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Dermatitis, Atopic DermatitisPhase 2NCT02087943

Efficacy and Safety Study of Apremilast in Subjects With Moderate to Severe Atopic Dermatitis

A Phase 2 study testing Apremilast in people with Dermatitis, Atopic Dermatitis, run by Amgen at 31 sites in 3 countries.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

A study to evaluate the efficacy and safety of apremilast (CC-10004) in subjects with moderate to severe atopic dermatitis Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Dermatitis, Atopic Dermatitis
What is being tested?
Apremilast
Type of treatment
Pill or oral medicine
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
191 participants
Where
31 sitesin 3 countries
Study dates
Jun 2014to Feb 2016
Phase
Phase 2
Are there results?
Yes, posted in the registrySummary in the doctors' view

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Males or females, aged ≥ 18 years (≥ 20 for Japanese subjects) at the time of consent.
  • Have a diagnosis of atopic dermatitis for ≥ 12 months.
  • Have moderate to severe atopic dermatitis which is considered inappropriate for topical therapy or which cannot be adequately controlled by topical therapy.
  • Meet the laboratory criteria as defined per protocol
  • Females of Childbearing Potential (FCBP) must have a negative pregnancy test at Screening and Baseline. Sexually active FCBP must use one of the approved contraceptive options required per protocol while on and for at least 28 days after the last dose of study medication
  • Male subjects (including those who have had a vasectomy) who engage in activity in which conception is possible must use barrier contraception while on and for at least 28 days after the last dose of study medication.

Who cannot join

  • Active tuberculosis (TB) or a history of inadequately treated tuberculosis.
  • Positive for hepatitis B surface antigen or hepatitis C antibody
  • Pregnant or breast feeding
  • History of allergy to any component of the study medication.
  • Active skin infection requiring systemic antimicrobials at Baseline.

Trial locations and contacts

31 sites in 3 countries.

31 sites in 3 countries

United States15 sites
  • Emory Clinic

    Atlanta, Georgia, 30322

  • Advanced Medical Research

    Atlanta, Georgia, 30342

  • Bakersfield Dermatology and Skin Cancer Medical Group

    Bakersfield, California, 93309

  • Northwestern University Northwestern Medical Faculty Foundation

    Chicago, Illinois, 60611

  • Northwestern Medicine Lake Forest Hospital

    Lake Forest, Illinois, 60045

  • Dartmouth Hitchcock Medical Center

    Lebanon, New Hampshire, 03756

  • Dermatology Research Associates

    Los Angeles, California, 90045

  • Dermatology Specialists, PSC

    Louisville, Kentucky, 40202

  • NYU Department of Dermatology

    New York, New York, 10016

  • Mount Sinai Medical Center

    New York, New York, 10029

  • Virginia Clinical Research Inc

    Norfolk, Virginia, 23507

  • Renstar Medical Research

    Ocala, Florida, 34471

  • Arizona Research Center

    Phoenix, Arizona, 85023

  • Oregon Health and Science University

    Portland, Oregon, 97201-3098

  • PMG Research of Winston-Salem LLC

    Winston-Salem, North Carolina, 27103-3914

Other trials in United States

Japan10 sites
  • Kokubu Abashiri Dermatology Clinic

    Abashiri-shi, Hokkaido, 093-0016

  • Asanuma Dermatology Clinic

    Chitose-shi, Hokkaido, 066-0064

  • Fukuoka University Hospital Dermatology

    Fukuoka-shi, Fukuoka, 814-0180

  • Hatamoto Dermatology Clinic

    Fukuoka-shi, Fukuoka, 815-0075

  • Tashiro Clinic

    Iizuka-shi, Fukuoka, 820-0040

  • Kokubu Dermatology

    Kitami-shi, Hokkaido, 090-0832

  • University Hospital, Kyoto Prefectural University of Medicine

    Kyoto, 602-8566

  • Kyoto University Hospital

    Kyoto, 606-8507

  • Sapporo Skin Clinic

    Sapporo-shi, Hokkaido, 060-0063

  • NTT Medical Center Tokyo

    Shinagawa-ku, Tokyo, 141-8625

Other trials in Japan

Canada6 sites
  • Ultranova Skincare

    Barrie, Ontario, L4M 6L2

  • Eastern Canada Cutaneous Research Associates Ltd

    Halifax, Nova Scotia, B3H 1Z2

  • Innovaderm Research

    Montreal, Quebec, H2K 4L5

  • Centre Dermatologique du Quebec Metropolitain

    Ste-Foy, Quebec, G1V 4X7

  • Chih-Ho Hong Medical, Inc.

