Trial Outcomes & Findings for A Study to Test the Long-term Safety of BI 655130 in Patients With Atopic Eczema Who Took Part in Study 1368-0032 (NCT NCT04086121)

NCT ID: NCT04086121

Last Updated: 2025-02-24

Results Overview

Number of patients with treatment emergent adverse events (AEs) at week 48. The treatment emergent adverse event refer to the adverse event with an onset between start of treatment and end of the 16-week residual effect period after the last dose of trial medication.

Recruitment status

TERMINATED

Study phase

PHASE2

Target enrollment

14 participants

Primary outcome timeframe

From first dose until Week 48, up to 48 weeks.

Results posted on

2025-02-24

Participant Flow

This open label extension clinical trial was planned to offer all patients who completed the clinical trial 1368-0032 (NCT03822832) as planned, the option to continue to receive BI 655130 treatment if they have responded to treatment and meet all criteria for study entry.

All subjects were screened for eligibility prior to participation in the trial. Subjects attended a specialist site which ensured that they (the subjects) strictly met all inclusion and none of the exclusion criteria. Subjects were not to be allocated to a treatment group if any of the entry criteria were violated.

Participant milestones

Participant milestones
Measure
Spesolimab 600 mg
600 milligrams (mg) solution for subcutaneous (SC) injection of BI 655130 (Spesolimab) were to administered subcutaneously every 4 weeks. All patients will return 16 weeks post the last treatment for an End of Study (EOS) visit.
Overall Study
STARTED
14
Overall Study
COMPLETED
0
Overall Study
NOT COMPLETED
14

Reasons for withdrawal

Reasons for withdrawal
Measure
Spesolimab 600 mg
600 milligrams (mg) solution for subcutaneous (SC) injection of BI 655130 (Spesolimab) were to administered subcutaneously every 4 weeks. All patients will return 16 weeks post the last treatment for an End of Study (EOS) visit.
Overall Study
Other than listed
8
Overall Study
Withdrawal by Subject
3
Overall Study
Lost to Follow-up
2
Overall Study
Adverse Event
1

Baseline Characteristics

A Study to Test the Long-term Safety of BI 655130 in Patients With Atopic Eczema Who Took Part in Study 1368-0032

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Spesolimab 600 mg
n=14 Participants
600 milligrams (mg) solution for subcutaneous (SC) injection of BI 655130 (Spesolimab) were to administered subcutaneously every 4 weeks. All patients will return 16 weeks post the last treatment for an End of Study (EOS) visit.
Age, Continuous
48.2 Years
STANDARD_DEVIATION 14.8 • n=5 Participants
Sex: Female, Male
Female
5 Participants
n=5 Participants
Sex: Female, Male
Male
9 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
2 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
12 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants
Race (NIH/OMB)
Asian
3 Participants
n=5 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants
Race (NIH/OMB)
Black or African American
4 Participants
n=5 Participants
Race (NIH/OMB)
White
7 Participants
n=5 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=5 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants

PRIMARY outcome

Timeframe: From first dose until Week 48, up to 48 weeks.

Population: Safety analysis set (SAF): This patient set includes all randomized patients who received at least one dose of study drug.

Number of patients with treatment emergent adverse events (AEs) at week 48. The treatment emergent adverse event refer to the adverse event with an onset between start of treatment and end of the 16-week residual effect period after the last dose of trial medication.

Outcome measures

Outcome measures
Measure
Spesolimab 600 mg
n=14 Participants
600 milligrams (mg) solution for subcutaneous (SC) injection of BI 655130 (Spesolimab) were to administered subcutaneously every 4 weeks. All patients will return 16 weeks post the last treatment for an End of Study (EOS) visit.
Number of Patients With Treatment Emergent Adverse Events (AEs) at Week 48
9 Participants

SECONDARY outcome

Timeframe: At baseline and at Week 48.

Population: Full analysis set (FAS): This patient set includes all patients in the SAF who had a baseline measurement and at least one post-baseline measurement for the secondary endpoint, Eczema Area and Severity Index (EASI) Total Score.

The EASI scoring system is used routinely in patients with psoriasis to describe signs and severity of the disease. It assesses the extent of disease at four body sites and measures four clinical signs: erythema, induration/papulation, excoriation, and lichenification (each on a scale of 0 to 3 (0 = none, absent; 1 = mild; 2 = moderate; 3 = severe)). The EASI score was obtained by weight-averaging these 4 scores, resulting in the EASI score ranges from 0 (clear) to 72 (very severe), with higher score indicating more severe disease extent and clinical signs. The percent change from baseline in EASI is calculated as: (EASI at week 48 - EASI at baseline) / EASI at baseline \* 100%.

