Dermatitis AtopicPhase 3AQUANCT06241118
A Study to Evaluate the Efficacy and Safety of Subcutaneous Amlitelimab on Background Topical Corticosteroids Therapy in Participants Aged 12 Years and Older With Moderate-to-severe AD Who Have Had an Inadequate Response to Prior Biologic Therapy or an Oral JAK Inhibitor
A Phase 3 study testing Amlitelimab, Topical corticosteroids and Topical tacrolimus or pimecrolimus in people with Dermatitis Atopic, run by Sanofi at 154 sites in 22 countries.
Trial summary
This is a parallel group, Phase 3, multinational, multicenter, randomized, double-blind, placebo-controlled, 3-arm study for treatment of participants diagnosed with moderate-to-severe AD on background TCS who have had inadequate response to prior biologic or oral JAKi therapy. Read more about this study
- Who is it for?
- Ages 12 years and older
- Conditions the study is for
- Dermatitis Atopic
- What is being tested?
- Amlitelimab, Topical corticosteroids and Topical tacrolimus or pimecrolimus
- Type of treatment
- Injection or infusion
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 464 participants
- Where
- 154 sitesin 22 countries
- Study dates
- 29 Feb 2024to 29 Sep 2028
- Phase
- Phase 3
- Are there results?
- Not yet: the study is under way
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 12 years and older
- All sexes
- No healthy volunteers
- Child, Adult, Older adult
Who may be able to join
- Participants must be 12 years of age (when signing informed consent form)
- Diagnosis of AD for at least 1 year (defined by the American Academy of Dermatology Consensus Criteria)
- Documented history prior to screening visit of inadequate response to a biologic AD medication or an oral JAKi therapy.
- v-IGA-AD of 3 or 4 at baseline visit
- EASI score of 16 or higher at baseline
- AD involvement of 10% or more of BSA at baseline
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- Weekly average of daily PP-NRS of ≥ 4 at baseline visit.
- Able and willing to comply with requested study visits and procedures
- Body weight ≥25 kg
Who cannot join
- Participants are excluded from the study if any of the following criteria apply:
- Skin co-morbidity that would adversely affect the ability to undertake AD assessments
- Known history of or suspected significant current immunosuppression
- Any malignancies or history of malignancies prior to baseline (with the exception of non-melanoma skin cancer excised and cured >5 years prior to baseline)
- History of solid organ or stem cell transplant
- Any active or chronic infection including helminthic infection requiring systemic treatment within 4 weeks prior to baseline
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- Positive for human immunodeficiency virus (HIV), Hepatitis B or hepatitis C at screening visit
- Having active tuberculosis (TB), latent TB, a history of incompletely treated TB, suspected extrapulmonary TB infection, or who are at high risk of contracting TB
- Having received any of the specified therapy within the specified timeframe(s) prior to the baseline visit
- In the Investigator's opinion, any clinically significant laboratory results or protocol specified laboratory abnormalities at screening
- History of hypersensitivity or allergy to any of the excipients or investigational medicinal product (IMP)
- The above information is not intended to contain all considerations relevant to a potential participation in a clinical trial
Trial locations and contacts
154 sites in 22 countries.
154 sites in 22 countries
United States43 sites
The University of New Mexico- Site Number : 8401263
Albuquerque, New Mexico, 87106
University of Michigan Health System - Ann Arbor- Site Number : 8401290
Ann Arbor, Michigan, 48109
Arlington Research Center- Site Number : 8401248
Arlington, Texas, 76011
McGovern Medical School - UT Physicians Dermatology - Bellaire Station- Site Number : 8401288
Bellaire, Texas, 77401
University of Alabama at Birmingham- Site Number : 8401267
Birmingham, Alabama, 35233
Equity Medical - Bowling Green- Site Number : 8401296
Bowling Green, Kentucky, 42104
Encore Medical Research of Boynton Beach- Site Number : 8401030
Boynton Beach, Florida, 33436
Medical University of South Carolina - Charleston - Jonathan Lucas Street- Site Number : 8401282
Charleston, South Carolina, 29425
Cheyenne Skin Clinic- Site Number : 8401234
Cheyenne, Wyoming, 82009
Northwestern University- Site Number : 8401285
Chicago, Illinois, 60611
Exalt Clinical Research- Site Number : 8401344
Chula Vista, California, 91910
Cincinnati Children's Hospital Medical Center- Site Number : 8401279
Cincinnati, Ohio, 45229
Reveal Research Institute - Dallas- Site Number : 8401219
Dallas, Texas, 75235
St. Jude Clinical Research- Site Number : 8401287
Doral, Florida, 33172
Schweiger Dermatology Group - East Windsor- Site Number : 8401338
East Windsor, New Jersey, 08520
Encino Research Center- Site Number : 8401042
Encino, California, 91436
Center for Dermatology Clinical Research- Site Number : 8401018
Fremont, California, 94538
Dawes Fretzin Clinical Research- Site Number : 8401015
