Atopic DermatitisPhase 2NCT03531957
Phase 2B Study to Evaluate ASN002 in Subjects With Moderate to Severe Atopic Dermatitis (RADIANT)
A Phase 2 study testing ASN002 in people with Atopic Dermatitis, run by Asana BioSciences at 47 sites in 3 countries.
Trial summary
This is a randomized double-blind/placebo study evaluate the efficacy of ASN002 in subjects with moderate to severe atopic dermatitis (AD). 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?
- ASN002
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 244 participants
- Where
- 47 sitesin 3 countries
- Study dates
- 5 Jul 2018to 14 Aug 2019
- 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
- Written informed consent obtained prior to any study-related procedure being performed;
- Male or female, 18≤ years and ≤75 years of age with chronic AD for at least 6 months.
- At least 10% body surface area (BSA) of AD involvement at the baseline visits
- Has a body mass index (BMI) ≤35 kg/m2
- History of inadequate response to topical corticosteroids or calcineurin inhibitors as treatment for AD within 1 year before the screening visit.
- Willing to apply only a basic bland emollient once or twice-daily for at least 7 days before the baseline visit.
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- Willing to comply with discontinuation of certain treatments for AD, as directed by the Investigator.
- Willing to use medically effective methods of birth control
- Females of reproductive potential must have a negative serum pregnancy test at screening and negative urine pregnancy test at Day 1..
- Willing and able to comply with clinic visits and study-related procedures
Who cannot join
- Clinically infected atopic dermatitis.
- Presence of any of the following laboratory abnormalities at the screening visit: Hemoglobin < 11 g/dL, White blood cell (WBC) < 3.0 x 103 /μL, Platelet count < 125 x 103 /μL, Neutrophils < < 2.50 x 103 /μL, Lymphocytes ≤ 1.2 x 103 /μL, Aspartate aminotransferase (AST)/alanine aminotransferase (ALT) > 1.5 x the upper limit of normal (ULN),Total bilirubin > ULN (except for elevated indirect bilirubin secondary to Gilbert's syndrome), Creatinine > ULN
- A serious uncontrolled condition including hypertension, history of tuberculosis, hepatitis B or C infection, immune deficiency, heart disease, heart conduction disorder, diverticulitis, diabetes, reflux disease requiring protocol pump inhibitor therapy, malabsorption syndrome, or cancer.
- Any condition requiring the use of anticoagulants.
- History of hypertrophic scarring or keloid formation in scars or suture sites.
- Any medical or psychiatric condition which, in the opinion of the investigator or the sponsor's medical monitor, would place the patient at risk, interfere with participation in the study, or interfere with the interpretation of study results
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- Pregnant or breast-feeding women
- Known hypersensitivity to ASN002 or its excipients;
- Prior treatment with SYK or JAK inhibitors for which the subject received no clinical benefit, or the subject relapsed whilst on therapy.
- Has received any marketed or investigational biological agent within 12 weeks or 5 half-lives (whichever is longer) prior to Day 1.
- Planned major surgical procedure during the length of the patient's participation in this study
- There will be a waiting period of 4 weeks before receiving the first does for anyone who has used oral or intravenous treatments (other than biologics) that could affect atopic dermatitis, received a non-biological investigational product or device, excessive sun exposure, is planning a trip to a sunny climate, or has used tanning booths, or received or plans to receive a live attenuated vaccine one four weeks after the last day of taking the drug.
Trial locations and contacts
47 sites in 3 countries.
47 sites in 3 countries
United States30 sites
Pinnacle Research Group, LLC
Anniston, Alabama, 36207
Dermatologists of Greater Colombus
Bexley, Ohio, 43209
Total Skin and Dermatology Center, PC.
Birmingham, Alabama, 35205
Corning Center for Clinical Research
Corning, New York, 14830
Dermatology Treatment and Research Center
Dallas, Texas, 75320
Revival Research
Doral, Florida, 33122
Wright State Physicians
Fairborn, Ohio, 45324
Clinical Physiology Associates
Fort Myers, Florida, 33912
Innovate Research, LLC
Fort Worth, Texas, 76244
Center for Dermatology Clinical Research, Inc.
