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AzTrials

EczemaPhase 2STREAM-ADNCT05131477

Study Testing Response Effect of KY1005 Against Moderate-to-Severe Atopic Dermatitis, The STREAM-AD Study

A Phase 2 study testing Amlitelimab in people with Eczema and Atopic Dermatitis, run by Kymab Limited at 103 sites in 12 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

This is an interventional, randomized, parallel group, treatment, Phase IIb, double blind, 5-arm study to assess the effect of Anti-OX40L Monoclonal Antibody (KY1005) in adult participants with moderate to severe atopic dermatitis. Read more about this study

Who is it for?
Ages 18 to 75 years
Conditions the study is for
Eczema, Atopic Dermatitis
What is being tested?
Amlitelimab
Type of treatment
Injection or infusion
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
390 participants
Where
103 sitesin 12 countries
Study dates
13 Dec 2021to 21 Feb 2024
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 to 75 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Adults (18 to < 75 years of age) with AD as defined by the American Academy of Dermatology Consensus Criteria for 1 year or longer at Baseline.
  • Eczema Area and Severity Index (EASI) of 12 or higher at the Screening Visit and 16 or higher at Baseline.
  • Investigator's Global Assessment (IGA) Scale of 3 or 4 at Baseline.
  • AD involvement of 10% or more of body surface area (BSA) at Baseline.
  • Baseline worst/maximum pruritus Numeric Rating Scale (NRS) of ≥4.
  • Documented history, within 6 months prior to Baseline, of either inadequate response or inadvisability of topical treatments.
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  • Must have applied a stable dose of topical bland emollient (simple moisturizer, no additives [e.g., urea]) at least twice daily for a minimum of 7 consecutive days before Baseline.
  • Able to complete patient questionnaires.
  • Able and willing to comply with requested study visits/telephone visits and procedures.
  • Able and willing to provide written informed consent.
  • For patients who decide to join the biopsy sub-study be able and willing to provide skin biopsies.

Who cannot join

  • Treatment within specific time windows before the baseline visit for the management of atopic dermatitis such as topical or systemic corticosteroids, biologic or investigational therapies and/or phototherapy.
  • Known history of, or suspected, significant current immunosuppression, including history of invasive opportunistic infections despite infection resolution or otherwise recurrent infections of abnormal frequency or prolonged duration.
  • Weight <40 kg or >150 kg at Baseline.
  • Treatment with a live (attenuated) immunization within 12 weeks prior to Baseline.
  • Men and women (of reproductive potential) unwilling to use birth control and women who are pregnant or breastfeeding.
  • Any malignancies or history of malignancies prior to Baseline (except for non-melanoma skin cancer that has been excised and cured for more than 3 years prior to Baseline; in situ cervical carcinoma that has been excised and cured).
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  • Positive for human immunodeficiency virus (HIV), hepatitis B or hepatitis C at the screening visit.
  • Severe concomitant illness that would in the Investigator's opinion inhibit the patient's participation in the study, including for example, but not limited to, hypertension, renal disease, neurological conditions, heart failure and pulmonary disease.
  • In the Investigator's opinion, any clinically significant laboratory results from the clinical chemistry, hematology or urinalysis tests at the Screening Visit.
  • Concurrent participation in any other clinical study, including non-interventional studies.
  • The above information is not intended to contain all considerations relevant to a patient's potential participation in a clinical trial.

Trial locations and contacts

103 sites in 12 countries.