Indianapolis, Indiana, 46256
Apex Clinical Research - Jacksonville- Site Number : 8401332
Jacksonville, Florida, 32256
Long Beach Clinical Trials- Site Number : 8401188
Long Beach, California, 90806
Dermatology Research Associates- Site Number : 8401092
Los Angeles, California, 90045
LA Universal Research Center- Site Number : 8401064
Los Angeles, California, 90057
Tandem Clinical Research - Metairie- Site Number : 8401187
Metairie, Louisiana, 70006
Clever Medical Research- Site Number : 8401160
Miami, Florida, 33126
Future Care Solution - Miami- Site Number : 8401340
Miami, Florida, 33142
North Sound Dermatology- Site Number : 8401280
Mill Creek, Washington, 98012
Children's Wisconsin- Site Number : 8401246
Milwaukee, Wisconsin, 53226
Sadick Research Group - New York - Park Avenue- Site Number : 8401050
New York, New York, 10075
University Dermatology Trials- Site Number : 8401339
Newport Beach, California, 92660
Virginia Dermatology & Skin Cancer Center- Site Number : 8401047
Norfolk, Virginia, 23502
Arkansas Dermatology - North Little Rock- Site Number : 8401244
North Little Rock, Arkansas, 72117
MI Skin Center- Site Number : 8401307
Northville, Michigan, 48167
Paddington Testing Company- Site Number : 8401041
Philadelphia, Pennsylvania, 19103
Clinical Research of Philadelphia- Site Number : 8401193
Philadelphia, Pennsylvania, 19114
Oregon Health & Science University (OHSU)- Site Number : 8401247
Portland, Oregon, 97239
Rady Children's Hospital- Site Number : 8401291
San Diego, California, 92123
Therapeutics Clinical Research- Site Number : 8401283
San Diego, California, 92123
Center for Dermatology and Plastic Surgery- Site Number : 8401119
Scottsdale, Arizona, 85260
NorthShore University Health System - Endeavor Health Medical Group - Skokie - Woods Drive- Site Number : 8401038
Skokie, Illinois, 60077
Global Clinical Professionals (GCP)- Site Number : 8401045
St. Petersburg, Florida, 33714
Avita Clinical Research- Site Number : 8401073
Tampa, Florida, 33613
Equity Medical (LLC)- Site Number : 8401239
The Bronx, New York, 10455
Paradigm Clinical Research - Wheat Ridge- Site Number : 8401245
Wheat Ridge, Colorado, 80033
China15 sites
Investigational Site Number : 1560031
Changchun, 130021
Investigational Site Number : 1560057
Chongqing, 400016
Investigational Site Number : 1560021
Guangzhou, 510018
Investigational Site Number : 1560036
Guangzhou, 510100
Investigational Site Number : 1560044
Hangzhou, 310003
Investigational Site Number : 1560002
Hangzhou, 310006
Investigational Site Number : 1560009
Hangzhou, 310009
Investigational Site Number : 1560034
Nanyang, 473014
Investigational Site Number : 1560024
Ningbo, 315010
Investigational Site Number : 1560035
Ningbo, 315010
Investigational Site Number : 1560001
Shanghai, 200040
Investigational Site Number : 1560005
Shanghai, 200443
Investigational Site Number : 1560041
Shenyang, 110001
Investigational Site Number : 1560038
Wuhan, 430030
Investigational Site Number : 1560032
Xi'an, 710004
Canada9 sites
Investigational Site Number : 1240058
Burlington, Ontario, L7L 6W6
Investigational Site Number : 1240019
Calgary, Alberta, T2W 4X9
Investigational Site Number : 1240016
Edmonton, Alberta, T5J 3S9
Investigational Site Number : 1240020
Hamilton, Ontario, L8L 3C3
Investigational Site Number : 1240053
London, Ontario, N6A 5R9
Investigational Site Number : 1240006
Québec, Quebec, G1W 4R4
Investigational Site Number : 1240028
Regina, Saskatchewan, S4V 1R9
Investigational Site Number : 1240035
Toronto, Ontario, M5A 3R6
Investigational Site Number : 1240054
Toronto, Ontario, M5m 3z8
Argentina8 sites
Investigational Site Number : 0320011
Buenos Aires, 1035
Investigational Site Number : 0320008
Buenos Aires, 1061
Investigational Site Number : 0320010
Buenos Aires, 1414
Investigational Site Number : 0320004
Buenos Aires, 1425
Investigational Site Number : 0320019
Buenos Aires, 1426
Investigational Site Number : 0320014
Córdoba, 5000
Investigational Site Number : 0320007
Rosario, Santa Fe Province, 2000
Investigational Site Number : 0320024
San Miguel de Tucumán, Tucumán Province, 4000
Japan8 sites
Investigational Site Number : 3923109
Habikino, Osaka, 583-8588
Investigational Site Number : 3920007
Hiroshima, 734-8551
Investigational Site Number : 3923106
Mibu, Tochigi, 321-0293
Investigational Site Number : 3923107
Minato, Tokyo, 108-0014
Investigational Site Number : 3923110
Sakai, Osaka, 593-8324
Investigational Site Number : 3920008
Sapporo, 064-0921
Investigational Site Number : 3920001
Tachikawa, Tokyo, 190-0023
Investigational Site Number : 3923113
Yokohama, Kanagawa, 221-0825
United Kingdom8 sites
Investigational Site Number : 8260013
Bristol, Bristol, City of, BS2 8HW
Investigational Site Number : 8260009
Leeds, North Yorkshire, Ls7 4sa
Investigational Site Number : 8260008
Liverpool, L7 8XP
Investigational Site Number : 8262603
London, England, E11 1NR
Investigational Site Number : 8260015
London, England, SW10 9NH
Investigational Site Number : 8260010
Nottingham, Nottinghamshire, NG17 4JL
Investigational Site Number : 8260012
Plymouth, Devon, PL6 8DH
Investigational Site Number : 8260003