Outcome measures

Outcome measures
Measure
Spesolimab 600 mg
n=9 Participants
600 milligrams (mg) solution for subcutaneous (SC) injection of BI 655130 (Spesolimab) were to administered subcutaneously every 4 weeks. All patients will return 16 weeks post the last treatment for an End of Study (EOS) visit.
Percentage Change From Baseline in the Eczema Area and Severity Index (EASI) Score at Week 48
-3.74 Percent change
Standard Deviation 81.99

SECONDARY outcome

Timeframe: At baseline and at Week 48.

Population: Full analysis set (FAS): This patient set includes all patients in the SAF who had a baseline measurement and at least one post-baseline measurement for the secondary endpoint, Eczema Area and Severity Index (EASI) Total Score.

The EASI scoring system is used routinely in patients with psoriasis to describe signs and severity of the disease. It assesses the extent of disease at four body sites and measures four clinical signs: erythema, induration/papulation, excoriation, and lichenification (each on a scale of 0 to 3 (0 = none, absent; 1 = mild; 2 = moderate; 3 = severe)). The EASI score was obtained by weight-averaging these 4 scores, resulting in the EASI score ranges from 0 (clear) to 72 (very severe), with higher score indicating more severe disease extent and clinical signs. \[(EASI at week 48 - EASI at baseline) / EASI at baseline \* 100%\] ≥ 50%, then EASI50 = 1.

Outcome measures

Outcome measures
Measure
Spesolimab 600 mg
n=9 Participants
600 milligrams (mg) solution for subcutaneous (SC) injection of BI 655130 (Spesolimab) were to administered subcutaneously every 4 weeks. All patients will return 16 weeks post the last treatment for an End of Study (EOS) visit.
Percentage of Patients With a 50% Improvement From Baseline in EASI (EASI50) at Week 48
33.3 Percentage of participants

SECONDARY outcome

Timeframe: At baseline and at Week 48.

Population: Full analysis set (FAS): This patient set includes all patients in the SAF who had a baseline measurement and at least one post-baseline measurement for the secondary endpoint, Eczema Area and Severity Index (EASI) Total Score.

The EASI scoring system is used routinely in patients with psoriasis to describe signs and severity of the disease. It assesses the extent of disease at four body sites and measures four clinical signs: erythema, induration/papulation, excoriation, and lichenification (each on a scale of 0 to 3 (0 = none, absent; 1 = mild; 2 = moderate; 3 = severe)). The EASI score was obtained by weight-averaging these 4 scores, resulting in the EASI score ranges from 0 (clear) to 72 (very severe), with higher score indicating more severe disease extent and clinical signs. \[(EASI at week 48 - EASI at baseline) / EASI at baseline \* 100%\] ≥ 75%, then EASI75 = 1.

Outcome measures

Outcome measures
Measure
Spesolimab 600 mg
n=9 Participants
600 milligrams (mg) solution for subcutaneous (SC) injection of BI 655130 (Spesolimab) were to administered subcutaneously every 4 weeks. All patients will return 16 weeks post the last treatment for an End of Study (EOS) visit.
Percentage of Patients With a 75% Improvement From Baseline in EASI (EASI75) at Week 48
22.2 Percentage of participants

SECONDARY outcome

Timeframe: At baseline and at Week 48.

Population: Full analysis set (FAS): This patient set includes all patients in the SAF who had a baseline measurement and at least one post-baseline measurement for the secondary endpoint, Eczema Area and Severity Index (EASI) Total Score.

The SCORing of Atopic Dermatitis (SCORAD) index assesses elements: extent of disease, disease severity and subjective symptoms. The SCORAD consists of three elements: extent of disease, intensity of disease, and subjective symptoms (Pruritus and Sleep Loss). These 3 aspects: extent of disease (A: score range 0-1-2), disease severity (B: score range 0-18), and subjective symptoms (C: score range 0-20) combine using A/5 + 7\*B/2+ C to give a maximum possible score of 103 for SCORAD score. The SCORAD range from 0 (no disease) to 103 (severe disease). The higher the SCORAD score, the more severe the Atopic Dermatitis is.

Outcome measures

Outcome measures
Measure
Spesolimab 600 mg
n=9 Participants
600 milligrams (mg) solution for subcutaneous (SC) injection of BI 655130 (Spesolimab) were to administered subcutaneously every 4 weeks. All patients will return 16 weeks post the last treatment for an End of Study (EOS) visit.
Change From Baseline in SCORing of Atopic Dermatitis (SCORAD) at Week 48
-10.07 Score on a scale
Standard Deviation 66.04

SECONDARY outcome

Timeframe: At baseline and at Week 48.

Population: Full analysis set (FAS): This patient set includes all patients in the SAF who had a baseline measurement and at least one post-baseline measurement for the secondary endpoint, Eczema Area and Severity Index (EASI) Total Score.

