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Atopic DermatitisPhase 2NCT04605094

Efficacy and Safety Study of the Use of Benralizumab for Patients With Moderate to Severe Atopic Dermatitis

A Phase 2 study testing Benralizumab in people with Atopic Dermatitis, run by AstraZeneca at 51 sites in 8 countries.

Terminated

Stopped early. The study ended before it was planned to and will not resume.

Official record
Search all trials

Trial summary

The purpose of the study is to compare the efficacy and safety of benralizumab versus placebo and to compare benralizumab dosing regimens during extension period. Read more about this study

Who is it for?
Ages 12 to 130 years
Conditions the study is for
Atopic Dermatitis
What is being tested?
Benralizumab
Type of treatment
Injection or infusion
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
194 participants
Where
51 sitesin 8 countries
Study dates
12 Nov 2020to 13 Sep 2022
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 12 to 130 years
  • All sexes
  • No healthy volunteers
  • Child, Adult, Older adult

Who may be able to join

  • Physician-confirmed diagnosis of AD (according to American Academy of Dermatology Consensus Criteria) that is not adequately controlled with topical medications.
  • EASI score of ≥ 12 at screening and ≥ 16 at randomization.
  • IGA score of ≥ 3 (on a scale of 0 to 4, in which 3 is moderate and 4 is severe) at screening and at randomization.
  • Atopic dermatitis involvement of ≥ 8% body- surface area at screening and ≥ 10% body-surface area at randomization.
  • A pruritus numerical rating scale average score for maximum itch intensity of ≥ 4, based on the average of daily pruritus numerical rating scale scores for maximum itch intensity reported during the 7 days prior to randomization.
  • Documented recent history (within 6 months prior to screening) of inadequate response to treatment with topical medications, or patients for whom topical treatments are otherwise medically inadvisable (eg, because of important side effects or safety risks).
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  • Participants that have applied a stable dose of topical emollient (moisturizer) twice daily for ≥ 7 consecutive days immediately before the randomization visit. (NOTE: See exclusion criterion 11 for limitations regarding emollients)
  • Participants must be willing and able to complete daily PRO assessments:
  • Complete at least 70% of daily PRO assessments between Visit 1 and Visit 2 and
  • Complete at least 5 of 7 daily PRO assessments in the 7 days prior to Visit 2.
  • Females of childbearing potential (FOCBP) must agree to use a highly effective method of birth control (confirmed by the Investigator) from randomization, throughout the study duration, and within 16 weeks after last dose of IP and have a negative serum pregnancy test result on Visit 1.
  • Females not of childbearing potential are defined as females who are either permanently sterilized (hysterectomy, bilateral oophorectomy, or bilateral salpingectomy) or who are postmenopausal. Females will be considered postmenopausal if they have been amenorrheic for ≥ 12 months prior to the planned date of randomization without an alternative medical cause. The following age-specific requirements apply:
  • Females < 50 years old will be considered postmenopausal if they have been amenorrheic for 12 months or more following cessation of exogenous hormonal treatment and with follicle-stimulating hormone (FSH) levels in the postmenopausal range. Until FSH is documented to be within menopausal range, the participant should be treated as a FOCBP.
  • Females ≥ 50 years old will be considered postmenopausal if they have been amenorrheic for 12 months or more following cessation of all exogenous hormonal treatment.

