Atopic DermatitisPhase 2ALLEVIADNCT02525094
Phase 2a Study to Evaluate the Efficacy and Safety of MEDI9929 in Adults With Atopic Dermatitis
A Phase 2 study testing MEDI9929 in people with Atopic Dermatitis, run by MedImmune LLC at 29 sites in 6 countries.
Trial summary
To assess the efficacy and safety of MEDI9929 in adult subjects with Atopic Dermatitis 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?
- MEDI9929
- Type of treatment
- Injection or infusion
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 113 participants
- Where
- 29 sitesin 6 countries
- Study dates
- 15 Aug 2015to 15 Jul 2016
- Phase
- Phase 2
- Are there results?
- Yes, posted in the registrySummary in the doctors' view
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 meeting Hanifin and Rajka criteria
- Age 18-75 years inclusive at screening
- Atopic dermatitis that affects greater than/equal to 10% body surface area
- Moderate to severe AD
- Effective birth control in line with protocol details
Who cannot join
- Active dermatologic conditions which may confuse the diagnosis of Atopic Dermatitis
- Hepatitis B, C or HIV
- Pregnant or breastfeeding
- History of anaphylaxis following any biologic therapy
- History of clinically significant infections within 4 weeks prior to Visit 3
- Diagnosis of helminth parasitic infection within 6 months to screening
Show all 10Show fewer
- History of Cancer except basal cell
- Receipt of any marketed or investigational biologic agent within 4 months to visit 3
- Any clinically relevant abnormal finding
- Major surgery within 8 weeks prior to Visit 1
Trial locations and contacts
29 sites in 6 countries.
29 sites in 6 countries
United States8 sites
Research Site
Arlington Hts, Illinois, 60005
Research Site
Berlin, New Jersey, 08009
Research Site
Carmel, Indiana, 46032
Research Site
Charlotte, North Carolina, 28277
Research Site
Indianapolis, Indiana, 46256
Research Site
North Miami Beach, Florida, 33162
Research Site
Portland, Oregon, 97239
Research Site
Tampa, Florida, 33624
Germany7 sites
Research Site
Berlin, 10117
Research Site
Frankfurt am Main, 60590
Research Site
Gera, 07548
Research Site
Hanover, 30625
Research Site
Leipzig, 04103
Research Site
München, 80337
Research Site
Münster, 48149
Hungary6 sites
Research Site
Debrecen, 4032
Research Site
Kaposvár, 7400
Research Site
Miskolc, 3529
Research Site
Pécs, 7632
Research Site
Szeged, 6720
Research Site
Szombathely, 9700
Australia3 sites
Research Site
ACT, 02606
Research Site
Liverpool, 2170
Research Site
Woolloongabba, 04102
Canada3 sites
Research Site
Barrie, Ontario, L4M 6L2
Research Site
Québec, Quebec, G1V 4X7
Research Site
Surrey, British Columbia, V3R 6A7
New Zealand2 sites
Research Site
Tauranga, 3143
Research Site
Wellington, 6021
About this study
Official title: A Phase 2a, Randomized, Double-blinded, Placebo-controlled Study to Evaluate the Efficacy and Safety of MEDI9929 in Adult Subjects With Moderate-to-Severe Atopic Dermatitis
To assess the efficacy and safety of MEDI9929 in adult subjects with Atopic Dermatitis
Read the detailed description
This is a Phase 2a, randomized, double-blinded, placebo-controlled study to evaluate the efficacy and safety of MEDI9929 administered subcutaneously to adult subjects with moderate to severe Atopic Dermatitis. Subjects will be randomized in a 1:1 fashion and will be stratified at screening. Approximately 100 subjects are planned to be randomized at approximately 35 sites in 6 countries
- Conditions
- Atopic Dermatitis
- Being tested
- MEDI9929, Placebo
- Keywords
- Eczema
- Medical subject headings
- Dermatitis, Atopic, Eczema
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
MEDI9929Biological
Participants will receive 6 subcutaneous doses of MEDI9929 280 mg every 2 weeks for 12 weeks, with the last dose at Week 10.
PlaceboBiological
Participants will receive 6 subcutaneous doses of placebo every 2 weeks for 12 weeks, with the last dose at Week 10.
| Study group | Role | What they receive |
|---|---|---|
| MEDI9929 280 mg | Experimental | Participants will receive 6 subcutaneous doses of MEDI9929 280 mg every 2 weeks for 12 weeks, with the last dose at Week 10. Receives: Biological: MEDI9929 |
| Placebo | Placebo comparator | Participants will receive 6 subcutaneous doses of placebo every 2 weeks for 12 weeks, with the last dose at Week 10. Receives: Biological: Placebo |
What is being measured
The primary outcome is the main question the study is designed to answer.
