MedPath

A Study to Evaluate the Efficacy and Safety of Subcutaneous Amlitelimab Monotherapy Compared With Placebo in Participants Aged 12 Years and Older With Moderate-to-severe Atopic Dermatitis (COAST 2)

Phase 3
Recruiting
Conditions
Dermatitis Atopic
Interventions
Drug: Amlitelimab
Drug: Placebo
Registration Number
NCT06181435
Lead Sponsor
Sanofi
Brief Summary

This is a parallel group, Phase 3, multinational, multicenter, randomized, double-blind, placebo-controlled, 3-arm monotherapy study for treatment of participants diagnosed with moderate to severe atopic dermatitis (AD), whose disease is not adequately controlled with topical prescription therapies or when those therapies are not advisable.

The purpose of this study is to measure the efficacy and safety of treatment with amlitelimab solution for SC injection compared with placebo in participants with moderate to severe AD aged 12 years and older.

Study details include:

At the end of the treatment period, participants will have an option to enter a separate study: the blinded extension study EFC17600 (ESTUARY).

For participants not entering the blinded extension Study EFC17600 (ESTUARY), the study duration will be up to 44 weeks including a 2 to 4-week screening, a 24-week randomized double-blind period, and a 16-week safety follow-up.

For participants entering the blinded extension Study EFC17600 (ESTUARY), the study duration will be up to 28 weeks including a 2 to 4-week screening and a 24-week randomized double-blind period.

The total treatment duration will be up to 24 weeks. The total number of visits will be up to 10 visits (or 9 visits for those entering the blinded extension study EFC17600 (ESTUARY).

Detailed Description

Not available

Recruitment & Eligibility

Status
RECRUITING
Sex
All
Target Recruitment
420
Inclusion Criteria
  • Participants must be 12 years of age (when signing informed consent form)
  • Diagnosis of AD for at least 1 year (defined by the American Academy of Dermatology Consensus Criteria)
  • Documented history (within 6 months before screening) of either inadequate response or inadvisability to topical treatments, and/or inadequate response to systemic therapies (within 12 months before screening)
  • v-IGA-AD of 3 or 4 at baseline visit
  • EASI score of 16 or higher at baseline
  • AD involvement of 10% or more of BSA at baseline
  • Weekly average of daily PP-NRS of ≥ 4 at baseline visit.
  • Able and willing to comply with requested study visits and procedures
  • Body weight ≥ 25 kg
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Exclusion Criteria

Participants are excluded from the study if any of the following criteria apply:

  • Skin co-morbidity that would adversely affect the ability to undertake AD assessments
  • Known history of or suspected significant current immunosuppression
  • Any malignancies or history of malignancies prior to baseline (with the exception of non-melanoma skin cancer excised and cured >5 years prior to baseline)
  • History of solid organ or stem cell transplant
  • Any active or chronic infection including helminthic infection requiring systemic treatment within 4 weeks prior to baseline
  • Positive for human immunodeficiency virus (HIV), Hepatitis B or hepatitis C at screening visit
  • Having active tuberculosis (TB), latent TB, a history of incompletely treated TB, suspected extrapulmonary TB infection, or who are at high risk of contracting TB
  • Having received any of the specified therapy within the specified timeframe(s) prior to the baseline visit
  • In the Investigator's opinion, any clinically significant laboratory results or protocol specified laboratory abnormalities at screening
  • History of hypersensitivity or allergy to any of the excipients or investigational medicinal product (IMP)

The above information is not intended to contain all considerations relevant to a patient's potential participation in a clinical trial.

Read More

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Amlitelimab dose 2AmlitelimabSubcutaneous injection as per protocol
Amlitelimab dose 1AmlitelimabSubcutaneous injection as per protocol
PlaceboPlaceboSubcutaneous injection as per protocol
Primary Outcome Measures
NameTimeMethod
EU, EU reference countries, and Japan: Proportion of participants reaching 75% reduction from baseline in Eczema Area and Severity Index (EASI) score (EASI-75) at Week 24Week 24

The EASI is an Investigator-assessed validated tool used to measure the extent (area) and severity of AD. Total score ranges from 0 to 72 with a higher score indicating increased extent and severity of AD.

