Dermatitis AtopicPhase 2ATLANTISNCT05769777
Open Label, Long-term Study Evaluating Safety and Efficacy of Subcutaneous Amlitelimab in Participants Aged 12 Years and Older With Moderate to Severe Atopic Dermatitis
A Phase 2 study testing Amlitelimab in people with Dermatitis Atopic, run by Sanofi at 174 sites in 25 countries.
Trial summary
This is a single group, 1-arm, long-term safety study for treatment of participants with moderate to severe atopic dermatitis (AD). The purpose of this study is to characterize the long-term safety and efficacy of amlitelimab in treated participants with age ≥12 years old with moderate to severe AD. Read more about this study
- Who is it for?
- Ages 12 years and older
- Conditions the study is for
- Dermatitis Atopic
- What is being tested?
- Amlitelimab
- Type of treatment
- Injection or infusion
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 999 participants
- Where
- 174 sitesin 25 countries
- Study dates
- 3 Apr 2023to 11 Jun 2031
- Phase
- Phase 2
- Are there results?
- Not yet: the study is under way
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
- Participant must be at least 12 years of age inclusive, at the time of signing the informed consent.
- Participants must have AD as defined by the American Academy of Dermatology Consensus Criteria for 1 year or longer at baseline.
- Participant must have documented history (within 6 months prior to screening visit), of inadequate response (including inadequate efficacy or medical inadvisability) to topical treatments and/or inadequate response to systemic therapies (within 12 months prior to screening visit).
- Eczema Area Severity Index (EASI) of 16 or higher at baseline visit/Visit 2.
- Validated Investigator Global Assessment scale for atopic dermatitis (vIGA-AD) of 3 or 4 at baseline visit/Visit 2.
- AD involvement of 10% or more of body surface area (BSA) at baseline visit/Visit 2.
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- Weekly average of daily Peak Pruritus-Numerical Rating Scale (PP-NRS) of ≥ 4 at baseline visit/Visit 2.
- Able and willing to comply with requested study visits and procedures.
- Body weight must be greater than or equal to 25 kg.
- Contraceptive use by men and women should be consistent with local regulations regarding the methods of contraception for those participating in clinical studies. Female participants must not be pregnant or breastfeeding.
Who cannot join
- Skin co-morbidity that would adversely affect the ability to undertake AD assessments as per investigator's judgement
- Known history of or suspected significant current immunosuppression, including history of invasive opportunistic or helminthic infections despite infection resolution or otherwise recurrent infections of abnormal frequency or prolonged duration.
- Any malignancies or history of malignancies prior to baseline (except for non-melanoma skin cancer that has been excised and completely cured for more than 5 years prior to baseline).
- History of solid organ or stem cell transplant.
- Any pre-planned major elective surgery known about at baseline that in the opinion of the investigator would necessitate that IMP be permanently discontinued or require more than three doses to be missed.
- Severe concomitant illness that would in the Investigator's opinion inhibit the participant's participation in the study.
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- Any medical or psychiatric condition which, in the opinion of the Investigator may present an unreasonable risk to the study participants as a result of his/her participation in this clinical study, may make participant's participation unreliable, or may interfere with study assessments.
- Any active or chronic infection including helminthic infection requiring systemic treatment within 4 weeks prior to baseline (1 week in the event of superficial skin infections); and any infection which as per Investigator's opinion precludes the participant's participation in the study.
- Treatment with live (attenuated) vaccines within 12 weeks prior to baseline; failure to complete non-live immunizations required by local regulation (eg, vaccination for COVID-19) at least 14 days prior to baseline.
- Having received any of the specified therapy within the specified timeframe(s) prior to the baseline visit.
- Positive for human immunodeficiency virus (HIV), hepatitis B or hepatitis C at the screening visit.
- Participants with active tuberculosis (TB), latent TB, a history of incompletely treated TB, suspected extrapulmonary TB infection, non-TB mycobacterial infection, or who are at high risk of contracting TB (such as close contact with individuals with active or latent TB) or received Bacillus Calmette-Guérin (BCG)-vaccination within 12 weeks prior to Screening.
- In the Investigator's opinion, any clinically significant laboratory results from the clinical chemistry, hematology, coagulation, or urinalysis tests at the screening visit.
- In the Investigator's opinion, any significant abnormality on 12-lead electrocardiogram (ECG) at the screening visit that could be suggestive of an unstable or underlying cardio-vascular condition that could preclude the participant's participation in the study.
- History of hypersensitivity or allergy to any of the excipients or IMP or other allergy that, in the opinion of the Investigator, contraindicates participation in the study.
- The above information is not intended to contain all considerations relevant to a participant's potential participation in a clinical trial.
Trial locations and contacts
174 sites in 25 countries.
