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Atopic DermatitisPhase 2NCT02340234

A Study of Lebrikizumab in Participants With Persistent Moderate to Severe Atopic Dermatitis

A Phase 2 study testing Lebrikizumab and TCS Cream in people with Atopic Dermatitis, run by Hoffmann-La Roche at 74 sites in 14 countries.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
Search all trials

Trial summary

This randomized, double-blind, placebo-controlled study will evaluate the safety and efficacy of lebrikizumab administered subcutaneously (SC) in adult participants with persistent moderate to severe atopic dermatitis (AD) who are inadequately controlled by topical corticosteroids (TCS). Read more about this study

Who is it for?
Ages 18 to 75 years
Conditions the study is for
Atopic Dermatitis
What is being tested?
Lebrikizumab and TCS Cream
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
212 participants
Where
74 sitesin 14 countries
Study dates
May 2015to Apr 2016
Phase
Phase 2
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 to 75 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • AD diagnosed by the Hanifin/Rajka criteria and that has been present for at least 1 year at screening
  • Moderate to severe AD as graded by the Rajka/Langeland criteria at screening
  • History of inadequate response to a >/= 1 month (within the 3 months prior to the screening visit) treatment regimen of at least daily TCS and regular emollient for treatment of AD
  • EASI score >/= 14 at screening and end of the run-in period
  • IGA score >/= 3 (5-point scale) at screening and end of the run-in period
  • AD involvement of >/= 10% BSA at screening
  • Pruritus VAS score >/= 3 at screening

Who cannot join

  • Past and/or current use of any anti-interleukin (IL)-13 or anti-IL-4/IL-13 therapy, including lebrikizumab
  • Use of an investigational agent within 4 weeks prior to screening or within 5 half-lives of the investigational agent, whichever is longer
  • History of a severe allergic reaction or anaphylactic reaction to a biologic agent or known hypersensitivity to any component of the lebrikizumab injection
  • Use of any complementary, alternative, or homeopathic medicines including, but not limited to, phytotherapies, traditional or non-traditional herbal medications, essential fatty acids, or acupuncture within 7 days prior to the run-in period or need for such medications during the study
  • Evidence of other skin conditions; including, but not limited to, T-cell lymphoma or allergic contact dermatitis
  • Evidence of, or ongoing treatment (including topical antibiotics) for active skin infection at screening
Show all 14Show fewer
  • Other recent infections meeting protocol criteria
  • Active tuberculosis requiring treatment within the 12 months prior to Visit 1
  • Evidence of acute or chronic hepatitis or known liver cirrhosis
  • Known immunodeficiency, including human immunodeficiency virus (HIV) infection
  • Use of a topical calcineurin inhibitor (TCI) at the time of screening, unless the participant is willing to stop TCI use during the study (including the run-in period) and, in the investigator's opinion, it is safe to do so
  • Clinically significant abnormality on screening electrocardiogram (ECG) or laboratory tests that, in the opinion of the investigator, may pose an additional risk in administering study drug or TCS to the participant
  • Known current malignancy or current evaluation for a potential malignancy, including basal or squamous cell carcinoma of the skin or carcinoma in situ
  • History of malignancy within 5 years prior to screening, except for appropriately treated carcinoma in situ of the cervix, non-melanoma skin carcinoma, Stage I uterine cancer

Trial locations and contacts

74 sites in 14 countries.

74 sites in 14 countries

United States16 sites
  • University of Colorado; Anschutz Cancer Pavilion

    Aurora, Colorado, 80045

  • Massachusetts General Hospital

    Boston, Massachusetts, 02114

  • Northwestern University Feinberg School Of Medicine

    Chicago, Illinois, 60611

  • University of Texas Medical School-Houston

    Houston, Texas, 77030

  • University of Iowa Healthcare; Dermatology

    Iowa City, Iowa, 52242

  • Dermatology Research Associate

    Los Angeles, California, 90045

  • Sadick Research Group

    New York, New York, 10075

  • Virginia Clinical Research Inc.

