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A Study of (LY3650150) Lebrikizumab to Assess the Safety and Efficacy of Adult and Adolescent Participants With Moderate-to-Severe Atopic Dermatitis and Skin of Color

Phase 3
Active, not recruiting
Conditions
Atopic Dermatitis
Interventions
Registration Number
NCT05372419
Lead Sponsor
Eli Lilly and Company
Brief Summary

The main purpose of this study is to determine the safety and efficacy lebrikizumab in adolescent and adult participants with moderate-to-severe atopic dermatitis (AD) and skin of color.

Detailed Description

Not available

Recruitment & Eligibility

Status
ACTIVE_NOT_RECRUITING
Sex
All
Target Recruitment
80
Inclusion Criteria

Participants must be ≥12 years of age inclusive, at the time of signing the informed consent/assent.

  • Participants who are self-reported race other than White, including but not limited to persons who self-identify as Black or African American, American Indian or Alaska Native, Asian, Native Hawaiian, or Other Pacific Islander.

  • Participants who are Fitzpatrick phototype IV-VI

  • Participants who have chronic AD that has been present for ≥1 year before screening.

  • Have EASI ≥16 at baseline

  • Have IGA score ≥3 (Scale of 0 to 4) at baseline

  • Have ≥10% body surface area (BSA) of AD involvement at baseline

  • Have a history of inadequate response to treatment with topical medications; or determination that topical treatments are otherwise medically inadvisable.

  • Adolescents body weight must be ≥40 kg at baseline.

  • Are willing and able to comply with all clinic visits and study-related procedures and questionnaires.

  • Contraceptive use - Male and/or female

    • Male participants are not required to use any contraception except in compliance with specific local government study requirements.
    • Female participants of child-bearing potential: must agree to remain abstinent (refrain from heterosexual intercourse) or use a highly effective contraceptive method during the treatment period and for at least 18 weeks after the last dose of study drug. Women of non-child-bearing potential (non-WOCBP) may participate without any contraception requirements.
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Exclusion Criteria
  • History of human immunodeficiency virus (HIV) infection or positive HIV serology at screening.

  • Have a current infection or chronic infection with hepatitis B virus (HBV) at screening, that is, positive for hepatitis B surface antigen (HBsAg) and/or polymerase chain reaction positive for HBV DNA

  • Have a current infection with hepatitis C virus (HCV) at screening, that is, positive for HCV RNA

  • Have an uncontrolled chronic disease that might require multiple intermittent uses of oral corticosteroids at screening (as defined by the investigator).

  • Have uncontrolled asthma that

    • might require bursts of oral or systemic corticosteroids, or

    • required the following due to ≥1 exacerbations within 12 months before baseline

      • systemic (oral and/or parenteral) corticosteroid treatment, or
      • hospitalization for >24 hours.
  • Have known liver cirrhosis and/or chronic hepatitis of any etiology.

  • Had prior treatment with dupilumab

  • Had prior treatment with tralokinumab

  • Treatment with topical agents (corticosteroids, calcineurin inhibitors, JAK inhibitors, or phosphodiesterase-4 inhibitors) within 2 weeks prior to baseline.

  • Treatment with any of the following agents within 4 weeks prior to the baseline:

    • systemic immunosuppressive/immunomodulating drugs (for example, systemic corticosteroids, cyclosporine, mycophenolate mofetil, IFN-gamma, azathioprine, methotrexate, and other immunosuppressants);
    • small molecules (for example, Janus Kinase (JAK) inhibitors);
    • phototherapy and photochemotherapy for AD.
  • History of malignancy, including mycosis fungoides or cutaneous T-cell lymphoma, within 5 years before the screening, except completely treated in situ carcinoma of the cervix of completely treated and resolved non-metastatic squamous or basal cell carcinoma of the skin with no evidence of recurrence in the past 12 weeks.

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Study & Design

Study Type
INTERVENTIONAL
Study Design
SINGLE_GROUP
Arm && Interventions
GroupInterventionDescription
LebrikizumabLebrikizumabParticipants will receive Lebrikizumab subcutaneously (SC).
Primary Outcome Measures
NameTimeMethod
Percentage of Participants Achieving Eczema Area and Severity Index-75 (EASI-75) (≥75% reduction from baseline in EASI)Baseline to Week 16
Secondary Outcome Measures
NameTimeMethod
Percentage of Participants with an IGA score of 0 or 1 and a Reduction ≥2 Points from BaselineBaseline to Week 24
Percentage of Participants with a Pruritus Numeric Rating Scale (NRS) of ≥4 Points at Baseline Who Achieve a 4-point Reduction from BaselineBaseline to Week 16
Percentage of Participants with a Pruritus NRS of ≥4 Points at Baseline Who Achieve a 4-point Reduction from BaselineBaseline to Week 24
Percentage of Participants with a Sleep-Loss Scale Score of ≥2 points at Baseline Who Achieve a 2-point Reduction from BaselineBaseline to Week 24
Percentage of Participants with a Skin Pain NRS of ≥4 Points at Baseline Who Achieve a 4-point Reduction from BaselineBaseline to Week 24
Percentage of Participants with a Pruritus NRS ≥3 Points at Baseline Who Achieve at Least 3- Point Reduction from BaselineBaseline to Week 24
Change from Baseline in Patient-Oriented Eczema Measure (POEM)Baseline, Week 16
Change from Baseline in POEMBaseline, Week 24
Change from Baseline in DLQIBaseline, Week 24

Participants ≥16 years will complete the DLQI and should continue to complete the DLQI for the duration of the study.