174 sites in 25 countries
United States22 sites
Advanced Medical Research - Atlanta- Site Number : 8400044
Atlanta, Georgia, 30342
Children's Hospital Colorado - Aurora- Site Number : 8400041
Aurora, Colorado, 80045
Allervie Clinical Research - Birmingham- Site Number : 8400050
Birmingham, Alabama, 35209
Dermatology Trial Associates- Site Number : 8400027
Bryant, Arkansas, 72022
Private Practice - Dr. Marthe N. Dika- Site Number : 8400022
Burlington, Wisconsin, 53105
The Derm Institute of West Michigan- Site Number : 8400043
Caledonia, Michigan, 49316
Renaissance Research and Medical Group- Site Number : 8400006
Cape Coral, Florida, 33991
IMMUNOe International Research Centers - Centennial- Site Number : 8400024
Centennial, Colorado, 80112
Research Solutions of Arizona- Site Number : 8400020
Litchfield Park, Arizona, 85340
Michigan Dermatology Institute - Livonia- Site Number : 8401010
Livonia, Michigan, 48152
Florida Pharmaceutical Research and Associates- Site Number : 8400018
Miami, Florida, 33143
Miami Clinical Research Tower- Site Number : 8400036
Miami, Florida, 33155
Florida Research Center- Site Number : 8400011
Miami, Florida, 33174
Kentucky Advanced Medical Research- Site Number : 8400014
Murray, Kentucky, 42071
University Dermatology Trials- Site Number : 8400052
Newport Beach, California, 92660
Sneeze Wheeze & Itch Associates- Site Number : 8400002
Normal, Illinois, 61761
The Children's Hospital of Philadelphia- Site Number : 8400009
Philadelphia, Pennsylvania, 19104
Texas Dermatology and Laser Specialists - San Antonio - Oakwell Court- Site Number : 8400053
San Antonio, Texas, 78218
Georgia Skin & Cancer Clinic- Site Number : 8400048
Savannah, Georgia, 31419
Clinical Research Trials of Florida- Site Number : 8400054
Tampa, Florida, 33607
Dermatology Research Center of Oklahoma- Site Number : 8400035
Tulsa, Oklahoma, 74132
Michigan Dermatology Institute - Waterford- Site Number : 8400010
Waterford, Michigan, 48328
China16 sites
Investigational Site Number : 1560015
Beijing, 100045
Investigational Site Number : 1560008
Changchun, 130041
Investigational Site Number : 1560016
Changsha, 410007
Investigational Site Number : 1560014
Chengdu, 610017
Investigational Site Number : 1560072
Fuzhou, 350001
Investigational Site Number : 1560074
Guangzhou, 510120
Investigational Site Number : 1560044
Hangzhou, 310003
Investigational Site Number : 1560013
Jingzhou, 434020
Investigational Site Number : 1560001
Shanghai, 200040
Investigational Site Number : 1560018
Suzhou, 215006
Investigational Site Number : 1560010
Taiyuan, 030001
Investigational Site Number : 1560073
Taizhou, 318000
Investigational Site Number : 1560019
Xinxiang, 453100
Investigational Site Number : 1560012
Yinchuan, 750004
Investigational Site Number : 1560011
Yiwu, 322000
Investigational Site Number : 1560028
Zhenjiang, 212000
Canada12 sites
Investigational Site Number : 1240001
Calgary, Alberta, T2G 1B1
Investigational Site Number : 1240009
Etobicoke, Ontario, M8X 1Y9
Investigational Site Number : 1240008
Mississauga, Ontario, L5H 1G9
Investigational Site Number : 1240002
Montreal, Quebec, H3G 2S6
Investigational Site Number : 1240011
Oakville, Ontario, L6J 7W5
Investigational Site Number : 1240004
Peterborough, Ontario, K9J 5K2
Investigational Site Number : 1240010
Québec, Quebec, G1V 4X7
Investigational Site Number : 1240006
Québec, Quebec, G1W 4R4
Investigational Site Number : 1240003
Richmond Hill, Ontario, L4B 1L1
Investigational Site Number : 1240044
Saskatoon, Saskatchewan, S7T 0G3
Investigational Site Number : 1240012
Toronto, Ontario, M3H 5Y8
Investigational Site Number : 1240051
Vancouver, British Columbia, V6t 2b5
South Africa12 sites
Investigational Site Number : 7100004
Boksburg, 1459
Investigational Site Number : 7100011
Cape Town, 7530
Investigational Site Number : 7100010
Cape Town, 7533
Investigational Site Number : 7100002
Cape Town, 7700
Investigational Site Number : 7100009
Cape Town, 7708
Investigational Site Number : 7100012
Durban, 3630
Investigational Site Number : 7100015
Durban, 4058
Investigational Site Number : 7100007
Johannesburg, 2196
Investigational Site Number : 7100006
Kempton Park, 1619
Investigational Site Number : 7100005
Middelburg, 1055
Investigational Site Number : 7100003
Pretoria, 0009
Investigational Site Number : 7100014
Pretoria, 0157
Chile11 sites
Investigational Site Number : 1520014
Chillan, 3800761
Investigational Site Number : 1520013
Lo Barnechea, Reg Metropolitana de Santiago, 7691236
Investigational Site Number : 1520009
Osorno, Los Lagos Region, 5311523
Investigational Site Number : 1520011
Santiago, Reg Metropolitana de Santiago, 7500505
Investigational Site Number : 1520008
Santiago, Reg Metropolitana de Santiago, 7500588
Investigational Site Number : 1520002
Santiago, Reg Metropolitana de Santiago, 7580206
Investigational Site Number : 1520003
Santiago, Reg Metropolitana de Santiago, 7640881
Investigational Site Number : 1520010
Santiago, Reg Metropolitana de Santiago, 8330034
Investigational Site Number : 1520005
Santiago, Reg Metropolitana de Santiago, 8380465
Investigational Site Number : 1520001
Santiago, Reg Metropolitana de Santiago, 8420383
Investigational Site Number : 1520004
Valdivia, Los Ríos Region, 5110683
Argentina10 sites
Investigational Site Number : 0320008
Buenos Aires, 1023
Investigational Site Number : 0320001
Buenos Aires, 1121
Investigational Site Number : 0320003
