Dermatitis AtopicPhase 3NCT06181435
A Study to Evaluate the Efficacy and Safety of Subcutaneous Amlitelimab Monotherapy Compared With Placebo in Participants Aged 12 Years and Older With Moderate-to-severe Atopic Dermatitis (COAST 2)
A Phase 3 study testing Amlitelimab in people with Dermatitis Atopic, run by Sanofi at 142 sites in 16 countries.
Trial summary
This is a parallel group, Phase 3, multinational, multicenter, randomized, double-blind, placebo-controlled, 3-arm monotherapy study for treatment of participants diagnosed with moderate to severe atopic dermatitis (AD), whose disease is not adequately controlled with topical prescription therapies or when those… 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?
- Yes, some participants may receive a placebo
- How many people
- 589 participants
- Where
- 142 sitesin 16 countries
- Study dates
- 21 Dec 2023to 12 Mar 2026
- Phase
- Phase 3
- Are there results?
- None posted in the registry
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
- Participants must be 12 years of age (when signing informed consent form)
- Diagnosis of AD for at least 1 year (defined by the American Academy of Dermatology Consensus Criteria)
- Documented history (within 6 months before screening) of either inadequate response or inadvisability to topical treatments, and/or inadequate response to systemic therapies (within 12 months before screening)
- v-IGA-AD of 3 or 4 at baseline visit
- EASI score of 16 or higher at baseline
- AD involvement of 10% or more of BSA at baseline
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- Weekly average of daily PP-NRS of ≥ 4 at baseline visit.
- Able and willing to comply with requested study visits and procedures
- Body weight ≥ 25 kg
Who cannot join
- Participants are excluded from the study if any of the following criteria apply:
- Skin co-morbidity that would adversely affect the ability to undertake AD assessments
- Known history of or suspected significant current immunosuppression
- Any malignancies or history of malignancies prior to baseline (with the exception of non-melanoma skin cancer excised and cured >5 years prior to baseline)
- History of solid organ or stem cell transplant
- Any active or chronic infection including helminthic infection requiring systemic treatment within 4 weeks prior to baseline
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- Positive for human immunodeficiency virus (HIV), Hepatitis B or hepatitis C at screening visit
- Having active tuberculosis (TB), latent TB, a history of incompletely treated TB, suspected extrapulmonary TB infection, or who are at high risk of contracting TB
- Having received any of the specified therapy within the specified timeframe(s) prior to the baseline visit
- In the Investigator's opinion, any clinically significant laboratory results or protocol specified laboratory abnormalities at screening
- History of hypersensitivity or allergy to any of the excipients or investigational medicinal product (IMP)
- The above information is not intended to contain all considerations relevant to a patient's potential participation in a clinical trial.
Trial locations and contacts
142 sites in 16 countries.
142 sites in 16 countries
United States43 sites
University of New Mexico Comprehensive Cancer Center- Site Number : 8401263
Albuquerque, New Mexico, 87102
Arlington Research Center- Site Number : 8401248
Arlington, Texas, 76011
Care Access - Arlington- Site Number : 8401134
Arlington, Virginia, 22206
Bexley Dermatology Research- Site Number : 8401051
Bexley, Ohio, 43209
Tufts Medical Center Site Number : 8401201
Boston, Massachusetts, 02111
Access Dermatology- Site Number : 8401296
Bowling Green, Kentucky, 42104
OmeraNY- Site Number : 8401156
Brooklyn, New York, 11220
Velocity Clinical Research - Springdale- Site Number : 8401153
Cincinnati, Ohio, 45246
Columbia Dermatology & Aesthetics- Site Number : 8401166
Columbia, South Carolina, 29212
AllerVie Clinical Research - Columbus- Site Number : 8401104
Columbus, Georgia, 31904
Pediatric Skin Research- Site Number : 8401198
Coral Gables, Florida, 33146
MedPharmics - Covington- Site Number : 8401137
Covington, Louisiana, 70433
Derm Texas- Site Number : 8401217
