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Phase 2 N=273 Randomized Quadruple-blind Treatment

Study of an Anti-OX40 Monoclonal Antibody (KHK4083) in Subjects With Moderate to Severe Atopic Dermatitis

Atopic Dermatitis

Enrolled (actual)
273
Serious AEs
4.4%
Results posted
Jun 2022
Primary outcome: Primary: Percent Change From Baseline to Week 16 in Eczema Area and Severity Index (EASI) Score — -48.33; -49.72; -61.07; -57.35 percentage of score change — p=< 0.001

Study Design & Population

Study type
Interventional
Phase
Phase 2
Interventions
KHK4083 (Drug); Placebo (Drug)
Age
Adult, Older Adult · 18+ yrs
Sex
All
Sponsor
Kyowa Kirin, Inc.
Primary completion
Feb 2020

Outcome Measures

OutcomeResultp-value
PRIMARY
Percent Change From Baseline to Week 16 in Eczema Area and Severity Index (EASI) Score
-48.33; -49.72; -61.07; -57.35; -15.01 < 0.001 sig
SECONDARY
Achievement of 50%, 75%, or 90% Reduction From Baseline in Eczema Area and Severity Index (EASI) Score (EASI-50, EASI-75, or EASI-90) at Week 16
30; 31; 36; 35; 17; 23
SECONDARY
Change From Baseline to Week 16 in Eczema Area and Severity Index (EASI) Score
-22.5; -20.7; -23.3; -19.9; -9.8
SECONDARY
Change From Baseline to Week 16 in SCORing Atopic Dermatitis (SCORAD) Score
-23.71; -23.86; -30.44; -27.65; -8.09
SECONDARY
Percent Change From Baseline to Week 16 in SCORing Atopic Dermatitis (SCORAD) Score
-34.86; -35.13; -46.69; -40.76; -11.90
SECONDARY
Achievement of an Investigator's Global Assessment (IGA) Score of 0 or 1 and a Reduction From Baseline of ≥2 Points at Week 16
10; 8; 16; 10; 1
SECONDARY
Change From Baseline to Week 16 in Percent Body Surface Area of Involvement of AD (BSA)
-22.86; -21.48; -27.92; -25.04; -7.87
SECONDARY
Change From Baseline to Week 16 in Pruritus Numerical Rating Scale (NRS) Score
-2.04; -3.02; -3.60; -2.81; -1.31
SECONDARY
Percent Change From Baseline to Week 16 in Pruritus Numerical Rating Scale (NRS) Score
-25.57; -34.38; -47.99; -36.83; -6.18
SECONDARY
Change From Baseline to Week 16 in Sleep Disturbance Numerical Rating Scale (NRS) Score
-1.09; -1.93; -2.59; -2.00; -0.01
SECONDARY
Percent Change From Baseline to Week 16 in Sleep Disturbance Numerical Rating Scale (NRS) Score
-8.19; -7.02; -41.58; -33.17; -46.54
SECONDARY
Change From Baseline to Week 16 in Dermatology Life Quality Index (DLQI)
-2.59; -4.66; -6.28; -4.93; 0.19
SECONDARY
EASI Score at Each Time Point
33.2; 32.5; 31.6; 31.1; 29.2; 33.0
SECONDARY
Percent Change From Baseline in EASI Score at Each Time Point
-2.5; -9.5; -8.5; -7.0; -2.9; -6.7
SECONDARY
Achievement of EASI-50, EASI-75, or EASI-90 at Each Time Point
1; 2; 7; 3; 1; 5
SECONDARY
SCORing Atopic Dermatitis (SCORAD) Score at Each Time Point
68.67; 69.80; 68.19; 68.79; 66.35; 68.40
SECONDARY
Percent Change From Baseline in SCORing Atopic Dermatitis (SCORAD) Score at Each Time Point
-1.28; -4.08; -7.03; -5.75; -4.54; -7.37
SECONDARY
Achievement of an Investigator's Global Assessment (IGA) Score of 0 or 1 and a Reduction From Baseline of ≥2 Points at Each Time Point
0; 0; 0; 0; 0; 0
SECONDARY
Change From Baseline in Percent Body Surface Area (BSA) at Each Time Point
-0.5; -1.4; -0.4; -0.1; -1.2; -2.6
SECONDARY
Pruritus Numerical Rating Scale (NRS) Score at Each Time Point
7.7; 7.7; 7.3; 7.6; 7.2; 7.3
SECONDARY
Percent Change From Baseline in Pruritus Numerical Rating Scale (NRS) Score at Each Time Point
-2.9; 2.5; -3.4; -12.2; 2.6; -12.2
SECONDARY
Sleep Disturbance Numerical Rating Scale (NRS) Score at Each Time Point
5.9; 5.5; 5.0; 5.9; 5.0; 6.0
SECONDARY
Percent Change From Baseline in Sleep Disturbance Numerical Rating Scale (NRS) Score at Each Time Point
6.6; 14.2; 29.8; -15.7; 51.3; -0.7
SECONDARY
Dermatology Life Quality Index (DLQI) at Each Time Point
13.4; 12.6; 12.0; 13.8; 11.9; 14.1

Summary

A Phase 2, multicenter, randomized, placebo-controlled, double-blind, parallel-group study for subjects with moderate to severe AD whose disease cannot be adequately controlled with topical medications or for whom topical treatment is medically inadvisable.

Eligibility Criteria

Inclusion Criteria

  • Voluntarily signed informed consent to participate in the study;
  • Chronic AD, according to American Academy of Dermatology Consensus Criteria or the local diagnostic criteria, that has been present for at least 1 year before screening;
  • EASI score ≥16 at screening and baseline;
  • IGA score ≥3 (moderate) at both screening and baseline;
  • BSA ≥10% at both screening and baseline;
  • Documented recent history (within 1 year prior to screening visit) of inadequate response to treatment with topical medications or for whom topical treatments are otherwise medically inadvisable (e.g., because of important side effects or safety risks).

Exclusion Criteria

  • Current or past history of clinically significant illness(es) deemed by the Investigator to be likely to affect the study conduct and assessments. Examples include, but are not limited to, clinically significant cardiovascular (e.g., New York Heart Association [NYHA] Class III or IV), uncontrolled diabetes (HbA1c ≥9%), liver (e.g., Child-Pugh class B or C), renal, respiratory, hematologic, central nervous system, psychiatric, or autoimmune diseases/disorders;
  • Any of the following laboratory abnormalities at screening:
  • Serum creatinine: >1.5 mg/dL
  • AST or ALT: ≥2.5 times the upper limit of normal (ULN)
  • Neutrophil count: <1.5×10³/μL
  • Other laboratory abnormalities that may affect the completion or evaluation of the study, as judged by the Investigator;
  • Active malignancies, or onset or a history of treatment of malignancies within 5 years prior to informed consent (except curatively treated in situ cervical carcinoma, cutaneous basal cell carcinoma, or cutaneous squamous cell carcinoma).
View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT03703102). 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.

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