103 sites in 12 countries

Poland22 sites
  • Investigative site #2419

    Bialystok, Podlaskie Voivodeship, 15-879

  • Investigative site #2419

    Bialystok, 15-879

  • Investigative Site Number: 2402

    Gdansk, Pomeranian Voivodeship, 80-382

  • Investigative Site Number: 2403

    Gdansk, 80-592

  • Investigative Site Number: 2404

    Gdynia, Pomeranian Voivodeship, 81-384

  • Investigative Site Number: 2405

    Katowice, Silesian Voivodeship, 40-040

  • Investigative Site Number: 2408

    Krakow, Lesser Poland Voivodeship, 30-033

  • Investigative Site Number: 2407

    Krakow, Lesser Poland Voivodeship, 30-510

  • Investigative Site Number: 2409

    Krakow, Lesser Poland Voivodeship, 31-011

  • Investigative Site Number: 2406

    Krakow, 31-559

  • Investigative Site Number: 2420

    Lodz, Lódzkie, 90-349

  • Investigative site #2420

    Lodz, 90-349

  • Investigative Site Number: 2416

    Lodz, Łódź Voivodeship, 90-436

  • Investigative Site Number: 2415

    Lódz, Lódzkie, 90-127

  • Investigative Site Number: 2401

    Rzeszów, Podkarpackie Voivodeship, 35-055

  • Investigative Site Number: 2410

    Szczecin, West Pomeranian Voivodeship, 71-434

  • Investigative Site Number: 2412

    Warsaw, Masovian Voivodeship, 00-874

  • Investigative Site Number: 2411

    Warsaw, Masovian Voivodeship, 01-142

  • Investigative Site Number: 2413

    Warsaw, Masovian Voivodeship, 01-192

  • Investigative Site Number: 2414

    Wroclaw, Lower Silesian Voivodeship, 50-088

  • Investigative Site Number: 2418

    Wroclaw, Lower Silesian Voivodeship, 50-368

  • Investigative Site Number: 2417

    Wroclaw, Lower Silesian Voivodeship, 51-685

Other trials in Poland

United States20 sites
  • Investigative Site Number: 1003

    Anderson, South Carolina, 29621-2062

  • Investigative Site Number: 1014

    Beverly, Massachusetts, 01915-1666

  • Investigative Site Number: 1006

    Boca Raton, Florida, 33428

  • Investigative Site Number: 1010

    Clarksville, Indiana, 47129-2201

  • Investigative Site Number: 1001

    Clearwater, Florida, 33756-3424

  • Investigative Site Number: 1019

    Coral Gables, Florida, 33134-2950

  • Investigative Site Number: 1018

    Fremont, California, 94538-1601

  • Investigative Site Number: 1015

    Indianapolis, Indiana, 46250-2041

  • Investigative Site Number: 1021

    Louisville, Kentucky, 40241

  • Investigative site #1023

    Mansfield, Texas, 76063

  • Investigative Site Number: 1007

    Miami, Florida, 33176-2264

  • Investigative Site Number: 1008

    Murfreesboro, Tennessee, 37130-2450

  • Investigative Site Number: 1017

    Portland, Oregon, 97223-6683

  • Investigative Site Number: 1009

    Portland, Oregon, 97239

  • Investigative site #1022

    Sacramento, California, 95816-3370

  • Investigative Site Number: 1004

    Savannah, Georgia, 31406-2668

  • Investigative Site Number: 1013

    Tampa, Florida, 33615-3816

  • Investigative Site Number: 1011

    Towson, Maryland, 21204-7448

  • Investigative Site Number: 1012

    Troy, Michigan, 48084-3536

  • Investigative Site Number: 1005

    Tulsa, Oklahoma, 74136-7049

Other trials in United States

Japan15 sites
  • Investigative Site Number: 3112

    Adachi-Ku, Tokyo, 120-0034

  • Investigative Site Number: 3115

    Chuo Ku, Tokyo

  • Investigative Site Number: 3104

    Edagowa-Ku, Tokyo, 133-0052

  • Investigative Site Number: 3109

    Habikino-Shi, Ôsaka, 583-0872

  • Investigative site #3108

    Kagoshima, Kagoshima-ken, 890-0063

  • Investigative Site Number: 3111

    Koto-Ku, Tokyo, 136-0074

  • Investigative site #3102

    Kyoto, 602-0841

  • Investigative Site Number: 3103

    Matsudo, Chiba, 270-2223

  • Investigative Site Number: 3106

    Mibu-machi, 321-0293

  • Investigative Site Number: 3107

    Minato-Ku, Tokyo, 108-0014

  • Investigative Site Number: 3114

    Obihiro-Shi, Hokkaidô, 080-0013

  • Investigative Site Number: 3110

    Sakaishi, Ôsaka, 593-8324

  • Investigative site #3101

    Sapporo, 060-0063

  • Investigative site #3105

    Setagaya-Ku, Tokyo, 158-0097

  • Investigative site #3113

    Yokohama, Kanagawa, 221-0825

Other trials in Japan

Hungary7 sites
  • Investigative Site Number: 2304

    Budapest, 1036

  • Investigative Site Number: 2303

    Debrecen, Hajdú-Bihar, 4032

  • Investigative Site Number: 2305

    Gyula, Bekes County, 5700

  • Investigative Site Number: 2307

    Kecskemét, Bács-Kiskun county, 6000

  • Investigative Site Number: 2301

    Szeged, Csongrád megye, 6720

  • Investigative Site Number: 2306

    Szolnok, Jász-Nagykun-Szolnok, 5000

  • Investigative Site Number: 2302

    Zalaegerszeg, Zala County, 8900

Other trials in Hungary

Bulgaria6 sites
  • Investigative Site Number: 2004

    Pleven, 5800

