AzTrials
AzTrials

Atopic DermatitisPhase 3BREEZE-AD3NCT03334435

A Study of Long-term Baricitinib (LY3009104) Therapy in Atopic Dermatitis

A Phase 3 study testing Baricitinib in people with Atopic Dermatitis, run by Eli Lilly and Company at 185 sites in 19 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

The purpose of this study is to evaluate the long-term safety and efficacy of baricitinib in participants with atopic dermatitis. Participants were enrolled in this study from the originating studies (JAHL, JAHM, JAIY) or were directly enrolled in the open-label arm. 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?
Baricitinib
Type of treatment
Pill or oral medicine
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
1,645 participants
Where
185 sitesin 19 countries
Study dates
28 Mar 2018to 12 Jul 2023
Phase
Phase 3
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

  • Have been diagnosed with moderate to severe Atopic Dermatitis for at least 12 months.
  • Have had inadequate response or intolerance to existing topical (applied to the skin) medications within 6 months preceding screening.
  • Are willing to discontinue certain treatments for eczema (such as systemic and topical treatments during a washout period).
  • Agree to use emollients daily.

Who cannot join

  • Had investigational product permanently discontinued at any time during a previous Baricitinib study.
  • Had temporary investigational product interruption continue at the final study visit of a previous Baricitinib study and, in the opinion of the investigator, this poses an unacceptable risk for the participant's participation in the study
  • OR
  • Have not participated in previous studies (JAHL, JAHM and JAIY) and satisfy the following criteria:
  • Are currently experiencing or have a history of other concomitant skin conditions (e.g., psoriasis or lupus erythematosus), or a history of erythrodermic, refractory, or unstable skin disease that requires frequent hospitalizations and/or intravenous treatment for skin infections.
  • A history of eczema herpeticum within 12 months, and/or a history of 2 or more episode of eczema herpeticum in the past.
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  • Participants who are currently experiencing a skin infection that requires treatment, or is currently being treated, with topical or systemic antibiotics.
  • Have any serious illness that is anticipated to require the use of systemic corticosteroids or otherwise interfere with study participation or require active frequent monitoring (e.g., unstable chronic asthma).
  • Have been treated with the following therapies:
  • Monoclonal antibody for less than 5 half-lives prior to randomization.
  • Received prior treatment with any oral Janus kinase (JAK) inhibitor.
  • Received any parenteral corticosteroids administered by intramuscular or intravenous (IV) injection within 2 weeks prior to study entry or within 6 weeks prior to planned randomization or are anticipated to require parenteral injection of corticosteroids during the study.
  • Have had an intra-articular corticosteroid injection within 2 weeks prior to study entry or within 6 weeks prior to planned randomization.
  • Have high blood pressure characterized by a repeated systolic blood pressure >160 millimeters of mercury (mm Hg) or diastolic blood pressure >100 mm Hg.
  • Have had major surgery within the past eight weeks or are planning major surgery during the study.
  • Have experienced any of the following within 12 weeks of screening: venous thromboembolic event (VTE), myocardial infarction (MI), unstable ischemic heart disease, stroke, or New York Heart Association Stage III/IV heart failure.
  • Have a history of recurrent (≥ 2) VTE or are considered at high risk of VTE as deemed by the investigator.
  • Have a history or presence of cardiovascular, respiratory, hepatic, chronic liver disease gastrointestinal, endocrine, hematological, neurological, lymphoproliferative disease or neuropsychiatric disorders or any other serious and/or unstable illness.
  • Have a current or recent clinically serious viral, bacterial, fungal, or parasitic infection including herpes zoster, tuberculosis.
  • Have specific laboratory abnormalities.
  • Have received certain treatments that are contraindicated.
  • Pregnant or breastfeeding.

Trial locations and contacts

185 sites in 19 countries.

185 sites in 19 countries

Japan36 sites
  • Yanagihara dermatology clinic

    Ainokawa, Ichikawa-shi, Chiba, 272-0143

  • Iidabashi Clinic

    Chiyoda-ku, Tokyo, 102-0072

  • Tokyo Teishin Hospital

    Chiyoda-Ku, Tokyo, 102-8798

  • Nihonbashi Sakura Clinic

    Chuo-ku, Tokyo, 103-0025

  • Hosono Clinic

    Chuo-ku, Tokyo, 104-0031

  • Sumire Dermatology Clinic

    Edogawa-ku, Tokyo, 133-0057

  • Fumimori Clinic

    Fukuoka, Fukuoka, 815-0082

  • Gifu University Hospital

    Gifu, 501-1194

  • Osaka Habikino Medical Center

    Habikino, Osaka, 583-8588

  • JA Shizuoka Kohseiren Enshu Hospital

    Hamamatsu, Shizuoka, 430-0929

  • Hiroshima University Hospital

    Hiroshima, Hiroshima, 734-8551

  • Kawashima Dermatology Clinic

    Ichikawa-shi, Chiba, 272-0033

  • Tokyo Medical University Ibaraki Medical Center

    Inashiki-gun, Ibaraki, 300-0395

  • Shimane University Hospital

    Izumo, Shimane, 693-8501

  • Noguchi Dermatology

    Kashima-machi, Kamimashiki-gun, Kumamoto, 861-3101

  • Yamanashi Prefectural Central Hospital

    Kofu, Yamanashi, 400-8506

  • Kurume University Hospital

    Kurume, Fukuoka, 830 0011

  • Kyoto Prefectural University of Medicine

    Kyoto, Kyoto, 602-8566

  • Medical Corporation Soleil Miyata Dermatology Clinic

    Matsudo-shi, Chiba, 271-0092

  • Oizumi Hanawa Clinic

    Nerima-ku, Tokyo, 178-0063

  • Yoshioka Dermatology Clinic

    Neyagawa, Osaka, 572-0838

  • Kume Clinic

    Nishi-ku Sakai-shi, Osaka, 593-8324

  • Queen's Square Dermatology and Allergology

    Nishi-ku, Yokohama-city, Kanagawa, 220-6208

  • Sanrui Dermatology Clinic

    Ohmiya-ku,Saitama-shi, Saitama, 330-0854

  • Osaka City University Hospital

    Osaka, 545-8586

  • Shibaki Dermatology Clinic

    Sapporo, Hokkaido, 006 0022

  • Sapporo Skin Clinic

    Sapporo, Hokkaido, 060-0063

  • Naoko Dermatology Clinic

    Setagaya-ku, Tokyo, 158-0097

  • Jichi Medical University Hospital

    Shimotsuke, Tochigi, 329-0498

  • NTT Medical Center Tokyo

    Shinagawa-KU, Tokyo, 141-8625

  • Yamate Dermatological Clinic

    Shinjuku, Tokyo, 169-0075

  • Tachikawa Dermatology Clinic

    Tachikawa-shi, Tokyo, 190-0023

  • Shirasaki Clinic

    Takaoka-shi, Toyama, 9330871

  • Senri-Chuo Hanafusa Dermatology Clinic

    Toyonaka-shi, Osaka, 560-0085

  • Nomura Dermatology Clinic

    Yokohama, Kanagawa, 221-0825

  • Yokohama City Minato Red Cross Hospital

    Yokohama, Kanagawa, 231-8682

Other trials in Japan

Germany22 sites
  • Universitätsklinikum Aachen AöR - Klinik für Dermatologie und Allergologie - Hautklinik