Dallas, Texas, 75235
Red River Research Partners- Site Number : 8401196
Fargo, North Dakota, 58103
University of Connecticut Health Center- Site Number : 8401115
Farmington, Connecticut, 06032
First Georgia Physician Group- Site Number : 8401190
Fayetteville, Georgia, 30214
Velocity Clinical Research - Hampton- Site Number : 8401154
Hampton, Virginia, 23666
Care Access - Hoboken- Site Number : 8401132
Hoboken, New Jersey, 07030
Skin Care Research - Hollywood- Site Number : 8401071
Hollywood, Florida, 33021
Center for Clinical Studies - Houston - Binz Street- Site Number : 8401063
Houston, Texas, 77004
Prolato Clinical Research Center- Site Number : 8401209
Houston, Texas, 77054
University Of Mississippi Medical Center- Site Number : 8401184
Jackson, Mississippi, 39216
Torrance Clinical Research- Site Number : 8401027
Lomita, California, 90717
Dermatology Research Associates - Los Angeles- Site Number : 8401092
Los Angeles, California, 90045
Care Access Research - Marriottsville- Site Number : 8401126
Marriottsville, Maryland, 21104
Savin Medical Group - Miami- Site Number : 8401085
Miami, Florida, 33126
Anchor Medical Research- Site Number : 8401300
Miami, Florida, 33176
Allergy & Asthma Associates of Southern California - Mission Viejo- Site Number : 8401079
Mission Viejo, California, 92691
Sienna Dermatology- Site Number : 8401148
Missouri City, Texas, 77459
Equity Medical- Site Number : 8401239
New York, New York, 10023
Advanced Research Institute - Odgen- Site Number : 8401057
Ogden, Utah, 84405
Accel Research - Nona Pediatric Center- Site Number : 8401081
Orlando, Florida, 32829
Cura Clinical Research - Oxnard- Site Number : 8401142
Oxnard, California, 93030
Dermatology Associates of Plymouth Meeting- Site Number : 8401147
Plymouth Meeting, Pennsylvania, 19462
Nuline Clinical Trial Center- Site Number : 8401161
Pompano Beach, Florida, 33060
Health Concepts- Site Number : 8401059
Rapid City, South Dakota, 57702
Progressive Clinical Research - San Antonio- Site Number : 8401016
San Antonio, Texas, 78229
Clinical Science Institute- Site Number : 8401028
Santa Monica, California, 90404
Center for Dermatology and Plastic Surgery- Site Number : 8401119
Scottsdale, Arizona, 85260
Clinical Research Trials of Florida- Site Number : 8401023
Tampa, Florida, 33607
Montefiore Medical Center - Moses Campus- Site Number : 8401150
The Bronx, New York, 10467
Eclipse Clinical Research- Site Number : 8401158
Tucson, Arizona, 85745
PEAK Research- Site Number : 8401083
Upper Saint Clair, Pennsylvania, 15241
Japan18 sites
Investigational Site Number : 3920009
Chitose, Hokkaido, 066-0021
Investigational Site Number : 3920004
Chūō, Tokyo, 104-0031
Investigational Site Number : 3923109
Habikino, Osaka, 583-8588
Investigational Site Number : 3920002
Iruma, Saitama, 350-0495
Investigational Site Number : 3923108
Kagoshima, 890-0063
Investigational Site Number : 3920006
Kobe, Hyōgo, 653-0836
Investigational Site Number : 3923102
Kyoto, 602-8566
Investigational Site Number : 3920003
Kyoto, 606-8507
Investigational Site Number : 3923106
Mibu, Tochigi, 321-0293
Investigational Site Number : 3923107
Minato, Tokyo, 108-0014
Investigational Site Number : 3920010
Miyagi-gun, Miyagi, 981-0112
Investigational Site Number : 3923114
Obihiro, Hokkaido, 080-0013
Investigational Site Number : 3920005
Sagamihara, Kanagawa, 252-0315
Investigational Site Number : 3923110
Sakai, Osaka, 593-8324
Investigational Site Number : 3920008
Sapporo, Hokkaido, 064-0921
Investigational Site Number : 3920011
Sendai, Miyagi, 981-3133
Investigational Site Number : 3920001
Tachikawa, Tokyo, 190-0023
Investigational Site Number : 3923113
Yokohama, Kanagawa, 221-0825
China16 sites
Investigational Site Number : 1560004
Beijing, 100191
Investigational Site Number : 1560030
Beijing, 100730
Investigational Site Number : 1560022
Chengdu, 610041
Investigational Site Number : 1560021
Guangzhou, 510018
Investigational Site Number : 1560025
Guangzhou, 510080
Investigational Site Number : 1560002
Hangzhou, 310006
Investigational Site Number : 1560006
Hangzhou, 310009
Investigational Site Number : 1560029
Hangzhou, 310014
Investigational Site Number : 1560007
Jinan, 250013