    Surrey, British Columbia, V3R 6A7

  • K. Papp Clinical Research

    Waterloo, Ontario, N2J 1C4

Other trials in Canada

About this study

Official title: A Phase 2, Multicenter, Randomized, Double-blind, Placebo-controlled, Parallel-group, Efficacy and Safety Study of Apremilast (CC-10004) in Subjects With Moderate to Severe Atopic Dermatitis

A study to evaluate the efficacy and safety of apremilast (CC-10004) in subjects with moderate to severe atopic dermatitis

Being tested
Apremilast, Placebo
Keywords
Atopic Dermatitis, Atopic Eczema
Medical subject headings
Dermatitis, Atopic

What participants receive

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

  • ApremilastDrug

    Also called CC-10004, Otezla

    Orally twice a day (BID)

  • ApremilastDrug

    Also called CC-10004, Otezla

    Orally twice a day (BID)

  • PlaceboDrug

    Orally twice a day (BID)

  • PlaceboDrug

    Orally twice a day (BID)

Study groups in NCT02087943
Study groupRoleWhat they receive
Apremilast 40 mgExperimentalApremilast 40 mg administered orally twice daily (BID) for 12 weeks (following dose titration) during the placebo controlled phase followed by 40 mg Apremilast tablets orally administered BID for an additional 12 weeks in the active treatment phase
Receives: Drug: Apremilast
Apremilast 30 mgExperimentalApremilast 30 mg administered orally BID for 12 weeks (following dose titration) during the placebo controlled phase followed by 30 mg Apremilast tablets orally administered BID for an additional 12 weeks in the active treatment phase
Receives: Drug: Apremilast
Placebo + Apremilast 40 mgExperimentalPlacebo administered orally BID for 12 weeks, during the placebo controlled phase followed by 40 mg Apremilast tablets orally BID for an additional 12 weeks in the active treatment phase
Receives: Drug: Apremilast; Drug: Placebo
Placebo + Apremilast 30 mgExperimentalPlacebo administered orally BID for 12 weeks, during the placebo controlled phase followed by 30 mg Apremilast tablets orally BID for an additional 12 weeks in the active treatment phase
Receives: Drug: Apremilast; Drug: Placebo
PlaceboPlacebo comparatorOral Placebo tablets administered twice daily (BID) for 12 weeks during the placebo-controlled phase.
Receives: Drug: Placebo

What is being measured

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

  1. Percentage Change From Baseline in the Eczema Area and Severity Index (EASI) Score at Week 12.

    EASI is a validated composite scoring system integrating the proportion of the body region (area) involved and the intensity of key signs of atopic dermatitis (AD). A representative lesion is selected for each of the four body regions for assessing the intensity of each of the four signs (erythema, induration /papulation, excoriation, and lichenification). Symptoms (eg, pruritus) and secondary signs (eg, xerosis, scaling) are excluded from the assessment. The total EASI score ranges from 0 to 72. A higher score indicated worse disease status, and a negative change from baseline indicated improvement.

    Measured: Baseline to Week 12

Secondary outcomes (5)
  1. Percentage of Participants Who Achieved a Score of 0 (Cleared) or 1 (Almost Cleared) and at Least a 2-point Reduction From Baseline in a Static Physician's Global Assessment of Acute Signs (sPGA-A) at Week 12.

    The sPGA-A is intended to assess the global severities (ie, a "visual average" integrating all areas of AD) of key acute clinical signs of AD, including erythema, induration/papulation, oozing/crusting (lichenification excluded) based on a 5-point scale of cleared (0), almost cleared (1), mild (2), moderate (3) and severe (4).

    Measured: Baseline to Week 12

  2. Percentage of Participants Who Achieved at Least a 50% Reduction From Baseline in the EASI Score (EASI 50) at Week 12

    The EASI 50 reduction (defined as ≥ 50% reduction from baseline in EASI score) was selected to serve as the key responder endpoint. A ≥ 50% improvement is clinically meaningful for this population.

