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Atopic DermatitisPhase 3TilrekNCT07783425

A Study to Learn About the Study Medicine Called Tilrekimig in People With Moderate-to Severe Eczema

A Phase 3 study testing Tilrekimig and Dupilumab in people with Atopic Dermatitis, run by Pfizer at 32 sites in 2 countries.

Recruiting

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

Sites and contacts
Official record
Search all trials

Trial summary

The purpose of this study is to find out how well tilrekimig works, how safe it is, and how it affects the body in adults and adolescents with moderate to severe atopic dermatitis (eczema). Eczema is a condition which can cause dryness, itching, and redness of your skin. Read more about this study

Who is it for?
Ages 12 years and older
Conditions the study is for
Atopic Dermatitis
What is being tested?
Tilrekimig and Dupilumab
Type of treatment
Injection or infusion
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
1,375 participants
Where
32 sitesin 2 countries
Study dates
24 Aug 2026to 15 Jun 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

  • You are [12] years of age or older
  • You have had moderate-to-severe eczema for at least 1 year
  • Topical medicines for eczema have not worked well for you

Who cannot join

  • Clinically Significant Autoimmune Disease
  • Significant Infection History or Active Infection
  • Known or Suspected Immunodeficiency/Immunosuppression
  • Significant psychiatric illness or suicidality
  • Clinically significant hepatic, renal, or hematologic abnormalities

Trial locations and contacts

32 sites in 2 countries. Contact the study team or a site near you to ask about taking part.

32 sites in 2 countries

United States20 sites, 20 recruiting
  • Alexandria Associates in Dermatology

    Arlington, Virginia, 22206

    Not yet recruiting
  • Treasure Valley Medical Research

    Boise, Idaho, 83706

    Not yet recruiting
  • Dermatology Trial Associates, Inc.

    Bryant, Arkansas, 72022

    Recruiting
  • Best Skin Research, LLC

    Camp Hill, Pennsylvania, 17011

    Not yet recruiting
  • Dermatology Treatment and Research Center

    Dallas, Texas, 75230

    Recruiting
  • Derm Texas

    Dallas, Texas, 75235

    Recruiting
  • Maryland Laser Skin and Vein

    Hunt Valley, Maryland, 21030

    Not yet recruiting
  • Marvel Clinical Research

    Huntington Beach, California, 92647

    Recruiting
  • Dawes Fretzin Clinical Research Group, LLC

    Indianapolis, Indiana, 46250

    Recruiting
  • California Allergy & Asthma Medical Group

    Los Angeles, California, 90025

    Not yet recruiting
  • Marietta Dermatology Clinical Research, Inc.

    Marietta, Georgia, 30060

    Recruiting
  • Clinical Neuroscience Solutions, LLC.

    Memphis, Tennessee, 38119

    Recruiting
  • Northridge Clinical Trials, LLC

    Northridge, California, 91325

    Recruiting
  • Clinical Neuroscience Solutions, LLC

    Orlando, Florida, 32801

    Recruiting
  • Alliance Dermatology & MOHS Center

    Phoenix, Arizona, 85032

    Not yet recruiting
  • Stryde Research-Epiphany Dermatology

    Southlake, Texas, 76092

    Not yet recruiting
  • Complete Dermatology

    Sugar Land, Texas, 77479

    Recruiting
  • Revival Research Institute, LLC

    Troy, Michigan, 48084

    Not yet recruiting
  • Vital Prospects Clinical Research Institute., PC

    Tulsa, Oklahoma, 74136

    Recruiting
  • Respiratory Medicine Research Institute of Michigan, PLC

    Ypsilanti, Michigan, 48197

    Recruiting

Other trials in United States

Japan12 sites, 12 recruiting
  • Nihonbashi Sakura Clinic

    Chuo-ku, Tokyo, 103-0025

    Not yet recruiting
  • Fukuwa Clinic

    Chuo-ku, Tokyo, 104-0031

    Not yet recruiting
  • Osaka Habikino Medical Center

    Habikino, Osaka, 583-8588

    Not yet recruiting
  • Katahira Dermatology Urology Clinic

    Kagoshima, 890-0063

    Not yet recruiting
  • Japan Community Healthcare Organization Chukyo Hospital

    Nagoya, Aichi-ken, 457-8510

    Not yet recruiting
  • Okayama University Hospital

    Okayama, 700-8558

    Not yet recruiting
  • Pansy Skin Clinic

    Saitama, 330-0064

    Not yet recruiting
  • Izumigaoka Skin Clinic

    Sakai, Osaka, 590-0111

    Not yet recruiting
  • Dermatology and Ophthalmology Kume Clinic

    Sakai, Osaka, 593-8324

    Not yet recruiting
  • Tachikawa Dermatology Clinic

    Tachikawa, Tokyo, 190-0023

    Not yet recruiting
  • Ikebukuro-nishiguchi Fukurou Dermatology Clinic

    Toshima-ku, Tokyo, 171-0021

    Not yet recruiting
  • Queen's Square Medical Facilities Queen's Square Medical Center, Dermatology and Allergology

