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Moderate-to-Severe Atopic DermatitisPhase 3ZENITH AD-2NCT07711418

A Phase 3 Study of Rezpegaldesleukin (NKTR-358) for Patients ≥ 12 Years of Age With Moderate-to-Severe Atopic Dermatitis

A Phase 3 study testing Rezpegaldesleukin in people with Moderate-to-Severe Atopic Dermatitis, run by Nektar Therapeutics at 13 sites in United States.

Recruiting

Looking for participants now. Contact the study team or a site below to ask about taking part.

Sites and contacts
Official record
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Trial summary

This is an interventional, randomized, parallel group, treatment, Phase 3, double blind study to assess the effect of Rezpegaldesleukin in participants 12 years of age or older with moderate to severe atopic dermatitis, as compared to placebo. The estimated participant overall duration is approximately 15 months. Read more about this study

Who is it for?
Ages 12 years and older
Conditions the study is for
Moderate-to-Severe Atopic Dermatitis
What is being tested?
Rezpegaldesleukin
Type of treatment
Injection or infusion
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
510 participants
Where
13 sitesUnited States
Study dates
7 Aug 2026to Jan 2029
Phase
Phase 3
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

  • Male or female patients, ≥ 12 years of age on the day of signing the informed consent form and weighing ≥ 40 kg prior to randomization at Baseline
  • Chronic atopic dermatitis (AD) defined as onset of AD signs and symptoms
  • ≥ 12 months prior to Screening as determined by the Investigator through patient interview and/or review of medical history at the Screening Visit
  • Patients must meet the following AD severity criteria:
  • IGA score ≥ 3 (scale of 0 to 4) at Screening and Baseline
  • ≥ 10.0% of BSA involvement at Screening and Baseline
Show all 9Show fewer
  • EASI ≥ 16.0 at Screening and Baseline
  • Are candidates for systemic therapy and have history, documented by a physician and/or the Investigator, of inadequate response to existing topical medications within 6 months preceding Screening, or history of intolerance to a topical therapy
  • Provide written, informed consent to participate in the study and follow the study procedures, including compliance with the use of highly effective contraceptives

Who cannot join

  • Are currently experiencing or have a history of concomitant skin conditions other than AD, including skin infection in the area affected by the patient's AD that requires treatment with systemic antimicrobial therapy
  • Are currently experiencing or have a history of unstable course of AD
  • History of chronic idiopathic urticaria at any time or urticaria from other causes within 4 weeks prior to randomization at the Baseline Visit.
  • Have a history of TCS use suggestive of a high risk for topical corticosteroid (TCS) withdrawal
  • Have received any of the following treatments at any time before Screening: aldesleukin; investigational IL-2 analog; systemic biologic; oral JAKi; or any prior investigational agent for AD
  • Have a current or recent acute, active infection

Trial locations and contacts

13 sites in 1 country. Contact the study team or a site near you to ask about taking part.

Nektar Recruitment contact

855-482-8676

StudyInquiry@nektar.com

13 sites in 1 country

United States13 sites, 13 recruiting
  • Nektar Investigative Site

    Birmingham, Alabama, 35203

    Recruiting
  • Nektar Investigative Site

    Columbus, Ohio, 43213

    Recruiting
  • Nektar Investigative Site

    Kirksville, Missouri, 63501

    Recruiting
  • Nektar Investigative Site

    Las Vegas, Nevada, 89144

    Recruiting
  • Nektar Investigative Site

    Lee's Summit, Missouri, 64064

    Recruiting
  • Nektar Investigative Site

    Metairie, Louisiana, 70006

    Recruiting
  • Nektar Investigative Site

    Oxnard, California, 93030

    Recruiting
  • Nektar Investigative Site

    Palmdale, California, 93551

    Recruiting
  • Nektar Investigative Site

    Robbinsville, New Jersey, 08691

    Recruiting
  • Nektar Investigative Site

    Sacramento, California, 95815

    Recruiting
  • Nektar Investigative Site

    Savannah, Georgia, 31406

    Recruiting
  • Nektar Investigative Site

    Tamarac, Florida, 33321

    Recruiting
  • Nektar Investigative Site

    The Bronx, New York, 10455

    Recruiting

Other trials in United States

About this study

Official title: A Phase 3, Randomized, Double-Blind, Parallel-Group, Placebo-Controlled Study to Evaluate the Efficacy and Safety of Rezpegaldesleukin (NKTR-358) Monotherapy in the Treatment of Patients ≥ 12 Years of Age With Moderate-to- Severe Atopic Dermatitis

This is an interventional, randomized, parallel group, treatment, Phase 3, double blind study to assess the effect of Rezpegaldesleukin in participants 12 years of age or older with moderate to severe atopic dermatitis, as compared to placebo.

