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Dermatitis, AtopicPhase 2GENESISNCT04791319

A Study of Bermekimab (JNJ-77474462) in the Treatment of Participants With Moderate to Severe Atopic Dermatitis

A Phase 2 study testing Bermekimab and Dupilumab in people with Dermatitis, Atopic, run by Janssen Research & Development, LLC at 42 sites in 5 countries.

Terminated

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

Official record
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Trial summary

The purpose of this study is to evaluate the efficacy and safety of bermekimab in participants with moderate to severe atopic dermatitis (AD). Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Dermatitis, Atopic
What is being tested?
Bermekimab and Dupilumab
Type of treatment
Injection or infusion
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
199 participants
Where
42 sitesin 5 countries
Study dates
3 May 2021to 31 Mar 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 18 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Be otherwise healthy on the basis of physical examination, medical history, vital signs, and 12-lead electrocardiograms (ECGs) performed at screening. Any abnormalities, must be consistent with the underlying illness in the study population and this determination must be recorded in the participant's source documents and initialed by the investigator
  • Have atopic dermatitis (AD) for at least 1 year (365 days) prior to the first administration of study intervention as determined by the investigator through participant interview and/or review of the medical history
  • Have a history of inadequate response to treatment for AD with topical medications or for whom topical treatments are otherwise medically inadvisable (example [eg], due to important side effects or safety risks)
  • Be considered, in the opinion of the investigator, a suitable candidate for dupilumab (DUPIXENT) therapy according to their country's approved DUPIXENT product labeling
  • Have an eczema area and severity index (EASI) score greater than or equal (>=) to 16 at screening and at baseline
  • Have an investigator global assessment (IGA) score >=3 and involved body surface area (BSA) >=10 percent (%) at screening and baseline

Who cannot join

  • Has a current diagnosis or signs or symptoms of severe, progressive, or uncontrolled renal, cardiac, vascular, pulmonary, gastrointestinal, endocrine, neurologic, hematologic, rheumatologic, psychiatric, or metabolic disturbances
  • Has unstable cardiovascular disease, defined as a recent clinical deterioration (eg, unstable angina, rapid atrial fibrillation) in the last 3 months or a cardiac hospitalization within the last 3 months
  • Has or has had a serious infection (eg, sepsis, pneumonia, or pyelonephritis), or has been hospitalized or received intravenous (IV) antibiotics for an infection during the 2 months before screening
  • Has or has had herpes zoster within the 2 months before screening
  • Has a history of being human immunodeficiency virus (HIV) antibody-positive, or tests positive for HIV at screening

Trial locations and contacts

42 sites in 5 countries.

42 sites in 5 countries

United States18 sites
  • Arlington Center for Dermatology

    Arlington, Texas, 76011

  • Ohio State University

    Columbus, Ohio, 43215

  • Psoriasis Treatment Center of Central New Jersey

    East Windsor, New Jersey, 08520

  • Dawes Fretzin Clinical Research Group

    Indianapolis, Indiana, 46256

  • Clinical Partners

    Johnston, Rhode Island, 02919

  • California Allergy & Asthma Medical Group Inc.

    Los Angeles, California, 90025

  • Icahn School of Medicine at Mount Sinai

    New York, New York, 10029

  • Virginia Clinical Research

    Norfolk, Virginia, 23502

  • Park Avenue Dermatology

    Orange Park, Florida, 32073

  • Austin Institute for Clinical Research

    Pflugerville, Texas, 78660

  • University of Pittsburgh Medical Center

    Pittsburgh, Pennsylvania, 15213

  • Arlington Dermatology

    Rolling Meadows, Illinois, 60008

  • Progressive Clinical Research

    San Antonio, Texas, 78213

  • Wolverine Clinical Trials

    Santa Ana, California, 92705

  • Premier Clinical Research

    Spokane, Washington, 99202

  • Forcare Clinical Research, Inc.

    Tampa, Florida, 33613

  • Grekin Skin Institute

    Warren, Michigan, 48088

  • Center for Clinical Studies

    Webster, Texas, 77598

Other trials in United States

Germany8 sites
  • Fachklinik Bad Bentheim

    Bad Bentheim, 48455

  • ISA - Interdisciplinary Study Association GmbH

    Berlin, 10789

  • Goethe Universität Frankfurt

    Frankfurt am Main, 60590

  • TFS Trial Form Support GmbH

    Hamburg, 20537

  • MensingDerma research GmbH

    Hamburg, 22391

  • Medizinische Hochschule Hannover

    Hanover, 30625

  • Praxis Dr. med. Beate Schwarz - Germany

    Langenau, 89129

  • Hautarztpraxis

    Mahlow, 15831

Other trials in Germany

Poland7 sites
  • Nzoz Przychodnia Specjalistyczna Medica

    Częstochowa, 42-200

  • Centrum Terapii Wspolczesnej J. M. Jasnorzewska Spolka Komandytowo-Akcyjna

    Lodz, 90-242

  • DermoDent Centrum Medyczne Aldona Czajkowska Rafał Czajkowski s.c.

