A Study to Learn About the Study Medicine Etrasimod in Adults With Moderate to Severe Atopic Dermatitis (AD) Who Have Already Tried Treatments Taken by Mouth or by Injection

NCT ID: NCT05732454

Last Updated: 2025-05-08

Study Results

Results available

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Basic Information

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Recruitment Status

TERMINATED

Clinical Phase

PHASE2/PHASE3

Total Enrollment

58 participants

Study Classification

INTERVENTIONAL

Study Start Date

2023-01-18

Study Completion Date

2024-04-29

Brief Summary

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The purpose of this study is to learn about the safety and effects of the study medicine called etrasimod for the possible treatment of atopic dermatitis (AD), also called eczema, in adults who have already tried AD treatments taken by mouth or by injection that work all over the body. These adults can have moderate to severe AD.

This study is seeking participants who:

* have AD for at least 1 year
* have moderate-to-severe AD
* have tried treatments that work all over the body and saw no effects
* are willing to apply a moisturizer at least once daily during the study

This is a 2-part study that is only selecting about 60 participants for Part 1 as of now. In Part 1, half of the participants will receive etrasimod, a pill to be taken by mouth once daily. The other half will receive a placebo, a pill that looks like etrasimod but has no medicine also taken by mouth once daily. No one will know what treatment the participant is taking. The Sponsor will compare participant experiences of those taking etrasimod to those taking placebo for 16 weeks. This will help determine if the study medicine is safe and effective. After the first 16 weeks, some participants may continue the study knowing they are taking etrasimod for an additional 52 weeks.

Those participating for just the first 16-weeks, will need to visit the study clinic at least 6 times during the study (about every 4 weeks), and will have to come for 2 safety follow up visits at 2nd and 4th week after the last dose of study medicine. People who want to and can continue for an additional 52 weeks will need to visit the study clinic for at least 6 more visits making 12 total visits over 68 weeks followed by 2 safety follow up visits at the 2nd and 4th week after the last dose of study medicine.

In Part 2 of the study, around 340 more participants will be participating. Everyone will receive etrasimod pills once daily for 52 weeks. Participants will need to go to the study clinic at least 9 times after which they will have to go for 2 more safety follow up visits at the 2nd and 4th weeks after the last dose of study medicine.

At every study visit in Part 1 and Part 2, the focus will be on signs and symptoms of AD (like lesions, itch, and pain) as well as general health and overall side effects. Blood samples and vital signs will be taken at every visit. Due to the way the study medicine works, the in-study clinic visit will last at least 4 hours on Day 1 (Part 1 and Part 2) and Week 16 (Part 1).

Detailed Description

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Conditions

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Atopic Dermatitis Atopic Dermatitis, Unspecified Eczema Eczema, Atopic

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Part 1: Approximately 60 participants with moderate-to-severe AD with a history of prior systemic treatment failure will be randomized (1:1 ratio) in a double blind (DB) manner to receive etrasimod 2 mg or placebo orally, once daily, for 16 weeks. Randomization will be stratified by disease severity as measured by IGA score (3 \[moderate AD\], 4 \[severe AD\]) at baseline.

After DB period, participants may be given the option to continue in an open label extension (OLE) phase whereby they will receive etrasimod 2 mg (tablet) for up to an additional 52 weeks.

Part 2: Approximately 340 additional participants will be enrolled to receive etrasimod 2 mg orally, once daily, for 52 weeks in an open-label manner.
Primary Study Purpose

TREATMENT

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors
PART 1 Double Blind portion (Day 1 through Week 16): all parties are blinded to treatment.

PART 1 Open Label Extension portion: All parties will be aware participant is taking etrasimod for up to an additional 52 weeks.

PART 2 Open Label All parties will be aware participant is taking etrasimod for 52 weeks.

Study Groups

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etrasimod

2 mg, oral tablet, once daily

Group Type EXPERIMENTAL

etrasimod

Intervention Type DRUG

PART 1 Double Blind one 2 mg tablet once daily for up to 16 weeks PART 1 Open Label Extension one 2 mg tablet once daily for an additional 52 weeks PART 2 Open Label one 2 mg tablet once daily for up 52 weeks

Placebo (Part 1 DB period only)

Oral sham comparator

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type DRUG

PART 1 DOUBLE BLIND Placebo - one table daily for up to 16 weeks

Interventions

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etrasimod

PART 1 Double Blind one 2 mg tablet once daily for up to 16 weeks PART 1 Open Label Extension one 2 mg tablet once daily for an additional 52 weeks PART 2 Open Label one 2 mg tablet once daily for up 52 weeks

Intervention Type DRUG

Placebo

PART 1 DOUBLE BLIND Placebo - one table daily for up to 16 weeks

Intervention Type DRUG

Other Intervention Names

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APD334 PF-07915503

Eligibility Criteria

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Inclusion Criteria

1\. Age 18-80 at screening (or minimum age of consent according to local regulations).

