Tralokinumab in Combination With Topical Corticosteroids for Moderate to Severe Atopic Dermatitis - ECZTRA 3

NCT ID: NCT03363854

Last Updated: 2025-03-11

Study Results

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE3

Total Enrollment

380 participants

Study Classification

INTERVENTIONAL

Study Start Date

2018-02-22

Study Completion Date

2019-09-26

Brief Summary

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Primary objective:

To demonstrate that tralokinumab in combination with topical corticosteroids (TCS) is superior to placebo in combination with TCS in treating moderate-to-severe atopic dermatitis (AD).

Secondary objectives:

To evaluate the efficacy of tralokinumab in combination with TCS on severity and extent of AD, itch, and health-related quality of life compared with placebo in combination with TCS.

To assess the safety of tralokinumab in combination with TCS when used to treat moderate-to-severe AD for 32 weeks.

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
Neither the subject nor any of the investigator or LEO staff who are involved in the treatment or clinical evaluation and monitoring of the subjects will be aware of the treatment received. The packaging and labelling of the investigational medicinal products (IMPs) will contain no evidence of their identity.

Since tralokinumab and placebo are visually distinct and not matched for viscosity, IMP will be handled and administered by a qualified, unblinded health-care professional at the site who will not be involved in the management of trial subjects and who will not perform any of the assessments.

Study Groups

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Tralokinumab(initial)responders-> Tralokinumab(continuation A)

Week 0 to 16 (initial period):

Tralokinumab loading SC injection on Day 0 followed by tralokinumab injection regimen A.

Week 16 to 32 (continuation period):

Tralokinumab continuation SC injection regimen A.

Group Type EXPERIMENTAL

Tralokinumab

Intervention Type DRUG

Tralokinumab is a human recombinant monoclonal antibody of the IgG4 subclass that specifically binds to human IL-13 and blocks interaction with the IL-13 receptors. It is presented as a liquid formulation for subcutaneous (SC) administration.

Tralokinumab(initial)responders-> Tralokinumab(continuation B)

Week 0 to 16 (initial period):

Tralokinumab loading SC injection on Day 0 followed by tralokinumab injection regimen A.

Week 16 to 32 (continuation period):

Tralokinumab continuation SC injection regimen B.

Group Type EXPERIMENTAL

Tralokinumab

Intervention Type DRUG

Tralokinumab is a human recombinant monoclonal antibody of the IgG4 subclass that specifically binds to human IL-13 and blocks interaction with the IL-13 receptors. It is presented as a liquid formulation for subcutaneous (SC) administration.

Tralokinumab(initial)non-respon-> Tralokinumab(continuation A)

Week 0 to 16 (initial period):

Tralokinumab loading SC injection on Day 0 followed by tralokinumab injection regimen A.

Week 16 to 32 (continuation period):

Tralokinumab continuation SC injection regimen A.

Group Type EXPERIMENTAL

Tralokinumab

Intervention Type DRUG

Tralokinumab is a human recombinant monoclonal antibody of the IgG4 subclass that specifically binds to human IL-13 and blocks interaction with the IL-13 receptors. It is presented as a liquid formulation for subcutaneous (SC) administration.

Placebo (initial)non-respon-> Tralokinumab(continuation A)

Week 0 to 16 (initial period):

Placebo loading SC injection on Day 0 followed by placebo injection regimen A.

Week 16 to 32 (continuation period):

Tralokinumab continuation SC injection regimen A.

Group Type EXPERIMENTAL

Tralokinumab

Intervention Type DRUG

Tralokinumab is a human recombinant monoclonal antibody of the IgG4 subclass that specifically binds to human IL-13 and blocks interaction with the IL-13 receptors. It is presented as a liquid formulation for subcutaneous (SC) administration.

Placebo

Intervention Type DRUG

Placebo contains the same excipients in the same concentration only lacking tralokinumab.

Placebo(initial)responders-> Placebo(continuation A)

Week 0 to 16 (initial period):

Placebo loading SC injection on Day 0 followed by placebo injection regimen A.

Week 16 to 32 (continuation period):

Placebo continuation SC injection regimen A.

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type DRUG

Placebo contains the same excipients in the same concentration only lacking tralokinumab.

Interventions

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Tralokinumab

Tralokinumab is a human recombinant monoclonal antibody of the IgG4 subclass that specifically binds to human IL-13 and blocks interaction with the IL-13 receptors. It is presented as a liquid formulation for subcutaneous (SC) administration.

Intervention Type DRUG

Placebo

Placebo contains the same excipients in the same concentration only lacking tralokinumab.

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Age 18 and above.
* Diagnosis of AD as defined by the Hanifin and Rajka (1980) criteria for AD.
* History of AD for ≥1 year.
* Subjects who have a recent history of inadequate response to treatment with topical medications.
* AD involvement of ≥10% body surface area at screening and baseline.
* Stable dose of emollient twice daily (or more, as needed) for at least 14 days before randomisation.

