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A Study of Barzolvolimab in Patients With Atopic Dermatitis

Phase 2
Recruiting
Conditions
Atopic Dermatitis
Interventions
Drug: Matching placebo
Registration Number
NCT06727552
Lead Sponsor
Celldex Therapeutics
Brief Summary

The purpose of this study is to assess the efficacy and safety of barzolvolimab in adults with Atopic Dermatitis

Detailed Description

This is a multicenter, randomized, double-blind, parallel group, placebo controlled phase 2 study to assess the efficacy and safety of barzolvolimab (CDX-0159) in adult participants with Atopic Dermatitis.

There is a screening period of up to 28 days, a 16-week double-blind, placebo-controlled treatment period, a 16-week double-blind, active treatment period, and a 16-week follow-up period. On Day 1, participants will be randomly assigned on a 1:1:1 ratio to receive barzolvolimab (CDX-0159) by subcutaneous injections of 150 mg every 4 weeks (Q4W) after an initial loading dose of 450 mg \[Arm 1\], 300 mg Q4W after an initial loading dose of 450 mg \[Arm 2\], or placebo Q4W \[Arm 3\]. At Week 16, participants on placebo will be re-randomized on a 1:1 ratio to receive barzolvolimab by subcutaneous injections of 150 mg every 4 weeks (Q4W) after an initial loading dose of 450 mg, 300 mg Q4W after an initial loading dose of 450 mg. Participants on Arms 1 and 2 will undergo a mock re-randomization at Week 16 to maintain the blind.

Recruitment & Eligibility

Status
RECRUITING
Sex
All
Target Recruitment
120
Inclusion Criteria
  1. Male or female ≥ 18 years of age

  2. Diagnosis of chronic atopic dermatitis (AD) for at least 1 year

  3. Onset of symptoms at least 1 year prior and current symptoms consistent with moderate to severe AD as defined by:

    1. EASI ≥ 12 at Visit 1 and EASI ≥ 16 at Visit 2
    2. Body Surface Area of Involvement (BSA) ≥ 10% at Visit 1 and Visit 2
    3. IGA score ≥ 3 at Visit 1 and Visit 2
    4. Severe itch, defined by weekly average of daily PP-NRS score of ≥ 5, during the 7 days prior to treatment
  4. Documented history of inadequate response to treatment with topical medications or for whom topical medications are otherwise medically inadvisable.

  5. Willing and able to complete a daily symptom electronic diary for the duration of the study and adhere to the study visit schedule.

Exclusion Criteria
  1. Any other active pruritic skin diseases that would confound AD assessments based on the Investigator's clinical judgment.
  2. Phototherapy with ultraviolet (UV) A or UVB within 4 weeks of Visit 1.
  3. Planned or anticipated use of any prohibited medications at any time during the study.
  4. Prior receipt of barzolvolimab or other anti-KIT therapy. There are additional criteria that your study doctor will review with you to confirm you are eligible for the study.

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Barzolvolimab 150 mgBarzolvolimabBarzolvolimab loading dose of 450 mg subcutaneous injection followed by 150 mg administered every 4 weeks for 32 weeks
Barzolvolimab 300 mgBarzolvolimabBarzolvolimab loading dose of 450 mg subcutaneous injection followed by 300 mg administered every 4 weeks for 32 weeks
Placebo then barzolvolimab 150 mgBarzolvolimabPlacebo subcutaneous injection every 4 weeks for 16 weeks and then barzolvolimab loading dose of 450 mg followed by 150 mg administered every 4 weeks for 16 weeks.
Placebo then barzolvolimab 150 mgMatching placeboPlacebo subcutaneous injection every 4 weeks for 16 weeks and then barzolvolimab loading dose of 450 mg followed by 150 mg administered every 4 weeks for 16 weeks.
Placebo then barzolvolimab 300 mgBarzolvolimabPlacebo subcutaneous injection every 4 weeks for 16 weeks and then barzolvolimab loading dose of 450 mg followed by 300 mg administered every 4 weeks for 16 weeks.
Placebo then barzolvolimab 300 mgMatching placeboPlacebo subcutaneous injection every 4 weeks for 16 weeks and then barzolvolimab loading dose of 450 mg followed by 300 mg administered every 4 weeks for 16 weeks.
Primary Outcome Measures
NameTimeMethod
Percent change from Baseline in the weekly average of the daily Peak Pruritus Numerical Rating Scale (PP-NRS) score at Week 16From Day 1 (first dose) to Day 113 (week 16)

