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Atopic DermatitisPhase 2NCT04992546

Phase 2a Study of the Safety, Tolerability, and Pharmacokinetics of Topically Administered PRN473 (SAR444727) in Patients With Mild to Moderate Atopic Dermatitis

A Phase 2 study testing PRN473 (SAR444727) in people with Atopic Dermatitis, run by Principia Biopharma, a Sanofi Company at 12 sites in 2 countries.

Completed

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

Official record
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Trial summary

This was a Ph2a study that consists of a double-blind, intra-patient placebo-controlled treatment period and an open-label uncontrolled treatment period with objective to evaluate the safety, tolerability, PK and preliminary efficacy of PRN473 in up to 40 patients with mild to moderate AD. Read more about this study

Who is it for?
Ages 18 to 70 years
Conditions the study is for
Atopic Dermatitis
What is being tested?
PRN473 (SAR444727)
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
39 participants
Where
12 sitesin 2 countries
Study dates
13 Aug 2021to 28 Dec 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 to 70 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Male and female adults 18 to 70 years of age (inclusive) at the time of informed consent.
  • Diagnosed with mild to moderate AD.
  • History of AD for at least 6 months as determined by the Investigator through patient interview.
  • Stable disease for the 4 weeks prior to the screening visit with no significant flares in AD as determined by the Investigator.
  • Validated Investigator Global Assessment-atopic dermatitis (vIGA-AD) score of Moderate or Mild at Screening. The vIGA-AD was evaluated for the entire body except scalp, palms, soles and genitals.
  • HadAD involvement (excluding scalp, palms, soles and genitals) of at least 1.0% BSA and no more than 14.0% BSA.
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  • Had at least two target lesions 100 cm2 or greater with a difference no greater than 1 point in lesion TSS and at least 5 cm apart located on the trunk (excluding genitals) or upper extremities (excluding palms).
  • If female, patients with child-bearing potential must have a negative pregnancy test, and agree to practice true abstinence or agree to use highly effective contraception.
  • If male, agree to use a male condom and highly effective contraception with female partners of child-bearing potential.
  • In good health as judged by the Investigator.

Who cannot join

  • Patients who had failed 2 or more prior systemic treatments for AD.
  • Patients who had received a live or attenuated vaccine in the last 12 weeks or intend to receive a live or attenuated vaccine during the study.
  • Patients who cannot discontinue prohibited medications and treatments prior to the Baseline visit and during the study.
  • Has unstable AD, based on the judgement of the Investigator, or any consistent requirement for high potency topical steroids to manage AD signs or symptoms.
  • Patients who had significant active systemic or localized bacterial, viral, fungal, and helminth infection in the last 30 days.
  • Patients unwilling to refrain from prolonged sun exposure or use of a tanning bed or other artificial light emitting devices for 4 weeks prior to Baseline and during the study.
Show all 13Show fewer
  • Patients with other skin conditions that would interfere with evaluations of the effect of the study medication on AD, as determined by the Investigator.
  • Patients with known genetic dermatological conditions that overlap with AD, such as Netherton syndrome.
  • Previous used of a BTK inhibitor.
  • Women who were pregnant, wishing to become pregnant during the study, or were breastfeeding.
  • Patients were undergoing allergy (eg, food allergy testing or skin prick testing), patch testing, or food challenges, or plan to do so during the study.
  • Patients who had undergone major surgery within 4 weeks prior to Day 1 or patients who had a major surgery planned during the study.
  • Regular use of drugs of abuse or regular alcohol consumption within 6 months prior to the study.

Trial locations and contacts

12 sites in 2 countries.

12 sites in 2 countries

United States9 sites
  • J&S Studies-Site Number:8400015

    Bryan, Texas, 77802

  • Remington Davis Inc-Site Number:8400012

    Columbus, Ohio, 43215

  • Center for Clinical Studies, LTD. LLP-Site Number:8400014

    Houston, Texas, 77004

  • Collaborative Neuroscience Research-Site Number:8400004

    Long Beach, California, 90806

  • California Allergy & Asthma Medical Group-Site Number:8400008

    Los Angeles, California, 90025

  • Florida International Research Center-Site Number:8400017

    Miami, Florida, 33173

  • Progressive Clinical Research-Site Number:8400002

    San Antonio, Texas, 78213

  • Lenus Research & Medical Group-Site Number:8400006

    Sweetwater, Florida, 33172

  • Clinical Research Trials of Florida, Inc-Site Number:8400013

    Tampa, Florida, 33607

Other trials in United States

Canada3 sites
  • Investigational Site Number :1240008

    Hamilton, Ontario, L8L 3C3

  • Investigational Site Number :1240007

    London, Ontario, N6H 5L5

  • Investigational Site Number :1240002

    Québec, G1G 3Y8

Other trials in Canada

About this study

Official title: A Randomized, Intra-patient, Double-blind, Placebo-controlled Study to Evaluate the Safety, Tolerability, and Pharmacokinetics of Topically Administered PRN473 (SAR444727) in Patients With Mild to Moderate Atopic Dermatitis

This was a Ph2a study that consists of a double-blind, intra-patient placebo-controlled treatment period and an open-label uncontrolled treatment period with objective to evaluate the safety, tolerability, PK and preliminary efficacy of PRN473 in up to 40 patients with mild to moderate AD.