  • Investigative Site Number: 2005

    Sofia, 1431

  • Investigative Site Number: 2006

    Sofia, 1592

  • Investigative Site Number: 2003

    Sofia, 1612

  • Investigative Site Number: 2002

    Sofia, 1784

  • Investigative Site Number: 2001

    Stara Zagora, 6003

Other trials in Bulgaria

Czechia6 sites
  • Investigative Site Number: 2108

    Brno, South Moravian, 602 00

  • Investigative Site Number: 2106

    Kutná Hora, 284 01

  • Investigative Site Number: 2105

    Nový Jicín, Moravian-Silesian Region, 741 01

  • Investigative Site Number: 2104

    Ostrava, 702 00

  • Investigative Site Number: 2102

    Prague, Praha, Hlavní Mesto, 108 00

  • Investigative Site Number: 2103

    Prague, Praha, Hlavní Mesto, 130 00

Other trials in Czechia

Germany6 sites
  • Investigative Site Number: 2203

    Berlin, 10117

  • Investigative Site Number: 2202

    Blankenfelde, Brandenburg, 15827

  • Investigative Site Number: 2209

    Erlangen, Bavaria, 91054

  • Investigative Site Number: 2204

    Hamburg, 20251

  • Investigative Site Number: 2208

    Kiel, Schleswig-Holstein, 2405

  • Investigator Site Number: 2201

    Münster, North Rhine-Westphalia, 48149

Other trials in Germany

Canada5 sites
  • Investigative Site Number: 1106

    Markham, Ontario, L3P 1X2

  • Investigative site #1108

    Niagara Falls, Ontario, L2H 1H5

  • Investigative Site Number: 1103

    Ottawa, Ontario, K2C 3N2

  • Investigative Site Number: 1107

    Waterloo, Ontario, N2J 1C4

  • Investigative Site Number: 1101

    Windsor, Ontario, N8W 1E6

Other trials in Canada

Spain5 sites
  • Investigative Site Number: 2505

    Alicante, 3010

  • Investigative Site Number: 2501

    Córdoba, 14004

  • Investigative Site Number: 2503

    Madrid, 28046

  • Investigative Site Number: 2502

    Manises, Valencia, 46940

  • Investigative Site Number: 2504

    Pontevedra, 36001

Other trials in Spain

Taiwan5 sites
  • Investigative Site Number: 3201

    Niao Song Qu, 833

  • Investigative Site Number: 3202

    Taichung, 402

  • Investigative site # 3206

    Taipei, 11217

  • Investigative site # 3206

    Taipei, 112217

  • Investigative Site Number: 3203

    Taoyuan, 33305

Other trials in Taiwan

Australia3 sites
  • Investigative Site Number 3002

    Carlton, 3053

  • Investigative Site Number: 3003

    East Melbourne, 3002

  • Investigational Site Number: 3001

    Parkville, 3050

Other trials in Australia

United Kingdom3 sites
  • Investigative Site Number: 2603

    London, E11 1NR

  • Investigative Site Number: 2601

    London, SE1 9RT

  • Investigative Site Number: 2602

    Sheffield, S10 2TF

Other trials in United Kingdom

About this study

Official title: A Phase IIb, Randomized, Double-blind, Placebo-controlled, Parallel Group, Multicenter Dose Ranging Study of a Subcutaneous Anti-OX40L Monoclonal Antibody (KY1005) in Moderate-to-Severe Atopic Dermatitis

This is an interventional, randomized, parallel group, treatment, Phase IIb, double blind, 5-arm study to assess the effect of Anti-OX40L Monoclonal Antibody (KY1005) in adult participants with moderate to severe atopic dermatitis.

The estimated duration is 28 days for screening and then up to approximately day 477 (last dose no later than day 337+140 days safety follow-up) for all patients unless enrolled into the Long-Term Extension (LTE) protocol (NCT05492578) at either Day 169 depending on responder status or no later than Day 365 due to loss of clinical response.

Being tested
Amlitelimab, Placebo
Keywords
KY1005, Monoclonal Antibody, Atopic Dermatitis, Atopic Eczema, OX40L
Medical subject headings
Eczema, Dermatitis, Atopic

What participants receive

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

  • AmlitelimabDrug

    Also called KY1005, SAR445229, A human anti-OX40 ligand monoclonal antibody

    Pharmaceutical form: Injection solution Route of administration: Subcutaneous

  • PlaceboDrug

    Pharmaceutical form: Injection solution Route of administration: Subcutaneous

Study groups in NCT05131477
Study groupRoleWhat they receive
250mg (500mg Loading Dose) KY1005ExperimentalEvery 4 weeks
Receives: Drug: Amlitelimab
250mg (No Loading Dose) KY1005ExperimentalEvery 4 weeks
Receives: Drug: Amlitelimab
125mg KY1005ExperimentalEvery 4 weeks
Receives: Drug: Amlitelimab
62.5mg KY1005ExperimentalEvery 4 weeks
Receives: Drug: Amlitelimab
PlaceboPlacebo comparatorEvery 4 weeks
Receives: Drug: Placebo

What is being measured

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

  1. Percentage Change in EASI (Eczema Area and Severity Index) From Baseline to Week 16 (Part 1)

    Eczema Area and Severity Index-The EASI is an Investigator-assessed validated tool used to measure the extent (area) and severity of AD with scores from 0 to 72. Higher scores indicate worse condition.