Percentage of Participants Achieving Greater Than or Equal to (>=) 50 Percent (%) Reduction From Baseline in Eczema Area and Severity Index (EASI 50) at Week 12
The eczema area and severity index (EASI) evaluates 4 natural anatomical regions for severity (0 [none] to 3 [severe]) and extent of key disease signs and focuses on the key acute and chronic signs of inflammation (erythema, induration/papulation, excoriation, and lichenification). The total score is the sum of the four body-region scores, maximum=72, minimum=0. The higher values indicating more severe disease. The EASI50 responder defined as a participant who achieved at least 50% reduction in EASI score from baseline.
Measured: Baseline (Day 1) and Week 12
Secondary outcomes (11)
Percentage of Participants Achieving >= 75 % Reduction From Baseline in EASI75 at Week 12
The EASI evaluates 4 natural anatomical regions for severity (0 [none] to 3 [severe]) and extent of key disease signs and focuses on the key acute and chronic signs of inflammation (erythema, induration/papulation, excoriation, and lichenification). The total score is the sum of the four body-region scores, maximum=72, minimum=0. The higher values indicating more severe disease. The EASI75 responder defined as a participant who achieves at least a 75% reduction in EASI score from baseline.
Measured: Baseline (Day 1) and Week 12
Mean Change From Baseline in EASI Total Score at Week 12
The EASI evaluates 4 natural anatomical regions for severity (0 [none] to 3 [severe]) and extent of key disease signs and focuses on the key acute and chronic signs of inflammation (erythema, induration/papulation, excoriation, and lichenification). The total score is the sum of the four body-region scores, maximum=72, minimum=0. The higher values indicating more severe disease.
Measured: Baseline (Day 1) and Week 12
Percentage of Participants Achieving Investigator's Global Assessment (IGA) Response of 0 (Clear) or 1 (Almost Clear) and at Least a 2-Grade Reduction From Baseline
The investigator's global assessment (IGA) allows investigators to assess overall disease severity at one given time point and consists of a 5-point severity scale from clear to severe disease (0 = clear, 1 = almost clear, 2 = mild disease, 3 = moderate disease, and 4 = severe disease). A participant has IGA response if they achieve a score of 0 (clear) or 1 (almost clear) and at least a 2-grade reduction from baseline.
Measured: Baseline (Day 1) and Week 12
Mean Change From Baseline in the Scoring of Atopic Dermatitis (SCORAD) at Week 12
The scoring of atopic dermatitis (SCORAD) is a clinical tool for assessing the severity (that is, extent, intensity) of atopic dermatitis (AD). The tool evaluates the extent and intensity of the AD lesions, along with participant symptoms. The range of the SCORAD is 0-103, where 0 indicates no eczema. The higher values indicating more severe disease.
Measured: Baseline (Day 1) and Week 12
Percentage of Participants Achieving >= 50% Reduction From Baseline in SCORAD 50
The SCORAD is a clinical tool for assessing the severity (that is, extent, intensity) of atopic dermatitis (AD). The tool evaluates the extent and intensity of the AD lesions, along with participant symptoms. The range of the SCORAD is 0-103, where 0 indicates no eczema. The higher values indicating more severe disease. The SCORAD 50 responder defined as a participant who achieves at least a 50% reduction in SCORAD score from baseline.
Measured: Baseline (Day 1) and Week 12
Percentage of Participants Achieving >= 75% Reduction From Baseline in SCORAD 75
The SCORAD is a clinical tool for assessing the severity (that is, extent, intensity) of atopic dermatitis (AD). The tool evaluates the extent and intensity of the AD lesions, along with participant symptoms. The range of the SCORAD is 0-103, where 0 indicates no eczema. The higher values indicating more severe disease. The SCORAD 75 responder is defined as a participant who achieves at least a 75% reduction in SCORAD score from baseline.
Measured: Baseline (Day 1) and Week 12
Mean Change From Baseline in Average Pruritus Numeric Rating Scale (NRS) at Week 12
Pruritus is assessed using an Numeric Rating Scale (NRS) (0 - 10) with 0= no itch and 10= worst imaginable itch. Daily pruritus assessments were summarized as weekly peak score and a change from baseline in weekly peak score was calculated.
Measured: Baseline (Day 1) and Week 12
Mean Change From Baseline in 5-D Pruritus Score at Week 12
The 5-D pruritus scale is a brief questionnaire designed to assess itch. This scale takes into account the multidimensional nature of pruritus, its impact on quality of life, and is capable of detecting change over time. The 5-D pruritus scale included 5 domains (duration, degree, direction, disability, and distribution of pruritus). The total 5-D score was obtained by scoring each of the domains separately and then summing them together. 5-D total scores ranged between 5 (no pruritus) and 25 (most severe pruritus). The higher values indicating more severe pruritus.
