Trial Outcomes & Findings for A Study of Crisaborole Ointment 2%; Crisaborole Vehicle; TCS and TCI in Subjects Aged ≥ 2 Years, With Mild-moderate AD (NCT NCT03539601)
NCT ID: NCT03539601
Last Updated: 2022-01-10
Results Overview
EASI quantifies severity of participant's AD (excluded scalp) based on lesion severity and percent (%) body surface area (%BSA) affected. Lesion severity included erythema (E), induration/papulation (I), excoriation (Ex), lichenification (L) scored for 4 regions (head and neck \[h\], upper limbs \[u\], trunk \[t\] \[including axillae, groin\], lower limbs \[l\] \[including buttocks\]) on 4-point scale: 0= absent; 1= mild; 2= moderate; 3= severe. EASI area score (A) based upon %BSA with AD in body region: 0 (0%), 1 (\>0 to \<10%), 2 (10 to \<30%), 3 (30 to \<50%), 4 (50 to \<70%), 5 (70 to \<90%), 6 (90 to 100%). Total EASI score (aged \>=8 years) =0.1\*Ah\*(Eh + Ih + Exh + Lh) + 0.2\*Au\*(Eu + Iu + Exu + Lu) + 0.3\*At\*(Et + It +Ext + Lt) + 0.4\*Al\*(El + Il + Exl + Ll); for aged 2 to \<8 years =0.2\*Ah\*(Eh + Ih + Exh + Lh) + 0.2\*Au\*(Eu + Iu + Exu + Lu) + 0.3\*At\*(Et +It + Ext + Lt) + 0.3\*Al\*(El + Il + Exl + Ll). Total score ranges from 0.0 to 72.0, higher scores indicated greater AD severity.
TERMINATED
PHASE4
237 participants
Baseline, Day 29
2022-01-10
Participant Flow
At time of early termination, less than 40% of planned participants were treated across treatment groups. Number of participants enrolled up to early termination of study were insufficient to allow a meaningful inference and robust statistical analyses of data. As a result, all safety data was summarized with Cohort 1 and Cohort 2 combined for crisaborole and vehicle groups.
This study was originally plan to conduct in 2 different cohorts for crisaborole and vehicle groups. Cohort 1 was planned for participants eligible for topical corticosteroid (TCS) therapy (hydrocortisone butyrate cream 0.1%), and Cohort 2 was planned for participants not eligible for TCS therapy but eligible for topical calcineurin inhibitor (TCI) therapy (pimecrolimus cream 1%).
Participant milestones
| Measure |
Vehicle
Vehicle matched to crisaborole 2% ointment was applied topically bis in diem (BID - twice a day) to all treatable atopic dermatitis (AD) involved areas (excluding the scalp) identified at Baseline (Day 1) through Day 28. End of treatment visit was scheduled on Day 29. Participants were followed-up for at least 28 days after last dose, maximum up to Day 60.
|
Crisaborole Ointment 2% BID
Crisaborole ointment 2% was applied topically BID to all treatable AD involved areas (excluding the scalp) identified at Baseline (Day 1) through Day 28. End of treatment visit was scheduled on Day 29. Participants were followed-up for at least 28 days after last dose, maximum up to Day 60.
|
Hydrocortisone Butyrate Cream 0.1% BID
Hydrocortisone butyrate cream 0.1% was applied topically BID to all treatable AD involved areas (excluding the scalp) identified at Baseline (Day 1) through Day 28. End of treatment visit was scheduled on Day 29. Participants were followed-up for at least 28 days after last dose, maximum up to Day 60.
|
Pimecrolimus Cream 1% BID
Pimecrolimus cream 1% was applied topically BID to all treatable AD involved areas (excluding the scalp) identified at Baseline (Day 1) through Day 28. End of treatment visit was scheduled on Day 29. Participants were followed-up for at least 28 days after last dose, maximum up to Day 60.
|
|---|---|---|---|---|
|
Overall Study
STARTED
|
60
|
59
|
71
|
47
|
|
Overall Study
Treated
|
59
|
58
|
71
|
47
|
|
Overall Study
COMPLETED
|
54
|
52
|
65
|
46
|
|
Overall Study
NOT COMPLETED
|
6
|
7
|
6
|
1
|
Reasons for withdrawal
| Measure |
Vehicle
Vehicle matched to crisaborole 2% ointment was applied topically bis in diem (BID - twice a day) to all treatable atopic dermatitis (AD) involved areas (excluding the scalp) identified at Baseline (Day 1) through Day 28. End of treatment visit was scheduled on Day 29. Participants were followed-up for at least 28 days after last dose, maximum up to Day 60.
|
Crisaborole Ointment 2% BID
Crisaborole ointment 2% was applied topically BID to all treatable AD involved areas (excluding the scalp) identified at Baseline (Day 1) through Day 28. End of treatment visit was scheduled on Day 29. Participants were followed-up for at least 28 days after last dose, maximum up to Day 60.
|
Hydrocortisone Butyrate Cream 0.1% BID
Hydrocortisone butyrate cream 0.1% was applied topically BID to all treatable AD involved areas (excluding the scalp) identified at Baseline (Day 1) through Day 28. End of treatment visit was scheduled on Day 29. Participants were followed-up for at least 28 days after last dose, maximum up to Day 60.
|
Pimecrolimus Cream 1% BID
Pimecrolimus cream 1% was applied topically BID to all treatable AD involved areas (excluding the scalp) identified at Baseline (Day 1) through Day 28. End of treatment visit was scheduled on Day 29. Participants were followed-up for at least 28 days after last dose, maximum up to Day 60.
|
|---|---|---|---|---|
|
Overall Study
Withdraw by parent/guardian
|
1
|
0
|
1
|
0
|
|
Overall Study
Adverse Event
|
0
|
2
|
0
|
0
|
|
Overall Study
Lost to Follow-up
|
2
|
4
|
5
|
0
|
|
Overall Study
Withdrawal by Subject
|
2
|
0
|
0
|
1
|
|
Overall Study
Randomized but not treated
|
1
|
1
|
0
|
0
|
Baseline Characteristics
A Study of Crisaborole Ointment 2%; Crisaborole Vehicle; TCS and TCI in Subjects Aged ≥ 2 Years, With Mild-moderate AD
Baseline characteristics by cohort
| Measure |
Vehicle
n=59 Participants
Vehicle matched to crisaborole 2% ointment was applied topically BID to all treatable AD involved areas (excluding the scalp) identified at Baseline (Day 1) through Day 28. End of treatment visit was scheduled on Day 29. Participants were followed-up for at least 28 days after last dose, maximum up to Day 60.
|
Crisaborole Ointment 2% BID
n=58 Participants
Crisaborole ointment 2% was applied topically BID to all treatable AD involved areas (excluding the scalp) identified at Baseline (Day 1) through Day 28. End of treatment visit was scheduled on Day 29. Participants were followed-up for at least 28 days after last dose, maximum up to Day 60.
|
Hydrocortisone Butyrate Cream 0.1% BID
n=71 Participants
Hydrocortisone butyrate cream 0.1% was applied topically BID to all treatable AD involved areas (excluding the scalp) identified at Baseline (Day 1) through Day 28. End of treatment visit was scheduled on Day 29. Participants were followed-up for at least 28 days after last dose, maximum up to Day 60.
|
Pimecrolimus Cream 1% BID
n=47 Participants
Pimecrolimus cream 1% was applied topically BID to all treatable AD involved areas (excluding the scalp) identified at Baseline (Day 1) through Day 28. End of treatment visit was scheduled on Day 29. Participants were followed-up for at least 28 days after last dose, maximum up to Day 60.
|
Total
n=235 Participants
Total of all reporting groups
|
|---|---|---|---|---|---|
|
Age, Continuous
|
19.8 Years
STANDARD_DEVIATION 18.22 • n=5 Participants
|
21.5 Years
STANDARD_DEVIATION 19.12 • n=7 Participants
|
19.6 Years
STANDARD_DEVIATION 16.28 • n=5 Participants
|
21.1 Years
STANDARD_DEVIATION 18.20 • n=4 Participants
|
20.4 Years
STANDARD_DEVIATION 17.79 • n=21 Participants
|
|
Sex: Female, Male
Female
|
35 Participants
n=5 Participants
|
35 Participants
n=7 Participants
|
43 Participants
n=5 Participants
|
26 Participants
n=4 Participants
|
139 Participants
n=21 Participants
|
|
Sex: Female, Male
Male
|
24 Participants
n=5 Participants
|
23 Participants
n=7 Participants
|
28 Participants
n=5 Participants
|
21 Participants
n=4 Participants
|
96 Participants
n=21 Participants
|
|
Ethnicity (NIH/OMB)
Hispanic or Latino
|
6 Participants
n=5 Participants
|
1 Participants
n=7 Participants
|
11 Participants
n=5 Participants
|
4 Participants
n=4 Participants
|
22 Participants
n=21 Participants
|
|
Ethnicity (NIH/OMB)
Not Hispanic or Latino
|
53 Participants
n=5 Participants
|
57 Participants
n=7 Participants
|
60 Participants
n=5 Participants
|
43 Participants
n=4 Participants
|
213 Participants
n=21 Participants
|
|
Ethnicity (NIH/OMB)
Unknown or Not Reported
|
0 Participants
n=5 Participants
|
0 Participants
n=7 Participants
|
0 Participants
n=5 Participants
|
0 Participants
n=4 Participants
|
0 Participants
n=21 Participants
|
|
Race (NIH/OMB)
American Indian or Alaska Native
|
0 Participants
n=5 Participants
|
0 Participants
n=7 Participants
|
0 Participants
n=5 Participants
|
0 Participants
n=4 Participants
|
0 Participants
n=21 Participants
|
|
Race (NIH/OMB)
Asian
|
2 Participants
n=5 Participants
|
3 Participants
n=7 Participants
|
1 Participants
n=5 Participants
|
3 Participants
n=4 Participants
|
9 Participants
n=21 Participants
|
|
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
|
1 Participants
n=5 Participants
|
0 Participants
n=7 Participants
|
0 Participants
n=5 Participants
|
0 Participants
n=4 Participants
|
1 Participants
n=21 Participants
|
|
Race (NIH/OMB)
Black or African American
|
17 Participants
n=5 Participants
|
14 Participants
n=7 Participants
|
23 Participants
n=5 Participants
|
6 Participants
n=4 Participants
|
60 Participants
n=21 Participants
|
|
Race (NIH/OMB)
White
|
38 Participants
n=5 Participants
|
38 Participants
n=7 Participants
|
44 Participants
n=5 Participants
|
37 Participants
n=4 Participants
|
157 Participants
n=21 Participants
|
|
Race (NIH/OMB)
More than one race
|
1 Participants
n=5 Participants
|
3 Participants
n=7 Participants
|
1 Participants
n=5 Participants
|
0 Participants
n=4 Participants
|
5 Participants
n=21 Participants
|
|
Race (NIH/OMB)
Unknown or Not Reported
|
0 Participants
n=5 Participants
|
0 Participants
n=7 Participants
|
2 Participants
n=5 Participants
|
1 Participants
n=4 Participants
|
3 Participants
n=21 Participants
|
PRIMARY outcome
Timeframe: Baseline, Day 29Population: FAS included all randomized participants who received at least 1 dose of investigational product. Here, "Overall Number of Participants Analyzed"= participants evaluable for this outcome measure.
EASI quantifies severity of participant's AD (excluded scalp) based on lesion severity and percent (%) body surface area (%BSA) affected. Lesion severity included erythema (E), induration/papulation (I), excoriation (Ex), lichenification (L) scored for 4 regions (head and neck \[h\], upper limbs \[u\], trunk \[t\] \[including axillae, groin\], lower limbs \[l\] \[including buttocks\]) on 4-point scale: 0= absent; 1= mild; 2= moderate; 3= severe. EASI area score (A) based upon %BSA with AD in body region: 0 (0%), 1 (\>0 to \<10%), 2 (10 to \<30%), 3 (30 to \<50%), 4 (50 to \<70%), 5 (70 to \<90%), 6 (90 to 100%). Total EASI score (aged \>=8 years) =0.1\*Ah\*(Eh + Ih + Exh + Lh) + 0.2\*Au\*(Eu + Iu + Exu + Lu) + 0.3\*At\*(Et + It +Ext + Lt) + 0.4\*Al\*(El + Il + Exl + Ll); for aged 2 to \<8 years =0.2\*Ah\*(Eh + Ih + Exh + Lh) + 0.2\*Au\*(Eu + Iu + Exu + Lu) + 0.3\*At\*(Et +It + Ext + Lt) + 0.3\*Al\*(El + Il + Exl + Ll). Total score ranges from 0.0 to 72.0, higher scores indicated greater AD severity.
Outcome measures
| Measure |
Vehicle: Participants 2-17 Years
n=31 Participants
Vehicle matched to crisaborole 2% ointment was applied topically BID to all treatable AD involved areas (excluding the scalp) identified at Baseline (Day 1) through Day 28. End of treatment visit was scheduled on Day 29. Participants were followed-up for at least 28 days after last dose, maximum up to Day 60.
|
Crisaborole Ointment 2% BID: Participants 2-17 Years
n=31 Participants
Crisaborole ointment 2% was applied topically BID to all treatable AD involved areas (excluding the scalp) identified at Baseline (Day 1) through Day 28. End of treatment visit was scheduled on Day 29. Participants were followed-up for at least 28 days after last dose, maximum up to Day 60.
|
Hydrocortisone Butyrate Cream 0.1% BID: Participants 2-17 Years
n=36 Participants
Hydrocortisone butyrate cream 0.1% was applied topically BID to all treatable AD involved areas (excluding the scalp) identified at Baseline (Day 1) through Day 28. End of treatment visit was scheduled on Day 29. Participants were followed-up for at least 28 days after last dose, maximum up to Day 60.
|
Pimecrolimus Cream 1% BID: Participants 2-17 Years
n=29 Participants
Pimecrolimus cream 1% was applied topically BID to all treatable AD involved areas (excluding the scalp) identified at Baseline (Day 1) through Day 28. End of treatment visit was scheduled on Day 29. Participants were followed-up for at least 28 days after last dose, maximum up to Day 60.
|
Vehicle: Participants >=18 Years
n=17 Participants
Vehicle matched to crisaborole 2% ointment was applied topically BID to all treatable AD involved areas (excluding the scalp) identified at Baseline (Day 1) through Day 28. End of treatment visit was scheduled on Day 29. Participants were followed-up for at least 28 days after last dose, maximum up to Day 60.
|
Crisaborole Ointment 2% BID: Participants >=18 Years
n=19 Participants
Crisaborole ointment 2% was applied topically BID to all treatable AD involved areas (excluding the scalp) identified at Baseline (Day 1) through Day 28. End of treatment visit was scheduled on Day 29. Participants were followed-up for at least 28 days after last dose, maximum up to Day 60.
|
Hydrocortisone Butyrate Cream 0.1% BID: Participants >=18 Years
n=29 Participants
Hydrocortisone butyrate cream 0.1% was applied topically BID to all treatable AD involved areas (excluding the scalp) identified at Baseline (Day 1) through Day 28. End of treatment visit was scheduled on Day 29. Participants were followed-up for at least 28 days after last dose, maximum up to Day 60.
|
Pimecrolimus Cream 1% BID: Participants >=18 Years
n=14 Participants
Pimecrolimus cream 1% was applied topically BID to all treatable AD involved areas (excluding the scalp) identified at Baseline (Day 1) through Day 28. End of treatment visit was scheduled on Day 29. Participants were followed-up for at least 28 days after last dose, maximum up to Day 60.
|
|---|---|---|---|---|---|---|---|---|
|
Percent Change From Baseline in the Eczema Area and Severity Index (EASI) Total Score at Day 29
|
-26.62 Percent change
Standard Deviation 46.283
|
-49.47 Percent change
Standard Deviation 34.195
|
-75.50 Percent change
Standard Deviation 30.305
|
-60.08 Percent change
Standard Deviation 31.877
|
-44.67 Percent change
Standard Deviation 49.267
|
-57.14 Percent change
Standard Deviation 48.345
|
-70.29 Percent change
Standard Deviation 32.097
|
-62.59 Percent change
Standard Deviation 28.317
|
PRIMARY outcome
Timeframe: From Baseline up to 28 days after last dose of study treatment (maximum up to 60 Days)Population: Safety analysis set included all participants who received at least 1 dose of the investigational product according to actual treatment received.