The IGA scale allows investigators to assess overall disease severity at one given time point, and it consists of a five-point severity scale from clear to very severe disease (0= clear,1 =almost clear, 2 = mild disease, 3 = moderate disease, 4= severe disease). The IGA scale uses clinical characteristics of erythema, infiltration, papulation, oozing and crusting as guidelines for the overall severity assessment.

Outcome measures

Outcome measures
Measure
Spesolimab 600 mg
n=9 Participants
600 milligrams (mg) solution for subcutaneous (SC) injection of BI 655130 (Spesolimab) were to administered subcutaneously every 4 weeks. All patients will return 16 weeks post the last treatment for an End of Study (EOS) visit.
Percentage of Patients Achieving at Least a 2-grade Reduction From Baseline to Clear (0) or Almost Clear (1) in Investigator Global Assessment (IGA) at Week 48
22.2 Percentage of participants

Adverse Events

Spesolimab 600 mg

Serious events: 2 serious events
Other events: 11 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Spesolimab 600 mg
n=14 participants at risk
600 milligrams (mg) solution for subcutaneous (SC) injection of BI 655130 (Spesolimab) were to administered subcutaneously every 4 weeks. All patients will return 16 weeks post the last treatment for an End of Study (EOS) visit.
Infections and infestations
COVID-19 pneumonia
7.1%
1/14 • From first dose until last dose + 16 weeks, up to 765 days.
Safety analysis set (SAF): This patient set includes all randomized patients who received at least one dose of study drug.
Infections and infestations
Device related infection
7.1%
1/14 • From first dose until last dose + 16 weeks, up to 765 days.
Safety analysis set (SAF): This patient set includes all randomized patients who received at least one dose of study drug.