    Yokohama, Kanagawa, 220-6208

    Not yet recruiting

Other trials in Japan

About this study

Official title: A RANDOMIZED, DOUBLE-BLIND, DOUBLE-DUMMY, PARALLEL GROUP, ACTIVE- AND PLACEBO-CONTROLLED PHASE 3 MONOTHERAPY STUDY WITH MAINTENANCE PERIOD TO INVESTIGATE THE EFFICACY AND SAFETY OF TILREKIMIG IN ADULT AND ADOLESCENT PARTICIPANTS 12 YEARS OF AGE AND OLDER WITH MODERATE-TO-SEVERE ATOPIC DERMATITIS

The purpose of this study is to find out how well tilrekimig works, how safe it is, and how it affects the body in adults and adolescents with moderate to severe atopic dermatitis (eczema). Eczema is a condition which can cause dryness, itching, and redness of your skin.

The study is seeking participants who:

Read more
  • Are aged 12 years or older.
  • Were confirmed to have atopic dermatitis (AD) at least 12 months ago.
  • Are not having an effective treatment result from medicines that are applied on skin for AD.
  • Are considered by their doctors to have moderate to severe AD.

The study treatment period will be 52 weeks. During the 24-week initial treatment period, participants will be randomized to one of three study treatments - tilrekimig, dupilumab, or placebo. Placebo does not have any medicine in it but looks just like the medicine being studied. These treatments will be randomized based on a 2:2:1 ratio. This means out of 1375 participants, about 550 participants will receive tilrekimig, 550 will receive dupilumab, and 275 will receive placebo. This will be followed by a 28-week maintenance period. The last dose of study treatment will be administered at week 48.

Some participants will join the long-term extension (LTE) study C4531008 at week 52. A long-term extension study is an additional study that some participants may be able to join after completing the study if they are interested and meet eligibility requirements. It allows researchers to continue collecting information about how well the study medicine works. It also helps them assess how safe it is when used for a longer period of time. Participants who do not join this study will enter a 12-week safety follow-up period. This period ends 16 weeks after their last dose of study treatment.

Being tested
Tilrekimig, Dupilumab, Placebo for Tilrekimig, Placebo for Dupilumab
Keywords
Immune system diseases, skin diseases, genetic, eczema, atopic dermatitis, Dermatitis, skin diseases, Skin Diseases, Eczematous
Medical subject headings
Dermatitis, Atopic, Immune System Diseases, Skin Diseases, Genetic, Eczema, Dermatitis, Skin Diseases, Skin Diseases, Eczematous

What participants receive

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

  • TilrekimigDrug

    Also called PF-07275315

    Subcutaneous Injections at required timepoints

  • DupilumabDrug

    Also called Dupixent

    Subcutaneous Injections at required timepoints based on weight and age.

  • Placebo for TilrekimigOther

    Also called Placebo for PF-07275315

    Subcutaneous Injections at required timepoints

  • Placebo for DupilumabOther

    Subcutaneous Injections at required timepoints during initial treatment period.

Study groups in NCT07783425
Study groupRoleWhat they receive
Tilrekimig - Initial treatment periodExperimentalSubcutaneous injections given over 20 Weeks.
Receives: Drug: Tilrekimig
Placebo - Initial treatment periodPlacebo comparatorSubcutaneous injections given over 22 Weeks.
Receives: Other: Placebo for Tilrekimig; Other: Placebo for Dupilumab
Tilrekimig - Maintenance Period - Dose BExperimentalSubcutaneous injections given at Week 24 through Week 48.
Receives: Drug: Tilrekimig
Tilrekimig - Maintenance Period - Dose AExperimentalSubcutaneous injections given at Week 24 through Week 48.
Receives: Drug: Tilrekimig
Dupilumab - Initial treatment periodActive comparatorSubcutaneous injections given over 22 Weeks.
Receives: Drug: Dupilumab
Placebo - Maintenance PeriodPlacebo comparatorSubcutaneous injections given at Week 24 through Week 48.
Receives: Other: Placebo for Tilrekimig; Other: Placebo for Dupilumab

What is being measured

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

  1. Difference in the proportion of Eczema Area and Severity Index (EASI)75 responders between tilrekimig versus placebo.

    Measured: Week 16

  2. Difference in the proportion of validated Investigator Global Assessment- Atopic Dermatitis (vIGA-AD) 0/1 responders between tilrekimig versus placebo.