Evaluate the clinical efficacy of 2 dose levels (150 mg and 300 mg) of barzolvolimab, compared to placebo, in adult participants with moderate to severe atopic dermatitis (AD) using the PP-NRS. The PP-NRS ranges from 0 = "no itch" to 10 ="worst imaginable itch" for the worst intensity itch in the preceding 24-hr period.

Secondary Outcome Measures
NameTimeMethod
Percent change from Baseline in Eczema Area Severity Index (EASI) score at Week 16.From Day 1 (first dose) to Day 113 (week 16)

A total EASI score range from 0 to 72 points will be recorded for each assessment, with higher scores reflecting worse severity of AD.

* 0 = clear

* 0.1-1.0 = almost clear

* 1.1-7.0 = mild

* 7.1-21.0 = moderate

* 21.1-50.0 = severe

* 50.1-72.0 = very severe

Proportion of participants achieving an Investigator Global Assessment (IGA) score of "0" or "1" at Week 16.From Day 1 (first dose) to Day 113 (week 16)

The IGA determines severity of AD and clinical response to treatment on a static 5-point scale based on erythema and papulation/infiltration

* 0 = Clear

* 1 = Almost clear

* 2 = Mild

* 3 = Moderate

* 4 = Severe

Trial Locations

Locations (24)

Ohara Aivaz MD Dermatology

🇺🇸

Beverly Hills, California, United States

Georgia Skin and Cancer Clinic

🇺🇸

Savannah, Georgia, United States

Avance Trials

🇺🇸

Laguna Niguel, California, United States

Dynasty Dermatology

🇺🇸

Pasadena, California, United States

Well Pharma Medical Research Corporation

🇺🇸

South Miami, Florida, United States

Treasure Valley Medical Research

🇺🇸

Boise, Idaho, United States

Revival Research Institute, LLC

🇺🇸

Troy, Michigan, United States

Lane Dermatology Research - Centricity - PPDS

🇺🇸

Columbus, Georgia, United States

Center for Medical Dermatology and Immunology Research

🇺🇸

Chicago, Illinois, United States

Onyx Clinical Research - Michigan

🇺🇸

Flint, Michigan, United States

Stride Clinical Research LLC

🇺🇸

Sugar Land, Texas, United States

Cahaba Dermatology & Skin Health Center

🇺🇸

Birmingham, Alabama, United States

FOMAT Medical Research - Allergy, Asthma, & Immunology Medical Group

🇺🇸

Ventura, California, United States

International Dermatology Research Inc - Miami

🇺🇸

Miami Lakes, Florida, United States

Bernstein Clinical Research Center, LLC - 4665 E Galbraith Rd

🇺🇸

Cincinnati, Ohio, United States

Advanced Dermatology Center

🇺🇸

Burbank, California, United States

LA Universal Research Center, Inc.

🇺🇸

Los Angeles, California, United States

Windom Allergy, Asthma & Sinus

🇺🇸

Sarasota, Florida, United States

Atlanta Biomedical Clinical Research

🇺🇸

Atlanta, Georgia, United States

Allergy and Asthma Specialists PSC

🇺🇸

Owensboro, Kentucky, United States

OptiSkin Medical

🇺🇸

New York, New York, United States

Palmetto Clinical Trial Services LLC

🇺🇸

Simpsonville, South Carolina, United States

Center for Clinical Studies

🇺🇸

Webster, Texas, United States

Jordan Valley Dermatology Center

🇺🇸

South Jordan, Utah, United States

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