Atopic DermatitisPhase 2NCT05469464
Study to Assess the Efficacy and Safety of Orismilast in Atopic Dermatitis (ADESOS)
A Phase 2 study testing Orismilast modified release tablets in people with Atopic Dermatitis and Skin Diseases, run by UNION therapeutics at 48 sites in 4 countries.
Trial summary
This study investigates 3 different doses of orismilast modified release compared to placebo in adult patients with moderate-to-severe atopic dermatitis. The purpose of the study is to assess the effect of orismilast modified release in moderate-to-severe atopic dermatitis and assess the safety aspects of these 3… Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Atopic Dermatitis, Skin Diseases
- What is being tested?
- Orismilast modified release tablets
- Type of treatment
- Pill or oral medicine
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 235 participants
- Where
- 48 sitesin 4 countries
- Study dates
- 11 Jul 2022to 15 Feb 2024
- 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
- Capable of giving signed informed consent.
- Male and female patients ≥18 years of age
- Body weight of >40 kg
- Diagnosis of AD for a minimum of 1 year (before the Screening visit) using the Hanifin and Rajka criteria
- Moderate to severe AD (affected BSA at least 10%, IGA-AD grade of at least 3, and EASI score of at least 16) at the screening and baseline visits
- Candidate for systemic treatment or phototherapy for AD
Who cannot join
- Therapy-resistant atopic dermatitis
- Unstable AD with acute deterioration, requiring rescue therapy for AD within 4 weeks of the Screening visit or expected to require rescue therapy within 2 weeks after randomization
- History of allergy or hypersensitivity to any component of the study treatment
- Active infection (eg, bacterial, viral, fungal) requiring treatment with systemic antibiotics within 4 weeks of the Screening visit
- Malignancy or history of malignancy except for treated (ie, cured) basal cell skin carcinoma
Trial locations and contacts
48 sites in 4 countries.
48 sites in 4 countries
United States18 sites
ALLCUTIS Research, LLC
Beverly, Massachusetts, 01915
Hope Clinical Research
Canoga Park, California, 91303
First OC Dermatology Research Inc
Fountain Valley, California, 92708
Clinical Trial Network
Houston, Texas, 77074
Axon Clinical Research
Inglewood, California, 90301
Excel Clinical Research
Las Vegas, Nevada, 89109
LA Universal Research Center, INC.
Los Angeles, California, 90057
Apex Clinical Research Center
Mayfield Heights, Ohio, 44124
Advance Medical Research Center
Miami, Florida, 33135
Juva Skin & Laser Center
New York, New York, 10022
Sadick Research Group LLC
New York, New York, 10075
ALLCUTIS Research, LLC
Portsmouth, New Hampshire, 03801
Acclaim Clinical Research Inc.
San Diego, California, 92120
Clinical Research Trials of Florida ,Inc.
Tampa, Florida, 33607
Alliance Clinical Research of Tampa
Tampa, Florida, 33615
Revival Research Institute, LLC
Troy, Michigan, 48084
Michigan Dermatology Institute
Waterford, Michigan, 48328
Tranquility Research
Webster, Texas, 77598
Poland17 sites
NZOZ Specjalistyczny Orodek Dermatologiczny DERMAL
Bialystok
Specjalistyczna Praktyka Lekarska Gabinet Dermatologiczny dr n.med. Edyta Gebska
Chorzów
Zespol Naukowo - Leczniczy Dermatologiczne Centrum Uzdrowiskowe Iwolang Sp. z o.o.
Iwonicz-Zdrój
Provita Sp. z o.o.
Katowice
Centrum Medyczne All-Med
Krakow
Maxxmed Centrum Zdrowia i Urody
Lubin, 20-080
Klinika Badawcza
Malbork
Centrum Medyczne Grunwald
Poznan, 60-369
Solumed Centrum Medyczne
Poznan, 60-529
Laser Clinic
Szczecin
Clinical Research Group Sp. z o.o.