    Aachen, 52074

  • Charité Universitätsmedizin Berlin

    Berlin, 10117

  • Rothhaar Studien GmbH

    Berlin, 10783

  • ISA GmbH

    Berlin, 10789

  • Praxis für Ganzheitliche Dermatologie im Ärztehaus

    Berlin, 13055

  • Gemeinschaftspraxis Mahlow

    Blankenfelde-Mahlow, Brandenburg, 15831

  • Dermatologisches Zentrum Osnabrück Nord

    Bramsche, Lower Saxony, 49565

  • Rosenpark Research Geschäftsbereich der Rosenparkklinik GmbH

    Darmstadt, Hesse, 64283

  • Praxis Gerlach

    Dresden, Saxony, 01097

  • Universitätsklinikum Carl Gustav Carus

    Dresden, Saxony, 01307

  • Universitaetsklinikum Essen

    Essen, North Rhine-Westphalia, 45147

  • Klinikum der Johann Wolfgang Goethe-Universität Frankfurt

    Frankfurt am Main, Hesse, 60590

  • Universitätsklinikum Freiburg

    Freiburg im Breisgau, Baden-Wurttemberg, 79104

  • Universitätsmedizin Göttingen

    Göttingen, Lower Saxony, 37075

  • TFS Trial Form Support GmbH

    Hamburg, 20537

  • Universitätsklinikum Heidelberg

    Heidelberg, Baden-Wurttemberg, 69120

  • Universitätsklinikum Schleswig-Holstein

    Kiel, Schleswig-Holstein, 24105

  • Universität Leipzig - Universitätsklinikum

    Leipzig, Saxony, 04103

  • Universitätsklinikum Schleswig-Holstein

    Lübeck, Schleswig-Holstein, 23538

  • Universitätsklinikum Otto-von-Guericke-Universität

    Magdeburg, Saxony-Anhalt, 39120

  • Klinikum der Universität München

    München, Bavaria, 80337

  • Universitätsmedizin Rostock

    Rostock, Mecklenburg-Vorpommern, 18057

Other trials in Germany

Poland13 sites
  • NZOZ Specjalistyczna Przychodnia Dermatologiczna Specderm

    Bialystok, Podlaskie Voivodeship, 15-375

  • Centrum Badan Klinicznych, PI House

    Gdansk, Pomeranian Voivodeship, 80-546

  • Centrum Medyczne Angelius Provita

    Katowice, Silesian Voivodeship, 40-611

  • Barbara Rewerska DIAMOND CLINIC

    Krakow, Lesser Poland Voivodeship, 31-559

  • Dermed Centrum Medyczne Sp. z o.o.

    Lodz, Łódź Voivodeship, 90-265

  • Miejski Szpital Zespolony w Olsztynie Klinika Dermatologii

    Olsztyn, Warmian-Masurian Voivodeship, 10-229

  • DermoDent, Centrum Medyczne Czajkowscy

    Osielsko, Kuyavian-Pomeranian Voivodeship, 86-031

  • Lubelskie Centrum Diagnostyczne

    Świdnik, Lublin Voivodeship, 21-040

  • LASER CLINIC Specjalistyczne Gabinety Lekarskie

    Szczecin, West Pomeranian Voivodeship, 70-332

  • Centrum Medyczne AMED

    Warsaw, Masovian Voivodeship, 01-518

  • Centralny Szpital Kliniczny MSWiA

    Warsaw, Masovian Voivodeship, 02-507

  • Centrum Medyczne Evimed

    Warsaw, Masovian Voivodeship, 02-625

  • Wojskowy Instytut Medyczny CSK MON

    Warsaw, Masovian Voivodeship, 04-141

Other trials in Poland

Spain11 sites
  • Hospital General Universitario Alicante

    Alicante, 03010

  • Hospital Germans Trias i Pujol

    Barcelona, Badalona, 08916

  • Hospital del Mar

    Barcelona, 08003

  • Hospital De Gran Canaria Dr. Negrin

    Las Palmas de Gran Canaria, 35010

  • Hospital Infanta Leonor

    Madrid, 28031

  • Hospital Universitario Ramon y Cajal

    Madrid, 28034

  • Hospital Universitario 12 de Octubre

    Madrid, 28041

  • Hospital Universitario La Paz

    Madrid, 28046

  • Hospital Universitario Rey Juan Carlos

    Móstoles, Madrid, 28933

  • Clinica Universitaria De Navarra

    Pamplona, Navarre, 31008

  • Centro de Especialidades Mollabao

    Pontevedra, 36001

Other trials in Spain

Czechia9 sites
  • Fakultni Nemocnice U svate Anny

    Brno, South Moravian, 656 91

  • Kozni ambulance Kutna Hora, s.r.o.

    Kutná Hora, Central Bohemia, 28401

  • Nemocnice Novy Jicin a.s.

    Nový Jičín, Moravian-Silesian Region, 741 01

  • Fakultni Nemocnice Plzen

    Plzen-Bory, Plzeň Region, 305 99

  • Clintrial, s.r.o.

    Prague, Hl. M. Praha, 100 00

  • Fakultni nemocnice Kralovske Vinohrady

    Prague, Hl. M. Praha, 100 34

  • Fakultni Nemocnice v Motole

    Prague, Hl. M. Praha, 150 06

  • Nemocnice Na Bulovce

    Prague, Hl. M. Praha, 180 81

  • Krajska zdravotni a.s. - Masarykova nemocnice v Usti nad Labem, o.z.

    Ústí nad Labem, Ustecký Kraj, 40113

Other trials in Czechia

Hungary9 sites
  • UNO Medical Trials Kft.

    Budapest, 1135

  • Debreceni Egyetem Klinikai Kozpont Borgyogyaszati Klinika

    Debrecen, Hajdú-Bihar, 4032

  • Kaposi Mor Oktato Korhaz

    Kaposvár, Somogy County, 7400

  • Oroshaza Varosi Onkormanyzat Korhaza

    Orosháza, Bekes County, 5900

  • Trial Pharma Kft.

    Püspökladány, Hajdú-Bihar, 4150

  • SZTE AOK Borgyogyaszati es Allergologiai Klinika

    Szeged, Csongrád megye, 6720

  • Allergo-Derm Bakos Kft

    Szolnok, Jász-Nagykun-Szolnok, 5000

  • Markusovszky Korhaz

    Szombathely, Vas County, 9700

  • MedMare Bt

    Veszprém, 8200

Other trials in Hungary

South Korea9 sites
  • Korea University Ansan Hospital

    Ansan-si, Gyeonggi-do, 15355

  • Dongguk University Ilsan Hospital

    Goyang-si, Gyeonggi-do, 10326

  • Gachon University Gil Medical Center

    Incheon, Korea, 21565

  • Severance Hospital Yonsei University Health System

    Seoul, 03722

  • Konkuk University Medical Center

    Seoul, 05030

  • Seoul St. Mary's Hospital

    Seoul, 06591

  • Chungang University Hospital

    Seoul, 06973

  • Hallym University Kangnam Sacred Heart Hospital

    Seoul, 07441

  • Ajou University Hospital

    Suwon, Gyeonggi-do, 16499

Other trials in South Korea

India8 sites
  • Panchshil Hospital

    Ahmedabad, Gujarat, 380005

  • Byramjee Jeejeebhoy Medical College & Civil Hospital

    Ahmedabad, Gujarat, 380016

  • Seth GS Medical College & KEM Hospital

    Mumbai, Maharshtra, 400012

  • Dr. D. Y. Patil Medical College & Hospital

    Navi Mumbai, Maharashtra, 400706

  • All India Institue of Medical Sciences (AIIMS)

