Atopic DermatitisPhase 2NCT03809663
A Dose Ranging Placebo-Controlled Double-Blind Study to Evaluate the Safety and Efficacy of Tezepelumab in Atopic Dermatitis
A Phase 2 study testing Tezepelumab in people with Atopic Dermatitis, run by Amgen at 86 sites in 15 countries.
Trial summary
This phase 2b study is designed to evaluate the safety and efficacy of tezepelumab as a monotherapy and explore its efficacy as adjunct therapy 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?
- Tezepelumab
- Type of treatment
- Injection or infusion
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 251 participants
- Where
- 86 sitesin 15 countries
- Study dates
- 15 Mar 2019to 22 Dec 2020
- 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
- Subject has provided informed consent prior to initiation of any study specific activities/procedures.
- Age greater than or equal to 18 to less than or equal to 75 years at screening.
- Clinical diagnosis of chronic AD (also known as atopic eczema) for at least 2 years prior to screening and has confirmed AD (Hanifin and Rajka criteria for AD (Hanifin and Rajka, 1980).
- AD that affects greater than or equal to' 10% body surface area as assessed by EASI at screening and on day 1.
- An IGA score of greater than or equal to 3 at screening and on day 1.
- An EASI score of greater than or equal to 16 at screening and on day 1.
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- Subject discontinued treatment with TCS, topical calcineurin inhibitors (TCI), and prescription moisturizers containing TCS or topical calcineurin inhibitors (TCI) for at least the 7 days immediately prior to the first dose of investigational product
- Documented recent history (within 12 months before the screening visit) of inadequate response totreatment with topical TCS or subjects for whom topical treatments are otherwise medically inadvisable (ie, because of important side effects or safety risks).
- Inadequate response is defined as failure to achieve and maintain remission or a low disease activity state (comparable to IGA 0 = clear to IGA 2 = mild) despite treatment with a daily regimen of TCS of medium or higher potency (with or without TCI as appropriate).
Who cannot join
- Active dermatologic conditions, which might confound the diagnosis of AD or would interfere with the assessment of treatment, such as scabies, seborrheic dermatitis, cutaneous lymphoma, ichthyosis, psoriasis, allergic contact dermatitis, or irritant contact dermatitis.
- History of a clinically significant infection within 28 days prior to day 1 that, in the opinion of the investigator or medical monitor, might compromise the safety of the subject in the study, interfere with evaluation of the investigational product, or reduce the subject's ability to participate in the study. Clinically significant infections are defined as either of the following: 1) a systemic infection; or 2) a serious skin infection requiring parenteral antibiotic, antiviral, or antifungal medication.
- Diagnosis of a helminth parasitic infection within 6 months prior to screening that had not been treated with or had failed to respond to standard of care therapy.
- Documented medical history of chronic alcohol or drug abuse within 12 months prior to screening.
- History of anaphylaxis following any biologic therapy.
- Evidence of active liver disease at screening, including jaundice or aspartate aminotransferase (AST), alanine aminotransferase (ALT), or alkaline phosphatase greater than twice the upper limit of normal (ULN).
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- Subjects who, in the opinion of the investigator, have evidence of active tuberculosis (TB), either treated or untreated, or a positive QuantiFERON-tuberculosis Gold (QFT-G) test for TB during screening. Subjects with an indeterminate QFT-G may be enrolled if they have ALL of the following:
- No symptoms of TB: productive, prolonged cough (> 3 weeks); coughing up blood; fever; night sweats; unexplained appetite loss; unintentional weight loss
- No evidence of active TB on chest radiograph within 3 months prior to the first dose of investigational product. Note: Chest radiograph is not part of screening procedure and will be the responsibility
- Positive hepatitis B surface antigen or hepatitis C antibody serology. Subjects with a history of hepatitis B vaccination without a history of hepatitis B are allowed to enroll in the study.
- Positive human immunodeficiency virus (HIV) test at screening or the subject is taking antiretroviral medications, as determined by medical history, prior medications, and/or the subject's verbal report.