Warsaw, 01-142
Royalderm Agnieszka Nawrocka
Warsaw, 01-496
Clinical Best Solutions
Warsaw, 02-793
Klinika Ambroziak
Warsaw
CityClinic Przychodnia Lekarsko-Psychologiczna
Wroclaw
dermMedica Sp z.o.o
Wroclaw
Wromedica
Wroclaw
Germany9 sites
Fachklinik Bad Bentheim
Bad Bentheim
ISA - Interdisciplinary Study Association GmbH
Berlin
Rosenpark Research GmbH
Darmstadt
Hautarztpraxis Dr.Gerlach
Dresden, Saxony, 1097
TFS Trial From Support GmbH
Hamburg
MVZ DermaKiel GmbH
Kiel, Schleswig-Holstein, 24148
Studienzentrum Dr.Beate Schwarz
Langenau
Ludwig-Maximilians-Universitaet Muenchen - Klinik und Poliklinik fuer Dermatologie und Allergologie
Munich
KliFOs - Klinische Forschung Osnabrueck
Osnabrück
Hungary4 sites
Obudai Egeszsegugyi Centrum
Budapest
Dermamed Research Kft
Orosháza
PTE AOK
Pécs
Obudai Egeszsegugyi Centrum
Zalaegerszeg
About this study
Official title: A Randomized, Double-Blind, Placebo-Controlled, Parallel-Group, Phase 2b Dose-Ranging Study to Evaluate the Efficacy and Safety of Orismilast in Adults With Moderate to Severe Atopic Dermatitis
This study investigates 3 different doses of orismilast modified release compared to placebo in adult patients with moderate-to-severe atopic dermatitis. The purpose of the study is to assess the effect of orismilast modified release in moderate-to-severe atopic dermatitis and assess the safety aspects of these 3 different doses. The patients will receive an oral treatment of either orismilast modified release tablets or placebo tablets 2 times a day for 16 weeks.
- Conditions
- Atopic Dermatitis, Skin Diseases
- Being tested
- Orismilast modified release tablets, Placebo
- Keywords
- Atopic Dermatitis, Orismilast
- Medical subject headings
- Dermatitis, Atopic, Skin Diseases
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Orismilast modified release tabletsDrug
Orismilast modified release is a next generation PDE4 inhibitor with high selectivity for the PD4 subtypes linked to inflammation.
Other Names:
- UNI50001
- LEO32731
PlaceboDrug
Placebo matching tablets
| Study group | Role | What they receive |
|---|---|---|
| Orismilast modified release tablets 20 mg BID | Experimental | Oral, twice daily morning and evening Receives: Drug: Orismilast modified release tablets |
| Orismilast modified release tablets 30 mg BID | Experimental | Oral, twice daily morning and evening Receives: Drug: Orismilast modified release tablets |
| Orismilast modified release tablets 40 mg BID | Experimental | Oral, twice daily morning and evening Receives: Drug: Orismilast modified release tablets |
| Placebo tablets BID | Placebo comparator | Oral, twice daily morning and evening Receives: Drug: Placebo |
What is being measured
The primary outcome is the main question the study is designed to answer.
Percent Change From Baseline in Eczema Area and Severity Index (EASI) Score at Week 16
The EASI is a tool to measure the severity of clinical signs and the percentage of affected body surface area (BSA) in patients with atopic dermatitis (AD). The EASI is a composite scoring system to evaluate the degree of erythema, induration/papulation, excoriation, and lichenification (each scored separately) for each of 4 body regions, with adjustment for the percentage of BSA involved for each body region and for the proportion of the body region to the whole body. EASI scores range from 0 to 72, with higher scores reflecting greater disease severity. Erythema, induration/papulation, excoriation, and lichenification are scored on a scale of 0 (absent) to 3 (severe) for each body region: head and neck, upper limbs (including the external axillae and hands), trunk (including the internal axillae and groin), and lower limbs (including the buttocks and feet). The extent of affected skin in each body region is scored on a scale of 0 (no involvement) to 6 (90% to 100% involvement).
Measured: Baseline and Week 16
Secondary outcomes (45)
Percentage of Participants Achieving 75% Reduction in Eczema Area and Severity Index EASI (EASI75) Response at Week 16
The EASI is a tool to measure the severity of clinical signs and the percentage of affected BSA in patients with AD. The EASI is a composite scoring system to evaluate the degree of erythema, induration/papulation, excoriation, and lichenification (each scored separately) for each of 4 body regions, with adjustment for the percentage of BSA involved for each body region and for the proportion of the body region to the whole body. EASI scores range from 0 to 72, with higher scores reflecting greater disease severity. Erythema, induration/papulation, excoriation, and lichenification are scored on a scale of 0 (absent) to 3 (severe) for each body region: head and neck, upper limbs (including the external axillae and hands), trunk (including the internal axillae and groin), and lower limbs (including the buttocks and feet). The extent of affected skin in each body region is scored on a scale of 0 (no involvement) to 6 (90% to 100% involvement).
Measured: At Week 16
Percentage of Participants Achieving a Score of Clear (0) or Almost Clear (1) and At Least a 2-point Improvement in Investigator Global Assessment for AD (IGA-AD) at Week 16
The IGA-AD is a measure used by physicians to determine a patient's overall severity of disease. The static version was used for measurement at a single point in time. The Investigator rated the severity of the patient's AD on a 5-point scale ranging from 0 (clear) to 4 (severe).