    New Delhi, National Capital Territory of Delhi, 110 029

  • Sir Ganga Ram Hospital

    New Delhi, National Capital Territory of Delhi, 110060

  • Gandhi Hospital

    Secunderabad, Telangana, 500003

  • King George Hospital

    Vizag, Andhra Pradesh, 530002

Other trials in India

Italy8 sites
  • Azienda Ospedaliera Universitaria Ospedale San Martino di Genova

    Genova, 16132

  • Azienda Ospedaliera Universitaria Federico II

    Naples, 80131

  • Azienda Ospedaliera - Universitaria Pisana

    Pisa, 56126

  • Policlinico di Tor Vergata

    Roma, 00133

  • Policlinico Univ. Agostino Gemelli

    Rome, Lazio, 00168

  • Istituto Clinico Humanitas

    Rozzano, Milano, 20089

  • Ospedale Policlinico Giambattista Rossi, Borgo Roma

    Verona, 37134

  • ULSS 8

    Vicenza, 36100

Other trials in Italy

Mexico8 sites
  • JM Research S.C.

    Cuernavaca, 62290

  • RM Pharma Specialists S.A. de C.V.

    Distrito Federal, 3100

  • Instituto de Investigaciones Aplicadas a la Neurociencia A.C

    Durango, 34000

  • Grupo Medico Camino S.C.

    Mexico City, Mexico City, 03310

  • Hospital de Jesus I.A.P.

    Mexico City, Mexico City, 06090

  • CRI Centro Regiomontano de Investigacion S.C.

    Monterrey, Nuevo León, 64060

  • Hospital Universitario Dr. Jose Eleuterio Gonzalez

    Monterrey, Nuevo León, 64460

  • Clinica De Enfermedades Cronicas y Procedimientos Especiales

    Morelia, Michoacan Morelia, CP 58249

Other trials in Mexico

Argentina7 sites
  • Centro de Investigaciones Metabólicas (CINME)

    Buenos Aires, C1027AAP

  • CEDIC-Centro de Investigaciones Clinicas

    Caba, Buenos Aires, C1425DES

  • Buenos Aires Skin

    Ciudad Autonoma Buenos Aires, C1055AA0

  • Fundacion CIDEA

    Ciudad Autonoma Buenos Aires, C1121ABE

  • Instituto de Neumonología y Dermatología

    Ciudad Autonoma Buenos Aires, C1425BEA

  • Psoriahue Medicina Interdisciplinaria

    Ciudad Autonoma Buenos Aires, C1425DKG

  • Parra Dermatología

    Mendoza, 5500

Other trials in Argentina

Australia7 sites
  • Clinical Trials SA Pty Ltd

    Adelaide, South Australia, 5073

  • The Skin Centre

    Benowa, Queensland, 4217

  • Skin and Cancer Foundation Inc.

    Carlton, Victoria, 3053

  • Fremantle Dermatology

    Perth, Western Australia, 6160

  • Woden Dermatology

    Phillip, Australian Capital Territory, 2606

  • Skin & Cancer Foundation Australia

    Westmead, New South Wales, 2145

  • Veracity Clinical Research Pty Ltd

    Woolloongabba, Queensland, 4102

Other trials in Australia

France7 sites
  • CHU de Bordeaux Hopital Saint Andre

    Bordeaux, 33075

  • CHU Grenoble Alpes

    Grenoble Cédex 9, 38043

  • Chru De Nantes Hotel-Dieu

    Nantes, 44093

  • CHU de Nice Hopital de L'Archet

    Nice, 06202

  • Hopital Saint-Louis

    Paris, Cedex 10, 75475

  • Centre Hospitalier Lyon Sud

    Pierre-Bénite, 69495

  • Hopital Larrey

    Toulouse, 31059

Other trials in France

Taiwan7 sites
  • Chang Gung Memorial Hospital - Kaohsiung

    Kaohsiung City, 83301

  • Taipei Medical University- Shuang Ho Hospital

    New Taipei City, 23561

  • Chung Shan Medical University Hospital

    Taichung, 40201

  • National Cheng Kung University Hospital

    Tainan, 70403

  • National Taiwan University Hospital

    Taipei, 10048

  • Chang Gung Memorial Hospital - Taipei

    Taipei, 10508

  • Chang Gung Memorial Hospital - Linkou

    Taoyuan, (r.o.c.), Taiwan, 33342

Other trials in Taiwan

Austria6 sites
  • Universitätsklinikum Graz

    Graz, Styria, 8036

  • Ordensklinikum Linz GmbH - Elisabethinen

    Linz, Upper Austria, 4020

  • KA Rudolfstiftung

    Vienna, 1030

  • AKH

    Vienna, 1090

  • KH Hietzing mit neurologischem Zentrum Rosenhügel

    Vienna, 1130

  • Sozialmed. Zentrum Ost - Donauspital

    Vienna, 1220

Other trials in Austria

Israel6 sites
  • Haemek Medical Center- Dermatology

    Afula, 1834111

  • Rambam Medical Center

    Haifa, 3525408

  • Hadassah Medical Center

    Jerusalem, 91220

  • Rabin Medical Center

    Petah Tikva, 4941492

  • Sheba Medical Center

    Ramat Gan, 5265601

  • Tel Aviv Sourasky Medical Center

    Tel Aviv, 6423906

Other trials in Israel

Russia6 sites
  • GBUZ Clinical dermatology and venereological dispensary

    Krasnodar, Krasnodarskiy Kray, 350020

  • State scientific centre for dermatovenerology and cosmetolog

    Moscow, 107076

  • Russian state medical-stomatological university n.a. Evdokimov

    Moscow, 111398

  • SPb SBHI Skin-venerologic dispensary #10

    Saint Petersburg, 194021

  • LLC ArsVitae NorthWest

    Saint Petersburg, 194223

  • LLC Medical Center "Kurator"

    Saint Petersburg, 196240

Other trials in Russia

Switzerland4 sites
  • Inselspital Bern

    Bern, 3010

  • HUG-Hôpitaux Universitaires de Genève

    Geneva, 1205

  • CHUV Centre Hospitalier Universitaire Vaudois

    Lausanne, Canton of Vaud, 1011

  • Universitätsspital Zürich

    Zurich, 8091

Other trials in Switzerland

Denmark2 sites
  • Aarhus Universitehospital Marselisborg Centret

    Aarhus, Region Midtjyland, 8200

  • Gentofte Hospital

    Hellerup, Capital Region, 2900

Other trials in Denmark

About this study

Official title: A Phase 3 Multicenter, Double-Blind Study to Evaluate the Long-Term Safety and Efficacy of Baricitinib in Adult Patients With Atopic Dermatitis

The purpose of this study is to evaluate the long-term safety and efficacy of baricitinib in participants with atopic dermatitis.

Participants were enrolled in this study from the originating studies (JAHL, JAHM, JAIY) or were directly enrolled in the open-label arm.

