A Phase 2b Study to Evaluate Rezpegaldesleukin (Rezpeg) in the Treatment of Adult Patients With Moderate-to-Severe Atopic Dermatitis

NCT ID: NCT06136741

Last Updated: 2025-12-23

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

ACTIVE_NOT_RECRUITING

Clinical Phase

PHASE2

Total Enrollment

396 participants

Study Classification

INTERVENTIONAL

Study Start Date

2023-11-15

Study Completion Date

2026-12-31

Brief Summary

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This is an interventional, randomized, parallel group, treatment, Phase IIb, double blind, 4-arm study to assess the effect of pegylated-recombinant-human interleukin-2 (rezpegaldesleukin) in adult participants with moderate to severe atopic dermatitis.

The estimated duration is 15-35 days for screening, an Induction Period of 16 weeks, a Maintenance Period from Week 16-Week 52, and a Posttreatment Follow-Up Period for an additional year up to approximately Week 104 for all patients. Patients with a response at Week 16 (end of induction therapy) will be re-randomized for the maintenance therapy period.

Detailed Description

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Conditions

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Moderate to Severe Atopic Dermatitis

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Patients will be randomized initially to 1 of 4 groups (A dose regimen, B dose regimen, C dose regimen, or D dose regimen \[placebo\]) for the blinded induction period. At Week 16, the start of the blinded maintenance period, patients who responded well to treatment will be re-randomized within their previously assigned groups to either maintenance regimen 1 or maintenance regimen 2. At Week 16, patients without an adequate response during the blinded induction period may be assigned to receive open label escape therapy through the maintenance period of the study (up to Week 52); however, patients receiving escape therapy with inadequate improvement in disease severity will be discontinued from the study therapy at Week 32. Any patients enrolled into the blinded maintenance period with acute exacerbation of atopic dermatitis may be eligible to receive open label escape therapy instead.
Primary Study Purpose