Measured: At Week 16
Percentage of Participants Achieving a Score of Clear (0) or Almost Clear (1) and At Least a 2-point Improvement in Investigator Global Assessment for Atopic Dermatitis (IGA-AD) at Weeks 2, 4, 8, 12, and 20
The IGA-AD is a measure used by physicians to determine a patient's overall severity of disease. The static version was used for measurement at a single point in time. The Investigator rated the severity of the patient's AD on a 5-point scale ranging from 0 (clear) to 4 (severe).
Measured: At Weeks 2, 4, 8, 12, and 20
Number of Participants Achieving 75% Reduction in Eczema Area and Severity Index (EASI 75) at Weeks 2, 4, 8, 12, and 20
The EASI is an investigator-assessed instrument measuring the severity of clinical signs and the percentage of affected BSA in patients with AD. EASI scores range from 0 to 72, with higher scores reflecting greater disease severity. The extent of affected skin in each body region is scored on a scale of 0 (no involvement) to 6 (90% to 100% involvement).
Measured: At Weeks 2, 4, 8, 12, and 20
Number of Participants Achieving 50% Reduction in Eczema Area and Severity Index (EASI 50) at Weeks 2, 4, 8, 12, 16, and 20
The EASI is an investigator-assessed instrument measuring the severity of clinical signs and the percentage of affected BSA in patients with AD. EASI scores range from 0 to 72, with higher scores reflecting greater disease severity. The extent of affected skin in each body region is scored on a scale of 0 (no involvement) to 6 (90% to 100% involvement).
Measured: At Weeks 2, 4, 8, 12, 16, and 20
Number of Participants Achieving 90% Reduction in Eczema Area and Severity Index (EASI 90) at Weeks 2, 4, 8, 12, 16, and 20
The EASI is an investigator-assessed instrument measuring the severity of clinical signs and the percentage of affected BSA in patients with AD. EASI scores range from 0 to 72, with higher scores reflecting greater disease severity. The extent of affected skin in each body region is scored on a scale of 0 (no involvement) to 6 (90% to 100% involvement).
Measured: At Weeks 2, 4, 8, 12, 16, and 20
Percent Change From Baseline in Eczema Area and Severity Index (EASI) at Weeks 2, 4, 8, 12, and 20
The EASI is a tool to measure the severity of clinical signs and the percentage of affected BSA in patients with AD. The EASI is a composite scoring system to evaluate the degree of erythema, induration/papulation, excoriation, and lichenification (each scored separately) for each of 4 body regions, with adjustment for the percentage of BSA involved for each body region and for the proportion of the body region to the whole body. EASI scores range from 0 to 72, with higher scores reflecting greater disease severity. Erythema, induration/papulation, excoriation, and lichenification are scored on a scale of 0 (absent) to 3 (severe) for each body region: head and neck, upper limbs (including the external axillae and hands), trunk (including the internal axillae and groin), and lower limbs (including the buttocks and feet). The extent of affected skin in each body region is scored on a scale of 0 (no involvement) to 6 (90% to 100% involvement).
Measured: Baseline and Weeks 2, 4, 8, 12, and 20
Change From Baseline in the Peak Pruritus Numerical Rating Scale (NRS) Score at Weeks 1, 2, 4, 8, 12, 16, and 20
The severity of itch (pruritus) due to AD was assessed using a horizontal 11-point NRS. Patients were asked to assess their "worst itching due to AD over the past 24 hours" on an NRS anchored by the terms "no itching" (0) and "worst possible itching" (10).
Measured: Baseline, Weeks 1, 2, 4, 8, 12, 16, and 20
Percentage of Participants Achieving At Least a 4-point Improvement in the Peak Pruritus Numerical Rating Scale (NRS) From Baseline at Weeks 1, 2, 4, 8, 12, 16, and 20
The severity of itch (pruritus) due to AD was assessed using a horizontal 11-point NRS. Patients were asked to assess their "worst itching due to AD over the past 24 hours" on an NRS anchored by the terms "no itching" (0) and "worst possible itching" (10).
Measured: At Weeks 1, 2, 4, 8, 12, 16 and 20
Change From Baseline in Affected Body Surface Area (BSA) at Weeks 2, 4, 8, 12, 16, and 20
The BSA assessment estimated the extent of disease or skin affected by AD and was expressed as a percentage of total BSA. BSA was determined by the Investigator or designee using the participant's hand (palm + fingers) = 1% BSA rule.