On Day 1 (Baseline) of the Blinded Period, 2 target lesions with a difference no greater than 1 point in Total Sign Score (TSS) were randomly assigned to treatment in an intra-patient 1:1 manner, one lesion to PRN473 and the other to matching placebo.

Participation took approximately 13 weeks, including up to a 5-week screening period, a 6-week treatment period, end of study assessments 1 day after last dose, and a safety follow-up phone call 2 weeks after last dose.

Read the detailed description

Study duration per patient was approximately 56 days including a 42-days treatment period.

Being tested
PRN473 (SAR444727), Placebo
Medical subject headings
Dermatitis, Atopic

What participants receive

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

  • PRN473 (SAR444727)Drug

    White to off-white gel suspension

  • PlaceboDrug

    White to off-white gel suspension

Study groups in NCT04992546
Study groupRoleWhat they receive
SAR444727 5% BID per lesionExperimentalDuring the double-blinded period, 2 target lesions per participant (with difference no greater than 1 point in total sign scores [TSS]) were randomized in 1:1 ratio to receive either SAR44727 Gel 5 percent (%) or matching placebo (i.e., each participant was treated with both SAR444727 5% BID and placebo in parallel). During open-label period, participants applied SAR444727 Gel, 5% twice daily (BID) to the all atopic dermatitis (AD)-affected areas, except the scalp, palms, soles and genitals through Days 15 to 42.
Receives: Drug: PRN473 (SAR444727)
Placebo then SAR444727 5% BID per lesionPlacebo comparatorMultiple topical doses of placebo for 14 days, and PRN473 (SAR444727) for 28 days
Receives: Drug: PRN473 (SAR444727); Drug: Placebo

What is being measured

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

  1. Number of Participants With Treatment Emergent Adverse Events (TEAEs) and Treatment Emergent Serious Adverse Events (TESAEs)

    An AE was defined as any untoward medical occurrence in a participant temporally associated with the use of investigational medicinal product (IMP), whether or not considered related to the IMP. SAEs were any untoward medical occurrence that at any dose: resulted in death, was life-threatening, required inpatient hospitalization or prolongation of existing hospitalization, resulted in persistent or significant disability/incapacity, was a congenital anomaly/birth defect, was a medically important event. TEAEs were AEs that occurred from the time of the first IMP in the safety analysis period.

    Measured: From the first IMP administration (Day 1) up to Day 58

  2. Number of Participants With Potentially Clinically Significant Abnormalities (PCSA): Vital Signs

    Vital signs assessments included supine systolic blood pressure, supine diastolic blood pressure, supine heart rate (HR), and body temperature. Criteria for PCSA: Supine SBP: ≤ 95 mmHg and decrease from baseline ≥ 20 mmHg, ≥ 160 mmHg and increase from baseline ≥ 20 mmHg; Supine DBP : ≤ 45 mmHg and decrease from baseline ≥ 10 mmHg, ≥ 110 mmHg and increase from baseline ≥ 10 mmHg; Orthostatic SBP: ≤ -20 mmHg; Orthostatic DBP: ≤ -10 mmHg; Supine PR: ≤ 50 beats/min and decrease from baseline ≥ 20 beats/min, ≥ 120 beats/min and increase from baseline ≥ 20 beats/min; Weight :≥ 5% decrease from baseline, ≥ 5% increase from baseline

    Measured: From the first IMP administration (Day 1) up to Day 45

  3. Number of Participants With PCSA in 12-Lead Electrocardiogram (ECG)

    Criteria for PCSA: HR: less than (<) 50 beats per minute (bpm), > 90 bpm, > 90 bpm and increase from baseline > = 20 bpm, > 100 bpm; PR interval: > 200 milliseconds (msec), > 200 msec and increase from baseline >= 25 %, > 220 msec; QRS interval: greater than (>) 110 msec, > 110 msec and increase from baseline greater than or equal to (>=) 25%, > 120 msec; QT interval: > 500 msec; QTc interval > 450 msec; > 480 msec, increase from baseline (30-60) msec, increase from baseline > 60 msec.

