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Atopic DermatitisPhase 2NCT03100344

Dose-ranging Study of Nemolizumab in Atopic Dermatitis

A Phase 2 study testing Nemolizumab in people with Atopic Dermatitis, run by Galderma R&D at 67 sites in 6 countries.

Completed

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

Official record
Search all trials

Trial summary

Assess the efficacy of several subcutaneous doses of nemolizumab in moderate-to-severe atopic dermatitis (AD) subjects with severe pruritus receiving TCS, who were not adequately controlled with topical treatments. Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Atopic Dermatitis
What is being tested?
Nemolizumab
Type of treatment
Injection or infusion
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
226 participants
Where
67 sitesin 6 countries
Study dates
14 Jun 2017to 21 Sep 2018
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

  • Male or female subjects ≥ 18 years (or legal age when higher)
  • Chronic AD, that has been present for at least 2 years before the visit
  • Eczema Area and Severity Index (EASI) score ≥12
  • Investigator Global Assessment (IGA) score ≥ 3
  • AD involvement ≥ 10% of Body Surface Area (BSA)
  • Severe pruritus on at least 3 of the last 7 days before the visit
Show all 10Show fewer
  • Documented recent history (within 6 months before the visit) of inadequate response to topical medications
  • Female subjects must fulfill one of the criteria below:
  • Female subjects of non-childbearing potential
  • Female subjects of childbearing potential who agree to a true abstinence or to use an effective or highly effective method of contraception throughout the clinical trial and for 120 days after the last study drug administration

Who cannot join

  • Body weight < 45 kg
  • subjects with a medical history of asthma requiring hospitalization in the last 12 months before screening visit and/or whose asthma has not been well-controlled during the last 3 months before the screening visit and/or Peak Expiratory Flow (PEF) <80% of the predicted value
  • Cutaneous bacterial or viral infection within 1 week before the screening visit or during the run-in period
  • Infection requiring treatment with oral or parenteral antibiotics, antivirals, antiparasitics or antifungals within 1 week before the screening visit or during the run-in period
  • History of intolerance to low or mid potency TCS or for whom TCS is not advisable

Trial locations and contacts

67 sites in 6 countries.