Measured: Baseline and Weeks 2, 4, 8, 12, 16, and 20
Change From Baseline in Dermatology Life Quality Index (DLQI) Score at Weeks 8, 16, and 20
The DLQI is a 10-item validated questionnaire completed by the patient and used to assess the effect of skin disease on the patient's quality of life during the previous week. The 10 questions cover the following topics: symptoms; embarrassment; interference with shopping and home care, clothing choices, social and leisure activities, sports participation, work or study, close relationships, and sex; and treatment. Each question is scored from 0 to 3 ("not at all," "a little," "a lot," and "very much," respectively), giving a total score ranging from 0 to 30. A high score is indicative of a poor quality of life.
Measured: Baseline and Weeks 8, 16, and 20
Change From Baseline in Patient Oriented Eczema Measure (POEM) Score at Weeks 2, 4, 8, 12, 16, and 20
The POEM is a 7-item, validated questionnaire completed by the patient to assess disease symptoms. Patients were asked to respond to questions on frequency of sleep loss and skin dryness, itching, flaking, cracking, bleeding, and weeping over the past week. All answers carry equal weight, with a total possible score ranging from 0 to 28. A high score is indicative of a poor quality of life.
Measured: Baseline and Weeks 2, 4, 8, 12, 16, and 20
Change From Baseline in Patient Global Impression of Severity Scale (PGIS) Score at Weeks 2, 4, 8, 12, 16, and 20
The PGIS scale is a single question asking the patient how he or she would rate his or her overall AD symptoms over the past 24 hours. The 5 categories of responses are (0) "no symptoms", (1) "very mild", (2) "mild", (3) "moderate", and (4) "severe."
Measured: Baseline and Weeks 2, 4, 8, 12, 16, and 20
Change From Baseline in Patient Global Impression of Change (PGIC) Score at Weeks 2, 4, 8, 12, 16, and 20
The PGIC scale measures change in clinical status of AD. The PGIC is based on a 7-point scale, and the patient will rate the change from the start of treatment as 1 "very much improved," 2 "much improved," 3 "minimally improved," 4 "no change," 5 "minimally worse," 6 "much worse," and 7 "very much worse."
Measured: Baseline and Weeks 2, 4, 8, 12, 16, and 20
Change From Baseline in Sleep Disturbance Numerical Rating Scale (NRS) Score at Weeks 1, 2, 4, 8, 12, 16, and 20
The sleep disturbance NRS is a scale used by the patients to report their degree of sleep loss related to AD. Patients were asked the following question in their local language: how would you rate your sleep last night? On a scale of 0 to 10, with 0 being "no sleep loss related to signs/symptoms of AD" and 10 being "I cannot sleep at all because of the signs/symptoms of AD". Higher scores indicate worse outcomes.
Measured: Baseline and Weeks 1, 2, 4, 8, 12, 16, and 20
Change From Baseline in Skin Pain Numerical Rating Scale (NRS) at Weeks 1, 2, 4, 8, 12, 16, and 20
The skin pain NRS is a patient-administered, 11-point horizontal scale anchored at 0 and 10, with 0 representing "no pain" and 10 representing "worst pain imaginable." Overall severity of a participant's skin pain is indicated by selecting the number that best describes the worst level of skin pain in the past 24 hours.
Measured: Baseline and Weeks 1, 2, 4, 8, 12, 16, and 20
Number of Participants With Treatment Emergent Adverse Events (TEAE)
An adverse event (AE) is any symptom, physical sign, syndrome, or disease that either emerges during the study or, if present at screening, worsens during the study, regardless of the suspected cause of the event.
Measured: From Baseline through Week 20
Number of Participants With Abnormal Clinically Significant Findings in Physical Examination at Weeks 16
A complete physical examination (a check of the head, eyes, ears, nose, and throat; heart; lungs; abdomen; skin; cervical and axillary lymph nodes; and neurological and musculoskeletal systems) was performed at screening (Visit 1) and Weeks 16.
Measured: At Week 16
Change From Baseline in Body Temperature at Weeks 16 and 20
A complete physical examination that included body temperature measurement was performed at screening (Visit 1) and Weeks 16 and 20.
Measured: Baseline and Weeks 16 and 20
Change From Baseline in Respiration Rate at Weeks 16 and 20
A complete physical examination that included respiration rate measurement was performed at screening (Visit 1) and Weeks 16 and 20.
Measured: Baseline and Weeks 16 and 20
Change From Baseline in Heart Rate at Weeks 16 and 20
A complete physical examination that included heart rate measurement was performed at screening (Visit 1) and Weeks 16 and 20.
Measured: Baseline and Weeks 16 and 20
Change From Baseline in Systolic and Diastolic Blood Pressure at Weeks 16 and 20
A complete physical examination that included systolic and diastolic blood pressure measurements was performed at screening (Visit 1) and Weeks 16 and 20.