Buenos Aires, 1181
Investigational Site Number : 0320002
Buenos Aires, 1425
Investigational Site Number : 0320004
Buenos Aires, 1425
Investigational Site Number : 0320009
Buenos Aires, 1425
Investigational Site Number : 0320005
Buenos Aires, 1427
Investigational Site Number : 0320022
General Pico, La Pampa Province, 6360
Investigational Site Number : 0320006
Rosario, Santa Fe Province, 2000
Investigational Site Number : 0320007
Rosario, Santa Fe Province, 2000
Brazil9 sites
Hospital de Clinicas da Universidade Federal do Parana- Site Number : 0760022
Curitiba, Paraná, 80060-900
Pontifica Universidade Catolica do Parana- Site Number : 0760023
Curitiba, Paraná, 80215-901
Irmandade da Santa Casa de Misericórdia de Porto Alegre- Site Number : 0760005
Porto Alegre, Rio Grande do Sul, 90020-090
Hospital das Clinicas da Faculdade de Medicina de Ribeirao Preto- Site Number : 0760008
Ribeirão Preto, São Paulo, 14049-900
IDERJ - Instituto de Dermatologia e Estética do Brasil- Site Number : 0760004
Rio de Janeiro, 22470-220
Centro de Pesquisas da Clínica IBIS- Site Number : 0760002
Salvador, Estado de Bahia, 41820-020
Faculdade de Medicina do ABC- Site Number : 0760001
Santo André, São Paulo, 09060-650
Fundação Faculdade Regional de Medicina de São José do Rio Preto- Site Number : 0760003
São José do Rio Preto, São Paulo, 15090-000
Clinica de Alergia Martti Antila- Site Number : 0760006
Sorocaba, São Paulo, 18040-425
Germany8 sites
Investigational Site Number : 2760020
Augsburg, 86150
Investigational Site Number : 2760009
Bad Bentheim, 48455
Investigational Site Number : 2762203
Berlin, 10117
Investigational Site Number : 2762205
Dresden, 01307
Investigational Site Number : 2762201
Münster, 48149
Investigational Site Number : 2760010
Osnabrück, 49074
Investigational Site Number : 2760021
Rostock, 18055
Investigational Site Number : 2760019
Witten, 58453
Poland8 sites
Investigational Site Number : 6160001
Chorzów, Silesian Voivodeship, 41-500
Investigational Site Number : 6160006
Gdansk, Pomeranian Voivodeship, 80-546
Investigational Site Number : 6160003
Katowice, Silesian Voivodeship, 40-611
Investigational Site Number : 6160014
Lodz, Lódzkie, 90-436
Investigational Site Number : 6160012
Lublin, Lublin Voivodeship, 20-573
Investigational Site Number : 6162411
Warsaw, Masovian Voivodeship, 01-142
Investigational Site Number : 6160009
Warsaw, Masovian Voivodeship, 02-625
Investigational Site Number : 6160007
Warsaw, Masovian Voivodeship, 02-962
France7 sites
Investigational Site Number : 2500004
Créteil, 94010
Investigational Site Number : 2500001
Lille, 59037
Investigational Site Number : 2500005
Marseille, 13885
Investigational Site Number : 2500009
Nantes, 44093
Investigational Site Number : 2500003
Paris, 75010
Investigational Site Number : 2500006
Pierre-Bénite, 69495
Investigational Site Number : 2500002
Toulouse, 31059
India7 sites
Investigational Site Number : 3560006
Bengaluru, 560004
Investigational Site Number : 3560007
Bikaner, 334001
Investigational Site Number : 3560011
Kochi, 682040
Investigational Site Number : 3560005
Kolkata, 700073
Investigational Site Number : 3560004
Mangaluru, 575002
Investigational Site Number : 3560002
Nashik, 422101
Investigational Site Number : 3560008
Surat, 395002
Italy7 sites
Investigational Site Number : 3800005
Brescia, 25123
Investigational Site Number : 3800003
Milan, Milano, 20122
Investigational Site Number : 3800002
Naples, Napoli, 80131
Investigational Site Number : 3800004
Naples, Napoli, 80138
Investigational Site Number : 3800007
Rome, Roma, 00161
Investigational Site Number : 3800006
Rome, Roma, 00168
Investigational Site Number : 3800008
Vicenza, 36100
Taiwan7 sites
Investigational Site Number : 1580006
Hsinchu, 300
Investigational Site Number : 1583201
Kaohsiung City, 833
Investigational Site Number : 1580002
New Taipei City, 235
Investigational Site Number : 1583202
Taichung, 402
Investigational Site Number : 1580007
Taichung, 404
Investigational Site Number : 1580001
Taipei, 100
Investigational Site Number : 1583203
Taoyuan City, 333
Czechia6 sites
Investigational Site Number : 2032105
Nový Jičín, 741 01
Investigational Site Number : 2032104
Ostrava, 702 00
Investigational Site Number : 2032102
Prague, 100 00
Investigational Site Number : 2030003
Prague, 100 34
Investigational Site Number : 2030006
Prague, 160 00
Investigational Site Number : 2030007
Prague, 180 81
South Korea6 sites
Investigational Site Number : 4100002
Ansan-si, Gyeonggi-do, 15355
Investigational Site Number : 4100016
Bucheon-si, Gyeonggi-do, 14584
Investigational Site Number : 4100018
Incheon, Incheon-gwangyeoksi, 21565
Investigational Site Number : 4100006
Seoul, Seoul-teukbyeolsi, 05030
Investigational Site Number : 4100001
Seoul, Seoul-teukbyeolsi, 07441
Investigational Site Number : 4100003
Yangsan, Gyeongsangnam-do, 50612
Spain6 sites
Investigational Site Number : 7242505
Alicante, 03010
Investigational Site Number : 7240002
Badalona, Barcelona [Barcelona], 08916
Investigational Site Number : 7242501
Córdoba, 14004
Investigational Site Number : 7242503
Madrid, 28046
Investigational Site Number : 7240022
Sabadell, Barcelona [Barcelona], 08208
Investigational Site Number : 7240006
Valencia, 46026
Japan5 sites
Investigational Site Number : 3923106
Mibu, Tochigi, 321-0293
Investigational Site Number : 3923114
Obihiro, Hokkaido, 080-0013
Investigational Site Number : 3923110
Sakai, Osaka, 593-8324
