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Tralokinumab monotherapy for adolescent subjects with moderate-to-severe atopic dermatitis - ECZTRA 6

Phase 1
Conditions
Atopic Dermatitis
MedDRA version: 20.0Level: LLTClassification code 10003639Term: Atopic dermatitisSystem Organ Class: 100000004858
Therapeutic area: Diseases [C] - Skin and Connective Tissue Diseases [C17]
Registration Number
EUCTR2017-005143-33-PL
Lead Sponsor
EO Pharma A/S
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
ot Recruiting
Sex
All
Target Recruitment
301
Inclusion Criteria

• Age 12 to 17.
• Diagnosis of atopic dermatitis (AD) as defined by the Hanifin and Rajka (1980) criteria for AD.
• History of AD for =1 year.
• History of topical corticosteroid (TCS; Europe: Class 3 or higher; US: Class 4 or lower) and/or topical calcineurin inhibitor (TCI) treatment failure or subjects for whom these topical AD treatments are medically inadvisable.
• AD involvement of =10% body surface area at screening and baseline.
• Stable dose of emollient twice daily (or more, as needed) for at least 14 days before randomisation.

Are the trial subjects under 18? yes
Number of subjects for this age range: 294
F.1.2 Adults (18-64 years) no
F.1.2.1 Number of subjects for this age range
F.1.3 Elderly (>=65 years) no
F.1.3.1 Number of subjects for this age range

Exclusion Criteria

• Active dermatologic conditions that may confound the diagnosis of AD.
• Use of tanning beds or phototherapy within 6 weeks prior to randomisation.
• Treatment with systemic immunosuppressive/immunomodulating drugs and/or systemic corticosteroid within 4 weeks prior to randomisation.
• Treatment with TCS, TCI, or topical phosphodiesterase 4 (PDE-4) inhibitor within 2 weeks prior to randomisation.
• Receipt of any marketed biological therapy (i.e. immunoglobulin, anti-immunoglobulin E) including dupilumab or investigational biologic agents.
• Active skin infection within 1 week prior to randomisation.
• Clinically significant infection within 4 weeks prior to randomisation.
• A helminth parasitic infection within 6 months prior to the date informed consent is obtained.
• Tuberculosis requiring treatment within the 12 months prior to screening.
• Known primary immunodeficiency disorder.

Study & Design

Study Type
Interventional clinical trial of medicinal product
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Main Objective: To evaluate the efficacy of subcutaneous administration of tralokinumab compared with placebo in treating adolescent subjects (age 12 to <18 years) with moderate-to-severe atopic dermatitis.<br>;Secondary Objective: To evaluate the efficacy of tralokinumab on severity and extent of atopic dermatitis, itch, and health-related quality of life compared with placebo.<br><br>To investigate the safety, immunogenicity, and tolerability of subcutaneous administration of tralokinumab compared with placebo when used to treat adolescent subjects (age 12 to <18 years) with moderate-to-severe atopic dermatitis.;Primary end point(s): • Investigator’s Global Assessment (IGA) score of 0 (clear) or 1 (almost clear) at Week 16<br>• At least 75% reduction in Eczema Area and Severity Index (EASI75) at Week 16<br>;Timepoint(s) of evaluation of this end point: Bi-weekly from baseline until Week 52
Secondary Outcome Measures
NameTimeMethod
Secondary end point(s): Efficacy<br>Severity and extent of AD:<br>• Change in Scoring Atopic Dermatitis (SCORAD) from baseline to Week 16<br>Itch:<br>• Reduction of Adolescent Pruritus numeric rating scale (NRS) (weekly average) of at least 4 from baseline to Week 16<br>Health-related quality of life:<br>• Change in Children’s Dermatology Life Quality Index (CDLQI) score from baseline to Week 16<br><br>Safety<br>• Number of adverse events.<br>• Presence of anti-drug antibodies (yes/no).<br>;Timepoint(s) of evaluation of this end point: Bi-weekly from baseline to Week 52 for assessments conducted by the HCP. <br>For Pruritus the assessment is done on a daily basis using an eDiary. <br>For DLQI completed by the subject every 2, 4 or 8 weeks.
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