Portsmouth, Hampshire, PO3 6DW
France7 sites
Investigational Site Number : 2500011
Bordeaux, 33000
Investigational Site Number : 2500014
Clermont-Ferrand, 63100
Investigational Site Number : 2500004
Créteil, 94010
Investigational Site Number : 2500001
Lille, 59037
Investigational Site Number : 2500017
Paris, 75010
Investigational Site Number : 2500012
Rouen, 76031
Investigational Site Number : 2500016
Saint-Pierre, 97410
Brazil6 sites
Irmandade da Santa Casa de Misericórdia de Porto Alegre- Site Number : 0760005
Porto Alegre, Rio Grande do Sul, 90020-090
Centro de Pesquisas da Clínica IBIS- Site Number : 0760002
Salvador, Estado de Bahia, 41820-020
Faculdade de Medicina do ABC- Site Number : 0760001
Santo André, São Paulo, 09060-650
Hospital Alemao Oswaldo Cruz - São Paulo- Site Number : 0760010
São Paulo, 01323-020
Centro de Desenvolvimento em Estudos ClÌnicos Brasil- Site Number : 0760014
São Paulo, 04020-060
Clinica de Alergia Martti Antila- Site Number : 0760006
Sorocaba, São Paulo, 18040-425
Chile6 sites
Investigational Site Number : 1520013
Santiago, Reg Metropolitana de Santiago, 7500505
Investigational Site Number : 1520002
Santiago, Reg Metropolitana de Santiago, 7580206
Investigational Site Number : 1520003
Santiago, Reg Metropolitana de Santiago, 7640881
Investigational Site Number : 1520010
Santiago, Reg Metropolitana de Santiago, 8330034
Investigational Site Number : 1520005
Santiago, Reg Metropolitana de Santiago, 8380465
Investigational Site Number : 1520001
Santiago, Reg Metropolitana de Santiago, 8420383
Germany6 sites
Investigational Site Number : 2762203
Berlin, 10117
Investigational Site Number : 2762202
Blankenfelde-Mahlow, 15831
Investigational Site Number : 2761001
Dresden, 01307
Investigational Site Number : 2760022
Frankfurt, 60590
Investigational Site Number : 2761002
Lübeck, 23562
Investigational Site Number : 2760019
Witten, 58453
Italy5 sites
Center for Advanced Studies and Technology-Site Number: 3800016
Chieti, 66100
A.O.U. di Modena -Site Number: 3800021
Modena, 41125
UOC Clinica Dermatologica - AOU "Luigi Vanvitelli"-Site Number : 3800017
Naples, 80131
Azienda ospedaliera di Perugia - Ospedale "Santa Maria della Misericordia"-Site Number: 3800015
Perugia, 06129
Investigational Site Number : 3800020
Turin, Torino, 10126
Spain5 sites
Investigational Site Number : 7242505
Alicante, 03010
Investigational Site Number : 7240002
Badalona, Barcelona [Barcelona], 08916
Investigational Site Number : 7240018
Granada, 18014
Investigational Site Number : 7242503
Madrid, Madrid, Comunidad de, 28046
Investigational Site Number : 7240017
Majadahonda, Madrid, 28222
Greece4 sites
Investigational Site Number : 3000004
Athens, 124 62
Investigational Site Number : 3000001
Athens, 16121
Investigational Site Number : 3000005
Athens, 16121
Investigational Site Number : 3000002
Thessaloniki, 54643
South Korea4 sites
Investigational Site Number : 4100002
Ansan-si, Gyeonggi-do, 15355
Investigational Site Number : 4100015
Bupyeong-Gu, Incheon-gwangyeoksi, 21431
Investigational Site Number : 4100007
Seoul, Seoul-teukbyeolsi, 03722
Investigational Site Number : 4100001
Seoul, Seoul-teukbyeolsi, 07441
Taiwan4 sites
Investigational Site Number : 1583201
Kaohsiung City, 833
Investigational Site Number : 1580001
Taipei, 100
Investigational Site Number : 1580003
Taipei, NaN
Investigational Site Number : 1583203
Taoyuan City, 333
Israel3 sites
Investigational Site Number : 3760005
Beersheba, 8457108
Investigational Site Number : 3760008
Ramat Gan, 5262100
Investigational Site Number : 3760007
Tel Aviv, 6423906
Turkey (Türkiye)3 sites
Investigational Site Number : 7920008
Gaziantep, 27310
Investigational Site Number : 7920005
Istanbul, 34093
Investigational Site Number : 7920002
Istanbul, 34098
United Arab Emirates3 sites
Investigational Site Number : 7841002
Abu Dhabi, 51900
Investigational Site Number : 7840001
Abu Dhabi
Investigational Site Number : 7840002
Abu Dhabi
Australia2 sites
Investigational Site Number : 0360008
Melbourne, Victoria, 3002
Investigational Site Number : 0360006
Melbourne, Victoria, 3004
Mexico2 sites
Investigational Site Number : 4840011
Monterrey, Nuevo León, 64460
Investigational Site Number : 4840003
Veracruz, 91900
Poland2 sites
Investigational Site Number : 6160006
Gdansk, Pomeranian Voivodeship, 80-546
Investigational Site Number : 6162411
Warsaw, Masovian Voivodeship, 01-142
About this study
Official title: A Phase 3, Randomized, Double-blind, Placebo-controlled, Parallel-group, 3-arm, Multinational, Multicenter Study to Evaluate the Efficacy and Safety of Amlitelimab by Subcutaneous Injection in Participants Aged 12 Years and Older With Moderate-to-severe Atopic Dermatitis (AD) Who Are on Background Topical Corticosteroids and Have Had an Inadequate Response to Prior Biologic Therapy or Oral Janus Kinase (JAK) Inhibitor Treatment
This is a parallel group, Phase 3, multinational, multicenter, randomized, double-blind, placebo-controlled, 3-arm study for treatment of participants diagnosed with moderate-to-severe AD on background TCS who have had inadequate response to prior biologic or oral JAKi therapy.
