Moderate-to-severe Atopic DermatitisPhase 2NCT04444752
A Study to Assess the Efficacy and Safety of CBP-201 in Adult Subjects With Moderate to Severe Atopic Dermatitis
A Phase 2 study testing CBP-201 in people with Moderate-to-severe Atopic Dermatitis, run by Connect Biopharm LLC at 59 sites in 4 countries.
Trial summary
This study will evaluate the efficacy, safety, pharmacokinetics and pharmacodynamics of CBP-201 in adult subjects with moderate to severe atopic dermatitis. Read more about this study
- Who is it for?
- Ages 18 to 75 years
- Conditions the study is for
- Moderate-to-severe Atopic Dermatitis
- What is being tested?
- CBP-201
- Type of treatment
- Injection or infusion
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 226 participants
- Where
- 59 sitesin 4 countries
- Study dates
- 17 Jul 2020to 22 Sep 2021
- 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
- Be an adult ≥18 and ≤ 75 years of age at the screening visit (Screening) with atopic dermatitis according to American Academy of Dermatology Consensus Criteria, (Eichenfield 2014)
- Present for at least 1 year prior to the baseline visit (Baseline) with an inadequate response, in the judgement of the Investigator, to AD treatment with a topical regimen of corticosteroids, phosphodiesterase inhibitors or calcineurin inhibitors, or for whom topical treatments are otherwise medically inadvisable (eg, because of important side effect or safety risks)
- Investigator Global Assessment (IGA) score ≥ 3 at Screening and Baseline.
- Eczema Area and Severity Index (EASI) score ≥ 16 at Screening and Baseline
- Body Surface Area (BSA) for total AD involvement ≥ 10% at Screening and Baseline
- Able and willing to apply a stable dose of a bland emollient twice a day to affected areas for at least 7 days before Baseline and to continue for the duration of the study
- Females of child-bearing potential (FCBP) and males who have not undergone a vasectomy must abstain from heterosexual activities or agree to use effective contraception throughout the entire study period.
Who cannot join
- Have any of the following laboratory abnormalities at Screening:
- Hemoglobin ≤ 90% of the lower limit of normal range (LLN)
- White blood cell (WBC) below the LLN
- Neutrophil count below the LLN
- Platelet count below the LLN
- Have undergone treatment with any of the following:
Show all 25Show fewer
- Topical agents such as corticosteroids, phosphodiesterase (PDE) inhibitors, Janus kinase (JAK) inhibitors, tacrolimus or pimecrolimus within 1 week prior to Baseline. Note that low to medium potency topical corticosteroids (TCS) are permitted after randomization to treat AD flares
- Prior treatment with dupilumab or any antibody against IL-4Rα or IL-13
- Systemic treatment for AD or other condition with steroids or other immunosuppressive/immunomodulating substances, e.g., cyclosporine, mycophenolate-mofetil, azathioprine, methotrexate or oral Janus kinase (JAK) inhibitors within 4 weeks prior to Baseline. Use of steroid inhalers and nasal corticosteroids is allowed.
- Cell depleting agents, e.g. rituximab, within 6 months of Baseline or treatment with other biologics within 5 half-lives (if known) or 3 months prior to baseline visit, whichever is longer
- Phototherapy (narrow band ultraviolet B [NBUVB], ultraviolet B [UVB], ultraviolet A1 [UVA1], psoralen + ultraviolet A [PUVA]), tanning beds, or any other light emitting device (LED), within 4 weeks of Baseline
- ≥ 2 bleach baths within 2 weeks of Baseline
- Prescription emollient to treat AD (e.g. Atopiclair®, MimyX®, Epicerum®, etc.) within 2 weeks of Baseline
- Any investigational drug within 30 days or within 5 half-lives, whichever is longer, before Baseline.
- Live (attenuated) vaccine within 8 weeks of Baseline.
- Treatment with systemic traditional Chinese medicine (TCM) or herbal medications within 4 weeks before Baseline or treatment with topical TCM or herbal medications within 1 week before Baseline visit
- Have any of the following:
- Infection requiring treatment with systemic antibiotics, antivirals, antiparasitics, antiprotozoals, or antifungals within 4 weeks before Baseline, or superficial skin infection, such as impetigo, within 2 weeks before the Baseline (subjects may be rescreened after the infection has resolved)
- A history of parasitic infection (e.g. helminth), within 6 months of Baseline
- Per investigator judgement, known or suspected history of immunosuppression within 6 months of Baseline, including a history of invasive opportunistic infections, such as aspergillosis, coccidioidomycosis, histoplasmosis, human immunodeficiency virus (HIV), listeriosis, pneumocystosis, or tuberculosis, despite infection resolution; or unusually frequent, recurrent or prolonged infections.
