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Safety and Efficacy of AN2728 Topical Ointment, 2% in Children, Adolescents, and Adults (Ages 2 Years and Older) With Atopic Dermatitis

A Multicenter, Randomized, Double-Blind, Vehicle-Controlled Study of the Safety and Efficacy of AN2728 Topical Ointment, 2% in Children, Adolescents, and Adults (Ages 2 Years and Older) With Atopic Dermatitis

Status
Completed
Phases
Phase 3
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT02118766
Enrollment
763
Registered
2014-04-21
Start date
2014-03-31
Completion date
2015-04-30
Last updated
2017-03-06

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Dermatitis, Atopic

Keywords

atopic dermatitis

Brief summary

The purpose of this study is to investigate the safety and efficacy of AN2728 Topical Ointment, 2% in children, adolescents, and adults (ages 2 years and older) with atopic dermatitis.

Interventions

Sponsors

Pfizer
Lead SponsorINDUSTRY

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
QUADRUPLE (Subject, Caregiver, Investigator, Outcomes Assessor)

Eligibility

Sex/Gender
ALL
Age
2 Years to No maximum
Healthy volunteers
No

Inclusion criteria

* Males or females 2 years and older * Has a clinical diagnosis of AD according to the criteria of Hanifin and Rajka * Has AD involvement ≥ 5% Treatable %BSA (excluding the scalp) * Has an ISGA score of Mild (2) or Moderate (3) at Baseline/Day 1 * All female subjects of childbearing potential must use acceptable methods of contraception from the Screening Visit continuously until 30 days after stopping study drug

Exclusion criteria

* As determined by the study doctor, a medical history that may interfere with study objectives * Unstable AD or any consistent requirement for high potency topical corticosteroids * History of use of biologic therapy (including intravenous immunoglobulin) * Recent or anticipated concomitant use of systemic or topical therapies that might alter the course of AD * Recent or current participation in another research study * Females who are breastfeeding, pregnant, or with plans to get pregnant during the participation in the study * Participation in a previous AN2728 clinical trial

Design outcomes

Primary

MeasureTime frameDescription
Number of Participants With Clinically Significant Change From Baseline in Vital Signs at Day 29Baseline, Day 29Following parameters were analyzed for examination of vital signs: systolic and diastolic blood pressure, respiratory rate and body temperature. Vital sign measurements were performed with the participant in the seated or supine position. Clinical significance of change from baseline value was determined by investigator.
Percentage of Participants Who Achieved Treatment Success Based on Investigator's Static Global Assessment (ISGA) at Day 29Day 29ISGA assessed the severity of AD (except scalp and venous access area) on a 5-point scale ranged from 0 (clear) to 4 (maximum severe), where higher scores indicate higher degree of AD. Grades for classification of severity: 0= clear (minor residual hypo/hyper pigmentation, no erythema or induration or papulation, no oozing or crusting), 1= almost clear (trace faint pink erythema, with barely perceptible induration or papulation and no oozing or crusting), 2= mild (faint pink erythema with mild induration or papulation and no oozing or crusting), 3= moderate (pink-red erythema with moderate induration or papulation with or without oozing or crusting) and 4= severe (deep or bright red erythema with severe induration or papulation and with oozing or crusting). Treatment success was defined as an ISGA score of Clear (0) or Almost Clear (1) with at least a 2-grade improvement from baseline.
Number of Participants With Treatment-Emergent Adverse Events (AEs) And Serious Adverse Events (SAEs)AEs: Baseline (Day 1) up to Day 29, SAEs: Baseline (Day 1) up to Day 36An AE was any untoward medical occurrence attributed to a participant who received study drug without regard to possibility of causal relationship. An SAE was an AE resulting in any of the following outcomes or deemed significant for any other reason: death; Initial or prolonged inpatient hospitalization; life threatening experience (immediate risk of dying); persistent or significant disability/incapacity; congenital anomaly. Treatment-emergent were events between first dose of study drug and up to end of study that were absent before treatment or that worsened relative to pre-treatment state.
Number of Participants With Clinically Significant Change From Baseline in Laboratory Values at Day 29Baseline, Day 29Laboratory values included: Alkaline Phosphatase, Alanine Aminotransferase, Aspartate Aminotransferase, Albumin, Blood Urea Nitrogen, Creatinine, Hematocrit, Hemoglobin, Lymphocytes, Monocytes, Neutrophils, Platelets, Basophils, Eosinophils, Red blood cell count, White blood cell count, Total bilirubin and Glucose (nonfasting), Potassium, Total Protein, and Sodium. Clinical significance of change from baseline value was determined by investigator.