An AE is any untoward medical occurrence in a study participant administered a product or medical device; the event need not necessarily have a causal relationship with the treatment or usage. TEAEs are events between the first dose of study drug up to 28 days after last dose that were absent before treatment or that worsened relative to pretreatment state. A SAE is any untoward medical occurrence at any dose that: results in death; is life-threatening (immediate risk of death); requires inpatient hospitalization or prolongation of existing hospitalization; results in persistent or significant disability/incapacity (substantial disruption of the ability to conduct normal life functions); results in congenital anomaly/birth defect; or that is considered to be an important medical event.
Outcome measures
| Measure |
Vehicle: Participants 2-17 Years
n=59 Participants
Vehicle matched to crisaborole 2% ointment was applied topically BID to all treatable AD involved areas (excluding the scalp) identified at Baseline (Day 1) through Day 28. End of treatment visit was scheduled on Day 29. Participants were followed-up for at least 28 days after last dose, maximum up to Day 60.
|
Crisaborole Ointment 2% BID: Participants 2-17 Years
n=58 Participants
Crisaborole ointment 2% was applied topically BID to all treatable AD involved areas (excluding the scalp) identified at Baseline (Day 1) through Day 28. End of treatment visit was scheduled on Day 29. Participants were followed-up for at least 28 days after last dose, maximum up to Day 60.
|
Hydrocortisone Butyrate Cream 0.1% BID: Participants 2-17 Years
n=71 Participants
Hydrocortisone butyrate cream 0.1% was applied topically BID to all treatable AD involved areas (excluding the scalp) identified at Baseline (Day 1) through Day 28. End of treatment visit was scheduled on Day 29. Participants were followed-up for at least 28 days after last dose, maximum up to Day 60.
|
Pimecrolimus Cream 1% BID: Participants 2-17 Years
n=47 Participants
Pimecrolimus cream 1% was applied topically BID to all treatable AD involved areas (excluding the scalp) identified at Baseline (Day 1) through Day 28. End of treatment visit was scheduled on Day 29. Participants were followed-up for at least 28 days after last dose, maximum up to Day 60.
|
Vehicle: Participants >=18 Years
Vehicle matched to crisaborole 2% ointment was applied topically BID to all treatable AD involved areas (excluding the scalp) identified at Baseline (Day 1) through Day 28. End of treatment visit was scheduled on Day 29. Participants were followed-up for at least 28 days after last dose, maximum up to Day 60.
|
Crisaborole Ointment 2% BID: Participants >=18 Years
Crisaborole ointment 2% was applied topically BID to all treatable AD involved areas (excluding the scalp) identified at Baseline (Day 1) through Day 28. End of treatment visit was scheduled on Day 29. Participants were followed-up for at least 28 days after last dose, maximum up to Day 60.
|
Hydrocortisone Butyrate Cream 0.1% BID: Participants >=18 Years
Hydrocortisone butyrate cream 0.1% was applied topically BID to all treatable AD involved areas (excluding the scalp) identified at Baseline (Day 1) through Day 28. End of treatment visit was scheduled on Day 29. Participants were followed-up for at least 28 days after last dose, maximum up to Day 60.
|
Pimecrolimus Cream 1% BID: Participants >=18 Years
Pimecrolimus cream 1% was applied topically BID to all treatable AD involved areas (excluding the scalp) identified at Baseline (Day 1) through Day 28. End of treatment visit was scheduled on Day 29. Participants were followed-up for at least 28 days after last dose, maximum up to Day 60.
|
|---|---|---|---|---|---|---|---|---|
|
Number of Participants With Treatment Emergent Adverse Events (TEAEs), Serious Adverse Events (SAEs) and Treatment Discontinuations Due to AEs and SAEs
Discontinuation due to AEs
|
0 Participants
|
3 Participants
|
0 Participants
|
0 Participants
|
—
|
—
|
—
|
—
|
|
Number of Participants With Treatment Emergent Adverse Events (TEAEs), Serious Adverse Events (SAEs) and Treatment Discontinuations Due to AEs and SAEs
TEAEs
|
18 Participants
|
25 Participants
|
12 Participants
|
24 Participants
|
—
|
—
|
—
|
—
|
|
Number of Participants With Treatment Emergent Adverse Events (TEAEs), Serious Adverse Events (SAEs) and Treatment Discontinuations Due to AEs and SAEs
SAEs
|
0 Participants
|
0 Participants
|
0 Participants
|
0 Participants
|
—
|
—
|
—
|
—
|
|
Number of Participants With Treatment Emergent Adverse Events (TEAEs), Serious Adverse Events (SAEs) and Treatment Discontinuations Due to AEs and SAEs
Discontinuation due to SAEs
|
0 Participants
|
0 Participants
|
0 Participants
|
0 Participants
|
—
|
—
|
—
|
—
|
PRIMARY outcome
Timeframe: From Baseline up to 28 days after last dose of study treatment (maximum up to 60 Days)Population: Safety analysis set included all participants who received at least 1 dose of the investigational product according to actual treatment received.
Local tolerability AEs included application and instillation site reactions, application site discharge, application site erythema, application site exfoliation, application site pain, application site pruritus, application site swelling, dermatitis and eczema, dermatitis atopic, dermatitis contact, eczema, skin irritation, telangiectasia and related conditions, and urticarias.
Outcome measures
| Measure |
Vehicle: Participants 2-17 Years
n=59 Participants
Vehicle matched to crisaborole 2% ointment was applied topically BID to all treatable AD involved areas (excluding the scalp) identified at Baseline (Day 1) through Day 28. End of treatment visit was scheduled on Day 29. Participants were followed-up for at least 28 days after last dose, maximum up to Day 60.
|
Crisaborole Ointment 2% BID: Participants 2-17 Years
n=58 Participants
Crisaborole ointment 2% was applied topically BID to all treatable AD involved areas (excluding the scalp) identified at Baseline (Day 1) through Day 28. End of treatment visit was scheduled on Day 29. Participants were followed-up for at least 28 days after last dose, maximum up to Day 60.
|
Hydrocortisone Butyrate Cream 0.1% BID: Participants 2-17 Years
n=71 Participants
Hydrocortisone butyrate cream 0.1% was applied topically BID to all treatable AD involved areas (excluding the scalp) identified at Baseline (Day 1) through Day 28. End of treatment visit was scheduled on Day 29. Participants were followed-up for at least 28 days after last dose, maximum up to Day 60.
|
Pimecrolimus Cream 1% BID: Participants 2-17 Years
n=47 Participants
Pimecrolimus cream 1% was applied topically BID to all treatable AD involved areas (excluding the scalp) identified at Baseline (Day 1) through Day 28. End of treatment visit was scheduled on Day 29. Participants were followed-up for at least 28 days after last dose, maximum up to Day 60.
|
Vehicle: Participants >=18 Years
Vehicle matched to crisaborole 2% ointment was applied topically BID to all treatable AD involved areas (excluding the scalp) identified at Baseline (Day 1) through Day 28. End of treatment visit was scheduled on Day 29. Participants were followed-up for at least 28 days after last dose, maximum up to Day 60.
|
Crisaborole Ointment 2% BID: Participants >=18 Years
Crisaborole ointment 2% was applied topically BID to all treatable AD involved areas (excluding the scalp) identified at Baseline (Day 1) through Day 28. End of treatment visit was scheduled on Day 29. Participants were followed-up for at least 28 days after last dose, maximum up to Day 60.
|
Hydrocortisone Butyrate Cream 0.1% BID: Participants >=18 Years
Hydrocortisone butyrate cream 0.1% was applied topically BID to all treatable AD involved areas (excluding the scalp) identified at Baseline (Day 1) through Day 28. End of treatment visit was scheduled on Day 29. Participants were followed-up for at least 28 days after last dose, maximum up to Day 60.
|
Pimecrolimus Cream 1% BID: Participants >=18 Years
Pimecrolimus cream 1% was applied topically BID to all treatable AD involved areas (excluding the scalp) identified at Baseline (Day 1) through Day 28. End of treatment visit was scheduled on Day 29. Participants were followed-up for at least 28 days after last dose, maximum up to Day 60.
|
|---|---|---|---|---|---|---|---|---|
|
Number of Participants With Local Tolerability Adverse Events (AEs)
|
12 Participants
|
13 Participants
|
2 Participants
|
8 Participants
|
—
|
—
|
—
|
—
|
PRIMARY outcome
Timeframe: Screening up to Day 29Population: Safety analysis set included all participants who received at least 1 dose of the investigational product according to actual treatment received.
Vital sign measurements included temperature, respiratory rate, pulse rate, and blood pressure. Temperature, respiratory rate, pulse rate, and blood pressure were taken in the seated or supine position, after the participant has been sitting or lying calmly for a minimum of 5 minutes (when possible for younger children). Position of recording was consistent within participant through-out the study.
Outcome measures
| Measure |
Vehicle: Participants 2-17 Years
n=59 Participants
Vehicle matched to crisaborole 2% ointment was applied topically BID to all treatable AD involved areas (excluding the scalp) identified at Baseline (Day 1) through Day 28. End of treatment visit was scheduled on Day 29. Participants were followed-up for at least 28 days after last dose, maximum up to Day 60.
|
Crisaborole Ointment 2% BID: Participants 2-17 Years
n=58 Participants
Crisaborole ointment 2% was applied topically BID to all treatable AD involved areas (excluding the scalp) identified at Baseline (Day 1) through Day 28. End of treatment visit was scheduled on Day 29. Participants were followed-up for at least 28 days after last dose, maximum up to Day 60.
|
Hydrocortisone Butyrate Cream 0.1% BID: Participants 2-17 Years
n=71 Participants
Hydrocortisone butyrate cream 0.1% was applied topically BID to all treatable AD involved areas (excluding the scalp) identified at Baseline (Day 1) through Day 28. End of treatment visit was scheduled on Day 29. Participants were followed-up for at least 28 days after last dose, maximum up to Day 60.
|
Pimecrolimus Cream 1% BID: Participants 2-17 Years
n=47 Participants
Pimecrolimus cream 1% was applied topically BID to all treatable AD involved areas (excluding the scalp) identified at Baseline (Day 1) through Day 28. End of treatment visit was scheduled on Day 29. Participants were followed-up for at least 28 days after last dose, maximum up to Day 60.
|
Vehicle: Participants >=18 Years
Vehicle matched to crisaborole 2% ointment was applied topically BID to all treatable AD involved areas (excluding the scalp) identified at Baseline (Day 1) through Day 28. End of treatment visit was scheduled on Day 29. Participants were followed-up for at least 28 days after last dose, maximum up to Day 60.
|
Crisaborole Ointment 2% BID: Participants >=18 Years
Crisaborole ointment 2% was applied topically BID to all treatable AD involved areas (excluding the scalp) identified at Baseline (Day 1) through Day 28. End of treatment visit was scheduled on Day 29. Participants were followed-up for at least 28 days after last dose, maximum up to Day 60.
|
Hydrocortisone Butyrate Cream 0.1% BID: Participants >=18 Years
Hydrocortisone butyrate cream 0.1% was applied topically BID to all treatable AD involved areas (excluding the scalp) identified at Baseline (Day 1) through Day 28. End of treatment visit was scheduled on Day 29. Participants were followed-up for at least 28 days after last dose, maximum up to Day 60.
|
Pimecrolimus Cream 1% BID: Participants >=18 Years
Pimecrolimus cream 1% was applied topically BID to all treatable AD involved areas (excluding the scalp) identified at Baseline (Day 1) through Day 28. End of treatment visit was scheduled on Day 29. Participants were followed-up for at least 28 days after last dose, maximum up to Day 60.
|
|---|---|---|---|---|---|---|---|---|
|
Number of Participants With Clinically Significant Changes in Vital Signs
|
0 Participants
|
0 Participants
|
1 Participants
|
0 Participants
|
—
|
—
|
—
|
—
|
PRIMARY outcome
Timeframe: Screening up to Day 29Population: Safety analysis set included all participants who received at least 1 dose of the investigational product according to actual treatment received.
Hematology parameters included with criteria greater than (\>) 1.2\*upper limit of normal (ULN): leukocytes (10\^3 per cubic millimeter \[10\^3/mm\^3\]), lymphocytes (10\^3/mm\^3), lymphocytes/leukocytes (%), neutrophils (10\^3/mm\^3), neutrophils/leukocytes (%), basophils/leukocytes (%), eosinophils (10\^3/mm\^3), eosinophils/leukocytes (%), monocytes (10\^3/mm\^3), monocytes/leukocytes (%). Clinical chemistry included parameters: aspartate aminotransferase (units per liter \[U/L\]) (\>3.0\* ULN), alanine aminotransferase (U/L) (\>3.0\* ULN), alkaline phosphatase (U/L) (\>3.0\* ULN), creatinine (milligram per deciliter \[mg/dL\]) (\>1.3\* ULN), potassium (milliequivalent per liter \[mEq/L\]) (\>1.1\* ULN), bicarbonate (mEq/L) (\>1.1\* ULN).