Fremont, California, 94538
Synexus
Greer, South Carolina, 29651
DermDox Centers for Dermatology
Hazleton, Pennsylvania, 18201
The Center for Skin Research
Houston, Texas, 77056
Dawes Fretzin Clinical Research Group
Indianapolis, Indiana, 46256
Central Kentucky Research Associates, LLC
Lexington, Kentucky, 40509
L.A. Universal Research Center, Inc.
Los Angeles, California, 89148
Dermatology Research Associates
Los Angeles, California, 90045
Dermatology Specialists Research
Louisville, Kentucky, 40241
Mt. Sinai Hospital
New York, New York, 10029
Virginia Clinical Research, Inc.
Norfolk, Virginia, 23502
Unity Clinical Research
Oklahoma City, Oklahoma, 73118
Leavitt Medical Associates of Florida
Ormond Beach, Florida, 32174
Dermatology Center of Indiana, PC
Plainfield, Indiana, 46168
The Indiana Clinical Trials Center
Plainfield, Indiana, 46168
ActivMed Practices and Research, Inc.
Portsmouth, New Hampshire, 03801
Wake Research Associates, LLC
Raleigh, North Carolina, 27612
Progressive Clinical Research
San Antonio, Texas, 78213
Dermatology Consulting Services
Tampa, Florida, 33625
Forward Clinical Trials
Tampa, Florida, 33625
Vital Prospects Clinical Research Institute
Tulsa, Oklahoma, 74136
Germany10 sites
Fachklinik Bad Bentheim
Bad Bentheim
Charité - Universitätsmedizin Berlin
Berlin
Universitätsklinikum Bonn AöR
Bonn
Universitätsklinikum Dresden
Dresden
Universitätsklinikum Frankfurt
Frankfurt
SRH Wald-Klinikum Gera GmbH
Gera
MENSINGDERMA research GmbH
Hamburg
Medizinische Hochschule Hannover
Hanover
Universitätsklinikum Schleswig-Holstein
Lübeck
Universitätshautklinik Münster
Münster
Canada7 sites
Institute of Skin Advancement Medical, Surgical, Costmetic & Laser Dermatology
Calgary, T3A2N1
Innovaderm Research, Inc.
Montreal, H2K4L5
Ontario Inc.
Ottawa, K2C3N2
York Regional Dermatology
Richmond Hill, L4C9M7
NewLab Clinical Research, Inc.
St. John's, A1C2H5
AvantDerm
Toronto, M5A3R6
SkinWISE Dermatology
Winnipeg, ABR3M3Z4
About this study
Official title: A Randomized, Double-blind, Placebo-controlled, Phase 2B Study to Evaluate the Efficacy, Safety, Tolerability, and Pharmacokinetics of ASN002 in Subjects With Moderate to Severe Atopic Dermatitis
This is a randomized double-blind/placebo study evaluate the efficacy of ASN002 in subjects with moderate to severe atopic dermatitis (AD).
Read the detailed description
This is a placebo controlled study where subjects with moderate to severe atopic dermatitis will be randomized (1:1:1:1) to receive ASN002 at 40 mg, 60 mg, or 80 mg, or placebo once daily for 12 weeks. Eligible subjects will get the opportunity to enroll in the 24 month open-label extension study (OLE). There will be a 4-week follow up period for subjects not participating in the OLE study. This study will also characterize the pharmacokinetics and pharmacodynamics of ASN002 through blood sampling and three or four biopsies from subjects who consent.
- Conditions
- Atopic Dermatitis
- Being tested
- ASN002, Placebo Oral Tablet
- 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.
ASN002Drug
Daily dose of ASN002 for 12 weeks
Placebo Oral TabletDrug
Placebo of ASN002 for 12 weeks
| Study group | Role | What they receive |
|---|---|---|
| ASN002 40 mg | Experimental | 40 mg ASN002 Receives: Drug: ASN002 |
| ASN002 60 mg | Experimental | 60 mg ASN002 Receives: Drug: ASN002 |
| ASN002 80 mg | Experimental | 80 mg ASN002 Receives: Drug: ASN002 |
| Placebo Oral Tablet | Experimental | Matching placebo for ASN002 doses Receives: Drug: Placebo Oral Tablet |
What is being measured
The primary outcome is the main question the study is designed to answer.
