A Study of Lebrikizumab in Combination With Topical Corticosteroids in Patients With Atopic Dermatitis (AD) That Are Not Adequately Controlled With or Are Non-eligible for Cyclosporine

NCT ID: NCT05149313

Last Updated: 2025-05-20

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE3

Total Enrollment

331 participants

Study Classification

INTERVENTIONAL

Study Start Date

2021-12-23

Study Completion Date

2024-05-07

Brief Summary

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The main purpose of this study is to evaluate the efficacy of lebrikizumab compared with placebo in participants not adequately controlled with cyclosporine or for whom cyclosporine is not medically advisable up to Week 16.

Detailed Description

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Conditions

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Dermatitis, Atopic Eczema

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

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Lebrikizumab

Lebrikizumab administered subcutaneously (SC), participants will receive 2 injections of lebrikizumab 250 mg at Baseline and Week 2, followed by 1 injection of lebrikizumab 250 milligram (mg) once every two weeks (Q2W) in the induction period up to week 16. Participants who received lebrikizumab 250 mg Q2W during the Induction Period will continue to receive lebrikizumab 250 mg Q2W during the Maintenance Period. In order to maintain the double blind, participants from the lebrikizumab 250 mg Q2W arm will be administered a second injection of blinded placebo during Week 16 and Week 18. From Week 20 up to Week 52, all participants will receive 1 injection of lebrikizumab 250 mg Q2W in Open-label maintenance period.

Group Type EXPERIMENTAL

Lebrikizumab

Intervention Type BIOLOGICAL

Lebrikizumab solution for injection administered subcutaneously.

Lebrikizumab-matching Placebo

Lebrikizumab-matching Placebo administered SC, 250 mg dose, Q2W in the induction period for 16 weeks. Participants will receive 2 injections of lebrikizumab 250 mg at Week 16 and Week 18 followed by 1 injection of lebrikizumab 250 mg Q2W from Week 20 up to Week 52 in Open-label maintenance period.

Group Type PLACEBO_COMPARATOR

Lebrikizumab-matching Placebo

Intervention Type DRUG

Matching Placebo solution for injection administered subcutaneously.

Interventions

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Lebrikizumab

Lebrikizumab solution for injection administered subcutaneously.

Intervention Type BIOLOGICAL

Lebrikizumab-matching Placebo

Matching Placebo solution for injection administered subcutaneously.

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Adults and adolescents (aged greater than or equal to (\>=) 12 to \<18 years at the time of Informed Consent Form (ICF)/Informed Assent Form (IAF) and weighing \>=40 kilograms).
* Chronic AD that has been present for \>=1 year before the Screening visit.
* EASI score \>=16 at the Baseline Visit.
* IGA score \>=3 (moderate) (scale of 0 \[clear\] to 4 \[severe\]) at the Baseline visit.
* \>=10% BSA of AD involvement at the Baseline visit.
* Inadequate response to existing topical medications
* Failure to cyclosporine or non-medically advisable to receive/continue receiving cyclosporine
* Signed ICF (and informed assent for adolescents as required)

Exclusion Criteria

* Treatment with TCS within 1 week before the Baseline visit.
* Treatment with topical calcineurin inhibitors, phosphodiesterase-4 inhibitors such as crisaborole, or cannabinoids within 2 week before the Baseline visit.
* Treatment with interleukin 4 (IL-4) or interleukin 13 (IL-13) antagonists biological therapies before the Baseline visit. Exception: previous treatment with dupilumab will be allowed in a subset of patients
* Treatment with immunosuppressive/immunomodulating drugs, phototherapy and photochemotherapy within 4 weeks before the Baseline visit
* Uncontrolled chronic disease that might require bursts of oral corticosteroids
* Serious, opportunistic, chronic or recurring infections within 3 months of Screening or before randomization
* Current or chronic infection with hepatitis B virus, current infection with hepatitis C virus, known liver cirrhosis and/or chronic hepatitis of any etiology
* Known or suspected history of immunosuppression, history of HIV infection or positive HIV serology at Screening
* Any clinically significant laboratory test results obtained at the Screening visit
* Presence of skin comorbidities that may interfere with study assessments
* Have had an important side effect to TCS that would prevent further use.
Minimum Eligible Age

12 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Almirall, S.A.

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Study Director

Role: STUDY_DIRECTOR

Almirall, S.A.

Locations

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Alm Site 1

Graz, , Austria

Site Status

Alm Site 2

Ghent, , Belgium

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Alm Site 14

Bordeaux, , France

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Alm Site 17

Le Mans, , France

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Alm Site 19

Lille, , France

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Alm Site 20

Lille, , France

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Alm Site 13

Martigues, , France

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Alm Site 16

Nantes, , France

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Alm Site 15

Nice, , France

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Alm Site 18

Pierre-Bénite, , France

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Alm Site 12

Reims, , France

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Alm Site 28

Bad Bentheim, , Germany

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Alm Site 30

Berlin, , Germany

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Alm Site 24

Blankenfelde, , Germany

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Alm Site 32

Bonn, , Germany

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Alm Site 31

Frankfurt, , Germany

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Alm Site 27

Göttingen, , Germany

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Alm Site 26

Hamburg, , Germany

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Alm Site 29

Kiel, , Germany

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Alm Site 25

Marburg, , Germany

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Alm Site 34

Bergen op Zoom, , Netherlands

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Alm Site 33

Rotterdam, , Netherlands

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Alm Site 35

Utrecht, , Netherlands

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Alm Site 45

Bialystok, , Poland

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Alm Site 43

Chorzów, , Poland

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Alm Site 38

Katowice, , Poland

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Alm Site 41

Krakow, , Poland

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Alm Site 46

Krakow, , Poland

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Alm Site 37

Lodz, , Poland

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Alm Site 39

Lublin, , Poland

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Alm Site 48

Ostrowiec Świętokrzyski, , Poland

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Alm Site 44

Rzeszów, , Poland

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Alm Site 36

Szczecin, , Poland

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Alm Site 42

Warsaw, , Poland

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Alm Site 47

Warsaw, , Poland

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Alm Site 40

Wroclaw, , Poland

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Alm Site 10

Alicante, , Spain

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Alm Site 3

Badalona, , Spain

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Alm Site 6

Barcelona, , Spain

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Alm Site 8

Barcelona, , Spain

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Alm Site 4

Bilbao, , Spain

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Alm Site 5

Madrid, , Spain

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Alm Site 11

Mieres, , Spain

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Alm Site 7

Seville, , Spain

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Alm Site 9

Zaragoza, , Spain

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Alm Site 23

Poole, , United Kingdom

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Alm Site 22

Salford, , United Kingdom

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Alm Site 21

Southampton, , United Kingdom

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Countries

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Austria Belgium France Germany Netherlands Poland Spain United Kingdom

Provided Documents

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Document Type: Study Protocol

View Document

Document Type: Statistical Analysis Plan

View Document

Other Identifiers

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2021-002967-23

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

M-17923-30

Identifier Type: -

Identifier Source: org_study_id

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