Outcome measures
| Measure |
Vehicle: Participants 2-17 Years
n=59 Participants
Vehicle matched to crisaborole 2% ointment was applied topically BID to all treatable AD involved areas (excluding the scalp) identified at Baseline (Day 1) through Day 28. End of treatment visit was scheduled on Day 29. Participants were followed-up for at least 28 days after last dose, maximum up to Day 60.
|
Crisaborole Ointment 2% BID: Participants 2-17 Years
n=58 Participants
Crisaborole ointment 2% was applied topically BID to all treatable AD involved areas (excluding the scalp) identified at Baseline (Day 1) through Day 28. End of treatment visit was scheduled on Day 29. Participants were followed-up for at least 28 days after last dose, maximum up to Day 60.
|
Hydrocortisone Butyrate Cream 0.1% BID: Participants 2-17 Years
n=71 Participants
Hydrocortisone butyrate cream 0.1% was applied topically BID to all treatable AD involved areas (excluding the scalp) identified at Baseline (Day 1) through Day 28. End of treatment visit was scheduled on Day 29. Participants were followed-up for at least 28 days after last dose, maximum up to Day 60.
|
Pimecrolimus Cream 1% BID: Participants 2-17 Years
n=47 Participants
Pimecrolimus cream 1% was applied topically BID to all treatable AD involved areas (excluding the scalp) identified at Baseline (Day 1) through Day 28. End of treatment visit was scheduled on Day 29. Participants were followed-up for at least 28 days after last dose, maximum up to Day 60.
|
Vehicle: Participants >=18 Years
Vehicle matched to crisaborole 2% ointment was applied topically BID to all treatable AD involved areas (excluding the scalp) identified at Baseline (Day 1) through Day 28. End of treatment visit was scheduled on Day 29. Participants were followed-up for at least 28 days after last dose, maximum up to Day 60.
|
Crisaborole Ointment 2% BID: Participants >=18 Years
Crisaborole ointment 2% was applied topically BID to all treatable AD involved areas (excluding the scalp) identified at Baseline (Day 1) through Day 28. End of treatment visit was scheduled on Day 29. Participants were followed-up for at least 28 days after last dose, maximum up to Day 60.
|
Hydrocortisone Butyrate Cream 0.1% BID: Participants >=18 Years
Hydrocortisone butyrate cream 0.1% was applied topically BID to all treatable AD involved areas (excluding the scalp) identified at Baseline (Day 1) through Day 28. End of treatment visit was scheduled on Day 29. Participants were followed-up for at least 28 days after last dose, maximum up to Day 60.
|
Pimecrolimus Cream 1% BID: Participants >=18 Years
Pimecrolimus cream 1% was applied topically BID to all treatable AD involved areas (excluding the scalp) identified at Baseline (Day 1) through Day 28. End of treatment visit was scheduled on Day 29. Participants were followed-up for at least 28 days after last dose, maximum up to Day 60.
|
|---|---|---|---|---|---|---|---|---|
|
Number of Participants With Clinically Significant Abnormal Laboratory Parameters
|
0 Participants
|
0 Participants
|
1 Participants
|
0 Participants
|
—
|
—
|
—
|
—
|
SECONDARY outcome
Timeframe: Baseline, Day 8, 15 and 22Population: FAS included all randomized participants who received at least 1 dose of investigational product. Here, 'number analyzed' signifies number of participants evaluable for each specified row.
EASI quantifies severity of participant's AD (excluded scalp) based on lesion severity and %BSA affected. Lesion severity included erythema (E), induration/papulation (I), excoriation (Ex), lichenification (L) scored for 4 regions (head and neck \[h\], upper limbs \[u\], trunk \[t\] \[including axillae, groin\], lower limbs \[l\] \[including buttocks\]) on 4-point scale: 0= absent; 1= mild; 2= moderate; 3= severe. EASI area score(A) based upon %BSA with AD in body region: 0 (0%), 1 (\>0 to \<10%), 2 (10 to \<30%), 3 (30 to \<50%), 4 (50 to \<70%), 5 (70 to \<90%), 6 (90 to 100%). Total EASI score (aged \>=8 years) =0.1\*Ah\*(Eh + Ih + Exh + Lh) + 0.2\*Au\*(Eu + Iu + Exu + Lu) + 0.3\*At\*(Et + It +Ext + Lt) + 0.4\*Al\*(El + Il + Exl + Ll); for aged 2 to \<8 years =0.2\*Ah\*(Eh + Ih + Exh + Lh) + 0.2\*Au\*(Eu + Iu + Exu + Lu) + 0.3\*At\*(Et +It + Ext + Lt) + 0.3\*Al\*(El + Il + Exl + Ll). Total score ranges from 0.0 to 72.0, higher scores indicated greater AD severity.
Outcome measures
| Measure |
Vehicle: Participants 2-17 Years
n=38 Participants
Vehicle matched to crisaborole 2% ointment was applied topically BID to all treatable AD involved areas (excluding the scalp) identified at Baseline (Day 1) through Day 28. End of treatment visit was scheduled on Day 29. Participants were followed-up for at least 28 days after last dose, maximum up to Day 60.
|
Crisaborole Ointment 2% BID: Participants 2-17 Years
n=37 Participants
Crisaborole ointment 2% was applied topically BID to all treatable AD involved areas (excluding the scalp) identified at Baseline (Day 1) through Day 28. End of treatment visit was scheduled on Day 29. Participants were followed-up for at least 28 days after last dose, maximum up to Day 60.
|
Hydrocortisone Butyrate Cream 0.1% BID: Participants 2-17 Years
n=38 Participants
Hydrocortisone butyrate cream 0.1% was applied topically BID to all treatable AD involved areas (excluding the scalp) identified at Baseline (Day 1) through Day 28. End of treatment visit was scheduled on Day 29. Participants were followed-up for at least 28 days after last dose, maximum up to Day 60.
|
Pimecrolimus Cream 1% BID: Participants 2-17 Years
n=30 Participants
Pimecrolimus cream 1% was applied topically BID to all treatable AD involved areas (excluding the scalp) identified at Baseline (Day 1) through Day 28. End of treatment visit was scheduled on Day 29. Participants were followed-up for at least 28 days after last dose, maximum up to Day 60.
|
Vehicle: Participants >=18 Years
n=21 Participants
Vehicle matched to crisaborole 2% ointment was applied topically BID to all treatable AD involved areas (excluding the scalp) identified at Baseline (Day 1) through Day 28. End of treatment visit was scheduled on Day 29. Participants were followed-up for at least 28 days after last dose, maximum up to Day 60.
|
Crisaborole Ointment 2% BID: Participants >=18 Years
n=21 Participants
Crisaborole ointment 2% was applied topically BID to all treatable AD involved areas (excluding the scalp) identified at Baseline (Day 1) through Day 28. End of treatment visit was scheduled on Day 29. Participants were followed-up for at least 28 days after last dose, maximum up to Day 60.
|
Hydrocortisone Butyrate Cream 0.1% BID: Participants >=18 Years
n=32 Participants
Hydrocortisone butyrate cream 0.1% was applied topically BID to all treatable AD involved areas (excluding the scalp) identified at Baseline (Day 1) through Day 28. End of treatment visit was scheduled on Day 29. Participants were followed-up for at least 28 days after last dose, maximum up to Day 60.
|
Pimecrolimus Cream 1% BID: Participants >=18 Years
n=17 Participants
Pimecrolimus cream 1% was applied topically BID to all treatable AD involved areas (excluding the scalp) identified at Baseline (Day 1) through Day 28. End of treatment visit was scheduled on Day 29. Participants were followed-up for at least 28 days after last dose, maximum up to Day 60.
|
|---|---|---|---|---|---|---|---|---|
|
Percent Change From Baseline in Eczema Area and Severity Index (EASI) Total Score at Day 8, 15 and 22
Percent Change at Day 15
|
-25.77 Percent change
Standard Deviation 35.658
|
-36.72 Percent change
Standard Deviation 36.625
|
-58.96 Percent change
Standard Deviation 32.617
|
-42.75 Percent change
Standard Deviation 31.854
|
-25.93 Percent change
Standard Deviation 31.690
|
-48.42 Percent change
Standard Deviation 33.458
|
-56.29 Percent change
Standard Deviation 32.186
|
-37.18 Percent change
Standard Deviation 50.487
|
|
Percent Change From Baseline in Eczema Area and Severity Index (EASI) Total Score at Day 8, 15 and 22
Percent Change at Day 8
|
-17.88 Percent change
Standard Deviation 36.705
|
-26.79 Percent change
Standard Deviation 39.280
|
-45.59 Percent change
Standard Deviation 28.103
|
-34.20 Percent change
Standard Deviation 25.972
|
-14.77 Percent change
Standard Deviation 26.308
|
-29.83 Percent change
Standard Deviation 44.599
|
-42.48 Percent change
Standard Deviation 27.843
|
-18.75 Percent change
Standard Deviation 39.016
|
|
Percent Change From Baseline in Eczema Area and Severity Index (EASI) Total Score at Day 8, 15 and 22
Percent Change at Day 22
|
-25.07 Percent change
Standard Deviation 49.326
|
-38.87 Percent change
Standard Deviation 32.624
|
-69.09 Percent change
Standard Deviation 31.528
|
-59.86 Percent change
Standard Deviation 24.835
|
-34.43 Percent change
Standard Deviation 30.587
|
-56.05 Percent change
Standard Deviation 38.934
|
-61.82 Percent change
Standard Deviation 27.894
|
-42.25 Percent change
Standard Deviation 40.192
|
SECONDARY outcome
Timeframe: Day 8, 15, 22 and 29Population: FAS included all randomized participants who received at least 1 dose of investigational product.
ISGA is a five point global assessment scale of AD severity, used to characterize participants' overall disease severity across all treatable AD lesions (excluding the scalp). ISGA score ranged from 0 to 4: where 0= clear (minor residual hypo/hyperpigmentation; no erythema or induration/papulation; no oozing/crusting), 1= almost clear (trace faint pink erythema, with barely perceptible induration/papulation and no oozing/crusting), 2= mild (faint pink erythema with mild induration/papulation and no oozing/crusting), 3= moderate (pink-red erythema with moderate induration/papulation with or without oozing/crusting), 4= severe (deep or bright red erythema with severe induration/papulation and with oozing/crusting). Higher scores indicated greater severity of AD.
Outcome measures
| Measure |
Vehicle: Participants 2-17 Years
n=38 Participants
Vehicle matched to crisaborole 2% ointment was applied topically BID to all treatable AD involved areas (excluding the scalp) identified at Baseline (Day 1) through Day 28. End of treatment visit was scheduled on Day 29. Participants were followed-up for at least 28 days after last dose, maximum up to Day 60.
|
Crisaborole Ointment 2% BID: Participants 2-17 Years
n=37 Participants
Crisaborole ointment 2% was applied topically BID to all treatable AD involved areas (excluding the scalp) identified at Baseline (Day 1) through Day 28. End of treatment visit was scheduled on Day 29. Participants were followed-up for at least 28 days after last dose, maximum up to Day 60.
|
Hydrocortisone Butyrate Cream 0.1% BID: Participants 2-17 Years
n=39 Participants
Hydrocortisone butyrate cream 0.1% was applied topically BID to all treatable AD involved areas (excluding the scalp) identified at Baseline (Day 1) through Day 28. End of treatment visit was scheduled on Day 29. Participants were followed-up for at least 28 days after last dose, maximum up to Day 60.
|
Pimecrolimus Cream 1% BID: Participants 2-17 Years
n=30 Participants
Pimecrolimus cream 1% was applied topically BID to all treatable AD involved areas (excluding the scalp) identified at Baseline (Day 1) through Day 28. End of treatment visit was scheduled on Day 29. Participants were followed-up for at least 28 days after last dose, maximum up to Day 60.
|
Vehicle: Participants >=18 Years
n=21 Participants
Vehicle matched to crisaborole 2% ointment was applied topically BID to all treatable AD involved areas (excluding the scalp) identified at Baseline (Day 1) through Day 28. End of treatment visit was scheduled on Day 29. Participants were followed-up for at least 28 days after last dose, maximum up to Day 60.
|
Crisaborole Ointment 2% BID: Participants >=18 Years
n=21 Participants
Crisaborole ointment 2% was applied topically BID to all treatable AD involved areas (excluding the scalp) identified at Baseline (Day 1) through Day 28. End of treatment visit was scheduled on Day 29. Participants were followed-up for at least 28 days after last dose, maximum up to Day 60.
|
Hydrocortisone Butyrate Cream 0.1% BID: Participants >=18 Years
n=32 Participants
Hydrocortisone butyrate cream 0.1% was applied topically BID to all treatable AD involved areas (excluding the scalp) identified at Baseline (Day 1) through Day 28. End of treatment visit was scheduled on Day 29. Participants were followed-up for at least 28 days after last dose, maximum up to Day 60.
|
Pimecrolimus Cream 1% BID: Participants >=18 Years
n=17 Participants
Pimecrolimus cream 1% was applied topically BID to all treatable AD involved areas (excluding the scalp) identified at Baseline (Day 1) through Day 28. End of treatment visit was scheduled on Day 29. Participants were followed-up for at least 28 days after last dose, maximum up to Day 60.
|
|---|---|---|---|---|---|---|---|---|
|
Number of Participants Who Achieved Success in the Investigator's Static Global Assessment (ISGA) (ISGA Score of Clear [0] or Almost Clear [1] With At-least a 2-Grade Improvement From Baseline) at Day 8, 15, 22 and 29
Day 8
|
2 Participants
|
0 Participants
|
2 Participants
|
0 Participants
|
0 Participants
|
0 Participants
|
0 Participants
|
0 Participants
|
|
Number of Participants Who Achieved Success in the Investigator's Static Global Assessment (ISGA) (ISGA Score of Clear [0] or Almost Clear [1] With At-least a 2-Grade Improvement From Baseline) at Day 8, 15, 22 and 29
Day 15
|
1 Participants
|
3 Participants
|
8 Participants
|
2 Participants
|
0 Participants
|
0 Participants
|
6 Participants
|
1 Participants
|
|
Number of Participants Who Achieved Success in the Investigator's Static Global Assessment (ISGA) (ISGA Score of Clear [0] or Almost Clear [1] With At-least a 2-Grade Improvement From Baseline) at Day 8, 15, 22 and 29
Day 22
|
2 Participants
|
2 Participants
|
11 Participants
|
5 Participants
|
1 Participants
|
3 Participants
|
9 Participants
|
1 Participants
|
|
Number of Participants Who Achieved Success in the Investigator's Static Global Assessment (ISGA) (ISGA Score of Clear [0] or Almost Clear [1] With At-least a 2-Grade Improvement From Baseline) at Day 8, 15, 22 and 29
Day 29
|
2 Participants
|
5 Participants
|
20 Participants
|
7 Participants
|
3 Participants
|
6 Participants
|
13 Participants
|
2 Participants
|
SECONDARY outcome
Timeframe: Day 8, 15, 22 and 29Population: FAS included all randomized participants who received at least 1 dose of investigational product.
