A Study of Lebrikizumab in Participants With Persistent Moderate to Severe Atopic Dermatitis

NCT ID: NCT02340234

Last Updated: 2017-10-02

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE2

Total Enrollment

212 participants

Study Classification

INTERVENTIONAL

Study Start Date

2015-05-31

Study Completion Date

2016-04-30

Brief Summary

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This randomized, double-blind, placebo-controlled study will evaluate the safety and efficacy of lebrikizumab administered subcutaneously (SC) in adult participants with persistent moderate to severe atopic dermatitis (AD) who are inadequately controlled by topical corticosteroids (TCS). The study includes a screening visit, a 2-week run-in period, a 12-week blinded treatment period, and an 8-week safety follow-up period. Following screening visit, eligible participants will enter in run-in period (Days - 14 to - 1) during which a protocol-specified topical therapy regimen will be initiated. At the end of the run-in period, participants who have: 1) demonstrated compliance with the protocol-specified TCS regimen, and 2) who continue to fulfill the eligibility criteria will be randomized.

Detailed Description

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Conditions

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Atopic Dermatitis

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Participants Investigators

Study Groups

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Lebrikizumab 250 mg Single Dose + TCS Cream

Participants will receive lebrikizumab 250 milligrams (mg) SC single dose on Day 1 followed by placebo on Week 4 and Week 8. Participants will continue to apply TCS cream (triamcenolone acetonide 0.1% or hydrocortisone 2.5% cream) twice daily to active skin lesions throughout the 12-week treatment period.

Group Type EXPERIMENTAL

Lebrikizumab

Intervention Type DRUG

Lebrikizumab will be administered SC as per the schedule specified in the respective arms.

Placebo

Intervention Type DRUG

Placebo matching to lebrikizumab will be administered as per the schedule specified in the respective arms.

TCS Cream

Intervention Type DRUG

TCS cream (triamcenolone acetonide 0.1% or hydrocortisone 2.5% cream) twice daily

Lebrikizumab 125 mg Single Dose + TCS Cream

Participants will receive lebrikizumab 125 mg SC single dose on Day 1 followed by placebo on Week 4 and Week 8. Participants will continue to apply TCS cream (triamcenolone acetonide 0.1% or hydrocortisone 2.5% cream) twice daily to active skin lesions throughout the 12-week treatment period.

Group Type EXPERIMENTAL

Lebrikizumab

Intervention Type DRUG

Lebrikizumab will be administered SC as per the schedule specified in the respective arms.

Placebo

Intervention Type DRUG

Placebo matching to lebrikizumab will be administered as per the schedule specified in the respective arms.

TCS Cream

Intervention Type DRUG

TCS cream (triamcenolone acetonide 0.1% or hydrocortisone 2.5% cream) twice daily

Lebrikizumab 125 mg Q4W + TCS Cream

Participants will receive lebrikizumab 125 mg SC every 4 weeks (Q4W) for a total of 3 doses. Participants will continue to apply TCS cream (triamcenolone acetonide 0.1% or hydrocortisone 2.5% cream) twice daily to active skin lesions throughout the 12-week treatment period.

Group Type EXPERIMENTAL

Lebrikizumab

Intervention Type DRUG

Lebrikizumab will be administered SC as per the schedule specified in the respective arms.

TCS Cream

Intervention Type DRUG

TCS cream (triamcenolone acetonide 0.1% or hydrocortisone 2.5% cream) twice daily

Placebo Q4W + TCS Cream

Participants will receive placebo Q4W for a total of 3 doses. Participants will continue to apply TCS cream (triamcenolone acetonide 0.1% or hydrocortisone 2.5% cream) twice daily to active skin lesions throughout the 12-week treatment period.

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type DRUG

Placebo matching to lebrikizumab will be administered as per the schedule specified in the respective arms.

TCS Cream

Intervention Type DRUG

TCS cream (triamcenolone acetonide 0.1% or hydrocortisone 2.5% cream) twice daily

Interventions

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Lebrikizumab

Lebrikizumab will be administered SC as per the schedule specified in the respective arms.

Intervention Type DRUG

Placebo

Placebo matching to lebrikizumab will be administered as per the schedule specified in the respective arms.