Measured: Baseline (Day 1) and Week 12
Number of Participants With Treatment-Emergent Adverse Events (TEAEs) and Treatment-Emergent Serious Adverse Events (TESAEs)
An Adverse event is any unfavourable and unintended signs (including abnormal laboratory findings), symptoms, or diseases temporally associated with use of investigational product, whether or not considered related to investigational product. Serious adverse event is any AE that resulted in:death;inpatient hospitalization or prolongation of existing hospitalization;persistent or significant disability or incapacity;is life-threatening;is a congenital anomaly/birth defect in offspring of a study participant;or was an important medical event that may not have resulted in death, threatened life,or required hospitalization and that, based on appropriate medical judgment, may have jeopardized participant and may have required medical or surgical intervention to prevent one of outcomes above. TEAEs are defined as AEs present at baseline that worsened in intensity after administration of study drug, or events absent at baseline that emerged after administration of study drug until Week 22.
Measured: From treatment administration (Day1) to 22 weeks
Mean Trough Serum Concentration of MEDI9929
The mean serum concentrations of MEDI9929 was observed at specified timepoints.
Measured: Week 0 (Pre dose), Weeks 4, 8, and 12 (post dose)
Number of Participants Who Developed Detectable MEDI9929 Anti-drug Antibodies
A participant was considered ADA-positive across the study if they had a positive reading (titer of 50 or higher) at any time point during the study period.
Measured: Baseline (Day 1) to Week 22
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted17 Aug 2015 (estimated)
- Study start15 Aug 2015
- Primary completion9 May 2016
- Study completion15 Jul 2016
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Posted resultsParticipant flow, outcome measures and adverse events reported by the sponsor.
- Other trials for Atopic DermatitisStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
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
- Quadruple blind
- Who is masked
- Participant, Care provider, Investigator, Outcomes assessor
- Enrolment
- 113 participants (actual)
Sponsor and investigators
- Lead sponsor
- MedImmune LLC
- Sponsor type
- Industry (pharma, biotech, devices)
- Collaborators
- Amgen
- Responsible party
- Sponsor
- Investigators
- Eric Simpson, MD, Principal investigator, Oregon Health and Science UniversityRoderick Mcphee, MD, Study director, MedImmune LLC
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT02525094
- Sponsor's protocol ID
- D5240C00001
- Acronym
- ALLEVIAD
- Status last verified
- Jan 2018
- First submitted
- 29 Jul 2015
- Last updated
- 15 Feb 2018
- Results posted
- Yes, on ClinicalTrials.gov
- Data monitoring committee
- No
- FDA-regulated drug
- Yes
- FDA-regulated device
- No
Study at a glance
From the registry record, last updated by the sponsor on 15 Feb 2018. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Phase 2a, Randomized, Double-blinded, Placebo-controlled Study to Evaluate the Efficacy and Safety of MEDI9929 in Adult Subjects With Moderate-to-Severe Atopic Dermatitis
- ClinicalTrials.gov ID
- NCT02525094
- Acronym / sponsor ID
- ALLEVIAD / D5240C00001
- Conditions
- Atopic Dermatitis
- Keywords
- Eczema
- Phase
- Phase 2
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 113 participants (actual)
- Lead sponsor
- MedImmune LLCIndustry (pharma, biotech, devices)
- Collaborators
- Amgen
- Study start
- 15 Aug 2015 (actual)
- Primary completion
- 9 May 2016 (actual)
- Study completion
- 15 Jul 2016 (actual)
- First posted
- 17 Aug 2015 (estimated)
- Results
- Posted 15 Feb 2018
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
To assess the efficacy and safety of MEDI9929 in adult subjects with Atopic Dermatitis
Detailed description
This is a Phase 2a, randomized, double-blinded, placebo-controlled study to evaluate the efficacy and safety of MEDI9929 administered subcutaneously to adult subjects with moderate to severe Atopic Dermatitis. Subjects will be randomized in a 1:1 fashion and will be stratified at screening. Approximately 100 subjects are planned to be randomized at approximately 35 sites in 6 countries
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Quadruple blind (participant, care provider, investigator, outcomes assessor)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| MEDI9929 280 mg | Experimental | Biological: MEDI9929Participants will receive 6 subcutaneous doses of MEDI9929 280 mg every 2 weeks for 12 weeks, with the last dose at Week 10. |
| Placebo | Placebo comparator | Biological: PlaceboParticipants will receive 6 subcutaneous doses of placebo every 2 weeks for 12 weeks, with the last dose at Week 10. |
Who may qualify
