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A Study of Crisaborole Ointment 2%; Crisaborole Vehicle; TCS and TCI in Subjects Aged ≥ 2 Years, With Mild-moderate AD

A PHASE 3B/4, MULTICENTER, RANDOMIZED, ASSESSOR BLINDED, VEHICLE AND ACTIVE (TOPICAL CORTICOSTEROID AND CALCINEURIN INHIBITOR) CONTROLLED, PARALLEL GROUP STUDY OF THE EFFICACY, SAFETY, AND LOCAL TOLERABILITY OF CRISABOROLE OINTMENT, 2% IN PEDIATRIC AND ADULT SUBJECTS (AGES 2 YEARS AND OLDER) WITH MILD TO MODERATE ATOPIC DERMATITIS

Status
Terminated
Phases
Phase 4
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT03539601
Enrollment
237
Registered
2018-05-29
Start date
2018-04-27
Completion date
2020-12-11
Last updated
2022-01-10

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

Conditions

Atopic Dermatitis

Keywords

Atopic Dermatitis, Crisaborole ointment 2%, TCS, TCI

Brief summary

This 4-week study will evaluate the safety and efficacy of crisaborole ointment 2%; crisaborole vehicle; topical corticosteroid and topical calcineurin inhibitor, applied twice daily (BID) in subjects who are at least 2 years of age with mild-moderate AD. A Sub-Study of Optical Coherence Tomography and Biomarkers in Subjects ages 2 to \<18 years old, with Mild to Moderate Atopic Dermatitis, treated with Crisaborole Ointment, 2% or Crisaborole Vehicle Ointment or Hydrocortisone Butyrate 0.1% Cream applied BID will also be conducted at select sites.

Detailed description

Approximately 600 subjects will be enrolled in the study, of which at least 150 subjects aged 2-6; at least 140 subjects aged 7-11; at least 120 subjects aged 12-17 and up to 90 subjects will be adults. Subjects must have mild-moderate AD involving at least 5% treatable %BSA assessed on baseline/Day 1. Treatable %BSA will be defined as the percent of a subject's total body surface area that is AD involved, excluding the scalp. Eligible subjects will be randomized at the Baseline/Day 1 visit. Randomization will be stratified by eligibility for TCS or TCI treatment as per national approved labels. Cohort 1 will be for subjects who are eligible for TCS therapy, and Cohort 2 will be for subjects who are not eligible for TCS therapy but eligible for TCI therapy. The investigational products will be applied BID for 28 days to the Treatable body surface area (BSA) identified at Baseline/Day 1. The primary efficacy endpoint is the percent change from baseline in the Eczema Area and Severity Index (EASI) total score at Day 29. For the efficacy comparison of crisaborole versus vehicle, subjects from both Cohort 1 and Cohort 2 are included in the analysis, adjusted for cohort effect. For the efficacy comparison of crisaborole versus TCS, only subjects from Cohort 1 are included in the analysis. For the comparison of crisaborole versus TCI, only subjects from Cohort 2 are included in the analysis. Safety and efficacy assessments will be conducted at the investigator site by a clinical assessor blinded to treatment assignment. Scheduled study visits for all subjects will occur at Screening, Baseline/Day 1, Day 8, Day 15, Day 22, Day 29 (End of treatment/Early termination), Day 43 or 14 Days after last dose if subject is terminated early from treatment. A follow up telephone call will be made by site staff to the subjects/subject's legally acceptable guardian(s) on Day 60 or at least 28 days after last dose if subject is terminated early from treatment. The Day 60 visit will be completed in the clinic for subjects enrolled in the OCT sub-study. To further explore the benefit/risk of crisaborole ointment, 2%, a sub-study to evaluate differences in atrophic skin changes across study treatment groups in Cohort 1 will be conducted at select sites. The sub-study will include obtaining Optical coherence tomography (OCT) imaging to evaluate atrophic changes in epidermal thickness during and after treatment with study investigational product in Cohort 1. This sub-study also provides an opportunity to explore differences in Transepidermal Water Loss (TEWL) and cutaneous inflammatory and barrier biomarkers associated with AD within the stratum corneum (SC) across treatment groups in Cohort 1. The Aquaflux (an evaporimeter) will be used in this sub-study to evaluate TEWL during and after treatment at select sub-study centers. Tape-strips will also be used in this sub-study to evaluate SC biomarkers from AD lesional and non-lesional skin. This sub-study will include approximately 60 subjects from Cohort 1 that are enrolled in the main study (C3291037). Subjects will follow the main study assessments and visits as per the schedule of activities for the main study but will also follow additional procedures as described in the protocol. The telephone call at Day 60 in the main study is replaced with an in-clinic visit for sub-study participants.