Change From Baseline in Eczema Area and Severity Index (EASI) at Week 12
The Eczema Area and Severity Index (EASI) is a composite score ranging from 0 to 72, the higher the value the worse the disease, that takes into account the degree of erythema, induration/infiltration (papules), excoriation, and lichenification (each scored from 0 to 3 separately) for each of four body regions, with adjustment for the percentage of BSA involved for each body region and for the proportion of the body region to the whole body.
Measured: Week 12
Secondary outcomes (7)
Percent of Participant With at Least a 75% Reduction From Baseline in Eczema Area and Severity Index (EASI75)
Percent of participants with at least a 75% reduction from baseline in EASI (EASI75) at Week 12
Measured: Week 12
Change From Baseline in 5-D Pruritus (Itching) Scale
The 5-D Pruritus Scale is a 1-page, 5-question, validated questionnaire used in clinical trials to assess 5 dimensions of background itch: degree, duration, direction, disability, and distribution. Each question corresponds to 1 of the 5 dimensions of itch; subjects rated their symptoms over the preceding 2-week period as "present" or on a 1 to 5 scale, with 5 being the most affected. The total score of 5-D pruritus is a sum of the 5 scores to provide a total score range from 5 (best) to 25 (worst).
Measured: Week 12
Percent Change From Baseline in SCORing Atopic Dermatitis (SCORAD)
In the SCORAD grading system, six items (erythema, edema/papulation, oozing/crusts, excoriation, lichenification, and dryness) evaluate the Atopic Dermatitis severity. The overall body surface area affected by atopic dermatitis was evaluated (from 0% to 100%) and included in the SCORAD scores. Loss of sleep and pruritus were evaluated by subjects on a visual analog scale (0-10) and were based on the average of the last three days/nights. The sum of these measures represented the SCORAD, which could range from 0 to 103. The higher the score the more severe the disease.
Measured: Week 12
Percentage of Participants With a Response of Investigator's Global Assessment (IGA) 0 or 1
The IGA is a global assessment of the current state of the disease. It is a 5-point (0-4) morphological assessment of overall disease severity. The 0 is the least severe and 4 is the most severe.
Measured: Week 12
Change From Baseline in Patient-Oriented Eczema Measure (POEM)
The Patient-Oriented Eczema Measure (POEM) is a self-assessment of disease severity by the subject. The POEM has a maximum value of 28 based on the subject's response to seven questions scored from 0 to 4. The higher the value the more severe the disease is.
Measured: Week 12
Change From Baseline in Dermatology Life Quality Index (DLQI)
Dermatology Life Quality Index Questionnaire (DLQI) is a simple 10-question validated questionnaire that has been used in more than 40 different skin conditions. The DLQI total score is defined as the sum of the 10 item scales, ranging from 0 to 30. The higher the value, the more severe the disease is.
Measured: Week 12
Change From Baseline in Body Surface Area (BSA)
The overall body surface area (BSA) affected by atopic dermatitis is evaluated (from 0% to 100%).
Measured: Week 12
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted22 May 2018
- Study start5 Jul 2018
- Primary completion22 Jul 2019
- Study completion14 Aug 2019
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
- 244 participants (actual)
Sponsor and investigators
- Lead sponsor
- Asana BioSciences
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- David Zammit, Ph.D., Study director, Asana BioSciences
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT03531957
- Sponsor's protocol ID
- ASN002AD-201
- Status last verified
- Jun 2023
- First submitted
- 19 Apr 2018
- Last updated
- 3 Jul 2023
- Results posted
- Yes, on ClinicalTrials.gov
- Data monitoring committee
- Yes
- FDA-regulated drug
- Yes
- FDA-regulated device
- No
Study at a glance
From the registry record, last updated by the sponsor on 3 Jul 2023. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Randomized, Double-blind, Placebo-controlled, Phase 2B Study to Evaluate the Efficacy, Safety, Tolerability, and Pharmacokinetics of ASN002 in Subjects With Moderate to Severe Atopic Dermatitis
- ClinicalTrials.gov ID
- NCT03531957
- Acronym / sponsor ID
- ASN002AD-201
- Conditions
- Atopic Dermatitis
- Keywords
- eczema
- Phase
- Phase 2
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 244 participants (actual)
- Lead sponsor
- Asana BioSciencesIndustry (pharma, biotech, devices)
- Study start
- 5 Jul 2018 (actual)
- Primary completion
- 22 Jul 2019 (actual)
- Study completion
- 14 Aug 2019 (actual)
- First posted
- 22 May 2018 (actual)
- Results
- Posted 15 Nov 2022
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
This is a randomized double-blind/placebo study evaluate the efficacy of ASN002 in subjects with moderate to severe atopic dermatitis (AD).