The purpose of this study is to measure the efficacy and safety of treatment with amlitelimab solution for subcutaneous (SC) injection compared with placebo in participants with moderate-to-severe AD aged 12 years and older on background TCS and have had an inadequate response to prior biologic or an oral JAKi therapy.
Read more
Study details include:
At the end of the treatment period, participants will have the option to enter the Long-Term Safety Study LTS17367 (RIVER-AD).
The study duration will be up to 56 weeks for participants not entering the long-term safety study (LTS17367 [RIVER-AD]) including a 2 to 4-week screening, a 36-week randomized double-blind period, and a 16-week safety follow-up.
The study duration will be up to 40 weeks for participants entering the long-term safety study (LTS17367 [RIVER-AD]) including a 2 to 4-week screening and a 36-week randomized double-blind period.
The total treatment duration will be up to 36 weeks. The total number of visits will be up to 13 visits (or 12 visits for those entering the long-term safety study LTS17367 [RIVER-AD] study).
- Conditions
- Dermatitis Atopic
- Being tested
- Amlitelimab, Placebo, Topical corticosteroids, Topical tacrolimus or pimecrolimus
- Medical subject headings
- Dermatitis, Atopic
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
AmlitelimabDrug
Also called SAR445229
Pharmaceutical form: Injection solution Route of administration: Subcutaneous
PlaceboDrug
Pharmaceutical form: Injection solution Route of administration: Subcutaneous
Topical corticosteroidsDrug
Pharmaceutical form: Various Topical formulation Route of administration: Topical
Topical tacrolimus or pimecrolimusDrug
Pharmaceutical form: Various Topical formulation Route of administration: Topical
| Study group | Role | What they receive |
|---|---|---|
| Amlitelimab dose 1 | Experimental | Subcutaneous injection as per protocol Receives: Drug: Amlitelimab; Drug: Topical corticosteroids; Drug: Topical tacrolimus or pimecrolimus |
| Amlitelimab dose 2 | Experimental | Subcutaneous injection as per protocol Receives: Drug: Amlitelimab; Drug: Topical corticosteroids; Drug: Topical tacrolimus or pimecrolimus |
| Placebo | Placebo comparator | Subcutaneous injection as per protocol Receives: Drug: Placebo; Drug: Topical corticosteroids; Drug: Topical tacrolimus or pimecrolimus |
What is being measured
The primary outcome is the main question the study is designed to answer.
EU, EU reference countries, and Japan: Proportion of participants with Validated Investigator Global Assessment scale for Atopic Dermatitis (vIGA-AD) of 0 (clear) or 1 (almost clear) and a reduction from baseline of ≥2 points at Week 36
The vIGA-AD is an Investigator-completed assessment scale used to determine severity of AD and clinical response to treatment. It is based on a 5-point scale, ranging from 0 (clear) to 4 (severe).
Measured: Week 36
EU, EU reference countries, and Japan: Proportion of participants reaching 75% reduction from baseline in Eczema Area and Severity Index (EASI) score (EASI75) at Week 36
The EASI is an Investigator-assessed validated tool used to measure the extent (area) and severity of AD. Total score ranges from 0 to 72 with a higher score indicating increased extent and severity of AD.
Measured: Week 36
US and US reference countries: Proportion of participants with vIGA-AD of 0 (clear) or 1 (almost clear) and a reduction from baseline of ≥2 points at Week 36
The vIGA-AD is an Investigator-completed assessment scale used to determine severity of AD and clinical response to treatment. It is based on a 5-point scale, ranging from 0 (clear) to 4 (severe).
Measured: Week 36
Secondary outcomes (41)
Proportion of participants reaching EASI-75 at Week 36 (for US and US reference countries only)
The EASI is an Investigator-assessed validated tool used to measure the extent (area) and severity of AD. Total score ranges from 0 to 72 with a higher score indicating increased extent and severity of AD. EASI-75 is 75% reduction from baseline in EASI score.
Measured: Week 36
Proportion of participants with vIGA-AD 0 (clear) or 1 (almost clear) with presence of only barely perceptible erythema (no induration/papulation, no lichenification, no oozing or crusting and a reduction from baseline of ≥2 points)
The vIGA-AD is an Investigator-completed assessment scale used to determine severity of AD and clinical response to treatment. It is based on a 5-point scale, ranging from 0 (clear) to 4 (severe).
Measured: Baseline to Week 36
Proportion of participants with ≥4-point reduction in weekly average of daily Peak Pruritus-Numerical Rating Scale (PP-NRS) from baseline in participants with baseline weekly average of daily PP-NRS ≥4
The PP-NRS is a validated single item 0-10 numeric rating scale assessing peak pruritus (itch) associated with AD with 0 = no itch and 10 = worst itch imaginable.
Measured: Baseline to Week 36
Proportion of participants reaching EASI-75
The EASI is an Investigator-assessed validated tool used to measure the extent (area) and severity of AD. Total score ranges from 0 to 72 with a higher score indicating increased extent and severity of AD. EASI-75 is 75% reduction from baseline in EASI score.
Measured: Baseline to Week 24
Proportion of participants with vIGA-AD of 0 (clear) or 1 (almost clear) and a reduction from baseline of ≥2 points
The vIGA-AD is an Investigator-completed assessment scale used to determine severity of AD and clinical response to treatment. It is based on a 5-point scale, ranging from 0 (clear) to 4 (severe).
Measured: Baseline to Week 24
Proportion of participants reaching EASI-90
The EASI is an Investigator-assessed validated tool used to measure the extent (area) and severity of AD. Total score ranges from 0 to 72 with a higher score indicating increased extent and severity of AD. EASI-90 is 90% reduction from baseline in EASI score.