Being tested
Baricitinib, Placebo
Keywords
eczema, atopic eczema
Medical subject headings
Dermatitis, Atopic, Eczema

What participants receive

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

  • BaricitinibDrug

    Also called LY3009104

    Administered orally

  • PlaceboDrug

    Administered orally

Study groups in NCT03334435
Study groupRoleWhat they receive
Responders and Partial Responders (RPR)-PlaceboPlacebo comparatorResponders or partial responders (RPR) [Investigator's Global Assessment (IGA) of (0,1, or 2) at entry to study JAHN and never rescued in originating study] participants from previous Baricitinib monotherapy studies-JAHL and JAHM and combination therapy study-JAIY were assigned to remain in this arm to receive placebo orally.
Receives: Drug: Baricitinib; Drug: Placebo
RPR-Bari 1-milligram (mg)ExperimentalRPR participants from previous Baricitinib monotherapy studies-JAHL and JAHM were assigned to remain in this arm to receive Baricitinib 1 mg orally.
Receives: Drug: Baricitinib
RPR-Bari 2-mgExperimentalRPR participants from previous Baricitinib monotherapy studies-JAHL and JAHM and combination therapy study-JAIY were assigned to remain in this arm to receive Baricitinib 2 mg orally.
Receives: Drug: Baricitinib
RPR-Bari 4-mgExperimentalRPR participants from previous Baricitinib monotherapy studies-JAHL and JAHM and combination therapy study-JAIY were assigned to remain in this arm to receive Baricitinib 4 mg orally.
Receives: Drug: Baricitinib
Non-responders (NR): Bari 1 mg to 2 mgExperimentalNon-responder (NR) [those not meeting definition of RPR] participants from previous Baricitinib monotherapy studies-JAHL and JAHM who received Baricitinib 1 mg and were re-randomized to this arm to receive Baricitinib 2 mg orally.
Receives: Drug: Baricitinib
NR: Bari 1 mg to 4 mgExperimentalNR participants from previous Baricitinib monotherapy studies-JAHL and JAHM who received Baricitinib 1 mg and were re-randomized to this arm to receive Baricitinib 4 mg orally.
Receives: Drug: Baricitinib
NR: Bari 2 mg to 2 mgExperimentalNR participants from previous Baricitinib monotherapy studies-JAHL and JAHM and combination therapy study-JAIY who received Baricitinib 2 mg and were re-randomized to this arm to receive Baricitinib 2 mg orally.
Receives: Drug: Baricitinib
NR: Bari 2 mg to 4 mgExperimentalNR participants from previous Baricitinib monotherapy studies-JAHL and JAHM and combination therapy study-JAIY who received Baricitinib 2 mg and were re-randomized to this arm to receive Baricitinib 4 mg orally.
Receives: Drug: Baricitinib
NR: Bari 4 mg to 4 mgExperimentalNR participants from previous Baricitinib monotherapy studies-JAHL and JAHM and combination therapy study-JAIY who received Baricitinib 4 mg and were re-randomized to this arm to receive Baricitinib 4 mg orally.
Receives: Drug: Baricitinib
NR: Placebo to Bari 2 mgExperimentalNR participants from previous Baricitinib monotherapy studies-JAHL and JAHM and combination therapy study-JAIY who received placebo and were re-randomized to this arm to receive Baricitinib 2 mg orally.
Receives: Drug: Baricitinib; Drug: Placebo
NR: Placebo to Bari 4 mgExperimentalNR participants from previous Baricitinib monotherapy studies-JAHL and JAHM and combination therapy study-JAIY who received placebo and were re-randomized to this arm to receive Baricitinib 4 mg orally.
Receives: Drug: Baricitinib; Drug: Placebo
PlaceboPlacebo comparatorParticipants from previous Baricitinib monotherapy studies (JAHL, JAHM) and combination therapy study (JAIY) were randomized or assigned to this arm to receive placebo orally.
Receives: Drug: Placebo
Bari 1 mgExperimentalParticipants from previous Baricitinib monotherapy studies (JAHL, JAHM) were randomized or assigned to this arm to receive Baricitinib 1 mg orally.
Receives: Drug: Baricitinib
Bari 2 mgExperimentalParticipants from previous Baricitinib monotherapy studies (JAHL, JAHM) and combination therapy study (JAIY) were randomized or assigned to this arm to receive Baricitinib 2 mg orally.
Receives: Drug: Baricitinib
Bari 4 mgExperimentalParticipants from previous Baricitinib monotherapy studies (JAHL, JAHM) and combination therapy study (JAIY) were randomized or assigned to this arm to receive Baricitinib 4 mg orally.
Receives: Drug: Baricitinib
Bari 2-mg Open-Label AddendumExperimentalParticipants were directly enrolled to this open-label arm to receive Baricitinib 2-mg orally.
Receives: Drug: Baricitinib

What is being measured

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

  1. Responder and Partial Responders (RPR): Percentage of Participants From Monotherapy Studies (JAHL, JAHM) Who Achieved a Response of Investigator's Global Assessment (IGA) 0 or 1

    The IGA measures the investigator's global assessment of the participant's overall severity of their atopic dermatitis (AD), based on a static, numeric 5-point scale from 0 (clear skin) to 4 (severe disease). The score is based on an overall assessment of the degree of erythema, papulation/induration, oozing/crusting, and lichenification.

    The results were analyzed using non-responder imputation (NRI). All participants who either discontinued the study treatment or discontinued the study for any reason at any time were defined as non-responders for the NRI analysis for categorical variables such as IGA 0/1.

    Measured: Weeks 16, 36 and 52

  2. RPR: Percentage of Participants From Combination Therapy Study (JAIY) Who Achieved a Response of IGA 0 or 1

    The IGA measures the investigator's global assessment of the participant's overall severity of their atopic dermatitis (AD), based on a static, numeric 5-point scale from 0 (clear skin) to 4 (severe disease). The score is based on an overall assessment of the degree of erythema, papulation/induration, oozing/crusting, and lichenification.

    The results were analyzed using NRI. All participants who either discontinued the study treatment or discontinued the study for any reason at any time were defined as non-responders for the NRI analysis for categorical variables such as IGA 0/1.

    Measured: Weeks 16, 36, and 52

Secondary outcomes (35)
  1. RPR: Percentage of Participants From Monotherapy Studies (JAHL, JAHM) Who Achieved a Response of IGA 0, 1 or 2

    The IGA measures the investigator's global assessment of the participant's overall severity of their atopic dermatitis (AD), based on a static, numeric 5-point scale from 0 (clear skin) to 4 (severe disease). The score is based on an overall assessment of the degree of erythema, papulation/induration, oozing/crusting, and lichenification.

    The results were analyzed using NRI. All participants who either discontinued the study treatment or discontinued the study for any reason at any time were defined as non-responders for the NRI analysis for categorical variables such as IGA 0/1/2.

    Measured: Weeks 16, 36, and 52

  2. RPR: Percentage of Participants From Combination Therapy Study (JAIY) Who Achieved a Response of IGA 0, 1, or 2

    The IGA measures the investigator's global assessment of the participant's overall severity of their atopic dermatitis (AD), based on a static, numeric 5-point scale from 0 (clear skin) to 4 (severe disease). The score is based on an overall assessment of the degree of erythema, papulation/induration, oozing/crusting, and lichenification.

    The results were analyzed using NRI. All participants who either discontinued the study treatment or discontinued the study for any reason at any time were defined as non-responders for the NRI analysis for categorical variables such as IGA 0/1/2.

    Measured: Weeks 16, 36, and 52

  3. Non Responders (NR): Percentage of Baricitinib NR Participants From Monotherapy Studies (JAHL, JAHM) Who Achieved a Response of IGA 0, 1 or 2

    The IGA measures the investigator's global assessment of the participant's overall severity of their atopic dermatitis (AD), based on a static, numeric 5-point scale from 0 (clear skin) to 4 (severe disease). The score is based on an overall assessment of the degree of erythema, papulation/induration, oozing/crusting, and lichenification.