Who cannot join

  • Participants with active dermatological conditions (eg, psoriasis, seborrheic dermatitis, cutaneous lymphoma) other than atopic dermatitis that, in the investigator's opinion, may interfere with the study assessments
  • Known active allergic or irritant contact dermatitis that, in the investigator's opinion, may interfere with the study assessments
  • Current malignancy, or history of malignancy, with the exception of:
  • Participants who have had basal cell carcinoma, localized squamous cell carcinoma of the skin, or in situ carcinoma of the cervix are eligible provided that the participant is in remission and curative therapy was completed at least 12 months prior to the date informed consent, was obtained.
  • Participants who have had other malignancies are eligible provided that the participant is in remission and curative therapy was completed at least 5 years prior to the date informed consent, was obtained.
  • Any disorder, including, but not limited to, cardiovascular, gastrointestinal, hepatic, renal, neurological, musculoskeletal, infectious, endocrine, metabolic, hematological, psychiatric, or major physical impairment that is not stable in the opinion of the Investigator and could:
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  • Affect the safety of the participant throughout the study
  • Influence the findings of the studies or their interpretations
  • Impede the participant's ability to complete the entire duration of study.
  • History of anaphylaxis to any biologic therapy or vaccine
  • A helminth parasitic infection diagnosed within 24 weeks prior to the date informed consent is obtained that has not been treated with, or has failed to respond to standard of care therapy
  • Any clinically significant abnormal findings in physical examination, vital signs, hematology, clinical chemistry, or urinalysis during screening/run-in period which, in the opinion of the Investigator, may put the participant at risk because of his/her participation in the study, or may influence the results of the study, or the participant's ability to complete entire duration of the study
  • Current active liver disease:
  • Chronic stable hepatitis B and C (including positive testing for hepatitis B surface antigen [HBsAg] or hepatitis C antibody), or other stable chronic liver disease are acceptable if participant otherwise meets eligibility criteria. Stable chronic liver disease should generally be defined by the absence of ascites, encephalopathy, coagulopathy, hypoalbuminemia, esophageal or gastric varices, or persistent jaundice, or cirrhosis.
  • Alanine aminotransferase (ALT) or aspartate aminotransferase (AST) level ≥ 3 times the upper limit of normal (ULN), confirmed by repeated testing during the run-in period. Transient increase of AST/ALT level that resolves by the time of randomization is acceptable if in the Investigator's opinion the participant does not have an active liver disease and meets other eligibility criteria.
  • A history of known immunodeficiency disorder including a positive human immunodeficiency virus (HIV) test Prior/concomitant Therapy
  • Participants who have received treatment for AD with TCS, topical calcineurin inhibitors (TCI), or topical phosphodiesterase-4 (PDE4) inhibitors within the 7 days prior to the randomization visit
  • Initiation of treatment of AD with prescription moisturizers or moisturizers containing additives such as ceramide, hyaluronic acid, urea, or filaggrin degradation products during the screening period (patients may continue using stable doses of such moisturizers if initiated before the screening visit)
  • Regular use (2 visits per week) of a tanning booth/parlor or phototherapy for AD within 4 weeks prior to the randomization visit
  • Use of immunosuppressive medication including, but not limited to: methotrexate, cyclosporine, azathioprine, systemic corticosteroids within 4 weeks or 5 half-lives prior to the date informed consent is obtained, whichever is longer.
  • Other
  • Receipt of immunoglobulin or blood products within 30 days prior to the date informed consent is obtained
  • Receipt of any marketed or investigational biologic within 4 months or 5 half-lives prior to the date informed consent is obtained, whichever is longer
  • Receipt of live attenuated vaccines 30 days prior to first dose of IP
  • Receipt of any investigational nonbiologic within 30 days or 5 half-lives prior to the date informed consent is obtained, whichever is longer
  • Previously received benralizumab (MEDI-563, FASENRA)
  • Change to allergen immunotherapy or new allergen immunotherapy within 30 days prior to the date of informed consent and anticipated changes in immunotherapy throughout the study
  • Planned elective major surgical procedures during the conduct of the study
  • Previous randomization in the present study
  • Concurrent enrollment in another clinical trial
  • AstraZeneca staff involved in the planning and/or conduct of the study
  • For females only: Currently pregnant, breastfeeding, or lactating females A serum pregnancy test will be done for FOCBP at Visit 1 and a urine pregnancy test must be performed for FOCBP at each subsequent treatment visit prior to IP administration. A positive urine test result must be confirmed with a serum pregnancy test. If serum test is positive, the participant should be excluded.

Trial locations and contacts

51 sites in 8 countries.