ISGA is a five point global assessment scale of AD severity, used to characterize participants' overall disease severity across all treatable AD lesions (excluding the scalp). ISGA score ranged from 0 to 4: where 0 = clear (minor residual hypo/hyperpigmentation; no erythema or induration/papulation; no oozing/crusting), 1= almost clear (trace faint pink erythema, with barely perceptible induration/papulation and no oozing/crusting), 2= mild (faint pink erythema with mild induration/papulation and no oozing/crusting), 3= moderate (pink-red erythema with moderate induration/papulation with or without oozing/crusting), 4= severe (deep or bright red erythema with severe induration/papulation and with oozing/crusting). Higher scores indicated greater severity of AD.
Outcome measures
| Measure |
Vehicle: Participants 2-17 Years
n=38 Participants
Vehicle matched to crisaborole 2% ointment was applied topically BID to all treatable AD involved areas (excluding the scalp) identified at Baseline (Day 1) through Day 28. End of treatment visit was scheduled on Day 29. Participants were followed-up for at least 28 days after last dose, maximum up to Day 60.
|
Crisaborole Ointment 2% BID: Participants 2-17 Years
n=37 Participants
Crisaborole ointment 2% was applied topically BID to all treatable AD involved areas (excluding the scalp) identified at Baseline (Day 1) through Day 28. End of treatment visit was scheduled on Day 29. Participants were followed-up for at least 28 days after last dose, maximum up to Day 60.
|
Hydrocortisone Butyrate Cream 0.1% BID: Participants 2-17 Years
n=39 Participants
Hydrocortisone butyrate cream 0.1% was applied topically BID to all treatable AD involved areas (excluding the scalp) identified at Baseline (Day 1) through Day 28. End of treatment visit was scheduled on Day 29. Participants were followed-up for at least 28 days after last dose, maximum up to Day 60.
|
Pimecrolimus Cream 1% BID: Participants 2-17 Years
n=30 Participants
Pimecrolimus cream 1% was applied topically BID to all treatable AD involved areas (excluding the scalp) identified at Baseline (Day 1) through Day 28. End of treatment visit was scheduled on Day 29. Participants were followed-up for at least 28 days after last dose, maximum up to Day 60.
|
Vehicle: Participants >=18 Years
n=21 Participants
Vehicle matched to crisaborole 2% ointment was applied topically BID to all treatable AD involved areas (excluding the scalp) identified at Baseline (Day 1) through Day 28. End of treatment visit was scheduled on Day 29. Participants were followed-up for at least 28 days after last dose, maximum up to Day 60.
|
Crisaborole Ointment 2% BID: Participants >=18 Years
n=21 Participants
Crisaborole ointment 2% was applied topically BID to all treatable AD involved areas (excluding the scalp) identified at Baseline (Day 1) through Day 28. End of treatment visit was scheduled on Day 29. Participants were followed-up for at least 28 days after last dose, maximum up to Day 60.
|
Hydrocortisone Butyrate Cream 0.1% BID: Participants >=18 Years
n=32 Participants
Hydrocortisone butyrate cream 0.1% was applied topically BID to all treatable AD involved areas (excluding the scalp) identified at Baseline (Day 1) through Day 28. End of treatment visit was scheduled on Day 29. Participants were followed-up for at least 28 days after last dose, maximum up to Day 60.
|
Pimecrolimus Cream 1% BID: Participants >=18 Years
n=17 Participants
Pimecrolimus cream 1% was applied topically BID to all treatable AD involved areas (excluding the scalp) identified at Baseline (Day 1) through Day 28. End of treatment visit was scheduled on Day 29. Participants were followed-up for at least 28 days after last dose, maximum up to Day 60.
|
|---|---|---|---|---|---|---|---|---|
|
Number of Participants Who Achieved Investigator's Static Global Assessment (ISGA) Score of Clear (0) or Almost Clear (1) at Day 8, 15, 22 and 29
Day 22
|
6 Participants
|
8 Participants
|
19 Participants
|
9 Participants
|
1 Participants
|
8 Participants
|
13 Participants
|
5 Participants
|
|
Number of Participants Who Achieved Investigator's Static Global Assessment (ISGA) Score of Clear (0) or Almost Clear (1) at Day 8, 15, 22 and 29
Day 29
|
6 Participants
|
10 Participants
|
27 Participants
|
13 Participants
|
4 Participants
|
9 Participants
|
20 Participants
|
7 Participants
|
|
Number of Participants Who Achieved Investigator's Static Global Assessment (ISGA) Score of Clear (0) or Almost Clear (1) at Day 8, 15, 22 and 29
Day 8
|
6 Participants
|
3 Participants
|
12 Participants
|
5 Participants
|
0 Participants
|
4 Participants
|
4 Participants
|
2 Participants
|
|
Number of Participants Who Achieved Investigator's Static Global Assessment (ISGA) Score of Clear (0) or Almost Clear (1) at Day 8, 15, 22 and 29
Day 15
|
6 Participants
|
7 Participants
|
19 Participants
|
9 Participants
|
1 Participants
|
3 Participants
|
11 Participants
|
5 Participants
|
SECONDARY outcome
Timeframe: Day 8, 15, 22 and 29Population: FAS included all randomized participants who received at least 1 dose of investigational product. Here, "Overall Number of Participants Analyzed"= participants evaluable for this outcome measure.
EASI quantifies severity of participant's AD (excluded scalp) based on lesion severity and %BSA affected. Lesion severity included erythema (E), induration/papulation (I), excoriation (Ex), lichenification (L) scored for 4 regions (head and neck \[h\], upper limbs \[u\], trunk \[t\] \[including axillae, groin\], lower limbs \[l\] \[including buttocks\]) on 4-point scale: 0= absent; 1= mild; 2= moderate; 3= severe. EASI area score(A) based upon %BSA with AD in body region: 0 (0%), 1 (\>0 to \<10%), 2 (10 to \<30%), 3 (30 to \<50%), 4 (50 to \<70%), 5 (70 to \<90%), 6 (90 to 100%). Total EASI score (aged \>=8 years) =0.1\*Ah\*(Eh + Ih + Exh + Lh) + 0.2\*Au\*(Eu + Iu + Exu + Lu) + 0.3\*At\*(Et + It +Ext + Lt) + 0.4\*Al\*(El + Il + Exl + Ll); for aged 2 to \<8 years =0.2\*Ah\*(Eh + Ih + Exh + Lh) + 0.2\*Au\*(Eu + Iu + Exu + Lu) + 0.3\*At\*(Et +It + Ext + Lt) + 0.3\*Al\*(El + Il + Exl + Ll). Total score ranges from 0.0 to 72.0, higher scores indicated greater AD severity.
Outcome measures
| Measure |
Vehicle: Participants 2-17 Years
n=59 Participants
Vehicle matched to crisaborole 2% ointment was applied topically BID to all treatable AD involved areas (excluding the scalp) identified at Baseline (Day 1) through Day 28. End of treatment visit was scheduled on Day 29. Participants were followed-up for at least 28 days after last dose, maximum up to Day 60.
|
Crisaborole Ointment 2% BID: Participants 2-17 Years
n=58 Participants
Crisaborole ointment 2% was applied topically BID to all treatable AD involved areas (excluding the scalp) identified at Baseline (Day 1) through Day 28. End of treatment visit was scheduled on Day 29. Participants were followed-up for at least 28 days after last dose, maximum up to Day 60.
|
Hydrocortisone Butyrate Cream 0.1% BID: Participants 2-17 Years
n=70 Participants
Hydrocortisone butyrate cream 0.1% was applied topically BID to all treatable AD involved areas (excluding the scalp) identified at Baseline (Day 1) through Day 28. End of treatment visit was scheduled on Day 29. Participants were followed-up for at least 28 days after last dose, maximum up to Day 60.
|
Pimecrolimus Cream 1% BID: Participants 2-17 Years
n=47 Participants
Pimecrolimus cream 1% was applied topically BID to all treatable AD involved areas (excluding the scalp) identified at Baseline (Day 1) through Day 28. End of treatment visit was scheduled on Day 29. Participants were followed-up for at least 28 days after last dose, maximum up to Day 60.
|
Vehicle: Participants >=18 Years
Vehicle matched to crisaborole 2% ointment was applied topically BID to all treatable AD involved areas (excluding the scalp) identified at Baseline (Day 1) through Day 28. End of treatment visit was scheduled on Day 29. Participants were followed-up for at least 28 days after last dose, maximum up to Day 60.
|
Crisaborole Ointment 2% BID: Participants >=18 Years
Crisaborole ointment 2% was applied topically BID to all treatable AD involved areas (excluding the scalp) identified at Baseline (Day 1) through Day 28. End of treatment visit was scheduled on Day 29. Participants were followed-up for at least 28 days after last dose, maximum up to Day 60.
|
Hydrocortisone Butyrate Cream 0.1% BID: Participants >=18 Years
Hydrocortisone butyrate cream 0.1% was applied topically BID to all treatable AD involved areas (excluding the scalp) identified at Baseline (Day 1) through Day 28. End of treatment visit was scheduled on Day 29. Participants were followed-up for at least 28 days after last dose, maximum up to Day 60.
|
Pimecrolimus Cream 1% BID: Participants >=18 Years
Pimecrolimus cream 1% was applied topically BID to all treatable AD involved areas (excluding the scalp) identified at Baseline (Day 1) through Day 28. End of treatment visit was scheduled on Day 29. Participants were followed-up for at least 28 days after last dose, maximum up to Day 60.
|
|---|---|---|---|---|---|---|---|---|
|
Number of Participants Who Achieved Greater Than or Equal to (>=) 75 Percent (%) Improvement From Baseline in Eczema Area and Severity Index (EASI) Total Score at Day 8, 15, 22 and 29
Day 8
|
2 Participants
|
7 Participants
|
9 Participants
|
2 Participants
|
—
|
—
|
—
|
—
|
|
Number of Participants Who Achieved Greater Than or Equal to (>=) 75 Percent (%) Improvement From Baseline in Eczema Area and Severity Index (EASI) Total Score at Day 8, 15, 22 and 29
Day 15
|
4 Participants
|
10 Participants
|
25 Participants
|
8 Participants
|
—
|
—
|
—
|
—
|
|
Number of Participants Who Achieved Greater Than or Equal to (>=) 75 Percent (%) Improvement From Baseline in Eczema Area and Severity Index (EASI) Total Score at Day 8, 15, 22 and 29
Day 22
|
8 Participants
|
13 Participants
|
29 Participants
|
11 Participants
|
—
|
—
|
—
|
—
|
|
Number of Participants Who Achieved Greater Than or Equal to (>=) 75 Percent (%) Improvement From Baseline in Eczema Area and Severity Index (EASI) Total Score at Day 8, 15, 22 and 29
Day 29
|
9 Participants
|
17 Participants
|
40 Participants
|
17 Participants
|
—
|
—
|
—
|
—
|
SECONDARY outcome
Timeframe: Baseline up to Day 43Population: FAS included all randomized participants who received at least 1 dose of investigational product. Here, "Overall Number of Participants Analyzed"= participants evaluable for this outcome measure.
EASI quantifies severity of participant's AD (excluded scalp) based on lesion severity and %BSA affected. Lesion severity included erythema (E), induration/papulation (I), excoriation (Ex), lichenification (L) scored for 4 regions (head and neck \[h\], upper limbs \[u\], trunk \[t\] \[including axillae, groin\], lower limbs \[l\] \[including buttocks\]) on 4-point scale: 0= absent; 1= mild; 2= moderate; 3= severe. EASI area score(A) based upon %BSA with AD in body region: 0 (0%), 1 (\>0 to \<10%), 2 (10 to \<30%), 3 (30 to \<50%), 4 (50 to \<70%), 5 (70 to \<90%), 6 (90 to 100%). Total EASI score (aged \>=8 years) =0.1\*Ah\*(Eh + Ih + Exh + Lh) + 0.2\*Au\*(Eu + Iu + Exu + Lu) + 0.3\*At\*(Et + It +Ext + Lt) + 0.4\*Al\*(El + Il + Exl + Ll); for aged 2 to \<8 years =0.2\*Ah\*(Eh + Ih + Exh + Lh) + 0.2\*Au\*(Eu + Iu + Exu + Lu) + 0.3\*At\*(Et +It + Ext + Lt) + 0.3\*Al\*(El + Il + Exl + Ll). Total score ranges from 0.0 to 72.0, higher scores indicated greater AD severity.
Outcome measures
| Measure |
Vehicle: Participants 2-17 Years
n=59 Participants
Vehicle matched to crisaborole 2% ointment was applied topically BID to all treatable AD involved areas (excluding the scalp) identified at Baseline (Day 1) through Day 28. End of treatment visit was scheduled on Day 29. Participants were followed-up for at least 28 days after last dose, maximum up to Day 60.
|
Crisaborole Ointment 2% BID: Participants 2-17 Years
n=58 Participants
Crisaborole ointment 2% was applied topically BID to all treatable AD involved areas (excluding the scalp) identified at Baseline (Day 1) through Day 28. End of treatment visit was scheduled on Day 29. Participants were followed-up for at least 28 days after last dose, maximum up to Day 60.
|
Hydrocortisone Butyrate Cream 0.1% BID: Participants 2-17 Years
n=70 Participants
Hydrocortisone butyrate cream 0.1% was applied topically BID to all treatable AD involved areas (excluding the scalp) identified at Baseline (Day 1) through Day 28. End of treatment visit was scheduled on Day 29. Participants were followed-up for at least 28 days after last dose, maximum up to Day 60.
|
Pimecrolimus Cream 1% BID: Participants 2-17 Years
n=47 Participants
Pimecrolimus cream 1% was applied topically BID to all treatable AD involved areas (excluding the scalp) identified at Baseline (Day 1) through Day 28. End of treatment visit was scheduled on Day 29. Participants were followed-up for at least 28 days after last dose, maximum up to Day 60.
|
Vehicle: Participants >=18 Years
Vehicle matched to crisaborole 2% ointment was applied topically BID to all treatable AD involved areas (excluding the scalp) identified at Baseline (Day 1) through Day 28. End of treatment visit was scheduled on Day 29. Participants were followed-up for at least 28 days after last dose, maximum up to Day 60.
|
Crisaborole Ointment 2% BID: Participants >=18 Years
Crisaborole ointment 2% was applied topically BID to all treatable AD involved areas (excluding the scalp) identified at Baseline (Day 1) through Day 28. End of treatment visit was scheduled on Day 29. Participants were followed-up for at least 28 days after last dose, maximum up to Day 60.
|
Hydrocortisone Butyrate Cream 0.1% BID: Participants >=18 Years
Hydrocortisone butyrate cream 0.1% was applied topically BID to all treatable AD involved areas (excluding the scalp) identified at Baseline (Day 1) through Day 28. End of treatment visit was scheduled on Day 29. Participants were followed-up for at least 28 days after last dose, maximum up to Day 60.
|
Pimecrolimus Cream 1% BID: Participants >=18 Years
Pimecrolimus cream 1% was applied topically BID to all treatable AD involved areas (excluding the scalp) identified at Baseline (Day 1) through Day 28. End of treatment visit was scheduled on Day 29. Participants were followed-up for at least 28 days after last dose, maximum up to Day 60.
|
|---|---|---|---|---|---|---|---|---|
|
Time to First Improvement From Baseline in Eczema Area and Severity Index (EASI) Total Score of Greater Than or Equal to (>=) 75%
|
NA Days
Median and 95% CI could not be estimated because there were insufficient number of participants with event.
|
43.0 Days
Interval 28.0 to
Upper limit for 95% CI could not be estimated because there were insufficient number of participants with events to calculate the full 95% CI.
|
23.0 Days
Interval 16.0 to 34.0
|
32.0 Days
Interval 27.0 to
Upper limit for 95% CI could not be estimated because there were insufficient number of participants with events to calculate the full 95% CI.
|
—
|
—
|
—
|
—
|
SECONDARY outcome
Timeframe: Baseline, Day 8, 15, 22 and 29Population: FAS included all randomized participants who received at least 1 dose of investigational product. Here 'number analyzed' signifies number of participants evaluable for each specified row.
