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A Study Assessing Rocatinlimab in Combination With Topical Corticosteroid and/or Topical Calcineurin Inhibitors in Adult Participants With Moderate-to-severe Atopic Dermatitis (AD)

Phase 3
Completed
Conditions
Atopic Dermatitis
Interventions
Other: Placebo
Registration Number
NCT05724199
Lead Sponsor
Amgen
Brief Summary

The coprimary objectives of the study are to:

* evaluate the efficacy of rocatinlimab in combination with topical corticosteroid and/or topical calcineurin inhibitor (TCS/TCI), compared with placebo in combination with TCS/TCI at Week 24, assessed using Validated Investigator's Global Assessment for Atopic Dermatitis (vIGA-AD™).

* evaluate the efficacy of rocatinlimab, in combination with TCS/TCI, compared with placebo in combination with TCS/TCI at Week 24, assessed using Eczema Area and Severity Index (EASI).

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
746
Inclusion Criteria
  • Age ≥ 18 years with a diagnosis of AD according to the AAD (American Academy of Dermatology) Consensus Criteria (2014) present for at least 12 months
  • History of inadequate response to TCS of medium or higher potency (with or without TCI)
  • EASI score ≥16
  • vIGA-AD score ≥3
  • ≥10% body surface area (BSA) of AD involvement
  • Worst pruritus numerical rating scale ≥ 4
Exclusion Criteria
  • Treatment with a biological product within 12 weeks or 5 half-lives, whichever is longer, prior to Day 1

  • Treatment with any of the following medications or therapies within 4 weeks or 5 half-lives, whichever is longer, prior to Day 1:

    • Systemic corticosteroids
    • Nonbiologic, non-targeted Systemic immunosuppressants
    • Phototherapy
    • Janus kinase inhibitors
  • Treatment with any of the following medications or therapies within 1 week, prior to Day 1:

    • TCS
    • TCI
    • Topical phosphodiesterase type 4 inhibitors
    • Other topical immunosuppressive agents
    • Combination topical agents including TCS of any potency or TCI, PDE4 inhibitors, or other topical immunosuppressive agents