Measured: Baseline to Week 36
Proportion of participants reaching EASI-100
The EASI is an Investigator-assessed validated tool used to measure the extent (area) and severity of AD. Total score ranges from 0 to 72 with a higher score indicating increased extent and severity of AD. EASI-100 is 100% reduction from baseline in EASI score.
Measured: Baseline to Week 36
Proportion of participants with PP-NRS ≤1
The PP-NRS is a validated single item 0-10 numeric rating scale assessing peak pruritus (itch) associated with AD with 0 = no itch and 10 = worst itch imaginable.
Measured: Baseline to Week 36
Change in Dermatology Life Quality Index (DLQI) from baseline in participants with age ≥16 years old
The DLQI is a validated 10-item questionnaire to measure dermatology-specific quality of life (QoL) in adult patients. Overall scoring ranges from 0 to 30, with a higher score indicating a poorer QoL.
Measured: Baseline to Week 36
Proportion of participants with a reduction in DLQI ≥4 from baseline in participants with age ≥16 years old and with DLQI baseline ≥4
The DLQI is a validated 10-item questionnaire to measure dermatology-specific quality of life (QoL) in adult patients. Overall scoring ranges from 0 to 30, with a higher score indicating a poorer QoL.
Measured: Baseline to Week 36
Change in Children Dermatology Life Quality Index (CDLQI) from baseline in participants with age ≥12 to <16 years
The CDLQI is a validated 10-item questionnaire to measure dermatology-specific quality of life (QoL) in children aged 4-<16 years. Overall scoring ranges from 0 to 30, with a higher score indicating a poorer QoL.
Measured: Baseline to Week 36
Proportion of participants with a reduction in CDLQI ≥6 from baseline in participants with age ≥12 to <16 years old and with CDLQI baseline ≥6
The CDLQI is a validated 10-item questionnaire to measure dermatology-specific quality of life (QoL) in children aged 4-<16 years. Overall scoring ranges from 0 to 30, with a higher score indicating a poorer QoL.
Measured: Baseline to Week 36
Change in Hospital Anxiety Depression Scale (HADS) from baseline
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 Week 36
Proportion of participants with HADS subscale Anxiety (HADS-A) <8 in participants with baseline HADS-A ≥8
HADS-A score ranges 0-21 with higher score indicating a poorer state.
Measured: Baseline to Week 36
Proportion of participants with HADS subscale Depression (HADS-D) <8 in participants with HADS-D baseline ≥8
HADS-D score ranges 0-21 with higher score indicating a poorer state.
Measured: Baseline to Week 36
Absolute change in weekly average of daily Skin Pain-Numerical Rating Scale (SP-NRS) from baseline
The SP-NRS is a single item 0-10 numeric rating scale assessing skin pain associated with AD with 0 = no pain and 10 = worst possible pain imaginable.
Measured: Baseline to Week 36
Proportion of participants with a reduction in weekly average of daily SP-NRS ≥4 from baseline in participants with baseline weekly average of daily SP-NRS ≥4
The SP-NRS is a single item 0-10 numeric rating scale assessing skin pain associated with AD with 0 = no pain and 10 = worst possible pain imaginable.
Measured: Baseline to Week 36
Percent change in weekly average of daily SP-NRS from baseline
The SP-NRS is a single item 0-10 numeric rating scale assessing skin pain associated with AD with 0 = no pain and 10 = worst possible pain imaginable.
Measured: Baseline to Week 36
Proportion of participants with vIGA-AD 0 (clear)
The vIGA-AD is an Investigator-completed assessment scale used to determine severity of AD and clinical response to treatment. It is based on a 5-point scale, ranging from 0 (clear) to 4 (severe).
Measured: Baseline to Week 36
Absolute change in weekly average of daily Sleep Disturbance-Numerical Rating Scale (SD-NRS) from baseline
The SD-NRS is a single item 0-10 numeric rating scale assessing sleep disturbance associated with AD with 0 = no sleep loss and 10 = did not sleep at all.
Measured: Baseline to Week 36
Proportion of participants with a reduction in weekly average of daily SD-NRS ≥3 from baseline in participants with Baseline weekly average of daily SD-NRS ≥3
The SD-NRS is a single item 0-10 numeric rating scale assessing sleep disturbance associated with AD with 0 = no sleep loss and 10 = did not sleep at all.
Measured: Baseline to Week 36
Percent change in weekly average of daily SD-NRS
The SD-NRS is a single item 0-10 numeric rating scale assessing sleep disturbance associated with AD with 0 = no sleep loss and 10 = did not sleep at all.
Measured: Baseline to Week 36
Percent change in EASI score from baseline
The EASI is an Investigator-assessed validated tool used to measure the extent (area) and severity of AD. Total score ranges from 0 to 72 with a higher score indicating increased extent and severity of AD.
Measured: Baseline to Week 36
Percent change in weekly average of daily PP-NRS from baseline
The PP-NRS is a validated single item 0-10 numeric rating scale assessing peak pruritus (itch) associated with AD with 0 = no itch and 10 = worst itch imaginable.
Measured: Baseline to Week 36
Absolute change in weekly average of daily PP-NRS from baseline
The PP-NRS is a validated single item 0-10 numeric rating scale assessing peak pruritus (itch) associated with AD with 0 = no itch and 10 = worst itch imaginable.
Measured: Baseline to Week 36
Proportion of participants reaching EASI-50
The EASI is an Investigator-assessed validated tool used to measure the extent (area) and severity of AD. Total score ranges from 0 to 72 with a higher score indicating increased extent and severity of AD. EASI-50 is 50% reduction from baseline in EASI score.
