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Dermatitis, AtopicPhase 3ADhere-JNCT04760314

A Study of Lebrikizumab (LY3650150) in Combination With Topical Corticosteroids in Japanese Participants With Moderate-to-Severe Atopic Dermatitis

A Phase 3 study testing Lebrikizumab and Topical Corticosteroid in people with Dermatitis, Atopic and Dermatitis, run by Eli Lilly and Company at 37 sites in Japan.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
Search all trials

Trial summary

The main purpose of this study is to evaluate the efficacy and safety of lebrikizumab in combination with a topical corticosteroids in Japanese participants with atopic dermatitis. Read more about this study

Who is it for?
Ages 12 years and older
Conditions the study is for
Dermatitis, Atopic, Dermatitis, Eczema
What is being tested?
Lebrikizumab and Topical Corticosteroid
Type of treatment
Injection or infusion
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
286 participants
Where
37 sitesJapan
Study dates
10 Mar 2021to 1 Feb 2023
Phase
Phase 3
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 years and older
  • All sexes
  • No healthy volunteers
  • Child, Adult, Older adult

Who may be able to join

  • Have chronic Atopic Dermatitis (AD) that has been present for ≥1 year before the screening.
  • Have moderate-to-severe AD, including all of the following:
  • EASI score ≥16 at the baseline
  • IGA score ≥3 (scale of 0 to 4) at the baseline
  • AD involvement on ≥10% of Body Surface Area (BSA) at the baseline
  • Have a documented history provided by a physician and/or investigator of inadequate response to existing topical medications within 6 months preceding screening as defined by at least 1 of the following:
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  • Inability to achieve good disease control, defined as mild disease or better (for example, IGA ≤2) after use of at least a medium-potency topical corticosteroids (TCS) for at least 4 weeks, or for the maximum duration recommended by the product prescribing information (for example, 14 days for super-potent TCS), whichever is shorter. Topical corticosteroids may be used with or without Topical calcineurin inhibitors (TCI) and/or topical Janus Kinase (JAK) inhibitors.
  • Participants who failed systemic therapies intended to treat AD within 6 months preceding screening, such as cyclosporine, methotrexate (MTX), azathioprine, and mycophenolate mofetil (MMF), will also be considered as surrogates for having inadequate response to topical therapy.
  • Body weight ≥40 kilogram (kg)

Who cannot join

  • Have a history of anaphylaxis
  • Have uncontrolled chronic disease that might require bursts of oral corticosteroids for example, comorbid severe uncontrolled asthma within the past 12 months requiring systemic corticosteroid treatment or hospitalization for >24 hours at baseline.
  • Have an active chronic or acute infection requiring treatment with systemic antibiotics, antivirals, antiparasitics, antiprotozoals, or antifungals within 2 weeks before the baseline or superficial skin infections within 1 week before the baseline.
  • Evidence of acute or chronic hepatitis or known liver cirrhosis.
  • Have a history of pneumocystis pneumonia (PCP) or a positive beta-D-glucan test at screening and a confirmed diagnosis of PCP.
  • Have a history of human immunodeficiency virus (HIV) infection or positive HIV serology at screening.
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  • Have presence of skin comorbidities (for example, sclerosis, psoriasis, or lupus erythematosus) that may interfere with study assessments.
  • Have presence of significant uncontrolled neuropsychiatric disorder.
  • Have been exposed to a live vaccine within 12 weeks prior to baseline or are expected to need/receive a live vaccine during the study or up to 125 days after the last dose of study drug.

Trial locations and contacts

37 sites in 1 country.