2 Chronic AD (also known as atopic eczema) that was diagnosed at least 1 year prior to Screening and meets Hanifin and Rajka criteria at screening).1 3. Moderate to severe AD:

1. IGA score ≥3 (on the 0 to 4 IGA scale, in which 3 = moderate and 4 = severe) at screening and baseline (Day 1)
2. BSA ≥10% of AD involvement at screening and baseline (Day 1)
3. Eczema Area and Severity Index (EASI) ≥16 at screening and baseline (Day 1) 4. A participant who has failed a prior systemic therapy for AD, ie, refractory, moderate-to-severe AD that is not adequately controlled with other systemic drug products, including biologics, or when use of those therapies is inadvisable.

5\. Willing to apply a topical emollient/moisturizer at least once daily for ≥1 week prior to baseline (Day 1) and willing to maintain consistent (ie, no change in type, frequency, or application) daily application over the course of the study.

Exclusion Criteria

Participants are excluded from the study if any of the following criteria apply:

Medical Conditions:
1. Presence of confounding factors:

* Skin conditions (eg, psoriasis, seborrheic dermatitis) that may interfere with evaluation of AD or assessment of treatment response as deemed by the investigator.
* Current significant active infection or requiring a treatment for infection that may interfere with the assessment of AD.
2. Hypersensitivity to etrasimod or any of the excipients.
3. Other medical or psychiatric condition including recent (within the past year) or active suicidal ideation/behavior or laboratory abnormality that may increase the risk of study participation or, in the investigator's judgment, make the participant inappropriate for the study.
Minimum Eligible Age

18 Years

Maximum Eligible Age

80 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Pfizer

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Pfizer CT.gov Call Center

Role: STUDY_DIRECTOR

Pfizer

Locations

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First OC Dermatology Research Inc

Fountain Valley, California, United States

Site Status

Jared R. Younger, MD (Ophthalmologist)

Fountain Valley, California, United States

Site Status

Bryan D. Vo. MD (Pulmonologist)

Laguna Hills, California, United States

Site Status

California Allergy and Asthma Medical Group

Los Angeles, California, United States

Site Status

Dr. Carolyn M. Wong

Los Angeles, California, United States

Site Status

Dr. Gerald Markovitz

Los Angeles, California, United States

Site Status

Resolution Advanced Imaging Center

Santa Monica, California, United States

Site Status

Ponce PFT & Medical services, INC [for pulmonology examination]

Aventura, Florida, United States

Site Status

Advanced Eye Center: Rodrigo Belalcazar, MD

Hialeah, Florida, United States

Site Status

Direct Helpers Research Center

Hialeah, Florida, United States

Site Status

Gsi Clinical Research

Margate, Florida, United States

Site Status

Randy Burks, MD, FACS

Margate, Florida, United States

Site Status

D & H National Research Centers, Inc.

Miami, Florida, United States

Site Status

Imaging - Advanced Health Imaging

Miami, Florida, United States

Site Status

The Selem Center [Ophthalmologist JOSEPH SELEM]

Miami, Florida, United States

Site Status

Miami Dermatology and Laser Research

Miami, Florida, United States

Site Status

Ophthalmology - Dr. Edward Boshnick's Global Vision Rehabilitation Center

Miami, Florida, United States

Site Status

Pulmonology - Miami Pulmonology Specialists

Miami, Florida, United States

Site Status

Pelletier Jesse MD

North Miami Beach, Florida, United States

Site Status

Santos Carlos R MD

North Miami Beach, Florida, United States

Site Status

Tory Sullivan, Md Pa

North Miami Beach, Florida, United States

Site Status

Gateway Radiology

Pinellas Park, Florida, United States

Site Status

Hull & Hull Medical Specialists

Plantation, Florida, United States

Site Status

GCP Research, Global Clinical professionals

St. Petersburg, Florida, United States

Site Status

St. Anthonys Hospital

St. Petersburg, Florida, United States

Site Status

USF Health

Tampa, Florida, United States

Site Status

Lung and Sleep Disorder Center

Lathrup Village, Michigan, United States

Site Status

Revival Research Institute, LLC

Troy, Michigan, United States

Site Status

Somerset Opthalmology PC

Troy, Michigan, United States

Site Status

Eye Institute

Tulsa, Oklahoma, United States

Site Status

Pulmonary and Sleep Center of Oklahoma

Tulsa, Oklahoma, United States

Site Status

Vital Prospects Clinical Research Institute, PC

Tulsa, Oklahoma, United States

Site Status

Monument Health Rapid City Hospital

Rapid City, South Dakota, United States

Site Status

Health Concepts

Rapid City, South Dakota, United States

Site Status

In Vision Optical and Eyecare

Rapid City, South Dakota, United States

Site Status

Eye Care Associates of Arlington

Arlington, Texas, United States

Site Status

Arlington Research Center

Arlington, Texas, United States

Site Status

Texas Pulmonary

Arlington, Texas, United States

Site Status

Alpesh D. Desai, DO PLLC

Houston, Texas, United States

Site Status

Becky Fredrickson, MD [Optometrist/Ophthalmologist]