Study & Design

Study Type
INTERVENTIONAL
Study Design
SEQUENTIAL
Arm && Interventions
GroupInterventionDescription
Rocatinlimab Dose 2 + TCS/TCIRocatinlimabRocatinlimab Dose 2 Q4W for 24 weeks + TCS/TCI + loading dose at Week 2.
Placebo + TCS/TCIPlaceboPlacebo Q4W for 24 weeks + TCS/TCI + loading dose at Week 2.
Rocatinlimab Dose 1 + TCS/TCIRocatinlimabRocatinlimab Dose 1 every 4 weeks (Q4W) for 24 weeks + TCS/TCI + loading dose at Week 2.
Primary Outcome Measures
NameTimeMethod
Achievement of a vIGA-AD Score of 0 or 1 with a ≥2 Point Reduction From Baseline at Week 24Baseline, Week 24
Achievement of ≥ 75% Reduction From Baseline in EASI Score (EASI 75) at Week 24Baseline, Week 24
Secondary Outcome Measures
NameTimeMethod
Achievement of ≥ 90% Reduction From Baseline in EASI Score (EASI 90) at Week 24Baseline, Week 24
Achievement of EASI 75 at Week 16Baseline, Week 16
Achievement of vIGA-AD 0/1 at Week 16Baseline, Week 16
Achievement of a ≥ 4-point Reduction From Baseline in Weekly Average of Daily Worst Pruritus Numeric Rating Scale (NRS) Score at Week 16 in Participants with Baseline Weekly Average of Daily Worst Pruritus NRS Score ≥ 4Baseline, Week 16
Achievement of a ≥ 4-point Reduction From Baseline in Weekly Average of Daily Worst Pruritus NRS Score at Week 24 in Participants with Baseline Weekly Average of Daily Worst Pruritus NRS Score ≥ 4Baseline, Week 24
Achievement of a ≥ 4-point Reduction From Baseline in Weekly Average of AD Skin Pain NRS Score at Week 24 in Participants With Baseline Weekly Average of AD Skin Pain NRS Score ≥ 4Baseline, Week 24
Achievement of vIGA-AD 1 Response with a Presence of Only Barely Perceptible Erythema or vlGA-AD 0 Response (Revised IGA [rIGA™] 0/1) at Week 24Baseline, Week 24
Achievement of a Facial AD Severity Score of Clear at Week 24 for Participants with Facial AD at BaselineBaseline, Week 24
Achievement of a Hand AD Severity Score of Clear at Week 24 for Participants with Hand AD at BaselineBaseline, Week 24
Change From Baseline in Weekly Average of Daily Worst Pruritus NRS Score at Week 16Baseline, Week 16
Change From Baseline in Weekly Average of Daily Worst Pruritus NRS Score at Week 24Baseline, Week 24
Change From Baseline in SCORing Atopic Dermatitis (SCORAD) Itch Visual Analogue Scale (VAS) Score at Week 16Baseline, Week 16
Change From Baseline in SCORAD Itch VAS Score at Week 24Baseline, Week 24
Achievement of ≥ 4-point Reduction From Baseline in Dermatology Life Quality Index (DLQI) Score at Week 24 in Participants With Baseline DLQI Score ≥ 4Baseline, Week 24
Achievement of a ≥ 4-point Reduction From Baseline in Patient Oriented Eczema Measure (POEM) Score at Week 24 in Participants with Baseline POEM Score ≥ 4Baseline, Week 24
Change from Baseline in DLQI Score at Week 24Baseline, Week 24
Achievement of a ≥ 4-point Reduction From Baseline in Weekly Average of AD Skin Pain NRS Score at Week 16 in Participants With Baseline Weekly Average of AD skin pain NRS Score ≥ 4Baseline, Week 16
Change From Baseline in Weekly Average of Daily AD Skin Pain NRS Score at Week 24Baseline, Week 24
Change From Baseline in Weekly Average of Daily AD Skin Pain NRS Score at Week 16Baseline, Week 16
Achievement of a ≥ 3-point Reduction From Baseline in Weekly Average of AD Skin Pain NRS Score at Week 24 in Participants With Baseline Weekly Average of AD Skin Pain NRS Score ≥ 3Baseline, Week 24
Achievement of a ≥ 3-point Reduction From Baseline in Weekly Average of AD Skin Pain NRS Score at Week 16 in Participants With Baseline Weekly Average of AD Skin Pain NRS Score ≥ 3Baseline, Week 16
Change From Baseline in Weekly Average of Sleep Disturbance NRS Score at Week 24Baseline, Week 24
Achievement of a Hospital Anxiety and Depression Scale (HADS)-anxiety Subscale Score < 8 at Week 24 in Participants with Baseline HADS-anxiety Subscale Score ≥ 8Baseline, Week 24
Achievement of a HADS-depression Subscale Score < 8 at Week 24 in Participants with Baseline HADS-depression Subscale Score ≥ 8Baseline, Week 24
Achievement of a ≥ 8.7-point Reduction from Baseline in SCORAD Score at Week 24 in Participants with Baseline SCORAD Score ≥ 8.7Baseline, Week 24
Change From Baseline in HADS-anxiety Subscale Score at Week 24Baseline, Week 24
Change From Baseline in HADS-depression Subscale Score at Week 24Baseline, Week 24
Change From Baseline in POEM Score at Week 24Baseline, Week 24

Trial Locations

Locations (233)

Salford Care Organisation

🇬🇧

Salford, United Kingdom

The University of Alabama at Birmingham

🇺🇸

Birmingham, Alabama, United States

Medical Dermatology Specialists

🇺🇸

Phoenix, Arizona, United States

Southwest Skin Specialists

🇺🇸

Phoenix, Arizona, United States

US Dermatology Partners Sun City West

🇺🇸

Sun City West, Arizona, United States

Arkansas Research Trials, LLC

🇺🇸

North Little Rock, Arkansas, United States

Kern Research Inc

🇺🇸

Bakersfield, California, United States

Keck Medicine of University of Southern California

🇺🇸

Los Angeles, California, United States

Wallace Medical Group Inc

🇺🇸

Los Angeles, California, United States

Antelope Valley Clinical Trials

🇺🇸

Palmdale, California, United States

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Salford Care Organisation
🇬🇧Salford, United Kingdom
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