37 sites in 1 country

Japan37 sites
  • Yanagihara dermatology clinic

    Ainokawa, Ichikawa-shi, Chiba, 272-0143

  • Yasumoto Dermatology Clinic

    Chikushino-shi, Fukuoka, 818-0083

  • Akihabara Skin Clinic

    Chiyoda-ku, Tokyo, 101-0021

  • Sumire Dermatology Clinic

    Edogawa-ku, Tokyo, 133-0057

  • Matsuda Tomoko Dermatological Clinic

    Fukuoka, 819-0167

  • Hino Dermatology Clinic

    Fukutsu, Fukuoka, 811-3217

  • Osaka Habikino Medical Center

    Habikino, Osaka, 583-8588

  • Hiroshima University Hospital

    Hiroshima, Hiroshima, 734-8551

  • Kawashima Dermatology Clinic

    Ichikawa-shi, Chiba, 272-0033

  • Ibaraki Medical Center

    Inashiki-gun, Ibaraki, 300-0395

  • Mochida Dermatology Clinic

    Izumiotsu-shi, Osaka, 595-0025

  • Noguchi Dermatology

    Kashima-machi, Kamimashiki-gun, Kumamoto, 861-3101

  • Kosugi Dermatology Clinic

    Kawasaki, Kanagawa, 211-0063

  • Dermatology Shimizu Clinic

    Kobe, Hyōgo, 657-0846

  • Maruyama Dermatology Clinic

    Koto-ku, Tokyo, 136-0074

  • Jyouzanhihuka・Hinyoukika Clinic

    Kumamoto, Kumamoto, 860-0066

  • Kyoto Furitsu Medical University Hospital

    Kyoto, 602 8566

  • Hamaguchi Skin Clinic

    Machida-shi, Tokyo, 194-0013

  • Charme Clinique

    Matsudo, Chiba, 270-2223

  • Mita Dermatology Clinic

    Minato-Ku, Tokyo, 108-0014

  • Queen's Square Dermatology and Allergology

    Nishi-ku, Yokohama-city, Kanagawa, 220-6208

  • KAJI Dermatology Clinic

    Nonoichi-shi, Ishikawa-ken, 921-8801

  • Takagi Dermatology

    Obihiro, Hokkaido, 080-0013

  • Sanrui Dermatology Clinic

    Ohmiya-ku,Saitama-shi, Saitama, 330-0854

  • Osaka City University Hospital

    Osaka, 545-8586

  • Goto Dermatology Clinic

    Osaka, 554-0021

  • Tanpopo Dermatology Clinic

    Ōta-ku, Tokyo, 143-0023

  • Kume Clinic

    Sakai, Osaka, 593-8324

  • Sapporo Skin Clinic

    Sapporo, Hokkaido, 060-0063

  • Kobayashi Skin Clinic

    Sapporo, Hokkaido, 060-0807

  • Dokkyo Medical University Hospital

    Shimotsuga-Gun, Tochigi, 321 0293

  • Yamate Dermatological Clinic

    Shinjuku, Tokyo, 169-0075

  • Yoshihara Dermatology Clinic

    Sumida-ku, Tokyo, 130-0014

  • Tachikawa Dermatology Clinic

    Tachikawa-shi, Tokyo, 190-0023

  • Shirasaki Clinic

    Takaoka-shi, Toyama, 9330871

  • Yoshikawa Dermatology Clinic

    Takatsuki, Osaka, 569-0824

  • Nomura Dermatology Clinic

    Yokohama, Kanagawa, 221-0825

Other trials in Japan

About this study

Official title: A Randomized, Double-Blind, Placebo-Controlled Trial to Evaluate the Efficacy and Safety of Lebrikizumab When Used in Combination With Topical Corticosteroid Treatment in Japanese Patients With Moderate-to-Severe Atopic Dermatitis

The main purpose of this study is to evaluate the efficacy and safety of lebrikizumab in combination with a topical corticosteroids in Japanese participants with atopic dermatitis.

Being tested
Lebrikizumab, Placebo, Topical Corticosteroid
Keywords
Corticosteroids
Medical subject headings
Dermatitis, Atopic, Dermatitis, Eczema, Skin Diseases, Skin Diseases, Genetic

