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Atopic DermatitisPhase 1NCT04256174

A Study of AK120 (IL-4Rα) in Healthy Subjects and Subjects With Moderate- to- Severe Atopic Dermatitis

A Phase 1 study of Atopic Dermatitis, run by Akesobio Australia Pty Ltd at 13 sites in 2 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 dose escalation, first-in-human study evaluating the safety, tolerability, pharmacokinetics, pharmacodynamics and immunogenicity of AK120 in healthy subjects and subjects with moderate- to- severe atopic dermatitis Read more about this study

Who is it for?
Ages 18 to 65 yearsHealthy volunteers can take part
Conditions the study is for
Atopic Dermatitis
Type of treatment
Injection or infusion
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
80 participants
Where
13 sitesin 2 countries
Study dates
15 Jun 2020to 29 Oct 2021
Phase
Phase 1
Are there results?
None posted in the registry

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 to 65 years
  • All sexes
  • Healthy volunteers accepted
  • Adult, Older adult

Major Inclusion Criteria:

Subjects must meet all the following inclusion criteria (as applicable) to be eligible for participation in this study:

Part 1:

  1. Willing and able to understand and sign an Informed Consent Form (ICF).
  2. Women or men between 18 and 55 years of age, inclusive, at screening.
  3. Must have a calculated body mass index within 18.0 to 30.0 kg/m2 (inclusive) at screening, and a total body weight ≥50 kg for men or ≥45 kg for women at screening and Day -1 before randomization.
  4. Women of childbearing potential who are sexually active must use one of the permitted methods of contraception from screening until at least 180 days after dosing of study medication.
  5. Non-sterilized male subjects who are sexually active with a female partner of childbearing potential must use an effective method of contraception from Day 1 through 180 days after dosing of study medication.
  6. Must, in the opinion of the Investigator, be in good general health based upon medical history, physical examination (including vital signs), and 12-lead ECG; and clinical laboratory tests

Part 2:

  1. Male or female, aged 18 to 65 years (inclusive) at time of Screening.
  2. Chronic atopic dermatitis (AD) diagnosed by the revised Hanifin and Rajka criteria that has been present for at least 1 year before the Screening visit.
  3. EASI score ≥12 at the screening and baseline visits.
  4. IGA score ≥3 at the screening and baseline visits.
  5. BSA of AD involvement ≥10% at the screening and baseline visits.
  6. History of an inadequate response or medically inappropriate use of topical drug treatment, in the judgment of the Investigator, to AD treatment with a topical regimen of corticosteroids, phosphodiesterase inhibitors or calcineurin inhibitors or with phototherapy within 6 months of the Screening visit.
  7. Subjects must be applying stable doses of an additive-free, basic bland emollient twice daily for at least 7 days before the baseline visit.

Major Exclusion Criteria:

Subjects who meet any of the following exclusion criteria will not be enrolled in this study:

Part 1:

  1. Clinically significant clinical safety laboratory result, or blood pressure or electrocardiogram (ECG) abnormalities.
  2. Current acute infection or history of acute infection within 7 days prior to receipt of the study drug.
  3. Have a recent history of conjunctivitis or keratitis within 6 months prior to screening.
  4. History or complications of tuberculosis, or evidence of latent tuberculosis by QuantiFERON®-TB Gold screening.
  5. Are positive for hepatitis B surface antigen, hepatitis C antibodies, or human immunodeficiency virus (HIV) at screening.

Part 2:

  1. The washout period for prior drug therapy (eg. corticosteroids, immunosuppressive/immunomodulating, biologics, phototherapy, Chinese medicine,anti-infective agents) is inadequate.
  2. Any medical or psychiatric condition, laboratory or ECG parameter which, in the opinion of the Investigator or the Sponsor's medical monitor, would place the subject at risk, interfere with participation in the study, or interfere with the interpretation of study results.
  3. History of exposure to active TB, and/or history or current evidence of TB infection; and/or Chest X-ray showed old TB lesions at Screening or within 3 months before the Screening visit ..
  4. Positive results at Screening for hepatitis B surface antigen (HBsAg), hepatitis B core antibody (HBcAb) or hepatitis C antibody with positive hepatitis C virus (HCV) RNA polymerase chain reaction; positive HIV serology at screening.
  5. Any history of vernal keratoconjunctivitis (VKC) and atopic keratoconjunctivitis (AKC) within 6 months before the baseline visit.
  6. History of clinical parasite infection, recent or planned travel to an area with endemic parasite infection within 6 months before the Screening visit

Trial locations and contacts

13 sites in 2 countries.