    Measured: Baseline to week 16

Secondary outcomes (54)
  1. Percentage Change in EASI (Eczema Area and Severity Index) From Baseline to Week 24 (Part 1)

    Eczema Area and Severity Index-The EASI is an Investigator-assessed validated tool used to measure the extent (area) and severity of AD with scores from 0 to 72. Higher scores indicate worse condition.

    Measured: Baseline to week 24

  2. Percentage of Participants With at Least a 75% Reduction From Baseline in EASI (EASI 75) at Week 16 and Week 24 (Part 1)

    Eczema Area and Severity Index-The EASI is an Investigator-assessed validated tool used to measure the extent (area) and severity of AD with scores from 0 to 72. Higher scores indicate worse condition.

    Measured: Baseline to week 16 and week 24

  3. Percentage of Participants With a Response of IGA (Investigator Global Assessment) 0 or 1 and a Reduction From Baseline ≥ 2 Points (Part 1)

    The IGA is a five-point scale that provides a global clinical assessment of AD severity ranging from 0 to 4, where 0 indicates clear,1 is almost clear, 2 is mild, 3 is moderate, and 4 indicates severe AD.

    Measured: Baseline to week 16 and week 24

  4. Percentage of Participants With Improvement (Reduction) of Weekly Average of Pruritus NRS (Numerical Rating Scale) ≥ 4 With a Baseline Pruritus of ≥ 4 From Baseline (Part 1)

    The pruritus NRS is a simple assessment tool to report the intensity of their pruritus (itch) ranges from 0 to 10 with 0 being 'no itch' and 10 being the 'worst itch imaginable'.

    Measured: Baseline to week 16 and week 24

  5. Percentage of Participants With Improvement (Reduction) of Weekly Average of Pruritus NRS (Numerical Rating Scale) ≥ 4 With a Baseline Pruritus of ≥ 4 From Baseline (Part 2)

    The pruritus NRS is a simple assessment tool to report the intensity of their pruritus (itch) ranges from 0 to 10 with 0 being 'no itch' and 10 being the 'worst itch imaginable'.

    Measured: Baseline to weeks week 24, 25, 26, 27, 28, 29, 30, 31, 32, 33, 34, 35, 36, 37, 38, 39, 40, 41, 42, 43, 44, 45, 46, 47, 48, 49, 50, 51, & 52

  6. Absolute Change From Baseline in EASI (Eczema Area and Severity Index) (Part 1)

    Eczema Area and Severity Index-The EASI is an Investigator-assessed validated tool used to measure the extent (area) and severity of AD with scores from 0 to 72. Higher scores indicate worse condition.

    Measured: Baseline to weeks 2, 4, 8, 12, 16, 20 and 24

  7. Percentage Change From Baseline in EASI (Eczema Area and Severity Index) (Part 1)

    Eczema Area and Severity Index-The EASI is an Investigator-assessed validated tool used to measure the extent (area) and severity of AD with scores from 0 to 72. Higher scores indicate worse condition.

    Measured: Baseline to weeks 2,4, 8,12,16, 20 and 24

  8. Absolute Change From Baseline in EASI (Eczema Area and Severity Index) (Part 2)

    Eczema Area and Severity Index-The EASI is an Investigator-assessed validated tool used to measure the extent (area) and severity of AD with scores from 0 to 72. Higher scores indicate worse condition.

    Measured: Baseline to weeks 24, 28, 32, 36, 40, 44, 48, & 52

  9. Percentage Change From Baseline in EASI (Eczema Area and Severity Index) (Part 2)

    Eczema Area and Severity Index-The EASI is an Investigator-assessed validated tool used to measure the extent (area) and severity of AD with scores from 0 to 72. Higher scores indicate worse condition.

    Measured: Baseline to weeks 24, 28, 32, 36, 40, 44, 48, & 52

  10. Percentage of Participants With at Least a 50% Reduction From Baseline in EASI (EASI 50) (Part 1)

    Eczema Area and Severity Index-The EASI is an Investigator-assessed validated tool used to measure the extent (area) and severity of AD with scores from 0 to 72. Higher scores indicate worse condition.