    Norfolk, Virginia, 23502

  • Ameriderm Research

    Ormond Beach, Florida, 32174

  • Oregon Health & Science University; Department of Dermatology

    Portland, Oregon, 97239-4501

  • Dermatology Clinical Research Center of San Antonio

    San Antonio, Texas, 78229

  • UCSD Division of Dermatology

    San Diego, California, 92122

  • Univ of Calif-San Francisco

    San Francisco, California, 94115

  • Washington University; Dermatology

    St Louis, Missouri, 63110

  • Olympian Clinical Research

    Tampa, Florida, 33609

  • Somerset Skin Centre

    Troy, Michigan, 48084

Other trials in United States

Canada7 sites
  • Institute for Skin Advancement

    Calgary, Alberta, T3A 2N1

  • Innovaderm Research Inc.

    Montreal, Quebec, L2K 4L5

  • Dr. Melinda Gooderham Medicine Professional Corporation

    Peterborough, Ontario, K9J 5K2

  • The Centre for Dermatology

    Richmond Hill, Ontario, L4B 1A5

  • Guildford Dermatology Specialists

    Surrey, British Columbia, V3R 6A7

  • K. Papp Clinical Research Inc.

    Waterloo, Ontario, N2J 1C4

  • XLR8 Medical Research Inc.

    Windsor, Ontario, N8W 1E6

Other trials in Canada

Spain7 sites
  • Hospital de la Santa Creu i Sant Pau; Servicio de Dermatologia

    Barcelona, 08025

  • Hospital Universitario La Princesa, Servicio dermatologia

    Madrid, 28006

  • HUGregorio Marañón, Servicio de dermatología

    Madrid, 28007

  • Hospital Ramon y Cajal; servicio dermatologia

    Madrid, 28034

  • Hospital Universitario La Paz; Servicio de dermatologia

    Madrid, 28046

  • Clinica Universitaria de Navarra; Servicio de Dermatologia

    Pamplona, Navarre, 31008

  • Hospital General Universitario de Valencia; servicio de dermatología

    Valencia, 46014

Other trials in Spain

Germany6 sites
  • Charite Mitte; Klinik fur Dermatologie

    Berlin, 10117

  • Universitätsklinik Bonn

    Bonn, 53127

  • Klinik Johann Wolfgang von Goethe Uni; Klinik für Dermatologie, Venerologie und Allergologie

    Frankfurt, 60590

  • SRH Wald-Klinikum Gera GmbH; Hautkrankheiten und Allergologie

    Gera, 07548

  • UKSH Kiel; Klinik für Dermatologie, Venerologie und Allergologie

    Kiel, 24105

  • Universitätsklinikum Mainz

    Mainz, 55131

Other trials in Germany

United Kingdom6 sites
  • Russells Hall Hospital

    Dudley, DY1 2HQ

  • Guys and St Thomas NHS Foundation Trust, Guys Hospital; Skin Therapy Research Unit

    London, SE1 9RT

  • Newcastle University & The Newcastle upon Tyne Hospitals NHS Foundation Trust

    Newcastle upon Tyne, NE1 4LP

  • Churchill Hospital

    Oxford, OX3 7LJ

  • Poole Hospital

    Poole, BH15 2JB

  • Salford Royal NHS Foundation Trust

    Salford, M6 8HD

Other trials in United Kingdom

France5 sites
  • Hopital Saint Andre CHU De Bordeaux; Dermatologie

    Bordeaux, 33075

  • Hopital du Bocage; Dermatologie

    Dijon, 21079

  • Hopital Hotel Dieu Et Hme; Clinique Dermatologique

    Nantes, 44093

  • Hopital l Archet 2; Ginestriere, Service de; Dermatologie

    Nice, 06200

  • Centre Hospitalier Lyon Sud; Dermatologie

    Pierre-Bénite, 69495

Other trials in France

Poland5 sites
  • Uniwersyteckie Centeum Kliniczne GUMed; Klinika Dermatologii, Wenerologii i Alergologii

    Gdansk, 80-402

  • DERMED Centrum Medyczne; Sp zoo

    Lodz, 90-265

  • Laser Clinic

    Szczecin, 70-322

  • ALERGO-MED Specjalistyczna Przychodnia Lekarska Sp. z o. o

    Tarnów, 33-100

  • dermMedica sp.z o.o.