    Measured: Week 16

Secondary outcomes (44)
  1. Difference in the proportion of Peak Pruritis Numerical Rating Score (PP-NRS)4 responders between tilrekimig versus placebo

    Measured: Week 1 through Week 24

  2. Difference in the proportion of PP-NRS4 responders between tilrekimig versus dupilumab

    Measured: Week 1 through Week 24

  3. Incidence of treatment emergent adverse events (AEs), Serious adverse events (SAEs), and AEs leading to discontinuation

    Measured: For each participant from the time the participant provides informed consent, through and including a minimum of 16 weeks after the last administration of the study intervention.

  4. Incidence of clinically significant changes in vital signs and laboratory tests.

    Measured: For each participant following first administration of the study intervention through the end of study visit (week 64).

  5. Difference in the proportion of Eczema Area and Severity Index (EASI)75 responders between tilrekimig versus placebo.

    Measured: Weeks 2, 4, 8, 12, 14, 20, and 24

  6. Difference in the proportion of Eczema Area and Severity Index (EASI)75 responders between tilrekimig versus dupilumab.

    Measured: Weeks 2, 4, 8, 12, 14, 16, 20, and 24

  7. Difference in the proportion of validated Investigator Global Assessment- Atopic Dermatitis (vIGA-AD) 0/1 responders between tilrekimig versus placebo.

    Measured: Weeks 2, 4, 8, 12, 14, 20, and 24

  8. Difference in the proportion of validated Investigator Global Assessment- Atopic Dermatitis (vIGA-AD) 0/1 responders between tilrekimig versus dupilumab.

    Measured: Weeks 2, 4, 8, 12, 14, 16, 20, and 24

  9. Difference in the proportion of revised Global Investigator Assessment (rIGA) 0/1 responders between tilrekimig versus placebo.

    Measured: Weeks 2, 4, 8, 12, 14, 16, 20, and 24

  10. Difference in the proportion of revised Global Investigator Assessment (rIGA) 0/1 responders between tilrekimig versus dupilumab.

    Measured: Weeks 2, 4, 8, 12, 14, 16, 20, and 24

  11. Difference in the proportion of EASI50, EASI90, and EASI100 responders between tilrekimig versus placebo.

    Measured: Weeks 2, 4, 8, 12, 14, 16, 20 and 24

  12. Difference in the proportion of EASI50, EASI90, and EASI100 responders between tilrekimig versus dupilumab.

    Measured: Weeks 2, 4, 8, 12, 14, 16, 20 and 24

  13. Difference in the mean percent CFB in EASI total score between tilrekimig versus placebo.

    Measured: Weeks 2, 4, 8, 12, 16, 20 and 24

  14. Difference in the mean percent CFB in EASI total score between tilrekimig versus dupilumab.

    Measured: Weeks 2, 4, 8, 12, 16, 20 and 24

  15. Difference in the mean percent CFB in Body Surface Area (BSA) between tilrekimig versus placebo.

    Measured: Weeks 2, 4, 8, 12, 16, 20 and 24

  16. Difference in the mean percent CFB in Body Surface Area (BSA) between tilrekimig versus dupilumab.

    Measured: Weeks 2, 4, 8, 12, 16, 20 and 24

  17. Difference in the proportion of Patient Oriented Eczema Measure (POEM) responders achieving ≥4-point improvement from baseline between tilrekimig versus placebo.

    Measured: Weeks 8, 16, and 24

  18. Difference in the proportion of POEM responders achieving ≥4-point improvement from baseline between tilrekimig versus dupilumab.

    Measured: Weeks 8, 16, and 24

  19. Difference in the proportion of Dermatology Life Quality Index (DLQI) responders achieving ≥4-point improvement from baseline between tilrekimig versus placebo.

    Measured: Weeks 8, 16, and 24

  20. Difference in the proportion of Dermatology Life Quality Index (DLQI) responders achieving ≥4-point improvement from baseline between tilrekimig versus dupilumab

    Measured: Weeks 8, 16, and 24

  21. Difference in the proportion of Patient Global Impression of Severity (PGI-S) responders achieving a score of 0 or 1 between tilrekimig versus placebo.

    Measured: Weeks 8, 16, and 24

  22. Difference in the proportion of Patient Global Impression of Severity (PGI-S) responders achieving a score of 0 or 1 between tilrekimig versus dupilumab.

    Measured: Weeks 8, 16, and 24

  23. Difference in the proportion of Patient Global Impression of Change (PGI-C) responders achieving "Much better" between tilrekimig versus placebo.

    Measured: Weeks 8, 16, and 24

  24. Difference in the proportion of Patient Global Impression of Change (PGI-C) responders achieving "Much better" between tilrekimig versus dupilumab.

    Measured: Weeks 8, 16, and 24

  25. Difference in the proportion of Atopic Dermatitis Control Tool (ADCT) responders achieving ≥5-point improvement from baseline between tilrekimig versus placebo.