    Osielsko, 86031

  • Klinika Ambroziak Estederm Sp. z o.o

    Warsaw, 02-953

  • Royalderm Agnieszka Nawrocka

    Warsaw, 02962

  • Centrum Medyczne Matusiak w CITYCLINICPrzychodnia Lekarsko-Psychologiczna Matusiak Spółka Partnerska

    Wroclaw, 50566

  • WroMedica I.Bielicka, A.Strzałkowska s.c.

    Wroclaw, 51-685

Other trials in Poland

Canada6 sites
  • Dermatology Research Institute Inc.

    Calgary, Alberta, T2J 7E1

  • Lynderm Research Inc.

    Markham, Ontario, L3P 1X3

  • DermEdge Research

    Mississauga, Ontario, L4Y 4C5

  • Innovaderm Research Inc.

    Montreal, Quebec, H2H2B5

  • Allergy Research Canada Inc.

    Niagara Falls, Ontario, L2H 1H5

  • Centre De Recherche Dermatologique Du Quebec Metropolitan

    Québec, Quebec, G1V 4X7

Other trials in Canada

Japan3 sites
  • Takagi Clinic

    Obihiro-shi, 080-0013

  • Kume Clinic

    Osaka Fu, 593-8324

  • Sapporo Skin Clinic

    Sapporo, 060-0063

Other trials in Japan

About this study

Official title: A Phase 2b, Multicenter, Randomized, Placebo- and Active-comparator-controlled, Double-blind Study to Evaluate the Safety and Efficacy of Bermekimab (JNJ-77474462) for the Treatment of Participants With Moderate to Severe Atopic Dermatitis

The purpose of this study is to evaluate the efficacy and safety of bermekimab in participants with moderate to severe atopic dermatitis (AD).

Being tested
Placebo, Bermekimab, Dupilumab
Medical subject headings
Dermatitis, Atopic

What participants receive

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

  • PlaceboDrug

    Placebo will be administered subcutaneously.

  • BermekimabDrug

    Also called JNJ-77474462

    Bermekimab will be administered subcutaneously.

  • DupilumabDrug

    Dupilumab will be administered subcutaneously.

Study groups in NCT04791319
Study groupRoleWhat they receive
Group 1: PlaceboPlacebo comparatorParticipants will receive subcutaneous (SC) placebo once a week (qw) through Week 15. At Week 16, participants will crossover to receive SC bermekimab Dose 2 qw through Week 31.
Receives: Drug: Placebo; Drug: Bermekimab
Group 2: BermekimabExperimentalParticipant will receive SC bermekimab Dose 1 qw from Week 0 through Week 31.
Receives: Drug: Bermekimab
Group 3: BermekimabExperimentalParticipants will receive SC bermekimab Dose 2 qw from Week 0 through Week 15. At Week 16, participants who achieve an eczema area and severity index (EASI)-75 response (responders) will be rerandomized either to continue to receive bermekimab Dose 2 qw, or to receive bermekimab Dose 1 qw, through Week 31 and participants who do not achieve an EASI-75 response (non responders) will continue to receive bermekimab Dose 2 qw through Week 31.
Receives: Drug: Bermekimab
Group 4: DupilumabActive comparatorParticipants will receive a loading dose of SC dupilumab Dose 1 at Week 0, SC placebo every two week (q2w) from Week 1 through Week 15 and then dupilumab Dose 2 q2w from Week 2 through Week 14. At Week 16, participants who achieve EASI-75 response (dupilumab responders) will continue on dupilumab Dose 2 q2w through Week 30 and placebo q2w from Week 17 through Week 31. Participants who do not achieve an EASI-75 response (dupilumab non-responders) will receive placebo qw from Week 16 through Week 18 (washout period) and bermekimab Dose 2 qw from Week 19 through Week 31.
Receives: Drug: Placebo; Drug: Bermekimab; Drug: Dupilumab

What is being measured

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

  1. Percentage of Participants Achieving Eczema Area and Severity Index-75 (EASI-75) (Greater Than or Equal to [>=] 75 Percent [%] Improvement From Baseline) at Week 16

    Percentage of participants achieving EASI-75 at Week 16 were reported. EASI-75 response is defined as at least 75% improvement from baseline in EASI total score. The EASI score was used to measure the severity and extent of atopic dermatitis (AD) and measures erythema, infiltration/papulation, excoriation and lichenification on 4 anatomic regions of the body: head/neck, trunk, upper and lower extremities. The total EASI score ranges from 0 (minimum) to 72 (maximum) points, with the higher scores reflecting the worse severity of AD.

    Measured: Week 16

Secondary outcomes (7)
  1. Percentage of Participants Achieving Validated Investigator Global Assessment for Atopic Dermatitis (vIGA-AD) of 0 or 1 and a Reduction From Baseline of >=2 Points at Week 16

    Percentage of participants achieving vIGA-AD at Week 16 were reported. It is an assessment instrument used in clinical studies to rate the severity of AD, based on a 5-point scale ranging from 0, where 0=Clear: No inflammatory signs of AD; 1=almost clear: Barely perceptible erythema, induration/papulation and/or lichenification; 2=mild: Slight but definite erythema, induration/papulation and/or minimal lichenification. No oozing or crusting; 3=moderate: Clearly perceptible erythema, induration/papulation and/or lichenification, oozing or crusting may be present and 4=severe: Marked erythema, induration/papulation and/or lichenification; Oozing or crusting may be present. Higher score indicated more severity of AD.