Investigational Site Number : 3920001
Tachikawa, Tokyo, 190-0023
Investigational Site Number : 3923113
Yokohama, Kanagawa, 221-0825
United Kingdom4 sites
Investigational Site Number : 8260002
Edinburgh, EH8 9YL
Investigational Site Number : 8260001
London, England, NW3 2QG
Investigational Site Number : 8262601
London, London, City of, SE1 9RT
Investigational Site Number : 8260004
Sheffield, S10 2TH
Netherlands3 sites
Investigational Site Number : 5280002
Breda, 4818 CK
Investigational Site Number : 5280004
Rotterdam, 3015 CE
Investigational Site Number : 5280001
Utrecht, 3584 CX
Australia2 sites
Investigational Site Number : 0360002
Kogarah, New South Wales, 2217
Investigational Site Number : 0360001
Sydney, New South Wales, 2010
Mexico2 sites
Investigational Site Number : 4840001
Chihuahua City, 31000
Investigational Site Number : 4840008
Durango, 34000
Puerto Rico1 site
Caribbean Medical Research Center- Site Number : 8400028
San Juan, 00918
Turkey (Türkiye)1 site
Investigational Site Number : 7920005
Manisa, 45030
About this study
Official title: An Open-Label Multinational, Multicenter Study to Evaluate the Long-term Safety, Tolerability and Efficacy of Subcutaneous Amlitelimab in Participants Aged 12 Years and Older With Moderate to Severe Atopic Dermatitis
This is a single group, 1-arm, long-term safety study for treatment of participants with moderate to severe atopic dermatitis (AD).
The purpose of this study is to characterize the long-term safety and efficacy of amlitelimab in treated participants with age ≥12 years old with moderate to severe AD.
The study duration per participant will be up to 284 weeks, including:
- A screening period of up to 2 to 4 weeks
- An open label treatment period of up to 268 weeks (approximately 5 years)
- A post-treatment safety follow-up period of at least 20 weeks after the last dose administration (last IMP administration at Week 264)
The planned number of visits will be 35 visits.
- Conditions
- Dermatitis Atopic
- Being tested
- Amlitelimab
- Medical subject headings
- Dermatitis, Atopic
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
AmlitelimabDrug
Pharmaceutical form: Solution for injection; Route of administration: Subcutaneous (SC)
| Study group | Role | What they receive |
|---|---|---|
| Amlitelimab | Experimental | Subcutaneous injection as per protocol Receives: Drug: Amlitelimab |
What is being measured
The primary outcome is the main question the study is designed to answer.
Percentage of participants who experienced Treatment-Emergent Adverse Events (TEAEs)
Percentage of participants who experienced TEAEs from baseline during the study
Measured: Baseline up to end of study (EOS) (Week 284)
Percentage of participants who experienced Treatment-Emergent Serious Adverse Events (TESAEs)
Percentage of participants who experienced TESAEs from baseline during the study
Measured: Baseline up to EOS (Week 284)
Secondary outcomes (40)
Percentage of participants who experienced Treatment-Emergent Adverse Events of Special Interest (AESI)
Percentage of participants who experienced AESI from baseline during the study
Measured: Baseline up to EOS (Week 284)
Percentage of participants with Potentially Clinically Significant Abnormalities (PCSA) for vital signs and clinical laboratory assessments, and electrocardiogram (ECG)
Measured: Baseline up to EOS (Week 284)
Percentage of participants discontinued from study treatment due to Adverse Events (AEs)
Measured: Baseline up to EOS (Week 284)
Percent change from baseline in Eczema Area and Severity Index (EASI) score
The EASI is an Investigator-assessed tool used to measure the extent (area) and severity of AD. The severity is assessed based on 4 disease characteristics (erythema, induration/papulation, excoriation and lichenification). The extent of involvement of AD is assessed in 4 body regions (head/neck, trunk, upper extremities and lower extremities). Total score ranges from 0 to 72 with a higher score indicating increased extent and severity of AD.
Measured: Baseline to EOS (Week 284)
Proportion of participants with at least a 75% reduction from baseline in the EASI (EASI-75)
Measured: Baseline to EOS (Week 284)
Proportion of participants with at least a 50% reduction from baseline in the EASI (EASI-50)
Measured: Baseline to EOS (Week 284)
Proportion of participants with at least a 90% reduction from baseline in the EASI (EASI-90)
Measured: Baseline to EOS (Week 284)
Proportion of participants with at least 100% reduction from baseline in the EASI (EASI-100)
Measured: Baseline to EOS (Week 284)
Proportion of participants with Validated Investigator Global Assessment scale for Atopic Dermatitis (vIGA-AD) of 0 (clear) or 1 (almost clear) and a reduction of ≥2 points from baseline
The vIGA-AD is an Investigator-completed assessment scale used to determine severity of AD and clinical response to treatment. It is based on a 5-point scale, ranging from 0 (clear) to 4 (severe).
Measured: Baseline to EOS (Week 284)
Proportion of participants with vIGA-AD 0 (clear) or 1 (almost clear) with presence of only barely perceptible erythema (no induration/papulation, no lichenification, no oozing or crusting) and a reduction from baseline of ≥2 points
The vIGA-AD is an Investigator-completed assessment scale used to determine severity of AD and clinical response to treatment. It is based on a 5-point scale, ranging from 0 (clear) to 4 (severe).