Investigational Site Number : 1560024
Ningbo, 315010
Investigational Site Number : 1560001
Shanghai, 200040
Investigational Site Number : 1560005
Shanghai, 200443
Investigational Site Number : 1560026
Shenyang, 110179
Investigational Site Number : 1560023
Wenzhou, 325035
Investigational Site Number : 1560003
Wuxi, 214000
Investigational Site Number : 1560028
Zhenjiang, 212000
Argentina9 sites
Investigational Site Number : 0320021
Berazategui, Buenos Aires, 1886
Investigational Site Number : 0320016
Buenos Aires, 1055
Investigational Site Number : 0320001
Buenos Aires, 1121
Investigational Site Number : 0320002
Buenos Aires, 1425
Investigational Site Number : 0320009
Buenos Aires, 1425
Investigational Site Number : 0320017
Pilar, Buenos Aires, 1629
Investigational Site Number : 0320006
Rosario, Santa Fe Province, 2000
Investigational Site Number : 0320007
Rosario, Santa Fe Province, 2000
Investigational Site Number : 0320015
Rosario, Santa Fe Province, 2000
South Africa8 sites
Investigational Site Number : 7100004
Boksburg, 1459
Investigational Site Number : 7100010
Cape Town, 7533
Investigational Site Number : 7100009
Cape Town, 7708
Investigational Site Number : 7100012
Durban, 3630
Investigational Site Number : 7100001
Durban, 4058
Investigational Site Number : 7100015
Johannesburg, 1500
Investigational Site Number : 7100007
Johannesburg, 2196
Investigational Site Number : 7100003
Pretoria, 0009
Turkey (Türkiye)7 sites
Investigational Site Number : 7920001
Antalya, 07070
Investigational Site Number : 7920005
Istanbul, 34093
Investigational Site Number : 7920006
Istanbul, 34093
Investigational Site Number : 7920002
Istanbul, 34098
Investigational Site Number : 7920004
Kayseri, 38039
Investigational Site Number : 7920011
Mersin, 33343
Investigational Site Number : 7920007
Samsun, 55139
Chile5 sites
Investigational Site Number : 1520015
Quillota, Valparaiso, 2260877
Investigational Site Number : 1520013
Santiago, Reg Metropolitana de Santiago, 7500505
Investigational Site Number : 1520003
Santiago, Reg Metropolitana de Santiago, 7640881
Investigational Site Number : 1520014
Santiago, Reg Metropolitana de Santiago, 7750495
Investigational Site Number : 1520004
Valdivia, Los Ríos Region, 5110683
Czechia5 sites
Investigational Site Number : 2032106
Kutná Hora, 284 01
Investigational Site Number : 2030010
Olomouc, 779 00
Investigational Site Number : 2032104
Ostrava, 702 00
Investigational Site Number : 2030011
Prague, 150 00
Investigational Site Number : 2030006
Prague, 160 00
Italy5 sites
Investigational Site Number : 3800009
Catania, 95123
Investigational Site Number : 3800008
Pisa, 56126
Investigational Site Number : 3800013
Rome, Roma, 00133
Investigational Site Number : 3800018
Rozzano, Milano, 20089
Investigational Site Number : 3800022
Vicenza, 36100
Mexico5 sites
Investigational Site Number : 4840012
Aguascalientes, 20127
Investigational Site Number : 4840009
Durango, 34000
Investigational Site Number : 4840011
Monterrey, Nuevo León, 64460
Investigational Site Number : 4840005
Monterrey, Nuevo León, 64718
Investigational Site Number : 4840003
Veracruz, 91900
United Kingdom5 sites
Investigational Site Number : 8260006
Glasgow, G3 8SJ
Investigational Site Number : 8260004
Leicester, LE2 0TA
Investigational Site Number : 8262602
London, London, City of, SE1 7EH
Investigational Site Number : 8262601
London, London, City of, SE1 9RT
Investigational Site Number : 8260003
Portsmouth, Hampshire, PO3 6DW
Portugal4 sites
Investigational Site Number : 6200005
Lisbon, 1169-050
Investigational Site Number : 6200004
Lisbon, 1649-035
Investigational Site Number : 6200001
Lisbon, 1998-018
Investigational Site Number : 6200003
Porto, 4099-001
Spain4 sites
Investigational Site Number : 7240018
Granada, 18014
Investigational Site Number : 7240012
Las Palmas de Gran Canaria, Las Palmas, 35010
Investigational Site Number : 7240029
Madrid, 28007
Investigational Site Number : 7242503
Madrid, 28046
Bulgaria3 sites
Investigational Site Number : 1002008
Gabrovo, 5300
Investigational Site Number : 1002004
Pleven, 5800
Investigational Site Number : 1002005
Sofia, 1431
Denmark3 sites
Investigational Site Number : 2080002
Aalborg, 9000
Investigational Site Number : 2080001