US and US reference countries: Proportion of participants with vIGA-AD of 0 (clear) or 1 (almost clear) and a reduction from baseline of ≥2 points at Week 24Week 24

The vIGA-AD is an Investigator-completed assessment scale used to determine severity of AD and clinical response to treatment. It is based on a 5-point scale, ranging from 0 (clear) to 4 (severe).

EU, EU reference countries, and Japan: Proportion of participants with Validated Investigator Global Assessment scale for Atopic Dermatitis (vIGA-AD) of 0 (clear) or 1 (almost clear) and a reduction from baseline of ≥2 points at Week 24Week 24

The vIGA-AD is an Investigator-completed assessment scale used to determine severity of AD and clinical response to treatment. It is based on a 5-point scale, ranging from 0 (clear) to 4 (severe).

Secondary Outcome Measures
NameTimeMethod
Percent change in weekly average of daily PP-NRS from baselineBaseline to Week 24

The PP-NRS is a validated single item 0-10 numeric rating scale assessing peak pruritus (itch) associated with AD with 0 = no itch and 10 = worst itch imaginable.

Proportion of participants with EASI ≤7Baseline to Week 24

The EASI is an Investigator-assessed validated tool used to measure the extent (area) and severity of AD. Total score ranges from 0 to 72 with a higher score indicating increased extent and severity of AD.

Change in percent Body Surface Area (BSA) affected by AD from baselineBaseline to Week 24
Percent change in Scoring Atopic Dermatitis (SCORAD) index from baselineBaseline to Week 24

The SCORAD index is a clinical tool to evaluate the extent and severity of AD. Total score ranges from 0 (absent disease) to 103 (severe disease).

Absolute change in SCORAD index from baselineBaseline to Week 24

The SCORAD index is a clinical tool to evaluate the extent and severity of AD. Total score ranges from 0 (absent disease) to 103 (severe disease).

Proportion of participants with a reduction in SCORAD ≥ 8.7 points from baseline in participants with baseline SCORAD score ≥ 8.7Baseline to Week 24

The SCORAD index is a clinical tool to evaluate the extent and severity of AD. Total score ranges from 0 (absent disease) to 103 (severe disease).

Proportion of participants reaching EASI-75 at Week 24 (for US and US reference countries only)Week 24

The EASI is an Investigator-assessed validated tool used to measure the extent (area) and severity of AD. Total score ranges from 0 to 72 with a higher score indicating increased extent and severity of AD. EASI-75 is 75% reduction from baseline in EASI score.

Change in Patient Oriented Eczema Measure (POEM) from baselineBaseline to Week 24

The POEM is a 7-item self-assessment questionnaire that assesses disease symptoms on a 5-point scale; 0 (no days) to 4 (every day in the last week). The sum of the 7 items gives the total POEM score of 0 (absent disease) to 28 (very severe). Higher scores indicated more severe disease and poor quality of life.

Proportion of participants with vIGA-AD 0 (clear) or 1 (almost clear) with presence of only barely perceptible erythema (no induration/papulation, no lichenification, no oozing or crusting) and a reduction from baseline of ≥2 pointsBaseline to Week 24

The vIGA-AD is an Investigator-completed assessment scale used to determine severity of AD and clinical response to treatment. It is based on a 5-point scale, ranging from 0 (clear) to 4 (severe).

Proportion of participants with ≥4-point reduction in weekly average of daily Peak Pruritus-Numerical Rating Scale (PP-NRS) from baseline in participants with baseline weekly average of daily PP-NRS ≥4Baseline to Week 24

The PP-NRS is a validated single item 0-10 numeric rating scale assessing peak pruritus (itch) associated with AD with 0 = no itch and 10 = worst itch imaginable.

Proportion of participants reaching EASI-75Baseline to Week 20

The EASI is an Investigator-assessed validated tool used to measure the extent (area) and severity of AD. Total score ranges from 0 to 72 with a higher score indicating increased extent and severity of AD. EASI-75 is 75% reduction from baseline in EASI score.

Proportion of participants with vIGA-AD of 0 (clear) or 1 (almost clear) and a reduction from baseline of ≥2 pointsBaseline to Week 20

The vIGA-AD is an Investigator-completed assessment scale used to determine severity of AD and clinical response to treatment. It is based on a 5-point scale, ranging from 0 (clear) to 4 (severe).