Other adverse events

Other adverse events
Measure
Spesolimab 600 mg
n=14 participants at risk
600 milligrams (mg) solution for subcutaneous (SC) injection of BI 655130 (Spesolimab) were to administered subcutaneously every 4 weeks. All patients will return 16 weeks post the last treatment for an End of Study (EOS) visit.
Blood and lymphatic system disorders
Iron deficiency anaemia
7.1%
1/14 • From first dose until last dose + 16 weeks, up to 765 days.
Safety analysis set (SAF): This patient set includes all randomized patients who received at least one dose of study drug.
Blood and lymphatic system disorders
Neutropenia
7.1%
1/14 • From first dose until last dose + 16 weeks, up to 765 days.
Safety analysis set (SAF): This patient set includes all randomized patients who received at least one dose of study drug.
Cardiac disorders
Atrial fibrillation
7.1%
1/14 • From first dose until last dose + 16 weeks, up to 765 days.
Safety analysis set (SAF): This patient set includes all randomized patients who received at least one dose of study drug.
Immune system disorders
Drug hypersensitivity
7.1%
1/14 • From first dose until last dose + 16 weeks, up to 765 days.
Safety analysis set (SAF): This patient set includes all randomized patients who received at least one dose of study drug.
Infections and infestations
Asymptomatic COVID-19
7.1%
1/14 • From first dose until last dose + 16 weeks, up to 765 days.
Safety analysis set (SAF): This patient set includes all randomized patients who received at least one dose of study drug.
Infections and infestations
Cellulitis
14.3%
2/14 • From first dose until last dose + 16 weeks, up to 765 days.
Safety analysis set (SAF): This patient set includes all randomized patients who received at least one dose of study drug.
Infections and infestations
Nasopharyngitis
21.4%
3/14 • From first dose until last dose + 16 weeks, up to 765 days.
Safety analysis set (SAF): This patient set includes all randomized patients who received at least one dose of study drug.
Infections and infestations
Skin infection
7.1%
1/14 • From first dose until last dose + 16 weeks, up to 765 days.
Safety analysis set (SAF): This patient set includes all randomized patients who received at least one dose of study drug.
Infections and infestations
Soft tissue infection
7.1%
1/14 • From first dose until last dose + 16 weeks, up to 765 days.
Safety analysis set (SAF): This patient set includes all randomized patients who received at least one dose of study drug.
Infections and infestations
Tinea pedis
7.1%
1/14 • From first dose until last dose + 16 weeks, up to 765 days.
Safety analysis set (SAF): This patient set includes all randomized patients who received at least one dose of study drug.
Infections and infestations
Tinea versicolour
7.1%
1/14 • From first dose until last dose + 16 weeks, up to 765 days.
Safety analysis set (SAF): This patient set includes all randomized patients who received at least one dose of study drug.
Infections and infestations
Upper respiratory tract infection
14.3%
2/14 • From first dose until last dose + 16 weeks, up to 765 days.
Safety analysis set (SAF): This patient set includes all randomized patients who received at least one dose of study drug.
Infections and infestations
Upper respiratory tract infection bacterial
7.1%
1/14 • From first dose until last dose + 16 weeks, up to 765 days.
Safety analysis set (SAF): This patient set includes all randomized patients who received at least one dose of study drug.
Infections and infestations
Urinary tract infection
7.1%
1/14 • From first dose until last dose + 16 weeks, up to 765 days.
Safety analysis set (SAF): This patient set includes all randomized patients who received at least one dose of study drug.
Injury, poisoning and procedural complications
Foot fracture
7.1%
1/14 • From first dose until last dose + 16 weeks, up to 765 days.
Safety analysis set (SAF): This patient set includes all randomized patients who received at least one dose of study drug.
Injury, poisoning and procedural complications
Joint injury
7.1%
1/14 • From first dose until last dose + 16 weeks, up to 765 days.
Safety analysis set (SAF): This patient set includes all randomized patients who received at least one dose of study drug.
Injury, poisoning and procedural complications
Skin laceration
7.1%
1/14 • From first dose until last dose + 16 weeks, up to 765 days.
Safety analysis set (SAF): This patient set includes all randomized patients who received at least one dose of study drug.
Injury, poisoning and procedural complications
Splinter
7.1%
1/14 • From first dose until last dose + 16 weeks, up to 765 days.
Safety analysis set (SAF): This patient set includes all randomized patients who received at least one dose of study drug.
Investigations
Vitamin B12 decreased
7.1%
1/14 • From first dose until last dose + 16 weeks, up to 765 days.
Safety analysis set (SAF): This patient set includes all randomized patients who received at least one dose of study drug.
Metabolism and nutrition disorders
Diabetes mellitus inadequate control
7.1%
1/14 • From first dose until last dose + 16 weeks, up to 765 days.
Safety analysis set (SAF): This patient set includes all randomized patients who received at least one dose of study drug.
Metabolism and nutrition disorders
Type 2 diabetes mellitus
21.4%
3/14 • From first dose until last dose + 16 weeks, up to 765 days.
Safety analysis set (SAF): This patient set includes all randomized patients who received at least one dose of study drug.
Musculoskeletal and connective tissue disorders
Arthritis
7.1%
1/14 • From first dose until last dose + 16 weeks, up to 765 days.
Safety analysis set (SAF): This patient set includes all randomized patients who received at least one dose of study drug.
Musculoskeletal and connective tissue disorders
Bursitis
7.1%
1/14 • From first dose until last dose + 16 weeks, up to 765 days.
Safety analysis set (SAF): This patient set includes all randomized patients who received at least one dose of study drug.
Musculoskeletal and connective tissue disorders
Neck pain
7.1%
1/14 • From first dose until last dose + 16 weeks, up to 765 days.
Safety analysis set (SAF): This patient set includes all randomized patients who received at least one dose of study drug.
Nervous system disorders
Cervical radiculopathy
7.1%
1/14 • From first dose until last dose + 16 weeks, up to 765 days.
Safety analysis set (SAF): This patient set includes all randomized patients who received at least one dose of study drug.
Nervous system disorders
Headache
7.1%
1/14 • From first dose until last dose + 16 weeks, up to 765 days.
Safety analysis set (SAF): This patient set includes all randomized patients who received at least one dose of study drug.
Skin and subcutaneous tissue disorders
Dermatitis atopic
28.6%
4/14 • From first dose until last dose + 16 weeks, up to 765 days.
Safety analysis set (SAF): This patient set includes all randomized patients who received at least one dose of study drug.
Skin and subcutaneous tissue disorders
Dermatitis psoriasiform
7.1%
1/14 • From first dose until last dose + 16 weeks, up to 765 days.
Safety analysis set (SAF): This patient set includes all randomized patients who received at least one dose of study drug.
Skin and subcutaneous tissue disorders
Diffuse alopecia
7.1%
1/14 • From first dose until last dose + 16 weeks, up to 765 days.
Safety analysis set (SAF): This patient set includes all randomized patients who received at least one dose of study drug.
Skin and subcutaneous tissue disorders
Dyshidrotic eczema
7.1%
1/14 • From first dose until last dose + 16 weeks, up to 765 days.
Safety analysis set (SAF): This patient set includes all randomized patients who received at least one dose of study drug.

Additional Information

Boehringer Ingelheim Call Center

Boehringer Ingelheim

Phone: 1-800-243-0127

Results disclosure agreements

  • Principal investigator is a sponsor employee Boehringer Ingelheim (BI) acknowledges that investigators have the right to publish the study results. Investigators shall provide BI with a copy of any publication or presentation for review prior to any submission. Such review will be done with regard to proprietary information, information related to patentable inventions, medical, scientific, and statistical accuracy within 60 days. BI may request a delay of the publication in order to protect BI's intellectual property rights.
  • Publication restrictions are in place

Restriction type: OTHER