13 sites in 2 countries

New Zealand7 sites
  • Optimal Clinical Trials

    Auckland

  • Southern Clinical Trials - Waitemata

    Birkenhead, Auckland, 0626

  • Christchurch Clinical Studies Trust

    Christchurch, 8011

  • Southern Clinical Trials - Christchurch

    Christchurch, 8013

  • P3 Research Hawkes Bay

    Havelock North, 4130

  • P3 Research Tauranga

    Tauranga, 3110

  • P3 Research Wellington

    Wellington, 6021

Other trials in New Zealand

Australia6 sites
  • CMAX Clinical Research

    Adelaide

  • Emeritus Sydney

    Botany, New South Wales, 2019

  • Emeritus Melbourne

    Camberwell, Victoria, 3145

  • Sinclair Dermatology

    East Melbourne

  • Peninsula Specialist Centre

    Kippa-Ring

  • Scientia Clinical Research Ltd

    Randwick, 2031

Other trials in Australia

About this study

Official title: A Phase 1, Randomized, Two-Part, Double-Blind, Placebo-Controlled, Dose-Escalation, Study Evaluating the Safety, Tolerability, Pharmacokinetics, Pharmacodynamics and Immunogenicity of AK120 in Healthy Subjects and Subjects With Moderate- to- Severe Atopic Dermatitis

A dose escalation, first-in-human study evaluating the safety, tolerability, pharmacokinetics, pharmacodynamics and immunogenicity of AK120 in healthy subjects and subjects with moderate- to- severe atopic dermatitis

Read the detailed description

This is a phase 1, randomized, two-part, double-blind, placebo-controlled, dose-escalation, first-in-human study evaluating the safety, tolerability, pharmacokinetics, pharmacodynamics and immunogenicity of AK120 in healthy subjects (part 1, single ascending dose) and subjects with moderate- to- severe atopic dermatitis(part 2, multiple ascending dose)

Being tested
AK120 or placebo- Part 1- Cohort 1, AK120 or placebo- Part 1- Cohort 2, AK120 or placebo- Part 1- Cohort 3, AK120 or placebo- Part 1- Cohort 4, AK120 or placebo- Part 1- Cohort 5
Medical subject headings
Dermatitis, Atopic

What participants receive

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

  • AK120 or placebo- Part 1- Cohort 1Drug

    Single dose of 15mg AK120 or placebo is administered subcutaneously to healthy subjects

  • AK120 or placebo- Part 1- Cohort 2Drug

    Single dose of 50mg AK120 or placebo is administered subcutaneously to healthy subjects

  • AK120 or placebo- Part 1- Cohort 3Drug

    Single dose of 150mg AK120 or placebo is administered subcutaneously to healthy subjects

  • AK120 or placebo- Part 1- Cohort 4Drug

    Single dose of 300mg AK120 or placebo is administered subcutaneously to healthy subjects

  • AK120 or placebo- Part 1- Cohort 5Drug

    Single dose of 600mg AK120 or placebo is administered subcutaneously to healthy subjects

  • AK120 or placebo- Part 2- Cohort 1Drug

    Multiple low doses of AK120 or placebo are administered subcutaneously as a weekly dose for a total of four doses to subjects with moderate-to-severe atopic dermatitis

  • AK120 or placebo- Part 2- Cohort 2Drug

    Multiple medium doses of AK120 or placebo are administered subcutaneously as a weekly dose for a total of four doses to subjects with moderate-to-severe atopic dermatitis

  • AK120 or placebo- Part 2- Cohort 3Drug

    Multiple high doses of AK120 or placebo are administered subcutaneously as a weekly dose for a total of four doses to subjects with moderate-to-severe atopic dermatitis

  • AK120 or placebo- Part 2- Cohort 4Drug

    Multiple high doses of AK120 or placebo are administered subcutaneously as a bi-weekly dose for a total of three doses to subjects with moderate-to-severe atopic dermatitis.

Study groups in NCT04256174
Study groupRoleWhat they receive
Part 1:15mg cohortExperimentalSingle dose of 15mg AK120 or placebo is administered subcutaneously to healthy subjects.
Receives: Drug: AK120 or placebo- Part 1- Cohort 1
Part 1: 50mg cohortExperimentalSingle dose of 50mg AK120 or placebo is administered subcutaneously to healthy subjects.
Receives: Drug: AK120 or placebo- Part 1- Cohort 2
Part 1: 150mg cohortExperimentalSingle dose of 150mg AK120 or placebo is administered subcutaneously to healthy subjects.
Receives: Drug: AK120 or placebo- Part 1- Cohort 3
Part 1: 300 mg cohortExperimentalSingle dose of 300mg AK120 or placebo is administered subcutaneously to healthy subjects.
Receives: Drug: AK120 or placebo- Part 1- Cohort 4
Part 1: 600 mg cohortExperimentalSingle dose of 600mg AK120 or placebo is administered subcutaneously to healthy subjects.
Receives: Drug: AK120 or placebo- Part 1- Cohort 5
Part 2: low dose cohortExperimentalMultiple low doses of AK120 or placebo are administered subcutaneously to subjects with moderate- to- severe atopic dermatitis.
Receives: Drug: AK120 or placebo- Part 2- Cohort 1
Part 2: medium dose cohortExperimentalMultiple medium doses of AK120 or placebo are administered subcutaneously to subjects with moderate- to- severe atopic dermatitis.
Receives: Drug: AK120 or placebo- Part 2- Cohort 2
Part 2: high dose cohortExperimentalMultiple high doses of AK120 or placebo are administered subcutaneously to subjects with moderate- to- severe atopic dermatitis.
Receives: Drug: AK120 or placebo- Part 2- Cohort 3
Part 2: Loading dose cohortExperimentalA loading dose followed by multiple high doses of AK120 or placebo are administered subcutaneously to subjects with moderate- to- severe atopic dermatitis.
Receives: Drug: AK120 or placebo- Part 2- Cohort 4