Proportion of participants with vIGA-AD 0 (clear)Week 24

The vIGA-AD is an Investigator-completed assessment scale used to determine severity of AD and clinical response to treatment. It is based on a 5-point scale, ranging from 0 (clear) to 4 (severe).

Proportion of participants reaching EASI-90Baseline to Week 24

The EASI is an Investigator-assessed validated tool used to measure the extent (area) and severity of AD. Total score ranges from 0 to 72 with a higher score indicating increased extent and severity of AD. EASI-90 is 90% reduction from baseline in EASI score.

Proportion of participants reaching EASI-100Baseline to Week 24

The EASI is an Investigator-assessed validated tool used to measure the extent (area) and severity of AD. Total score ranges from 0 to 72 with a higher score indicating increased extent and severity of AD. EASI-100 is 100% reduction from baseline in EASI score.

Proportion of participants with PP-NRS 0 or 1Baseline to Week 24

The PP-NRS is a validated single item 0-10 numeric rating scale assessing peak pruritus (itch) associated with AD with 0 = no itch and 10 = worst itch imaginable.

Change in Dermatology Life Quality Index (DLQI) from baseline in participants with age ≥16 years oldBaseline to Week 24

The DLQI is a validated 10-item questionnaire to measure dermatology-specific quality of life (QoL) in adult patients. Overall scoring ranges from 0 to 30, with a higher score indicating a poorer QoL.

Proportion of participants with a reduction in DLQI ≥4 from baseline in participants with age ≥16 years old and with DLQI baseline ≥4Baseline to Week 24

The DLQI is a validated 10-item questionnaire to measure dermatology-specific quality of life (QoL) in adult patients. Overall scoring ranges from 0 to 30, with a higher score indicating a poorer QoL.

Change in Children Dermatology Life Quality Index (CDLQI) from baseline in participants with age ≥12 to <16 years oldBaseline to Week 24

The CDLQI is a validated 10-item questionnaire to measure dermatology-specific quality of life (QoL) in children aged 4-\<16 years. Overall scoring ranges from 0 to 30, with a higher score indicating a poorer QoL.

Proportion of participants with a reduction in POEM ≥4 from baseline in participants with POEM Baseline ≥4Baseline to Week 24

The POEM is a 7-item self-assessment questionnaire that assesses disease symptoms on a 5-point scale; 0 (no days) to 4 (every day in the last week). The sum of the 7 items gives the total POEM score of 0 (absent disease) to 28 (very severe). Higher scores indicated more severe disease and poor quality of life.

Proportion of participants with rescue medication useBaseline to Week 24
Percentage of participants who experience Treatment-Emergent Adverse Events (TEAEs), experience Treatment-Emergent Serious Adverse Events (TESAEs) and/or Treatment- Emergent Adverse Events of Special Interest (AESI)Baseline to Week 40
Serum amlitelimab concentrationsBaseline to Week 40
Incidence of antidrug antibodies (ADAs) of amlitelimabBaseline to Week 40
Proportion of participants with a reduction in CDLQI ≥6 from baseline in participants with age ≥12 to <16 years old and with CDLQI baseline ≥6Baseline to Week 24

The CDLQI is a validated 10-item questionnaire to measure dermatology-specific quality of life (QoL) in children aged 4-\<16 years. Overall scoring ranges from 0 to 30, with a higher score indicating a poorer QoL

Change in Hospital Anxiety Depression Scale (HADS) from baselineBaseline to Week 24

The HADS is 14-item questionnaire with two subscales: anxiety \& depression. Each subscale (anxiety \& depression) ranges 0-21. The total HADS score ranges 0-42 with higher score indicating a poorer state.

Proportion of participants with HADS subscale Anxiety (HADS-A) <8 in participants with baseline HADS-A ≥8Baseline to Week 24

HADS-A score ranges 0-21 with higher score indicating a poorer state.

Proportion of participants with HADS subscale Depression (HADS-D) <8 in participants with HADS-D baseline ≥8Baseline to Week 24

HADS-D score ranges 0-21 with higher score indicating a poorer state.

Absolute change in weekly average of daily Skin Pain-Numerical Rating Scale (SP-NRS) from baselineBaseline to Week 24

The SP-NRS is a single item 0-10 numeric rating scale assessing skin pain associated with AD with 0 = no pain and 10 = worst possible pain imaginable.