The estimated participant overall duration is approximately 15 months.

Being tested
Rezpegaldesleukin, Placebo

What participants receive

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

  • RezpegaldesleukinDrug

    Also called NKTR-358

    Pharmaceutical form: Injection solution Route of administration: subcutaneous

  • PlaceboDrug

    Pharmaceutical form: Injection solution Route of administration: subcutaneous

Study groups in NCT07711418
Study groupRoleWhat they receive
Blinded Induction Period: Rezpegaldesleukin every 2 weeksExperimentalRezpegaldesleukin every 2 weeks during the induction period
Receives: Drug: Rezpegaldesleukin
Blinded Induction Period: PlaceboPlacebo comparatorPlacebo every 2 weeks during the induction period
Receives: Drug: Placebo
Blinded Maintenance Period: Rezpegaldesleukin every 4 weeksExperimentalRezpegaldesleukin every 4 weeks during the maintenance period
Receives: Drug: Rezpegaldesleukin
Blinded Maintenance Period: Rezpegaldesleukin every 12 weeksExperimentalRezpegaldesleukin every 12 weeks during the maintenance period
Receives: Drug: Rezpegaldesleukin
Blinded Maintenance Period: PlaceboPlacebo comparatorPlacebo every 4 weeks during the maintenance period
Receives: Drug: Placebo
Open-Label EscapeExperimentalRezpegaldesleukin at a frequency determined by the investigator during the open-label escape
Receives: Drug: Rezpegaldesleukin

What is being measured

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

  1. US only: Number of participants with an Investigator's Global Assessment (IGA) score of 0 or 1 and reduction ≥ 2 points from baseline at Week 24

    The IGA scale ranges from 0 to 4, with higher score indicating more severe disease.

    Measured: Week 0 and Week 24

  2. Non-US regions only: Number of participants with an Investigator's Global Assessment (IGA) score of 0 or 1 at Week 24

    The IGA scale ranges from 0 to 4, with higher score indicating more severe disease.

    Measured: Week 0 and Week 24

  3. Non-US regions only: Number of participants with a ≥ 75% reduction in Eczema Area and Severity Index (EASI) score from baseline at Week 24 (EASI-75)

    The EASI scores range from 0 to 72, with higher scores indicating more severe atopic dermatitis.

    Measured: Week 0 and Week 24

Secondary outcomes (21)
  1. US only: Number of participants with a ≥ 75% reduction in EASI score from baseline at Week 24 (EASI-75)

    The EASI scores range from 0 to 72, with higher scores indicating more severe atopic dermatitis.

    Measured: Week 0 and Week 24

  2. Number of participants with a ≥ 90% reduction in EASI score from baseline at Week 24 (EASI-90)

    The EASI scores range from 0 to 72, with higher scores indicating more severe atopic dermatitis.

    Measured: Week 0 and Week 24

  3. Number of participants at week 6 achieving a 4-point or greater improvement in Itch numerical rating scale (NRS) in the subset of participants with a 4-point or greater Itch NRS at baseline

    The itch NRS goes from 0 to 10, with higher score indicating more severe itch.

    Measured: Week 0 and Week 6

  4. Number of participants at week 24 achieving a 4-point or greater improvement in Itch numerical rating scale (NRS) in the subset of participants with a 4-point or greater Itch NRS at baseline

    The itch NRS goes from 0 to 10, with higher score indicating more severe itch.

    Measured: Week 0 and Week 24

  5. Number of participants at week 6 achieving a 4-point or greater improvement in Skin Pain numerical rating scale (NRS) in the subset of participants with a 4-point or greater Skin Pain NRS at baseline

    The Skin Pain NRS goes from 0 to 10, with higher score indicating more severe pain.

    Measured: Week 0 and Week 6

  6. Number of participants at week 24 achieving a 4-point or greater improvement in Skin Pain numerical rating scale (NRS) in the subset of participants with a 4-point or greater Skin Pain NRS at baseline

    The Skin Pain NRS goes from 0 to 10, with higher score indicating more severe pain.

    Measured: Week 0 and Week 24

  7. Number of participants at week 6 achieving a 1.25-point or greater improvement in Atopic Dermatitis Sleep Scale Question 1 (ADSS Q1) in the subset of participants with a 1.25-point or greater ADSS Q1 at baseline

    The ADSS Q1 goes from 0 to 4, with higher score indicating more difficulty sleeping.