    Measured: Week 16

  2. Percentage of Participants With Improvement (Reduction From Baseline) in Eczema-Related Itch Numeric Rating Scale (NRS) of Score >=4 at Week 16 Among Participants With a Baseline Itch Value >=4

    Percentage of participants with improvement (reduction from baseline) in eczema-related itch NRS of score >=4 at Week 16 among participants with a baseline itch value >=4 were reported. The eczema skin pain and Itch NRS is a 2-item patient-reported outcome that participants used to rate the severity of their eczema-related skin pain and eczema related itch daily. Participants were asked the following questions: Please rate the severity of your eczema-related skin pain at its worst in the past 24 hours; and please rate the severity of your eczema-related itch at its worst in the past 24 hours. Each item was on a 0 to 10 NRS ranging from 0 "none" to 10 "worst possible" and were scored separately. Higher score indicated more severity.

    Measured: Week 16

  3. Percentage of Participants Achieving EASI-90 (>= 90% Improvement in EASI From Baseline) at Week 16

    Percentage of participants achieving EASI-90 at Week 16 were reported. EASI-90 response is defined as at least 90% improvement from baseline in EASI total score. The EASI score was used to measure the severity and extent of atopic dermatitis (AD) and measures erythema, infiltration/papulation, excoriation and lichenification on 4 anatomic regions of the body: head/neck, trunk, upper and lower extremities. The total EASI score ranges from 0 (minimum) to 72 (maximum) points, with the higher scores reflecting the worse severity of AD.

    Measured: Week 16

  4. Number of Participants With Treatment-Emergent Adverse Events (TEAEs)

    An adverse event is any untoward medical event that occurs in a participant administered an investigational product, and it does not necessarily indicate only events with clear causal relationship with the relevant investigational product. TEAEs were AEs with onset during the intervention period or that were a consequence of a pre-existing condition that has worsened since baseline. AEs are presented by individual dose received by participants during placebo-controlled period and by responders individual dose received during active treatment period.

    Measured: Up to Week 36

  5. Number of Participants With Treatment-emergent Serious Adverse Events (SAEs)

    An adverse event is any untoward medical event that occurs in a participant administered an investigational product, and it does not necessarily indicate only events with clear causal relationship with the relevant investigational product. SAE is any AE that results in: death, persistent or significant disability/incapacity, requires inpatient hospitalization or prolongation of existing hospitalization, is life-threatening experience, is a congenital anomaly/birth defect and may jeopardize participant and/or may require medical or surgical intervention to prevent one of the outcomes listed above. Any SAE with onset during the intervention period or that were a consequence of a pre-existing condition that has worsened since baseline was considered to be TESAEs. AEs are presented by individual dose received by participants during placebo-controlled period and active treatment period.

    Measured: Up to Week 36

  6. Serum Bermekimab Concentration Over Time

    Serum bermekimab concentration over time were reported. Data are presented by individual dose of investigational medicinal product received by participants during active treatment period as preplanned in protocol.

    Measured: Pre-dose at Week 0, Week 1, Week 4, Week 8, Week 12, Week 16, Week 20, Week 24, Week 28, Week 32, and Week 36

  7. Number of Participants With Anti-Bermekimab Antibodies

    Number of participants with anti-bermekimab antibodies were reported. Data are presented by individual dose of investigational medicinal product received by participants during active treatment period as preplanned in protocol.

    Measured: Up to Week 36

Timeline

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

  1. First posted10 Mar 2021
  2. Study start3 May 2021
  3. Primary completion2 Feb 2022
  4. Study completion31 Mar 2022

Why it stopped: Premature Termination due to Interim Analysis (100 patients at Week 16) meeting futility.

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
Double blind
Who is masked
Participant, Investigator
Enrolment
199 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04791319
Sponsor's protocol ID
CR108932
Other IDs
2020-002587-31, 77474462ADM2001
Acronym
GENESIS
Status last verified
Feb 2023
First submitted
9 Mar 2021
Last updated
1 Mar 2023
Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
Yes: The data sharing policy of the Janssen Pharmaceutical Companies of Johnson \& Johnson is available at www.janssen.com/clinical trials/transparency. As noted on this site, requests for access to the study data can be submitted through Yale Open Data Access (YODA) Project site at yoda.yale.edu

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing Bermekimab and Dupilumab in people with Dermatitis, Atopic, run by Janssen Research & Development, LLC at 42 sites in 5 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 6 inclusion and 5 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 1 Mar 2023. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 42 sites in United States, Germany, Poland, Canada, 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 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 Mar 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 Achieving Eczema Area and Severity Index-75 (EASI-75) (Greater Than or Equal to [>=] 75 Percent [%] Improvement From Baseline) at Week 16 (time frame: 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 1 Mar 2023.

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