part A: Induction Period: APG777APG777Participants will receive APG777 per protocol defined dosing regimen
Part A: Maintenance Period: APG777APG777Participants will receive 1 of 2 maintenance regimens of APG777 per protocol defined dosing regimen
Part A: Induction Period: PlaceboPlaceboParticipants will receive matching Placebo injections per protocol defined dosing regimen
Part B: Induction Period: PlaceboPlaceboParticipants will receive matching placebo injections per protocol defined dosing regimen
Part B: Induction Period: APG777APG777Participants will receive APG777 in 1 of 3 regimens per protocol defined dosing regimen
Part B: Maintenance Period: APG777APG777Participants will receive APG777 per protocol defined dosing regimen
Primary Outcome Measures
NameTimeMethod
Part A and B: Percent Change From Baseline in Eczema Area and Severity Index (EASI)Baseline and at Week 16
Secondary Outcome Measures
NameTimeMethod
Part A and B: Proportion of Participants Achieving EASI 50, 75, 90, and 100 ScoreBaseline through Week 16 and at Week 52
Part A and B: Percent Change from Baseline in the Weekly Mean of the Daily I-NRSBaseline through Week 16 and at Week 52
Part A and B: Maximum concentration (Cmax) of APG777Up to 106 Weeks
Part A and B: Percent Change from Baseline in EASIBaseline through Week 16 and at Week 52
Part A and B: Area Under the Concentration-Time Curve (AUC) from Time 0 to Time t (AUC0-t) in the Induction PeriodBaseline to 16 Weeks
Part A and B: Change from Baseline in EASIBaseline, through Week 16 and at Week 52
Part A and B: Number of Participants with Treatment Emergent Adverse Events (TEAEs)Up to 106 Weeks
Part A and B: Proportion of Participants Achieving a >= 4 Point Improvement in the Weekly Mean of the Daily Itch Numeric Rating Scale (I-NRS)Baseline through Week 16 and at Week 52
Part A and B: Serum Concentrations of APG777 Over TimeUp to 106 Weeks
Part A and B: Proportion of Participants Achieving a Validated Investigator Global Assessment (vIGA-AD) Score of 0 (clear) or 1 (almost clear) and a >= 2-Point ReductionBaseline through Week 16 and at Week 52
Part A and B: Change from Baseline in Body Surface Area (BSA) InvolvementBaseline through Week 16 and at Week 52
Part A and B: Predose Serum Concentrations of APG777 (Ctrough)Up to 106 Weeks
Part A and B: Time to reach Cmax (tmax)Up to 106 Weeks
Part A and B: AUC Over the Dosing Interval (AUC0-tau) in the Maintenance Period16 Weeks to 52 Weeks

Trial Locations

Locations (64)

Investigational site #55

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Hamburg, Germany

Investigational site #60

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Berlin, Germany

Investigational site #52

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Ajax, Ontario, Canada

Investigational site #53

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Ottawa, Ontario, Canada

Investigational site #54

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Prague, Czechia

Investigational site #59

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Prague, Czechia

Investigational site #57

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Prague, Czechia

Investigational site #63

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Tuebingen, Baden-WΓΌrttemberg, Germany

Investigational site #62

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MΓΌnchen, Bayern, Germany

Investigational site #58

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Blankenfelde-Mahlow, Brandenburg, Germany

Investigational site #61

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Darmstadt, Hessen, Germany

Investigational site #64

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Luebeck, Schleswig-Holstein, Germany

Investigational site #56

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Szczecin, Zachodniopomorskie, Poland

Investigational Site #14

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Fountain Valley, California, United States

Investigational Site # 46

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Los Angeles, California, United States

Investigational Site # 8

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San Diego, California, United States

Investigational Site # 44

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New Haven, Connecticut, United States

Investigational Site # 1

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Coral Gables, Florida, United States

Investigational site #48

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Jacksonville, Florida, United States

Investigational Site # 21

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Margate, Florida, United States

Investigational site #47

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Douglasville, Georgia, United States

Investigational Site # 36

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Skokie, Illinois, United States

Investigational Site # 38

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West Lafayette, Indiana, United States

Investigational site #50

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Bowling Green, Kentucky, United States

Investigational Site # 2

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Rockville, Maryland, United States

Investigational Site # 43

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Detroit, Michigan, United States

Investigational Site #10

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Troy, Michigan, United States

Investigational Site #16

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Portsmouth, New Hampshire, United States

Investigational site #49

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New York, New York, United States

Investigational Site # 3

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Wilmington, North Carolina, United States

Investigational Site # 31

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Boardman, Ohio, United States

Investigational Site #12

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Mason, Ohio, United States

Investigational Site #22

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Portland, Oregon, United States

Investigational Site # 34

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Pittsburgh, Pennsylvania, United States

Investigational Site # 37

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Charleston, South Carolina, United States

Investigational Site # 32

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Edmonton, Alberta, Canada

Investigational Site # 9

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Markham, Ontario, Canada

Investigational Site # 4

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Nashville, Tennessee, United States

Investigational Site # 23

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Dallas, Texas, United States

Investigational Site # 33

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Dallas, Texas, United States

Investigational Site # 18

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San Antonio, Texas, United States

Investigational Site # 5

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Norfolk, Virginia, United States

Investigational Site # 7

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Mill Creek, Washington, United States

Investigational Site # 26

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Calgary, Alberta, Canada

Investigational Site #51

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Calgary, Alberta, Canada

Investigational Site #19

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Winnipeg, Manitoba, Canada

Investigational Site #15

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Fredericton, New Brunswick, Canada

Investigational Site # 25

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Mississauga, Ontario, Canada

Investigational Site #13

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Peterborough, Ontario, Canada

Investigational Site # 20

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Toronto, Ontario, Canada

Investigational Site # 24

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Toronto, Ontario, Canada

Investigational Site #11

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Toronto, Ontario, Canada

Investigational Site # 6

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Montreal, Quebec, Canada

Investigational Site #17

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QuΓ©bec, Quebec, Canada

Investigational Site # 35

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WrocΕ‚aw, Dolnoslaskie, Poland

Investigational Site # 39

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WrocΕ‚aw, Dolnoslaskie, Poland

Investigational Site # 40

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Lublin, Lubelskie, Poland

Investigational Site # 42

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Warsaw, Mazowieckie, Poland

Investigational Site # 27

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Warszawa, Mazowieckie, Poland

Investigational Site # 41

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GdaΕ„sk, Pomorskie, Poland

Investigational Site # 28

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Katowice, Silesia, Poland

Investigational Site # 29

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Sosnowiec, Silesia, Poland

Investigational Site # 30

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KrakΓ³w, Woj. MaΕ‚opolskie, Poland

Investigational Site # 45

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Łódź, Łódzkie, Poland

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