- Other Medical Conditions>
- History of malignancy, except for basal cell carcinoma or in situ carcinoma of the cervix treated with apparent success with curative therapy ≥ 12 months prior to screening or other malignancies treated with apparent success with curative therapy ≥ 5 years prior to screening.
- History or evidence of severe depression, schizophrenia, previous suicide attempts, or suicidal ideation.
- Prior/Concomitant Therapy:
- Subjects who are unwilling to abstain from the use of TCS, TCI, and prescription moisturizers (those that contain TCS and TCI) from screening through week 16 (applies only to Part A subjects)
- Subjects who have had side effects of topical medications including intolerance to treatment, hypersensitivity reactions, significant skin atrophy, or systemic effects as assessed by the investigator or by the subject's treating physician (applies only to Part B subjects)
- More than or equal to 30% of the total lesional surface is located on areas of thin skin that cannot be safely treated with medium or higher potency TCS (eg, face, neck, intertriginous areas, areas of skin atrophy) (applies only to Part B subjects)
- Receipt of any approved biologic agent (eg, dupilumab) within 4 months or 5 elimination half-lives (whichever is longer) prior to screening
- Have used immunosuppressive/immunomodulating drugs (eg, systemic corticosteroids, cyclosporine, mycophenolate-mofetil, interferon (IFN)-gamma, Janus kinase inhibitors, azathioprine, methotrexate) within 4 weeks prior to screening, or any condition that, in the opinion of the investigator, is likely to require such treatment(s) during the first 4 weeks of study treatment.
- Have had phototherapy for AD in the 2 months prior to day 1, and subjects unwilling to avoid phototherapy during the first 16 weeks of the study
- If on allergen-specific immunotherapy, subjects must be on a maintenance dose and schedule for ≥ 28 days prior to screening. Allergen-specific immunotherapy is defined as SC immunotherapy to aeroallergens and/o venom (Hymenoptera) as well as sublingual immunotherapy to aeroallergens
- Vaccination with a live or attenuated vaccine within 28 days prior to day 1. Receipt of inactive/killed vaccinations (eg, inactive influenza) is allowed. Note that receipt of the Th2 cytokine inhibitor suplatast within 15 days prior to randomization and during the study is not allowed.
- Major surgery within 8 weeks prior to screening or planned inpatient surgery or hospitalization during the study period
- Currently receiving treatment in another investigational device or drug study, or less than 6 months since ending treatment on another investigational device or drug study(ies). Other investigational procedures while participating in this study are excluded.
- Other Exclusions:
- Female subject is pregnant or breastfeeding or planning to become pregnant or breastfeed during treatment and for an additional 16 weeks after the last dose of investigational product. (Females of childbearing potential should only be enrolled in the study after a negative highly sensitive serum pregnancy test).
- Female subjects of childbearing potential who are sexually active with unsterilized male partners unwilling to use 1 highly effective method of contraception during treatment and for an additional 16 weeks after the last dose of investigational product. Cessation of contraception after this point must be discussed with a responsible physician. Females of childbearing potential are defined as those who are not surgically sterile (ie, had bilateral tubal ligation, bilateral oophorectomy, or complete hysterectomy) or postmenopausal (defined as 12 months with no menses without an alternative medical cause). A highly effective method of contraception is defined as one that resulted in a low failure rate (ie, < 1% per year) when used consistently and correctly.
- Subject has known sensitivity to any of the products or components to be administered during dosing.
- History or evidence of any other clinically significant disorder, condition or disease (with the exception of those outlined above) that, in the opinion of the investigator or Amgen physician, if consulted, would pose a risk to subject safety or interfere with the study evaluation, procedures, or completion.
Trial locations and contacts
86 sites in 15 countries.