51 sites in 8 countries

United States13 sites
  • Research Site

    Bridgeport, Connecticut, 06606

  • Research Site

    Cincinnati, Ohio, 45219

  • Research Site

    Fort Myers, Florida, 33912

  • Research Site

    Los Angeles, California, 90025

  • Research Site

    New York, New York, 10029

  • Research Site

    Newport Beach, California, 92663

  • Research Site

    Norman, Oklahoma, 73071

  • Research Site

    Portsmouth, New Hampshire, 03801

  • Research Site

    Rochester, New York, 14620

  • Research Site

    Sugarloaf, Pennsylvania, 18249

  • Research Site

    Tampa, Florida, 33606

  • Research Site

    Tampa, Florida, 33607

  • Research Site

    Ypsilanti, Michigan, 48197

Other trials in United States

South Korea12 sites
  • Research Site

    Ansan-si, 15355

  • Research Site

    Daegu, 41944

  • Research Site

    Gwangju, 61453

  • Research Site

    Seongnam-si, 13620

  • Research Site

    Seoul, 04763

  • Research Site

    Seoul, 05278

  • Research Site

    Seoul, 05505

  • Research Site

    Seoul, 06591

  • Research Site

    Seoul, 06973

  • Research Site

    Seoul, 07441

  • Research Site

    Seoul, 5030

  • Research Site

    Yangsan, 50612

Other trials in South Korea

Czechia6 sites
  • Research Site

    Brno, 602 00

  • Research Site

    Ostrava, 702 00

  • Research Site

    Ostrava-Poruba, 708 52

  • Research Site

    Pardubice, 530 02

  • Research Site

    Prague, 100 00

  • Research Site

    Prague, 110 00

Other trials in Czechia

Poland5 sites
  • Research Site

    Krakow, 30-033

  • Research Site

    Lodz, 90-302

  • Research Site

    Osielsko, 86031

  • Research Site

    Poznan, 60-214

  • Research Site

    Warsaw, 01-262

Other trials in Poland

Spain5 sites
  • Research Site

    Alicante, 03010

  • Research Site

    Barcelona, 08041

  • Research Site

    Córdoba, 14004

  • Research Site

    Madrid, 28040

  • Research Site

    Manises, 46940

Other trials in Spain

Australia4 sites
  • Research Site

    Kogarah, 2217

  • Research Site

    Parkville, 3050

  • Research Site

    Sippy Downs, 4556

  • Research Site

    Woolloongabba, 04102

Other trials in Australia

Bulgaria4 sites
  • Research Site

    Haskovo, 6300

  • Research Site

    Pleven, 5800

  • Research Site

    Sofia, 1000

  • Research Site

    Sofia, 1431

Other trials in Bulgaria

France2 sites
  • Research Site

    Brest, 29609

  • Research Site

    Lille, 59037

Other trials in France

About this study

Official title: A Phase 2 Multinational, Randomized, Double-blind, Parallel-group, 16-week Placebo-controlled Study With a 36-Week Extension to Investigate the Use of Benralizumab for Patients With Moderate to Severe Atopic Dermatitis Despite Treatment With Topical Medications (The HILLIER Study)

The purpose of the study is to compare the efficacy and safety of benralizumab versus placebo and to compare benralizumab dosing regimens during extension period.

Read the detailed description

The aim of this study is to investigate the use of benralizumab as treatment for patients with moderate to severe atopic dermatitis (AD) who remain symptomatic despite treatment with topical medications. It is proposed that benralizumab will deplete eosinophils from affected skin, improve symptoms of AD, and improve AD-related quality of life. This Phase 2 study is designed to compare the efficacy of treatment with benralizumab versus placebo and compare benralizumab maintenance dosing regimens in the extension period.

Being tested
Benralizumab, Placebo / Benralizumab
Keywords
Moderate to severe atopic dermatitis, pruritus, skin lesion
Medical subject headings
Dermatitis, Atopic, Pruritus

What participants receive

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

  • BenralizumabBiological

    Also called Benralizumab, Benra, Fasenra

    Benralizumab by subcutaneous injection until Week 16, and then benralizumab by subcutaneous injection during the extension period.

  • Placebo / BenralizumabBiological

    Also called Benralizumab, Benra, Fasenra

    Placebo by subcutaneous injection until Week 16, then benralizumab by subcutaneous injection until Week 52.

Study groups in NCT04605094
Study groupRoleWhat they receive
BenralizumabExperimentalNot described
Receives: Biological: Benralizumab
Placebo / BenralizumabExperimentalNot described
Receives: Biological: Placebo / Benralizumab

What is being measured

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

  1. Percentage of Participants With an Investigator Global Assessment (IGA) 0/1 and a Decrease in IGA of ≥2 Points at Week 16 Relative to Baseline

    The IGA is an instrument used in clinical studies to rate the severity of AD globally, based on a 5-point scale ranging from 0 = clear; 1 = almost clear; 2 = mild disease; 3 = moderate disease; 4 = severe disease. The IGA used clinical characteristics of erythema, infiltration, papulation, oozing, and crusting as guidelines for the overall severity assessment. A higher score indicated greater severity. A responder at Week 16 was defined as having IGA 0/1 and a decrease in IGA of ≥2 points at Week 16 relative to baseline. Participants who withdrew from the study/required rescue therapy after Day 28 were considered as non-responders from the time these events occurred. Baseline was defined as the last recorded value on or prior to the date of randomization.

