Mode
Text Size
Log in / Sign up
Phase 2 Completed N=167 Randomized Quadruple-blind Treatment

A Study to Evaluate ABT-494 (Upadacitinib) in Adults With Moderate to Severe Atopic Dermatitis

Source: ClinicalTrials.gov NCT02925117 ↗
Enrolled (actual)
167
Serious AEs
3.3%
Results posted
Jul 2020
Primary outcomePrimary: Percent Change From Baseline in Eczema Area and Severity Index (EASI) Score at Week 16 — -23.0; -39.4; -61.7; -74.4 percent change — p=< 0.001

Summary

The objective of this study was to evaluate the safety and efficacy of multiple doses of upadacitinib monotherapy versus placebo in the treatment of adults with moderate to severe atopic dermatitis (AD).

Outcome Measures

OutcomeResultp-value
PRIMARY
Percent Change From Baseline in Eczema Area and Severity Index (EASI) Score at Week 16
-23.0; -39.4; -61.7; -74.4 < 0.001 sig
SECONDARY
Percentage of Participants Who Achieved a 75% Reduction in EASI Score (EASI 75) at Week 16
9.8; 28.6; 52.4; 69.0 < 0.001 sig
SECONDARY
Percentage of Participants Achieving an Investigator Global Assessment (IGA) of "0" or "1" at Week 16
2.4; 14.3; 31.0; 50.0 <0.001 sig
SECONDARY
Percent Change From Baseline to Weeks 2, 8, and 16 in Pruritus Numerical Rating Scale (NRS)
1.7; -29.3; -46.0; -57.6; -6.7; -35.5 <0.001 sig
SECONDARY
Percent Change From Baseline in EASI Score at Week 8
-17.5; -43.7; -65.4; -82.8 <0.001 sig
SECONDARY
Percent Change From Baseline in SCORing Atopic Dermatitis (SCORAD) Score at Weeks 8 and 16
-7.0; -35.4; -44.1; -65.3; -12.4; -32.5 <0.001 sig
SECONDARY
Percentage of Participants Who Achieved an EASI 75 Response at Week 8
7.3; 31.0; 52.4; 81.0 <0.001 sig
SECONDARY
Percentage of Participants Who Achieved an EASI 50 Response at Weeks 8 and 16
22.0; 54.8; 71.4; 92.9; 22.0; 50.0 <0.001 sig
SECONDARY
Percentage of Participants Who Achieved an EASI 90 Response at Weeks 8 and 16
0.0; 9.5; 26.2; 45.2; 2.4; 14.3 <0.001 sig
SECONDARY
Percentage of Participants Who Achieved a SCORAD 50 Response at Weeks 8 and 16
7.3; 33.3; 42.9; 76.2; 7.3; 28.6 <0.001 sig
SECONDARY
Percentage of Participants Who Achieved a SCORAD 75 Response at Weeks 8 and 16
0.0; 9.5; 9.5; 31.0; 2.4; 4.8 <0.001 sig
SECONDARY
Percentage of Participants Who Achieved a SCORAD 90 Response at Weeks 8 and 16
0.0; 4.8; 2.4; 14.3; 0.0; 2.4 0.012 sig
SECONDARY
Percent Change From Re-randomization (Week 16) in EASI Score in Period 2
50.7; 11.8; 186.0; 79.1; 582.3; 65.7
SECONDARY
Time to Loss of EASI 50 Response Relative to Baseline Among Participants Re-randomized as EASI 75 Responders at Week 16
NA; NA; 29; NA; 30; 114
SECONDARY
Percentage of Participants With an EASI 75 Response in Period 2 in Participants Who Were Re-randomized as EASI 75 Non-responders at Week 16
11.1; 12.5; 0; 9.1; 0; 12.5
SECONDARY
Percentage of Participants Who Achieved a Dermatology Life Quality Index (DLQI) of "0" or "1" at Weeks 8 and 16
SECONDARY
Change From Baseline in DLQI at Weeks 8 and 16
SECONDARY
Change From Baseline in Percentage of Body Surface Area (BSA) Affected by Atopic Dermatitis at Week 16
-4.1; -11.7; -27.1; -30.7 <0.001 sig
SECONDARY
Percentage of Participants With Reduction of ≥ 4 Points From Baseline in Pruritus NRS at Week 16
5.7; 24.3; 59.4; 52.8 <0.001 sig

Eligibility Criteria

Inclusion Criteria

  • Atopic dermatitis with a diagnosis confirmed by a dermatologist (according to the Hanifin and Rajka criteria) and onset of symptoms at least 1 year prior to Baseline.
  • Moderate to severe atopic dermatitis defined by an Eczema Area and Severity Index (EASI) ≥ 16, body surface area (BSA) ≥ 10% and an Investigators Global Assessment (IGA) score ≥ 3 at the Baseline visit.
  • Documented history (within 1 year prior to the screening visit) of inadequate response to treatment with topical corticosteroids (TCS), or topical calcineurin inhibitors (TCI), or for whom topical treatments are otherwise medically inadvisable (e.g., because of important side effects or safety risks).
  • Twice daily use of an additive-free, bland emollient for at least 7 days prior to Baseline.

Exclusion Criteria

  • Prior exposure to any systemic or topical Janus kinase (JAK) inhibitor (including but not limited to tofacitinib, baricitinib, ruxolitinib, and filgotinib).
  • Treatment with topical corticosteroids (TCS), topical calcineurin inhibitors (TCI), prescription moisturizers or moisturizers containing additives such as ceramide, hyaluronic acid, urea, or filaggrin within 10 days prior to the Baseline visit.
  • Prior exposure to dupilumab or exposure to systemic therapies for AD including corticosteroids, methotrexate, cyclosporine, azathioprine, phosphodiesterase type 4 (PDE4)-inhibitors and mycophenolate mofetil within 4 weeks prior to Baseline.
  • Prior exposure to any investigational systemic treatment within 30 days or 5 half-lives (whichever is longer) of the Baseline visit or is currently enrolled in another clinical study.
View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT02925117). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication. Informational only — not medical advice.

Back to search