Measured: Baseline and Weeks 16 and 20
Change From Baseline in Body Mass Index (BMI) at Weeks 16 and 20
A complete physical examination that included BMI measurements was performed at screening (Visit 1) and Weeks 16 and 20.
Measured: Baseline and Weeks 16 and 20
Number of Participants With Clinically Significant Changes in Electrocardiogram (ECG) at Week 16
Electrocardiograms were assessed by the investigators based on automatically generated parameters.
Measured: At Week 16
Change From Baseline in Hematology Parameter: Erythrocytes Mean Corpuscular Hemoglobin Concentration at Week 16
Laboratory parameters including hematology was evaluated at baseline and at Week 16.
Measured: Baseline and Week 16
Change From Baseline in Hematology Parameter: Erythrocytes Mean Corpuscular Hemoglobin at Week 16
Laboratory parameters including hematology was evaluated at baseline and at Week 16.
Measured: Baseline and Week 16
Change From Baseline in Hematology Parameter: Erythrocytes Mean Corpuscular Volume at Week 16
Laboratory parameters including hematology was evaluated at baseline and at Week 16.
Measured: Baseline and Week 16
Change From Baseline in Hematology Parameter: Hematocrit at Week 16
Laboratory parameters including hematology was evaluated at baseline and at Week 16.
Measured: Baseline and Week 16
Change From Baseline in Hematology Parameter: Hemoglobin at Week 16
Laboratory parameters including hematology was evaluated at baseline and at Week 16.
Measured: Baseline and Week 16
Change From Baseline in Hematology Parameter: Basophils, Eosinophils, Leukocytes, Lymphocytes, Monocytes, and Neutrophils at Week 16
Laboratory parameters including hematology was evaluated at baseline and at Week 16.
Measured: Baseline and Week 16
Change From Baseline in Hematology Parameter: Platelets at Week 16
Laboratory parameters including hematology was evaluated at baseline and at Week 16.
Measured: Baseline and Week 16
Change From Baseline in Hematology Parameter: Reticulocytes at Week 16
Laboratory parameters including hematology was evaluated at baseline and at Week 16.
Measured: Baseline and Week 16
Change From Baseline in Hematology Parameter: Basophils/Leukocytes at Week 16
Laboratory parameters including hematology was evaluated at baseline and at Week 16.
Measured: Baseline and Week 16
Change From Baseline in Hematology Parameter: Eosinophils/Leukocytes at Week 16
Laboratory parameters including hematology was evaluated at baseline and at Week 16.
Measured: Baseline and Week 16
Change From Baseline in Hematology Parameter: Lymphocytes/Leukocytes at Week 16
Laboratory parameters including hematology was evaluated at baseline and at Week 16.
Measured: Baseline and Week 16
Change From Baseline in Hematology Parameter: Monocytes/Leukocytes at Week 16
Laboratory parameters including hematology was evaluated at baseline and at Week 16.
Measured: Baseline and Week 16
Change From Baseline in Hematology Parameter: Neutrophils/Leukocytes at Week 16
Laboratory parameters including hematology was evaluated at baseline and at Week 16.
Measured: Baseline and Week 16
Change From Baseline in Chemistry Parameter: Alanine Aminotransferase, Alkaline Phosphatase, Aspartate Aminotransferase, Gamma Glutamyl Transferase, Lactate Dehydrogenase at Week 16
Laboratory parameters including chemistry was evaluated at baseline and at Week 16.
Measured: Baseline and Week 16
Change From Baseline in Chemistry Parameter: Albumin at Week 16
Laboratory parameters including chemistry was evaluated at baseline and at Week 16.
Measured: Baseline and Week 16
Change From Baseline in Chemistry Parameter: Bilirubin, Creatinine, and Direct Bilirubin at Week 16
Laboratory parameters including chemistry was evaluated at baseline and at Week 16.
Measured: Baseline and Week 16
Change From Baseline in Chemistry Parameter: Calcium, Chloride, Potassium, Sodium, and Urea Nitrogen at Week 16
Laboratory parameters including chemistry was evaluated at baseline and at Week 16.
Measured: Baseline and Week 16
Change From Baseline in Chemistry Parameter: Phosphate at Week 16
Laboratory parameters including chemistry was evaluated at baseline and at Week 16.
Measured: Baseline and Week 16
Number of Participants With Worst Case Post-Baseline Urinalysis at Week 16
Laboratory parameters including chemistry was evaluated at baseline and at Week 16.
Measured: At Week 16
Change From Baseline in Hospital Anxiety and Depression Scale (HADS) at Weeks 2, 4, 8, 12, 16, and 20
The HADS is a patient reported outcome, comprises of 7 questions for anxiety and 7 questions for depression, with each answer graded from 0 to 3 with a higher score indicating a worse condition. For each group of questions, scores of 7 or less indicate cases without anxiety or depression, whereas scores of 8 to 10, 11 to 14, and 15 to 21 indicate mild, moderate, and severe cases, respectively.