Aarhus, 8200
Investigational Site Number : 2080003
Herlev, 2730
Sweden2 sites
Investigational Site Number : 7520006
Älvsjö, 125 44
Investigational Site Number : 7520001
Örebro, 701 85
About this study
Official title: A Phase 3, Randomized, Double-blind, Placebo-controlled, Parallelgroup, 3-arm, Multinational, Multicenter Study to Evaluate the Efficacy and Safety of Amlitelimab Monotherapy by Subcutaneous Injection in Participants Aged 12 Years and Older With Moderate-to-severe Atopic Dermatitis
This is a parallel group, Phase 3, multinational, multicenter, randomized, double-blind, placebo-controlled, 3-arm monotherapy study for treatment of participants diagnosed with moderate to severe atopic dermatitis (AD), whose disease is not adequately controlled with topical prescription therapies or when those therapies are not advisable.
The purpose of this study is to measure the efficacy and safety of treatment with amlitelimab solution for SC injection compared with placebo in participants with moderate to severe AD aged 12 years and older.
Read more
Study details include:
At the end of the treatment period, participants will have an option to enter a separate study: the blinded extension study EFC17600 (ESTUARY).
For participants not entering the blinded extension Study EFC17600 (ESTUARY), the study duration will be up to 44 weeks including a 2 to 4-week screening, a 24-week randomized double-blind period, and a 16-week safety follow-up.
For participants entering the blinded extension Study EFC17600 (ESTUARY), the study duration will be up to 28 weeks including a 2 to 4-week screening and a 24-week randomized double-blind period.
The total treatment duration will be up to 24 weeks. The total number of visits will be up to 10 visits (or 9 visits for those entering the blinded extension study EFC17600 (ESTUARY).
- Conditions
- Dermatitis Atopic
- Being tested
- Amlitelimab, 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.
AmlitelimabDrug
Also called SAR445229
Pharmaceutical form: Injection solution Route of administration: SC injection
PlaceboDrug
Pharmaceutical form:
Injection solution Route of administration: SC injection
| Study group | Role | What they receive |
|---|---|---|
| Amlitelimab dose 1 | Experimental | Subcutaneous injection as per protocol Receives: Drug: Amlitelimab |
| Amlitelimab dose 2 | Experimental | Subcutaneous injection as per protocol Receives: Drug: Amlitelimab |
| Placebo | Placebo comparator | Subcutaneous injection as per protocol Receives: Drug: Placebo |
What is being measured
The primary outcome is the main question the study is designed to answer.
EU, EU reference countries, and Japan: Proportion of participants with Validated Investigator Global Assessment scale for Atopic Dermatitis (vIGA-AD) of 0 (clear) or 1 (almost clear) and a reduction from baseline of ≥2 points at Week 24
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: Week 24
EU, EU reference countries, and Japan: Proportion of participants reaching 75% reduction from baseline in Eczema Area and Severity Index (EASI) score (EASI-75) at Week 24
The EASI is an Investigator-assessed validated tool used to measure the extent (area) and severity of AD. Total score ranges from 0 to 72 with a higher score indicating increased extent and severity of AD.
Measured: Week 24
US and US reference countries: Proportion of participants with vIGA-AD of 0 (clear) or 1 (almost clear) and a reduction from baseline of ≥2 points at Week 24
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: Week 24
Secondary outcomes (37)
Proportion of participants reaching EASI-75 at Week 24 (for US and US reference countries only)
The EASI is an Investigator-assessed validated tool used to measure the extent (area) and severity of AD. Total score ranges from 0 to 72 with a higher score indicating increased extent and severity of AD. EASI-75 is 75% reduction from baseline in EASI score.
Measured: Week 24
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 Week 24
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 validated single item 0-10 numeric rating scale assessing peak pruritus (itch) associated with AD with 0 = no itch and 10 = worst itch imaginable.