86 sites in 15 countries
United States16 sites
Hamilton Research, LLC
Alpharetta, Georgia, 30022
Clarkston Skin Research
Clarkston, Michigan, 48346
DS Research
Clarksville, Indiana, 47129
Modern Research Associates
Dallas, Texas, 75231
First OC Dermatology
Fountain Valley, California, 92708
J Woodson Dermatology and Associates
Henderson, Nevada, 89052
Skin Sciences Pllc
Louisville, Kentucky, 40217
Scott Health Services LLC
Louisville, Kentucky, 40241
Tennessee Clinical Research Center
Nashville, Tennessee, 37215
Mount Sinai Hospital
New York, New York, 10029
Epiphany Dermatology of Kansas, LLC
Overland Park, Kansas, 66215
Clinical Science Institute
Santa Monica, California, 90404
Premier Clinical Research
Spokane, Washington, 99202
Southern Illinois University School of Medicine
Springfield, Illinois, 62702
DermResearch Center of New York Inc
Stony Brook, New York, 11790
Dundee Dermatology
West Dundee, Illinois, 60118
Japan12 sites
Nippon Medical School Hospital
Bunkyo-ku, Tokyo, 113-8603
Japan Post Holdings Co Ltd Tokyo Teishin Hospital
Chiyoda-ku, Tokyo, 102-8798
Fukuoka University Hospital
Fukuoka, Fukuoka, 814-0180
Nagasaki University Hospital
Nagasaki, Nagasaki, 852-8501
Meiwa Hospital
Nishinomiya-shi, Hyōgo, 663-8186
Takagi Dermatological Clinic
Obihiro-shi, Hokkaido, 080-0013
Kume Clinic
Sakai-shi, Osaka, 593-8324
Toho University Sakura Medical Center
Sakura-shi, Chiba, 285-8741
Medical Corporation Kojinkai Sapporo Skin Clinic
Sapporo, Hokkaido, 060-0063
NTT Medical Center Tokyo
Shinagawa-ku, Tokyo, 141-8625
Center Hospital of the National Center for Global Health and Medicine
Shinjuku-ku, Tokyo, 162-8655
Shirasaki Dermatology Clinic
Takaoka-shi, Toyama, 933-0871
Poland8 sites
Uniwersyteckie Centrum Kliniczne
Gdansk, 80-214
Centrum Terapii Wspolczesnej J M Jasnorzewska Spolka Komandytowo-Akcyjna
Lodz, 90-242
Dermoklinika Centrum Medyczne Spolka cywilna M Kierstan J Narbutt A Lesiak
Lodz, 90-436
Niepubliczny Zaklad Opieki Zdrowotnej Med Laser Borzecki Spolka Jawna
Lublin, 20-406
Tomasz Blicharski Lubelskie Centrum Diagnostyczne
Świdnik, 21-040
Centrum Medyczne Pratia Warszawa
Warsaw, 01-868
Medicus Sp z o o
Wroclaw, 50-224
DermMedica Spzoo
Wroclaw, 51-318
Canada7 sites
DermEffects
London, Ontario, N6H 5L5
Lynderm Research Inc
Markham, Ontario, L3P 1X3
Cheema Research Incorporated
Mississauga, Ontario, L5A 3V4
SKDS Research Incorporated
Newmarket, Ontario, L3Y 5G8
Gordon Sussman Clinical Research Incorporated
North York, Ontario, M3B 3S6
JRB Research Incorporated
Ottawa, Ontario, K1H 7X3
Doctor Chih-Ho Hong Medical Incorporated
Surrey, British Columbia, V3R 6A7
Hungary6 sites
Csalogany Orvosi Kozpont
Budapest, 1027
Obudai Egeszsegugyi Centrum Kft
Budapest, 1036
Debreceni Egyetem Kenezy Gyula Egyetemi Korhaz
Debrecen, 4031
CRU Hungary Kft
Miskolc, 3529
Pecsi Tudomanyegyetem Klinikai Kozpont
Pécs, 7632
Szegedi Tudomanyegyetem Szent-Gyorgyi Albert Klinikai Kozpont Altalanos Orvostudomanyi Kar
Szeged, 6720
Spain6 sites
Hospital General Universitario de Alicante
Alicante, Valencia, 03010
Hospital Universitari Germans Trias i Pujol
Badalona, Cataluña, 08916
Hospital del Mar
Barcelona, Cataluña, 08003
Hospital de la Santa Creu i Sant Pau
Barcelona, Cataluña, 08041
Hospital Universitario de La Princesa
Madrid, 28006
Hospital Universitario Virgen Macarena
Seville, AndalucÃ-a, 41009
Ukraine6 sites
Chernivtsi Regional Skin and Venereal Dispensary
Chernivtsi, 58002
Regional Skin and Venereal Dispensary
Dnipro, 49074
Ivano-Frankivsk Regional Skin and Venereal Dispensary