Measured: Baseline and Weeks 2, 4, 8, 12, 16, and 20
Number of Participants With Suicidal Ideation, Suicidal Behavior, and Self-Injurious Behavior Without Suicidal Intent Based on the Columbia-Suicide Severity Rating Scale (C-SSRS)
The C-SSRS, Investigator-administered version, was designed to provide a prospective, standardized measure of suicidality. C-SSRS is administered in the form of a clinical interview. The C-SSRS categories have been re-ordered from the actual scale to facilitate the definitions of the endpoints, and to enable clarity in the presentation of the results: Category 1 - Wish to be Dead, Category 2 - Non-specific Active Suicidal Thoughts, Category 3 - Active Suicidal Ideation with Any Methods (Not Plan) without Intent to Act, Category 4 - Active Suicidal Ideation with Some Intent to Act, without Specific Plan, Category 5 - Active Suicidal Ideation with Specific Plan and Intent, Category 6 - Preparatory Acts or Behavior, Category 7 - Aborted Attempt, Category 8 - Interrupted Attempt, Category 9 - Actual Attempt (non-fatal), Category 10 - Completed Suicide.
Measured: At Weeks 2, 4, 8, 12, 16, and 20
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted21 Jul 2022
- Study start11 Jul 2022
- Primary completion23 Jan 2024
- Study completion15 Feb 2024
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 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
- Model description
- Participants will be assigned randomly in a 1:1:1:1 ratio to receive 1 of the 3 orismilast modified release doses (20 mg, 30 mg, or 40 mg) or placebo twice daily (BID)
- Masking
- Quadruple blind
- Who is masked
- Participant, Care provider, Investigator, Outcomes assessor
- Enrolment
- 235 participants (actual)
Sponsor and investigators
- Lead sponsor
- UNION therapeutics
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- P. A. MD, Study director, UNION therapeutics A/S
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT05469464
- Sponsor's protocol ID
- UNI50001-202
- Other IDs
- 2021-006707-15
- Status last verified
- Mar 2025
- First submitted
- 18 Jul 2022
- Last updated
- 7 Mar 2025
- 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 7 Mar 2025. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Randomized, Double-Blind, Placebo-Controlled, Parallel-Group, Phase 2b Dose-Ranging Study to Evaluate the Efficacy and Safety of Orismilast in Adults With Moderate to Severe Atopic Dermatitis
- ClinicalTrials.gov ID
- NCT05469464
- Acronym / sponsor ID
- UNI50001-202
- Conditions
- Atopic Dermatitis, Skin Diseases
- Keywords
- Atopic Dermatitis, Orismilast
- Phase
- Phase 2
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 235 participants (actual)
- Lead sponsor
- UNION therapeuticsIndustry (pharma, biotech, devices)
- Study start
- 11 Jul 2022 (actual)
- Primary completion
- 23 Jan 2024 (actual)
- Study completion
- 15 Feb 2024 (actual)
- First posted
- 21 Jul 2022 (actual)
- Results
- Posted 7 Mar 2025
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
This study investigates 3 different doses of orismilast modified release compared to placebo in adult patients with moderate-to-severe atopic dermatitis. The purpose of the study is to assess the effect of orismilast modified release in moderate-to-severe atopic dermatitis and assess the safety aspects of these 3 different doses. The patients will receive an oral treatment of either orismilast modified release tablets or placebo tablets 2 times a day for 16 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
- Model description
- Participants will be assigned randomly in a 1:1:1:1 ratio to receive 1 of the 3 orismilast modified release doses (20 mg, 30 mg, or 40 mg) or placebo twice daily (BID)
| Arm | Type | Receives |
|---|---|---|
| Orismilast modified release tablets 20 mg BID | Experimental | Drug: Orismilast modified release tabletsOral, twice daily morning and evening |
| Orismilast modified release tablets 30 mg BID | Experimental | Drug: Orismilast modified release tabletsOral, twice daily morning and evening |
| Orismilast modified release tablets 40 mg BID | Experimental | Drug: Orismilast modified release tabletsOral, twice daily morning and evening |
| Placebo tablets BID | Placebo comparator | Drug: PlaceboOral, twice daily morning and evening |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (6 listed)
- Capable of giving signed informed consent.