    The results were analyzed using NRI. All participants who either discontinued the study treatment or discontinued the study for any reason at any time were defined as non-responders for the NRI analysis for categorical variables such as IGA 0/1/2.

    Measured: Weeks 16, 36 and 52

  4. NR: Percentage of Baricitinib NR Participants From Combination Therapy Study (JAIY) Who Achieved a Response of IGA 0, 1 or 2

    The IGA measures the investigator's global assessment of the participant's overall severity of their atopic dermatitis (AD), based on a static, numeric 5-point scale from 0 (clear skin) to 4 (severe disease). The score is based on an overall assessment of the degree of erythema, papulation/induration, oozing/crusting, and lichenification.

    The results were analyzed using NRI. All participants who either discontinued the study treatment or discontinued the study for any reason at any time were defined as non-responders for the NRI analysis for categorical variables such as IGA 0/1/2.

    Measured: Weeks 16, 36, and 52

  5. NR: Percentage of Baricitinib NR Participants From Monotherapy Studies (JAHL, JAHM) Who Achieved a Response of IGA 0 or 1

    The IGA measures the investigator's global assessment of the participant's overall severity of their atopic dermatitis (AD), based on a static, numeric 5-point scale from 0 (clear skin) to 4 (severe disease). The score is based on an overall assessment of the degree of erythema, papulation/induration, oozing/crusting, and lichenification.

    The results were analyzed using NRI. All participants who either discontinued the study treatment or discontinued the study for any reason at any time were defined as non-responders for the NRI analysis for categorical variables such as IGA 0/1.

    Measured: Weeks 16, 36, 52

  6. NR: Percentage of Baricitinib NR Participants From Combination Therapy Study (JAIY) Who Achieved a Response of IGA 0 or 1

    The IGA measures the investigator's global assessment of the participant's overall severity of their atopic dermatitis (AD), based on a static, numeric 5-point scale from 0 (clear skin) to 4 (severe disease). The score is based on an overall assessment of the degree of erythema, papulation/induration, oozing/crusting, and lichenification.

    The results were analyzed using NRI. All participants who either discontinued the study treatment or discontinued the study for any reason at any time were defined as non-responders for the NRI analysis for categorical variables such as IGA 0/1.

    Measured: Weeks 16, 36, and 52

  7. RPR: Percentage of Participants From Monotherapy Studies (JAHL, JAHM) Who Achieved a Response of Eczema Area and Severity Index (EASI)75

    The EASI assesses objective physician estimates of 2 dimensions of atopic dermatitis - disease extent and clinical signs affected: 0 = 0%; 1 = 1-9%; 2 = 10-29%; 3 = 30-49%; 4 = 50-69%; 5 = 70-89%; 6 = 90-100% and the severity of 4 clinical signs: (1) erythema, (2) edema/papulation, (3) excoriation, and (4) lichenification each on a scale of 0 to 3 (0 = none, absent; 1 = mild; 2 = moderate; 3 = severe) at 4 body sites (head/neck, trunk, upper limbs, and lower limbs). Half scores are allowed between severities 1, 2, and 3. The final EASI score was obtained by weight-averaging these 4 scores and will range from 0 (no disease) to 72 (severe disease). The EASI75 is defined as a ≥ 75% improvement from baseline in the EASI score.

    The results were analyzed using NRI. All participants who either discontinued the study treatment or discontinued the study for any reason at any time were defined as non-responders for the NRI analysis for categorical variables such as EASI 75.

    Measured: Weeks 16, 36, and 52 Weeks

  8. RPR: Percentage of Participants From Combination Therapy Study (JAIY) Who Achieved a Response of EASI 75

    The EASI assesses objective physician estimates of 2 dimensions of atopic dermatitis - disease extent and clinical signs affected: 0 = 0%; 1 = 1-9%; 2 = 10-29%; 3 = 30-49%; 4 = 50-69%; 5 = 70-89%; 6 = 90-100% and the severity of 4 clinical signs: (1) erythema, (2) edema/papulation, (3) excoriation, and (4) lichenification each on a scale of 0 to 3 (0 = none, absent; 1 = mild; 2 = moderate; 3 = severe) at 4 body sites (head/neck, trunk, upper limbs, and lower limbs). Half scores are allowed between severities 1, 2, and 3. The final EASI score was obtained by weight-averaging these 4 scores and will range from 0 (no disease) to 72 (severe disease). The EASI75 is defined as a ≥ 75% improvement from baseline in the EASI score.

    The results were analyzed using NRI. All participants who either discontinued the study treatment or discontinued the study for any reason at any time were defined as non-responders for the NRI analysis for categorical variables such as EASI 75.

    Measured: Weeks 16, 36, and 52

  9. NR: Percentage of Baricitinib NR Participants From Monotherapy Studies (JAHL, JAHM) Who Achieved a Response of EASI 75

    The EASI assesses objective physician estimates of 2 dimensions of atopic dermatitis - disease extent and clinical signs affected: 0 = 0%; 1 = 1-9%; 2 = 10-29%; 3 = 30-49%; 4 = 50-69%; 5 = 70-89%; 6 = 90-100% and the severity of 4 clinical signs: (1) erythema, (2) edema/papulation, (3) excoriation, and (4) lichenification each on a scale of 0 to 3 (0 = none, absent; 1 = mild; 2 = moderate; 3 = severe) at 4 body sites (head/neck, trunk, upper limbs, and lower limbs). Half scores are allowed between severities 1, 2, and 3. The final EASI score was obtained by weight-averaging these 4 scores and will range from 0 (no disease) to 72 (severe disease). The EASI75 is defined as a ≥ 75% improvement from baseline in the EASI score.

    The results were analyzed using NRI. All participants who either discontinued the study treatment or discontinued the study for any reason at any time were defined as non-responders for the NRI analysis for categorical variables such as EASI 75.

    Measured: Weeks 16, 36, and 52

  10. NR: Percentage of Baricitinib NR Participants From Combination Therapy Study (JAIY) Who Achieved a Response of EASI 75

    The EASI assesses objective physician estimates of 2 dimensions of atopic dermatitis - disease extent and clinical signs affected: 0 = 0%; 1 = 1-9%; 2 = 10-29%; 3 = 30-49%; 4 = 50-69%; 5 = 70-89%; 6 = 90-100% and the severity of 4 clinical signs: (1) erythema, (2) edema/papulation, (3) excoriation, and (4) lichenification each on a scale of 0 to 3 (0 = none, absent; 1 = mild; 2 = moderate; 3 = severe) at 4 body sites (head/neck, trunk, upper limbs, and lower limbs). Half scores are allowed between severities 1, 2, and 3. The final EASI score was obtained by weight-averaging these 4 scores and will range from 0 (no disease) to 72 (severe disease). The EASI75 is defined as a ≥ 75% improvement from baseline in the EASI score.

    The results were analyzed using NRI. All participants who either discontinued the study treatment or discontinued the study for any reason at any time were defined as non-responders for the NRI analysis for categorical variables such as EASI 75.