Proportion of participants with a reduction in weekly average of daily SP-NRS ≥4 from baseline in participants with baseline weekly average of daily SP-NRS ≥4Baseline to Week 24

The SP-NRS is a single item 0-10 numeric rating scale assessing skin pain associated with AD with 0 = no pain and 10 = worst possible pain imaginable.

Absolute change in weekly average of daily Sleep Disturbance-Numerical Rating Scale (SD-NRS) from baselineBaseline to Week 24

The SD-NRS is a single item 0-10 numeric rating scale assessing sleep disturbance associated with AD with 0 = no sleep loss and 10 = did not sleep at all.

Proportion of participants with a reduction in weekly average of daily SD-NRS ≥3 from baseline in participants with Baseline weekly average of daily SD-NRS ≥3Baseline to Week 24

The SD-NRS is a single item 0-10 numeric rating scale assessing sleep disturbance associated with AD with 0 = no sleep loss and 10 = did not sleep at all.

Percent change in weekly average of daily SP-NRS from baselineBaseline to Week 24

The SP-NRS is a single item 0-10 numeric rating scale assessing skin pain associated with AD with 0 = no pain and 10 = worst possible pain imaginable.

Percent change in weekly average of daily SD-NRS from baselineBaseline to Week 24

The SD-NRS is a single item 0-10 numeric rating scale assessing sleep disturbance associated with AD with 0 = no sleep loss and 10 = did not sleep at all.

Percent change in EASI score from baselineBaseline to Week 24

The EASI is an Investigator-assessed validated tool used to measure the extent (area) and severity of AD. Total score ranges from 0 to 72 with a higher score indicating increased extent and severity of AD.

Absolute change in weekly average of daily PP-NRS from baselineBaseline to Week 24

The PP-NRS is a validated single item 0-10 numeric rating scale assessing peak pruritus (itch) associated with AD with 0 = no itch and 10 = worst itch imaginable.

Proportion of participants reaching EASI-50Baseline to Week 24

The EASI is an Investigator-assessed validated tool used to measure the extent (area) and severity of AD. Total score ranges from 0 to 72 with a higher score indicating increased extent and severity of AD. EASI-50 is 50% reduction from baseline in EASI score.

Trial Locations

Locations (138)

Center for Dermatology and Plastic Surgery- Site Number : 8401119

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Scottsdale, Arizona, United States

Torrance Clinical Research- Site Number : 8401027

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Lomita, California, United States

Savin Medical Group, LLC- Site Number : 8401085

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Miami, Florida, United States

Accel Research - Nona Pediatric Center- Site Number : 8401081

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Orlando, Florida, United States

AllerVie Clinical Research- Site Number : 8401104

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Columbus, Georgia, United States

Care Access Research Columbia- Site Number : 8401126

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Marriottsville, Maryland, United States

Tufts Medical Center Site Number : 8401201

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Boston, Massachusetts, United States

~University of New Mexico- Site Number : 8401263

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Albuquerque, New Mexico, United States

OmeraNY Clinical Trials, LLC- Site Number : 8401156

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Brooklyn, New York, United States

Equity Medical, LLC- Site Number : 8401239

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New York, New York, United States

Axis Clinicals- Site Number : 8401196

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Fargo, North Dakota, United States

Bexley Dermatology Research- Site Number : 8401051

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Bexley, Ohio, United States

Velocity Clinical Research, Springdale- Site Number : 8401153

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Cincinnati, Ohio, United States