- Male and female patients ≥18 years of age
- Body weight of >40 kg
- Diagnosis of AD for a minimum of 1 year (before the Screening visit) using the Hanifin and Rajka criteria
- Moderate to severe AD (affected BSA at least 10%, IGA-AD grade of at least 3, and EASI score of at least 16) at the screening and baseline visits
Key exclusion criteria (5 listed)
- Therapy-resistant atopic dermatitis
- Unstable AD with acute deterioration, requiring rescue therapy for AD within 4 weeks of the Screening visit or expected to require rescue therapy within 2 weeks after randomization
- History of allergy or hypersensitivity to any component of the study treatment
- Active infection (eg, bacterial, viral, fungal) requiring treatment with systemic antibiotics within 4 weeks of the Screening visit
- Malignancy or history of malignancy except for treated (ie, cured) basal cell skin carcinoma
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 |
|---|---|---|
| Orismilast modified release tabletsOrismilast modified release is a next generation PDE4 inhibitor with high selectivity for the PD4 subtypes linked to inflammation. Other Names: * UNI50001 * LEO32731 | Drug | Orismilast modified release tablets 20 mg BID, Orismilast modified release tablets 30 mg BID, Orismilast modified release tablets 40 mg BID |
| PlaceboPlacebo matching tablets | Drug | Placebo tablets BID |
Primary outcome
Percent Change From Baseline in Eczema Area and Severity Index (EASI) Score at Week 16
Time frame: Baseline and Week 16
The EASI is a tool to measure the severity of clinical signs and the percentage of affected body surface area (BSA) in patients with atopic dermatitis (AD). The EASI is a composite scoring system to evaluate the degree of erythema, induration/papulation, excoriation, and lichenification (each scored separately) for each of 4 body regions, with adjustment for the percentage of BSA involved for each body region and for the proportion of the body region to the whole body. EASI scores range from 0 to 72, with higher scores reflecting greater disease severity. Erythema, induration/papulation, excoriation, and lichenification are scored on a scale of 0 (absent) to 3 (severe) for each body region: head and neck, upper limbs (including the external axillae and hands), trunk (including the internal axillae and groin), and lower limbs (including the buttocks and feet). The extent of affected skin in each body region is scored on a scale of 0 (no involvement) to 6 (90% to 100% involvement).
45 secondary outcomes
Percentage of Participants Achieving 75% Reduction in Eczema Area and Severity Index EASI (EASI75) Response at Week 16
Time frame: At Week 16
Percentage of Participants Achieving a Score of Clear (0) or Almost Clear (1) and At Least a 2-point Improvement in Investigator Global Assessment for AD (IGA-AD) at Week 16
Time frame: At Week 16
Percentage of Participants Achieving a Score of Clear (0) or Almost Clear (1) and At Least a 2-point Improvement in Investigator Global Assessment for Atopic Dermatitis (IGA-AD) at Weeks 2, 4, 8, 12, and 20
Time frame: At Weeks 2, 4, 8, 12, and 20
Number of Participants Achieving 75% Reduction in Eczema Area and Severity Index (EASI 75) at Weeks 2, 4, 8, 12, and 20
Time frame: At Weeks 2, 4, 8, 12, and 20
Number of Participants Achieving 50% Reduction in Eczema Area and Severity Index (EASI 50) at Weeks 2, 4, 8, 12, 16, and 20
Time frame: At Weeks 2, 4, 8, 12, 16, and 20
Number of Participants Achieving 90% Reduction in Eczema Area and Severity Index (EASI 90) at Weeks 2, 4, 8, 12, 16, and 20
Time frame: At Weeks 2, 4, 8, 12, 16, and 20
Percent Change From Baseline in Eczema Area and Severity Index (EASI) at Weeks 2, 4, 8, 12, and 20
Time frame: Baseline and Weeks 2, 4, 8, 12, and 20
Change From Baseline in the Peak Pruritus Numerical Rating Scale (NRS) Score at Weeks 1, 2, 4, 8, 12, 16, and 20
Time frame: Baseline, Weeks 1, 2, 4, 8, 12, 16, and 20
Percentage of Participants Achieving At Least a 4-point Improvement in the Peak Pruritus Numerical Rating Scale (NRS) From Baseline at Weeks 1, 2, 4, 8, 12, 16, and 20
Time frame: At Weeks 1, 2, 4, 8, 12, 16 and 20
Change From Baseline in Affected Body Surface Area (BSA) at Weeks 2, 4, 8, 12, 16, and 20
Time frame: Baseline and Weeks 2, 4, 8, 12, 16, and 20
Change From Baseline in Dermatology Life Quality Index (DLQI) Score at Weeks 8, 16, and 20
Time frame: Baseline and Weeks 8, 16, and 20
Change From Baseline in Patient Oriented Eczema Measure (POEM) Score at Weeks 2, 4, 8, 12, 16, and 20