Measured: Baseline to Week 24
Proportion of participants reaching EASI-75
The EASI is an Investigator-assessed validated tool used to measure the extent (area) and severity of AD. Total score ranges from 0 to 72 with a higher score indicating increased extent and severity of AD. EASI-75 is 75% reduction from baseline in EASI score.
Measured: Baseline to Week 20
Proportion of participants with vIGA-AD of 0 (clear) or 1 (almost clear) 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 Week 20
Proportion of participants with vIGA-AD 0 (clear)
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: Week 24
Proportion of participants reaching EASI-90
The EASI is an Investigator-assessed validated tool used to measure the extent (area) and severity of AD. Total score ranges from 0 to 72 with a higher score indicating increased extent and severity of AD. EASI-90 is 90% reduction from baseline in EASI score.
Measured: Baseline to Week 24
Proportion of participants reaching EASI-100
The EASI is an Investigator-assessed validated tool used to measure the extent (area) and severity of AD. Total score ranges from 0 to 72 with a higher score indicating increased extent and severity of AD. EASI-100 is 100% reduction from baseline in EASI score.
Measured: Baseline to Week 24
Proportion of participants with PP-NRS 0 or 1
The PP-NRS is a validated single item 0-10 numeric rating scale assessing peak pruritus (itch) associated with AD with 0 = no itch and 10 = worst itch imaginable.
Measured: Baseline to Week 24
Change in Dermatology Life Quality Index (DLQI) from baseline in participants with age ≥16 years old
The DLQI is a validated 10-item questionnaire to measure dermatology-specific quality of life (QoL) in adult patients. Overall scoring ranges from 0 to 30, with a higher score indicating a poorer QoL.
Measured: Baseline to Week 24
Proportion of participants with a reduction in DLQI ≥4 from baseline in participants with age ≥16 years old and with DLQI baseline ≥4
The DLQI is a validated 10-item questionnaire to measure dermatology-specific quality of life (QoL) in adult patients. Overall scoring ranges from 0 to 30, with a higher score indicating a poorer QoL.
Measured: Baseline to Week 24
Change in Children Dermatology Life Quality Index (CDLQI) from baseline in participants with age ≥12 to <16 years old
The CDLQI is a validated 10-item questionnaire to measure dermatology-specific quality of life (QoL) in children aged 4-<16 years. Overall scoring ranges from 0 to 30, with a higher score indicating a poorer QoL.
Measured: Baseline to Week 24
Proportion of participants with a reduction in CDLQI ≥6 from baseline in participants with age ≥12 to <16 years old and with CDLQI baseline ≥6
The CDLQI is a validated 10-item questionnaire to measure dermatology-specific quality of life (QoL) in children aged 4-<16 years. Overall scoring ranges from 0 to 30, with a higher score indicating a poorer QoL
Measured: Baseline to Week 24
Change in Hospital Anxiety Depression Scale (HADS) from baseline
The HADS is 14-item questionnaire with two subscales: anxiety \& depression. Each subscale (anxiety \& depression) ranges 0-21. The total HADS score ranges 0-42 with higher score indicating a poorer state.
Measured: Baseline to Week 24
Proportion of participants with HADS subscale Anxiety (HADS-A) <8 in participants with baseline HADS-A ≥8
HADS-A score ranges 0-21 with higher score indicating a poorer state.
Measured: Baseline to Week 24
Proportion of participants with HADS subscale Depression (HADS-D) <8 in participants with HADS-D baseline ≥8
HADS-D score ranges 0-21 with higher score indicating a poorer state.
Measured: Baseline to Week 24
Absolute 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 with 0 = no pain and 10 = worst possible pain imaginable.
Measured: Baseline to Week 24
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 with 0 = no pain and 10 = worst possible pain imaginable.
Measured: Baseline to Week 24
Absolute 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 = no sleep loss and 10 = did not sleep at all.
Measured: Baseline to Week 24
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 = no sleep loss and 10 = did not sleep at all.
Measured: Baseline to Week 24
Percent change in weekly average of daily SP-NRS from baseline
The SP-NRS is a single item 0-10 numeric rating scale assessing skin pain associated with AD with 0 = no pain and 10 = worst possible pain imaginable.
Measured: Baseline to Week 24
Percent change in weekly average of daily SD-NRS from baseline
The SD-NRS is a single item 0-10 numeric rating scale assessing sleep disturbance associated with AD with 0 = no sleep loss and 10 = did not sleep at all.
