MedPath

A Long-term Safety and Efficacy Study Evaluating APG777 in Atopic Dermatitis

Phase 2
Recruiting
Conditions
Atopic Dermatitis
Interventions
Registration Number
NCT07003425
Lead Sponsor
Apogee Therapeutics, Inc.
Brief Summary

This is a multicenter, double-blind, Long-Term Extension (LTE) study to evaluate the long-term safety and efficacy of APG777 in patients with moderate-to-severe AD who have completed treatment in an APG777 Parent Study (NCT06395948).

The LTE study will consist of 3 periods: 1) Screening Visit will coincide with the last visit of the Maintenance Period in the Parent Study 2) Extended Treatment Period 3) Post-treatment Follow-up Period.

This study will be conducted in participants with atopic dermatitis (AD) who completed the Treatment Period in a prior APG777 study and who, in the opinion of the Investigator, would benefit from long-term treatment with APG777.

Detailed Description

Not available

Recruitment & Eligibility

Status
RECRUITING
Sex
All
Target Recruitment
350
Inclusion Criteria
  • Participants who have completed the Treatment Period in a prior APG777 study and were, in the Investigator's opinion, compliant with the study protocol
  • Participants who, in the Investigator's opinion, would benefit from long-term treatment with APG777
  • Use the same non-prescription non-medicated emollient/moisturizer of their choice from the last day of the Parent Study and throughout the LTE study
Exclusion Criteria
  • Participants who have developed an AE while participating in the Parent Study. which, in the opinion of the Investigator or of the Medical Monitor, could indicate that continued treatment with APG777 may present an unreasonable risk for the patient
  • Participants who terminated early from the Parent Study or permanently discontinued the study drug during the Parent Study
  • Use of any of the prohibited medications in the Parent Study through Screening Visit (Visit 1) of the LTE study
  • Presence of dermatologic conditions and/or comorbidities that might confound the diagnosis of AD and/or interfere with study assessments

Note: Additional protocol defined Inclusion/Exclusion criteria may apply

Study & Design

Study Type
INTERVENTIONAL
Study Design
SEQUENTIAL
Arm && Interventions
GroupInterventionDescription
APG777 - Long Term Extension Treatment - 12 WeeksAPG777Participants who achieve EASI 75 or a vIGA-AD (0, 1) at the end of the Parent Study Treatment Period, and who did not use topical rescue medication during the Parent Study will maintain the same dose regimen (dose and frequency of injections) from the Maintenance Period of the Parent Study (APG777-201).
APG777 - Long Term Extension Treatment - 24 WeeksAPG777Participants who achieve EASI 75 or a vIGA-AD (0, 1) at the end of the Parent Study Treatment Period, and who did not use topical rescue medication during the Parent Study, will maintain the same dose regimen (dose and frequency of injections) from the Maintenance Period of the Parent Study (APG777-201).
APG777 - Open Label Escape ArmAPG777Participants who do not achieve EASI 75 or a vIGA-AD (0, 1) at the end of the Parent Study Treatment Period, or who used topical rescue medication during the Parent Study, will be assigned to the open-label Escape Arm and will receive APG777 per protocol defined dosing regimen.
Primary Outcome Measures
NameTimeMethod
Number of Participants with Treatment Emergent Adverse EventsUp to 3 years
Secondary Outcome Measures
NameTimeMethod
Percentage of Participants who achieve Eczema Area and Severity Index (EASI) 50, 75, 90, and 100 calculated based on Parent Study BaselineThrough Extended Treatment Period, an average of 2 years
Percentage of Participants who achieve a validated Investigator Global Assessment Atopic Dermatitis (vIGA AD) score of 0 (clear) or 1 (almost clear) and a ≥ 2-point reduction as calculated based on Parent Study Baseline.Through Extended Treatment Period, an average of 2 years
Percentage of Participants who achieve ≥ 4-point improvement in the weekly mean of the daily Itch Numeric Rating Scale (I-NRS) as calculated based on Parent Study BaselineThrough Extended Treatment Period, an average of 2 years
Percentage of Participants who use Rescue TherapyThrough Extended Treatment Period, an average of 2 years
Percentage of Participants Who Continue to Exhibit EASI 75From Week 52 up to Through Extended Treatment Period, an average of 2 years