Measured: Baseline to Week 36
Proportion of participants with EASI ≤7
The EASI is an Investigator-assessed validated tool used to measure the extent (area) and severity of AD. Total score ranges from 0 to 72 with a higher score indicating increased extent and severity of AD.
Measured: Baseline to Week 36
Change in percent Body Surface Area (BSA) affected by AD from baseline
Measured: Baseline to Week 36
Percent change in Scoring Atopic Dermatitis (SCORAD) index from baseline
The SCORAD index is a clinical tool to evaluate the extent and severity of AD. Total score ranges from 0 (absent disease) to 103 (severe disease).
Measured: Baseline to Week 36
Absolute change in SCORAD index from baseline
The SCORAD index is a clinical tool to evaluate the extent and severity of AD. Total score ranges from 0 (absent disease) to 103 (severe disease).
Measured: Baseline to Week 36
Proportion of participants with a reduction in SCORAD ≥ 8.7 points from baseline in participants with baseline SCORAD score ≥ 8.7
The SCORAD index is a clinical tool to evaluate the extent and severity of AD. Total score ranges from 0 (absent disease) to 103 (severe disease).
Measured: Baseline to Week 36
Proportion of participants with a reduction in Patient Oriented Eczema Measure (POEM) ≥4 from baseline in participants with POEM Baseline ≥4
The POEM is a 7-item self-assessment questionnaire that assesses disease symptoms on a 5-point scale; 0 (no days) to 4 (every day in the last week). The sum of the 7 items gives the total POEM score of 0 (absent disease) to 28 (very severe). Higher scores indicated more severe disease and poor quality of life.
Measured: Baseline to Week 36
Change in POEM from baseline
The POEM is a 7-item self-assessment questionnaire that assesses disease symptoms on a 5-point scale; 0 (no days) to 4 (every day in the last week). The sum of the 7 items gives the total POEM score of 0 (absent disease) to 28 (very severe). Higher scores indicated more severe disease and poor quality of life.
Measured: Baseline to Week 36
Proportion of participants with rescue medication use
Measured: Baseline to Week 36
Time to onset of effect on PP-NRS as measured by proportion of participants with an improvement (reduction) in PP-NRS by ≥4
The PP-NRS is a validated single item 0-10 numeric rating scale assessing peak pruritus (itch) associated with AD with 0 = no itch and 10 = worst itch imaginable.
Measured: Baseline to Week 36
Percentage of TCS/TCI free days
Measured: Baseline to Week 36
Percentage of participants who experienced Treatment-Emergent Adverse Events (TEAEs), experienced Treatment-Emergent Serious Adverse Events (TESAEs) and/or Treatment-Emergent Adverse Events of Special Interest (AESI)
Measured: Baseline to Week 52
Serum amlitelimab concentrations
Measured: Baseline to Week 52
Incidence of antidrug antibodies (ADAs) of amlitelimab
Measured: Baseline to Week 52
Time to onset of effect on vIGA-AD as measured by proportion of participants with vIGA-AD 0 (clear) or 1 (almost clear) and a reduction from baseline ≥2 during the 36-week treatment period
The vIGA-AD is an Investigator-completed assessment scale used to determine severity of AD and clinical response to treatment. It is based on a 5-point scale, ranging from 0 (clear) to 4 (severe).
Measured: Baseline to Week 36
Time to onset of effect on EASI as measured by proportion of participants reaching a 75% reduction from baseline in EASI score during the 36-week treatment period
The EASI is an Investigator-assessed validated tool used to measure the extent (area) and severity of AD. Total score ranges from 0 to 72 with a higher score indicating increased extent and severity of AD. EASI-75 is 75% reduction from baseline in EASI score.
Measured: Baseline to Week 36
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted5 Feb 2024
- Study start29 Feb 2024
- Primary completion30 Sep 2027 (estimated)
- Study completion29 Sep 2028 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Dermatitis AtopicStudies of the same condition, open and under way.
- More trials run by SanofiThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
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
- Quadruple blind
- Who is masked
- Participant, Care provider, Investigator, Outcomes assessor
- Enrolment
- 464 participants (actual)
Sponsor and investigators
- Lead sponsor
- Sanofi
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT06241118
- Sponsor's protocol ID
- EFC17599
- Other IDs
- 2023-508099-12, U1111-1295-3059, 2023
- Acronym
- AQUA
- Status last verified
- Oct 2026
- First submitted
- 26 Jan 2024
- Last updated
- 13 Oct 2026
- Results posted
- No
- 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
Study at a glance
From the registry record, last updated by the sponsor on 13 Oct 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Phase 3, Randomized, Double-blind, Placebo-controlled, Parallel-group, 3-arm, Multinational, Multicenter Study to Evaluate the Efficacy and Safety of Amlitelimab by Subcutaneous Injection in Participants Aged 12 Years and Older With Moderate-to-severe Atopic Dermatitis (AD) Who Are on Background Topical Corticosteroids and Have Had an Inadequate Response to Prior Biologic Therapy or Oral Janus Kinase (JAK) Inhibitor Treatment
- ClinicalTrials.gov ID
- NCT06241118
- Acronym / sponsor ID
- AQUA / EFC17599
- Conditions
- Dermatitis Atopic
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Active, not recruiting
- Enrolment
- 464 participants (actual)
- Lead sponsor
- SanofiIndustry (pharma, biotech, devices)
- Study start
- 29 Feb 2024 (actual)
- Primary completion
- 30 Sep 2027 (estimated)
- Study completion
- 29 Sep 2028 (estimated)
- First posted
- 5 Feb 2024 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
This is a parallel group, Phase 3, multinational, multicenter, randomized, double-blind, placebo-controlled, 3-arm study for treatment of participants diagnosed with moderate-to-severe AD on background TCS who have had inadequate response to prior biologic or oral JAKi therapy.