Measured: Baseline to Week 24
Percent change in EASI score from baseline
The EASI is an Investigator-assessed validated tool used to measure the extent (area) and severity of AD. Total score ranges from 0 to 72 with a higher score indicating increased extent and severity of AD.
Measured: Baseline to Week 24
Percent change in weekly average of daily PP-NRS from baseline
The PP-NRS is a validated single item 0-10 numeric rating scale assessing peak pruritus (itch) associated with AD with 0 = no itch and 10 = worst itch imaginable.
Measured: Baseline to Week 24
Absolute change in weekly average of daily PP-NRS from baseline
The PP-NRS is a validated single item 0-10 numeric rating scale assessing peak pruritus (itch) associated with AD with 0 = no itch and 10 = worst itch imaginable.
Measured: Baseline to Week 24
Proportion of participants reaching EASI-50
The EASI is an Investigator-assessed validated tool used to measure the extent (area) and severity of AD. Total score ranges from 0 to 72 with a higher score indicating increased extent and severity of AD. EASI-50 is 50% reduction from baseline in EASI score.
Measured: Baseline to Week 24
Proportion of participants with EASI ≤7
The EASI is an Investigator-assessed validated tool used to measure the extent (area) and severity of AD. Total score ranges from 0 to 72 with a higher score indicating increased extent and severity of AD.
Measured: Baseline to Week 24
Change in percent Body Surface Area (BSA) affected by AD from baseline
Measured: Baseline to Week 24
Percent change in Scoring Atopic Dermatitis (SCORAD) index from baseline
The SCORAD index is a clinical tool to evaluate the extent and severity of AD. Total score ranges from 0 (absent disease) to 103 (severe disease).
Measured: Baseline to Week 24
Absolute change in SCORAD index from baseline
The SCORAD index is a clinical tool to evaluate the extent and severity of AD. Total score ranges from 0 (absent disease) to 103 (severe disease).
Measured: Baseline to Week 24
Proportion of participants with a reduction in SCORAD ≥ 8.7 points from baseline in participants with baseline SCORAD score ≥ 8.7
The SCORAD index is a clinical tool to evaluate the extent and severity of AD. Total score ranges from 0 (absent disease) to 103 (severe disease).
Measured: Baseline to Week 24
Change in Patient Oriented Eczema Measure (POEM) from baseline
The POEM is a 7-item self-assessment questionnaire that assesses disease symptoms on a 5-point scale; 0 (no days) to 4 (every day in the last week). The sum of the 7 items gives the total POEM score of 0 (absent disease) to 28 (very severe). Higher scores indicated more severe disease and poor quality of life.
Measured: Baseline to Week 24
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 that assesses disease symptoms on a 5-point scale; 0 (no days) to 4 (every day in the last week). The sum of the 7 items gives the total POEM score of 0 (absent disease) to 28 (very severe). Higher scores indicated more severe disease and poor quality of life.
Measured: Baseline to Week 24
Proportion of participants with rescue medication use
Measured: Baseline to Week 24
Percentage of participants who experience Treatment-Emergent Adverse Events (TEAEs), experience Treatment-Emergent Serious Adverse Events (TESAEs) and/or Treatment- Emergent Adverse Events of Special Interest (AESI)
Measured: Baseline to Week 40
Serum amlitelimab concentrations
Measured: Baseline to Week 40
Incidence of antidrug antibodies (ADAs) of amlitelimab
Measured: Baseline to Week 40
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted26 Dec 2023
- Study start21 Dec 2023
- Primary completion25 Nov 2025
- Study completion12 Mar 2026
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 3
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Quadruple blind
- Who is masked
- Participant, Care provider, Investigator, Outcomes assessor
- Enrolment
- 589 participants (actual)
Sponsor and investigators
- Lead sponsor
- Sanofi
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT06181435
- Sponsor's protocol ID
- EFC17560
- Other IDs
- 2023-506557-38, U1111-1275-9665, 2023
- Status last verified
- Aug 2026
- First submitted
- 13 Dec 2023
- Last updated
- 13 Aug 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 13 Aug 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Phase 3, Randomized, Double-blind, Placebo-controlled, Parallelgroup, 3-arm, Multinational, Multicenter Study to Evaluate the Efficacy and Safety of Amlitelimab Monotherapy by Subcutaneous Injection in Participants Aged 12 Years and Older With Moderate-to-severe Atopic Dermatitis
- ClinicalTrials.gov ID
- NCT06181435
- Acronym / sponsor ID
- EFC17560
- Conditions
- Dermatitis Atopic
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 589 participants (actual)
- Lead sponsor
- SanofiIndustry (pharma, biotech, devices)
- Study start
- 21 Dec 2023 (actual)
- Primary completion
- 25 Nov 2025 (actual)
- Study completion
- 12 Mar 2026 (actual)
- First posted
- 26 Dec 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 parallel group, Phase 3, multinational, multicenter, randomized, double-blind, placebo-controlled, 3-arm monotherapy study for treatment of participants diagnosed with moderate to severe atopic dermatitis (AD), whose disease is not adequately controlled with topical prescription therapies or when those therapies are not advisable.