Ivano-Frankivsk, 76018
Medical clinic Blagomed
Kyiv, 02000
Asclepius
Uzhhorod, 88000
Military Hospital, Military Unit A3309 of the Military Medical Clinical Center
Zaporizhzhya, 69000
Australia5 sites
Skin Health Institute
Carlton, Victoria, 3053
Fremantle Dermatology
Fremantle, Western Australia, 6160
The Royal Melbourne Hospital
Parkville, Victoria, 3050
Holdsworth House Medical Practice
Sydney, New South Wales, 2010
Veracity Clinical Research
Woolloongabba, Queensland, 4102
Czechia5 sites
Fakultni nemocnice u sv Anny v Brne
Brno, 656 91
Nemocnice Novy Jicin as
Nový Jičín, 741 01
Fakultni nemocnice Ostrava
Ostrava-Poruba, 708 52
Sanatorium profesora Arenbergera
Prague, 110 00
Nemocnice Na Bulovce
Prague, 180 81
Latvia4 sites
Riga First Hospital
Riga, 1001
J Kisis
Riga, 1003
Clinic Latvian Dermatology Institute
Riga, 1011
Outpatient Clinic of Ventspils
Ventspils, 3601
Estonia3 sites
North Estonia Medical Centre
Tallinn, 13419
Clinical Research Centre
Tartu, 50106
Tartu University Hospital
Tartu, 50417
Germany3 sites
Charité Berlin
Berlin, 10117
Universitätsmedizin Göttingen - Georg-August-Universität
Göttingen, 37075
Medizinische Hochschule Hannover
Hanover, 30625
United Kingdom3 sites
Ninewells Hospital
Dundee, DD1 9SY
Whipps Cross University Hospital
London, E11 1NR
Southampton General Hospital
Southampton, SO16 6YD
South Korea1 site
Hallym University Kangnam Sacred Heart Hospital
Seoul, 07441
About this study
Official title: A Dose-Ranging, Double-Blind, Placebo-Controlled Study to Evaluate the Safety and Efficacy of Tezepelumab Alone or Combined With Topical Corticosteroids in Moderate-to-Severe Atopic Dermatitis
This phase 2b study is designed to evaluate the safety and efficacy of tezepelumab as a monotherapy and explore its efficacy as adjunct therapy in subjects with moderate-to-severe atopic dermatitis (AD).
Read the detailed description
All subjects will receive a subcutaneous (SC) dose of either investigational product or placebo as the first dose on day 1.
Subjects who are determined to be non-responders in Part A will receive tezepelumab SC every 2 weeks (Q2W) following completion of all week 16 study activities. Nonresponders are defined as those subjects who have not achieved at least a 50% improvement in Eczema Area and Severity Index (EASI) at week 16 compared to baseline (day 1).
Safety follow-up is 18 weeks after the end of treatment (EOT) visit (20 weeks after the final dose of investigational product).
- Conditions
- Atopic Dermatitis
- Being tested
- Tezepelumab, Placebo
- Keywords
- Atopic Dermatitis, eczema, tezepelumab, dermatology, dermatitis, inflammation, skin, moderate dermatitis, severe dermatitis
- Medical subject headings
- Dermatitis, Atopic, Eczema, Dermatitis, Inflammation
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
TezepelumabDrug
Also called AMG157
Solution for injection
PlaceboOther
Placebo solution for injection
| Study group | Role | What they receive |
|---|---|---|
| Part A: Placebo | Placebo comparator | Matching placebo administered via SC injection Q2W for a maximum of 52 weeks.
Participants defined as non-responders (those who do not achieve at least 50% improvement in EASI at Week 16 compared to baseline) will switch to receive tezepelumab 420 mg SC injection Q2W for the remainder of the study beginning with the Week 18 dose. Receives: Other: Placebo |
| Part A: Tezepelumab 210 mg | Experimental | Tezepelumab 210 mg administered via SC injection once every 4 weeks (Q4W) from Week 4 for a maximum of 52 weeks.