- Ages
- 18 to 75 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (5 listed)
- AD meeting Hanifin and Rajka criteria
- Age 18-75 years inclusive at screening
- Atopic dermatitis that affects greater than/equal to 10% body surface area
- Moderate to severe AD
- Effective birth control in line with protocol details
Key exclusion criteria (10 listed)
- Active dermatologic conditions which may confuse the diagnosis of Atopic Dermatitis
- Hepatitis B, C or HIV
- Pregnant or breastfeeding
- History of anaphylaxis following any biologic therapy
- History of clinically significant infections within 4 weeks prior to Visit 3
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| MEDI9929Participants will receive 6 subcutaneous doses of MEDI9929 280 mg every 2 weeks for 12 weeks, with the last dose at Week 10. | Biological | MEDI9929 280 mg |
| PlaceboParticipants will receive 6 subcutaneous doses of placebo every 2 weeks for 12 weeks, with the last dose at Week 10. | Biological | Placebo |
Primary outcome
Percentage of Participants Achieving Greater Than or Equal to (>=) 50 Percent (%) Reduction From Baseline in Eczema Area and Severity Index (EASI 50) at Week 12
Time frame: Baseline (Day 1) and Week 12
The eczema area and severity index (EASI) evaluates 4 natural anatomical regions for severity (0 [none] to 3 [severe]) and extent of key disease signs and focuses on the key acute and chronic signs of inflammation (erythema, induration/papulation, excoriation, and lichenification). The total score is the sum of the four body-region scores, maximum=72, minimum=0. The higher values indicating more severe disease. The EASI50 responder defined as a participant who achieved at least 50% reduction in EASI score from baseline.
11 secondary outcomes
Percentage of Participants Achieving >= 75 % Reduction From Baseline in EASI75 at Week 12
Time frame: Baseline (Day 1) and Week 12
Mean Change From Baseline in EASI Total Score at Week 12
Time frame: Baseline (Day 1) and Week 12
Percentage of Participants Achieving Investigator's Global Assessment (IGA) Response of 0 (Clear) or 1 (Almost Clear) and at Least a 2-Grade Reduction From Baseline
Time frame: Baseline (Day 1) and Week 12
Mean Change From Baseline in the Scoring of Atopic Dermatitis (SCORAD) at Week 12
Time frame: Baseline (Day 1) and Week 12
Percentage of Participants Achieving >= 50% Reduction From Baseline in SCORAD 50
Time frame: Baseline (Day 1) and Week 12
Percentage of Participants Achieving >= 75% Reduction From Baseline in SCORAD 75
Time frame: Baseline (Day 1) and Week 12
Mean Change From Baseline in Average Pruritus Numeric Rating Scale (NRS) at Week 12
Time frame: Baseline (Day 1) and Week 12
Mean Change From Baseline in 5-D Pruritus Score at Week 12
Time frame: Baseline (Day 1) and Week 12
Number of Participants With Treatment-Emergent Adverse Events (TEAEs) and Treatment-Emergent Serious Adverse Events (TESAEs)
Time frame: From treatment administration (Day1) to 22 weeks
Mean Trough Serum Concentration of MEDI9929
Time frame: Week 0 (Pre dose), Weeks 4, 8, and 12 (post dose)
Number of Participants Who Developed Detectable MEDI9929 Anti-drug Antibodies
Time frame: Baseline (Day 1) to Week 22
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 15 Feb 2018.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
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Effects of Treatments on Atopic Dermatitis
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A Long Term Extension Study to Evaluate the Safety and Efficacy of Afimkibart (RO7790121) in Participants With Atopic Dermatitis
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Evaluating the Safety and Tolerability of Baricitinib in Patients With Job Syndrome With Lupus-Like Disease and/or Atopic Dermatitis
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Eric Simpson, MD principal investigator
Oregon Health and Science University
Roderick Mcphee, MD study director
MedImmune LLC
29 sites in 6 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 2 study testing MEDI9929 in people with Atopic Dermatitis, run by MedImmune LLC at 29 sites in 6 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 5 inclusion and 10 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 15 Feb 2018. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 29 sites in United States, Germany, Hungary, Australia, Canada and 1 more country. 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?
Yes. Results are posted in the registry (first posted 15 Feb 2018). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.
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 Greater Than or Equal to (>=) 50 Percent (%) Reduction From Baseline in Eczema Area and Severity Index (EASI 50) at Week 12 (time frame: Baseline (Day 1) and 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 15 Feb 2018.