The purpose of this study is to measure the efficacy and safety of treatment with amlitelimab solution for SC injection compared with placebo in participants with moderate to severe AD aged 12 years and older.
Study details include:
At the end of the treatment period, participants will have an option to enter a separate study: the blinded extension study EFC17600 (ESTUARY).
For participants not entering the blinded extension Study EFC17600 (ESTUARY), the study duration will be up to 44 weeks including a 2 to 4-week screening, a 24-week randomized double-blind period, and a 16-week safety follow-up.
For participants entering the blinded extension Study EFC17600 (ESTUARY), the study duration will be up to 28 weeks including a 2 to 4-week screening and a 24-week randomized double-blind period.
The total treatment duration will be up to 24 weeks. The total number of visits will be up to 10 visits (or 9 visits for those entering the blinded extension study EFC17600 (ESTUARY).
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Quadruple blind (participant, care provider, investigator, outcomes assessor)
- Number of arms
- 3
| Arm | Type | Receives |
|---|---|---|
| Amlitelimab dose 1 | Experimental | Drug: AmlitelimabSubcutaneous injection as per protocol |
| Amlitelimab dose 2 | Experimental | Drug: AmlitelimabSubcutaneous injection as per protocol |
| Placebo | Placebo comparator | Drug: PlaceboSubcutaneous 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 (9 listed)
- Participants must be 12 years of age (when signing informed consent form)
- Diagnosis of AD for at least 1 year (defined by the American Academy of Dermatology Consensus Criteria)
- Documented history (within 6 months before screening) of either inadequate response or inadvisability to topical treatments, and/or inadequate response to systemic therapies (within 12 months before screening)
- v-IGA-AD of 3 or 4 at baseline visit
- EASI score of 16 or higher at baseline
Key exclusion criteria (12 listed)
- Skin co-morbidity that would adversely affect the ability to undertake AD assessments
- Known history of or suspected significant current immunosuppression
- Any malignancies or history of malignancies prior to baseline (with the exception of non-melanoma skin cancer excised and cured >5 years prior to baseline)
- History of solid organ or stem cell transplant
- Any active or chronic infection including helminthic infection requiring systemic treatment within 4 weeks prior to baseline
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 |
|---|---|---|
| AmlitelimabAlso: SAR445229Pharmaceutical form: Injection solution Route of administration: SC injection | Drug | Amlitelimab dose 1, Amlitelimab dose 2 |
| PlaceboPharmaceutical form: Injection solution Route of administration: SC injection | Drug | Placebo |
Primary outcome
EU, EU reference countries, and Japan: Proportion of participants with Validated Investigator Global Assessment scale for Atopic Dermatitis (vIGA-AD) of 0 (clear) or 1 (almost clear) and a reduction from baseline of ≥2 points at Week 24
Time frame: Week 24
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).
EU, EU reference countries, and Japan: Proportion of participants reaching 75% reduction from baseline in Eczema Area and Severity Index (EASI) score (EASI-75) at Week 24
Time frame: Week 24
The EASI is an Investigator-assessed validated tool used to measure the extent (area) and severity of AD. Total score ranges from 0 to 72 with a higher score indicating increased extent and severity of AD.
US and US reference countries: Proportion of participants with vIGA-AD of 0 (clear) or 1 (almost clear) and a reduction from baseline of ≥2 points at Week 24
Time frame: Week 24
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).