- Any history of vernal keratoconjunctivitis (VKC) and atopic keratoconjunctivitis (AKC)
- A history of malignancy with the following exceptions: completely treated carcinoma in situ of cervix or non-metastatic squamous or basal cell carcinoma of the skin
- Positive results at Screening for hepatitis B surface antigen (HBsAg), hepatitis B core antibody (HBcAb) or hepatitis C antibody with positive HCV RNA polymerase chain reaction; positive HIV serology at screening
- An allergy to L-histidine, trehalose or Tween (polysorbate) 80
- Women must not be pregnant, planning to become pregnant or breast-feed during the study
Trial locations and contacts
59 sites in 4 countries.
59 sites in 4 countries
United States38 sites
Connect Investigative Site 326
Albuquerque, New Mexico, 87102
Connect Investigative Site 327
Canoga Park, California, 91303
Connect Investigative Site 333
Chicago, Illinois, 60640
Connect Investigative Site 303
Chicago, Illinois, 60660
Connect Investigative Site 330
Cincinnati, Ohio, 45231
Connect Investigative Site 332
Coral Gables, Florida, 33144
Connect Investigative Site 324
Encinitas, California, 92024
Connect Investigative Site 301
Fremont, California, 94538
Connect Investigative Site 310
Glendale, Arizona, 85308
Connect Investigative Site 320
Hialeah, Florida, 33016
Connect Investigative Site 306
Hollywood, Florida, 33021
Connect Investigative Site 334
Houston, Texas, 77065
Connect Investigative Site 319
Hunt Valley, Maryland, 21030
Connect Investigative Site 312
Huntington Beach, California, 92647
Connect Investigative Site 308
Jacksonville, Florida, 32256
Connect Investigative Site 336
Las Vegas, Nevada, 89109
Connect Investigative Site 305
Little Rock, Arkansas, 72204
Connect Investigative Site 311
Louisville, Kentucky, 40241
Connect Investigative Site 314
Maitland, Florida, 32751
Connect Investigative Site 309
Memphis, Tennessee, 38119
Connect Investigative Site 331
Miami, Florida, 33155
Connect Investigative Site 337
Miami, Florida, 33155
Connect Investigative Site 321
Miami, Florida, 33173
Connect Investigative Site 329
Mission Viejo, California, 92691
Connect Investigative Site 307
New Albany, Indiana, 47150
Connect Investigative Site 304
Orlando, Florida, 32801
Connect Investigative Site 338
Phoenix, Arizona, 85001
Connect Investigative Site 328
Rapid City, South Dakota, 57702
Connect Investigative Site 335
Saint Joseph, Missouri, 64506
Connect Investigative Site 322
San Diego, California, 92123
Connect Investigative Site 323
San Luis Obispo, California, 93405
Connect Investigative Site 317
Santa Ana, California, 92703
Connect Investigative Site 318
Sherman Oaks, California, 91403
Connect Investigative Site 315
St Louis, Missouri, 63110
Connect Investigative Site 316
Tempe, Arizona, 85284
Connect Investigative Site 325
Thousand Oaks, California, 91320
Connect Investigative Site 313
West Lafayette, Indiana, 47906
Connect Investigative Site 340
Weston, Florida, 33331
China9 sites
Connect Investigative Site 408
Beijing, Beijing Municipality, 100020
Connect Investigative Site 404
Beijing, Beijing Municipality, 100050
Connect Investigative Site 403
Hangzhou, Zhejiang, 310003
Connect Investigative Site 402
Jinan, Shandong, 250013
Connect Investigative Site 401
Shanghai, Shanghai Municipality, 200040
Connect Investigative Site 406
Shanghai, Shanghai Municipality, 200071
Connect Investigative Site 410
Tianjin, Tianjin Municipality, 300120
Connect Investigative Site 405
Wuxi, Jiangsu, 214002
Connect Investigative Site 409
Zhenjiang, Jiangsu, 212001
Australia8 sites
Connect Investigative Site 101
Brisbane, Queensland, 4102
Connect Investigative Site 111
Canberra, Australian Capital Territory, 2606
Connect Investigative Site 104
Darlinghurst, New South Wales, 2010
Connect Investigative Site 106
Fremantle, Western Australia, 6160
Connect Investigative Site 108
Kanwal, New South Wales, 2259
Connect Investigative Site 102
Melbourne, Victoria, 3002
Connect Investigative Site 103
Perth, Western Australia, 6009
Connect Investigative Site 105
Sydney, New South Wales, 2289
New Zealand4 sites
Connect Investigative Site 203
Auckland, 1010
Connect Investigative Site 202
Havelock North, Hawke's Bay Region, 4130
Connect Investigative Site 204
Tauranga, Bay of Plenty, 3110
Connect Investigative Site 205
Waikanae, Kapiti Coast, 5036
About this study
Official title: A Randomized, Double-Blind, Placebo-Controlled Multi-Centered Study of the Efficacy, Safety, Pharmacokinetics and Pharmacodynamics of CBP-201 in Adult Subjects With Moderate to Severe Atopic Dermatitis
This study will evaluate the efficacy, safety, pharmacokinetics and pharmacodynamics of CBP-201 in adult subjects with moderate to severe atopic dermatitis.
