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ong-term extension trial in subjects with atopic dermatitis who participated in previous tralokinumab trials – ECZTEND

Phase 1
Conditions
Atopic Dermatitis
MedDRA version: 21.1Level: LLTClassification code 10003639Term: Atopic dermatitisSystem Organ Class: 100000004858
Therapeutic area: Diseases [C] - Skin and Connective Tissue Diseases [C17]
Registration Number
EUCTR2018-000746-19-CZ
Lead Sponsor
EO Pharma A/S
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
ot Recruiting
Sex
All
Target Recruitment
1600
Inclusion Criteria

-Signed and dated informed consent has been obtained prior to any protocol-related procedures.
-Signed and dated informed consent for adolescent subjects must be provided by the subject’s legal representative(s) and by the subject in the form of a signed and dated informed assent (as applicable according to national laws or regulations).
-Subjects must have completed the treatment period(s) of one of the parent trials: LP0162-1325, -1326, -1334, -1339, -1341, -1342, -1343, -1346 or TRA-WEI-0015-I. To be assessed on the first day of IMP administration (baseline).
-Subjects must have complied with the clinical trial protocol in the parent trial to the satisfaction of the investigator.
-Subjects must be able and willing to self-administer tralokinumab treatment (or have it administered by a caregiver) at home after the initial 3 injection visits at the trial site (in this trial).
-Subjects must have applied a stable dose of emollient twice daily (or more, as needed) for at least 14 days before baseline.
-Female subjects of childbearing potential (defined as Tanner stage =3 or menarche)* must use a highly effective** form of birth control (confirmed by the investigator) continuously for at least 1 month prior to the pregnancy test at baseline (Week 0), throughout the trial, and for at least 16 weeks (5 half lives of the IMP) after the last administration of IMP.
-•Postmenopausal (at least 12 months with no menses without an alternative medical cause prior to screening), or surgically sterile (hysterectomy, bilateral salpingectomy, or bilateral oophorectomy).
- Premenarchal
**A highly effective method of birth control is defined as one which results in a low failure rate (less than 1% per year) such as bilateral tubal occlusion, intrauterine device (IUD), intrauterine hormone-releasing system (IUS), combined (oestrogen- and progestogen-containing) hormonal contraception associated with inhibition of ovulation (oral, intravaginal, transdermal), progestogen-only hormonal contraception associated with inhibition of ovulation (oral, injectable, implantable), sexual abstinence (when this is in line with the preferred and usual life style of the subject), same-sex partner, or vasectomised partner (given that the subject is monogamous).
Are the trial subjects under 18? yes
Number of subjects for this age range: 90
F.1.2 Adults (18-64 years) yes
F.1.2.1 Number of subjects for this age range 1510
F.1.3 Elderly (>=65 years) yes
F.1.3.1 Number of subjects for this age range 90

Exclusion Criteria

-Any condition that required permanent discontinuation of trial treatment in the parent trial.
-More than 26 weeks have elapsed since the subject received the last IMP injection in the parent trial. To be assessed on the first day of IMP administration (baseline).
-Subjects who, during their participation in the parent trial, developed a serious adverse event (SAE) deemed related to tralokinumab by the investigator, which in the opinion of the investigator could indicate that continued treatment with tralokinumab may present an unreasonable safety risk for the subject.
-Subjects who, during their participation in the parent trial, developed an AE that was deemed related to tralokinumab by the investigator and led to temporary discontinuation of trial treatment, which in the opinion of the investigator could indicate that continued treatment with tralokinumab may present an unreasonable safety risk for the subject.
-Receipt of any marketed biological therapy or investigational biologic agent (other than tralokinumab), including immunoglobulin, anti-IgE, or dupilumab:
o Any cell-depleting agents, including but not limited to rituximab: within 6 months prior to baseline, or until lymphocyte count returns to normal, whichever is longer.
o Other biologics: within 3 months or 5 half-lives, whichever is longer, prior to baseline.
-A helminth parasitic infection within 6 months prior to the date when informed consent is obtained.
-Tuberculosis requiring treatment within 12 months prior to screening.
- Known primary immunodeficiency disorder.
-Current participation in any other interventional clinical trial, except for tralokinumab trials LP0162-1325, -1326, -1334, -1339, -1341, -1342, -1346, -1343 or TRA-WEI-0015-I.
-History of subject or subject’s legal representative(s) of chronic alcohol or drug abuse within 12 months prior to screening, or any condition (e.g., psychotic state, language barrier or other) associated with poor compliance, as judged by the investigator.
-Treatment with topical PDE-4 inhibitors or topical JAK inhibitors within 2 weeks prior to baseline.
-Positive hepatitis B surface antigen (HBsAg), hepatitis B surface antibody* (HBsAb), hepatitis B core antibody (HBcAb), or hepatitis C virus antibody (anti-HCV) serology at screening. Subjects with positive HBsAb are eligible provided they are vaccinated against hepatitis B and have negative HBsAg and HBcAb.
*Subjects from the parent trial LP0162-1343 with a positive HBsAb may be randomised provided they have negative HBsAg, HBcAb, and HCV serology at screening.

Study & Design

Study Type
Interventional clinical trial of medicinal product
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Main Objective: To evaluate the long-term safety of tralokinumab;Secondary Objective: To evaluate the efficacy of tralokinumab given as continuous treatment, re-treatment, or introduced for the first time in tralokinumab naïve subjects;Primary end point(s): Number of adverse events (AEs) during the treatment period from baseline up to Week 268;Timepoint(s) of evaluation of this end point: Week 268
Secondary Outcome Measures
NameTimeMethod
Secondary end point(s): 1) IGA score of 0 (clear) or 1 (almost clear) at Weeks 16, 56, 88, 104, 136, 152, 184, 216 and 248.<br>2) At least 75% reduction in Eczema Area and Severity Index (EASI75) relative to baseline in parent trial, at Weeks 16, 56, 88, 104, 136, 152, 184, 216, and 248;Timepoint(s) of evaluation of this end point: 1) Weeks 16, 56, 88, 104, 136, 152, 184, 216 and 248. <br>
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