67 sites in 6 countries

United States26 sites
  • Galderma Investigational site

    Beverly Hills, California, 90212

  • Galderma Investigational site

    Birmingham, Alabama, 35209

  • Galderma Investigational site

    Chapel Hill, North Carolina, 27516

  • Galderma Investigational site

    Columbus, Georgia, 31904

  • Galderma Investigational site

    Dallas, Texas, 75230

  • Galderma Investigational Site

    Darien, Illinois, 60561

  • Galderma Investigational Site

    Farmington Hills, Michigan, 78334

  • Galderma Investigational site

    Forest Hills, New York, 11375

  • Galderma Investigational site

    Fort Smith, Arkansas, 72916

  • Galderma Investigational site

    Fountain Valley, California, 92708

  • Galderma Investigational site

    Fremont, California, 94538

  • Galderma Investigational Site

    Johnston, Rhode Island, 02919

  • Galderma Investigational site

    Miami, Florida, 33135

  • Galderma Investigational site

    New Orleans, Louisiana, 70115

  • Galderma Investigational site

    New York, New York, 10025

  • Galderma Investigational Site

    New York, New York, 10075

  • Galderma Investigational Site

    Overland Park, Kansas, 66215

  • Galderma Investigational site

    Richmond, Virginia, 23220

  • Galderma Investigational site

    Rolling Hills Estates, California, 90274

  • Galderma Investigational site

    San Antonio, Texas, 78218

  • Galderma Investigational site

    Sandy Springs, Georgia, 30328

  • Galderma Investigational site

    Santa Ana, California, 92701

  • Galderma Investigational site

    Santa Monica, California, 90404

  • Galderma Investigational site

    Tampa, Florida, 33607

  • Galderma Investigational Site

    Tampa, Florida, 33624

  • Galderma Investigational Site

    Waco, Texas, 76710

Other trials in United States

Germany13 sites
  • Galderma Investigational Site

    Berlin, 10117

  • Galderma Investigational Site

    Berlin, 10789

  • Galderma Investigational Site

    Darmstadt, 64283

  • Galderma Investigational Site

    Erlangen, 91054

  • Galderma Investigational Site

    Frankfurt, 60590

  • Galderma Investigational Site

    Hamburg, 20354

  • Galderma Investigational Site

    Hannover, 30625

  • Galderma Investigational Site

    Heidelberg, 69120

  • Galderma Investigational Site

    Langenau, 89129

  • Galderma Investigational Site

    Mainz, 55131

  • Galderma Investigational Site

    München, 80337

  • Galderma Investigational Site

    Osnabrück, 49074

  • Galderma Investigational Site

    Stuttgart, 70718

Other trials in Germany

Canada9 sites
  • Galderma Investigational Site

    Calgary, AB T3A 2N1

  • Galderma Investigational Site

    Markham, ON L3P 1X2

  • Galderma Investigational Site

    Oakville, ON L6J 7W5

  • Galderma Investigational Site

    Ottawa, K1G 6C6

  • Galderma Investigational Site

    Ottawa, ON K2G 6E2

  • Galderma Investigational Site

    Peterborough, K9J

  • Galderma Investigational Site

    Richmond Hill, ON L4C

  • Galderma Investigational Site

    Sainte-Foy, QC G1V4X7

  • Galderma Investigational Site

    Waterloo, ON N2J 1C4

Other trials in Canada

Poland9 sites
  • Galderma Investigational Site

    Katowice, 40-123

  • Galderma Investigational Site

    Katowice, 40-648

  • Galderma Investigational Site

    Krakow, 31-024

  • Galderma Investigational Site

    Lodz, 90-436

  • Galderma Investigational Site

    Lublin, 20-080

  • Galderma Investigational Site

    Warsaw, 01-817

  • Galderma Investigational Site

    Warsaw, 02-625

  • Galderma Investigational Site

    Warsaw, 02-758

  • Galderma Investigational Site

    Wroclaw, 51-318

Other trials in Poland

France6 sites
  • Galderma Investigational Site

    Bordeaux, 33075

  • Galderma Investigational Site

    Lille, 59037

  • Galderma Investigational Site

    Marseille, 13385

  • Galderma Investigational Site

    Nice, 06202

  • Galderma Investigational Site

    Paris, 75010

  • Galderma Investigational Site

    Toulouse, 31059

Other trials in France

Australia4 sites
  • Galderma Investigational Site

    Benowa, 4217 QLD

  • Galderma Investigational Site

    Kogarah, NSW 2217

  • Galderma Investigational Site

    Melbourne, VIC3002

  • Galderma Investigational Site

    Phillip, ACT2606

Other trials in Australia

About this study

Official title: Randomized, Double-blind, Multi-center, Parallel-group, Placebo-controlled Dose-ranging Study to Assess the Efficacy and Safety of Nemolizumab in Moderate-to-severe Atopic Dermatitis Subjects With Severe Pruritus Receiving Topical Corticosteroids (TCS)

Assess the efficacy of several subcutaneous doses of nemolizumab in moderate-to-severe atopic dermatitis (AD) subjects with severe pruritus receiving TCS, who were not adequately controlled with topical treatments.

Read the detailed description

The aim of the study is to assess the efficacy of several subcutaneous doses of nemolizumab in moderate-to-severe atopic dermatitis (AD) subjects with severe pruritus receiving topical corticosteroids, who were not adequately controlled with topical treatments.

Being tested
Nemolizumab, 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.