Secondary

MeasureTime frameDescription
Change From Baseline in Signs of Atopic Dermatitis (AD) at Day 29Baseline, Day 29Signs of AD included erythema, induration/papulation, exudation, excoriation and lichenification. Each sign was assessed on a 4- point scale ranges from 0 to 3, where 0= none, 1= mild, 2= moderate to 3= severe. Higher score indicates severe signs and symptoms of AD.
Percentage of Participants With an Investigator's Static Global Assessment (ISGA) Score of Clear (0) or Almost Clear (1) at Day 29Day 29ISGA assessed the severity of AD (except scalp and venous access area) on a 5-point scale ranged from 0 (clear) to 4 (maximum severe), where higher scores indicate higher degree of AD. Grades for classification of severity: 0= clear (minor residual discoloration, no erythema or induration or papulation, no oozing or crusting), 1= almost clear (trace faint pink erythema, with barely perceptible induration or papulation and no oozing or crusting), 2= mild (faint pink erythema with mild induration or papulation and no oozing or crusting), 3= moderate (pink-red erythema with moderate induration or papulation with or without oozing or crusting) and 4= severe (deep or bright red erythema with severe induration or papulation and with oozing or crusting). Percentage of participants with an ISGA score of 0 or 1 were reported.
Time to Achieve Treatment Success Based on Investigator's Static Global Assessment (ISGA)Baseline (Day 1) up to Day 29Time to achieve treatment success based on ISGA was defined as the time interval between the administrations of first dose of study drug until first documentation of success in ISGA. Success in ISGA was defined as an ISGA score of clear (0) or almost clear (1) with at least 2-grade improvement from baseline. It was analyzed using Kaplan-Meier method.

Other

MeasureTime frameDescription
Time to Improvement in PruritusBaseline up to Day 29Time to improvement in pruritus was defined as the time interval between the administration of first dose of study drug till the first documentation of improvement in pruritus. Improvement in pruritus was defined as achieving none (0) or mild (1) score with at least a 1- grade improvement from baseline. Severity of pruritus was assessed on 4-point numeric scale ranges from 0 to 3, where 0= none (no itching), 1= mild (occasional, slight itching/scratching), 2= moderate (constant or intermittent itching/scratching which is not disturbing sleep) and 3= severe (bothersome itching/scratching which is disturbing sleep). Higher scores indicated more severe condition. It was analyzed using Kaplan-Meier method.
Change From Baseline in Dermatology Life Quality Index (DLQI) Score at Day 29Baseline, Day 29The DLQI was a 10-item questionnaire that measures the impact of skin disease on participant's quality of life. Each question was evaluated on a 4-point scale ranging from 0 (not at all) to 3 (very much); where higher scores indicate more impact on quality of life. The DLQI total score ranges from 0 (not at all) to 30 (very much): 0-1 = no effect at all on the participant's life; 2-6 = small effect on the participant's life; 7-12 = moderate effect on the participant's life; 13-18 = very large effect on the participant's life; 19-30 = extremely large effect on the participant's life. Higher scores indicate more impact on quality of life of participants.