Measured: Baseline to EOS (Week 284)
Proportion of participants with vIGA-AD of 0
The vIGA-AD is an Investigator-completed assessment scale used to determine severity of AD and clinical response to treatment. It is based on a 5-point scale, ranging from 0 (clear) to 4 (severe).
Measured: Baseline to EOS (Week 284)
Change in percent Body Surface Area (BSA) affected by AD from baseline
BSA affected by AD will measure the extent (area) of the disease.
Measured: Baseline to EOS (Week 284)
Percent change in Scoring Atopic Dermatitis (SCORAD) index from baseline
The SCORAD Index is a clinical tool used to standardise the evaluation of the extent and severity of AD. To determine the extent of AD, the affected area (A) as a percentage of the whole body is determined, with a maximum score of 100%. The severity (B) of 6 specific symptoms of AD (redness, swelling, oozing/crusting, scratch marks, skin thickening [lichenification], dryness [area where there is no inflammation]) is assessed on a 4-point scale, with a maximum score of 18: none (0), mild (1), moderate (2) or severe (3). Subjective symptoms (C): itch and sleeplessness are recorded as scored by the participants or relative on a visual analogue scale (VAS), where 0 = no itch (or sleeplessness) and 10 = worst imaginable itch (or sleeplessness), with a maximum possible score of 20.
Measured: Baseline to EOS (Week 284)
Proportion of participants requiring rescue treatment at each visit
Measured: Baseline to EOS (Week 284)
Proportion of participants with ≥4-point reduction in weekly average of daily Peak Pruritus-Numerical Rating Scale (PP-NRS) from baseline in participants with baseline weekly average of daily PP-NRS ≥4
The PP-NRS is a single item 0-10 numeric rating scale assessing peak pruritus (itch) associated with AD during the past 24 hours, with 0 = no itch and 10 = worst itch imaginable.
Measured: Baseline to EOS (Week 284)
Proportion of participants with PP-NRS 0 or 1
The PP-NRS is a single item 0-10 numeric rating scale assessing peak pruritus (itch) associated with AD during the past 24 hours, with 0 = no itch and 10 = worst itch imaginable.
Measured: Baseline to EOS (Week 284)
Percent change in weekly average of daily PP-NRS from baseline
The PP-NRS is a single item 0-10 numeric rating scale assessing peak pruritus (itch) associated with AD during the past 24 hours, with 0 = no itch and 10 = worst itch imaginable.
Measured: Baseline to EOS (Week 284)
Change in weekly average of daily Skin Pain-Numerical Rating Scale (SP-NRS) from baseline
The SP-NRS is a single item 0-10 numeric rating scale assessing skin pain associated with AD during the past 24 hours, with 0 = no pain and 10 = worst possible pain imaginable.
Measured: Baseline to EOS (Week 284)
Proportion of participants with a reduction in weekly average of daily SP-NRS ≥4 from baseline in participants with baseline weekly average of daily SP-NRS ≥4
The SP-NRS is a single item 0-10 numeric rating scale assessing skin pain associated with AD during the past 24 hours, with 0 = no pain and 10 = worst possible pain imaginable.
Measured: Baseline to EOS (Week 284)
Change in weekly average of daily Sleep Disturbance-Numerical Rating Scale (SD-NRS) from baseline
The SD-NRS is a single item 0-10 numeric rating scale assessing sleep disturbance associated with AD, with 0 being 'no sleep loss related to the symptoms of atopic dermatitis' and 10 being 'I did not sleep at all' due to the symptoms of atopic dermatitis".
Measured: Baseline to EOS (Week 284)
Proportion of participants with a reduction in weekly average of daily SD-NRS ≥3 from baseline in participants with Baseline weekly average of daily SD-NRS ≥3
The SD-NRS is a single item 0-10 numeric rating scale assessing sleep disturbance associated with AD, with 0 being 'no sleep loss related to the symptoms of atopic dermatitis' and 10 being 'I did not sleep at all' due to the symptoms of atopic dermatitis".
Measured: Baseline to EOS (Week 284)
Change in Patient Oriented Eczema Measure (POEM) from baseline
The POEM is a 7-item self-assessment questionnaire used for monitoring atopic eczema severity, focusing on the signs and symptoms as experienced by the patient during the past 7 days. Total score ranges from 0 to 28.
Measured: Baseline to EOS (Week 284)
Proportion of participants with a reduction in POEM ≥4 from Baseline in participants with POEM baseline ≥4
The POEM is a 7-item self-assessment questionnaire used for monitoring atopic eczema severity, focusing on the signs and symptoms as experienced by the patient during the past 7 days. Total score ranges from 0 to 28.
Measured: Baseline to EOS (Week 284)
Proportion of adolescent participants with a reduction in POEM ≥6 from Baseline in adolescents with POEM baseline ≥6
The POEM is a 7-item self-assessment questionnaire used for monitoring atopic eczema severity, focusing on the signs and symptoms as experienced by the patient during the past 7 days. Total score ranges from 0 to 28.
Measured: Baseline to EOS (Week 284)
Change in Atopic Dermatitis Control Test (ADCT) from baseline
The ADCT is a 6-item patient-reported outcomes instrument with a 7-day recall period to measure AD disease control. Total score ranges from 0 to 24.
Measured: Baseline to EOS (Week 284)
Proportion of participants with a reduction in ADCT ≥5 from baseline in participants with baseline ADCT≥7
The ADCT is a 6-item patient-reported outcomes instrument with a 7-day recall period to measure AD disease control. Total score ranges from 0 to 24.