  • NemolizumabDrug

    Injection every 4 weeks during 24 weeks (last injection at week 20)

  • PlaceboDrug

    Injection every 4 weeks during 24 weeks (last injection at week 20)

Study groups in NCT03100344
Study groupRoleWhat they receive
Group 1ExperimentalNemolizumab (low dose)
Receives: Drug: Nemolizumab
Group 2ExperimentalNemolizumab (medium dose)
Receives: Drug: Nemolizumab
Group 3ExperimentalNemolizumab (high dose)
Receives: Drug: Nemolizumab
Group 4Placebo comparatorNemolizumab placebo
Receives: Drug: Placebo

What is being measured

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

  1. Percent Change From Baseline in Eczema Area and Severity Index (EASI) at Week 24

    EASI is a composite score ranging from 0 to 72.The severity of erythema, induration/papulation, excoriation, and lichenification was assessed on a scale of 0 (absent) to 3 (severe) for each of the 4 body areas: head/neck, trunk, upper limbs, and lower limbs, with half points allowed. Higher scores indicate worse outcome.

    Measured: From Baseline to Week 24

Secondary outcomes (17)
  1. Number of Participants Achieving Pruritus Categorical Scale (PCS) Success (Defined as a Weekly Prorated Rounded Average PCS ≤1 [None - Mild]) at Week 24

    The 4-point pruritus categorical scale was provided in their local language for the participants to report the intensity of their pruritus. Overall itching was scored as 0 for absence of pruritus and 3 for severe pruritus (bothersome itching/scratching that disturbs sleep). Higher scores indicate worse outcome.

    Measured: Week 24

  2. Number of Participants With an Improvement of Weekly Average Peak Pruritus Numeric Rating Scale (NRS) ≥4 at Each Timepoint up to Week 24

    Pruritus NRS is a scale that was used by the participants to report the intensity of their pruritus (itch) during the last 24 hours. For maximum itch intensity: the scores were provided on a scale of 0 to 10, with 0 being 'no itch' and 10 being 'worst itch imaginable'. Higher scores indicate worse outcome.

    Measured: From Week 1 to Week 24

  3. Percent Change From Baseline in SCORing Atopic Dermatitis (SCORAD) at Week 24

    SCORAD ranges from 0 to 103 and has three components: extent (body surface area [BSA]), signs, and symptoms of AD. The severity of the 6 signs of AD (erythema/darkening, edema/papulation, oozing/crusting, excoriation, lichenification/prurigo and dryness), was assessed, each on a scale ranging from 0 (none) to 3 (severe).The component of extent corresponded to the extent of BSA affected by atopic dermatitis.The BSA involvement of AD was assessed for each part of the body (the possible highest score for each region is: head and neck [9%], anterior trunk [18%], back [18%], upper limbs [18%], lower limbs [36%], and genitals [1%]), and was reported as a percentage of all major body sections combined. Participants were also asked to evaluate their symptoms of pruritus and sleep loss (average for the last 3 days/nights), each evaluated on a Visual analog scale (VAS) from 0 to 10. Higher scores indicate worse outcome.

    Measured: Baseline, Week 24

  4. Absolute Change From Baseline in SCORing Atopic Dermatitis (SCORAD) at Week 24

    SCORAD ranges from 0 to 103 and has three components: extent (body surface area [BSA]), signs, and symptoms of AD. The severity of the 6 signs of AD (erythema/darkening, edema/papulation, oozing/crusting, excoriation, lichenification/prurigo and dryness), was assessed, each on a scale ranging from 0 (none) to 3 (severe).The component of extent corresponded to the extent of BSA affected by atopic dermatitis.The BSA involvement of AD was assessed for each part of the body (the possible highest score for each region is: head and neck [9%], anterior trunk [18%], back [18%], upper limbs [18%], lower limbs [36%], and genitals [1%]), and was reported as a percentage of all major body sections combined. Participants were also asked to evaluate their symptoms of pruritus and sleep loss (average for the last 3 days/nights), each evaluated on a Visual analog scale (VAS) from 0 to 10. Higher scores indicate worse outcome.