    Measured: Weeks 16, 36, and 52

  11. RPR: Percentage of Participants From Monotherapy Studies (JAHL, JAHM) Who Achieved 4-Point Improvement in Itch Numeric Rating Scale (NRS)

    The Itch NRS is a participant-administered, 11-point horizontal scale anchored at 0 and 10, with 0 representing "no itch" and 10 representing "worst itch imaginable." Overall severity of a participants itching is indicated by selecting the number, using a daily diary, that best describes the worst level of itching in the past 24 hours. The results were analyzed using NRI. All participants who either discontinued the study treatment or discontinued the study for any reason at any time were defined as non-responders for the NRI analysis for categorical variables such as NRS.

    Measured: Week 16

  12. RPR: Percentage of Participants From Combination Therapy Study (JAIY) Who Achieved 4-Point Improvement in Itch NRS

    The Itch NRS is a participant-administered, 11-point horizontal scale anchored at 0 and 10, with 0 representing "no itch" and 10 representing "worst itch imaginable." Overall severity of a participants itching is indicated by selecting the number, using a daily diary, that best describes the worst level of itching in the past 24 hours. The results were analyzed using NRI. All participants who either discontinued the study treatment or discontinued the study for any reason at any time were defined as non-responders for the NRI analysis for categorical variables such as NRS.

    Measured: Week 16

  13. NR: Percentage of Baricitinib NR Participants From Monotherapy Studies (JAHL, JAHM) Who Achieved 4-Point Improvement in Itch NRS

    The Itch NRS is a participant-administered, 11-point horizontal scale anchored at 0 and 10, with 0 representing "no itch" and 10 representing "worst itch imaginable." Overall severity of a participants itching is indicated by selecting the number, using a daily diary, that best describes the worst level of itching in the past 24 hours. The results were analyzed using NRI. All participants who either discontinued the study treatment or discontinued the study for any reason at any time were defined as non-responders for the NRI analysis for categorical variables such as NRS.

    Measured: Week 16

  14. NR: Percentage of Baricitinib NR Participants From Combination Therapy Study (JAIY) Who Achieved 4-Point Improvement in Itch NRS

    The Itch NRS is a participant-administered, 11-point horizontal scale anchored at 0 and 10, with 0 representing "no itch" and 10 representing "worst itch imaginable." Overall severity of a participants itching is indicated by selecting the number, using a daily diary, that best describes the worst level of itching in the past 24 hours. The results were analyzed using NRI. All participants who either discontinued the study treatment or discontinued the study for any reason at any time were defined as non-responders for the NRI analysis for categorical variables such as NRS.

    Measured: Week 16

  15. NR: Percentage of Placebo NR Participants From Monotherapy Studies (JAHL, JAHM) Who Achieved a Response of IGA 0, 1 or 2

    The IGA measures the investigator's global assessment of the participant's overall severity of their atopic dermatitis (AD), based on a static, numeric 5-point scale from 0 (clear skin) to 4 (severe disease). The score is based on an overall assessment of the degree of erythema, papulation/induration, oozing/crusting, and lichenification.

    The results were analyzed using NRI. All participants who either discontinued the study treatment or discontinued the study for any reason at any time were defined as non-responders for the NRI analysis for categorical variables such as IGA 0/1/2.

    Measured: Weeks 4, 16, 24, 52

  16. NR: Percentage of Placebo NR Participants From Combination Therapy Study (JAIY) Who Achieved a Response of IGA 0, 1 or 2

    The IGA measures the investigator's global assessment of the participant's overall severity of their atopic dermatitis (AD), based on a static, numeric 5-point scale from 0 (clear skin) to 4 (severe disease). The score is based on an overall assessment of the degree of erythema, papulation/induration, oozing/crusting, and lichenification.

    The results were analyzed using NRI. All participants who either discontinued the study treatment or discontinued the study for any reason at any time were defined as non-responders for the NRI analysis for categorical variables such as IGA 0/1/2.

    Measured: Weeks 4, 16, 24, 52

  17. NR: Percentage of Placebo NR Participants From Monotherapy Studies (JAHL, JAHM) Who Achieved a Response of IGA 0 or 1

    The IGA measures the investigator's global assessment of the participant's overall severity of their atopic dermatitis (AD), based on a static, numeric 5-point scale from 0 (clear skin) to 4 (severe disease). The score is based on an overall assessment of the degree of erythema, papulation/induration, oozing/crusting, and lichenification. The results were analyzed using NRI. All participants who either discontinued the study treatment or discontinued the study for any reason at any time were defined as non-responders for the NRI analysis for categorical variables such as IGA 0/1.

    Measured: Weeks 4, 16, 24, 52

  18. NR: Percentage of Placebo NR Participants From Combination Therapy Study (JAIY) Who Achieved a Response of IGA 0 or 1

    The IGA measures the investigator's global assessment of the participant's overall severity of their atopic dermatitis (AD), based on a static, numeric 5-point scale from 0 (clear skin) to 4 (severe disease). The score is based on an overall assessment of the degree of erythema, papulation/induration, oozing/crusting, and lichenification. The results were analyzed using NRI. All participants who either discontinued the study treatment or discontinued the study for any reason at any time were defined as non-responders for the NRI analysis for categorical variables such as IGA 0/1.

    Measured: Weeks 4, 16, 24, 52

  19. NR: Percentage of Placebo NR Participants From Monotherapy Studies (JAHL, JAHM) Who Achieved a Response of EASI 75

    The EASI assesses objective physician estimates of 2 dimensions of atopic dermatitis - disease extent and clinical signs affected: 0 = 0%; 1 = 1-9%; 2 = 10-29%; 3 = 30-49%; 4 = 50-69%; 5 = 70-89%; 6 = 90-100% and the severity of 4 clinical signs: (1) erythema, (2) edema/papulation, (3) excoriation, and (4) lichenification each on a scale of 0 to 3 (0 = none, absent; 1 = mild; 2 = moderate; 3 = severe) at 4 body sites (head/neck, trunk, upper limbs, and lower limbs). Half scores are allowed between severities 1, 2, and 3. The final EASI score was obtained by weight-averaging these 4 scores and will range from 0 (no disease) to 72 (severe disease). The EASI75 is defined as a ≥ 75% improvement from baseline in the EASI score.

    The results were analyzed using NRI. All participants who either discontinued the study treatment or discontinued the study for any reason at any time were defined as non-responders for the NRI analysis for categorical variables such as EASI 75.

    Measured: Weeks 4, 16, 24, 52

  20. NR: Percentage of Placebo NR Participants From Combination Therapy Study (JAIY) Who Achieved a Response of EASI 75

    The EASI assesses objective physician estimates of 2 dimensions of atopic dermatitis - disease extent and clinical signs affected: 0 = 0%; 1 = 1-9%; 2 = 10-29%; 3 = 30-49%; 4 = 50-69%; 5 = 70-89%; 6 = 90-100% and the severity of 4 clinical signs: (1) erythema, (2) edema/papulation, (3) excoriation, and (4) lichenification each on a scale of 0 to 3 (0 = none, absent; 1 = mild; 2 = moderate; 3 = severe) at 4 body sites (head/neck, trunk, upper limbs, and lower limbs). Half scores are allowed between severities 1, 2, and 3. The final EASI score was obtained by weight-averaging these 4 scores and will range from 0 (no disease) to 72 (severe disease). The EASI75 is defined as a ≥ 75% improvement from baseline in the EASI score.

    The results were analyzed using NRI. All participants who either discontinued the study treatment or discontinued the study for any reason at any time were defined as non-responders for the NRI analysis for categorical variables such as EASI 75.