Measured: Baseline to EOS (Week 284)
Change in Dermatology Quality of Life Index (DLQI) from baseline in participants with age ≥16 years old
The DLQI is a 10-item questionnaire to measure dermatology specific quality of life (QoL), covering the participant's previous week (i.e. past 7 days). Total score ranges from 0 to 30, with higher scores indicating greater detrimental impact on QoL.
Measured: Baseline to EOS (Week 284)
Change in Children's Dermatology Life Quality Index (CDLQI) from baseline in participants with age ≥12 to <16 years old
The CDLQI is a 10-item questionnaire to assess the impact of skin disease on a child's health related quality of life (HRQoL) over a recall period of 1 week. It is validated in children aged 4 to <16 years. Total score ranges from 0 to 30, with higher scores indicating greater detrimental impact on QoL.
Measured: Baseline to EOS (Week 284)
Proportion of participants with age ≥12 to <16 with a reduction in CDLQI ≥4 from Baseline in participants with age ≥12 to <16 years old with CDLQI at baseline ≥6
The CDLQI is a 10-item questionnaire to assess the impact of skin disease on a child's health related quality of life (HRQoL) over a recall period of 1 week. It is validated in children aged 4 to <16 years. Total score ranges from 0 to 30, with higher scores indicating greater detrimental impact on QoL.
Measured: Baseline to EOS (Week 284)
Proportion of participants with age ≥12 to <16 with a reduction in CDLQI ≥6 from Baseline in participants with age ≥12 to <16 years old with CDLQI at baseline ≥6
The CDLQI is a 10-item questionnaire to assess the impact of skin disease on a child's health related quality of life (HRQoL) over a recall period of 1 week. It is validated in children aged 4 to <16 years. Total score ranges from 0 to 30, with higher scores indicating greater detrimental impact on QoL.
Measured: Baseline to EOS (Week 284)
Proportion of participants with a reduction in DLQI ≥4 from Baseline in participants with age ≥16 years old and with DLQI at baseline ≥4
The DLQI is a 10-item questionnaire to measure dermatology specific quality of life (QoL), covering the participant's previous week (i.e. past 7 days). Total score ranges from 0 to 30, with higher scores indicating greater detrimental impact on QoL.
Measured: Baseline to EOS (Week 284)
Change in Patient Global Impression of Severity (PGIS) from baseline
The PGIS is a single item tool used to assess current severity of eczema symptoms, scored on a 5-point scale from 1 = no symptoms to 5 = very severe symptoms.
Measured: Baseline to EOS (Week 284)
Proportions of participants who report symptoms to be "No" on the PGIS score
The PGIS is a single item tool used to assess current severity of eczema symptoms, scored on a 5-point scale from 1 = no symptoms to 5 = very severe symptoms.
Measured: Baseline to EOS (Week 284)
Proportions of participants who report symptoms to be "No" or "Mild" on the PGIS score
The PGIS is a single item tool used to assess current severity of eczema symptoms, scored on a 5-point scale from 1 = no symptoms to 5 = very severe symptoms.
Measured: Baseline to EOS (Week 284)
Proportion of participants who respond "Much better" on the Patient Global Impression of (PGIC) scale
The PGIC is a single item global tool used in the assessment of AD, scored on a 5-point scale from 1 = Much improved to 5 = Much worse.
Measured: Week 16 to EOS (Week 284)
Proportion of participants who respond "Much better" or "A little better" on the PGIC scale
The PGIC is a single item global tool used in the assessment of AD, scored on a 5-point scale from 1 = Much improved to 5 = Much worse.
Measured: Week 16 to EOS (Week 284)
Proportion of participants by PGIC responses
The PGIC is a single item global tool used in the assessment of AD, scored on a 5-point scale from 1 = Much improved to 5 = Much worse.
Measured: Week 16 to EOS (Week 284)
Change in Hospital Anxiety Depression Scale (HADS) from baseline
The HADS is a 14-item patient-reported outcomes measure used to assess states of anxiety and depression over the past week. It is comprised of 7 items assessing anxiety and depression respectively. A Total score is out of 42 (21 per subscale). Higher scores indicate greater levels of anxiety and/or depression.
Measured: Baseline to EOS (Week 284)
Proportion of participants with HADS subscale Anxiety (HADS-A) <8 in participants with baseline HADS-A ≥8
The HADS is a 14-item patient-reported outcomes measure used to assess states of anxiety and depression over the past week. It is comprised of 7 items assessing anxiety and depression respectively. A Total score is out of 42 (21 per subscale). Higher scores indicate greater levels of anxiety and/or depression.
HADS-A is the anxiety HADS subscale.
Measured: Baseline to EOS (Week 284)
Proportion of participants with HADS subscale Depression (HADS-D) <8 in participants with HADS-D Baseline ≥8
The HADS is a 14-item patient-reported outcomes measure used to assess states of anxiety and depression over the past week. It is comprised of 7 items assessing anxiety and depression respectively. A Total score is out of 42 (21 per subscale). Higher scores indicate greater levels of anxiety and/or depression.
HADS-D is the depression HADS subscale.
Measured: Baseline to EOS (Week 284)
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted15 Mar 2023
- Study start3 Apr 2023
- Primary completion11 Jun 2031 (estimated)
- Study completion11 Jun 2031 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Dermatitis AtopicStudies of the same condition, open and under way.
- More trials run by SanofiThe sponsor's other registered studies.