All participants randomized to tezepelumab will receive 420 mg SC injection as their first dose. Participants will then receive a placebo at Week 2 to maintain blinding.
Participants defined as non-responders (those who do not achieve at least 50% improvement in EASI at Week 16 compared to baseline) will switch to receive tezepelumab 420 mg SC injection Q2W for the remainder of the study beginning with the Week 18 dose. Receives: Drug: Tezepelumab |
| Part A: Tezepelumab 280 mg | Experimental | Tezepelumab 280 mg administered via SC injection Q2W from Week 2 for a maximum of 52 weeks.
All participants randomized to tezepelumab will receive 420 mg SC injection as their first dose. Participants will then receive their randomized dose of 280 mg Q2W from Week 2.
Participants defined as non-responders (those who did not achieve at least 50% improvement in EASI at Week 16 compared to baseline) will switch to receive tezepelumab 420 mg SC injection Q2W for the remainder of the study beginning with the Week 18 dose. Receives: Drug: Tezepelumab |
| Part A: Tezepelumab 420 mg | Experimental | Tezepelumab 420 mg administered via SC injection Q2W for a maximum of 52 weeks. Receives: Drug: Tezepelumab |
| Part B: Placebo and Topical Corticosteroids Regimen | Experimental | Matching placebo administered via SC injection Q2W with topical corticosteroids (TCS) for a maximum of 52 weeks. Receives: Drug: Tezepelumab |
| Part B: Tezepelumab 420 mg and Topical Corticosteroids Regimen | Experimental | Tezepelumab 420 mg administered via SC injection Q2W with TCS for a maximum of 52 weeks. Receives: Drug: Tezepelumab |
What is being measured
The primary outcome is the main question the study is designed to answer.
Number of Participants With Investigator's Global Assessment (IGA) Score of 0 (Clear) or 1 (Almost Clear) (IGA 0/1) at Week 16
The IGA allows investigators to assess overall disease severity at 1 given time point and consists of a 6-point severity scale from clear to severe disease
- 0 = clear
- 1 = almost clear
- 2 = mild disease
- 3 = moderate disease
- 4 = severe disease
- 5 = very severe disease
The IGA uses clinical characteristics of erythema, infiltration, papulation, oozing, and crusting as guidelines for the overall severity assessment (Breuer et al, 2004).
Participants who took rescue medication between Day 29 to Week 16 were considered non-responders.
Measured: Week 16
Number of Participants Who Experienced a 75% Reduction From Baseline in Eczema Area and Severity Index (EASI 75) at Week 16
The EASI evaluates 4 natural anatomical regions for severity and extent of key disease signs and focuses on key acute and chronic signs of inflammation (ie, erythema, induration/papulation, excoriation, and lichenification).
A reduction in the EASI score indicates an improvement in severity. Participants who took rescue medication between Day 29 to Week 16 were considered non-responders.
Measured: Baseline and Week 16
Secondary outcomes (6)
Number of Participants Who Experienced a 50% or 90% Reduction From Baseline in Eczema Area and Severity Index (EASI 50/90) at Week 16
The EASI evaluates 4 natural anatomical regions for severity and extent of key disease signs and focuses on key acute and chronic signs of inflammation (ie, erythema, induration/papulation, excoriation, and lichenification).
A reduction in the EASI score indicates an improvement in severity. Participants who took rescue medication between Day 29 to Week 16 were considered non-responders.
Measured: Baseline and Week 16
Time to Achievement of 50%, 75% or 90% Reduction From Day 1 in Eczema Area and Severity Index (EASI 50/75/90)
Measured: Day 1 up to End of Study Visit (Week 70)
Change From Baseline in Scoring of Atopic Dermatitis (SCORAD) at Week 16
The SCORAD is a clinical tool for assessing the severity (ie, extent, intensity) of atopic dermatitis (AD). The tool evaluates the extent and intensity of the AD lesions, along with subjective symptoms (Kunz et al, 1997). The total score ranges from 0 to 103, with higher values indicating more severe disease. A negative change from baseline indicates an improvement in severity of disease.
