A Multicenter, Randomized, Double-Blind, Placebo-Controlled, Parallel-Group Efficacy and Safety Study of 2 Doses of S-777469 (400 mg BID and 800 mg BID) in Patients With Atopic Dermatitis
Overview
- Phase
- Phase 2
- Intervention
- S-777469 400 mg
- Conditions
- Atopic Dermatitis
- Sponsor
- Shionogi
- Enrollment
- 209
- Primary Endpoint
- Efficacy of S-777469 was assessed by Physician's Global Assessment (PGA) and Numerical Rating Scale (NRS)
- Status
- Completed
- Last Updated
- 7 years ago
Overview
Brief Summary
The purpose of this study is to evaluate the safety and efficacy of 2 doses of S-777469 in patients with atopic dermatitis.
Investigators
Eligibility Criteria
Inclusion Criteria
- •Each patient must meet all of the following inclusion criteria to be screened and enrolled into the single-blind period:
- •Males or females between 18 and 65 years of age at the time of obtaining the written informed consent
- •Patient understands the study procedures and agrees to participate in the study by giving written informed consent
- •Patient agrees to allow digital photographs of atopic dermatitis (AD)-affected target areas during the study
- •Patient satisfies the diagnostic criteria for AD as defined by the criteria of Hanifin and Rajka (Acta Derm Venereol.1980;92\[suppl\]:44-47; J Am Acad Dermatol.2003;49\[6\]:1088-1095), as follows:
- •Must have 3 or more basic features:
- •Typical morphology and distribution: flexural lichenification or linearity
- •Chronic or chronically relapsing dermatitis
- •Personal or family history of atopy (asthma, allergic rhinitis, atopic dermatitis)
- •Plus 3 or more minor features:
Exclusion Criteria
- •Patients satisfying any of the following exclusion criteria are not eligible for enrollment into the double-blind treatment period:
- •Patient is under the age of legal consent, is mentally or legally incapacitated and/or has significant emotional problems at the time of study entry
- •Patient has an active dermatologic condition other than AD which may confound the diagnosis or evaluation of AD, such as scabies, allergic contact dermatitis, seborrheic dermatitis, cutaneous lymphoma, or psoriasis
- •Patient has a history of malignancy not in remission for \>5 years, with the exception of cutaneous basal cell carcinoma and cutaneous squamous cell carcinoma
- •Presence of comorbid conditions that would preclude participation in the study, including:
- •Immune compromised state, including recent chemotherapy, immunotherapy, or organ transplant
- •History or clinical manifestations of significant metabolic, hepatic, renal, hematological, pulmonary, cardiovascular, gastrointestinal or urological disease
- •Signs and symptoms of eczema herpeticum within the preceding 12 months or cellulitis within preceding 3 months
- •Positive results for HIV infection at screening
- •History or clinical manifestations of significant neurological (e.g., epilepsy) or psychiatric disorders (e.g., history of suicide attempt; history of psychiatric episodes resulting in hospitalization)
Arms & Interventions
Group A
S-777469 400 mg BID (two 200 mg tablets of S-777469 and two tablets of placebo BID)
Intervention: S-777469 400 mg
Group A
S-777469 400 mg BID (two 200 mg tablets of S-777469 and two tablets of placebo BID)
Intervention: Placebo
Group B
S-777469 800 mg BID (four 200 mg tablets of S-777469 BID)
Intervention: S-777469 800 mg
Group C
Placebo BID (four tablets of placebo BID)
Intervention: Placebo
Outcomes
Primary Outcomes
Efficacy of S-777469 was assessed by Physician's Global Assessment (PGA) and Numerical Rating Scale (NRS)
Time Frame: Change from baseline to 12 weeks
Physician's Global Assessment
Safety was assessed by repeated clinical evaluation and evaluation of treatment-emergent adverse events. It included vital signs, medical history, concomitant medications, physical examination, 12-lead ECGs, and standard clinical laboratory safety tests
Time Frame: Baseline to 12 weeks
Safety, determined by Adverse event frequency and changes in laboratory values
Secondary Outcomes
- Efficacy was assessed by PGA, NRS, Behavioral Rating Scale, Eczema Area and Severity Index Score, Investigator panel treatment-blind comparative review ratings of digital photography of affected areas, and Thymus and Activation-Regulated Chemokine(Changes from baseline to various pre-defined time-points during the 12 week study)
- Pharmacokinetic analysis of the concentration of unchanged parent drug (S-777469) in trough samples(From Baseline during Week 1)