37 secondary outcomes
Proportion of participants reaching EASI-75 at Week 24 (for US and US reference countries only)
Time frame: Week 24
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 Week 24
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 Week 24
Proportion of participants reaching EASI-75
Time frame: Baseline to Week 20
Proportion of participants with vIGA-AD of 0 (clear) or 1 (almost clear) and a reduction from baseline of ≥2 points
Time frame: Baseline to Week 20
Proportion of participants with vIGA-AD 0 (clear)
Time frame: Week 24
Proportion of participants reaching EASI-90
Time frame: Baseline to Week 24
Proportion of participants reaching EASI-100
Time frame: Baseline to Week 24
Proportion of participants with PP-NRS 0 or 1
Time frame: Baseline to Week 24
Change in Dermatology Life Quality Index (DLQI) from baseline in participants with age ≥16 years old
Time frame: Baseline to Week 24
Proportion of participants with a reduction in DLQI ≥4 from baseline in participants with age ≥16 years old and with DLQI baseline ≥4
Time frame: Baseline to Week 24
Change in Children Dermatology Life Quality Index (CDLQI) from baseline in participants with age ≥12 to <16 years old
Time frame: Baseline to Week 24
Proportion of participants with a reduction in CDLQI ≥6 from baseline in participants with age ≥12 to <16 years old and with CDLQI baseline ≥6
Time frame: Baseline to Week 24
Change in Hospital Anxiety Depression Scale (HADS) from baseline
Time frame: Baseline to Week 24
Proportion of participants with HADS subscale Anxiety (HADS-A) <8 in participants with baseline HADS-A ≥8
Time frame: Baseline to Week 24
Proportion of participants with HADS subscale Depression (HADS-D) <8 in participants with HADS-D baseline ≥8
Time frame: Baseline to Week 24
Absolute change in weekly average of daily Skin Pain-Numerical Rating Scale (SP-NRS) from baseline
Time frame: Baseline to Week 24
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 Week 24
Absolute change in weekly average of daily Sleep Disturbance-Numerical Rating Scale (SD-NRS) from baseline
Time frame: Baseline to Week 24
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 Week 24
Percent change in weekly average of daily SP-NRS from baseline
Time frame: Baseline to Week 24
Percent change in weekly average of daily SD-NRS from baseline
Time frame: Baseline to Week 24
Percent change in EASI score from baseline
Time frame: Baseline to Week 24
Percent change in weekly average of daily PP-NRS from baseline
Time frame: Baseline to Week 24
Absolute change in weekly average of daily PP-NRS from baseline
Time frame: Baseline to Week 24
Proportion of participants reaching EASI-50
Time frame: Baseline to Week 24
Proportion of participants with EASI ≤7
Time frame: Baseline to Week 24
Change in percent Body Surface Area (BSA) affected by AD from baseline
Time frame: Baseline to Week 24
Percent change in Scoring Atopic Dermatitis (SCORAD) index from baseline
Time frame: Baseline to Week 24
Absolute change in SCORAD index from baseline
Time frame: Baseline to Week 24
Proportion of participants with a reduction in SCORAD ≥ 8.7 points from baseline in participants with baseline SCORAD score ≥ 8.7
Time frame: Baseline to Week 24
Change in Patient Oriented Eczema Measure (POEM) from baseline
Time frame: Baseline to Week 24
Proportion of participants with a reduction in POEM ≥4 from baseline in participants with POEM Baseline ≥4
Time frame: Baseline to Week 24
Proportion of participants with rescue medication use
Time frame: Baseline to Week 24
Percentage of participants who experience Treatment-Emergent Adverse Events (TEAEs), experience Treatment-Emergent Serious Adverse Events (TESAEs) and/or Treatment- Emergent Adverse Events of Special Interest (AESI)
Time frame: Baseline to Week 40
Serum amlitelimab concentrations
Time frame: Baseline to Week 40
Incidence of antidrug antibodies (ADAs) of amlitelimab
Time frame: Baseline to Week 40
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 13 Aug 2026.
- EFC17560 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.
The record lists no contact. Use the official record to reach the sponsor.
142 sites in 16 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing Amlitelimab in people with Dermatitis Atopic, run by Sanofi at 142 sites in 16 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 9 inclusion and 12 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 13 Aug 2026. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 142 sites in United States, Japan, China, Argentina, South Africa and 11 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. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
What does this phase mean?
Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
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?
EU, EU reference countries, and Japan: Proportion of participants with Validated Investigator Global Assessment scale for Atopic Dermatitis (vIGA-AD) of 0 (clear) or 1 (almost clear) and a reduction from baseline of ≥2 points at Week 24 (time frame: Week 24). The study lists 3 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 13 Aug 2026.