    Measured: Baseline (Week 0) and at Week 16

Secondary outcomes (3)
  1. Percentage of Participants Who Experienced 75% Reduction From Baseline in Eczema Area and Severity Index (EASI-75) at Week 16

    The EASI assessed the severity and extent of AD. Severity of 4 AD disease characteristics (erythema, induration/papulation, excoriation [scratching], lichenification) each were assessed on a scale of 0 (absent) to 3 (severe) in each of 4 body regions (head/neck, trunk, upper limbs, and lower limbs). Total body total score=sum of the region total scores; ranged from 0 to 72. Participants were classified as responders if they achieved at least 75% reduction from baseline in their EASI total score at Week 16. Participants who withdrew from study/required rescue therapy after Day 28 were non-responders from the time these events occurred. Higher scores indicated a more severe or more extensive condition. Baseline was defined as the last recorded value on or prior to the date of randomization.

    Measured: Baseline (Week 0) and at Week 16

  2. Percentage of Participants Who Experienced 90% Reduction From Baseline in Eczema Area and Severity Index (EASI-90) at Week 16

    The EASI assessed the severity and extent of AD. Severity of 4 AD disease characteristics (erythema, induration/papulation, excoriation [scratching], lichenification) each were assessed on a scale of 0 (absent) to 3 (severe) in each of 4 body regions (head/neck, trunk, upper limbs, and lower limbs). Total body total score=sum of the region total scores; ranged from 0 to 72. Participants were classified as responders if they achieved at least 90% reduction from baseline in their EASI total score at Week 16. Participants who withdrew from study/required rescue therapy after Day 28 were non-responders from the time these events occurred. Higher scores indicated a more severe or more extensive condition. Baseline was defined as the last recorded value on or prior to the date of randomization.

    Measured: Baseline (Week 0) and at Week 16

  3. Percentage of Participants With an Improvement of ≥4 or More Points in Peak Pruritus Weekly Score

    The peak pruritus numeric rating scale (NRS) was a 1-item daily assessment of the worst itch the participant experienced over the past 24 hours. The score ranged from 0 to 10, with 0 being "no itch" and 10 being "worst itch imaginable" and so a reduction in score was considered an improvement. A responder was defined as having an improvement of 4 or more points relative to baseline. Participants who withdrew from the study/required rescue therapy after Day 28 were considered as non-responders from the time these events occurred. The Week 16 weekly scores were defined as the average of the daily scores for the 7 days prior to the weekly score.

    Measured: At Week 16

Timeline

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

  1. First posted27 Oct 2020
  2. Study start12 Nov 2020
  3. Primary completion25 Apr 2022
  4. Study completion13 Sep 2022

Why it stopped: The study did not meet the primary endpoint.

Resources

More details

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

Study design
Study type
Interventional
Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
194 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04605094
Sponsor's protocol ID
D3256C00001
Status last verified
Aug 2023
First submitted
1 Sep 2020
Last updated
31 Aug 2023
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
Yes: Qualified researchers can request access to anonymized individual patient-level data from AstraZeneca group of companies sponsored clinical trials via the request portal. All request will be evaluated as per the AZ disclosure commitment: https://astrazenecagrouptrials.pharmacm.com/ST/Submission/Disclosure. Yes, indicates that AZ are accepting requests for IPD, but this does not mean all requests will be shared.

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing Benralizumab in people with Atopic Dermatitis, run by AstraZeneca at 51 sites in 8 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 14 inclusion and 32 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 31 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 51 sites in United States, South Korea, Czechia, Poland, Spain and 3 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. 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 27 Jun 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?

Percentage of Participants With an Investigator Global Assessment (IGA) 0/1 and a Decrease in IGA of ≥2 Points at Week 16 Relative to Baseline (time frame: Baseline (Week 0) and at Week 16). 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 31 Aug 2023.

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