Moderate and Severe Atopic Dermatitis MedDRA version: 20.0 Level: PT Classification code 10012438 Term: Dermatitis atopic System Organ Class: 10040785 - Skin and subcutaneous tissue disorders
Conditions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: • Male or female subjects 12-75 years of age • Active moderate to severe atopic dermatitis defined by EASI, IGA, BSA, and pruritus • Candidate for systemic therapy or have recently required systemic therapy for atopic dermatitis Are the trial subjects under 18? yes Number of subjects for this age range: 182 F.1.2 Adults (18-64 years) yes F.1.2.1 Number of subjects for this age range 690 F.1.3 Elderly (>=65 years) yes F.1.3.1 Number of subjects for this age range 46
Exclusion criteria
Exclusion criteria: • Prior exposure to any JAK inhibitor • Unable or unwilling to discontinue current AD treatments prior to the study • Requirement of prohibited medications during the study • Other active skin diseases or skin infections requiring systemic treatment or would interfere with appropriate assessment of atopic dermatitis lesions • Female subject who is pregnant, breastfeeding, or considering pregnancy during the study
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Main Objective: To assess the efficacy and safety of upadacitinib for the treatment of adolescent and adult subjects with moderate to severe Atopic Dermatitis who are candidates for systemic therapy.;Secondary Objective: To assess the efficacy and safety of 15 mg and 30mg upadacitinib for the treatment of adolescent and adult subjects with moderate to severe Atopic Dermatitis through up to 260 weeks in subjects who have completed week 16.;Primary end point(s): • Proportion of subjects achieving validated IGA scale for Atopic Dermatitis (vIGA-AD) of 0 or 1 with at least two grades of reduction from baseline at Week 16; • Proportion of subjects achieving improvement from baseline of at least 75% on Eczema Area Severity Index (EASI 75) at Week 16. ;Timepoint(s) of evaluation of this end point: Week 16 Week 16 | — |
Secondary
| Measure | Time frame |
|---|---|
| Secondary end point(s): The following key secondary endpoints will be analyzed to demonstrate superiority of each upadacitinib dose vs. placebo, unless otherwise specified. Key Secondary Endpoints for EU/EMA regulatory purposes are • Proportion of subjects achieving an improvement (reduction) in Worst Pruritus Numerical Rating Scale (NRS) = 4 from Baseline at Week 16 for subjects with Worst Pruritus NRS = 4 at Baseline; • Proportion of subjects achieving EASI 90 at Week 16.; • Percent change from Baseline of Worst Pruritus NRS at Week 16; • Percent change in EASI score from Baseline at Week 16; • Proportion of subjects achieving EASI 75 at Week 2; • Proportion of subjects achieving an improvement (reduction) in Worst Pruritus NRS = 4 from Baseline at Week 1 for subjects with Worst Pruritus NRS = 4 at Baseline; • Proportion of subjects achieving an improvement (reduction) in Patient Oriented Eczema Measure (POEM) = 4 from Baseline at Week 16 for subjects with POEM = 4 at Baseline • Proportion of subjects age = 16 years old at screening achieving an improvement (reduction) in Dermatology Life Quality Index (DLQI) = 4 from Baseline at Week 16 for subjects with DLQI = 4 at Baseline; • Proportion of subjects achieving an improvement (reduction) in Worst Pruritus NRS = 4 from Baseline at Day 2 for subjects with Worst Pruritus NRS = 4 at Baseline (upadacitinib 30 mg vs. placebo); • Proportion of subjects achieving an improvement (reduction) in Worst Pruritus NRS = 4 from Baseline at Day 3 for subjects with Worst Pruritus NRS = 4 at Baseline (upadacitinib 15 mg vs. placebo); • Proportion of subjects experiencing a flare, characterized as a clinically meaningful worsening in EASI, defined as an increase of EASI by = 6.6 from Baseline for subjects with EASI = 65.4 at Baseline, during double-blind treatment period (DB Period); • Percent change in Scoring Atopic Dermatitis (SCORAD) from Baseline at Week 16; • Proportion of subjects achieving a Hospital Anxiety and Depression Sc | — |
Countries
Australia, Austria, Belgium, Bulgaria, Canada, Croatia, Czech Republic, Denmark, France, Germany, Greece, Hungary, Ireland, Italy, Korea, Republic of, Netherlands, New Zealand, Portugal, Singapore, Spain, Switzerland, Taiwan, United Kingdom, United States
Contacts
AbbVie Ltd