Exclusion Criteria

* Subjects for whom TCS are medically inadvisable e.g., due to important side effects or safety risks in the opinion of the investigator.
* Active dermatologic conditions that may confound the diagnosis of AD.
* Use of tanning beds or phototherapy within 6 weeks prior to randomisation.
* Treatment with systemic immunosuppressive/immunomodulating drugs and/or systemic corticosteroid within 4 weeks prior to randomisation.
* Treatment with TCS, topical calcineurin inhibitors (TCI), or topical phosphodiesterase 4 (PDE-4) inhibitor within 2 weeks prior to randomisation.
* Receipt of any marketed biological therapy (i.e. immunoglobulin, anti- immunoglobulin E) including dupilumab or investigational biologic agents within 3 months or 5 half-lives, whichever is longer prior to randomisation.
* Active skin infection within 1 week prior to randomisation.
* Clinically significant infection within 4 weeks prior to randomisation.
* A helminth parasitic infection within 6 months prior to the date informed consent is obtained.
* Tuberculosis requiring treatment within the 12 months prior to screening.
* Known primary immunodeficiency disorder.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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LEO Pharma

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Medical expert

Role: STUDY_DIRECTOR

LEO Pharma

Locations

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University of Alabama-Birmingham

Birmingham, Alabama, United States

Site Status

California Dermatology & Clinical Research Institute

Encinitas, California, United States

Site Status

First OC Dermatology

Fountain Valley, California, United States

Site Status

Center for Dermatology Clinical Research

Fremont, California, United States

Site Status

Dermatology Research Associates

Los Angeles, California, United States

Site Status

Clinical Science Institute

Santa Monica, California, United States

Site Status

Danbury Clinical Research

Danbury, Connecticut, United States

Site Status

International Dermatology Research

Miami, Florida, United States

Site Status

L & C Professional Medical Research

Miami, Florida, United States

Site Status

Lenus Research & Medical Group

Sweetwater, Florida, United States

Site Status

Olympian Clinical Research

Tampa, Florida, United States

Site Status

Medical Dermatology Specialists

Atlanta, Georgia, United States

Site Status

Northwestern University

Chicago, Illinois, United States

Site Status

Indiana Clinical Trials Center

Plainfield, Indiana, United States

Site Status

Study Center

Bangor, Maine, United States

Site Status

Respiratory Medicine Research

Ypsilanti, Michigan, United States

Site Status

Mount Sinai West Dermatoogy

New York, New York, United States

Site Status

Wake Research

Raleigh, North Carolina, United States

Site Status

Dermatologists of Greater Columbus

Bexley, Ohio, United States

Site Status

Oregon Dermatology & Research

Portland, Oregon, United States

Site Status

National Allergy and Asthma Research, LLC

North Charleston, South Carolina, United States

Site Status

University Hospital Antwerp

Antwerp, , Belgium

Site Status

Universitair ziekenhuis Brussel

Brussels, , Belgium

Site Status

Cliniques Universitaires St-Luc

Brussels, , Belgium

Site Status

LEO Pharma Investigational Site

Loverval, , Belgium

Site Status

Institute for Skin Advancement

Calgary, Alberta, Canada

Site Status

Skin Care Centre

Vancouver, British Columbia, Canada

Site Status

Maritime Medical Research Centre

Bathurst, New Brunswick, Canada

Site Status

Eastern Canada Cutaneous Research

Halifax, Nova Scotia, Canada

Site Status

CCA Medical Research

Ajax, Ontario, Canada

Site Status

Simcoderm Medical and Surgical Dermatology Centre

Barrie, Ontario, Canada

Site Status

DermEdge Research

Mississauga, Ontario, Canada

Site Status

York Dermatology Center

Richmond Hill, Ontario, Canada

Site Status

Research Toronto

Toronto, Ontario, Canada

Site Status

XLR8 Medical Research

Windsor, Ontario, Canada

Site Status

Interdisciplinary Study Association GmbH

Berlin, , Germany

Site Status

St. Josef-Hospital, Ruhr-Universitet

Bochum, , Germany

Site Status

Klinik und Poliklinik für Dermatologie und Allergologie

Bonn, , Germany

Site Status

Klinikum der Johann Wolfgang Goethe-Universität Klinik

Frankfurt am Main, , Germany

Site Status

MensingDerma Research GmbH

Hamburg, , Germany

Site Status

Universitätsklinikum Jena

Jena, , Germany

Site Status

Universitätshautklinik Kiel

Kiel, , Germany

Site Status

Universitätsklinikum Tübingen

Tübingen, , Germany

Site Status

Amcademic Medical Center

Amsterdam, , Netherlands

Site Status

LEO Pharma Investigational Site

Bergen op Zoom, , Netherlands

Site Status

LEO Pharma Investigational Site

Groningen, , Netherlands

Site Status

Radboud MC

Nijmegen, , Netherlands

Site Status

Erasmus MC, Rotterdam

Rotterdam, , Netherlands

Site Status

University Medical Centre Utrecht

Utrecht, , Netherlands

Site Status

Nzoz Med-Laser

Lublin, , Poland

Site Status

LEO Pharma Investigational Site

Rzeszów, , Poland

Site Status

Wojskowy Instytut Medyczny

Warsaw, , Poland

Site Status

Wromedica s.c.