Detailed description
This is a placebo controlled study where subjects with moderate to severe atopic dermatitis will be randomized (1:1:1:1) to receive ASN002 at 40 mg, 60 mg, or 80 mg, or placebo once daily for 12 weeks. Eligible subjects will get the opportunity to enroll in the 24 month open-label extension study (OLE). There will be a 4-week follow up period for subjects not participating in the OLE study. This study will also characterize the pharmacokinetics and pharmacodynamics of ASN002 through blood sampling and three or four biopsies from subjects who consent.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Quadruple blind (participant, care provider, investigator, outcomes assessor)
- Number of arms
- 4
| Arm | Type | Receives |
|---|---|---|
| ASN002 40 mg | Experimental | Drug: ASN00240 mg ASN002 |
| ASN002 60 mg | Experimental | Drug: ASN00260 mg ASN002 |
| ASN002 80 mg | Experimental | Drug: ASN00280 mg ASN002 |
| Placebo Oral Tablet | Experimental | Drug: Placebo Oral TabletMatching placebo for ASN002 doses |
Who may qualify
- Ages
- 18 to 75 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (10 listed)
- Written informed consent obtained prior to any study-related procedure being performed;
Key exclusion criteria (12 listed)
- Clinically infected atopic dermatitis.
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 |
|---|---|---|
| ASN002Daily dose of ASN002 for 12 weeks | Drug | ASN002 40 mg, ASN002 60 mg, ASN002 80 mg |
| Placebo Oral TabletPlacebo of ASN002 for 12 weeks | Drug | Placebo Oral Tablet |
Primary outcome
Change From Baseline in Eczema Area and Severity Index (EASI) at Week 12
Time frame: Week 12
The Eczema Area and Severity Index (EASI) is a composite score ranging from 0 to 72, the higher the value the worse the disease, that takes into account the degree of erythema, induration/infiltration (papules), excoriation, and lichenification (each scored from 0 to 3 separately) for each of four body regions, with adjustment for the percentage of BSA involved for each body region and for the proportion of the body region to the whole body.
7 secondary outcomes
Percent of Participant With at Least a 75% Reduction From Baseline in Eczema Area and Severity Index (EASI75)
Time frame: Week 12
Change From Baseline in 5-D Pruritus (Itching) Scale
Time frame: Week 12
Percent Change From Baseline in SCORing Atopic Dermatitis (SCORAD)
Time frame: Week 12
Percentage of Participants With a Response of Investigator's Global Assessment (IGA) 0 or 1
Time frame: Week 12
Change From Baseline in Patient-Oriented Eczema Measure (POEM)
Time frame: Week 12
Change From Baseline in Dermatology Life Quality Index (DLQI)
Time frame: Week 12
Change From Baseline in Body Surface Area (BSA)
Time frame: Week 12
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 3 Jul 2023.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
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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.
David Zammit, Ph.D. study director
Asana BioSciences
47 sites in 3 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 2 study testing ASN002 in people with Atopic Dermatitis, run by Asana BioSciences at 47 sites in 3 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 10 inclusion and 12 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 3 Jul 2023. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 47 sites in United States, Germany, Canada. 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. 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 Nov 2022). 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?
Change From Baseline in Eczema Area and Severity Index (EASI) 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 3 Jul 2023.