    Measured: Baseline to weeks 2, 4, 8, 12, 16, 20 and 24

  11. Percentage of Participants With at Least a 75% Reduction From Baseline in EASI (EASI 75) (Part 1)

    Eczema Area and Severity Index-The EASI is an Investigator-assessed validated tool used to measure the extent (area) and severity of AD with scores from 0 to 72. Higher scores indicate worse condition.

    Measured: Baseline at weeks 2, 4, 8, 12, 16, 20 and 24

  12. Percentage of Participants With at Least a 90% Reduction From Baseline in EASI (EASI 90) (Part 1)

    Eczema Area and Severity Index-The EASI is an Investigator-assessed validated tool used to measure the extent (area) and severity of AD with scores from 0 to 72. Higher scores indicate worse condition.

    Measured: Baseline to weeks 2, 4, 8, 12, 16, 20 and 24

  13. Percentage of Participants With a 100% Reduction From Baseline in EASI (EASI 100) (Part 1)

    Eczema Area and Severity Index-The EASI is an Investigator-assessed validated tool used to measure the extent (area) and severity of AD with scores from 0 to 72. Higher scores indicate worse condition.

    Measured: Baseline to weeks 2, 4, 8, 12, 16, 20 and 24

  14. Change in IGA (Investigator Global Assessment) From Baseline to (Week 24) (Part 1)

    The IGA is a five-point scale that provides a global clinical assessment of AD severity ranging from 0 to 4, where 0 indicates clear, 1 is almost clear, 2 is mild, 3 is moderate, and 4 indicates severe AD

    Measured: Baseline to weeks 2, 4, 8, 12, 16, 20, & 24

  15. Change in IGA (Investigator Global Assessment) From Baseline (Part 2)

    The IGA is a five-point scale that provides a global clinical assessment of AD severity ranging from 0 to 4, where 0 indicates clear, 1 is almost clear, 2 is mild, 3 is moderate, and 4 indicates severe AD

    Measured: Baseline to weeks 24, 28, 31, 36, 40, 44, 48 & 52

  16. Percentage of Participants With a Score of IGA (Investigator Global Assessment) 0 or 1 and a Reduction From Baseline of ≥ 2 Points (Part 1)

    The IGA is a five-point scale that provides a global clinical assessment of AD (Atopic Dermatitis) severity ranging from 0 to 4, where 0 indicates clear, 1 is almost clear, 2 is mild, 3 is moderate, and 4 indicates severe AD

    Measured: Baseline to weeks 2, 4, 8,12,16,20 & 24

  17. Absolute Change in SCORAD (SCORing Atopic Dermatitis) Index From Baseline (Part 1)

    SCORAD was used to assess the extent and severity of AD (Atopic Dermatitis). Extent and severity of eczema as well as subjective assessment of symptoms were assessed and scored. SCORAD total score ranges from 0 (absent disease) to 103 (severe disease)

    Measured: Baseline to weeks 4, 8, 12, 16, 20 & 24

  18. Absolute Change in SCORAD (SCORing Atopic Dermatitis) Index From Baseline (Part 2)

    SCORAD was used to assess the extent and severity of AD (Atopic Dermatitis). Extent and severity of eczema as well as subjective assessment of symptoms were assessed and scored. SCORAD total score ranges from 0 (absent disease) to 103 (severe disease)

    Measured: Baseline to week 24, 28, 32, 36, 40, 44, 48 & 52

  19. Percentage Change in SCORAD (SCORing Atopic Dermatitis) Index From Baseline (Part 1)

    SCORAD was used to assess the extent and severity of AD (Atopic Dermatitis). Extent and severity of eczema as well as subjective assessment of symptoms were assessed and scored. SCORAD total score ranges from 0 (absent disease) to 103 (severe disease)

    Measured: Baseline to weeks 4, 8, 12, 16, 20, & 24

  20. Percentage Change in SCORAD (SCORing Atopic Dermatitis) Index From Baseline (Part 2)

    SCORAD was used to assess the extent and severity of AD (Atopic Dermatitis). Extent and severity of eczema as well as subjective assessment of symptoms were assessed and scored. SCORAD total score ranges from 0 (absent disease) to 103 (severe disease)