    Measured: From the first IMP administration (Day 1) up to Day 45

  4. Number of Participants With PCSA: Hematology

    Criteria for PCSA: Hemoglobin (Hb) <=115 grams per liter (g/L) (Male[M]) or <=95 g/L (Female[F]), >= 185 g/L (M) or >=165 g/L (F), decrease from baseline >= 20 g/L; Hematocrit: <=0.37 volume/volume (v/v) (M) or <=0.32 v/v (F), >=0.55 v/v (M) or >=0.5 v/v (F); Red blood cells (RBC): >=6 Tera/L; Platelets: < 100 Giga/L, >=700 Giga/L; Neutrophils: <1.5 Giga/L (Non-Black [NB]) or <1.0 Giga/L (Black [B]); Lymphocytes: > 4.0 Giga/L; Monocytes: >0.7 Giga/L; Basophils: >0.1 Giga/L; Eosinophils: >0.5 Giga/L or >upper limit of normal (ULN) (if ULN >=0.5 Giga/L).

    Measured: From the first IMP administration (Day 1) up to Day 45

  5. Number of Participants With PCSA: Electrolyte Parameters

    Criteria for PCSA: Sodium: <=129 millimoles (mmol)/L, >=160 mmol/L; Potassium: <3 mmol/L, >=5.5 mmol/L and Chloride: <80 mmol/L, >115 mmol/L.

    Measured: From the first IMP administration (Day 1) up to Day 45

  6. Number of Participants With PCSA: Metabolic Parameters

    Criteria for PCSA: Glucose: <=3.9 mmol/L and < lower limit of normal range (LLN); >=11.1 mmol/L (unfasted [unfas]) or >=7 mmol/L (fasted [fas]); Albumin: <=25 g/L; Creatine kinase (CK): > 3 ULN, > 10 ULN; C-Reactive protein: > 2 ULN or 10 mg(milligram)/L (if ULN not provided).

    Measured: From the first IMP administration (Day 1) up to Day 45

  7. Number of Participants With PCSA: Renal Function Parameters

    Criteria for PCSA: Creatinine: >=150 micromoles per liter (mcmol/L), >=30% change from baseline, >=100% change from baseline.

    Measured: From the first IMP administration (Day 1) up to Day 45

  8. Number of Participants With PCSA: Liver Function Parameters

    Liver function parameters assessments included alanine transaminase (ALT), aspartate transaminase (AST), alkaline phosphatase, lactate dehydrogenase, total bilirubin, direct bilirubin, and gamma glutamyl transferase (GGT).

    Measured: From the first IMP administration (Day 1) up to Day 45

  9. Number of Participants With PCSA: Urinalysis

    Urinalysis parameters assessments included potential of Hydrogen (pH), urobilinogen, and specific gravity.

    Measured: From the first IMP administration (Day 1) up to Day 45

  10. Percentage of Participants With Application-Site Event During Double-Blind Period

    Grading of application-site local tolerability symptoms (burning, pruritus, and erythema) were recorded using the grading scale following each dosing during the double-blind period. Grading of application site tolerability symptoms graded from 0 (none) to 3 (severe).

    Measured: From the first IMP administration (Day 1) up to Week 2

Secondary outcomes (1)
  1. Maximum Plasma Concentration (Cmax) of SAR444727

    Plasma samples were collected at indicated timepoints for assessment of SAR444727 concentrations.

    Measured: Day 1, 4 hours post-dose; Day 15, 1 hour post-dose and Day 43, 12 hours post-dose

Timeline

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

  1. First posted5 Aug 2021
  2. Study start13 Aug 2021
  3. Primary completion28 Dec 2022
  4. Study completion28 Dec 2022

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
39 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04992546
Sponsor's protocol ID
ACT17131
Other IDs
U1111-1260-4204, PRN473-0005
Status last verified
Sep 2025
First submitted
28 Jul 2021
Last updated
10 Sep 2025
Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
Yes: Qualified researchers may request access to patient level data and related study documents including the clinical study report, study protocol with any amendments, blank case report form, statistical analysis plan, and dataset specifications. Patient level data will be anonymized and study documents will be redacted to protect the privacy of trial participants. Further details on Sanofi's data sharing criteria, eligible studies, and process for requesting access can be found at: https://vivli.org

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing PRN473 (SAR444727) in people with Atopic Dermatitis, run by Principia Biopharma, a Sanofi Company at 12 sites in 2 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 10 inclusion and 13 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 10 Sep 2025. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 12 sites in United States, Canada. 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 2024). 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 Treatment Emergent Adverse Events (TEAEs) and Treatment Emergent Serious Adverse Events (TESAEs) (time frame: From the first IMP administration (Day 1) up to Day 58). The study lists 10 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 Sep 2025.

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Clinical Trial NCT04992546 | AzTrials