What participants receive

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

  • LebrikizumabDrug

    Also called LY3650150

    Administered SC

  • PlaceboDrug

    Administered SC

  • Topical CorticosteroidDrug

    Self-applied

Study groups in NCT04760314
Study groupRoleWhat they receive
Lebrikizumab 250 mg Every 4 weeks (Q4W)ExperimentalParticipants received 500 mg of Lebrikizumab (2 x 250 mg) subcutaneous (SC) injections as a loading dose at Baseline followed by 250 mg of Lebrikizumab administered SC Q4W from Week 4 until Week 12, in combination with topical corticosteroid. Week 16 responders entered maintenance period and continued with the same treatment. Week 16 non responders entered Escape Arm and received Lebrikizumab 250 mg Q2W until Week 68.
Receives: Drug: Lebrikizumab; Drug: Topical Corticosteroid
Lebrikizumab 250 mg Every 2 weeks (Q2W)ExperimentalParticipants received 500 mg of Lebrikizumab (2 x 250 mg) SC injections as a loading dose at Baseline and Week 2 followed by 250 mg of Lebrikizumab administered SC Q2W from Week 4 until Week 14, in combination with topical corticosteroid. Week 16 responders entered maintenance period and were randomly allocated to receive 250 mg lebrikizumab Q2W or 250 mg lebrikizumab Q4W, in a 1:1 ratio. Week 16 non responders entered Escape Arm and received Lebrikizumab 250 mg Q2W until Week 68.
Receives: Drug: Lebrikizumab; Drug: Topical Corticosteroid
PlaceboPlacebo comparatorParticipants received two SC injections of Placebo as a loading dose at Baseline in combination with topical corticosteroid and Week 2 followed by a single injection Q2W from Week 4 until Week 14. Week 16 responders entered maintenance period and continued with the same treatment. Week 16 non responders entered Escape Arm and received Lebrikizumab 250 mg Q2W until Week 68.
Receives: Drug: Placebo; Drug: Topical Corticosteroid

What is being measured

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

  1. Percentage of Participants With an Investigators Global Assessment (IGA) Score of 0 or 1 and a Reduction ≥2 Points From Baseline to Week 16

    The IGA measures the investigator's global assessment of the participant's overall severity of their atopic dermatitis (AD), based on a static, numeric 5-point scale from 0 (clear skin) to 4 (severe disease). The score is based on an overall assessment of the degree of erythema, papulation/induration, oozing/crusting, and lichenification.

    Measured: Baseline to Week 16

  2. Percentage of Participants Achieving Eczema Area Severity Index-75 (EASI-75) (≥75% Reduction in EASI Score) at Week 16

    The EASI assesses objective physician estimates of 2 dimensions of atopic dermatitis - disease extent, i.e., percentage of skin affected: 0 = 0%; 1 = 1-9%; 2 = 10-29%; 3 = 30-49%; 4 = 50-69%; 5 = 70-89%; 6 = 90-100% and the severity of 4 clinical signs: (1) erythema, (2) edema/papulation, (3) excoriation, and (4) lichenification each on a scale of 0 to 3 (0 = none, absent; 1 = mild; 2 = moderate; 3 = severe) at 4 body sites (head/neck, trunk, upper limbs, and lower limbs). Half scores are allowed between severities 1, 2, and 3. The final EASI-75 score was obtained by weight-averaging these 4 scores and will range from 0 (none) to 72 (severe).

    The EASI-75 responder is defined as a participant who achieves a ≥ 75% improvement from baseline in the EASI score.

    Measured: Week 16

Secondary outcomes (6)
  1. Percent Change in Eczema Area Severity Index (EASI) Score From Baseline to Week 16

    The EASI assesses objective physician estimates of 2 dimensions of AD - disease extent and clinical signs affected: 0 = 0%; 1 = 1-9%; 2 = 10-29%; 3 = 30-49%; 4 = 50-69%; 5 = 70-89%; 6 = 90-100% and the severity of 4 clinical signs: (1) erythema, (2) edema/papulation, (3) excoriation, and (4) lichenification each on a scale of 0 to 3 (0 = none, absent; 1 = mild; 2 = moderate; 3 = severe) at 4 body sites (head/neck, trunk, upper limbs, and lower limbs). Half scores are allowed between severities 1, 2, and 3. The final EASI score was obtained by weight-averaging these 4 scores and will range from 0 to 72 (severe).

    Least Square (LS) Mean was calculated using ANCOVA model with treatment, stratification factors of geographic region, age group, baseline IGA score (IGA 3 versus 4) as fixed factors baseline value as covariate.