Read the detailed description
This is a randomized, double-blind, placebo-controlled, dose regimen finding study to assess the efficacy, safety, and steady-state PK profile of CBP-201 administered to eligible adult subjects with moderate to severe atopic dermatitis compared to placebo. CBP-201 is administered as a subcutaneous (SC) injection. The study is divided into a treatment period of 16 weeks and a follow-up period of 8 weeks.
- Conditions
- Moderate-to-severe Atopic Dermatitis
- Being tested
- CBP-201, placebo
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
CBP-201Drug
CBP-201 subcutaneous(SC) injection.
placeboDrug
subcutaneous(SC) injection
| Study group | Role | What they receive |
|---|---|---|
| CBP-201 Dose 1 | Experimental | CBP-201 Dose 1 subcutaneous (SC) injection Receives: Drug: CBP-201 |
| CBP-201 Dose 2 | Experimental | CBP-201 Dose 2 subcutaneous (SC) injection Receives: Drug: CBP-201 |
| CBP-201 Dose 3 | Experimental | CBP-201 Dose 3 subcutaneous (SC) injection Receives: Drug: CBP-201 |
| placebo | Placebo comparator | subcutaneous (SC) injection Receives: Drug: placebo |
What is being measured
The primary outcome is the main question the study is designed to answer.
Percent Reduction in EASI Score From Baseline to Week 16
EASI=Eczema Area Severity Index is a validated physician score for signs of atopic dermatitis. EASI can range from 0 to 72. An EASI score of 0 indicates clear/no eczema, 0.1 to 1.0 almost clear, 1.1 to 7 mild disease, 7.1 to 21 moderate disease, 21.1 to 50 severe disease, and 51-72 indicates very severe disease. EASI Sub-scale ranges are as follows: Head/neck can range from 0-7.2, Trunk 0-14.4, Upper Extremities 0-21.6, Lower Extremities can range from 0-28.8. To calculate EASI, % involvement is first assessed by body region with an Area involvement Score of 0-6 for each region: 0=0%, 1=1-9%, 2=10-29%, 3=30-39%, 4=50-69%, 5=70-89%, 6=90-100% involvement. Then 4 attributes (Erythema, Edema/Papulation, Excoriation, and Lichenification) are scored for severity (0= none, 1=mild, 2=moderate, 3=severe). A multiplier is applied head/neck=0.1, trunk=0.2, upper extremities= 0.3, lower extremities=0.4. The total EASI score is the sum of 4 regional sub-scores.
Measured: Reduction from baseline to 16 weeks
Secondary outcomes (1)
vIGA of 0/1 at Week 16
Validated Investigator Global Assessment Score (vIGA) is assigned by the physician based on morphologic presentation of the disease in the clinic. The physician considers extent and severity of erythema, induration/papulation, lichenification, and oozing/crusting. A vIGA Score of 0=Clear, 1=Almost Clear, 2= Mild dermatitis, 3=Moderate dermatitis, and 4= Severe dermatitis. Patients are required to have a baseline IGA of 3 or 4. The response rate or percentage of patients achieving a vIGA of 0 or 1 (improved to clear or almost clear) at week 16 is the outcome.
Measured: Response Rate at 16 weeks
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted24 Jun 2020
- Study start17 Jul 2020
- Primary completion28 Jul 2021
- Study completion22 Sep 2021
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 Moderate-to-severe 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
- 226 participants (actual)
Sponsor and investigators
- Lead sponsor
- Connect Biopharm LLC
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Suzhou Connect, Study director, Connect Biopharm LLC
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT04444752
- Sponsor's protocol ID
- CBP-201-WW001
- Status last verified
- Jul 2023
- First submitted
- 15 Jun 2020
- Last updated
- 1 Aug 2023
- Results posted
- Yes, on ClinicalTrials.gov
- Data monitoring committee
- No
- FDA-regulated drug
- Yes
- FDA-regulated device
- No
- Individual data sharing
- No
Study at a glance
From the registry record, last updated by the sponsor on 1 Aug 2023. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Randomized, Double-Blind, Placebo-Controlled Multi-Centered Study of the Efficacy, Safety, Pharmacokinetics and Pharmacodynamics of CBP-201 in Adult Subjects With Moderate to Severe Atopic Dermatitis
- ClinicalTrials.gov ID
- NCT04444752
- Acronym / sponsor ID
- CBP-201-WW001
- Conditions
- Moderate-to-severe Atopic Dermatitis
- Phase
- Phase 2
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 226 participants (actual)
- Lead sponsor
- Connect Biopharm LLCIndustry (pharma, biotech, devices)
- Study start
- 17 Jul 2020 (actual)
- Primary completion
- 28 Jul 2021 (actual)
- Study completion
- 22 Sep 2021 (actual)
- First posted
- 24 Jun 2020 (actual)
- Results
- Posted 1 Aug 2023
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
This study will evaluate the efficacy, safety, pharmacokinetics and pharmacodynamics of CBP-201 in adult subjects with moderate to severe atopic dermatitis.