    Measured: Weeks 4, 16, 24, 52

  21. NR: Percentage of Placebo NR Participants From Monotherapy Studies (JAHL, JAHM) Who Achieved 4-Point Improvement in Itch NRS

    The Itch NRS is a participant-administered, 11-point horizontal scale anchored at 0 and 10, with 0 representing "no itch" and 10 representing "worst itch imaginable." Overall severity of a participants itching is indicated by selecting the number, using a daily diary, that best describes the worst level of itching in the past 24 hours. The results were analyzed using NRI. All participants who either discontinued the study treatment or discontinued the study for any reason at any time were defined as non-responders for the NRI analysis for categorical variables such as NRS.

    Measured: Week 16

  22. NR: Percentage of Placebo NR Participants From Combination Therapy Study (JAIY) Who Achieved 4-Point Improvement in Itch NRS

    The Itch NRS is a participant-administered, 11-point horizontal scale anchored at 0 and 10, with 0 representing "no itch" and 10 representing "worst itch imaginable." Overall severity of a participants itching is indicated by selecting the number, using a daily diary, that best describes the worst level of itching in the past 24 hours. The results were analyzed using NRI. All participants who either discontinued the study treatment or discontinued the study for any reason at any time were defined as non-responders for the NRI analysis for categorical variables such as NRS.

    Measured: Week 16

  23. Percentage of Participants Who Achieved a Response of IGA 0, 1, or 2 Assessed at 16 Weeks After Rerandomization (Week 68) and Week 104 in Randomized Withdrawal and Downtitration Substudy (Participants Entering the Substudy)

    The IGA measures the investigator's global assessment of the participant's overall severity of their atopic dermatitis (AD), based on a static, numeric 5-point scale from 0 (clear skin) to 4 (severe disease). The score is based on an overall assessment of the degree of erythema, papulation/induration, oozing/crusting, and lichenification. All missing values were imputed using modified last observation carried forward (mLOCF).

    Measured: Weeks 68, 104

  24. Percentage of Participants Who Achieved a Response of IGA 0 or 1 Assessed at 16 Weeks After Rerandomization (Week 68) and Week 104 in Randomized Withdrawal and Downtitration Substudy (Participants Entering the Substudy)

    The IGA measures the investigator's global assessment of the participant's overall severity of their atopic dermatitis (AD), based on a static, numeric 5-point scale from 0 (clear skin) to 4 (severe disease). The score is based on an overall assessment of the degree of erythema, papulation/induration, oozing/crusting, and lichenification. All missing values were imputed using modified last observation carried forward (mLOCF).

    Measured: Weeks 68, 104

  25. Percentage of Participants Achieving Response of EASI75 From Baseline of Originating Study Assessed at 16 Weeks After Rerandomization (Week 68) and Week 104 in Randomized Withdrawal and Downtitration Substudy (Participants Entering the Substudy)

    The EASI assesses objective physician estimates of 2 dimensions of atopic dermatitis - disease extent and clinical signs affected: 0 = 0%; 1 = 1-9%; 2 = 10-29%; 3 = 30-49%; 4 = 50-69%; 5 = 70-89%; 6 = 90-100% and the severity of 4 clinical signs: (1) erythema, (2) edema/papulation, (3) excoriation, and (4) lichenification each on a scale of 0 to 3 (0 = none, absent; 1 = mild; 2 = moderate; 3 = severe) at 4 body sites (head/neck, trunk, upper limbs, and lower limbs). Half scores are allowed between severities 1, 2, and 3. The final EASI score was obtained by weight-averaging these 4 scores and will range from 0 (no disease) to 72 (severe disease). The EASI75 is defined as a ≥ 75% improvement from baseline in the EASI score.

    The results were analyzed using NRI. All participants who either discontinued the study treatment or discontinued the study for any reason at any time were defined as non-responders for the NRI analysis for categorical variables such as EASI 75.

    Measured: Weeks 68, 104

  26. Time to Retreatment (Time to IGA ≥3) in Randomized Withdrawal and Down Titration (Participants Entering the Sub Study)

    Participants who entered the Substudy, relapsed with an IGA ≥3 and were retreated

    Measured: Week 52 Up to Week 200

  27. Percentage of Participants With a Response of IGA 0, 1, or 2 Assessed at 16 Weeks After Rerandomization (Week 68) and Week 104 in Randomized Withdrawal and Downtitration Substudy (Participants Entering the Substudy With IGA 0 or 1)

    The IGA measures the investigator's global assessment of the participant's overall severity of their atopic dermatitis (AD), based on a static, numeric 5-point scale from 0 (clear skin) to 4 (severe disease). The score is based on an overall assessment of the degree of erythema, papulation/induration, oozing/crusting, and lichenification. All missing values were imputed using modified last observation carried forward (mLOCF).

    Measured: Weeks 68, 104

  28. Percentage of Participants With a Response of IGA 0 or 1 Assessed at 16 Weeks After Rerandomization (Week 68) and Week 104 in Randomized Withdrawal and Downtitration Substudy (Participants Entering the Substudy With IGA 0 or 1)

    The IGA measures the investigator's global assessment of the participant's overall severity of their atopic dermatitis (AD), based on a static, numeric 5-point scale from 0 (clear skin) to 4 (severe disease). The score is based on an overall assessment of the degree of erythema, papulation/induration, oozing/crusting, and lichenification. All missing values were imputed using modified last observation carried forward (mLOCF).

    Measured: Weeks 68, 104

  29. Percentage of Participants With a Response of EASI75 From Baseline of Originating Study Assessed at 16 Weeks After Rerandomization(Week 68) and Week 104 in Randomized Withdrawal and Downtitration Substudy (Participants Entering Substudy With IGA 0 or 1)

    The EASI assesses objective physician estimates of 2 dimensions of atopic dermatitis - disease extent and clinical signs affected: 0 = 0%; 1 = 1-9%; 2 = 10-29%; 3 = 30-49%; 4 = 50-69%; 5 = 70-89%; 6 = 90-100% and the severity of 4 clinical signs: (1) erythema, (2) edema/papulation, (3) excoriation, and (4) lichenification each on a scale of 0 to 3 (0 = none, absent; 1 = mild; 2 = moderate; 3 = severe) at 4 body sites (head/neck, trunk, upper limbs, and lower limbs). Half scores are allowed between severities 1, 2, and 3. The final EASI score was obtained by weight-averaging these 4 scores and will range from 0 (no disease) to 72 (severe disease). The EASI75 is defined as a ≥ 75% improvement from baseline in the EASI score.

    Measured: Weeks 68, 104

  30. Percentage of Participants With a Response of IGA 0, 1, or 2 Assessed Within 16 Weeks of Retreatment (Week 68) Randomized Withdrawal and Downtitration (Participants Retreated During Substudy)

    The IGA measures the investigator's global assessment of the participant's overall severity of their AD, based on a static, numeric 5-point scale from 0 (clear skin) to 4 (severe disease). The score is based on an overall assessment of the degree of erythema, papulation/induration, oozing/crusting, and lichenification. All missing values were imputed using modified last observation carried forward (mLOCF).

    Measured: Week 68

  31. Percentage of Participants With a Response of IGA 0 or 1 Assessed Within 16 Weeks of Retreatment (Week 68) Randomized Withdrawal and Downtitration (Participants Retreated During Substudy)

    The IGA measures the investigator's global assessment of the participant's overall severity of their atopic dermatitis (AD), based on a static, numeric 5-point scale from 0 (clear skin) to 4 (severe disease). The score is based on an overall assessment of the degree of erythema, papulation/induration, oozing/crusting, and lichenification. All missing values were imputed using modified last observation carried forward (mLOCF).