Intervention Type DRUG

TCS Cream

TCS cream (triamcenolone acetonide 0.1% or hydrocortisone 2.5% cream) twice daily

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* AD diagnosed by the Hanifin/Rajka criteria and that has been present for at least 1 year at screening
* Moderate to severe AD as graded by the Rajka/Langeland criteria at screening
* History of inadequate response to a \>/= 1 month (within the 3 months prior to the screening visit) treatment regimen of at least daily TCS and regular emollient for treatment of AD
* EASI score \>/= 14 at screening and end of the run-in period
* IGA score \>/= 3 (5-point scale) at screening and end of the run-in period
* AD involvement of \>/= 10% BSA at screening
* Pruritus VAS score \>/= 3 at screening

Exclusion Criteria

* Past and/or current use of any anti-interleukin (IL)-13 or anti-IL-4/IL-13 therapy, including lebrikizumab
* Use of an investigational agent within 4 weeks prior to screening or within 5 half-lives of the investigational agent, whichever is longer
* History of a severe allergic reaction or anaphylactic reaction to a biologic agent or known hypersensitivity to any component of the lebrikizumab injection
* Use of any complementary, alternative, or homeopathic medicines including, but not limited to, phytotherapies, traditional or non-traditional herbal medications, essential fatty acids, or acupuncture within 7 days prior to the run-in period or need for such medications during the study
* Evidence of other skin conditions; including, but not limited to, T-cell lymphoma or allergic contact dermatitis
* Evidence of, or ongoing treatment (including topical antibiotics) for active skin infection at screening
* Other recent infections meeting protocol criteria
* Active tuberculosis requiring treatment within the 12 months prior to Visit 1
* Evidence of acute or chronic hepatitis or known liver cirrhosis
* Known immunodeficiency, including human immunodeficiency virus (HIV) infection
* Use of a topical calcineurin inhibitor (TCI) at the time of screening, unless the participant is willing to stop TCI use during the study (including the run-in period) and, in the investigator's opinion, it is safe to do so
* Clinically significant abnormality on screening electrocardiogram (ECG) or laboratory tests that, in the opinion of the investigator, may pose an additional risk in administering study drug or TCS to the participant
* Known current malignancy or current evaluation for a potential malignancy, including basal or squamous cell carcinoma of the skin or carcinoma in situ
* History of malignancy within 5 years prior to screening, except for appropriately treated carcinoma in situ of the cervix, non-melanoma skin carcinoma, Stage I uterine cancer
Minimum Eligible Age

18 Years

Maximum Eligible Age

75 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Hoffmann-La Roche

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Clinical Trials

Role: STUDY_DIRECTOR

Hoffmann-La Roche

Locations

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Dermatology Research Associate

Los Angeles, California, United States

Site Status

UCSD Division of Dermatology

San Diego, California, United States

Site Status

Univ of Calif-San Francisco

San Francisco, California, United States

Site Status

University of Colorado; Anschutz Cancer Pavilion

Aurora, Colorado, United States

Site Status

Ameriderm Research

Ormond Beach, Florida, United States

Site Status

Olympian Clinical Research

Tampa, Florida, United States

Site Status

Northwestern University Feinberg School Of Medicine

Chicago, Illinois, United States

Site Status

University of Iowa Healthcare; Dermatology

Iowa City, Iowa, United States

Site Status

Massachusetts General Hospital

Boston, Massachusetts, United States

Site Status

Somerset Skin Centre

Troy, Michigan, United States

Site Status

Washington University; Dermatology

St Louis, Missouri, United States

Site Status

Sadick Research Group

New York, New York, United States

Site Status

Oregon Health & Science University; Department of Dermatology

Portland, Oregon, United States

Site Status

University of Texas Medical School-Houston

Houston, Texas, United States

Site Status

Dermatology Clinical Research Center of San Antonio

San Antonio, Texas, United States

Site Status

Virginia Clinical Research Inc.

Norfolk, Virginia, United States

Site Status

St George Dermatology and Skin Cancer Centre

Kogarah, New South Wales, Australia

Site Status

Skin & Cancer Foundation

Carlton, Victoria, Australia

Site Status

Royal Melbourne Hospital; Dermatology Department

Parkville, Victoria, Australia

Site Status

Fremantle Dermatology

Fremantle, Western Australia, Australia

Site Status

Institute for Skin Advancement

Calgary, Alberta, Canada

Site Status

Guildford Dermatology Specialists

Surrey, British Columbia, Canada

Site Status

Dr. Melinda Gooderham Medicine Professional Corporation

Peterborough, Ontario, Canada

Site Status

The Centre for Dermatology

Richmond Hill, Ontario, Canada

Site Status

K. Papp Clinical Research Inc.

Waterloo, Ontario, Canada

Site Status

XLR8 Medical Research Inc.

Windsor, Ontario, Canada

Site Status

Innovaderm Research Inc.