Countries

United States

Participant flow

Participants by arm

ArmCount
AN2728 Topical Ointment, 2 Percent
Participants with mild to moderate atopic dermatitis (AD) applied AN2728 ointment, 2 percent to treatment-targeted lesions, twice daily from Day 1 to Day 28. Target lesions were identified at Baseline (Day 1) by investigator.
503
AN2728 Topical Ointment, Vehicle
Participants with mild to moderate AD applied AN2728 ointment matching vehicle to treatment-targeted lesions, twice daily from Day 1 to Day 28. Target lesions were identified at Baseline (Day 1) by investigator.
256
Total759

Withdrawals & dropouts

PeriodReasonFG000FG001
Overall StudyAdverse Event72
Overall StudyLost to Follow-up54
Overall StudyOther31
Overall StudyWithdrawal by parent/guardian1218
Overall StudyWithdrawal by Subject36

Baseline characteristics

CharacteristicTotalAN2728 Topical Ointment, VehicleAN2728 Topical Ointment, 2 Percent
Age, Customized
12-17 years
188 Participants67 Participants121 Participants
Age, Customized
2-6 years
240 Participants78 Participants162 Participants
Age, Customized
7-11 years
228 Participants73 Participants155 Participants
Age, Customized
greater than or equal to 18 years
103 Participants38 Participants65 Participants
Gender
Female
427 Participants143 Participants284 Participants
Gender
Male
332 Participants113 Participants219 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
deaths
Total, all-cause mortality
— / —— / —
other
Total, other adverse events
147 / 50250 / 252
serious
Total, serious adverse events
5 / 5021 / 252

Outcome results

Primary

Number of Participants With Clinically Significant Change From Baseline in Laboratory Values at Day 29

Laboratory values included: Alkaline Phosphatase, Alanine Aminotransferase, Aspartate Aminotransferase, Albumin, Blood Urea Nitrogen, Creatinine, Hematocrit, Hemoglobin, Lymphocytes, Monocytes, Neutrophils, Platelets, Basophils, Eosinophils, Red blood cell count, White blood cell count, Total bilirubin and Glucose (nonfasting), Potassium, Total Protein, and Sodium. Clinical significance of change from baseline value was determined by investigator.

Time frame: Baseline, Day 29

Population: Safety population included all randomized participants who received at least 1 confirmed dose of study drug, and had at least 1 post-baseline assessment.

ArmMeasureValue (NUMBER)
AN2728 Topical Ointment, 2 PercentNumber of Participants With Clinically Significant Change From Baseline in Laboratory Values at Day 290 participants
AN2728 Topical Ointment, VehicleNumber of Participants With Clinically Significant Change From Baseline in Laboratory Values at Day 290 participants
Primary

Number of Participants With Clinically Significant Change From Baseline in Vital Signs at Day 29

Following parameters were analyzed for examination of vital signs: systolic and diastolic blood pressure, respiratory rate and body temperature. Vital sign measurements were performed with the participant in the seated or supine position. Clinical significance of change from baseline value was determined by investigator.

Time frame: Baseline, Day 29

Population: Safety population included all randomized participants who received at least 1 confirmed dose of study drug, and had at least 1 post-baseline assessment.

ArmMeasureValue (NUMBER)
AN2728 Topical Ointment, 2 PercentNumber of Participants With Clinically Significant Change From Baseline in Vital Signs at Day 290 participants
AN2728 Topical Ointment, VehicleNumber of Participants With Clinically Significant Change From Baseline in Vital Signs at Day 290 participants
Primary

Number of Participants With Treatment-Emergent Adverse Events (AEs) And Serious Adverse Events (SAEs)

An AE was any untoward medical occurrence attributed to a participant who received study drug without regard to possibility of causal relationship. An SAE was an AE resulting in any of the following outcomes or deemed significant for any other reason: death; Initial or prolonged inpatient hospitalization; life threatening experience (immediate risk of dying); persistent or significant disability/incapacity; congenital anomaly. Treatment-emergent were events between first dose of study drug and up to end of study that were absent before treatment or that worsened relative to pre-treatment state.

Time frame: AEs: Baseline (Day 1) up to Day 29, SAEs: Baseline (Day 1) up to Day 36

Population: Safety population included all randomized participants who received at least 1 confirmed dose of study drug, and had at least 1 post-baseline assessment.