    Measured: Baseline to weeks 24, 28, 32, 36, 40, 44, 48 & 52

  21. Absolute Change in Affected Body Surface Area (BSA) From Baseline (Part 1)

    Measured: Baseline to weeks 2, 4, 8, 12, 16, 20, & 24

  22. Absolute Change in Affected BSA From Baseline (Part 2)

    Measured: Baseline to weeks 24, 28, 32, 36, 40, 44, 48 & 52

  23. Percentage Change in Affected BSA From Baseline (Part 1)

    Measured: Baseline to weeks 2, 4, 8, 12, 16, 20, & 24

  24. Percentage Change in Affected BSA From Baseline (Part 2)

    Measured: Baseline to weeks 24, 28, 32, 36, 40, 44, 48 & 52

  25. Absolute Change in Patient Oriented Eczema Measure (POEM) From Baseline (Part 1)

    POEM is a 7-item (dryness, itching, flaking, cracking, sleep loss, bleeding, and weeping) questionnaire to assess frequency of disease symptoms with a scoring system of 0 to 28. The higher score indicating higher severity

    Measured: Baseline to weeks 4, 8, 12, 16, 20, & 24

  26. Absolute Change in Patient Oriented Eczema Measure (POEM) From Baseline (Part 2)

    POEM is a 7-item (dryness, itching, flaking, cracking, sleep loss, bleeding, and weeping) questionnaire to assess frequency of disease symptoms with a scoring system of 0 to 28. The higher score indicating higher severity

    Measured: Baseline to weeks 24, 32, 36, 40, 44, 48 & 52

  27. Percentage Change in Patient Oriented Eczema Measure (POEM) From Baseline (Part 1)

    POEM is a 7-item (dryness, itching, flaking, cracking, sleep loss, bleeding, and weeping) questionnaire to assess frequency of disease symptoms with a scoring system of 0 to 28. The higher score indicating higher severity

    Measured: Baseline to weeks 4, 8, 12, 16, 20, & 24

  28. Percentage Change in Patient Oriented Eczema Measure (POEM) From Baseline (Part 2)

    POEM is a 7-item (dryness, itching, flaking, cracking, sleep loss, bleeding, and weeping) questionnaire to assess frequency of disease symptoms with a scoring system of 0 to 28. The higher score indicating higher severity

    Measured: Baseline to weeks 24, 32, 36, 40. 44, 48, & 52

  29. Absolute Change in Dermatology Life Quality Index (DLQI) From Baseline (Parts 1)

    DLQI is a questionnaire with a score system of 0 to 30 the high score is indicative of poor QoL.

    Measured: Baseline to weeks 2, 8, 16, 20, & 24

  30. Absolute Change in Dermatology Life Quality Index (DLQI) From Baseline (Part 2)

    DLQI is a questionnaire with a score system of 0 to 30 the high score is indicative of poor QoL.

    Measured: Baseline to weeks 24, 28, 32, 36, 40, 44, 48, & 52

  31. Percentage Change in Dermatology Life Quality Index (DLQI) From Baseline (Part 1)

    DLQI is a questionnaire with a score system of 0 to 30 the high score is indicative of poor QoL.

    Measured: Baseline to weeks 2, 8, 16, 20, & 24

  32. Percentage Change in Dermatology Life Quality Index (DLQI) From Baseline (Part 2)

    DLQI is a questionnaire with a score system of 0 to 30 the high score is indicative of poor QoL.

    Measured: Baseline to weeks 24, 28, 32, 36, 40, 44, 48, & 52

  33. Absolute Change in Atopic Dermatitis Control Tool (ADCT) From Baseline (Part 1)

    ADCT is a questionnaire to assess patient-self-perceived control of their eczema with a total score from 0 to 24; higher scores indicate lower AD control

    Measured: Baseline to weeks 16, & 24

  34. Absolute Change in Atopic Dermatitis Control Tool (ADCT) From Baseline (Part 2)

    ADCT is a questionnaire to assess patient-self-perceived control of their eczema with a total score from 0 to 24; higher scores indicate lower AD control

    Measured: Baseline to weeks 24, 36 & 52

  35. Percentage Change in Atopic Dermatitis Control Tool (ADCT) From Baseline (Part 1)

    ADCT is a questionnaire to assess patient-self-perceived control of their eczema with a total score from 0 to 24; higher scores indicate lower AD control

    Measured: Baseline to weeks 16, & 24

  36. Percentage Change in Atopic Dermatitis Control Tool (ADCT) From Baseline (Part 2)

    ADCT is a questionnaire to assess patient-self-perceived control of their eczema with a total score from 0 to 24; higher scores indicate lower AD control

    Measured: Baseline to weeks 24, 36 & 52

  37. Absolute Change in Hospital Anxiety and Depression Scale (HADS) From Baseline (Part 1)

    The HADS is 14-item questionnaire with two subscales: anxiety \& depression. Each subscale (anxiety \& depression) ranges 0-21. The total HADS score ranges 0-42 with higher score indicating a poorer state.