Of the participants who achieve EASI 75 at Week 52 of the Parent Study, the percentage that continue to exhibit EASI 75 will be determined

Percentage of Participants Who Continue to Exhibit vIGA-AD ResponseFrom Week 52 up to Through Extended Treatment Period, an average of 2 years

Of the participants who achieve vIGA-AD of clear (0) or almost clear (1) and a ≥ 2-Point reduction at Week 52 of the Parent Study, the percentage that continue to exhibit the response will be determined.

Percentage of Participants Who Continue to Exhibit I-NRS ResponseFrom Week 52 up to Through Extended Treatment Period, an average of 2 years

Of the participants who achieve a ≥ 4 point improvement in the weekly mean of the daily I NRS at Week 52 of the Parent Study, the percentage that continue to exhibit the response will be determined.

Number of Participants who Discontinued Treatment Due to Treatment-Related TEAEs and SAEsUp to 3 years
Serum Concentrations of APG777 Over TimeUp to 3 years
Predose Serum Concentrations of APG777Up to 3 years

Trial Locations

Locations (32)

Investigational Site #25

🇺🇸

Fountain Valley, California, United States

Investigational Site #1

🇺🇸

Coral Gables, Florida, United States

Investigational Site #22

🇺🇸

Margate, Florida, United States

Investigational Site #28

🇺🇸

Detroit, Michigan, United States

Investigational Site #4

🇺🇸

Troy, Michigan, United States

Investigational Site #29

🇺🇸

Wilmington, North Carolina, United States

Investigational Site #32

🇺🇸

Boardman, Ohio, United States

Investigational Site #27

🇺🇸

Mason, Ohio, United States

Investigational Site #31

🇺🇸

Portland, Oregon, United States

Investigational Site #23

🇺🇸

Nashville, Tennessee, United States

Investigational Site #30

🇺🇸

Frisco, Texas, United States

Investigational Site #26

🇺🇸

San Antonio, Texas, United States

Investigational Site #6

🇨🇦

Calgary, Alberta, Canada

Investigational Site #10

🇨🇦

Edmonton, Alberta, Canada

Investigational Site #7

🇨🇦

Fredericton, Brunswick, Canada

Investigational Site #3

🇨🇦

Markham, Ontario, Canada

Investigational Site #5

🇨🇦

Mississauga, Ontario, Canada

Investigational Site #24

🇨🇦

Peterborough, Ontario, Canada

Investigational Site #11

🇨🇦

Toronto, Ontario, Canada

Investigational Site #12

🇨🇦

Toronto, Ontario, Canada

Investigational Site #9

🇨🇦

Toronto, Ontario, Canada

Investigational Site #2

🇨🇦

Montréal, Quebec, Canada

Investigational Site #8

🇨🇦

Quebec City, Quebec, Canada

Investigational Site #14

🇵🇱

Wrocław, Dolnoslaskie, Poland

Investigational Site #19

🇵🇱

Wrocław, Dolnośląskie, Poland

Investigational Site #15

🇵🇱

Lublin, Lubelskie, Poland

Investigational Site #18

🇵🇱

Warszawa, Mazowieckie, Poland

Investigational Site #17

🇵🇱

Gdańsk, Pomorskie, Poland

Investigational Site #13

🇵🇱

Katowice, Silesia, Poland

Investigational Site #16

🇵🇱

Sosnowiec, Silesia, Poland

Investigational Site #20

🇵🇱

Kraków, Woj. Małopolskie, Poland

Investigational Site #21

🇵🇱

Łódź, Poland

© Copyright 2025. All Rights Reserved by MedPath