Four body regions were evaluated: head and neck, upper limbs, trunk (including axillae) and lower limbs (including buttocks) excluding scalp. BSA was calculated using handprint method. Number of handprints (size of participant's full palmer hand in a closed position) fitting in affected area of a body region was estimated. Maximum number of handprints were: 10 for head, neck (20 for \<8 years age), 20 for upper limbs, 30 for trunk, 40 for lower limbs (30 for \<8 years age). Surface area (SA) of body region equivalent to 1 handprint: 10% for head, neck (5% for \<8 years age), 5% for upper limbs, 3.33% for trunk, 2.5% for lower limbs (3.33% for \<8 years age). Overall %BSA for a body region = total number of handprints in a body region \* % SA equivalent to 1 handprint. % BSA for an individual: mean of % BSA of all 4 body regions, range =0-100%, higher values = greater AD severity.
Outcome measures
| Measure |
Vehicle: Participants 2-17 Years
n=38 Participants
Vehicle matched to crisaborole 2% ointment was applied topically BID to all treatable AD involved areas (excluding the scalp) identified at Baseline (Day 1) through Day 28. End of treatment visit was scheduled on Day 29. Participants were followed-up for at least 28 days after last dose, maximum up to Day 60.
|
Crisaborole Ointment 2% BID: Participants 2-17 Years
n=37 Participants
Crisaborole ointment 2% was applied topically BID to all treatable AD involved areas (excluding the scalp) identified at Baseline (Day 1) through Day 28. End of treatment visit was scheduled on Day 29. Participants were followed-up for at least 28 days after last dose, maximum up to Day 60.
|
Hydrocortisone Butyrate Cream 0.1% BID: Participants 2-17 Years
n=39 Participants
Hydrocortisone butyrate cream 0.1% was applied topically BID to all treatable AD involved areas (excluding the scalp) identified at Baseline (Day 1) through Day 28. End of treatment visit was scheduled on Day 29. Participants were followed-up for at least 28 days after last dose, maximum up to Day 60.
|
Pimecrolimus Cream 1% BID: Participants 2-17 Years
n=30 Participants
Pimecrolimus cream 1% was applied topically BID to all treatable AD involved areas (excluding the scalp) identified at Baseline (Day 1) through Day 28. End of treatment visit was scheduled on Day 29. Participants were followed-up for at least 28 days after last dose, maximum up to Day 60.
|
Vehicle: Participants >=18 Years
n=21 Participants
Vehicle matched to crisaborole 2% ointment was applied topically BID to all treatable AD involved areas (excluding the scalp) identified at Baseline (Day 1) through Day 28. End of treatment visit was scheduled on Day 29. Participants were followed-up for at least 28 days after last dose, maximum up to Day 60.
|
Crisaborole Ointment 2% BID: Participants >=18 Years
n=21 Participants
Crisaborole ointment 2% was applied topically BID to all treatable AD involved areas (excluding the scalp) identified at Baseline (Day 1) through Day 28. End of treatment visit was scheduled on Day 29. Participants were followed-up for at least 28 days after last dose, maximum up to Day 60.
|
Hydrocortisone Butyrate Cream 0.1% BID: Participants >=18 Years
n=32 Participants
Hydrocortisone butyrate cream 0.1% was applied topically BID to all treatable AD involved areas (excluding the scalp) identified at Baseline (Day 1) through Day 28. End of treatment visit was scheduled on Day 29. Participants were followed-up for at least 28 days after last dose, maximum up to Day 60.
|
Pimecrolimus Cream 1% BID: Participants >=18 Years
n=17 Participants
Pimecrolimus cream 1% was applied topically BID to all treatable AD involved areas (excluding the scalp) identified at Baseline (Day 1) through Day 28. End of treatment visit was scheduled on Day 29. Participants were followed-up for at least 28 days after last dose, maximum up to Day 60.
|
|---|---|---|---|---|---|---|---|---|
|
Change From Baseline in Percent Body Surface Area (%BSA) at Day 8, 15, 22 and 29
Change at Day 8
|
-2.04 Percent BSA
Standard Deviation 7.533
|
-2.63 Percent BSA
Standard Deviation 11.920
|
-5.25 Percent BSA
Standard Deviation 8.346
|
-2.84 Percent BSA
Standard Deviation 5.296
|
-1.39 Percent BSA
Standard Deviation 4.417
|
-4.09 Percent BSA
Standard Deviation 6.397
|
-2.74 Percent BSA
Standard Deviation 2.718
|
-1.44 Percent BSA
Standard Deviation 5.600
|
|
Change From Baseline in Percent Body Surface Area (%BSA) at Day 8, 15, 22 and 29
Change at Day 22
|
-2.23 Percent BSA
Standard Deviation 12.321
|
-7.14 Percent BSA
Standard Deviation 10.123
|
-8.54 Percent BSA
Standard Deviation 11.226
|
-6.52 Percent BSA
Standard Deviation 9.883
|
-4.19 Percent BSA
Standard Deviation 5.464
|
-5.98 Percent BSA
Standard Deviation 7.852
|
-4.91 Percent BSA
Standard Deviation 5.190
|
-4.17 Percent BSA
Standard Deviation 5.588
|
|
Change From Baseline in Percent Body Surface Area (%BSA) at Day 8, 15, 22 and 29
Change at Day 29
|
-3.38 Percent BSA
Standard Deviation 9.974
|
-9.95 Percent BSA
Standard Deviation 11.324
|
-9.63 Percent BSA
Standard Deviation 12.309
|
-7.30 Percent BSA
Standard Deviation 10.774
|
-6.76 Percent BSA
Standard Deviation 8.089
|
-7.18 Percent BSA
Standard Deviation 8.183
|
-7.18 Percent BSA
Standard Deviation 5.971
|
-6.86 Percent BSA
Standard Deviation 8.172
|
|
Change From Baseline in Percent Body Surface Area (%BSA) at Day 8, 15, 22 and 29
Change at Day 15
|
-2.38 Percent BSA
Standard Deviation 8.566
|
-4.32 Percent BSA
Standard Deviation 12.620
|
-7.40 Percent BSA
Standard Deviation 9.515
|
-3.72 Percent BSA
Standard Deviation 4.401
|
-3.73 Percent BSA
Standard Deviation 5.895
|
-4.63 Percent BSA
Standard Deviation 7.211
|
-5.00 Percent BSA
Standard Deviation 5.189
|
-3.56 Percent BSA
Standard Deviation 5.750
|
SECONDARY outcome
Timeframe: Baseline, Day 8, 15, 22 and 29Population: Analysis was performed on all participants aged \>=12 years from FAS, and FAS included all randomized participants who received at least 1 dose of investigational product. Here, "Overall Number of Participants Analyzed"= participants evaluable for this outcome measure and 'number analyzed' signifies number of participants evaluable for each specified row.
The severity of itch (pruritus) due to AD was assessed using the peak pruritus NRS for participants aged \>=12 years. Participants at specified time points were asked the following question: "how would you rate your itch at the worst moment during the previous 24 hours?" The scale ranged from 0 to 10, where 0= no itch and 10= worst itch imaginable. Higher scores indicated worse itch.
Outcome measures
| Measure |
Vehicle: Participants 2-17 Years
n=33 Participants
Vehicle matched to crisaborole 2% ointment was applied topically BID to all treatable AD involved areas (excluding the scalp) identified at Baseline (Day 1) through Day 28. End of treatment visit was scheduled on Day 29. Participants were followed-up for at least 28 days after last dose, maximum up to Day 60.
|
Crisaborole Ointment 2% BID: Participants 2-17 Years
n=33 Participants
Crisaborole ointment 2% was applied topically BID to all treatable AD involved areas (excluding the scalp) identified at Baseline (Day 1) through Day 28. End of treatment visit was scheduled on Day 29. Participants were followed-up for at least 28 days after last dose, maximum up to Day 60.
|
Hydrocortisone Butyrate Cream 0.1% BID: Participants 2-17 Years
n=45 Participants
Hydrocortisone butyrate cream 0.1% was applied topically BID to all treatable AD involved areas (excluding the scalp) identified at Baseline (Day 1) through Day 28. End of treatment visit was scheduled on Day 29. Participants were followed-up for at least 28 days after last dose, maximum up to Day 60.
|
Pimecrolimus Cream 1% BID: Participants 2-17 Years
n=28 Participants
Pimecrolimus cream 1% was applied topically BID to all treatable AD involved areas (excluding the scalp) identified at Baseline (Day 1) through Day 28. End of treatment visit was scheduled on Day 29. Participants were followed-up for at least 28 days after last dose, maximum up to Day 60.
|
Vehicle: Participants >=18 Years
Vehicle matched to crisaborole 2% ointment was applied topically BID to all treatable AD involved areas (excluding the scalp) identified at Baseline (Day 1) through Day 28. End of treatment visit was scheduled on Day 29. Participants were followed-up for at least 28 days after last dose, maximum up to Day 60.
|
Crisaborole Ointment 2% BID: Participants >=18 Years
Crisaborole ointment 2% was applied topically BID to all treatable AD involved areas (excluding the scalp) identified at Baseline (Day 1) through Day 28. End of treatment visit was scheduled on Day 29. Participants were followed-up for at least 28 days after last dose, maximum up to Day 60.
|
Hydrocortisone Butyrate Cream 0.1% BID: Participants >=18 Years
Hydrocortisone butyrate cream 0.1% was applied topically BID to all treatable AD involved areas (excluding the scalp) identified at Baseline (Day 1) through Day 28. End of treatment visit was scheduled on Day 29. Participants were followed-up for at least 28 days after last dose, maximum up to Day 60.
|
Pimecrolimus Cream 1% BID: Participants >=18 Years
Pimecrolimus cream 1% was applied topically BID to all treatable AD involved areas (excluding the scalp) identified at Baseline (Day 1) through Day 28. End of treatment visit was scheduled on Day 29. Participants were followed-up for at least 28 days after last dose, maximum up to Day 60.
|
|---|---|---|---|---|---|---|---|---|
|
Change From Baseline in Peak Pruritus Numerical Rating Scale (NRS) in Participants Aged Greater Than or Equal to (>=) 12 Years at Day 8, 15, 22 and 29
Change at Day 8
|
-0.67 Units on a scale
Standard Deviation 1.254
|
-1.01 Units on a scale
Standard Deviation 1.145
|
-2.24 Units on a scale
Standard Deviation 2.065
|
-0.29 Units on a scale
Standard Deviation 1.225
|
—
|
—
|
—
|
—
|
|
Change From Baseline in Peak Pruritus Numerical Rating Scale (NRS) in Participants Aged Greater Than or Equal to (>=) 12 Years at Day 8, 15, 22 and 29
Change at Day 15
|
-0.97 Units on a scale
Standard Deviation 1.778
|
-1.08 Units on a scale
Standard Deviation 1.419
|
-3.21 Units on a scale
Standard Deviation 2.598
|
-1.35 Units on a scale
Standard Deviation 1.707
|
—
|
—
|
—
|
—
|
|
Change From Baseline in Peak Pruritus Numerical Rating Scale (NRS) in Participants Aged Greater Than or Equal to (>=) 12 Years at Day 8, 15, 22 and 29
Change at Day 22
|
-0.98 Units on a scale
Standard Deviation 1.887
|
-1.28 Units on a scale
Standard Deviation 1.642
|
-3.83 Units on a scale
Standard Deviation 2.554
|
-1.66 Units on a scale
Standard Deviation 1.759
|
—
|
—
|
—
|
—
|
|
Change From Baseline in Peak Pruritus Numerical Rating Scale (NRS) in Participants Aged Greater Than or Equal to (>=) 12 Years at Day 8, 15, 22 and 29
Change at Day 29
|
-1.30 Units on a scale
Standard Deviation 2.157
|
-1.65 Units on a scale
Standard Deviation 1.996
|
-4.02 Units on a scale
Standard Deviation 2.734
|
-1.67 Units on a scale
Standard Deviation 1.952
|
—
|
—
|
—
|
—
|
SECONDARY outcome
Timeframe: Baseline, Day 8, 15, 22 and 29Population: Data was not summarized as per SAP which was revised prior to the analyses and which reflect limitations related to reduced sample size (39% enrollment) of early terminated study. Smaller than originally planned sample size was insufficient to allow robust statistical analyses. Pruritus related PRO endpoints used different instruments in each of 3 age groups. As a result, subdividing population based on age group renders smaller sample size in pediatric groups, therefore data was not summarized.
The severity of itch (pruritus) due to AD was assessed using the five-category participant reported itch severity scale for participants aged 6-11 years. Participants at specified time points were asked to "circle the face that shows how itchy your skin has been today". The scale ranged from 0 to 4, where 0= no itch and 4= very itch. Higher scores indicated worse itch.
Outcome measures
Outcome data not reported
SECONDARY outcome
Timeframe: Baseline, Day 8, 15, 22 and 29Population: Data was not summarized as per SAP which was revised prior to the analyses and which reflect limitations related to reduced sample size (39% enrollment) of early terminated study. Smaller than originally planned sample size was insufficient to allow robust statistical analyses. Pruritus related PRO endpoints used different instruments in each of 3 age groups. As a result, subdividing population based on age group renders smaller sample size in pediatric groups, therefore data was not summarized.