    Measured: Baseline to Week 12

  3. The Percentage Change From Baseline in the Average Weekly Pruritus Numerical Rating Scale (NRS) Score at Week 4

    The participant completed a daily diary recording the average intensity of pruritus they experienced during the preceding 24 hrs. The intensity of pruritus was assessed using a validated 11-point NRS, ranging from 0 ("no pruritus") to 10 ("the worst pruritus imaginable"). It should be noted that this NRS is distinct from the pruritus, Visual Analogue Scale (VAS) in the Modified SCORAD Index with respect to recall period (three days for the VAS). The weekly NRS score was calculated as the average of the NRS scores over 7 days within the specified week. A higher score indicated worse disease status, and a negative change from baseline indicated improvement.

    Measured: Baseline to Week 4

  4. Number of Participants With Treatment Emergent Adverse Events (TEAEs) During the Placebo Controlled Period

    A TEAE is an adverse event with a start date on or after the date of the first dose of IP and no later than 28 days after the last dose of IP for participants who discontinued early. An adverse event (AE) is any noxious, unintended, or untoward medical occurrence that may appear or worsen during the course of a study. It may be a new intercurrent illness, a worsening concomitant illness, an injury, or any concomitant impairment of the participant's health, including laboratory test values, regardless of etiology. Any worsening (ie, any clinically significant adverse change in the frequency or intensity of a pre existing condition) should be considered an AE. A serious AE is any which results in death, is life-threatening, requires inpatient hospitalization or prolongation of existing hospitalization, results in persistent or significant disability/incapacity, is a congenital anomaly/birth defect; constitutes an important medical event.

    Measured: Baseline to Week 12

  5. Number of Participants With TEAEs During the Apremilast Exposure Period

    A TEAE is an adverse event with a start date on or after the date of the first dose of investigational product (IP) and no later than 28 days after the last dose of IP. An adverse event (AE) is any noxious, unintended, or untoward medical occurrence that may appear or worsen during the course of a study. It may be a new intercurrent illness, a worsening concomitant illness, an injury, or any concomitant impairment of the participant's health, including laboratory test values, regardless of etiology. Any worsening (ie, any clinically significant adverse change in the frequency or intensity of a pre existing condition) should be considered an AE. A serious AE is any which results in death, is life-threatening, requires inpatient hospitalization or prolongation of existing hospitalization, results in persistent or significant disability/incapacity, is a congenital anomaly/birth defect; constitutes an important medical event.

    Measured: Baseline to Week 24; median duration of apremilast 30 mg was 23.3 weeks and 22.4 weeks for apremilast 40 mg

Timeline

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

  1. First posted14 Mar 2014 (estimated)
  2. Study startJun 2014
  3. Primary completionOct 2015
  4. Study completionFeb 2016

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 2
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Triple blind
Who is masked
Participant, Investigator, Outcomes assessor
Enrolment
191 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT02087943
Sponsor's protocol ID
CC-10004-AD-001
Status last verified
Apr 2017
First submitted
13 Mar 2014
Last updated
7 May 2020
Data monitoring committee
Yes
Individual data sharing
Yes: De-identified individual patient data for variables necessary to address the specific research question in an approved data sharing request

Publications

  • Simpson EL, Imafuku S, Poulin Y, Ungar B, Zhou L, Malik K, Wen HC, Xu H, Estrada YD, Peng X, Chen M, Shah N, Suarez-Farinas M, Pavel AB, Nograles K, Guttman-Yassky E. A Phase 2 Randomized Trial of Apremilast in Patients with Atopic Dermatitis. J Invest Dermatol. 2019 May;139(5):1063-1072. doi: 10.1016/j.jid.2018.10.043. Epub 2018 Dec 5.

    PubMed 30528828

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing Apremilast in people with Dermatitis, Atopic Dermatitis, run by Amgen at 31 sites in 3 countries.

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

Who may be eligible to take part?

The sponsor lists 6 inclusion and 5 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 7 May 2020. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 31 sites in United States, Japan, Canada. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

Yes. Results are posted in the registry (first posted 12 Dec 2016). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Percentage Change From Baseline in the Eczema Area and Severity Index (EASI) Score at Week 12. (time frame: Baseline to Week 12). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT02087943, which also lists 1 linked publication.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 7 May 2020.

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