Measured: Baseline and Week 16
Change From Baseline in Pruritus Numeric Rating Scale (NRS) at Week 16
Pruritus was assessed using an NRS (0-10) with 0 = no itch and 10 = worst imaginable itch. A negative change from baseline indicates an improvement in symptoms.
Measured: Baseline and Week 16
Serum Trough Concentrations of Tezepelumab After Q2W or Q4W Administration
Switchers were included up to Week 16 and were then excluded from the analysis after switching. All Tezepelumab participants received 420 mg of Tezepelumab on Day 1.
Measured: Pre-dose on Day 1, Week 2, 4, 12, 16, 24, 32, 40, 48, 50, 52, 58 and 70
Serum Trough Concentrations of Tezepelumab After Switching to 420 mg Q2W Administration After Week 16
Measured: Pre-dose on Week 24, 32, 40, 48, 50, 52, 58 and 70
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted18 Jan 2019
- Study start15 Mar 2019
- Primary completion12 May 2020
- Study completion22 Dec 2020
Why it stopped: Tezepelumab as a monotherapy in atopic dermatitis did not reach the targeted efficacy level pre-established for this patient population.
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.
- More trials run by AmgenThe sponsor's other registered studies.
- 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
- Model description
- This phase 2b study is designed to evaluate the safety and efficacy of tezepelumab as a monotherapy and explore its efficacy as adjunct therapy in subjects with moderate-to-severe AD. This study consists of Part A (the main study evaluating tezepelumab as a monotherapy) and Part B (a study evaluating tezepelumab as adjunctive therapy when combined with a topical corticosteroid regimen
- Masking
- Quadruple blind
- Who is masked
- Participant, Care provider, Investigator, Outcomes assessor
- Enrolment
- 251 participants (actual)
Sponsor and investigators
- Lead sponsor
- Amgen
- Sponsor type
- Industry (pharma, biotech, devices)
- Collaborators
- AstraZeneca
- Responsible party
- Sponsor
- Investigators
- MD, Study director, Amgen
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT03809663
- Sponsor's protocol ID
- 20170755
- Other IDs
- 2018-001997-52, 2018
- Status last verified
- Mar 2022
- First submitted
- 10 Jan 2019
- Last updated
- 10 Mar 2022
- Results posted
- Yes, on ClinicalTrials.gov
- Data monitoring committee
- No
- FDA-regulated drug
- Yes
- FDA-regulated device
- No
- Individual data sharing
- Yes: De-identified individual patient data for variables necessary to address the specific research question in an approved data sharing request
Study at a glance
From the registry record, last updated by the sponsor on 10 Mar 2022. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Dose-Ranging, Double-Blind, Placebo-Controlled Study to Evaluate the Safety and Efficacy of Tezepelumab Alone or Combined With Topical Corticosteroids in Moderate-to-Severe Atopic Dermatitis
- ClinicalTrials.gov ID
- NCT03809663
- Acronym / sponsor ID
- 20170755
- Conditions
- Atopic Dermatitis
- Keywords
- Atopic Dermatitis, eczema, tezepelumab, dermatology, dermatitis, inflammation, skin, moderate dermatitis
- Phase
- Phase 2
- Study type
- Interventional
- Recruitment status
- TerminatedReason stopped: Tezepelumab as a monotherapy in atopic dermatitis did not reach the targeted efficacy level pre-established for this patient population.
- Enrolment
- 251 participants (actual)
- Lead sponsor
- AmgenIndustry (pharma, biotech, devices)
- Collaborators
- AstraZeneca
- Study start
- 15 Mar 2019 (actual)
- Primary completion
- 12 May 2020 (actual)
- Study completion
- 22 Dec 2020 (actual)
- First posted
- 18 Jan 2019 (actual)
- Results
- Posted 10 Mar 2022
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
This phase 2b study is designed to evaluate the safety and efficacy of tezepelumab as a monotherapy and explore its efficacy as adjunct therapy in subjects with moderate-to-severe atopic dermatitis (AD).
Detailed description
All subjects will receive a subcutaneous (SC) dose of either investigational product or placebo as the first dose on day 1.