Percentage of Participants Achieving a ≥75% Reduction from Baseline in EASI-75Baseline to Week 24
Percentage of Participants with an Investigator's Global Assessment (IGA) score of 0 or 1 and a Reduction ≥2 Points from BaselineBaseline to Week 16
Percentage Change from Baseline in total EASIBaseline, Week 24
Percentage of Participants Achieving a ≥90% Reduction from Baseline in EASI-90Baseline to Week 24
Percentage Change from Baseline in Pruritus NRS ScoreBaseline, Week 24
Percentage Change from Baseline in Sleep-Loss Scale ScoreBaseline, Week 24
Change from Baseline in Children's Dermatology Life Quality Index (cDLQI)Baseline, Week 16

Participants \<16 years will complete the cDLQI and should continue to complete the cDLQI for the duration of the study.

Change from Baseline in total EASIBaseline, Week 24
Change from Baseline in cDLQIBaseline, Week 24

Participants \<16 years will complete the cDLQI and should continue to complete the cDLQI for the duration of the study

Change from Baseline in Dermatology Life Quality Index (DLQI)Baseline, Week 16

Participants ≥16 years will complete the DLQI and should continue to complete the DLQI for the duration of the study.

Percentage of Participants with a DLQI of ≥4 points at Baseline Who Achieve a ≥4-point Improvement in DLQIBaseline to Week 24

Participants ≥16 years will complete the DLQI and should continue to complete the DLQI for the duration of the study.

Trial Locations

Locations (35)

Dermatology Research Associates

🇺🇸

Los Angeles, California, United States

Wallace Medical Group, Inc.

🇺🇸

Los Angeles, California, United States

Clinical Science Institute

🇺🇸

Santa Monica, California, United States

UConn Health

🇺🇸

Farmington, Connecticut, United States

Skin Care Physicians of Georgia

🇺🇸

Macon, Georgia, United States

Sadick Research Group

🇺🇸

New York, New York, United States

Arlington Research Center, Inc

🇺🇸

Arlington, Texas, United States

Axon Clinical Research

🇺🇸

Inglewood, California, United States

Center For Dermatology Clinical Research, Inc.

🇺🇸

Fremont, California, United States

Advanced Medical Research

🇺🇸

Sandy Springs, Georgia, United States

Savin Medical Group, LLC

🇺🇸

Miami Lakes, Florida, United States

Skin Care Research, Inc

🇺🇸

Hollywood, Florida, United States

Allcutis Research, Inc.

🇺🇸

Beverly, Massachusetts, United States

Wilmington Health Family Medicine

🇺🇸

Wilmington, North Carolina, United States

Complete Dermatology

🇺🇸

Sugar Land, Texas, United States

Washington University School of Medicine

🇺🇸

Saint Louis, Missouri, United States

Avance Clinical Trials Inc

🇺🇸

Laguna Niguel, California, United States

First OC Dermatology

🇺🇸

Fountain Valley, California, United States

Encore Medical Research of Boynton Beach

🇺🇸

Boynton Beach, Florida, United States

Solutions Through Advanced Research

🇺🇸

Jacksonville, Florida, United States

Oakland Hills Dermatology

🇺🇸

Auburn Hills, Michigan, United States

Revival Research Institute - Troy

🇺🇸

Troy, Michigan, United States

Virginia Clinical Research, Inc.

🇺🇸

Norfolk, Virginia, United States

Cura Clinical Research

🇺🇸

Sherman Oaks, California, United States

Total Skin and Beauty Dermatology Center, PC

🇺🇸

Birmingham, Alabama, United States

University of California Davis (UC Davis) Comprehensive Cancer Center

🇺🇸

Sacramento, California, United States

Miami Dermatology and Laser Research

🇺🇸

Miami, Florida, United States

Dawes Fretzin Clinical Research Group, LLC

🇺🇸

Indianapolis, Indiana, United States

PureSkin Dermatology

🇺🇸

Orlando, Florida, United States

Texas Dermatology and Laser Specialists

🇺🇸

San Antonio, Texas, United States

Skin Specialists, P.C

🇺🇸

Omaha, Nebraska, United States

Dermatology & Laser Center of Charleston

🇺🇸

Charleston, South Carolina, United States

Clinical Trial Network

🇺🇸

Houston, Texas, United States

Progressive Clinical Research

🇺🇸

San Antonio, Texas, United States

Dermatology Clinical Research Center of San Antonio

🇺🇸

San Antonio, Texas, United States

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