Detailed description
This is a randomized, double-blind, placebo-controlled, dose regimen finding study to assess the efficacy, safety, and steady-state PK profile of CBP-201 administered to eligible adult subjects with moderate to severe atopic dermatitis compared to placebo. CBP-201 is administered as a subcutaneous (SC) injection. The study is divided into a treatment period of 16 weeks and a follow-up period of 8 weeks.
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 |
|---|---|---|
| CBP-201 Dose 1 | Experimental | Drug: CBP-201CBP-201 Dose 1 subcutaneous (SC) injection |
| CBP-201 Dose 2 | Experimental | Drug: CBP-201CBP-201 Dose 2 subcutaneous (SC) injection |
| CBP-201 Dose 3 | Experimental | Drug: CBP-201CBP-201 Dose 3 subcutaneous (SC) injection |
| placebo | Placebo comparator | Drug: placebosubcutaneous (SC) injection |
Who may qualify
- Ages
- 18 to 75 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (7 listed)
- Be an adult ≥18 and ≤ 75 years of age at the screening visit (Screening) with atopic dermatitis according to American Academy of Dermatology Consensus Criteria, (Eichenfield 2014)
- Present for at least 1 year prior to the baseline visit (Baseline) with an inadequate response, in the judgement of the Investigator, to AD treatment with a topical regimen of corticosteroids, phosphodiesterase inhibitors or calcineurin inhibitors, or for whom topical treatments are otherwise medically inadvisable (eg, because of important side effect or safety risks)
- Investigator Global Assessment (IGA) score ≥ 3 at Screening and Baseline.
- Eczema Area and Severity Index (EASI) score ≥ 16 at Screening and Baseline
- Body Surface Area (BSA) for total AD involvement ≥ 10% at Screening and Baseline
Key exclusion criteria (25 listed)
- Have any of the following laboratory abnormalities at Screening:
- Have undergone treatment with any of the following:
- Have any of the following:
- Women must not be pregnant, planning to become pregnant or breast-feed during the study
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 |
|---|---|---|
| CBP-201CBP-201 subcutaneous(SC) injection. | Drug | CBP-201 Dose 1, CBP-201 Dose 2, CBP-201 Dose 3 |
| placebosubcutaneous(SC) injection | Drug | placebo |
Primary outcome
Percent Reduction in EASI Score From Baseline to Week 16
Time frame: Reduction from baseline to 16 weeks
EASI=Eczema Area Severity Index is a validated physician score for signs of atopic dermatitis. EASI can range from 0 to 72. An EASI score of 0 indicates clear/no eczema, 0.1 to 1.0 almost clear, 1.1 to 7 mild disease, 7.1 to 21 moderate disease, 21.1 to 50 severe disease, and 51-72 indicates very severe disease. EASI Sub-scale ranges are as follows: Head/neck can range from 0-7.2, Trunk 0-14.4, Upper Extremities 0-21.6, Lower Extremities can range from 0-28.8. To calculate EASI, % involvement is first assessed by body region with an Area involvement Score of 0-6 for each region: 0=0%, 1=1-9%, 2=10-29%, 3=30-39%, 4=50-69%, 5=70-89%, 6=90-100% involvement. Then 4 attributes (Erythema, Edema/Papulation, Excoriation, and Lichenification) are scored for severity (0= none, 1=mild, 2=moderate, 3=severe). A multiplier is applied head/neck=0.1, trunk=0.2, upper extremities= 0.3, lower extremities=0.4. The total EASI score is the sum of 4 regional sub-scores.
1 secondary outcome
vIGA of 0/1 at Week 16
Time frame: Response Rate at 16 weeks
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 1 Aug 2023.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Individual participant dataSharing planned: No
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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.
Suzhou Connect study director
Connect Biopharm LLC
59 sites in 4 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 2 study testing CBP-201 in people with Moderate-to-severe Atopic Dermatitis, run by Connect Biopharm LLC at 59 sites in 4 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 25 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 1 Aug 2023. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 59 sites in United States, China, Australia, New Zealand. 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 1 Aug 2023). 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?
Percent Reduction in EASI Score From Baseline to Week 16 (time frame: Reduction from baseline to 16 weeks). 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 1 Aug 2023.