The severity of itch (pruritus) due to AD was assessed using the participant reported itch severity scale for participants aged \<6 years. Participant's caregivers at specified time points were asked the following question "how would you rate your observation of your child's itch (scratching, rubbing) at the worst moment during the previous 24 hours?". The scale ranged from 0 to 10, where 0= no itch and 10= worst itch imaginable. Higher scores indicated worse itch.
Outcome measures
Outcome data not reported
SECONDARY outcome
Timeframe: Baseline up to Day 29Population: Data was not summarized as per SAP which was revised prior to the analyses and which reflected limitations related to reduced sample size (only 39% enrollment) of early terminated study. Smaller than originally planned sample size was insufficient to allow robust statistical analyses. Summarizing further by Time to \>2 Point Improvement will not provide additional useful information due to smaller than planned sample size as a result of study early termination.
The severity of itch (pruritus) due to AD was assessed using the peak pruritus NRS for participants aged \>12 years. Participants at specified time points were asked the following question: "how would you rate your itch at the worst moment during the previous 24 hours?" The scale ranged from 0 to 10, where 0= no itch and 10= worst itch imaginable. Higher scores indicated worse itch.
Outcome measures
Outcome data not reported
SECONDARY outcome
Timeframe: Baseline up to Day 29Population: Data was not summarized as per SAP which was revised prior to the analyses and which reflected limitations related to reduced sample size (only 39% enrollment) of early terminated study. Smaller than originally planned sample size was insufficient to allow robust statistical analyses. Summarizing further by Time to \>3 Point Improvement will not provide additional useful information due to smaller than planned sample size as a result of study early termination.
The severity of itch (pruritus) due to AD was assessed using the Peak Pruritus NRS for participants aged \>12 years. Participants at specified time points were asked the following question: "how would you rate your itch at the worst moment during the previous 24 hours?" The scale ranged from 0 to 10, where 0= no itch and 10= worst itch imaginable. Higher scores indicated worse itch.
Outcome measures
Outcome data not reported
SECONDARY outcome
Timeframe: Baseline up to Day 29Population: Data was not summarized as per SAP which was revised prior to the analyses and which reflect limitations related to reduced sample size (39% enrollment) of early terminated study. Smaller than originally planned sample size was insufficient to allow robust statistical analyses. Pruritus related PRO endpoints used different instruments in each of 3 age groups. As a result, subdividing population based on age group renders smaller sample size in pediatric groups, therefore data was not summarized.
The severity of itch (pruritus) due to AD was assessed using the patient reported itch severity scale for participants aged \<6 years. Participant's caregivers at specified time points were asked the following question "how would you rate your observation of your child's itch (scratching, rubbing) at the worst moment during the previous 24 hours?". The scale ranged from 0 to 10, where 0= no itch and 10= worst itch imaginable. Higher scores indicated worse itch.
Outcome measures
Outcome data not reported
SECONDARY outcome
Timeframe: Baseline up to Day 29Population: Data was not summarized as per SAP which was revised prior to the analyses and which reflect limitations related to reduced sample size (39% enrollment) of early terminated study. Smaller than originally planned sample size was insufficient to allow robust statistical analyses. Pruritus related PRO endpoints used different instruments in each of 3 age groups. As a result, subdividing population based on age group renders smaller sample size in pediatric groups, therefore data was not summarized.
The severity of itch (pruritus) due to AD was assessed using the Patient Reported Itch Severity Scale for participants aged \<6 years. Participant's caregivers at specified time points were asked the following question "how would you rate your observation of your child's itch (scratching, rubbing) at the worst moment during the previous 24 hours?". The scale ranged from 0 to 10, where 0= no itch and 10= worst itch imaginable. Higher scores indicated worse itch.
Outcome measures
Outcome data not reported
SECONDARY outcome
Timeframe: Day 8, 15, 22 and 29Population: Analysis was performed on all participants aged \>=12 years from FAS, and FAS included all randomized participants who received at least 1 dose of investigational product. Here, "Overall Number of Participants Analyzed"= participants evaluable for this outcome measure.
The severity of itch (pruritus) due to AD was assessed using the peak pruritus NRS for participants aged \>=12 years. Participants at specified time points were asked the following question: "how would you rate your itch at the worst moment during the previous 24 hours?" The scale ranged from 0 to 10, where 0= no itch and 10= worst itch imaginable. Higher scores indicated worse itch.
Outcome measures
| Measure |
Vehicle: Participants 2-17 Years
n=31 Participants
Vehicle matched to crisaborole 2% ointment was applied topically BID to all treatable AD involved areas (excluding the scalp) identified at Baseline (Day 1) through Day 28. End of treatment visit was scheduled on Day 29. Participants were followed-up for at least 28 days after last dose, maximum up to Day 60.
|
Crisaborole Ointment 2% BID: Participants 2-17 Years
n=32 Participants
Crisaborole ointment 2% was applied topically BID to all treatable AD involved areas (excluding the scalp) identified at Baseline (Day 1) through Day 28. End of treatment visit was scheduled on Day 29. Participants were followed-up for at least 28 days after last dose, maximum up to Day 60.
|
Hydrocortisone Butyrate Cream 0.1% BID: Participants 2-17 Years
n=42 Participants
Hydrocortisone butyrate cream 0.1% was applied topically BID to all treatable AD involved areas (excluding the scalp) identified at Baseline (Day 1) through Day 28. End of treatment visit was scheduled on Day 29. Participants were followed-up for at least 28 days after last dose, maximum up to Day 60.
|
Pimecrolimus Cream 1% BID: Participants 2-17 Years
n=26 Participants
Pimecrolimus cream 1% was applied topically BID to all treatable AD involved areas (excluding the scalp) identified at Baseline (Day 1) through Day 28. End of treatment visit was scheduled on Day 29. Participants were followed-up for at least 28 days after last dose, maximum up to Day 60.
|
Vehicle: Participants >=18 Years
Vehicle matched to crisaborole 2% ointment was applied topically BID to all treatable AD involved areas (excluding the scalp) identified at Baseline (Day 1) through Day 28. End of treatment visit was scheduled on Day 29. Participants were followed-up for at least 28 days after last dose, maximum up to Day 60.
|
Crisaborole Ointment 2% BID: Participants >=18 Years
Crisaborole ointment 2% was applied topically BID to all treatable AD involved areas (excluding the scalp) identified at Baseline (Day 1) through Day 28. End of treatment visit was scheduled on Day 29. Participants were followed-up for at least 28 days after last dose, maximum up to Day 60.
|
Hydrocortisone Butyrate Cream 0.1% BID: Participants >=18 Years
Hydrocortisone butyrate cream 0.1% was applied topically BID to all treatable AD involved areas (excluding the scalp) identified at Baseline (Day 1) through Day 28. End of treatment visit was scheduled on Day 29. Participants were followed-up for at least 28 days after last dose, maximum up to Day 60.
|
Pimecrolimus Cream 1% BID: Participants >=18 Years
Pimecrolimus cream 1% was applied topically BID to all treatable AD involved areas (excluding the scalp) identified at Baseline (Day 1) through Day 28. End of treatment visit was scheduled on Day 29. Participants were followed-up for at least 28 days after last dose, maximum up to Day 60.
|
|---|---|---|---|---|---|---|---|---|
|
Number of Participants Who Achieved >=2 Point Improvement From Baseline in Peak Pruritus Numeric Rating Scale (NRS) in Participants Aged Greater Than or Equal to (>=) 12 Years at Day 8, 15, 22 and 29
Day 8
|
3 Participants
|
7 Participants
|
21 Participants
|
1 Participants
|
—
|
—
|
—
|
—
|
|
Number of Participants Who Achieved >=2 Point Improvement From Baseline in Peak Pruritus Numeric Rating Scale (NRS) in Participants Aged Greater Than or Equal to (>=) 12 Years at Day 8, 15, 22 and 29
Day 15
|
9 Participants
|
8 Participants
|
31 Participants
|
7 Participants
|
—
|
—
|
—
|
—
|
|
Number of Participants Who Achieved >=2 Point Improvement From Baseline in Peak Pruritus Numeric Rating Scale (NRS) in Participants Aged Greater Than or Equal to (>=) 12 Years at Day 8, 15, 22 and 29
Day 29
|
10 Participants
|
9 Participants
|
32 Participants
|
9 Participants
|
—
|
—
|
—
|
—
|
|
Number of Participants Who Achieved >=2 Point Improvement From Baseline in Peak Pruritus Numeric Rating Scale (NRS) in Participants Aged Greater Than or Equal to (>=) 12 Years at Day 8, 15, 22 and 29
Day 22
|
9 Participants
|
7 Participants
|
32 Participants
|
9 Participants
|
—
|
—
|
—
|
—
|
SECONDARY outcome
Timeframe: Day 8, 15, 22 and 29Population: Analysis was performed on all participants aged \>=12 years from FAS, and FAS included all randomized participants who received at least 1 dose of investigational product. Here, "Overall Number of Participants Analyzed"= participants evaluable for this outcome measure.
The severity of itch (pruritus) due to AD was assessed using the Peak Pruritus NRS for participants aged \>=12 years. Participants at specified time points were asked the following question: "how would you rate your itch at the worst moment during the previous 24 hours?" The scale ranged from 0 to 10, where 0= no itch and 10= worst itch imaginable. Higher scores indicated worse itch.
Outcome measures
| Measure |
Vehicle: Participants 2-17 Years
n=29 Participants
Vehicle matched to crisaborole 2% ointment was applied topically BID to all treatable AD involved areas (excluding the scalp) identified at Baseline (Day 1) through Day 28. End of treatment visit was scheduled on Day 29. Participants were followed-up for at least 28 days after last dose, maximum up to Day 60.
|
Crisaborole Ointment 2% BID: Participants 2-17 Years
n=29 Participants
Crisaborole ointment 2% was applied topically BID to all treatable AD involved areas (excluding the scalp) identified at Baseline (Day 1) through Day 28. End of treatment visit was scheduled on Day 29. Participants were followed-up for at least 28 days after last dose, maximum up to Day 60.
|
Hydrocortisone Butyrate Cream 0.1% BID: Participants 2-17 Years
n=40 Participants
Hydrocortisone butyrate cream 0.1% was applied topically BID to all treatable AD involved areas (excluding the scalp) identified at Baseline (Day 1) through Day 28. End of treatment visit was scheduled on Day 29. Participants were followed-up for at least 28 days after last dose, maximum up to Day 60.
|
Pimecrolimus Cream 1% BID: Participants 2-17 Years
n=26 Participants
Pimecrolimus cream 1% was applied topically BID to all treatable AD involved areas (excluding the scalp) identified at Baseline (Day 1) through Day 28. End of treatment visit was scheduled on Day 29. Participants were followed-up for at least 28 days after last dose, maximum up to Day 60.
|
Vehicle: Participants >=18 Years
Vehicle matched to crisaborole 2% ointment was applied topically BID to all treatable AD involved areas (excluding the scalp) identified at Baseline (Day 1) through Day 28. End of treatment visit was scheduled on Day 29. Participants were followed-up for at least 28 days after last dose, maximum up to Day 60.
|
Crisaborole Ointment 2% BID: Participants >=18 Years
Crisaborole ointment 2% was applied topically BID to all treatable AD involved areas (excluding the scalp) identified at Baseline (Day 1) through Day 28. End of treatment visit was scheduled on Day 29. Participants were followed-up for at least 28 days after last dose, maximum up to Day 60.
|
Hydrocortisone Butyrate Cream 0.1% BID: Participants >=18 Years
Hydrocortisone butyrate cream 0.1% was applied topically BID to all treatable AD involved areas (excluding the scalp) identified at Baseline (Day 1) through Day 28. End of treatment visit was scheduled on Day 29. Participants were followed-up for at least 28 days after last dose, maximum up to Day 60.
|
Pimecrolimus Cream 1% BID: Participants >=18 Years
Pimecrolimus cream 1% was applied topically BID to all treatable AD involved areas (excluding the scalp) identified at Baseline (Day 1) through Day 28. End of treatment visit was scheduled on Day 29. Participants were followed-up for at least 28 days after last dose, maximum up to Day 60.
|
|---|---|---|---|---|---|---|---|---|
|
Number of Participants Who Achieved >=3 Point Improvement From Baseline in Peak Pruritus Numeric Rating Scale (NRS) in Participants Aged Greater Than or Equal to (>=) 12 Years at Day 8, 15, 22 and 29
Day 8
|
2 Participants
|
1 Participants
|
11 Participants
|
0 Participants
|
—
|
—
|
—
|
—
|
|
Number of Participants Who Achieved >=3 Point Improvement From Baseline in Peak Pruritus Numeric Rating Scale (NRS) in Participants Aged Greater Than or Equal to (>=) 12 Years at Day 8, 15, 22 and 29
Day 15
|
5 Participants
|
5 Participants
|
21 Participants
|
3 Participants
|
—
|
—
|
—
|
—
|
|
Number of Participants Who Achieved >=3 Point Improvement From Baseline in Peak Pruritus Numeric Rating Scale (NRS) in Participants Aged Greater Than or Equal to (>=) 12 Years at Day 8, 15, 22 and 29
Day 29
|
6 Participants
|
6 Participants
|
24 Participants
|
6 Participants
|
—
|
—
|
—
|
—
|
|
Number of Participants Who Achieved >=3 Point Improvement From Baseline in Peak Pruritus Numeric Rating Scale (NRS) in Participants Aged Greater Than or Equal to (>=) 12 Years at Day 8, 15, 22 and 29
Day 22
|
4 Participants
|
4 Participants
|
25 Participants
|
4 Participants
|
—
|
—
|
—
|
—
|
SECONDARY outcome
Timeframe: Day 8, 15, 22 and 29Population: Data was not summarized as per SAP which was revised prior to the analyses and which reflect limitations related to reduced sample size (39% enrollment) of early terminated study. Smaller than originally planned sample size was insufficient to allow robust statistical analyses. Pruritus related PRO endpoints used different instruments in each of 3 age groups. As a result, subdividing population based on age group renders smaller sample size in pediatric groups, therefore data was not summarized.
The severity of itch (pruritus) due to AD was assessed using the Patient Reported Itch Severity Scale for participants aged \<6 years. Participant's caregivers at specified time points were asked the following question "how would you rate your observation of your child's itch (scratching, rubbing) at the worst moment during the previous 24 hours?". The scale ranged from 0 to 10, where 0= no itch and 10= worst itch imaginable. Higher scores indicated worse itch.
