A Study to Evaluate the Efficacy and Safety of Subcutaneous Amlitelimab Monotherapy Compared With Placebo in Participants Aged 12 Years and Older With Moderate-to-severe Atopic Dermatitis (COAST 2)

NCT ID: NCT06181435

Last Updated: 2025-12-10

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

PHASE3

Total Enrollment

589 participants

Study Classification

INTERVENTIONAL

Study Start Date

2023-12-21

Study Completion Date

2026-03-18

Brief Summary

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This is a parallel group, Phase 3, multinational, multicenter, randomized, double-blind, placebo-controlled, 3-arm monotherapy study for treatment of participants diagnosed with moderate to severe atopic dermatitis (AD), whose disease is not adequately controlled with topical prescription therapies or when those therapies are not advisable.

The purpose of this study is to measure the efficacy and safety of treatment with amlitelimab solution for SC injection compared with placebo in participants with moderate to severe AD aged 12 years and older.

Study details include:

At the end of the treatment period, participants will have an option to enter a separate study: the blinded extension study EFC17600 (ESTUARY).

For participants not entering the blinded extension Study EFC17600 (ESTUARY), the study duration will be up to 44 weeks including a 2 to 4-week screening, a 24-week randomized double-blind period, and a 16-week safety follow-up.

For participants entering the blinded extension Study EFC17600 (ESTUARY), the study duration will be up to 28 weeks including a 2 to 4-week screening and a 24-week randomized double-blind period.

The total treatment duration will be up to 24 weeks. The total number of visits will be up to 10 visits (or 9 visits for those entering the blinded extension study EFC17600 (ESTUARY).

Detailed Description

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Conditions

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Dermatitis Atopic

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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Amlitelimab dose 1

Subcutaneous injection as per protocol

Group Type EXPERIMENTAL

Amlitelimab

Intervention Type DRUG

Pharmaceutical form: Injection solution Route of administration: SC injection

Amlitelimab dose 2

Subcutaneous injection as per protocol

Group Type EXPERIMENTAL

Amlitelimab

Intervention Type DRUG

Pharmaceutical form: Injection solution Route of administration: SC injection

Placebo

Subcutaneous injection as per protocol

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type DRUG

Pharmaceutical form:

Injection solution Route of administration: SC injection

Interventions

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Amlitelimab

Pharmaceutical form: Injection solution Route of administration: SC injection

Intervention Type DRUG

Placebo

Pharmaceutical form:

Injection solution Route of administration: SC injection

Intervention Type DRUG

Other Intervention Names

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SAR445229

Eligibility Criteria

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Inclusion Criteria

* Participants must be 12 years of age (when signing informed consent form)
* Diagnosis of AD for at least 1 year (defined by the American Academy of Dermatology Consensus Criteria)
* Documented history (within 6 months before screening) of either inadequate response or inadvisability to topical treatments, and/or inadequate response to systemic therapies (within 12 months before screening)
* v-IGA-AD of 3 or 4 at baseline visit
* EASI score of 16 or higher at baseline
* AD involvement of 10% or more of BSA at baseline
* Weekly average of daily PP-NRS of ≥ 4 at baseline visit.
* Able and willing to comply with requested study visits and procedures
* Body weight ≥ 25 kg

Exclusion Criteria

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

* Skin co-morbidity that would adversely affect the ability to undertake AD assessments
* Known history of or suspected significant current immunosuppression
* Any malignancies or history of malignancies prior to baseline (with the exception of non-melanoma skin cancer excised and cured \>5 years prior to baseline)
* History of solid organ or stem cell transplant
* Any active or chronic infection including helminthic infection requiring systemic treatment within 4 weeks prior to baseline
* Positive for human immunodeficiency virus (HIV), Hepatitis B or hepatitis C at screening visit
* Having active tuberculosis (TB), latent TB, a history of incompletely treated TB, suspected extrapulmonary TB infection, or who are at high risk of contracting TB
* Having received any of the specified therapy within the specified timeframe(s) prior to the baseline visit
* In the Investigator's opinion, any clinically significant laboratory results or protocol specified laboratory abnormalities at screening
* History of hypersensitivity or allergy to any of the excipients or investigational medicinal product (IMP)

The above information is not intended to contain all considerations relevant to a patient's potential participation in a clinical trial.
Minimum Eligible Age

12 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Sanofi

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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Center for Dermatology and Plastic Surgery- Site Number : 8401119