    Measured: Baseline, Week 24

  5. Percent Change From Baseline in Weekly Average Sleep Disturbance Numeric Rating Scale (NRS) at Week 24

    The sleep disturbance NRS is a scale used by the participants to report the degree of their sleep loss related to AD. Participants were asked the following questions in their local language: how would you rate your sleep last night?: On a scale of 0 to 10, with 0 being 'no sleep loss related to signs/symptoms of AD' and 10 being 'I cannot sleep at all due to the signs/symptoms of AD'. Higher scores indicate worse outcome.

    Measured: Baseline, Week 24

  6. Absolute Change From Baseline in Weekly Average Sleep Disturbance Numeric Rating Scale (NRS) at Week 24

    The sleep disturbance NRS is a scale used by the participants to report the degree of their sleep loss related to AD. Participants were asked the following questions in their local language: how would you rate your sleep last night?: On a scale of 0 to 10, with 0 being 'no sleep loss related to signs/symptoms of AD' and 10 being 'I cannot sleep at all due to the signs/symptoms of AD'. Higher scores indicate worse outcome.

    Measured: Baseline, Week 24

  7. Number of Participants Achieving Investigator's Global Assessment (IGA) Success (Defined as IGA 0 [Clear] or 1 [Almost Clear]) at Each Timepoint up to Week 24

    IGA is a 5-point scale ranging from 0 (clear) to 4 (severe) used to evaluate the global severity of AD. Higher scores indicate worse outcome.

    Measured: From Week 1 to Week 24

  8. Number of Participants With Eczema Area and Severity Index (EASI)-50 (Defined as Achieving 50% Reduction From Baseline in EASI Score) at Each Visit up to Week 24

    EASI is a composite score ranging from 0 to 72. The severity of erythema, induration/papulation, excoriation, and lichenification were assessed on a scale of 0 (absent) to 3 (severe) for each of the 4 body areas: head/neck, trunk, upper limbs, and lower limbs, with half points allowed. Higher scores indicate worse outcome.

    Measured: From Week 1 to Week 24

  9. Number of Participants With Eczema Area and Severity Index (EASI)-75 (Defined as Achieving 75% Reduction From Baseline in EASI Score) at Each Visit up to Week 24

    EASI is a composite score ranging from 0 to 72.The severity of erythema, induration/papulation, excoriation, and lichenification were assessed on a scale of 0 (absent) to 3 (severe) for each of the 4 body areas: head/neck, trunk, upper limbs, and lower limbs, with half points allowed. Higher scores indicate worse outcome.

    Measured: From Week 1 to Week 24

  10. Number of Participants With Eczema Area and Severity Index (EASI)-90 (Defined as Achieving 90% Reduction From Baseline in EASI Score) at Each Visit up to Week 24

    EASI is a composite score ranging from 0 to 72.The severity of erythema, induration/papulation, excoriation, and lichenification were assessed on a scale of 0 (absent) to 3 (severe) for each of the 4 body areas: head/neck, trunk, upper limbs, and lower limbs, with half points allowed. Higher scores indicate worse outcome.

    Measured: From Week 1 to Week 24

  11. Number of Participants Achieving Investigator Global Assessment (IGA) Success (Defined as IGA 0 [Clear] or 1 [Almost Clear]) and a Reduction of ≥2 Points at Each Visit up to Week 24

    IGA is a 5-point scale ranging from 0 (clear) to 4 (severe) used to evaluate the global severity of AD. Higher scores indicate worse outcome.

    Measured: Week 1 to Week 24

  12. Percentage Change From Baseline in Eczema Area and Severity Index (EASI) at Each Visit up to Week 24

    EASI is a composite score ranging from 0 to 72.The severity of erythema, induration/papulation, excoriation, and lichenification was assessed on a scale of 0 (absent) to 3 (severe) for each of the 4 body areas: head/neck, trunk, upper limbs, and lower limbs, with half points allowed. Higher scores indicate worse outcome.