The purpose of this study is to measure the efficacy and safety of treatment with amlitelimab solution for subcutaneous (SC) injection compared with placebo in participants with moderate-to-severe AD aged 12 years and older on background TCS and have had an inadequate response to prior biologic or an oral JAKi therapy.
Study details include:
At the end of the treatment period, participants will have the option to enter the Long-Term Safety Study LTS17367 (RIVER-AD).
The study duration will be up to 56 weeks for participants not entering the long-term safety study (LTS17367 [RIVER-AD]) including a 2 to 4-week screening, a 36-week randomized double-blind period, and a 16-week safety follow-up.
The study duration will be up to 40 weeks for participants entering the long-term safety study (LTS17367 [RIVER-AD]) including a 2 to 4-week screening and a 36-week randomized double-blind period.
The total treatment duration will be up to 36 weeks. The total number of visits will be up to 13 visits (or 12 visits for those entering the long-term safety study LTS17367 [RIVER-AD] study).
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Quadruple blind (participant, care provider, investigator, outcomes assessor)
- Number of arms
- 3
| Arm | Type | Receives |
|---|---|---|
| Amlitelimab dose 1 | Experimental | Drug: Amlitelimab, Drug: Topical corticosteroids, Drug: Topical tacrolimus or pimecrolimusSubcutaneous injection as per protocol |
| Amlitelimab dose 2 | Experimental | Drug: Amlitelimab, Drug: Topical corticosteroids, Drug: Topical tacrolimus or pimecrolimusSubcutaneous injection as per protocol |
| Placebo | Placebo comparator | Drug: Placebo, Drug: Topical corticosteroids, Drug: Topical tacrolimus or pimecrolimusSubcutaneous injection as per protocol |
Who may qualify
- Ages
- 12 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Child, Adult, Older adult
Key inclusion criteria (9 listed)
- Participants must be 12 years of age (when signing informed consent form)
- Diagnosis of AD for at least 1 year (defined by the American Academy of Dermatology Consensus Criteria)
- Documented history prior to screening visit of inadequate response to a biologic AD medication or an oral JAKi therapy.
- v-IGA-AD of 3 or 4 at baseline visit
- EASI score of 16 or higher at baseline
Key exclusion criteria (12 listed)
- Skin co-morbidity that would adversely affect the ability to undertake AD assessments
- Known history of or suspected significant current immunosuppression
- Any malignancies or history of malignancies prior to baseline (with the exception of non-melanoma skin cancer excised and cured >5 years prior to baseline)
- History of solid organ or stem cell transplant
- Any active or chronic infection including helminthic infection requiring systemic treatment within 4 weeks prior to baseline
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| AmlitelimabAlso: SAR445229Pharmaceutical form: Injection solution Route of administration: Subcutaneous | Drug | Amlitelimab dose 1, Amlitelimab dose 2 |
| PlaceboPharmaceutical form: Injection solution Route of administration: Subcutaneous | Drug | Placebo |
| Topical corticosteroidsPharmaceutical form: Various Topical formulation Route of administration: Topical | Drug | Amlitelimab dose 1, Amlitelimab dose 2, Placebo |
| Topical tacrolimus or pimecrolimusPharmaceutical form: Various Topical formulation Route of administration: Topical | Drug | Amlitelimab dose 1, Amlitelimab dose 2, Placebo |
Primary outcome
EU, EU reference countries, and Japan: Proportion of participants with Validated Investigator Global Assessment scale for Atopic Dermatitis (vIGA-AD) of 0 (clear) or 1 (almost clear) and a reduction from baseline of ≥2 points at Week 36
Time frame: Week 36
The vIGA-AD is an Investigator-completed assessment scale used to determine severity of AD and clinical response to treatment. It is based on a 5-point scale, ranging from 0 (clear) to 4 (severe).
EU, EU reference countries, and Japan: Proportion of participants reaching 75% reduction from baseline in Eczema Area and Severity Index (EASI) score (EASI75) at Week 36
Time frame: Week 36
The EASI is an Investigator-assessed validated tool used to measure the extent (area) and severity of AD. Total score ranges from 0 to 72 with a higher score indicating increased extent and severity of AD.
US and US reference countries: Proportion of participants with vIGA-AD of 0 (clear) or 1 (almost clear) and a reduction from baseline of ≥2 points at Week 36
Time frame: Week 36
The vIGA-AD is an Investigator-completed assessment scale used to determine severity of AD and clinical response to treatment. It is based on a 5-point scale, ranging from 0 (clear) to 4 (severe).