    Wroclaw, 51-318

Other trials in Poland

Australia4 sites
  • Skin & Cancer Foundation

    Carlton, Victoria, 3053

  • Fremantle Dermatology

    Fremantle, Western Australia, 6160

  • St George Dermatology and Skin Cancer Centre

    Kogarah, New South Wales, 2217

  • Royal Melbourne Hospital; Dermatology Department

    Parkville, Victoria, 3050

Other trials in Australia

Czechia3 sites
  • Faculty Hospital; Department of Dermatology

    Pilsen, 305 99

  • Charles University School of Medicine; Deptartment of Dermatology

    Prague, 100 34

  • Masarykova nemocnice o.z; kozni oddeleni

    Ústí nad Labem, 401 13

Other trials in Czechia

Finland3 sites
  • Helsinki University Central Hospital; Skin & Allergy Hospital

    Helsinki, 00029

  • Tampere University Hospital; Dermatology and allergology

    Tampere, 33520

  • Turku Central University Hospital; Dermatology and allergology

    Turku, 20250

Other trials in Finland

Netherlands3 sites
  • Academisch Medisch Centrum Universiteit Amsterdam; Dermatology and VU University Medical Center

    Amsterdam, 1100 DD

  • University Medical Center Groningen; Department of Dermatology

    Groningen, 9700RB

  • UMC Utrecht; Dermatology

    Utrecht, 3584 CX

Other trials in Netherlands

South Korea3 sites
  • Seoul National University Hospital

    Seoul, 03080

  • Severance Hospital, Yonsei University Health System

    Seoul, 03722

  • ChungAng University Hospital

    Seoul, 06973

Other trials in South Korea

Switzerland3 sites
  • Inselspital Bern; Dermatologie

    Bern, 3000

  • CHUV; Dermatologie

    Lausanne, 1011

  • Universitätsspital Zürich; Dermatologische Klinik

    Zurich, 8091

Other trials in Switzerland

Taiwan3 sites
  • Chang Gung Medical Foundation;Kaohsiung Branch; Department of Dermatology

    Kaohsiung City, 83301

  • National Cheng-Kung University Hospital; Department of Dermatology

    Tainan, 70403

  • National Taiwan University Hospital; Department of Dermatology

    Taipei, 10048

Other trials in Taiwan

About this study

Official title: A Phase II, Randomized, Double-Blind, Placebo-Controlled Study to Evaluate the Safety and Efficacy of Lebrikizumab in Patients With Persistent Moderate to Severe Atopic Dermatitis That is Inadequately Controlled by Topical Corticosteroids

This randomized, double-blind, placebo-controlled study will evaluate the safety and efficacy of lebrikizumab administered subcutaneously (SC) in adult participants with persistent moderate to severe atopic dermatitis (AD) who are inadequately controlled by topical corticosteroids (TCS). The study includes a screening visit, a 2-week run-in period, a 12-week blinded treatment period, and an 8-week safety follow-up period. Following screening visit, eligible participants will enter in run-in period (Days - 14 to - 1) during which a protocol-specified topical therapy regimen will be initiated. At the end of the run-in period, participants who have: 1) demonstrated compliance with the protocol-specified TCS regimen, and 2) who continue to fulfill the eligibility criteria will be randomized.

Being tested
Lebrikizumab, Placebo, TCS Cream
Medical subject headings
Dermatitis, Atopic

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • LebrikizumabDrug

    Lebrikizumab will be administered SC as per the schedule specified in the respective arms.

  • PlaceboDrug

    Placebo matching to lebrikizumab will be administered as per the schedule specified in the respective arms.

  • TCS CreamDrug

    TCS cream (triamcenolone acetonide 0.1% or hydrocortisone 2.5% cream) twice daily