ArmMeasureGroupValue (NUMBER)
AN2728 Topical Ointment, 2 PercentNumber of Participants With Treatment-Emergent Adverse Events (AEs) And Serious Adverse Events (SAEs)AEs147 participants
AN2728 Topical Ointment, 2 PercentNumber of Participants With Treatment-Emergent Adverse Events (AEs) And Serious Adverse Events (SAEs)SAEs5 participants
AN2728 Topical Ointment, VehicleNumber of Participants With Treatment-Emergent Adverse Events (AEs) And Serious Adverse Events (SAEs)AEs50 participants
AN2728 Topical Ointment, VehicleNumber of Participants With Treatment-Emergent Adverse Events (AEs) And Serious Adverse Events (SAEs)SAEs1 participants
Primary

Percentage of Participants Who Achieved Treatment Success Based on Investigator's Static Global Assessment (ISGA) at Day 29

ISGA assessed the severity of AD (except scalp and venous access area) on a 5-point scale ranged from 0 (clear) to 4 (maximum severe), where higher scores indicate higher degree of AD. Grades for classification of severity: 0= clear (minor residual hypo/hyper pigmentation, no erythema or induration or papulation, no oozing or crusting), 1= almost clear (trace faint pink erythema, with barely perceptible induration or papulation and no oozing or crusting), 2= mild (faint pink erythema with mild induration or papulation and no oozing or crusting), 3= moderate (pink-red erythema with moderate induration or papulation with or without oozing or crusting) and 4= severe (deep or bright red erythema with severe induration or papulation and with oozing or crusting). Treatment success was defined as an ISGA score of Clear (0) or Almost Clear (1) with at least a 2-grade improvement from baseline.

Time frame: Day 29

Population: Intent to treat population included all randomized participants who received the study drug.

ArmMeasureValue (NUMBER)
AN2728 Topical Ointment, 2 PercentPercentage of Participants Who Achieved Treatment Success Based on Investigator's Static Global Assessment (ISGA) at Day 2932.8 percentage of participants
AN2728 Topical Ointment, VehiclePercentage of Participants Who Achieved Treatment Success Based on Investigator's Static Global Assessment (ISGA) at Day 2925.4 percentage of participants
p-value: 0.038Regression, Logistic
Secondary

Change From Baseline in Signs of Atopic Dermatitis (AD) at Day 29

Signs of AD included erythema, induration/papulation, exudation, excoriation and lichenification. Each sign was assessed on a 4- point scale ranges from 0 to 3, where 0= none, 1= mild, 2= moderate to 3= severe. Higher score indicates severe signs and symptoms of AD.

Time frame: Baseline, Day 29

Population: Intent to treat population included all participants who were randomized and dispensed study drug. Here, Number of participants analyzed (N) signifies those participants who were evaluable for this outcome measure and 'n' signifies those participants who were evaluable at specified time point for each arm, respectively.