    Measured: From Baseline to Week 24

  13. Percentage Change From Baseline in Weekly Average of the Peak Pruritus Numeric Rating Scale (NRS) at Each Visit up to Week 24

    Pruritus NRS is a scale that was used by the participants to report the intensity of their pruritus (itch) during the last 24 hours. For maximum itch intensity: the scores were provided on a scale of 0 to 10, with 0 being 'no itch' and 10 being 'worst itch imaginable'. Higher scores indicate worse outcome.

    Measured: At baseline and Week 24

  14. Number of Participants With Adverse Events

    To evaluate the safety of nemolizumab in participants with moderate-to-severe AD

    Measured: From screening to Follow-up visit (Week 32)/Early termination visit

  15. Absolute Change From Baseline in Weekly Average of the Peak Pruritus Numeric Rating Scale (NRS) at Each Visit up to Week 24

    Pruritus NRS is a scale to be used by the participants to report the intensity of their pruritus (itch) during the last 24 hours. For maximum itch intensity: the scores were provided on a scale of 0 to 10, with 0 being 'no itch' and 10 being 'worst itch imaginable'. Higher scores indicate worse outcome.

    Measured: Baseline to Week 24

  16. Absolute Change From Baseline in Weekly Average of the Average Pruritus Numeric Rating Scale (NRS) at Each Visit up to Week 24

    Pruritus NRS is a scale to be used by the participants to report the intensity of their pruritus (itch) during the last 24 hours. For average itch intensity: the scores were provided on a scale of 0 to 10, with 0 being 'no itch' and 10 being 'worst itch imaginable'. Higher scores indicate worse outcome.

    Measured: Baseline to Week 24

  17. Percentage Change From Baseline in Weekly Average of the Average Pruritus Numeric Rating Scale (NRS) at Each Visit up to Week 24

    Pruritus NRS is a scale to be used by the participants to report the intensity of their pruritus (itch) during the last 24 hours. For average itch intensity: the scores were provided on a scale of 0 to 10, with 0 being 'no itch' and 10 being 'worst itch imaginable'. Higher scores indicate worse outcome.

    Measured: Baseline to Week 24

Timeline

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

  1. First posted4 Apr 2017
  2. Study start14 Jun 2017
  3. Primary completion19 Jul 2018
  4. Study completion21 Sep 2018

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
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
226 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT03100344
Sponsor's protocol ID
RD.03.SPR.114322
Status last verified
Oct 2019
First submitted
29 Mar 2017
Last updated
22 Oct 2019
Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No

Publications

  • Dias-Barbosa C, Silverberg JI, Stander S, Rodriguez D, Fofana F, Filipenko D, Ulianov L, Piketty C, Puelles J. Capturing patient-reported sleep disturbance in atopic dermatitis clinical trials. J Patient Rep Outcomes. 2024 Jul 15;8(1):73. doi: 10.1186/s41687-024-00751-7.

    PubMed 39008191
  • Silverberg JI, Pinter A, Pulka G, Poulin Y, Bouaziz JD, Wollenberg A, Murrell DF, Alexis A, Lindsey L, Ahmad F, Piketty C, Clucas A. Phase 2B randomized study of nemolizumab in adults with moderate-to-severe atopic dermatitis and severe pruritus. J Allergy Clin Immunol. 2020 Jan;145(1):173-182. doi: 10.1016/j.jaci.2019.08.013. Epub 2019 Aug 23.

    PubMed 31449914

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing Nemolizumab in people with Atopic Dermatitis, run by Galderma R&D at 67 sites in 6 countries.

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

Who may be eligible to take part?

The sponsor lists 10 inclusion and 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 22 Oct 2019. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 67 sites in United States, Germany, Canada, Poland, France and 1 more country. 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 22 Oct 2019). 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?

Percent Change From Baseline in Eczema Area and Severity Index (EASI) at Week 24 (time frame: From Baseline to Week 24). 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 NCT03100344, which also lists 2 linked publications.

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 2019.

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