Outcome measures
Outcome data not reported
SECONDARY outcome
Timeframe: Day 8, 15, 22 and 29Population: Data was not summarized as per SAP which was revised prior to the analyses and which reflect limitations related to reduced sample size (39% enrollment) of early terminated study. Smaller than originally planned sample size was insufficient to allow robust statistical analyses. Pruritus related PRO endpoints used different instruments in each of 3 age groups. As a result, subdividing population based on age group renders smaller sample size in pediatric groups, therefore data was not summarized.
The severity of itch (pruritus) due to AD was assessed using the Patient Reported Itch Severity Scale for participants aged \<6 years. Participant's caregivers at specified time points were asked the following question "how would you rate your observation of your child's itch (scratching, rubbing) at the worst moment during the previous 24 hours?". The scale ranged from 0 to 10, where 0= no itch and 10= worst itch imaginable. Higher scores indicated worse itch.
Outcome measures
Outcome data not reported
SECONDARY outcome
Timeframe: Baseline, Day 8, 15, 22 and 29Population: Analysis was performed on all participants aged \>=16 years from FAS, and FAS included all randomized participants who received at least 1 dose of investigational product. Here, "Overall Number of Participants Analyzed"= participants evaluable for this outcome measure and 'number analyzed' signifies number of participants evaluable for each specified row.
DLQI is a 10-item questionnaire that measures the impact of skin disease on participants aged \>=16 years. Each question was evaluated on a 4-point scale ranging from 0 (not at all) to 3 (very much); where higher scores indicated more impact on quality of life. Scores from all 10 questions were added up to give DLQI total score range from 0 (not at all) to 30 (very much). Higher scores indicated more impact on quality of life of participant.
Outcome measures
| Measure |
Vehicle: Participants 2-17 Years
n=23 Participants
Vehicle matched to crisaborole 2% ointment was applied topically BID to all treatable AD involved areas (excluding the scalp) identified at Baseline (Day 1) through Day 28. End of treatment visit was scheduled on Day 29. Participants were followed-up for at least 28 days after last dose, maximum up to Day 60.
|
Crisaborole Ointment 2% BID: Participants 2-17 Years
n=26 Participants
Crisaborole ointment 2% was applied topically BID to all treatable AD involved areas (excluding the scalp) identified at Baseline (Day 1) through Day 28. End of treatment visit was scheduled on Day 29. Participants were followed-up for at least 28 days after last dose, maximum up to Day 60.
|
Hydrocortisone Butyrate Cream 0.1% BID: Participants 2-17 Years
n=32 Participants
Hydrocortisone butyrate cream 0.1% was applied topically BID to all treatable AD involved areas (excluding the scalp) identified at Baseline (Day 1) through Day 28. End of treatment visit was scheduled on Day 29. Participants were followed-up for at least 28 days after last dose, maximum up to Day 60.
|
Pimecrolimus Cream 1% BID: Participants 2-17 Years
n=23 Participants
Pimecrolimus cream 1% was applied topically BID to all treatable AD involved areas (excluding the scalp) identified at Baseline (Day 1) through Day 28. End of treatment visit was scheduled on Day 29. Participants were followed-up for at least 28 days after last dose, maximum up to Day 60.
|
Vehicle: Participants >=18 Years
Vehicle matched to crisaborole 2% ointment was applied topically BID to all treatable AD involved areas (excluding the scalp) identified at Baseline (Day 1) through Day 28. End of treatment visit was scheduled on Day 29. Participants were followed-up for at least 28 days after last dose, maximum up to Day 60.
|
Crisaborole Ointment 2% BID: Participants >=18 Years
Crisaborole ointment 2% was applied topically BID to all treatable AD involved areas (excluding the scalp) identified at Baseline (Day 1) through Day 28. End of treatment visit was scheduled on Day 29. Participants were followed-up for at least 28 days after last dose, maximum up to Day 60.
|
Hydrocortisone Butyrate Cream 0.1% BID: Participants >=18 Years
Hydrocortisone butyrate cream 0.1% was applied topically BID to all treatable AD involved areas (excluding the scalp) identified at Baseline (Day 1) through Day 28. End of treatment visit was scheduled on Day 29. Participants were followed-up for at least 28 days after last dose, maximum up to Day 60.
|
Pimecrolimus Cream 1% BID: Participants >=18 Years
Pimecrolimus cream 1% was applied topically BID to all treatable AD involved areas (excluding the scalp) identified at Baseline (Day 1) through Day 28. End of treatment visit was scheduled on Day 29. Participants were followed-up for at least 28 days after last dose, maximum up to Day 60.
|
|---|---|---|---|---|---|---|---|---|
|
Change From Baseline in Dermatology Life Quality Index (DLQI) in Participants Greater Than or Equal to (>=) 16 Years at Day 8, 15, 22 and 29
Change at Day 22
|
-2.8 Units on a scale
Standard Deviation 4.12
|
-3.4 Units on a scale
Standard Deviation 4.73
|
-6.9 Units on a scale
Standard Deviation 6.37
|
-3.4 Units on a scale
Standard Deviation 3.88
|
—
|
—
|
—
|
—
|
|
Change From Baseline in Dermatology Life Quality Index (DLQI) in Participants Greater Than or Equal to (>=) 16 Years at Day 8, 15, 22 and 29
Change at Day 29
|
-4.9 Units on a scale
Standard Deviation 5.60
|
-3.9 Units on a scale
Standard Deviation 4.76
|
-7.0 Units on a scale
Standard Deviation 6.69
|
-4.1 Units on a scale
Standard Deviation 3.76
|
—
|
—
|
—
|
—
|
|
Change From Baseline in Dermatology Life Quality Index (DLQI) in Participants Greater Than or Equal to (>=) 16 Years at Day 8, 15, 22 and 29
Change at Day 8
|
-1.9 Units on a scale
Standard Deviation 5.53
|
-3.8 Units on a scale
Standard Deviation 3.45
|
-5.1 Units on a scale
Standard Deviation 4.98
|
-1.4 Units on a scale
Standard Deviation 2.99
|
—
|
—
|
—
|
—
|
|
Change From Baseline in Dermatology Life Quality Index (DLQI) in Participants Greater Than or Equal to (>=) 16 Years at Day 8, 15, 22 and 29
Change at Day 15
|
-3.4 Units on a scale
Standard Deviation 3.72
|
-3.5 Units on a scale
Standard Deviation 2.92
|
-6.8 Units on a scale
Standard Deviation 5.94
|
-2.9 Units on a scale
Standard Deviation 2.63
|
—
|
—
|
—
|
—
|
SECONDARY outcome
Timeframe: Baseline, Day 8, 15, 22 and 29Population: Analysis was performed on all participants aged 4 to 15 years from FAS, and FAS included all randomized participants who received at least 1 dose of investigational product. Here, "Overall Number of Participants Analyzed" = participants evaluable for this outcome measure and 'number analyzed' = participants evaluable for each specified row.
The CDLQI was a 10-item questionnaire that measures the impact of skin disease on children's (aged 4 to 15 years) quality of life. Each question was evaluated on a 4-point scale ranging from 0 (not at all) to 3 (very much); where higher scores indicate more impact on quality of life. The CDLQI total score was the sum of individual scores of question 1-10 and ranged from 0 (not at all) to 30 (very much): 0-1 = no effect on the child's life; 2-6 = small effect; 7-12 = moderate effect; 13-18 = very large effect; 19-30 = extremely large effect. Higher scores indicated more impact on quality of life of children.
Outcome measures
| Measure |
Vehicle: Participants 2-17 Years
n=27 Participants
Vehicle matched to crisaborole 2% ointment was applied topically BID to all treatable AD involved areas (excluding the scalp) identified at Baseline (Day 1) through Day 28. End of treatment visit was scheduled on Day 29. Participants were followed-up for at least 28 days after last dose, maximum up to Day 60.
|
Crisaborole Ointment 2% BID: Participants 2-17 Years
n=26 Participants
Crisaborole ointment 2% was applied topically BID to all treatable AD involved areas (excluding the scalp) identified at Baseline (Day 1) through Day 28. End of treatment visit was scheduled on Day 29. Participants were followed-up for at least 28 days after last dose, maximum up to Day 60.
|
Hydrocortisone Butyrate Cream 0.1% BID: Participants 2-17 Years
n=30 Participants
Hydrocortisone butyrate cream 0.1% was applied topically BID to all treatable AD involved areas (excluding the scalp) identified at Baseline (Day 1) through Day 28. End of treatment visit was scheduled on Day 29. Participants were followed-up for at least 28 days after last dose, maximum up to Day 60.
|
Pimecrolimus Cream 1% BID: Participants 2-17 Years
n=18 Participants
Pimecrolimus cream 1% was applied topically BID to all treatable AD involved areas (excluding the scalp) identified at Baseline (Day 1) through Day 28. End of treatment visit was scheduled on Day 29. Participants were followed-up for at least 28 days after last dose, maximum up to Day 60.
|
Vehicle: Participants >=18 Years
Vehicle matched to crisaborole 2% ointment was applied topically BID to all treatable AD involved areas (excluding the scalp) identified at Baseline (Day 1) through Day 28. End of treatment visit was scheduled on Day 29. Participants were followed-up for at least 28 days after last dose, maximum up to Day 60.
|
Crisaborole Ointment 2% BID: Participants >=18 Years
Crisaborole ointment 2% was applied topically BID to all treatable AD involved areas (excluding the scalp) identified at Baseline (Day 1) through Day 28. End of treatment visit was scheduled on Day 29. Participants were followed-up for at least 28 days after last dose, maximum up to Day 60.
|
Hydrocortisone Butyrate Cream 0.1% BID: Participants >=18 Years
Hydrocortisone butyrate cream 0.1% was applied topically BID to all treatable AD involved areas (excluding the scalp) identified at Baseline (Day 1) through Day 28. End of treatment visit was scheduled on Day 29. Participants were followed-up for at least 28 days after last dose, maximum up to Day 60.
|
Pimecrolimus Cream 1% BID: Participants >=18 Years
Pimecrolimus cream 1% was applied topically BID to all treatable AD involved areas (excluding the scalp) identified at Baseline (Day 1) through Day 28. End of treatment visit was scheduled on Day 29. Participants were followed-up for at least 28 days after last dose, maximum up to Day 60.
|
|---|---|---|---|---|---|---|---|---|
|
Change From Baseline in Children's Dermatology Life Quality Index (CDLQI) in Participants Aged 4-15 Years at Day 8, 15, 22 and 29
Change at Day 8
|
-0.2 Units on a scale
Standard Deviation 3.42
|
-2.1 Units on a scale
Standard Deviation 4.49
|
-5.4 Units on a scale
Standard Deviation 6.14
|
-1.7 Units on a scale
Standard Deviation 4.03
|
—
|
—
|
—
|
—
|
|
Change From Baseline in Children's Dermatology Life Quality Index (CDLQI) in Participants Aged 4-15 Years at Day 8, 15, 22 and 29
Change at Day 15
|
-2.0 Units on a scale
Standard Deviation 4.49
|
-3.1 Units on a scale
Standard Deviation 5.13
|
-5.5 Units on a scale
Standard Deviation 6.32
|
-1.6 Units on a scale
Standard Deviation 4.66
|
—
|
—
|
—
|
—
|
|
Change From Baseline in Children's Dermatology Life Quality Index (CDLQI) in Participants Aged 4-15 Years at Day 8, 15, 22 and 29
Change at Day 29
|
-3.1 Units on a scale
Standard Deviation 2.73
|
-3.4 Units on a scale
Standard Deviation 4.85
|
-6.4 Units on a scale
Standard Deviation 5.49
|
-3.4 Units on a scale
Standard Deviation 3.52
|
—
|
—
|
—
|
—
|
|
Change From Baseline in Children's Dermatology Life Quality Index (CDLQI) in Participants Aged 4-15 Years at Day 8, 15, 22 and 29
Change at Day 22
|
-2.7 Units on a scale
Standard Deviation 3.04
|
-2.6 Units on a scale
Standard Deviation 5.81
|
-4.9 Units on a scale
Standard Deviation 7.89
|
-2.5 Units on a scale
Standard Deviation 3.15
|
—
|
—
|
—
|
—
|
SECONDARY outcome
Timeframe: Baseline, Day 8, 15, 22 and 29Population: Analysis was performed on all participants aged 2 to 17 years from FAS, and FAS included all randomized participants who received at least 1 dose of investigational product. Here, "Overall Number of Participants Analyzed" = participants evaluable for this outcome measure and 'number analyzed' = participants evaluable for each specified row.
The DFI was a 10-item disease questionnaire that measures the impact of having a child (aged 2-17 years) with AD on family quality of life. It was completed by parent/legal guardian of the child (affected by AD), based on recall over the past week. Each question was scored on a 4-point scale ranging from 0 (not at all) to 30 (very much): where higher scores indicated worst quality of life of family. The DFI total score was the sum of individual scores of the 10 questions and ranged from 0 (no impact on life of family) to 30 (maximum effect on life of family), where higher DFI scores indicated maximum effect on life of family.