Investigational Site Number : 1520015

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Quillota, Valparaíso, Chile

Investigational Site Number : 1560004

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Beijing, China

Investigational Site Number : 1560030

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Beijing, China

Investigational Site Number : 1560022

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Chengdu, China

Investigational Site Number : 1560021

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Guangzhou, China

Investigational Site Number : 1560025

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Guangzhou, China

Investigational Site Number : 1560002

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Hangzhou, China

Investigational Site Number : 1560006

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Hangzhou, China

Investigational Site Number : 1560029

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Hangzhou, China

Investigational Site Number : 1560007

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Jinan, China

Investigational Site Number : 1560024

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Ningbo, China

Investigational Site Number : 1560001

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Shanghai, China

Investigational Site Number : 1560005

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Shanghai, China

Investigational Site Number : 1560026

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Shenyang, China

Investigational Site Number : 1560023

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Wenzhou, China

Investigational Site Number : 1560003

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Wuxi, China

Investigational Site Number : 1560028

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Zhenjiang, China

Investigational Site Number : 2032106

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Kutná Hora, Czechia

Investigational Site Number : 2030010

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Olomouc, Czechia

Investigational Site Number : 2032104

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Ostrava, Czechia

Investigational Site Number : 2030006

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Prague, Czechia

Investigational Site Number : 2030011

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Praha, Czechia

Investigational Site Number : 2080001

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Aarhus, Denmark

Investigational Site Number : 2080003

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Herlev, Denmark

Investigational Site Number : 3800018

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Rozzano, Lombardia, Italy

Investigational Site Number : 3923114

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Obihiro, Hokkaido, Japan

Investigational Site Number : 3800013

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Rome, Roma, Italy

Investigational Site Number : 3800009

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Catania, Italy

Investigational Site Number : 3920008

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Sapporo-shi, Hokkaido, Japan

Investigational Site Number : 3800008

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Pisa, Italy

Investigational Site Number : 3920009

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Chitose, Hokkaido, Japan

Investigational Site Number : 3920006

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Kobe, Hyogo, Japan

Investigational Site Number : 3923108

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Kagoshima-Shi, Kagoshima, Japan

Investigational Site Number : 3920005

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Sagamihara, Kanagawa, Japan

Investigational Site Number : 3923113

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Yokohama, Japan

Investigational Site Number : 3920010

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Miyagi-gun, Miyagi, Japan

Investigational Site Number : 3920011

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Sendai-shi, Miyagi, Japan

Investigational Site Number : 3923110

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Sakai, Osaka, Japan

Investigational Site Number : 3920002

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Iruma, Saitama, Japan

Investigational Site Number : 3923106

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Mibu, Tochigi, Japan

Investigational Site Number : 3920004

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Chuo, Tokyo, Japan

Investigational Site Number : 3923107

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Minato, Tokyo, Japan

Investigational Site Number : 3920001

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Tachikawa, Tokyo, Japan

Investigational Site Number : 3923109

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Habikino, Japan

Investigational Site Number : 3923102

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Kyoto, Japan

Investigational Site Number : 3920003

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Kyoto, Japan

Investigational Site Number : 4840005

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Monterrey, Nuevo León, Mexico

Investigational Site Number : 4840012

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Aguascalientes, Mexico

Investigational Site Number : 4840009

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Durango, Mexico

Investigational Site Number : 4840003

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Veracruz, Mexico

Investigational Site Number : 6200005

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Lisbon, Portugal

Investigational Site Number : 6200004

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Lisbon, Portugal

Investigational Site Number : 6200001

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Lisbon, Portugal

Investigational Site Number : 6200003

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Porto, Portugal

Investigational Site Number : 7100004

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Boksburg, South Africa

Investigational Site Number : 7100010

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Cape Town, South Africa

Investigational Site Number : 7100009

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Cape Town, South Africa

Investigational Site Number : 7100012

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Durban, South Africa

Investigational Site Number : 7100001

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Durban, South Africa

Investigational Site Number : 7100003

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Pretoria, South Africa

Investigational Site Number : 7100015

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Johannesburg, South Africa

Investigational Site Number : 7100007

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Johannesburg, South Africa

Investigational Site Number : 7240012

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Las Palmas de Gran Canaria, Las Palmas, Spain

Investigational Site Number : 7240018

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Granada, Spain

Investigational Site Number : 7520006

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Alvsjo, Sweden

Investigational Site Number : 7520001

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Örebro, Sweden

Investigational Site Number : 7242503

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Madrid, Madrid, Comunidad De, Spain

Investigational Site Number : 7920001

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Antalya, Turkey

Investigational Site Number : 7920005

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Istanbul, Turkey

Investigational Site Number : 7920006

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Istanbul, Turkey

Investigational Site Number : 7920002

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Istanbul, Turkey

Investigational Site Number : 7920004

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Kayseri, Turkey

Investigational Site Number : 7920007

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Samsun, Turkey

Investigational Site Number : 8260003

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Portsmouth, Hampshire, United Kingdom

Investigational Site Number : 2080002

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Aalborg, Denmark

Dermatology Research Associates - Los Angeles- Site Number : 8401092

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Los Angeles, California, United States

Allergy & Asthma Associates of Southern California - Mission Viejo- Site Number : 8401079