Houston, Texas, United States

Site Status

Rupesh Vakil, MD [Pulmonologist]

Houston, Texas, United States

Site Status

Acclaim Dermatology

Sugar Land, Texas, United States

Site Status

Horizon Eye Care and Optical

Sugar Land, Texas, United States

Site Status

Sweetwater Pulmonary Associates

Sugar Land, Texas, United States

Site Status

Rejuvenation Dermatology

Edmonton, Alberta, Canada

Site Status

CaRe Clinic

Red Deer, Alberta, Canada

Site Status

Visique

Québec, Quebec, Canada

Site Status

Biron

Québec, , Canada

Site Status

Alpha Recherche Clinique

Québec, , Canada

Site Status

Poliklinika VEKTOR Pardubice

Pardubice, , Czechia

Site Status

Pratia Pardubice a.s.

Pardubice, , Czechia

Site Status

Fakultní nemocnice v Motole

Prague, , Czechia

Site Status

Flosmed

Poznan, Greater Poland Voivodeship, Poland

Site Status

Niepubliczny Zakład Opieki Zdrowotnej Zespół Poradni Specjalistycznych "Termedica"

Poznan, Greater Poland Voivodeship, Poland

Site Status

Medoculis

Poznan, Greater Poland Voivodeship, Poland

Site Status

Centrum Medyczne ,,All - Med'' Badania Kliniczne

Krakow, Lesser Poland Voivodeship, Poland

Site Status

Centrum Medyczne Dietla 19

Krakow, Lesser Poland Voivodeship, Poland

Site Status

Artemed Centrum Medyczne

Wroclaw, Lower Silesian Voivodeship, Poland

Site Status

Cityclinic Przychodnia Lekarsko-Psychologiczna Matusiak Spółka Partnerska

Wroclaw, Lower Silesian Voivodeship, Poland

Site Status

Specjalistyczna Praktyka Lekarska Joanna Kalinowska

Wroclaw, Lower Silesian Voivodeship, Poland

Site Status

Indywidualna Specjalistyczna Praktyka Lekarska Michał Silber

Wroclaw, Lower Silesian Voivodeship, Poland

Site Status

DERMEDIC Iwona Zdybska

Lublin, Lublin Voivodeship, Poland

Site Status

Eyemed

Lublin, Lublin Voivodeship, Poland

Site Status

AUGON Gabinet Okulistyczny

Bialystok, Podlaskie Voivodeship, Poland

Site Status

Nzoz Specjalistyczny Ośrodek Dermatologiczny "Dermal"

Bialystok, Podlaskie Voivodeship, Poland

Site Status

Gabinet Alergologiczny IR-med dr n. med. Izabela Roszko-Kirpsza

Bialystok, Podlaskie Voivodeship, Poland

Site Status

Centrum Medyczne Angelius Provita

Katowice, Silesian Voivodeship, Poland

Site Status

Centrum Zdrowia Ochaliczówka

Katowice, Silesian Voivodeship, Poland

Site Status

Medicus

Szczecin, West Pomeranian Voivodeship, Poland

Site Status

Twoja Przychodnia SCM

Szczecin, West Pomeranian Voivodeship, Poland

Site Status

Gabinety Lekarskie Rivermed

Poznan, , Poland

Site Status

Centrum Medyczne Szpital Świętej Rodziny

Lodz, Łódź Voivodeship, Poland

Site Status

Dermoklinika - Centrum Medyczne spółka cywilna M. Kierstan, J. Narbutt, A. Lesiak

Lodz, Łódź Voivodeship, Poland

Site Status

Ekovivus

Lodz, Łódź Voivodeship, Poland

Site Status

Countries

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United States Canada Czechia Poland

Provided Documents

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Document Type: Study Protocol

View Document

Document Type: Statistical Analysis Plan

View Document

Related Links

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https://pmiform.com/clinical-trial-info-request?StudyID=C5041005

To obtain contact information for a study center near you, click here.

Other Identifiers

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2022-003361-37

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

APD334-314

Identifier Type: OTHER

Identifier Source: secondary_id

C5041005

Identifier Type: -

Identifier Source: org_study_id

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