Outcome measures
| Measure |
Vehicle: Participants 2-17 Years
n=38 Participants
Vehicle matched to crisaborole 2% ointment was applied topically BID to all treatable AD involved areas (excluding the scalp) identified at Baseline (Day 1) through Day 28. End of treatment visit was scheduled on Day 29. Participants were followed-up for at least 28 days after last dose, maximum up to Day 60.
|
Crisaborole Ointment 2% BID: Participants 2-17 Years
n=37 Participants
Crisaborole ointment 2% was applied topically BID to all treatable AD involved areas (excluding the scalp) identified at Baseline (Day 1) through Day 28. End of treatment visit was scheduled on Day 29. Participants were followed-up for at least 28 days after last dose, maximum up to Day 60.
|
Hydrocortisone Butyrate Cream 0.1% BID: Participants 2-17 Years
n=39 Participants
Hydrocortisone butyrate cream 0.1% was applied topically BID to all treatable AD involved areas (excluding the scalp) identified at Baseline (Day 1) through Day 28. End of treatment visit was scheduled on Day 29. Participants were followed-up for at least 28 days after last dose, maximum up to Day 60.
|
Pimecrolimus Cream 1% BID: Participants 2-17 Years
n=30 Participants
Pimecrolimus cream 1% was applied topically BID to all treatable AD involved areas (excluding the scalp) identified at Baseline (Day 1) through Day 28. End of treatment visit was scheduled on Day 29. Participants were followed-up for at least 28 days after last dose, maximum up to Day 60.
|
Vehicle: Participants >=18 Years
Vehicle matched to crisaborole 2% ointment was applied topically BID to all treatable AD involved areas (excluding the scalp) identified at Baseline (Day 1) through Day 28. End of treatment visit was scheduled on Day 29. Participants were followed-up for at least 28 days after last dose, maximum up to Day 60.
|
Crisaborole Ointment 2% BID: Participants >=18 Years
Crisaborole ointment 2% was applied topically BID to all treatable AD involved areas (excluding the scalp) identified at Baseline (Day 1) through Day 28. End of treatment visit was scheduled on Day 29. Participants were followed-up for at least 28 days after last dose, maximum up to Day 60.
|
Hydrocortisone Butyrate Cream 0.1% BID: Participants >=18 Years
Hydrocortisone butyrate cream 0.1% was applied topically BID to all treatable AD involved areas (excluding the scalp) identified at Baseline (Day 1) through Day 28. End of treatment visit was scheduled on Day 29. Participants were followed-up for at least 28 days after last dose, maximum up to Day 60.
|
Pimecrolimus Cream 1% BID: Participants >=18 Years
Pimecrolimus cream 1% was applied topically BID to all treatable AD involved areas (excluding the scalp) identified at Baseline (Day 1) through Day 28. End of treatment visit was scheduled on Day 29. Participants were followed-up for at least 28 days after last dose, maximum up to Day 60.
|
|---|---|---|---|---|---|---|---|---|
|
Change From Baseline in Dermatitis Family Impact Questionnaire (DFI) in Participants Aged 2-17 Years at Day 8, 15, 22 and 29
Change at Day 8
|
-1.2 Units on a scale
Standard Deviation 6.43
|
-2.3 Units on a scale
Standard Deviation 5.16
|
-5.6 Units on a scale
Standard Deviation 5.61
|
-2.8 Units on a scale
Standard Deviation 6.79
|
—
|
—
|
—
|
—
|
|
Change From Baseline in Dermatitis Family Impact Questionnaire (DFI) in Participants Aged 2-17 Years at Day 8, 15, 22 and 29
Change at Day 15
|
-1.1 Units on a scale
Standard Deviation 6.77
|
-2.3 Units on a scale
Standard Deviation 4.71
|
-5.5 Units on a scale
Standard Deviation 6.82
|
-3.2 Units on a scale
Standard Deviation 5.94
|
—
|
—
|
—
|
—
|
|
Change From Baseline in Dermatitis Family Impact Questionnaire (DFI) in Participants Aged 2-17 Years at Day 8, 15, 22 and 29
Change at Day 22
|
-2.5 Units on a scale
Standard Deviation 4.84
|
-3.1 Units on a scale
Standard Deviation 5.24
|
-5.3 Units on a scale
Standard Deviation 6.92
|
-4.5 Units on a scale
Standard Deviation 5.93
|
—
|
—
|
—
|
—
|
|
Change From Baseline in Dermatitis Family Impact Questionnaire (DFI) in Participants Aged 2-17 Years at Day 8, 15, 22 and 29
Change at Day 29
|
-1.8 Units on a scale
Standard Deviation 5.26
|
-3.6 Units on a scale
Standard Deviation 4.40
|
-6.4 Units on a scale
Standard Deviation 5.61
|
-4.8 Units on a scale
Standard Deviation 5.61
|
—
|
—
|
—
|
—
|
Adverse Events
Vehicle
Crisaborole Ointment 2% BID
Hydrocortisone Butyrate Cream 0.1% BID
Pimecrolimus Cream 1% BID
Serious adverse events
Adverse event data not reported
Other adverse events
| Measure |
Vehicle
n=59 participants at risk
Vehicle matched to crisaborole 2% ointment was applied topically BID to all treatable AD involved areas (excluding the scalp) identified at Baseline (Day 1) through Day 28. End of treatment visit was scheduled on Day 29. Participants were followed-up for at least 28 days after last dose, maximum up to Day 60.
|
Crisaborole Ointment 2% BID
n=58 participants at risk
Crisaborole ointment 2% was applied topically BID to all treatable AD involved areas (excluding the scalp) identified at Baseline (Day 1) through Day 28. End of treatment visit was scheduled on Day 29. Participants were followed-up for at least 28 days after last dose, maximum up to Day 60.
|
Hydrocortisone Butyrate Cream 0.1% BID
n=71 participants at risk
Hydrocortisone butyrate cream 0.1% was applied topically BID to all treatable AD involved areas (excluding the scalp) identified at Baseline (Day 1) through Day 28. End of treatment visit was scheduled on Day 29. Participants were followed-up for at least 28 days after last dose, maximum up to Day 60.
|
Pimecrolimus Cream 1% BID
n=47 participants at risk
Pimecrolimus cream 1% was applied topically BID to all treatable AD involved areas (excluding the scalp) identified at Baseline (Day 1) through Day 28. End of treatment visit was scheduled on Day 29. Participants were followed-up for at least 28 days after last dose, maximum up to Day 60.
|
|---|---|---|---|---|
|
Nervous system disorders
Headache
|
1.7%
1/59 • Day 1 up to 28 days after last dose of study treatment (maximum up to 60 days)
Same event may appear as both an AE and a SAE. However, what is presented are distinct events. An event may be categorized as serious in 1 participant and as non-serious in another participant, or 1 participant may have experienced both a serious and non-serious event during the study. Safety analysis set included all participants who received at least 1 dose of the investigational product according to actual treatment received.
|
5.2%
3/58 • Day 1 up to 28 days after last dose of study treatment (maximum up to 60 days)
Same event may appear as both an AE and a SAE. However, what is presented are distinct events. An event may be categorized as serious in 1 participant and as non-serious in another participant, or 1 participant may have experienced both a serious and non-serious event during the study. Safety analysis set included all participants who received at least 1 dose of the investigational product according to actual treatment received.
|
2.8%
2/71 • Day 1 up to 28 days after last dose of study treatment (maximum up to 60 days)
Same event may appear as both an AE and a SAE. However, what is presented are distinct events. An event may be categorized as serious in 1 participant and as non-serious in another participant, or 1 participant may have experienced both a serious and non-serious event during the study. Safety analysis set included all participants who received at least 1 dose of the investigational product according to actual treatment received.
|
4.3%
2/47 • Day 1 up to 28 days after last dose of study treatment (maximum up to 60 days)
Same event may appear as both an AE and a SAE. However, what is presented are distinct events. An event may be categorized as serious in 1 participant and as non-serious in another participant, or 1 participant may have experienced both a serious and non-serious event during the study. Safety analysis set included all participants who received at least 1 dose of the investigational product according to actual treatment received.
|
|
Skin and subcutaneous tissue disorders
Dermatitis atopic
|
11.9%
7/59 • Day 1 up to 28 days after last dose of study treatment (maximum up to 60 days)
Same event may appear as both an AE and a SAE. However, what is presented are distinct events. An event may be categorized as serious in 1 participant and as non-serious in another participant, or 1 participant may have experienced both a serious and non-serious event during the study. Safety analysis set included all participants who received at least 1 dose of the investigational product according to actual treatment received.
|
6.9%
4/58 • Day 1 up to 28 days after last dose of study treatment (maximum up to 60 days)
Same event may appear as both an AE and a SAE. However, what is presented are distinct events. An event may be categorized as serious in 1 participant and as non-serious in another participant, or 1 participant may have experienced both a serious and non-serious event during the study. Safety analysis set included all participants who received at least 1 dose of the investigational product according to actual treatment received.
|
2.8%
2/71 • Day 1 up to 28 days after last dose of study treatment (maximum up to 60 days)
Same event may appear as both an AE and a SAE. However, what is presented are distinct events. An event may be categorized as serious in 1 participant and as non-serious in another participant, or 1 participant may have experienced both a serious and non-serious event during the study. Safety analysis set included all participants who received at least 1 dose of the investigational product according to actual treatment received.
|
14.9%
7/47 • Day 1 up to 28 days after last dose of study treatment (maximum up to 60 days)
Same event may appear as both an AE and a SAE. However, what is presented are distinct events. An event may be categorized as serious in 1 participant and as non-serious in another participant, or 1 participant may have experienced both a serious and non-serious event during the study. Safety analysis set included all participants who received at least 1 dose of the investigational product according to actual treatment received.
|
|
Skin and subcutaneous tissue disorders
Eczema
|
0.00%
0/59 • Day 1 up to 28 days after last dose of study treatment (maximum up to 60 days)
Same event may appear as both an AE and a SAE. However, what is presented are distinct events. An event may be categorized as serious in 1 participant and as non-serious in another participant, or 1 participant may have experienced both a serious and non-serious event during the study. Safety analysis set included all participants who received at least 1 dose of the investigational product according to actual treatment received.
|
5.2%
3/58 • Day 1 up to 28 days after last dose of study treatment (maximum up to 60 days)
Same event may appear as both an AE and a SAE. However, what is presented are distinct events. An event may be categorized as serious in 1 participant and as non-serious in another participant, or 1 participant may have experienced both a serious and non-serious event during the study. Safety analysis set included all participants who received at least 1 dose of the investigational product according to actual treatment received.
|
0.00%
0/71 • Day 1 up to 28 days after last dose of study treatment (maximum up to 60 days)
Same event may appear as both an AE and a SAE. However, what is presented are distinct events. An event may be categorized as serious in 1 participant and as non-serious in another participant, or 1 participant may have experienced both a serious and non-serious event during the study. Safety analysis set included all participants who received at least 1 dose of the investigational product according to actual treatment received.
|
2.1%
1/47 • Day 1 up to 28 days after last dose of study treatment (maximum up to 60 days)
Same event may appear as both an AE and a SAE. However, what is presented are distinct events. An event may be categorized as serious in 1 participant and as non-serious in another participant, or 1 participant may have experienced both a serious and non-serious event during the study. Safety analysis set included all participants who received at least 1 dose of the investigational product according to actual treatment received.
|
|
Infections and infestations
Nasopharyngitis
|
3.4%
2/59 • Day 1 up to 28 days after last dose of study treatment (maximum up to 60 days)
Same event may appear as both an AE and a SAE. However, what is presented are distinct events. An event may be categorized as serious in 1 participant and as non-serious in another participant, or 1 participant may have experienced both a serious and non-serious event during the study. Safety analysis set included all participants who received at least 1 dose of the investigational product according to actual treatment received.
|
5.2%
3/58 • Day 1 up to 28 days after last dose of study treatment (maximum up to 60 days)
Same event may appear as both an AE and a SAE. However, what is presented are distinct events. An event may be categorized as serious in 1 participant and as non-serious in another participant, or 1 participant may have experienced both a serious and non-serious event during the study. Safety analysis set included all participants who received at least 1 dose of the investigational product according to actual treatment received.
|
0.00%
0/71 • Day 1 up to 28 days after last dose of study treatment (maximum up to 60 days)
Same event may appear as both an AE and a SAE. However, what is presented are distinct events. An event may be categorized as serious in 1 participant and as non-serious in another participant, or 1 participant may have experienced both a serious and non-serious event during the study. Safety analysis set included all participants who received at least 1 dose of the investigational product according to actual treatment received.
|
6.4%
3/47 • Day 1 up to 28 days after last dose of study treatment (maximum up to 60 days)
Same event may appear as both an AE and a SAE. However, what is presented are distinct events. An event may be categorized as serious in 1 participant and as non-serious in another participant, or 1 participant may have experienced both a serious and non-serious event during the study. Safety analysis set included all participants who received at least 1 dose of the investigational product according to actual treatment received.
|
|
Infections and infestations
Rhinitis
|
0.00%
0/59 • Day 1 up to 28 days after last dose of study treatment (maximum up to 60 days)
Same event may appear as both an AE and a SAE. However, what is presented are distinct events. An event may be categorized as serious in 1 participant and as non-serious in another participant, or 1 participant may have experienced both a serious and non-serious event during the study. Safety analysis set included all participants who received at least 1 dose of the investigational product according to actual treatment received.
|
3.4%
2/58 • Day 1 up to 28 days after last dose of study treatment (maximum up to 60 days)
Same event may appear as both an AE and a SAE. However, what is presented are distinct events. An event may be categorized as serious in 1 participant and as non-serious in another participant, or 1 participant may have experienced both a serious and non-serious event during the study. Safety analysis set included all participants who received at least 1 dose of the investigational product according to actual treatment received.
|
1.4%
1/71 • Day 1 up to 28 days after last dose of study treatment (maximum up to 60 days)
Same event may appear as both an AE and a SAE. However, what is presented are distinct events. An event may be categorized as serious in 1 participant and as non-serious in another participant, or 1 participant may have experienced both a serious and non-serious event during the study. Safety analysis set included all participants who received at least 1 dose of the investigational product according to actual treatment received.
|
6.4%
3/47 • Day 1 up to 28 days after last dose of study treatment (maximum up to 60 days)
Same event may appear as both an AE and a SAE. However, what is presented are distinct events. An event may be categorized as serious in 1 participant and as non-serious in another participant, or 1 participant may have experienced both a serious and non-serious event during the study. Safety analysis set included all participants who received at least 1 dose of the investigational product according to actual treatment received.
|
|
General disorders
Application site pain
|
1.7%
1/59 • Day 1 up to 28 days after last dose of study treatment (maximum up to 60 days)
Same event may appear as both an AE and a SAE. However, what is presented are distinct events. An event may be categorized as serious in 1 participant and as non-serious in another participant, or 1 participant may have experienced both a serious and non-serious event during the study. Safety analysis set included all participants who received at least 1 dose of the investigational product according to actual treatment received.
|
13.8%
8/58 • Day 1 up to 28 days after last dose of study treatment (maximum up to 60 days)
Same event may appear as both an AE and a SAE. However, what is presented are distinct events. An event may be categorized as serious in 1 participant and as non-serious in another participant, or 1 participant may have experienced both a serious and non-serious event during the study. Safety analysis set included all participants who received at least 1 dose of the investigational product according to actual treatment received.
|
0.00%
0/71 • Day 1 up to 28 days after last dose of study treatment (maximum up to 60 days)
Same event may appear as both an AE and a SAE. However, what is presented are distinct events. An event may be categorized as serious in 1 participant and as non-serious in another participant, or 1 participant may have experienced both a serious and non-serious event during the study. Safety analysis set included all participants who received at least 1 dose of the investigational product according to actual treatment received.
|
4.3%
2/47 • Day 1 up to 28 days after last dose of study treatment (maximum up to 60 days)
Same event may appear as both an AE and a SAE. However, what is presented are distinct events. An event may be categorized as serious in 1 participant and as non-serious in another participant, or 1 participant may have experienced both a serious and non-serious event during the study. Safety analysis set included all participants who received at least 1 dose of the investigational product according to actual treatment received.
|
Additional Information
Results disclosure agreements
- Principal investigator is a sponsor employee Pfizer has the right to review disclosures, requesting a delay of less than 60 days. Investigator will postpone single center publications until after disclosure of pooled data (all sites), less than 12 months from study completion/termination at all participating sites. Investigator may not disclose previously undisclosed confidential information other than study results.
- Publication restrictions are in place
Restriction type: OTHER