- 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
- Not applicable
- Intervention model
- Single group
- Masking
- None (open label)
- Enrolment
- 999 participants (actual)
Sponsor and investigators
- Lead sponsor
- Sanofi
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Clinical Sciences & Operations, Study director, Sanofi
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT05769777
- Sponsor's protocol ID
- LTS17789
- Other IDs
- U1111-1280-6080, 2022-502188-39
- Acronym
- ATLANTIS
- Status last verified
- Apr 2026
- First submitted
- 3 Mar 2023
- Last updated
- 23 Apr 2026
- Results posted
- No
- Data monitoring committee
- Yes
- 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
Study at a glance
From the registry record, last updated by the sponsor on 23 Apr 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- An Open-Label Multinational, Multicenter Study to Evaluate the Long-term Safety, Tolerability and Efficacy of Subcutaneous Amlitelimab in Participants Aged 12 Years and Older With Moderate to Severe Atopic Dermatitis
- ClinicalTrials.gov ID
- NCT05769777
- Acronym / sponsor ID
- ATLANTIS / LTS17789
- Conditions
- Dermatitis Atopic
- Phase
- Phase 2
- Study type
- Interventional
- Recruitment status
- Active, not recruiting
- Enrolment
- 999 participants (actual)
- Lead sponsor
- SanofiIndustry (pharma, biotech, devices)
- Study start
- 3 Apr 2023 (actual)
- Primary completion
- 11 Jun 2031 (estimated)
- Study completion
- 11 Jun 2031 (estimated)
- First posted
- 15 Mar 2023 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
This is a single group, 1-arm, long-term safety study for treatment of participants with moderate to severe atopic dermatitis (AD).
The purpose of this study is to characterize the long-term safety and efficacy of amlitelimab in treated participants with age ≥12 years old with moderate to severe AD.
The study duration per participant will be up to 284 weeks, including:
- A screening period of up to 2 to 4 weeks
- An open label treatment period of up to 268 weeks (approximately 5 years)
- A post-treatment safety follow-up period of at least 20 weeks after the last dose administration (last IMP administration at Week 264)
The planned number of visits will be 35 visits.
Study design
- Primary purpose
- Treatment
- Allocation
- Not applicable
- Intervention model
- Single group
- Masking
- None (open label)
- Number of arms
- 1
| Arm | Type | Receives |
|---|---|---|
| Amlitelimab | Experimental | Drug: AmlitelimabSubcutaneous injection as per protocol |
Who may qualify
- Ages
- 12 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Child, Adult, Older adult
Key inclusion criteria (10 listed)
- Participant must be at least 12 years of age inclusive, at the time of signing the informed consent.
- Participants must have AD as defined by the American Academy of Dermatology Consensus Criteria for 1 year or longer at baseline.
- Participant must have documented history (within 6 months prior to screening visit), of inadequate response (including inadequate efficacy or medical inadvisability) to topical treatments and/or inadequate response to systemic therapies (within 12 months prior to screening visit).
- Eczema Area Severity Index (EASI) of 16 or higher at baseline visit/Visit 2.
- Validated Investigator Global Assessment scale for atopic dermatitis (vIGA-AD) of 3 or 4 at baseline visit/Visit 2.
Key exclusion criteria (16 listed)
- Skin co-morbidity that would adversely affect the ability to undertake AD assessments as per investigator's judgement
- Known history of or suspected significant current immunosuppression, including history of invasive opportunistic or helminthic infections despite infection resolution or otherwise recurrent infections of abnormal frequency or prolonged duration.
- Any malignancies or history of malignancies prior to baseline (except for non-melanoma skin cancer that has been excised and completely cured for more than 5 years prior to baseline).
- History of solid organ or stem cell transplant.
- Any pre-planned major elective surgery known about at baseline that in the opinion of the investigator would necessitate that IMP be permanently discontinued or require more than three doses to be missed.
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 |
|---|---|---|
| AmlitelimabPharmaceutical form: Solution for injection; Route of administration: Subcutaneous (SC) | Drug | Amlitelimab |
Primary outcome
Percentage of participants who experienced Treatment-Emergent Adverse Events (TEAEs)
Time frame: Baseline up to end of study (EOS) (Week 284)
Percentage of participants who experienced TEAEs from baseline during the study
Percentage of participants who experienced Treatment-Emergent Serious Adverse Events (TESAEs)
Time frame: Baseline up to EOS (Week 284)
Percentage of participants who experienced TESAEs from baseline during the study
40 secondary outcomes
Percentage of participants who experienced Treatment-Emergent Adverse Events of Special Interest (AESI)
Time frame: Baseline up to EOS (Week 284)
Percentage of participants with Potentially Clinically Significant Abnormalities (PCSA) for vital signs and clinical laboratory assessments, and electrocardiogram (ECG)
Time frame: Baseline up to EOS (Week 284)
Percentage of participants discontinued from study treatment due to Adverse Events (AEs)
Time frame: Baseline up to EOS (Week 284)
Percent change from baseline in Eczema Area and Severity Index (EASI) score
Time frame: Baseline to EOS (Week 284)
Proportion of participants with at least a 75% reduction from baseline in the EASI (EASI-75)
Time frame: Baseline to EOS (Week 284)
Proportion of participants with at least a 50% reduction from baseline in the EASI (EASI-50)
Time frame: Baseline to EOS (Week 284)
Proportion of participants with at least a 90% reduction from baseline in the EASI (EASI-90)
Time frame: Baseline to EOS (Week 284)
Proportion of participants with at least 100% reduction from baseline in the EASI (EASI-100)
Time frame: Baseline to EOS (Week 284)