Scottsdale, Arizona, United States

Site Status

Eclipse Clinical Research- Site Number : 8401158

Tucson, Arizona, United States

Site Status

Torrance Clinical Research- Site Number : 8401027

Lomita, California, United States

Site Status

Dermatology Research Associates - Los Angeles- Site Number : 8401092

Los Angeles, California, United States

Site Status

Allergy & Asthma Associates of Southern California - Mission Viejo- Site Number : 8401079

Mission Viejo, California, United States

Site Status

Cura Clinical Research - Oxnard- Site Number : 8401142

Oxnard, California, United States

Site Status

Clinical Science Institute- Site Number : 8401028

Santa Monica, California, United States

Site Status

University of Connecticut Health Center- Site Number : 8401115

Farmington, Connecticut, United States

Site Status

Pediatric Skin Research- Site Number : 8401198

Coral Gables, Florida, United States

Site Status

Skin Care Research - Hollywood- Site Number : 8401071

Hollywood, Florida, United States

Site Status

Savin Medical Group - Miami- Site Number : 8401085

Miami, Florida, United States

Site Status

Anchor Medical Research- Site Number : 8401300

Miami, Florida, United States

Site Status

Accel Research - Nona Pediatric Center- Site Number : 8401081

Orlando, Florida, United States

Site Status

Nuline Clinical Trial Center- Site Number : 8401161

Pompano Beach, Florida, United States

Site Status

Clinical Research Trials of Florida- Site Number : 8401023

Tampa, Florida, United States

Site Status

AllerVie Clinical Research - Columbus- Site Number : 8401104

Columbus, Georgia, United States

Site Status

First Georgia Physician Group- Site Number : 8401190

Fayetteville, Georgia, United States

Site Status

Access Dermatology- Site Number : 8401296

Bowling Green, Kentucky, United States

Site Status

MedPharmics - Covington- Site Number : 8401137

Covington, Louisiana, United States

Site Status

Care Access Research - Marriottsville- Site Number : 8401126

Marriottsville, Maryland, United States

Site Status

Tufts Medical Center Site Number : 8401201

Boston, Massachusetts, United States

Site Status

University Of Mississippi Medical Center- Site Number : 8401184

Jackson, Mississippi, United States

Site Status

Care Access - Hoboken- Site Number : 8401132

Hoboken, New Jersey, United States

Site Status

University of New Mexico Comprehensive Cancer Center- Site Number : 8401263

Albuquerque, New Mexico, United States

Site Status

OmeraNY- Site Number : 8401156

Brooklyn, New York, United States

Site Status

Equity Medical- Site Number : 8401239

New York, New York, United States

Site Status

Montefiore Medical Center - Moses Campus- Site Number : 8401150

The Bronx, New York, United States

Site Status

Red River Research Partners- Site Number : 8401196

Fargo, North Dakota, United States

Site Status

Bexley Dermatology Research- Site Number : 8401051

Bexley, Ohio, United States

Site Status

Velocity Clinical Research - Springdale- Site Number : 8401153

Cincinnati, Ohio, United States

Site Status

Dermatology Associates of Plymouth Meeting- Site Number : 8401147

Plymouth Meeting, Pennsylvania, United States

Site Status

PEAK Research- Site Number : 8401083

Upper Saint Clair, Pennsylvania, United States

Site Status

Columbia Dermatology & Aesthetics- Site Number : 8401166

Columbia, South Carolina, United States

Site Status

Health Concepts- Site Number : 8401059

Rapid City, South Dakota, United States

Site Status

Arlington Research Center- Site Number : 8401248

Arlington, Texas, United States

Site Status

Derm Texas- Site Number : 8401217

Dallas, Texas, United States

Site Status

Center for Clinical Studies - Houston - Binz Street- Site Number : 8401063

Houston, Texas, United States

Site Status

Prolato Clinical Research Center- Site Number : 8401209

Houston, Texas, United States

Site Status

Sienna Dermatology- Site Number : 8401148

Missouri City, Texas, United States

Site Status

Progressive Clinical Research - San Antonio- Site Number : 8401016

San Antonio, Texas, United States

Site Status

Advanced Research Institute - Odgen- Site Number : 8401057

Ogden, Utah, United States

Site Status