Time frame: Baseline and Weeks 2, 4, 8, 12, 16, and 20
Change From Baseline in Patient Global Impression of Severity Scale (PGIS) Score at Weeks 2, 4, 8, 12, 16, and 20
Time frame: Baseline and Weeks 2, 4, 8, 12, 16, and 20
Change From Baseline in Patient Global Impression of Change (PGIC) Score at Weeks 2, 4, 8, 12, 16, and 20
Time frame: Baseline and Weeks 2, 4, 8, 12, 16, and 20
Change From Baseline in Sleep Disturbance Numerical Rating Scale (NRS) Score at Weeks 1, 2, 4, 8, 12, 16, and 20
Time frame: Baseline and Weeks 1, 2, 4, 8, 12, 16, and 20
Change From Baseline in Skin Pain Numerical Rating Scale (NRS) at Weeks 1, 2, 4, 8, 12, 16, and 20
Time frame: Baseline and Weeks 1, 2, 4, 8, 12, 16, and 20
Number of Participants With Treatment Emergent Adverse Events (TEAE)
Time frame: From Baseline through Week 20
Number of Participants With Abnormal Clinically Significant Findings in Physical Examination at Weeks 16
Time frame: At Week 16
Change From Baseline in Body Temperature at Weeks 16 and 20
Time frame: Baseline and Weeks 16 and 20
Change From Baseline in Respiration Rate at Weeks 16 and 20
Time frame: Baseline and Weeks 16 and 20
Change From Baseline in Heart Rate at Weeks 16 and 20
Time frame: Baseline and Weeks 16 and 20
Change From Baseline in Systolic and Diastolic Blood Pressure at Weeks 16 and 20
Time frame: Baseline and Weeks 16 and 20
Change From Baseline in Body Mass Index (BMI) at Weeks 16 and 20
Time frame: Baseline and Weeks 16 and 20
Number of Participants With Clinically Significant Changes in Electrocardiogram (ECG) at Week 16
Time frame: At Week 16
Change From Baseline in Hematology Parameter: Erythrocytes Mean Corpuscular Hemoglobin Concentration at Week 16
Time frame: Baseline and Week 16
Change From Baseline in Hematology Parameter: Erythrocytes Mean Corpuscular Hemoglobin at Week 16
Time frame: Baseline and Week 16
Change From Baseline in Hematology Parameter: Erythrocytes Mean Corpuscular Volume at Week 16
Time frame: Baseline and Week 16
Change From Baseline in Hematology Parameter: Hematocrit at Week 16
Time frame: Baseline and Week 16
Change From Baseline in Hematology Parameter: Hemoglobin at Week 16
Time frame: Baseline and Week 16
Change From Baseline in Hematology Parameter: Basophils, Eosinophils, Leukocytes, Lymphocytes, Monocytes, and Neutrophils at Week 16
Time frame: Baseline and Week 16
Change From Baseline in Hematology Parameter: Platelets at Week 16
Time frame: Baseline and Week 16
Change From Baseline in Hematology Parameter: Reticulocytes at Week 16
Time frame: Baseline and Week 16
Change From Baseline in Hematology Parameter: Basophils/Leukocytes at Week 16
Time frame: Baseline and Week 16
Change From Baseline in Hematology Parameter: Eosinophils/Leukocytes at Week 16
Time frame: Baseline and Week 16
Change From Baseline in Hematology Parameter: Lymphocytes/Leukocytes at Week 16
Time frame: Baseline and Week 16
Change From Baseline in Hematology Parameter: Monocytes/Leukocytes at Week 16
Time frame: Baseline and Week 16
Change From Baseline in Hematology Parameter: Neutrophils/Leukocytes at Week 16
Time frame: Baseline and Week 16
Change From Baseline in Chemistry Parameter: Alanine Aminotransferase, Alkaline Phosphatase, Aspartate Aminotransferase, Gamma Glutamyl Transferase, Lactate Dehydrogenase at Week 16
Time frame: Baseline and Week 16
Change From Baseline in Chemistry Parameter: Albumin at Week 16
Time frame: Baseline and Week 16
Change From Baseline in Chemistry Parameter: Bilirubin, Creatinine, and Direct Bilirubin at Week 16
Time frame: Baseline and Week 16
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 7 Mar 2025.
- 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.
P. A. MD study director
UNION therapeutics A/S
48 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 Orismilast modified release tablets in people with Atopic Dermatitis and Skin Diseases, run by UNION therapeutics at 48 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 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: finished, as of the sponsor's last update on 7 Mar 2025. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 48 sites in United States, Poland, Germany, Hungary. 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 7 Mar 2025). 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 Change From Baseline in Eczema Area and Severity Index (EASI) Score at Week 16 (time frame: Baseline and 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 7 Mar 2025.