    Measured: Week 0 and Week 6

  8. Number of participants at week 24 achieving a 1.25-point or greater improvement in ADSS Q1 in the subset of participants with a 1.25-point or greater ADSS Q1 at baseline

    The ADSS Q1 goes from 0 to 4, with higher score indicating more difficulty sleeping.

    Measured: Week 0 and Week 24

  9. Change in Asthma Control Questionnaire-5 (ACQ-5) score from baseline at Week 24 in the subpopulation of patients with a 0.5-point or greater ACQ-5 at baseline

    The ACQ-5 goes from 0 to 6, with higher score indicating worse asthma control.

    Measured: Week 0 and Week 24

  10. Number of participants at week 24 achieving a 0.5-point or greater improvement in ACQ-5 in the subset of participants with a 0.5-point or greater ACQ-5 at baseline

    The ACQ-5 goes from 0 to 6, with higher score indicating worse asthma control.

    Measured: Week 0 and Week 24

  11. Change in Sino-Nasal Outcome Test (SNOT-22) score from baseline at Week 24 in the subpopulation of patients with an 8.9-point or greater SNOT-22 at baseline

    The SNOT-22 scores range from 0 to 110, with a higher score indicating more severe symptoms

    Measured: Week 0 and Week 24

  12. Number of participants at Week 24 achieving a 8.9-point or greater reduction from baseline in SNOT-22 in the subpopulation of patients with an 8.9-point or greater SNOT-22 at baseline

    The SNOT-22 scores range from 0 to 110, with a higher score indicating more severe symptoms

    Measured: Week 0 and Week 24

  13. Number of participants at week 24 achieving an Adapted Investigator's Global Assessment (aIGA) response of 0 or 1

    The aIGA scale ranges from 0 to 1, with a lower score indicating improvement in atopic dermatitis.

    Measured: Week 0 and Week 24

  14. Number of participants with treatment emergent adverse events (TEAEs)

    Measured: Through participant study completion, approximately Week 56

  15. Number of participants with treatment emergent serious adverse events

    Measured: Through participant study completion, approximately Week 56

  16. Number of participants with treatment related serious adverse events

    Measured: Through participant study completion, approximately Week 56

  17. Number of participants with treatment emergent adverse events of special interest

    Measured: Through participant study completion, approximately Week 56

  18. Number of participants with treatment related adverse events of special interest

    Measured: Through participant study completion, approximately Week 56

  19. Number of participants with TEAEs leading to treatment discontinuation

    Measured: Through participant study completion, approximately Week 56

  20. Number of participants with TEAEs leading to dose hold

    Measured: Through participant study completion, approximately Week 56

  21. Number of participants with TEAEs leading to dose modifications

    Measured: Through participant study completion, approximately Week 56

Timeline

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

  1. First posted17 Jul 2026
  2. Study start7 Aug 2026
  3. Primary completionJun 2028 (estimated)
  4. Study completionJan 2029 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Model description
Patients will be randomized to rezpegaldesleukin or placebo for the Blinded Induction Period. The randomized double-blind study treatment duration will be up to 52 weeks. The final safety follow-up visit will be 8 weeks after the last dose for participants not entering the long-term extension study. At Week 24, patients who had an adequate response to treatment will be re-randomized to either rezpegaldesleukin (every 4 weeks or every 12 weeks), or placebo every 4 weeks as blinded maintenance treatment. Patients assigned to the every 12 week rezpegaldesleukin regimen will receive placebo injections during the intervening monthly visits to maintain the blind. Patients who did not achieve adequate response may receive open label escape with rezpegaldesleukin until the end of the treatment period. Additionally, patients who were re-randomized to the Blinded Maintenance Period and have worsening atopic dermatitis will have the option to receive open label escape therapy.
Masking
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
510 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT07711418
Sponsor's protocol ID
25-358-10
Other IDs
2025-525129-11-00, 2025
Acronym
ZENITH AD-2
Status last verified
Sep 2026
First submitted
14 Jul 2026
Last updated
8 Sep 2026
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
No

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing Rezpegaldesleukin in people with Moderate-to-Severe Atopic Dermatitis, run by Nektar Therapeutics at 13 sites in United States.

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 6 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: looking for participants now, as of the sponsor's last update on 8 Sep 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 13 sites in United States. 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?

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?

Contact Nektar Recruitment (855-482-8676, StudyInquiry@nektar.com), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

US only: Number of participants with an Investigator's Global Assessment (IGA) score of 0 or 1 and reduction ≥ 2 points from baseline at Week 24 (time frame: Week 0 and 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 8 Sep 2026.

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