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Mission Viejo, California, United States

Skin Care Research - Hollywood- Site Number : 8401071

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Hollywood, Florida, United States

Nuline Clinical Trial Center- Site Number : 8401161

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Pompano Beach, Florida, United States

Clinical Research Trials of Florida- Site Number : 8401023

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Tampa, Florida, United States

First Georgia Physician Group- Site Number : 8401190

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Fayetteville, Georgia, United States

Access Dermatology Clinic- Site Number : 8401296

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Franklin, Kentucky, United States

MedPharmics - Covington- Site Number : 8401137

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Covington, Louisiana, United States

University Of Mississippi Medical Center- Site Number : 8401184

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Jackson, Mississippi, United States

Care Access - Hoboken- Site Number : 8401132

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Hoboken, New Jersey, United States

Montefiore Medical Center - Moses Campus- Site Number : 8401150

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Bronx, New York, United States

PEAK Research- Site Number : 8401083

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Upper Saint Clair, Pennsylvania, United States

Columbia Dermatology & Aesthetics- Site Number : 8401166

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Columbia, South Carolina, United States

Center for Clinical Studies - Houston - Binz Street- Site Number : 8401063

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Houston, Texas, United States

Progressive Clinical Research - San Antonio- Site Number : 8401016

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San Antonio, Texas, United States

Advanced Research Institute - Odgen- Site Number : 8401057

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Ogden, Utah, United States

Jordan Valley Dermatology & Research Center- Site Number : 8401036

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South Jordan, Utah, United States

Investigational Site Number : 7240029

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Madrid, Madrid, Comunidad De, Spain

Eclipse Clinical Research- Site Number : 8401158

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Tucson, Arizona, United States

Cura Clinical Research- Site Number : 8401142

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Oxnard, California, United States

Clinical Science Institute- Site Number : 8401028

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Santa Monica, California, United States

University of Connecticut Health Center- Site Number : 8401115

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Farmington, Connecticut, United States

Pediatric Skin Research- Site Number : 8401198

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Coral Gables, Florida, United States

Dermatology Associates of Plymouth Meeting- Site Number : 8401147

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Plymouth Meeting, Pennsylvania, United States

Health Concepts- Site Number : 8401059

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Rapid City, South Dakota, United States

Arlington Research Center- Site Number : 8401248

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Arlington, Texas, United States

Derm Texas PLLC- Site Number : 8401217

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Dallas, Texas, United States

Prolato Clinical Research Center- Site Number : 8401209

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Houston, Texas, United States

Sienna Dermatology- Site Number : 8401148

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Missouri City, Texas, United States

Care Access Research- Site Number : 8401134

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Arlington, Virginia, United States

Velocity Clinical Research, Hampton- Site Number : 8401154

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Hampton, Virginia, United States

Investigational Site Number : 0320021

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Berazategui, Buenos Aires, Argentina

Investigational Site Number : 0320009

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Buenos Aires, Ciudad De Buenos Aires, Argentina

Investigational Site Number : 0320006

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Rosario, Santa Fe, Argentina

Investigational Site Number : 0320007

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Rosario, Santa Fe, Argentina

Investigational Site Number : 0320015

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Rosario, Santa Fe, Argentina

Investigational Site Number : 0320016

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Buenos Aires, Argentina

Investigational Site Number : 0320001

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Buenos Aires, Argentina

Investigational Site Number : 0320002

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Buenos Aires, Argentina

Investigational Site Number : 1002008

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Gabrovo, Bulgaria

Investigational Site Number : 1002004

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Pleven, Bulgaria

Investigational Site Number : 1002005

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Sofia, Bulgaria

Investigational Site Number : 1520004

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Valdivia, Los Ríos, Chile

Investigational Site Number : 1520013

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Santiago, Reg Metropolitana De Santiago, Chile

Investigational Site Number : 1520003

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Santiago, Reg Metropolitana De Santiago, Chile

Investigational Site Number : 1520014

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Santiago, Reg Metropolitana De Santiago, Chile

Investigational Site Number : 8262602

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London, London, City Of, United Kingdom

Investigational Site Number : 8262601

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London, London, City Of, United Kingdom

Investigational Site Number : 8260006

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Glasgow, United Kingdom

Investigational Site Number : 8260004

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Leicester, United Kingdom

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