Care Access - Arlington- Site Number : 8401134

Arlington, Virginia, United States

Site Status

Velocity Clinical Research - Hampton- Site Number : 8401154

Hampton, Virginia, United States

Site Status

Investigational Site Number : 0320021

Berazategui, Buenos Aires, Argentina

Site Status

Investigational Site Number : 0320017

Pilar, Buenos Aires, Argentina

Site Status

Investigational Site Number : 0320006

Rosario, Santa Fe Province, Argentina

Site Status

Investigational Site Number : 0320007

Rosario, Santa Fe Province, Argentina

Site Status

Investigational Site Number : 0320015

Rosario, Santa Fe Province, Argentina

Site Status

Investigational Site Number : 0320016

Buenos Aires, , Argentina

Site Status

Investigational Site Number : 0320001

Buenos Aires, , Argentina

Site Status

Investigational Site Number : 0320002

Buenos Aires, , Argentina

Site Status

Investigational Site Number : 0320009

Buenos Aires, , Argentina

Site Status

Investigational Site Number : 1002008

Gabrovo, , Bulgaria

Site Status

Investigational Site Number : 1002004

Pleven, , Bulgaria

Site Status

Investigational Site Number : 1002005

Sofia, , Bulgaria

Site Status

Investigational Site Number : 1520004

Valdivia, Los Ríos Region, Chile

Site Status

Investigational Site Number : 1520013

Santiago, Reg Metropolitana de Santiago, Chile

Site Status

Investigational Site Number : 1520003

Santiago, Reg Metropolitana de Santiago, Chile

Site Status

Investigational Site Number : 1520014

Santiago, Reg Metropolitana de Santiago, Chile

Site Status

Investigational Site Number : 1520015

Quillota, Región de Valparaíso, Chile

Site Status

Investigational Site Number : 1560004

Beijing, , China

Site Status

Investigational Site Number : 1560030

Beijing, , China

Site Status

Investigational Site Number : 1560022

Chengdu, , China

Site Status

Investigational Site Number : 1560021

Guangzhou, , China

Site Status

Investigational Site Number : 1560025

Guangzhou, , China

Site Status

Investigational Site Number : 1560002

Hangzhou, , China

Site Status

Investigational Site Number : 1560006

Hangzhou, , China

Site Status

Investigational Site Number : 1560029

Hangzhou, , China

Site Status

Investigational Site Number : 1560007

Jinan, , China

Site Status

Investigational Site Number : 1560024

Ningbo, , China

Site Status

Investigational Site Number : 1560001

Shanghai, , China

Site Status

Investigational Site Number : 1560005

Shanghai, , China

Site Status

Investigational Site Number : 1560026

Shenyang, , China

Site Status

Investigational Site Number : 1560023

Wenzhou, , China

Site Status

Investigational Site Number : 1560003

Wuxi, , China

Site Status

Investigational Site Number : 1560028

Zhenjiang, , China

Site Status

Investigational Site Number : 2032106

Kutná Hora, , Czechia

Site Status

Investigational Site Number : 2030010

Olomouc, , Czechia

Site Status

Investigational Site Number : 2032104

Ostrava, , Czechia

Site Status

Investigational Site Number : 2030011

Prague, , Czechia

Site Status

Investigational Site Number : 2030006

Prague, , Czechia

Site Status

Investigational Site Number : 2080002

Aalborg, , Denmark

Site Status

Investigational Site Number : 2080001

Aarhus, , Denmark

Site Status

Investigational Site Number : 2080003

Herlev, , Denmark

Site Status

Investigational Site Number : 3800018

Rozzano, Milano, Italy

Site Status

Investigational Site Number : 3800013

Rome, Roma, Italy

Site Status

Investigational Site Number : 3800009

Catania, , Italy

Site Status

Investigational Site Number : 3800008

Pisa, , Italy

Site Status

Investigational Site Number : 3800022

Vicenza, , Italy

Site Status

Investigational Site Number : 3920009

Chitose, Hokkaido, Japan

Site Status

Investigational Site Number : 3923114

Obihiro, Hokkaido, Japan

Site Status

Investigational Site Number : 3920008

Sapporo, Hokkaido, Japan

Site Status

Investigational Site Number : 3920006

Kobe, Hyōgo, Japan

Site Status

Investigational Site Number : 3920005

Sagamihara, Kanagawa, Japan

Site Status

Investigational Site Number : 3923113

Yokohama, Kanagawa, Japan

Site Status

Investigational Site Number : 3920010