Montreal, Quebec, Canada

Site Status

Faculty Hospital; Department of Dermatology

Pilsen, , Czechia

Site Status

Charles University School of Medicine; Deptartment of Dermatology

Prague, , Czechia

Site Status

Masarykova nemocnice o.z; kozni oddeleni

Ústí nad Labem, , Czechia

Site Status

Helsinki University Central Hospital; Skin & Allergy Hospital

Helsinki, , Finland

Site Status

Tampere University Hospital; Dermatology and allergology

Tampere, , Finland

Site Status

Turku Central University Hospital; Dermatology and allergology

Turku, , Finland

Site Status

Hopital Saint Andre CHU De Bordeaux; Dermatologie

Bordeaux, , France

Site Status

Hopital du Bocage; Dermatologie

Dijon, , France

Site Status

Hopital Hotel Dieu Et Hme; Clinique Dermatologique

Nantes, , France

Site Status

Hopital l Archet 2; Ginestriere, Service de; Dermatologie

Nice, , France

Site Status

Centre Hospitalier Lyon Sud; Dermatologie

Pierre-Bénite, , France

Site Status

Charite Mitte; Klinik fur Dermatologie

Berlin, , Germany

Site Status

Universitätsklinik Bonn

Bonn, , Germany

Site Status

Klinik Johann Wolfgang von Goethe Uni; Klinik für Dermatologie, Venerologie und Allergologie

Frankfurt, , Germany

Site Status

SRH Wald-Klinikum Gera GmbH; Hautkrankheiten und Allergologie

Gera, , Germany

Site Status

UKSH Kiel; Klinik für Dermatologie, Venerologie und Allergologie

Kiel, , Germany

Site Status

Universitätsklinikum Mainz

Mainz, , Germany

Site Status

Academisch Medisch Centrum Universiteit Amsterdam; Dermatology and VU University Medical Center

Amsterdam, , Netherlands

Site Status

University Medical Center Groningen; Department of Dermatology

Groningen, , Netherlands

Site Status

UMC Utrecht; Dermatology

Utrecht, , Netherlands

Site Status

Uniwersyteckie Centeum Kliniczne GUMed; Klinika Dermatologii, Wenerologii i Alergologii

Gdansk, , Poland

Site Status

DERMED Centrum Medyczne; Sp zoo

Lodz, , Poland

Site Status

Laser Clinic

Szczecin, , Poland

Site Status

ALERGO-MED Specjalistyczna Przychodnia Lekarska Sp. z o. o

Tarnów, , Poland

Site Status

dermMedica sp.z o.o.

Wroclaw, , Poland

Site Status

Seoul National University Hospital

Seoul, , South Korea

Site Status

Severance Hospital, Yonsei University Health System

Seoul, , South Korea

Site Status

ChungAng University Hospital

Seoul, , South Korea

Site Status

Clinica Universitaria de Navarra; Servicio de Dermatologia

Pamplona, Navarre, Spain

Site Status

Hospital de la Santa Creu i Sant Pau; Servicio de Dermatologia

Barcelona, , Spain

Site Status

Hospital Universitario La Princesa, Servicio dermatologia

Madrid, , Spain

Site Status

HUGregorio Marañón, Servicio de dermatología

Madrid, , Spain

Site Status

Hospital Ramon y Cajal; servicio dermatologia

Madrid, , Spain

Site Status

Hospital Universitario La Paz; Servicio de dermatologia

Madrid, , Spain

Site Status

Hospital General Universitario de Valencia; servicio de dermatología

Valencia, , Spain

Site Status

Inselspital Bern; Dermatologie

Bern, , Switzerland

Site Status

CHUV; Dermatologie

Lausanne, , Switzerland

Site Status

Universitätsspital Zürich; Dermatologische Klinik

Zurich, , Switzerland

Site Status

Chang Gung Medical Foundation;Kaohsiung Branch; Department of Dermatology

Kaohsiung City, , Taiwan

Site Status

National Cheng-Kung University Hospital; Department of Dermatology

Tainan City, , Taiwan

Site Status

National Taiwan University Hospital; Department of Dermatology

Taipei, , Taiwan

Site Status

Russells Hall Hospital

Dudley, , United Kingdom

Site Status

Guys and St Thomas NHS Foundation Trust, Guys Hospital; Skin Therapy Research Unit

London, , United Kingdom

Site Status

Newcastle University & The Newcastle upon Tyne Hospitals NHS Foundation Trust

Newcastle upon Tyne, , United Kingdom

Site Status

Churchill Hospital

Oxford, , United Kingdom

Site Status

Poole Hospital

Poole, , United Kingdom

Site Status

Salford Royal NHS Foundation Trust

Salford, , United Kingdom

Site Status

Countries

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United States Australia Canada Czechia Finland France Germany Netherlands Poland South Korea Spain Switzerland Taiwan United Kingdom

Other Identifiers

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2014-000049-56

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

GS29250

Identifier Type: -

Identifier Source: org_study_id