Study groups in NCT02340234
Study groupRoleWhat they receive
Lebrikizumab 250 mg Single Dose + TCS CreamExperimentalParticipants will receive lebrikizumab 250 milligrams (mg) SC single dose on Day 1 followed by placebo on Week 4 and Week 8. Participants will continue to apply TCS cream (triamcenolone acetonide 0.1% or hydrocortisone 2.5% cream) twice daily to active skin lesions throughout the 12-week treatment period.
Receives: Drug: Lebrikizumab; Drug: Placebo; Drug: TCS Cream
Lebrikizumab 125 mg Single Dose + TCS CreamExperimentalParticipants will receive lebrikizumab 125 mg SC single dose on Day 1 followed by placebo on Week 4 and Week 8. Participants will continue to apply TCS cream (triamcenolone acetonide 0.1% or hydrocortisone 2.5% cream) twice daily to active skin lesions throughout the 12-week treatment period.
Receives: Drug: Lebrikizumab; Drug: Placebo; Drug: TCS Cream
Lebrikizumab 125 mg Q4W + TCS CreamExperimentalParticipants will receive lebrikizumab 125 mg SC every 4 weeks (Q4W) for a total of 3 doses. Participants will continue to apply TCS cream (triamcenolone acetonide 0.1% or hydrocortisone 2.5% cream) twice daily to active skin lesions throughout the 12-week treatment period.
Receives: Drug: Lebrikizumab; Drug: TCS Cream
Placebo Q4W + TCS CreamPlacebo comparatorParticipants will receive placebo Q4W for a total of 3 doses. Participants will continue to apply TCS cream (triamcenolone acetonide 0.1% or hydrocortisone 2.5% cream) twice daily to active skin lesions throughout the 12-week treatment period.
Receives: Drug: Placebo; Drug: TCS Cream

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Percentage of Participants Achieving a 50 Percent (%) Reduction From Baseline in Eczema Area and Severity Index (EASI) Score (EASI-50) at Week 12

    Measured: Week 12

Secondary outcomes (39)
  1. Percent Change From Baseline in EASI Score at Week 12

    Measured: Baseline, Week 12

  2. Absolute Change From Baseline in EASI Score at Week 12

    Measured: Baseline, Week 12

  3. Percentage of Participants Achieving a 75% Reduction From Baseline in EASI Score (EASI-75) at Week 12

    Measured: Week 12

  4. Percentage of Participants Achieving an Investigator's Global Assessment (IGA) score of 0 or 1 at Week 12

    Measured: Week 12

  5. Percentage of Participants With a Greater Than or Equal to (>/=) 2 Point Reduction From Baseline in IGA at Week 12

    Measured: Week 12

  6. Absolute Change From Baseline in IGA at Week 12

    Measured: Baseline, Week 12

  7. Percentage of Participants Achieving an Investigator Global Signs Assessment (IGSA) Score of 0 or 1 at Week 12

    Measured: Week 12

  8. Percentage of Participants with a >/=2 Point Reduction From Baseline in IGSA at Week 12

    Measured: Week 12

  9. Absolute Change From Baseline in IGSA at Week 12

    Measured: Baseline, Week 12

  10. Percent Change From baseline in Severity Scoring of Atopic Dermatitis (SCORAD) at Week 12

    Measured: Baseline, Week 12

  11. Absolute Change From baseline in SCORAD at Week 12

    Measured: Baseline, Week 12

  12. Percentage of Participants With a 50% or 75% Reduction From Baseline in SCORAD-50/75 at Week 12

    Measured: Week 12

  13. Percentage of Participants Achieving EASI-50 at Week 12 and Maintaining EASI-50 at Weeks 16

    Measured: Weeks 12, 16

  14. Percentage of Participants Achieving EASI-50 at Week 12 and Maintaining EASI-50 at Weeks 16 and 20

    Measured: Weeks 12, 16, 20

  15. Percentage of Participants Achieving IGA Score of 0 or 1 at Week 12 and Maintaining IGA Score of 0 or 1 at Weeks 16

    Measured: Weeks 12, 16

  16. Percentage of Participants Achieving IGA Score of 0 or 1 at Week 12 and Maintaining IGA Score of 0 or 1 at Weeks 16 and 20

    Measured: Weeks 12, 16, 20

  17. Percentage of Participants Achieving IGSA Score of 0 or 1 at Week 12 and Maintaining IGSA Score of 0 or 1 at Weeks 16

    Measured: Weeks 12, 16

  18. Percentage of Participants Achieving IGSA Score of 0 or 1 at Week 12 and Maintaining IGSA Score of 0 or 1 at Weeks 16 and 20