41 secondary outcomes
Proportion of participants reaching EASI-75 at Week 36 (for US and US reference countries only)
Time frame: Week 36
Proportion of participants with vIGA-AD 0 (clear) or 1 (almost clear) with presence of only barely perceptible erythema (no induration/papulation, no lichenification, no oozing or crusting and a reduction from baseline of ≥2 points)
Time frame: Baseline to Week 36
Proportion of participants with ≥4-point reduction in weekly average of daily Peak Pruritus-Numerical Rating Scale (PP-NRS) from baseline in participants with baseline weekly average of daily PP-NRS ≥4
Time frame: Baseline to Week 36
Proportion of participants reaching EASI-75
Time frame: Baseline to Week 24
Proportion of participants with vIGA-AD of 0 (clear) or 1 (almost clear) and a reduction from baseline of ≥2 points
Time frame: Baseline to Week 24
Proportion of participants reaching EASI-90
Time frame: Baseline to Week 36
Proportion of participants reaching EASI-100
Time frame: Baseline to Week 36
Proportion of participants with PP-NRS ≤1
Time frame: Baseline to Week 36
Change in Dermatology Life Quality Index (DLQI) from baseline in participants with age ≥16 years old
Time frame: Baseline to Week 36
Proportion of participants with a reduction in DLQI ≥4 from baseline in participants with age ≥16 years old and with DLQI baseline ≥4
Time frame: Baseline to Week 36
Change in Children Dermatology Life Quality Index (CDLQI) from baseline in participants with age ≥12 to <16 years
Time frame: Baseline to Week 36
Proportion of participants with a reduction in CDLQI ≥6 from baseline in participants with age ≥12 to <16 years old and with CDLQI baseline ≥6
Time frame: Baseline to Week 36
Change in Hospital Anxiety Depression Scale (HADS) from baseline
Time frame: Baseline to Week 36
Proportion of participants with HADS subscale Anxiety (HADS-A) <8 in participants with baseline HADS-A ≥8
Time frame: Baseline to Week 36
Proportion of participants with HADS subscale Depression (HADS-D) <8 in participants with HADS-D baseline ≥8
Time frame: Baseline to Week 36
Absolute change in weekly average of daily Skin Pain-Numerical Rating Scale (SP-NRS) from baseline
Time frame: Baseline to Week 36
Proportion of participants with a reduction in weekly average of daily SP-NRS ≥4 from baseline in participants with baseline weekly average of daily SP-NRS ≥4
Time frame: Baseline to Week 36
Percent change in weekly average of daily SP-NRS from baseline
Time frame: Baseline to Week 36
Proportion of participants with vIGA-AD 0 (clear)
Time frame: Baseline to Week 36
Absolute change in weekly average of daily Sleep Disturbance-Numerical Rating Scale (SD-NRS) from baseline
Time frame: Baseline to Week 36
Proportion of participants with a reduction in weekly average of daily SD-NRS ≥3 from baseline in participants with Baseline weekly average of daily SD-NRS ≥3
Time frame: Baseline to Week 36
Percent change in weekly average of daily SD-NRS
Time frame: Baseline to Week 36
Percent change in EASI score from baseline
Time frame: Baseline to Week 36
Percent change in weekly average of daily PP-NRS from baseline
Time frame: Baseline to Week 36
Absolute change in weekly average of daily PP-NRS from baseline
Time frame: Baseline to Week 36
Proportion of participants reaching EASI-50
Time frame: Baseline to Week 36
Proportion of participants with EASI ≤7
Time frame: Baseline to Week 36
Change in percent Body Surface Area (BSA) affected by AD from baseline
Time frame: Baseline to Week 36
Percent change in Scoring Atopic Dermatitis (SCORAD) index from baseline
Time frame: Baseline to Week 36
Absolute change in SCORAD index from baseline
Time frame: Baseline to Week 36
Proportion of participants with a reduction in SCORAD ≥ 8.7 points from baseline in participants with baseline SCORAD score ≥ 8.7
Time frame: Baseline to Week 36
Proportion of participants with a reduction in Patient Oriented Eczema Measure (POEM) ≥4 from baseline in participants with POEM Baseline ≥4
Time frame: Baseline to Week 36
Change in POEM from baseline
Time frame: Baseline to Week 36
Proportion of participants with rescue medication use
Time frame: Baseline to Week 36
Time to onset of effect on PP-NRS as measured by proportion of participants with an improvement (reduction) in PP-NRS by ≥4
Time frame: Baseline to Week 36
Percentage of TCS/TCI free days
Time frame: Baseline to Week 36
Percentage of participants who experienced Treatment-Emergent Adverse Events (TEAEs), experienced Treatment-Emergent Serious Adverse Events (TESAEs) and/or Treatment-Emergent Adverse Events of Special Interest (AESI)
Time frame: Baseline to Week 52
Serum amlitelimab concentrations
Time frame: Baseline to Week 52
Incidence of antidrug antibodies (ADAs) of amlitelimab
Time frame: Baseline to Week 52
Time to onset of effect on vIGA-AD as measured by proportion of participants with vIGA-AD 0 (clear) or 1 (almost clear) and a reduction from baseline ≥2 during the 36-week treatment period
Time frame: Baseline to Week 36
Results and safety
This study is still under way. Results are not available in the source record yet.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 13 Oct 2026.
- EFC17599 Plain Language Results SummaryLink provided by the sponsor.
- Individual participant dataSharing planned: 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
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
The record lists no contact. Use the official record to reach the sponsor.
154 sites in 22 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing Amlitelimab, Topical corticosteroids and Topical tacrolimus or pimecrolimus in people with Dermatitis Atopic, run by Sanofi at 154 sites in 22 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 9 inclusion and 12 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: under way, not looking for participants, as of the sponsor's last update on 13 Oct 2026. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 154 sites in United States, China, Canada, Argentina, Japan and 17 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?
This study is still under way. Results are not available in the source record yet.
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?
EU, EU reference countries, and Japan: Proportion of participants with Validated Investigator Global Assessment scale for Atopic Dermatitis (vIGA-AD) of 0 (clear) or 1 (almost clear) and a reduction from baseline of ≥2 points at Week 36 (time frame: Week 36). The study lists 3 primary outcomes in all. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
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 13 Oct 2026; AzTrials last refreshed its copy on 7 Nov 2026.