Miyagi-gun, Miyagi, Japan

Site Status

Investigational Site Number : 3920011

Sendai, Miyagi, Japan

Site Status

Investigational Site Number : 3923109

Habikino, Osaka, Japan

Site Status

Investigational Site Number : 3923110

Sakai, Osaka, Japan

Site Status

Investigational Site Number : 3920002

Iruma, Saitama, Japan

Site Status

Investigational Site Number : 3923106

Mibu, Tochigi, Japan

Site Status

Investigational Site Number : 3920004

Chūō, Tokyo, Japan

Site Status

Investigational Site Number : 3923107

Minato, Tokyo, Japan

Site Status

Investigational Site Number : 3920001

Tachikawa, Tokyo, Japan

Site Status

Investigational Site Number : 3923108

Kagoshima, , Japan

Site Status

Investigational Site Number : 3923102

Kyoto, , Japan

Site Status

Investigational Site Number : 3920003

Kyoto, , Japan

Site Status

Investigational Site Number : 4840011

Monterrey, Nuevo León, Mexico

Site Status

Investigational Site Number : 4840005

Monterrey, Nuevo León, Mexico

Site Status

Investigational Site Number : 4840012

Aguascalientes, , Mexico

Site Status

Investigational Site Number : 4840009

Durango, , Mexico

Site Status

Investigational Site Number : 4840003

Veracruz, , Mexico

Site Status

Investigational Site Number : 6200005

Lisbon, , Portugal

Site Status

Investigational Site Number : 6200004

Lisbon, , Portugal

Site Status

Investigational Site Number : 6200001

Lisbon, , Portugal

Site Status

Investigational Site Number : 6200003

Porto, , Portugal

Site Status

Investigational Site Number : 7100004

Boksburg, , South Africa

Site Status

Investigational Site Number : 7100010

Cape Town, , South Africa

Site Status

Investigational Site Number : 7100009

Cape Town, , South Africa

Site Status

Investigational Site Number : 7100012

Durban, , South Africa

Site Status

Investigational Site Number : 7100001

Durban, , South Africa

Site Status

Investigational Site Number : 7100015

Johannesburg, , South Africa

Site Status

Investigational Site Number : 7100007

Johannesburg, , South Africa

Site Status

Investigational Site Number : 7100003

Pretoria, , South Africa

Site Status

Investigational Site Number : 7240012

Las Palmas de Gran Canaria, Las Palmas, Spain

Site Status

Investigational Site Number : 7240018

Granada, , Spain

Site Status

Investigational Site Number : 7240029

Madrid, , Spain

Site Status

Investigational Site Number : 7242503

Madrid, , Spain

Site Status

Investigational Site Number : 7520006

Älvsjö, , Sweden

Site Status

Investigational Site Number : 7520001

Örebro, , Sweden

Site Status

Investigational Site Number : 7920001

Antalya, , Turkey (Türkiye)

Site Status

Investigational Site Number : 7920005

Istanbul, , Turkey (Türkiye)

Site Status

Investigational Site Number : 7920006

Istanbul, , Turkey (Türkiye)

Site Status

Investigational Site Number : 7920002

Istanbul, , Turkey (Türkiye)

Site Status

Investigational Site Number : 7920004

Kayseri, , Turkey (Türkiye)

Site Status

Investigational Site Number : 7920011

Mersin, , Turkey (Türkiye)

Site Status

Investigational Site Number : 7920007

Samsun, , Turkey (Türkiye)

Site Status

Investigational Site Number : 8260003

Portsmouth, Hampshire, United Kingdom

Site Status

Investigational Site Number : 8262602

London, London, City of, United Kingdom

Site Status

Investigational Site Number : 8262601

London, London, City of, United Kingdom

Site Status

Investigational Site Number : 8260006

Glasgow, , United Kingdom

Site Status

Investigational Site Number : 8260004

Leicester, , United Kingdom

Site Status

Countries

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United States Argentina Bulgaria Chile China Czechia Denmark Italy Japan Mexico Portugal South Africa Spain Sweden Turkey (Türkiye) United Kingdom

Related Links

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Other Identifiers

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2023-506557-38

Identifier Type: REGISTRY

Identifier Source: secondary_id

U1111-1275-9665

Identifier Type: REGISTRY

Identifier Source: secondary_id

EFC17560

Identifier Type: -

Identifier Source: org_study_id

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