TREATMENT

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

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Arm A

Rezpegaldesleukin Dose Regimen A every 2 weeks during the induction period

Group Type EXPERIMENTAL

Rezpegaldesleukin

Intervention Type DRUG

Pharmaceutical form: Injection solution Route of administration: subcutaneous

Arm A1

Rezpegaldesleukin Dose Regimen A every 4 weeks during the maintenance period

Group Type EXPERIMENTAL

Rezpegaldesleukin

Intervention Type DRUG

Pharmaceutical form: Injection solution Route of administration: subcutaneous

Arm A2

Rezpegaldesleukin Dose Regimen A every 12 weeks during the maintenance period

Group Type EXPERIMENTAL

Rezpegaldesleukin

Intervention Type DRUG

Pharmaceutical form: Injection solution Route of administration: subcutaneous

Placebo

Intervention Type DRUG

Pharmaceutical form: Injection solution Route of administration: subcutaneous

Arm B

Rezpegaldesleukin Dose Regimen B every 4 weeks during the induction period

Group Type EXPERIMENTAL

Rezpegaldesleukin

Intervention Type DRUG

Pharmaceutical form: Injection solution Route of administration: subcutaneous

Placebo

Intervention Type DRUG

Pharmaceutical form: Injection solution Route of administration: subcutaneous

Arm B1

Rezpegaldesleukin Dose Regimen B every 4 weeks during the maintenance period

Group Type EXPERIMENTAL

Rezpegaldesleukin

Intervention Type DRUG

Pharmaceutical form: Injection solution Route of administration: subcutaneous

Arm B2

Rezpegaldesleukin Dose Regimen B every 12 weeks during the maintenance period

Group Type EXPERIMENTAL

Rezpegaldesleukin

Intervention Type DRUG

Pharmaceutical form: Injection solution Route of administration: subcutaneous

Placebo

Intervention Type DRUG

Pharmaceutical form: Injection solution Route of administration: subcutaneous

Arm C

Rezpegaldesleukin Dose Regimen C every 2 weeks during the induction period

Group Type EXPERIMENTAL

Rezpegaldesleukin

Intervention Type DRUG

Pharmaceutical form: Injection solution Route of administration: subcutaneous

Arm C1

Rezpegaldesleukin Dose Regimen C every 4 weeks during the maintenance period

Group Type EXPERIMENTAL

Rezpegaldesleukin

Intervention Type DRUG

Pharmaceutical form: Injection solution Route of administration: subcutaneous

Arm C2

Rezpegaldesleukin Dose Regimen C every 12 weeks during the maintenance period

Group Type EXPERIMENTAL

Rezpegaldesleukin

Intervention Type DRUG

Pharmaceutical form: Injection solution Route of administration: subcutaneous

Placebo

Intervention Type DRUG

Pharmaceutical form: Injection solution Route of administration: subcutaneous

Arm D

Placebo every 2 weeks during the induction period

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type DRUG

Pharmaceutical form: Injection solution Route of administration: subcutaneous

Arm D1

Placebo every 4 weeks during the maintenance period

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type DRUG

Pharmaceutical form: Injection solution Route of administration: subcutaneous

Escape Therapy (open-label)

Rezpegaldesleukin Dose Regimen A every 2 weeks during the maintenance period

Group Type EXPERIMENTAL

Rezpegaldesleukin

Intervention Type DRUG

Pharmaceutical form: Injection solution Route of administration: subcutaneous

Interventions

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Rezpegaldesleukin

Pharmaceutical form: Injection solution Route of administration: subcutaneous

Intervention Type DRUG

Placebo

Pharmaceutical form: Injection solution Route of administration: subcutaneous

Intervention Type DRUG

Other Intervention Names

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NKTR-358 REZPEG LY3471851 (formerly)

Eligibility Criteria

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Inclusion Criteria

* Adults (from at least 18 years of age) with AD as defined by the American Academy of Dermatology Consensus Criteria for 1 year or longer prior to screening.
* AD disease severity at screening and randomization:

* EASI of 16 or higher
* IGA of 3 or 4
* BSA of 10% or more
* Documented history, within 6 months prior to the screening visit, of either inadequate response or inadvisability of topical treatments.
* Able to complete patient questionnaires.
* Able and willing to comply with requested study visits and procedures.
* Able and willing to provide written informed consent.

Exclusion Criteria

* Prior use of systemic immune modulating therapies for AD (i.e., JAK inhibitors or biologics)
* Other skin conditions that would interfere with assessment of AD
* Treatment with a live (attenuated) immunization within 12 weeks prior to screening.
* Men and women (of reproductive potential) unwilling to use highly effective birth control and women who are pregnant or breastfeeding.
* Any malignancies or history of malignancies within 5 years prior to randomization (except for basal cell or squamous epithelial carcinomas of the skin that have been successfully treated with no evidence of metastatic disease for 3 years or cervical carcinoma in situ that has been successfully treated, with no evidence of recurrence within the 3 years prior to randomization).
* Known history of, or suspected, significant current immunosuppression, including history of invasive opportunistic infections despite infection resolution or otherwise recurrent infections of abnormal frequency or prolonged duration.
* Positive for human immunodeficiency virus (HIV), hepatitis B virus (HBV) or hepatitis C virus (HCV) at screening.
* Severe concomitant illness that would in the Investigator's opinion inhibit the patient's participation in the study, including for example, but not limited to, hypertension, renal disease, neurological conditions, heart failure and pulmonary disease.
* Concurrent participation in any other investigational clinical study.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Nektar Therapeutics

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Study Director

Role: STUDY_DIRECTOR

Nektar Therapeutics

Locations

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Nektar Investigative Site

Bryant, Arkansas, United States

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Fountain Valley, California, United States

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Los Angeles, California, United States

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Los Angeles, California, United States

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Los Angeles, California, United States

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Santa Monica, California, United States

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Hialeah, Florida, United States

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Hollywood, Florida, United States

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Miami, Florida, United States

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Miami Lakes, Florida, United States

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St. Petersburg, Florida, United States

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Tampa, Florida, United States