What is being measured

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

  1. Adverse events(AEs)/serious adverse events(SAEs)

    Incidence of treatment emergent adverse events(AEs)/serious adverse events(SAEs)

    Measured: From signing of informed consent through through 12 weeks post-dose

Secondary outcomes (8)
  1. Thymus and activation regulated chemokine (TARC)/Chemokine Ligand 17(CCL17)

    Change from baseline in serum levels of thymus activation and regulated chemokine (TARC)/Chemokine Ligand 17 (CCL17) in serum

    Measured: From baseline through 12 weeks post-dose

  2. Maximum observed serum concentration (Cmax)

    Maximum observed serum concentration (Cmax) of AK120

    Measured: From baseline through 12 weeks post-dose

  3. Area under the concentration-time curve (AUC)

    Area under the concentration-time curve (AUC) of serum concentration of AK120

    Measured: From baseline through 12 weeks postdose

  4. Anti-drug antibodies(ADAs)

    Number and percentage of subjects who develop detectable anti-drug antibodies(ADAs)

    Measured: From baseline through 12 weeks postdose

  5. Investigator global assessment (IGA) (part 2)

    The proportion of subjects with Investigator global assessment (IGA) 0 to 1 and subjects with IGA reduction from baseline of ≥ 2-point.

    IGA is an assessment scale used to determine severity of AD and clinical response to treatment on a static 6-point scale (0 = clear; 1 = almost clear; 2 = mild; 3 = moderate; 4 = severe;5 = very severe) based on erythema and papulation/infiltration.

    Measured: From baseline through 12 weeks postdose

  6. Pruritus-Numeric Rating Scale (P-NRS) (part 2)

    The proportion of subjects with Pruritus-Numeric Rating Scale (P-NRS) improvement (reduction) from baseline of ≥ 3-point.

    Pruritus NRS is an assessment tool that is used to report the intensity of participant's pruritus (itch), both maximum and average intensity, during a 24-hour recall period. Participants were asked the following question: how would a participant rate his itch at the worst moment during the previous 24 hours (for maximum itch intensity on a scale of 0 - 10 [0 = no itch; 10 = worst itch imaginable])

    Measured: From baseline through 12 weeks postdose

  7. Change from baseline in Eczema Area and Severity Index (EASI) score(part 2)

    The EASI score was used to measure the severity and extent of atopic dermatitis (AD). The total EASI score range from 0 (minimum) to 72 (maximum) points, with the higher scores reflecting the worse severity of AD.

    Measured: From baseline through 12 weeks postdose

  8. Change from baseline in body surface area (BSA) of AD involvement. (part 2)

    Body surface area determined by palm method where 1 palm is equivalent to 1%. Total body surface area ranges from 1% to 100%, with the higher body surface area reflecting the worse severity of AD.

    Measured: From baseline through 12 weeks postdose

Timeline

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

  1. First posted5 Feb 2020
  2. Study start15 Jun 2020
  3. Primary completion29 Oct 2021
  4. Study completion29 Oct 2021

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 1
Primary purpose
Other
Allocation
Randomised
Intervention model
Sequential
Masking
Triple blind
Who is masked
Participant, Care provider, Investigator
Enrolment
80 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04256174
Sponsor's protocol ID
AK120-101
Status last verified
Aug 2022
First submitted
3 Feb 2020
Last updated
17 Aug 2022
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Publications

  • Wynne CJ, Cole A, Lemech C, Wang G, Zhang Y, Chen B, Wang M, Li B, Xia M, Sinclair R. Safety, Pharmacokinetics and Preliminary Efficacy of IL4-Ralpha Monoclonal Antibody AK120 in Both Healthy and Atopic Dermatitis Subjects: A Phase I, Randomized, Two-Part, Double-Blind, Placebo-Controlled, Dose-Escalation, First-In-Human Clinical Study. Dermatol Ther (Heidelb). 2023 Oct;13(10):2357-2373. doi: 10.1007/s13555-023-01010-1. Epub 2023 Sep 5.

    PubMed 37668898

Questions about this trial

What is this clinical trial studying?

A Phase 1 study of Atopic Dermatitis, run by Akesobio Australia Pty Ltd at 13 sites in 2 countries.

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

Who may be eligible to take part?

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 17 Aug 2022. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 13 sites in New Zealand, Australia. 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. 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 1 studies test a treatment in a small group of people for the first time or in a new way, mainly to check safety and find the right dose.

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

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

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?

Adverse events(AEs)/serious adverse events(SAEs) (time frame: From signing of informed consent through through 12 weeks post-dose). 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 NCT04256174, 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 17 Aug 2022.

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