    Measured: Weeks 8, 16, and 24

  26. Difference in the proportion of Atopic Dermatitis Control Tool (ADCT) responders achieving ≥5-point improvement from baseline between tilrekimig versus dupilumab.

    Measured: Weeks 8, 16, and 24

  27. Difference in the mean percent CFB in POEM between tilrekimig versus placebo.

    Measured: Weeks 8, 16, and 24

  28. Difference in the mean percent CFB in EASI total score between tilrekimig versus dupilumab.

    Measured: Weeks 8, 16, and 24

  29. Difference in the mean percent CFB in DLQI between tilrekimig versus placebo.

    Measured: Weeks 8, 16, and 24

  30. Difference in the mean percent CFB in DLQI between tilrekimig versus dupilumab.

    Measured: Weeks 8, 16, and 24

  31. Difference in the mean percent CFB in Children's Dermatology Life Quality Index (CDLQI) between tilrekimig versus placebo.

    Measured: Weeks 8, 16, and 24

  32. Difference in the mean percent CFB in CDLQI between tilrekimig versus dupilumab.

    Measured: Weeks 8, 16, and 24

  33. Difference in the mean percent CFB in PP-NRS weekly average between tilrekimig versus placebo.

    Measured: Week 1 through week 24

  34. Difference in the mean percent CFB in PP-NRS weekly average between tilrekimig versus dupilumab.

    Measured: Week 1 through Week 24

  35. Proportion of responders for EASI75, rIGA 0/1, vIGA-AD 0, PP-NRS4, EASI50, EASI90, and EASI100 for tilrekimig doses and placebo.

    Measured: Weeks 26, 28, 32, 36, 40, 44, 48, 52, and 64

  36. Mean of percent CFB in EASI and BSA for tilrekimig doses and placebo

    Measured: Weeks 26, 28, 32, 36, 40, 44, 48, 52, and 64

  37. Proportion of maintaining response at Week 52 (defined as meeting ≥50% improvement from baseline in EASI and vIGA-AD <3) for participants who responded to tilrekimig (defined as achieving either EASI75 or vIGA-ADTM 0/1 at Week 24).

    Measured: Week 52

  38. The proportion of POEM responders achieving ≥4-point improvement from baseline for tilrekimig doses and placebo.

    Measured: Weeks 28, 36, 44, 52, and 64

  39. The proportion of DLQI responders achieving ≥4-point improvement from baseline for tilrekimig doses and placebo.

    Measured: Weeks 28, 36, 44, 52, and 64

  40. The proportion of PGI-S responders achieving a score of 0 or 1 for tilrekimig doses and placebo.

    Measured: Weeks 28, 36, 44, 52, and 64

  41. The proportion of PGI-C responders achieving "Much better" for tilrekimig doses and placebo.

    Measured: Weeks 28, 36, 44, 52, and 64

  42. The proportion of ADCT responders achieving ≥5-point improvement from baseline for tilrekimig doses and placebo.

    Measured: Weeks 28, 36, 44, 52, and 64

  43. Mean of CFB in POEM, DLQI, and CDLQI for tilrekimig doses and placebo.

    Measured: Weeks 28, 36, 44, 52, and 64

  44. Mean of CFB in weekly averages of PP=NRS for tilrekimig doses and placebo.

    Measured: Weeks 26, 28, 32, 36, 40, 44, 48, 52, and 64

Timeline

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

  1. First posted24 Aug 2026
  2. Study start24 Aug 2026
  3. Primary completion8 Sep 2028 (estimated)
  4. Study completion15 Jun 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
Masking
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
1,375 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT07783425
Sponsor's protocol ID
C4531005
Other IDs
2026-525743-32-00
Acronym
Tilrek
Status last verified
Oct 2026
First submitted
17 Aug 2026
Last updated
22 Oct 2026
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
Yes: Pfizer will provide access to individual de-identified participant data and related study documents (e.g. protocol, Statistical Analysis Plan (SAP), Clinical Study Report (CSR)) upon request from qualified researchers, and subject to certain criteria, conditions, and exceptions. Further details on Pfizer's data sharing criteria and process for requesting access can be found at: https://www.pfizer.com/science/clinical\_trials/trial\_data\_and\_results/data\_requests.

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing Tilrekimig and Dupilumab in people with Atopic Dermatitis, run by Pfizer at 32 sites in 2 countries.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 3 inclusion and 5 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: looking for participants now, as of the sponsor's last update on 22 Oct 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 32 sites in United States, Japan. 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 Pfizer CT.gov Call Center (1-800-718-1021, ClinicalTrials.gov_Inquiries@pfizer.com), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Difference in the proportion of Eczema Area and Severity Index (EASI)75 responders between tilrekimig versus placebo. (time frame: Week 16). 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 22 Oct 2026.

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