    Measured: Baseline to weeks 8 16, 20, & 24

  38. Absolute Change in Hospital Anxiety and Depression Scale (HADS) From Baseline (Part 2)

    The HADS is 14-item questionnaire with two subscales: anxiety \& depression. Each subscale (anxiety \& depression) ranges 0-21. The total HADS score ranges 0-42 with higher score indicating a poorer state.

    Measured: Baseline to weeks 24, 28, 32, 36, 40, 44, 48 & 52

  39. Percentage Change in Hospital Anxiety and Depression Scale (HADS) From Baseline (Part 1)

    The HADS is 14-item questionnaire with two subscales: anxiety \& depression. Each subscale (anxiety \& depression) ranges 0-21. The total HADS score ranges 0-42 with higher score indicating a poorer state.

    Measured: Baseline to weeks 8, 16, 20, & 24

  40. Percentage Change in Hospital Anxiety and Depression Scale (HADS) From Baseline (Part 2)

    The HADS is 14-item questionnaire with two subscales: anxiety \& depression. Each subscale (anxiety \& depression) ranges 0-21. The total HADS score ranges 0-42 with higher score indicating a poorer state.

    Measured: Baseline to weeks 24, 28, 32, 36, 40, 44, 48 & 52

  41. Absolute Change in Weekly Average of Pruritus Numerical Rating Scale (NRS) From Baseline (Part 1)

    The pruritus NRS is a simple assessment tool to report the intensity of their pruritus (itch) ranges from 0 to 10 with 0 being 'no itch' and 10 being the 'worst itch imaginable'.

    Measured: Baseline to weeks 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20, 21, 22, 23, & 24

  42. Absolute Change in Weekly Average of Pruritus Numerical Rating Scale (NRS) From Baseline (Part 2)

    The pruritus NRS is a simple assessment tool to report the intensity of their pruritus (itch) ranges from 0 to 10 with 0 being 'no itch' and 10 being the 'worst itch imaginable'.

    Measured: Baseline to weeks 24, 25, 26, 27, 28, 29, 30, 31, 32, 33, 34, 35, 36, 37, 38, 39, 40, 41, 42, 43, 44, 45, 46, 47, 48, 49, 50, 51, & 52

  43. Percent Change in Weekly Average of Pruritus Numerical Rating Scale (NRS) From Baseline (Part 1)

    The pruritus NRS is a simple assessment tool to report the intensity of their pruritus (itch) ranges from 0 to 10 with 0 being 'no itch' and 10 being the 'worst itch imaginable'.

    Measured: Baseline to weeks 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20, 21, 22, 23 & 24

  44. Percent Change in Weekly Average of Pruritus Numerical Rating Scale (NRS) From Baseline (Part 2)

    The pruritus NRS is a simple assessment tool to report the intensity of their pruritus (itch) ranges from 0 to 10 with 0 being 'no itch' and 10 being the 'worst itch imaginable'.

    Measured: Baseline to weeks 24, 25, 26, 27, 28, 29, 30, 31, 32, 33, 34, 35, 36, 37, 38, 39, 40, 41, 42, 43, 44, 45, 46, 47, 48, 49, 50, 51, & 52

  45. Percentage of Participants With Improvement (Reduction) of Weekly Average of Pruritus NRS (Numerical Rating Scale) ≥ 3 With a Baseline Pruritus NRS ≥ 3 From Baseline (Part 1)

    The pruritus NRS is a simple assessment tool to report the intensity of their pruritus (itch) ranges from 0 to 10 with 0 being 'no itch' and 10 being the 'worst itch imaginable'.

    Measured: Baseline to weeks 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20, 21, 22, 23, & 24

  46. Incidence Rate of Loss of EASI 50 (Part 2)

    The incidence rate of loss of EASI 50 is calculated for participants who achieved EASI 50 at re-randomization (week 24). The incidence rate is computed as the number of participants losing EASI 50 divided by total follow-up time. The follow-up time is defined as the duration from re-randomization (week 24) to either the first event date (loss of EASI 50) or censoring date for participants who had no events. The censoring date is defined as the earliest occurrence of: use of rescue medications and/or selected prohibited medications/ procedures impacting efficacy, or study discontinuation/ completion.

    Measured: Week 24 to week 52

  47. Incidence Rate of Loss of EASI 75 (Part 2)

    The incidence rate of loss of EASI 75 is calculated for participants who achieved EASI 75 at re-randomization (week 24). The incidence rate is computed as the number of participants losing EASI 75 divided by total follow-up time. The follow-up time is defined as the duration from re-randomization (week 24) to either the first event date (loss of EASI 75) or censoring date for participants who had no events. The censoring date is defined as the earliest occurrence of: use of rescue medications and/or selected prohibited medications/ procedures impacting efficacy, or study discontinuation/ completion.