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Marietta, Georgia, United States

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Clarksville, Indiana, United States

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Indianapolis, Indiana, United States

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Louisville, Kentucky, United States

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Flint, Michigan, United States

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Troy, Michigan, United States

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Las Vegas, Nevada, United States

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New York, New York, United States

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Fairborn, Ohio, United States

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Mayfield Heights, Ohio, United States

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Murfreesboro, Tennessee, United States

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Bellaire, Texas, United States

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Cypress, Texas, United States

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Frisco, Texas, United States

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Spokane, Washington, United States

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Spokane, Washington, United States

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Darlinghurst, New South Wales, Australia

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Kogarah, New South Wales, Australia

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Westmead, New South Wales, Australia

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Woolloongabba, Queensland, Australia

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Campbelltown, South Australia, Australia

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East Melbourne, Victoria, Australia

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Melbourne, Victoria, Australia

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Sevlievo, Gabrovo, Bulgaria

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Dupnitsa, Kyustendil, Bulgaria

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Sofia, Sofia-Grad, Bulgaria

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Sofia, Sofia-Grad, Bulgaria

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Sofia, Sofia-Grad, Bulgaria

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Sofia, Sofia-Grad, Bulgaria

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Lovech, , Bulgaria

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Pleven, , Bulgaria

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Sofia, , Bulgaria

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Sofia, , Bulgaria

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Calgary, Alberta, Canada

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Edmonton, Alberta, Canada

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Kelowna, British Columbia, Canada

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Surrey, British Columbia, Canada

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Barrie, Ontario, Canada

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Markham, Ontario, Canada

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Peterborough, Ontario, Canada

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Richmond Hill, Ontario, Canada

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Toronto, Ontario, Canada

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Toronto, Ontario, Canada

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Québec, Quebec, Canada

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Nektar Investigative Site 5701

Zagreb, City of Zagreb, Croatia

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Zagreb, City of Zagreb, Croatia

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Ivanić-Grad, , Croatia

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Brno, , Czechia

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Pardubice, , Czechia

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Prague, , Czechia

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Prague, , Czechia

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Augsburg, Bavaria, Germany

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Augsburg, Bavaria, Germany

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Erlangen, Bavaria, Germany

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Bad Bentheim, Lower Saxony, Germany

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Mainz, Rhineland-Palatinate, Germany

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Leipzig, Saxony, Germany

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Berlin, , Germany

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Berlin, , Germany

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Darmstadt, , Germany

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Frankfurt, , Germany

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Lübeck, , Germany

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München, , Germany

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Gyula, Bekes County, Hungary

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Wroclaw, Lower Silesian Voivodeship, Poland

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Wroclaw, Lower Silesian Voivodeship, Poland

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Wroclaw, Lower Silesian Voivodeship, Poland

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Warsaw, Masovian Voivodeship, Poland

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Warsaw, Masovian Voivodeship, Poland

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Warsaw, Masovian Voivodeship, Poland

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Rzeszów, Podkarpackie Voivodeship, Poland

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Gdansk, Pomeranian Voivodeship, Poland

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Gdansk, Pomeranian Voivodeship, Poland

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Gdynia, Pomeranian Voivodeship, Poland

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Częstochowa, , Poland

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Iława, , Poland

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Katowice, , Poland

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Krakow, , Poland

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Krakow, , Poland

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Krakow, , Poland

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Lodz, , Poland

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Lodz, , Poland

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Poznan, , Poland

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Szczecin, , Poland

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Tarnów, , Poland

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Warsaw, , Poland

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Warsaw, , Poland

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Warsaw, , Poland

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Wroclaw, , Poland

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Wroclaw, , Poland

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Alicante, , Spain

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Córdoba, , Spain

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Granada, , Spain

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Seville, , Spain

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Zaragoza, , Spain

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Countries

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United States Australia Bulgaria Canada Croatia Czechia Germany Hungary Poland Spain

Other Identifiers

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23-358-05

Identifier Type: -

Identifier Source: org_study_id