Subjects who are determined to be non-responders in Part A will receive tezepelumab SC every 2 weeks (Q2W) following completion of all week 16 study activities. Nonresponders are defined as those subjects who have not achieved at least a 50% improvement in Eczema Area and Severity Index (EASI) at week 16 compared to baseline (day 1).
Safety follow-up is 18 weeks after the end of treatment (EOT) visit (20 weeks after the final dose of investigational product).
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Quadruple blind (participant, care provider, investigator, outcomes assessor)
- Number of arms
- 6
- Model description
- This phase 2b study is designed to evaluate the safety and efficacy of tezepelumab as a monotherapy and explore its efficacy as adjunct therapy in subjects with moderate-to-severe AD. This study consists of Part A (the main study evaluating tezepelumab as a monotherapy) and Part B (a study evaluating tezepelumab as adjunctive therapy when combined with a topical corticosteroid regimen
| Arm | Type | Receives |
|---|---|---|
| Part A: Placebo | Placebo comparator | Other: PlaceboMatching placebo administered via SC injection Q2W for a maximum of 52 weeks. Participants defined as non-responders (those who do not achieve at least 50% improvement in EASI at Week 16 compared to baseline) will switch to receive tezepelumab 420 mg SC injection Q2W for the remainder of the study beginning with the Week 18 dose. |
| Part A: Tezepelumab 210 mg | Experimental | Drug: TezepelumabTezepelumab 210 mg administered via SC injection once every 4 weeks (Q4W) from Week 4 for a maximum of 52 weeks. All participants randomized to tezepelumab will receive 420 mg SC injection as their first dose. Participants will then receive a placebo at Week 2 to maintain blinding. Participants defined as non-responders (those who do not achieve at least 50% improvement in EASI at Week 16 compared to baseline) will switch to receive tezepelumab 420 mg SC injection Q2W for the remainder of the study beginning with the Week 18 dose. |
| Part A: Tezepelumab 280 mg | Experimental | Drug: TezepelumabTezepelumab 280 mg administered via SC injection Q2W from Week 2 for a maximum of 52 weeks. All participants randomized to tezepelumab will receive 420 mg SC injection as their first dose. Participants will then receive their randomized dose of 280 mg Q2W from Week 2. Participants defined as non-responders (those who did not achieve at least 50% improvement in EASI at Week 16 compared to baseline) will switch to receive tezepelumab 420 mg SC injection Q2W for the remainder of the study beginning with the Week 18 dose. |
| Part A: Tezepelumab 420 mg | Experimental | Drug: TezepelumabTezepelumab 420 mg administered via SC injection Q2W for a maximum of 52 weeks. |
| Part B: Placebo and Topical Corticosteroids Regimen | Experimental | Drug: TezepelumabMatching placebo administered via SC injection Q2W with topical corticosteroids (TCS) for a maximum of 52 weeks. |
| Part B: Tezepelumab 420 mg and Topical Corticosteroids Regimen | Experimental | Drug: TezepelumabTezepelumab 420 mg administered via SC injection Q2W with TCS for a maximum of 52 weeks. |
Who may qualify
- Ages
- 18 to 75 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (9 listed)
- Subject has provided informed consent prior to initiation of any study specific activities/procedures.
- Age greater than or equal to 18 to less than or equal to 75 years at screening.
- Clinical diagnosis of chronic AD (also known as atopic eczema) for at least 2 years prior to screening and has confirmed AD (Hanifin and Rajka criteria for AD (Hanifin and Rajka, 1980).
- AD that affects greater than or equal to' 10% body surface area as assessed by EASI at screening and on day 1.
- An IGA score of greater than or equal to 3 at screening and on day 1.
Key exclusion criteria (30 listed)
- Active dermatologic conditions, which might confound the diagnosis of AD or would interfere with the assessment of treatment, such as scabies, seborrheic dermatitis, cutaneous lymphoma, ichthyosis, psoriasis, allergic contact dermatitis, or irritant contact dermatitis.