    Measured: Week 24 to week 52

  48. Incidence Rate of Loss of IGA 0/1 (Part 2)

    The incidence rate of loss of IGA 0/1 is calculated for participants who achieved IGA 0/1 at re-randomization (week 24). The incidence rate is computed as the number of participants losing IGA 0/1 divided by total follow-up time. The follow-up time is defined as the duration from re-randomization (week 24) to either the first event date (loss of IGA 0/1) or censoring date for participants who had no events. The censoring date is defined as the earliest occurrence of: use of rescue medications and/or selected prohibited medications/ procedures impacting efficacy, or study discontinuation/ completion.

    Measured: Week 24 to week 68

  49. Serum KY1005 Concentration Assessed Throughout the Study (Part 1)

    Measured: Baseline and at weeks 1, 2, 4, 8, 12, 16, 17, 20, & 24

  50. Serum KY1005 Concentration Assessed Throughout the Study (Part 2)

    Measured: Baseline and at weeks 24, 25, 28, 32, 36, 40, 44, 48, & 52

  51. Percentage of Participants With at Least One Treatment-emergent Adverse Event (TEAE) and Any Serious TEAE (Part 1)

    Measured: Baseline through week 24

  52. Percentage of Participants With at Least One Treatment-emergent Adverse Event (TEAE) and Any Serious TEAE (Part 2)

    Measured: Week 24 through week 68

  53. Percentage of Participants With Treatment-emergent ADA (Part 1)

    Measured: Baseline through week 24

  54. Percentage of Participants With Treatment-emergent ADA (Part 2)

    Measured: Baseline through week 68

Timeline

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

  1. First posted23 Nov 2021
  2. Study start13 Dec 2021
  3. Primary completion26 Apr 2023
  4. Study completion21 Feb 2024

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
390 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05131477
Sponsor's protocol ID
KY1005-CT05/DRI17366
Other IDs
2021-000725-28, U1111-1271-1438, DRI17366
Acronym
STREAM-AD
Status last verified
Jun 2025
First submitted
11 Nov 2021
Last updated
3 Jul 2025
Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
Yes: Qualified researchers may request access to patient level data and related study documents including the clinical study report, study protocol with any amendments, blank case report form, statistical analysis plan, and dataset specifications. Patient level data will be anonymized and study documents will be redacted to protect the privacy of trial participants. Further details on Sanofi's data sharing criteria, eligible studies, and process for requesting access can be found at: https://vivli.org

Publications

  • Reich A, Blauvelt A, Weidinger S, Shi VY, Katoh N, Lynde C, Gao X, Armstrong NM, Bernigaud C, Rahawi K. A Post Hoc Analysis of Atopic Dermatitis of the Head and Neck and Other Body Regions from the Amlitelimab STREAM-AD Phase 2b Study. Dermatol Ther (Heidelb). 2026 Jan;16(1):605-616. doi: 10.1007/s13555-025-01609-6. Epub 2025 Dec 8.

    PubMed 41359216
  • Blauvelt A, Chovatiya R, Merola JF, Weidinger S, Igawa K, Brookes E, Weber C, Wang J, Gray C. Improvement and maintenance of clinical outcome assessments in atopic dermatitis with amlitelimab. J Eur Acad Dermatol Venereol. 2025 Dec;39(12):2113-2120. doi: 10.1111/jdv.20877. Epub 2025 Jul 24.

    PubMed 40704660
  • Weidinger S, Blauvelt A, Papp KA, Reich A, Lee CH, Worm M, Lynde C, Kataoka Y, Foley P, Wei X, Wong W, Solente AC, Weber C, Adelman S, Davey S, Hurbin F, Rynkiewicz N, Yen K, O'Malley JT, Bernigaud C. Phase 2b randomized clinical trial of amlitelimab, an anti-OX40 ligand antibody, in patients with moderate-to-severe atopic dermatitis. J Allergy Clin Immunol. 2025 Apr;155(4):1264-1275. doi: 10.1016/j.jaci.2024.10.031. Epub 2024 Nov 8.

    PubMed 39522654

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing Amlitelimab in people with Eczema and Atopic Dermatitis, run by Kymab Limited at 103 sites in 12 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 11 inclusion and 11 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 Jul 2025. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 103 sites in Poland, United States, Japan, Hungary, Bulgaria and 7 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 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 3 Jul 2025). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

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

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

What does the primary outcome measure?

Percentage Change in EASI (Eczema Area and Severity Index) From Baseline to Week 16 (Part 1) (time frame: Baseline to week 16). 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 NCT05131477, which also lists 3 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 Jul 2025.

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