Proportion of participants with Validated Investigator Global Assessment scale for Atopic Dermatitis (vIGA-AD) of 0 (clear) or 1 (almost clear) and a reduction of ≥2 points from baseline
Time frame: Baseline to EOS (Week 284)
Proportion of participants with vIGA-AD 0 (clear) or 1 (almost clear) with presence of only barely perceptible erythema (no induration/papulation, no lichenification, no oozing or crusting) and a reduction from baseline of ≥2 points
Time frame: Baseline to EOS (Week 284)
Proportion of participants with vIGA-AD of 0
Time frame: Baseline to EOS (Week 284)
Change in percent Body Surface Area (BSA) affected by AD from baseline
Time frame: Baseline to EOS (Week 284)
Percent change in Scoring Atopic Dermatitis (SCORAD) index from baseline
Time frame: Baseline to EOS (Week 284)
Proportion of participants requiring rescue treatment at each visit
Time frame: Baseline to EOS (Week 284)
Proportion of participants with ≥4-point reduction in weekly average of daily Peak Pruritus-Numerical Rating Scale (PP-NRS) from baseline in participants with baseline weekly average of daily PP-NRS ≥4
Time frame: Baseline to EOS (Week 284)
Proportion of participants with PP-NRS 0 or 1
Time frame: Baseline to EOS (Week 284)
Percent change in weekly average of daily PP-NRS from baseline
Time frame: Baseline to EOS (Week 284)
Change in weekly average of daily Skin Pain-Numerical Rating Scale (SP-NRS) from baseline
Time frame: Baseline to EOS (Week 284)
Proportion of participants with a reduction in weekly average of daily SP-NRS ≥4 from baseline in participants with baseline weekly average of daily SP-NRS ≥4
Time frame: Baseline to EOS (Week 284)
Change in weekly average of daily Sleep Disturbance-Numerical Rating Scale (SD-NRS) from baseline
Time frame: Baseline to EOS (Week 284)
Proportion of participants with a reduction in weekly average of daily SD-NRS ≥3 from baseline in participants with Baseline weekly average of daily SD-NRS ≥3
Time frame: Baseline to EOS (Week 284)
Change in Patient Oriented Eczema Measure (POEM) from baseline
Time frame: Baseline to EOS (Week 284)
Proportion of participants with a reduction in POEM ≥4 from Baseline in participants with POEM baseline ≥4
Time frame: Baseline to EOS (Week 284)
Proportion of adolescent participants with a reduction in POEM ≥6 from Baseline in adolescents with POEM baseline ≥6
Time frame: Baseline to EOS (Week 284)
Change in Atopic Dermatitis Control Test (ADCT) from baseline
Time frame: Baseline to EOS (Week 284)
Proportion of participants with a reduction in ADCT ≥5 from baseline in participants with baseline ADCT≥7
Time frame: Baseline to EOS (Week 284)
Change in Dermatology Quality of Life Index (DLQI) from baseline in participants with age ≥16 years old
Time frame: Baseline to EOS (Week 284)
Change in Children's Dermatology Life Quality Index (CDLQI) from baseline in participants with age ≥12 to <16 years old
Time frame: Baseline to EOS (Week 284)
Proportion of participants with age ≥12 to <16 with a reduction in CDLQI ≥4 from Baseline in participants with age ≥12 to <16 years old with CDLQI at baseline ≥6
Time frame: Baseline to EOS (Week 284)
Proportion of participants with age ≥12 to <16 with a reduction in CDLQI ≥6 from Baseline in participants with age ≥12 to <16 years old with CDLQI at baseline ≥6
Time frame: Baseline to EOS (Week 284)
Proportion of participants with a reduction in DLQI ≥4 from Baseline in participants with age ≥16 years old and with DLQI at baseline ≥4
Time frame: Baseline to EOS (Week 284)
Change in Patient Global Impression of Severity (PGIS) from baseline
Time frame: Baseline to EOS (Week 284)
Proportions of participants who report symptoms to be "No" on the PGIS score
Time frame: Baseline to EOS (Week 284)
Proportions of participants who report symptoms to be "No" or "Mild" on the PGIS score
Time frame: Baseline to EOS (Week 284)
Proportion of participants who respond "Much better" on the Patient Global Impression of (PGIC) scale
Time frame: Week 16 to EOS (Week 284)
Proportion of participants who respond "Much better" or "A little better" on the PGIC scale
Time frame: Week 16 to EOS (Week 284)
Proportion of participants by PGIC responses
Time frame: Week 16 to EOS (Week 284)
Change in Hospital Anxiety Depression Scale (HADS) from baseline
Time frame: Baseline to EOS (Week 284)
Proportion of participants with HADS subscale Anxiety (HADS-A) <8 in participants with baseline HADS-A ≥8
Time frame: Baseline to EOS (Week 284)
Proportion of participants with HADS subscale Depression (HADS-D) <8 in participants with HADS-D Baseline ≥8
Time frame: Baseline to EOS (Week 284)
Results and safety
This study is still under way. Results are not available in the source record yet.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 23 Apr 2026.
- LTS17789 Plain Language Results SummaryLink provided by the sponsor.
- Individual participant dataSharing planned: 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
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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.
Clinical Sciences & Operations study director
Sanofi
174 sites in 25 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 2 study testing Amlitelimab in people with Dermatitis Atopic, run by Sanofi at 174 sites in 25 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 16 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: under way, not looking for participants, as of the sponsor's last update on 23 Apr 2026. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 174 sites in United States, China, Canada, South Africa, Chile and 20 more countries. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
What does this phase mean?
Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
This study is still under way. Results are not available in the source record yet.
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 who experienced Treatment-Emergent Adverse Events (TEAEs) (time frame: Baseline up to end of study (EOS) (Week 284)). 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?
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 Apr 2026.