- History of a clinically significant infection within 28 days prior to day 1 that, in the opinion of the investigator or medical monitor, might compromise the safety of the subject in the study, interfere with evaluation of the investigational product, or reduce the subject's ability to participate in the study. Clinically significant infections are defined as either of the following: 1) a systemic infection; or 2) a serious skin infection requiring parenteral antibiotic, antiviral, or antifungal medication.
- Diagnosis of a helminth parasitic infection within 6 months prior to screening that had not been treated with or had failed to respond to standard of care therapy.
- Documented medical history of chronic alcohol or drug abuse within 12 months prior to screening.
- History of anaphylaxis following any biologic therapy.
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 |
|---|---|---|
| TezepelumabAlso: AMG157Solution for injection | Drug | Part A: Tezepelumab 210 mg, Part A: Tezepelumab 280 mg, Part A: Tezepelumab 420 mg, Part B: Placebo and Topical Corticosteroids Regimen, Part B: Tezepelumab 420 mg and Topical Corticosteroids Regimen |
| PlaceboPlacebo solution for injection | Other | Part A: Placebo |
Primary outcome
Number of Participants With Investigator's Global Assessment (IGA) Score of 0 (Clear) or 1 (Almost Clear) (IGA 0/1) at Week 16
Time frame: Week 16
The IGA allows investigators to assess overall disease severity at 1 given time point and consists of a 6-point severity scale from clear to severe disease * 0 = clear * 1 = almost clear * 2 = mild disease * 3 = moderate disease * 4 = severe disease * 5 = very severe disease The IGA uses clinical characteristics of erythema, infiltration, papulation, oozing, and crusting as guidelines for the overall severity assessment (Breuer et al, 2004). Participants who took rescue medication between Day 29 to Week 16 were considered non-responders.
Number of Participants Who Experienced a 75% Reduction From Baseline in Eczema Area and Severity Index (EASI 75) at Week 16
Time frame: Baseline and Week 16
The EASI evaluates 4 natural anatomical regions for severity and extent of key disease signs and focuses on key acute and chronic signs of inflammation (ie, erythema, induration/papulation, excoriation, and lichenification). A reduction in the EASI score indicates an improvement in severity. Participants who took rescue medication between Day 29 to Week 16 were considered non-responders.
6 secondary outcomes
Number of Participants Who Experienced a 50% or 90% Reduction From Baseline in Eczema Area and Severity Index (EASI 50/90) at Week 16
Time frame: Baseline and Week 16
Time to Achievement of 50%, 75% or 90% Reduction From Day 1 in Eczema Area and Severity Index (EASI 50/75/90)
Time frame: Day 1 up to End of Study Visit (Week 70)
Change From Baseline in Scoring of Atopic Dermatitis (SCORAD) at Week 16
Time frame: Baseline and Week 16
Change From Baseline in Pruritus Numeric Rating Scale (NRS) at Week 16
Time frame: Baseline and Week 16
Serum Trough Concentrations of Tezepelumab After Q2W or Q4W Administration
Time frame: Pre-dose on Day 1, Week 2, 4, 12, 16, 24, 32, 40, 48, 50, 52, 58 and 70
Serum Trough Concentrations of Tezepelumab After Switching to 420 mg Q2W Administration After Week 16
Time frame: Pre-dose on Week 24, 32, 40, 48, 50, 52, 58 and 70
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 10 Mar 2022.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- AmgenTrials clinical trials websiteLink provided by the sponsor.
- Individual participant dataSharing planned: Yes. De-identified individual patient data for variables necessary to address the specific research question in an approved data sharing request
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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.
MD study director
Amgen
86 sites in 15 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 2 study testing Tezepelumab in people with Atopic Dermatitis, run by Amgen at 86 sites in 15 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 9 inclusion and 30 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: stopped early, as of the sponsor's last update on 10 Mar 2022. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 86 sites in United States, Japan, Poland, Canada, Hungary and 10 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?
Yes. Results are posted in the registry (first posted 10 Mar 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?
Number of Participants With Investigator's Global Assessment (IGA) Score of 0 (Clear) or 1 (Almost Clear) (IGA 0/1) at Week 16 (time frame: Week 16). The study lists 2 primary outcomes in all. 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 10 Mar 2022.