ArmMeasureGroupValue (MEAN)Dispersion
AN2728 Topical Ointment, 2 PercentChange From Baseline in Signs of Atopic Dermatitis (AD) at Day 29Exudation: Change at Day 29 (n=478, 228)-0.5 units on a scaleStandard Deviation 0.78
AN2728 Topical Ointment, 2 PercentChange From Baseline in Signs of Atopic Dermatitis (AD) at Day 29Induration/Papulation: Baseline (n= 503, 256)1.8 units on a scaleStandard Deviation 0.59
AN2728 Topical Ointment, 2 PercentChange From Baseline in Signs of Atopic Dermatitis (AD) at Day 29Excoriation: Baseline (n= 503, 256)1.4 units on a scaleStandard Deviation 0.7
AN2728 Topical Ointment, 2 PercentChange From Baseline in Signs of Atopic Dermatitis (AD) at Day 29Erythema: Change at Day 29 (n=478,228)-0.7 units on a scaleStandard Deviation 0.79
AN2728 Topical Ointment, 2 PercentChange From Baseline in Signs of Atopic Dermatitis (AD) at Day 29Excoriation: Change at Day 29 (n=478, 228)-0.8 units on a scaleStandard Deviation 0.81
AN2728 Topical Ointment, 2 PercentChange From Baseline in Signs of Atopic Dermatitis (AD) at Day 29Induration/Papulation:Change at Day 29(n=478,228)-0.7 units on a scaleStandard Deviation 0.85
AN2728 Topical Ointment, 2 PercentChange From Baseline in Signs of Atopic Dermatitis (AD) at Day 29Lichenification: Baseline (n= 503, 256)1.5 units on a scaleStandard Deviation 0.73
AN2728 Topical Ointment, 2 PercentChange From Baseline in Signs of Atopic Dermatitis (AD) at Day 29Erythema: Baseline (n= 503, 256)1.7 units on a scaleStandard Deviation 0.59
AN2728 Topical Ointment, 2 PercentChange From Baseline in Signs of Atopic Dermatitis (AD) at Day 29Lichenification: Change at Day 29 (n=478, 228)-0.7 units on a scaleStandard Deviation 0.81
AN2728 Topical Ointment, 2 PercentChange From Baseline in Signs of Atopic Dermatitis (AD) at Day 29Exudation: Baseline (n= 503, 256)0.8 units on a scaleStandard Deviation 0.82
AN2728 Topical Ointment, VehicleChange From Baseline in Signs of Atopic Dermatitis (AD) at Day 29Lichenification: Change at Day 29 (n=478, 228)-0.5 units on a scaleStandard Deviation 0.77
AN2728 Topical Ointment, VehicleChange From Baseline in Signs of Atopic Dermatitis (AD) at Day 29Erythema: Baseline (n= 503, 256)1.6 units on a scaleStandard Deviation 0.57
AN2728 Topical Ointment, VehicleChange From Baseline in Signs of Atopic Dermatitis (AD) at Day 29Erythema: Change at Day 29 (n=478,228)-0.4 units on a scaleStandard Deviation 0.77
AN2728 Topical Ointment, VehicleChange From Baseline in Signs of Atopic Dermatitis (AD) at Day 29Induration/Papulation: Baseline (n= 503, 256)1.9 units on a scaleStandard Deviation 0.56
AN2728 Topical Ointment, VehicleChange From Baseline in Signs of Atopic Dermatitis (AD) at Day 29Induration/Papulation:Change at Day 29(n=478,228)-0.7 units on a scaleStandard Deviation 0.73
AN2728 Topical Ointment, VehicleChange From Baseline in Signs of Atopic Dermatitis (AD) at Day 29Exudation: Change at Day 29 (n=478, 228)-0.3 units on a scaleStandard Deviation 0.8
AN2728 Topical Ointment, VehicleChange From Baseline in Signs of Atopic Dermatitis (AD) at Day 29Excoriation: Baseline (n= 503, 256)1.5 units on a scaleStandard Deviation 0.71
AN2728 Topical Ointment, VehicleChange From Baseline in Signs of Atopic Dermatitis (AD) at Day 29Excoriation: Change at Day 29 (n=478, 228)-0.7 units on a scaleStandard Deviation 0.89
AN2728 Topical Ointment, VehicleChange From Baseline in Signs of Atopic Dermatitis (AD) at Day 29Lichenification: Baseline (n= 503, 256)1.5 units on a scaleStandard Deviation 0.67
AN2728 Topical Ointment, VehicleChange From Baseline in Signs of Atopic Dermatitis (AD) at Day 29Exudation: Baseline (n= 503, 256)0.8 units on a scaleStandard Deviation 0.86
Secondary

Percentage of Participants With an Investigator's Static Global Assessment (ISGA) Score of Clear (0) or Almost Clear (1) at Day 29

ISGA assessed the severity of AD (except scalp and venous access area) on a 5-point scale ranged from 0 (clear) to 4 (maximum severe), where higher scores indicate higher degree of AD. Grades for classification of severity: 0= clear (minor residual discoloration, no erythema or induration or papulation, no oozing or crusting), 1= almost clear (trace faint pink erythema, with barely perceptible induration or papulation and no oozing or crusting), 2= mild (faint pink erythema with mild induration or papulation and no oozing or crusting), 3= moderate (pink-red erythema with moderate induration or papulation with or without oozing or crusting) and 4= severe (deep or bright red erythema with severe induration or papulation and with oozing or crusting). Percentage of participants with an ISGA score of 0 or 1 were reported.

Time frame: Day 29

Population: Intent to treat population included all randomized participants who received the study drug.