    Measured: Week 68

  32. Percentage of Participants Achieving Response of EASI75 From Baseline of Originating Study Assessed Within 16 Weeks of Retreatment (Week 68) Randomized Withdrawal and Downtitration (Participants Retreated During Substudy)

    The EASI assesses objective physician estimates of 2 dimensions of atopic dermatitis - disease extent and clinical signs affected: 0 = 0%; 1 = 1-9%; 2 = 10-29%; 3 = 30-49%; 4 = 50-69%; 5 = 70-89%; 6 = 90-100% and the severity of 4 clinical signs: (1) erythema, (2) edema/papulation, (3) excoriation, and (4) lichenification each on a scale of 0 to 3 (0 = none, absent; 1 = mild; 2 = moderate; 3 = severe) at 4 body sites (head/neck, trunk, upper limbs, and lower limbs). Half scores are allowed between severities 1, 2, and 3. The final EASI score was obtained by weight-averaging these 4 scores and will range from 0 (no disease) to 72 (severe disease). The EASI75 is defined as a ≥ 75% improvement from baseline in the EASI score.

    Measured: Week 68

  33. Percentage of Participants With a Response of IGA 0, 1, or 2 Assessed at Week 104 (Participants Not Entered Into Substudy)

    The IGA measures the investigator's global assessment of the participant's overall severity of their atopic dermatitis (AD), based on a static, numeric 5-point scale from 0 (clear skin) to 4 (severe disease). The score is based on an overall assessment of the degree of erythema, papulation/induration, oozing/crusting, and lichenification. All missing values were imputed using modified last observation carried forward (mLOCF).

    Measured: Week 104

  34. Percentage of Participants With a Response of IGA 0 or 1 Assessed at Week 104 (Participants Not Entered Into Substudy)

    The IGA measures the investigator's global assessment of the participant's overall severity of their atopic dermatitis (AD), based on a static, numeric 5-point scale from 0 (clear skin) to 4 (severe disease). The score is based on an overall assessment of the degree of erythema, papulation/induration, oozing/crusting, and lichenification. The score is based on an overall assessment of the degree of erythema, papulation/induration, oozing/crusting, and lichenification. All missing values were imputed using modified last observation carried forward (mLOCF).

    Measured: Week 104

  35. Percentage of Participants Achieving Response of EASI75 From Baseline of Originating Study Assessed at Week 104 (Participants Not Entered Into Substudy)

    The EASI assesses objective physician estimates of 2 dimensions of atopic dermatitis - disease extent and clinical signs affected: 0 = 0%; 1 = 1-9%; 2 = 10-29%; 3 = 30-49%; 4 = 50-69%; 5 = 70-89%; 6 = 90-100% and the severity of 4 clinical signs: (1) erythema, (2) edema/papulation, (3) excoriation, and (4) lichenification each on a scale of 0 to 3 (0 = none, absent; 1 = mild; 2 = moderate; 3 = severe) at 4 body sites (head/neck, trunk, upper limbs, and lower limbs). Half scores are allowed between severities 1, 2, and 3. The final EASI score was obtained by weight-averaging these 4 scores and will range from 0 (no disease) to 72 (severe disease). The EASI75 is defined as a ≥ 75% improvement from baseline in the EASI score.

    Measured: Week 104

Timeline

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

  1. First posted7 Nov 2017
  2. Study start28 Mar 2018
  3. Primary completion21 Sep 2020
  4. Study completion12 Jul 2023

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
Double blind
Who is masked
Participant, Investigator
Enrolment
1,645 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT03334435
Sponsor's protocol ID
16587
Other IDs
I4V-MC-JAHN, 2017-000873-35, 2017
Acronym
BREEZE-AD3
Status last verified
Aug 2024
First submitted
3 Nov 2017
Last updated
3 Sep 2024
Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
Yes: Lilly provides access to the individual patient data from studies on approved medicines and indications as defined by the sponsor specific information on ClinicalStudyDataRequest.com. This access is provided in a timely fashion after the primary publication is accepted. Researchers need to have an approved research proposal submitted through ClinicalStudyDataRequest.com. Access to the data will be provided in a secure data sharing environment after signing a data sharing agreement.

Publications

  • Thyssen JP, Werfel T, Barbarot S, Hunter HJA, Pierce E, Sun L, Cirri L, Buchanan AS, Lu N, Wollenberg A. Maintained improvement in physician- and patient-reported outcomes with baricitinib in adults with moderate-to-severe atopic dermatitis who were treated for up to 104 weeks in a randomized trial. J Dermatolog Treat. 2023 Dec;34(1):2190430. doi: 10.1080/09546634.2023.2190430.

    PubMed 36912484
  • Reich K, Simpson E, Wollenberg A, Bissonnette R, Abe M, Cardillo T, Janes J, Sun L, Chen S, Silverberg JI. Efficacy of downtitration or treatment withdrawal compared with continuous dosing after successful treatment with baricitinib in patients with moderate-to-severe atopic dermatitis in a randomized substudy from the long-term extension study BREEZE-AD3. Br J Dermatol. 2023 Feb 10;188(2):208-217. doi: 10.1093/bjd/ljac057.

    PubMed 36763879
  • Wollenberg A, Kircik L, Simpson E, Brinker D, Katoh N, Rueda MJ, Issa M, Yang F, Feely M, Alexis A. Pooled Analysis of Baricitinib Tolerability in Patients With Atopic Dermatitis in Relation to Acne, Headache, and Gastrointestinal Events From 8 Clinical Trials. Dermatitis. 2023 Jul-Aug;34(4):308-314. doi: 10.1089/derm.2022.0027. Epub 2023 Feb 6.

    PubMed 36749121
  • Katoh N, Takita Y, Isaka Y, Nishikawa A, Torisu-Itakura H, Saeki H. Pooled Safety Analysis of Baricitinib in Adult Participants with Atopic Dermatitis in the Japanese Subpopulation from Six Randomized Clinical Trials. Dermatol Ther (Heidelb). 2022 Dec;12(12):2765-2779. doi: 10.1007/s13555-022-00828-5. Epub 2022 Oct 18.

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  • Silverberg JI, Simpson EL, Wollenberg A, Bissonnette R, Kabashima K, DeLozier AM, Sun L, Cardillo T, Nunes FP, Reich K. Long-term Efficacy of Baricitinib in Adults With Moderate to Severe Atopic Dermatitis Who Were Treatment Responders or Partial Responders: An Extension Study of 2 Randomized Clinical Trials. JAMA Dermatol. 2021 Jun 1;157(6):691-699. doi: 10.1001/jamadermatol.2021.1273.

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Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing Baricitinib in people with Atopic Dermatitis, run by Eli Lilly and Company at 185 sites in 19 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 4 inclusion and 22 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 3 Sep 2024. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 185 sites in Japan, Germany, Poland, Spain, Czechia and 14 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?

Yes. Results are posted in the registry (first posted 1 Jul 2022). 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?

Responder and Partial Responders (RPR): Percentage of Participants From Monotherapy Studies (JAHL, JAHM) Who Achieved a Response of Investigator's Global Assessment (IGA) 0 or 1 (time frame: Weeks 16, 36 and 52). 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?

On the ClinicalTrials.gov record for NCT03334435, which also lists 6 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 3 Sep 2024.

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