    Measured: Baseline to Week 16

  2. Percentage of Participants Achieving EASI-90 at Week 16

    The EASI assesses objective physician estimates of 2 dimensions of AD - disease extent and clinical signs affected: 0 = 0%; 1 = 1-9%; 2 = 10-29%; 3 = 30-49%; 4 = 50-69%; 5 = 70-89%; 6 = 90-100% and the severity of 4 clinical signs: (1) erythema, (2) edema/papulation, (3) excoriation, and (4) lichenification each on a scale of 0 to 3 (0 = none, absent; 1 = mild; 2 = moderate; 3 = severe) at 4 body sites (head/neck, trunk, upper limbs, and lower limbs). Half scores are allowed between severities 1, 2, and 3. The final EASI score was obtained by weight-averaging these 4 scores and will range from 0 to 72 (severe).

    The EASI-90 responder is defined as a participant who achieves a ≥ 90% reduction from baseline in the EASI score.

    Measured: Week 16

  3. Percentage of Participants With an Itch Numeric Rating Scale (NRS) Score of ≥4-points at Baseline Who Achieve A ≥4-point Reduction From Baseline to Week 1

    The Itch Numeric Rating Scale (NRS) is a an 11-point scale used by participants to rate their worst itch severity over the past 24 hours with 0 indicating "No itch" and 10 indicating "Worst itch imaginable."

    Measured: Baseline to Week 1

  4. Percentage of Participants With an Itch NRS Score of ≥4-points at Baseline Who Achieve A ≥4-point Reduction From Baseline to Week 2

    The Itch Numeric Rating Scale (NRS) is a an 11-point scale used by participants to rate their worst itch severity over the past 24 hours with 0 indicating "No itch" and 10 indicating "Worst itch imaginable."

    Measured: Baseline to Week 2

  5. Percentage of Participants With an Itch NRS Score of ≥4-points at Baseline Who Achieve A ≥4-point Reduction From Baseline to Week 4

    The Itch Numeric Rating Scale (NRS) is a an 11-point scale used by participants to rate their worst itch severity over the past 24 hours with 0 indicating "No itch" and 10 indicating "Worst itch imaginable."

    Measured: Baseline to Week 4

  6. Percentage of Participants With an Itch NRS Score of ≥4-points at Baseline Who Achieve A ≥4-point Reduction From Baseline to Week 16

    The Itch Numeric Rating Scale (NRS) is a an 11-point scale used by participants to rate their worst itch severity over the past 24 hours with 0 indicating "No itch" and 10 indicating "Worst itch imaginable."

    Measured: Baseline to 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 posted18 Feb 2021
  2. Study start10 Mar 2021
  3. Primary completion31 Jul 2022
  4. Study completion1 Feb 2023

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 3
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Double blind
Who is masked
Participant, Investigator
Enrolment
286 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04760314
Sponsor's protocol ID
17953
Other IDs
J2T-JE-KGAL
Acronym
ADhere-J
Status last verified
Jul 2023
First submitted
10 Feb 2021
Last updated
23 Aug 2023
Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
Yes: Anonymized individual patient level data will be provided in a secure access environment upon approval of a research proposal and a signed data sharing agreement.

Publications

  • Katoh N, Tanaka A, Takahashi H, Shimizu R, Kataoka Y, Torisu-Itakura H, Morisaki Y, Yamamoto C, Igawa K. Long-term management of moderate-to-severe atopic dermatitis with lebrikizumab and concomitant topical corticosteroids: a 68-week randomized double-blind placebo-controlled phase III trial in Japan (ADhere-J). Br J Dermatol. 2025 Mar 18;192(4):597-610. doi: 10.1093/bjd/ljae394.

    PubMed 39442013

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing Lebrikizumab and Topical Corticosteroid in people with Dermatitis, Atopic and Dermatitis, run by Eli Lilly and Company at 37 sites in Japan.

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 9 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 23 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 37 sites in Japan. 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 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.

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 23 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?

Percentage of Participants With an Investigators Global Assessment (IGA) Score of 0 or 1 and a Reduction ≥2 Points From Baseline to Week 16 (time frame: Baseline to 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?

On the ClinicalTrials.gov record for NCT04760314, which also lists 1 linked publication.

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 23 Aug 2023.

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