    Measured: Weeks 12, 16, 20

  19. Percentage of Participants Achieving SCORAD-50 at Week 12 and Maintaining SCORAD-50 at Weeks 16

    Measured: Weeks 12, 16

  20. Percentage of Participants Achieving SCORAD-50 at Week 12 and Maintaining SCORAD-50 at Weeks 16 and 20

    Measured: Weeks 12, 16, 20

  21. Percent Change From Baseline in Total % Body Surface Area (BSA) Affected At Week 12

    Measured: Baseline, Week 12

  22. Absolute Change From Baseline in Pruritus as Measured by the Pruritus Visual Analog Scale (VAS) at Week 12

    Measured: Baseline, Week 12

  23. Percent Change From Baseline in Pruritus as Measured by the Pruritus VAS at Week 12

    Measured: Baseline, Week 12

  24. Absolute Change From Baseline in Pruritus as Measured by the 5-D Itch Scale at Week 12

    Measured: Baseline, Week 12

  25. Percent Change From Baseline in Pruritus as Measured by the 5-D Itch Scale at Week 12

    Measured: Baseline, Week 12

  26. Total Use (Grams) of TCS From Baseline to Week 12

    Measured: From Baseline to Week 12

  27. Total Use (Grams) of TCS From Week 12 to End of Study or Early Termination

    Measured: From Week 12 to end of study or early termination (up to approximately 20 weeks)

  28. Number of Disease Flares From Baseline to Week 12

    Measured: From Baseline to Week 12

  29. Change in AD Symptoms From Baseline to Week 12, as Assessed by the Atopic Dermatitis Symptom Diary (ADSD)

    Measured: Baseline, Week 12

  30. Change in AD-Specific HealthRelated Quality of Life (QoL) From Baseline to Week 12, as Assessed by the Atopic Dermatitis Impact Questionnaire (ADIQ)

    Measured: Baseline, Week 12

  31. Change in Health-Related QoL From Baseline to Week 12, as Measured by the Dermatology Life Quality Index (DLQI)

    Measured: Baseline, Week 12

  32. Percentage of Participants With Treatment-Emergent Adverse Events (AEs)

    Measured: From start of run-in period (Day -14) until study completion (up to approximately 20 Weeks)

  33. Percentage of Participants With Anti-Therapeutic Antibodies (ATA) to Lebrikizumab

    Measured: Pre-dose on Days 1, 29, 85, 141, study discontinuation visit (up to Day 141)

  34. Percentage of Participants With ATA to Phospholipase B-Like 2 (PLBL2) Protein

    Measured: Pre-dose on Days 1, 29, 85, 141, study discontinuation visit (up to Day 141)

  35. Percentage of Participants With Disease Rebound

    Measured: From Week 12 up to approximately 20 weeks

  36. Maximum Serum Concentration (Cmax) of Lebrikizumab

    Measured: After first dose of lebrikizumab at Week 1

  37. Time to Reach Cmax (Tmax) of Lebrikizumab

    Measured: After first dose of lebrikizumab at Week 1

  38. Minimum Serum Concentration (Cmin) of Lebrikizumab

    Measured: Pre-dose at Weeks 4, 8, 12

  39. Elimination Half-Life (t1/2) of Lebrikizumab

    Measured: Pre-dose on Days 1, 8, 29, 43, 57, 85, 113, 141, study discontinuation visit (up to Day 141)

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted16 Jan 2015 (estimated)
  2. Study startMay 2015
  3. Primary completionApr 2016
  4. Study completionApr 2016

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Double blind
Who is masked
Participant, Investigator
Enrolment
212 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT02340234
Sponsor's protocol ID
GS29250
Other IDs
2014-000049-56, 2014
Status last verified
Sep 2017
First submitted
13 Jan 2015
Last updated
2 Oct 2017
Results posted
No

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing Lebrikizumab and TCS Cream in people with Atopic Dermatitis, run by Hoffmann-La Roche at 74 sites in 14 countries.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 7 inclusion and 14 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 2 Oct 2017. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 74 sites in United States, Canada, Spain, Germany, United Kingdom and 9 more countries. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Percentage of Participants Achieving a 50 Percent (%) Reduction From Baseline in Eczema Area and Severity Index (EASI) Score (EASI-50) at Week 12 (time frame: Week 12). It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 2 Oct 2017.

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