ArmMeasureValue (NUMBER)
AN2728 Topical Ointment, 2 PercentPercentage of Participants With an Investigator's Static Global Assessment (ISGA) Score of Clear (0) or Almost Clear (1) at Day 2951.7 percentage of participants
AN2728 Topical Ointment, VehiclePercentage of Participants With an Investigator's Static Global Assessment (ISGA) Score of Clear (0) or Almost Clear (1) at Day 2940.6 percentage of participants
Secondary

Time to Achieve Treatment Success Based on Investigator's Static Global Assessment (ISGA)

Time to achieve treatment success based on ISGA was defined as the time interval between the administrations of first dose of study drug until first documentation of success in ISGA. Success in ISGA was defined as an ISGA score of clear (0) or almost clear (1) with at least 2-grade improvement from baseline. It was analyzed using Kaplan-Meier method.

Time frame: Baseline (Day 1) up to Day 29

Population: Intent to treat population included all randomized participants who received the study drug.

ArmMeasureValue (MEDIAN)
AN2728 Topical Ointment, 2 PercentTime to Achieve Treatment Success Based on Investigator's Static Global Assessment (ISGA)NA days
AN2728 Topical Ointment, VehicleTime to Achieve Treatment Success Based on Investigator's Static Global Assessment (ISGA)NA days
Other Pre-specified

Change From Baseline in Dermatology Life Quality Index (DLQI) Score at Day 29

The DLQI was a 10-item questionnaire that measures the impact of skin disease on participant's quality of life. Each question was evaluated on a 4-point scale ranging from 0 (not at all) to 3 (very much); where higher scores indicate more impact on quality of life. The DLQI total score ranges from 0 (not at all) to 30 (very much): 0-1 = no effect at all on the participant's life; 2-6 = small effect on the participant's life; 7-12 = moderate effect on the participant's life; 13-18 = very large effect on the participant's life; 19-30 = extremely large effect on the participant's life. Higher scores indicate more impact on quality of life of participants.

Time frame: Baseline, Day 29

Population: Intent to treat population included all participants who were randomized and dispensed study drug. Here, 'n' signifies those participants who were evaluable at specified time point for each arm, respectively.

ArmMeasureGroupValue (MEAN)Dispersion
AN2728 Topical Ointment, 2 PercentChange From Baseline in Dermatology Life Quality Index (DLQI) Score at Day 29Baseline (n =95, 52)9.6 units on a scaleStandard Deviation 6.37
AN2728 Topical Ointment, 2 PercentChange From Baseline in Dermatology Life Quality Index (DLQI) Score at Day 29Change at Day 29 (n =87, 44)-5.5 units on a scaleStandard Deviation 5.45
AN2728 Topical Ointment, VehicleChange From Baseline in Dermatology Life Quality Index (DLQI) Score at Day 29Change at Day 29 (n =87, 44)-3.6 units on a scaleStandard Deviation 4.6
AN2728 Topical Ointment, VehicleChange From Baseline in Dermatology Life Quality Index (DLQI) Score at Day 29Baseline (n =95, 52)9.5 units on a scaleStandard Deviation 6.52
Other Pre-specified

Time to Improvement in Pruritus

Time to improvement in pruritus was defined as the time interval between the administration of first dose of study drug till the first documentation of improvement in pruritus. Improvement in pruritus was defined as achieving none (0) or mild (1) score with at least a 1- grade improvement from baseline. Severity of pruritus was assessed on 4-point numeric scale ranges from 0 to 3, where 0= none (no itching), 1= mild (occasional, slight itching/scratching), 2= moderate (constant or intermittent itching/scratching which is not disturbing sleep) and 3= severe (bothersome itching/scratching which is disturbing sleep). Higher scores indicated more severe condition. It was analyzed using Kaplan-Meier method.

Time frame: Baseline up to Day 29

Population: Intent to treat population included all participants who were randomized and dispensed study drug. Here, 'N' signifies those participants who were evaluable for this measure.

ArmMeasureValue (MEDIAN)
AN2728 Topical Ointment, 2 PercentTime to Improvement in Pruritus1.32 days
AN2728 Topical Ointment, VehicleTime to Improvement in Pruritus1.87 days

Source: ClinicalTrials.gov · Data processed: Mar 12, 2026