Wroclaw, , Poland

Site Status

Derm Medica Sp.zo.o.

Wroclaw, , Poland

Site Status

Hospital General de Alicante

Alicante, , Spain

Site Status

Hospital Universitari de Bellvitge

Barcelona, , Spain

Site Status

Fundación Hospital Alcorcón

Madrid, , Spain

Site Status

Hospital de Pontevedra

Pontevedra, , Spain

Site Status

Hospital General de Valencia

Valencia, , Spain

Site Status

Addenbooke's Hospital

Cambridge, Cambridgeshire, United Kingdom

Site Status

The Princess Alexandra Hospital

Harlow, Essex, United Kingdom

Site Status

East Surrey Hospital

Redhill, Surrey, United Kingdom

Site Status

Queen Elizabeth Hospital Birmingham

Birmingham, West Midlands, United Kingdom

Site Status

Russells Hall Hospital

Dudley, West Midlands, United Kingdom

Site Status

The Royal Free Hospital

London, , United Kingdom

Site Status

Guy's and St Thomas' NHS Foundation Trust

London, , United Kingdom

Site Status

Countries

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United States Belgium Canada Germany Netherlands Poland Spain United Kingdom

References

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Mayo T, Silverberg JI, Armstrong A, Guttman-Yassky E, Blauvelt A, Esdaile B, Kabashima K, Gooderham M, Kircik L, Schneider S, Bennike N, von Eyben R, Martel BC, Ropke MA, Katoh N, Alexis AF. Efficacy and Safety of Tralokinumab Across Racial Subgroups in Adults with Moderate-to-Severe Atopic Dermatitis: Post Hoc Analysis of Phase III Trials. Am J Clin Dermatol. 2025 Oct 21. doi: 10.1007/s40257-025-00985-1. Online ahead of print.

Reference Type DERIVED
PMID: 41118053 (View on PubMed)

Wiseman M, Benvenuto M, Stromkjaer L, Paludan-Muller A, Ryttig L, Petersen AS, Wollenberg A. Cost-Per-Responder Analysis for Tralokinumab and Dupilumab in Combination with Topical Corticosteroids in Patients with Moderate-To-Severe Atopic Dermatitis. Dermatol Ther (Heidelb). 2025 Oct 16. doi: 10.1007/s13555-025-01565-1. Online ahead of print.

Reference Type DERIVED
PMID: 41102518 (View on PubMed)

Reich K, Langley RG, Salvador JFS, Staumont-Salle D, Costanzo A, Pink AE, Paller AS, Katoh N, Wollenberg A, Warren RB, Blauvelt A, Oland CB, Tindberg AM, Gjerum L, Simpson EL. Safety of tralokinumab in patients with moderate-to-severe atopic dermatitis followed for up to 4.5 years: an integrated analysis of 8 clinical trials. Br J Dermatol. 2025 Aug 29:ljaf309. doi: 10.1093/bjd/ljaf309. Online ahead of print.

Reference Type DERIVED
PMID: 40879371 (View on PubMed)

Paller AS, Soong W, Boguniewicz M, Geng B, Thyssen JP, Bennike N, Schneider S, Wollenberg A. Effect of tralokinumab on moderate-to-severe atopic dermatitis in patients with atopic comorbidities. Ann Allergy Asthma Immunol. 2025 Oct;135(4):425-433.e4. doi: 10.1016/j.anai.2025.06.022. Epub 2025 Jun 22.

Reference Type DERIVED
PMID: 40555305 (View on PubMed)

Blauvelt A, Gooderham M, Bhatia N, Langley RG, Schneider S, Zoidis J, Kurbasic A, Armstrong A, Silverberg JI. Tralokinumab Efficacy and Safety, with or without Topical Corticosteroids, in North American Adults with Moderate-to-Severe Atopic Dermatitis: A Subanalysis of Phase 3 Trials ECZTRA 1, 2, and 3. Dermatol Ther (Heidelb). 2022 Nov;12(11):2499-2516. doi: 10.1007/s13555-022-00805-y. Epub 2022 Sep 24.

Reference Type DERIVED
PMID: 36152216 (View on PubMed)

Silverberg JI, Adam DN, Zirwas M, Kalia S, Gutermuth J, Pinter A, Pink AE, Chiricozzi A, Barbarot S, Mark T, Tindberg AM, Weidinger S. Tralokinumab Plus Topical Corticosteroids as Needed Provides Progressive and Sustained Efficacy in Adults with Moderate-to-Severe Atopic Dermatitis Over a 32-Week Period: An ECZTRA 3 Post Hoc Analysis. Am J Clin Dermatol. 2022 Jul;23(4):547-559. doi: 10.1007/s40257-022-00702-2. Epub 2022 Jul 20.

Reference Type DERIVED
PMID: 35857179 (View on PubMed)

Provided Documents

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Document Type: Study Protocol

View Document

Document Type: Statistical Analysis Plan

View Document

Other Identifiers

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2017-002065-21

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

LP0162-1339

Identifier Type: -

Identifier Source: org_study_id

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