Interventions

DRUGCrisaborole ointment, 2%

Applied twice a day (BID)

DRUGHydrocortisone butyrate cream, 0.1%

Applied BID

Applied BID

DRUGCrisaborole Vehicle

Applied BID

Sponsors

Pfizer
Lead SponsorINDUSTRY

Study design

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

Masking description

The investigational products above are masked for appearance, and will be placed into identical cartons. Once removed from the product cartons, the investigational products could be discerned from each other based on commercial product tube shape/size and should only be handled by unblinded site personnel. Safety and efficacy assessments will be conducted at the investigator site by a clinical assessor blinded to treatment assignment.

Eligibility

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

Inclusion criteria

Is male or female 2 years and older at the Screening visit/time of informed consent/assent diagnosed with mild-moderate AD (according to the criteria of Hanifin and Rajka), of at least 5% BSA.

Exclusion criteria

Has any clinically significant medical disorder, condition, or disease (including active or potentially recurrent non AD dermatological conditions and known genetic dermatological conditions that overlap with AD, such as Netherton syndrome. Subjects in Cohort 1 are excluded if they have a contraindication for treatment with hydrocortisone butyrate cream 0.1% Subjects in Cohort 2 are excluded if they have a contraindication for treatment with pimecrolimus cream, 1%

Design outcomes

Primary

MeasureTime frameDescription
Percent Change From Baseline in the Eczema Area and Severity Index (EASI) Total Score at Day 29Baseline, Day 29EASI quantifies severity of participant's AD (excluded scalp) based on lesion severity and percent (%) body surface area (%BSA) affected. Lesion severity included erythema (E), induration/papulation (I), excoriation (Ex), lichenification (L) scored for 4 regions (head and neck \[h\], upper limbs \[u\], trunk \[t\] \[including axillae, groin\], lower limbs \[l\] \[including buttocks\]) on 4-point scale: 0= absent; 1= mild; 2= moderate; 3= severe. EASI area score (A) based upon %BSA with AD in body region: 0 (0%), 1 (\>0 to \<10%), 2 (10 to \<30%), 3 (30 to \<50%), 4 (50 to \<70%), 5 (70 to \<90%), 6 (90 to 100%). Total EASI score (aged \>=8 years) =0.1\*Ah\*(Eh + Ih + Exh + Lh) + 0.2\*Au\*(Eu + Iu + Exu + Lu) + 0.3\*At\*(Et + It +Ext + Lt) + 0.4\*Al\*(El + Il + Exl + Ll); for aged 2 to \<8 years =0.2\*Ah\*(Eh + Ih + Exh + Lh) + 0.2\*Au\*(Eu + Iu + Exu + Lu) + 0.3\*At\*(Et +It + Ext + Lt) + 0.3\*Al\*(El + Il + Exl + Ll). Total score ranges from 0.0 to 72.0, higher scores indicated greater AD severity.
Number of Participants With Treatment Emergent Adverse Events (TEAEs), Serious Adverse Events (SAEs) and Treatment Discontinuations Due to AEs and SAEsFrom Baseline up to 28 days after last dose of study treatment (maximum up to 60 Days)An AE is any untoward medical occurrence in a study participant administered a product or medical device; the event need not necessarily have a causal relationship with the treatment or usage. TEAEs are events between the first dose of study drug up to 28 days after last dose that were absent before treatment or that worsened relative to pretreatment state. A SAE is any untoward medical occurrence at any dose that: results in death; is life-threatening (immediate risk of death); requires inpatient hospitalization or prolongation of existing hospitalization; results in persistent or significant disability/incapacity (substantial disruption of the ability to conduct normal life functions); results in congenital anomaly/birth defect; or that is considered to be an important medical event.
Number of Participants With Local Tolerability Adverse Events (AEs)From Baseline up to 28 days after last dose of study treatment (maximum up to 60 Days)Local tolerability AEs included application and instillation site reactions, application site discharge, application site erythema, application site exfoliation, application site pain, application site pruritus, application site swelling, dermatitis and eczema, dermatitis atopic, dermatitis contact, eczema, skin irritation, telangiectasia and related conditions, and urticarias.
Number of Participants With Clinically Significant Changes in Vital SignsScreening up to Day 29Vital sign measurements included temperature, respiratory rate, pulse rate, and blood pressure. Temperature, respiratory rate, pulse rate, and blood pressure were taken in the seated or supine position, after the participant has been sitting or lying calmly for a minimum of 5 minutes (when possible for younger children). Position of recording was consistent within participant through-out the study.
Number of Participants With Clinically Significant Abnormal Laboratory ParametersScreening up to Day 29Hematology parameters included with criteria greater than (\>) 1.2\*upper limit of normal (ULN): leukocytes (10\^3 per cubic millimeter \[10\^3/mm\^3\]), lymphocytes (10\^3/mm\^3), lymphocytes/leukocytes (%), neutrophils (10\^3/mm\^3), neutrophils/leukocytes (%), basophils/leukocytes (%), eosinophils (10\^3/mm\^3), eosinophils/leukocytes (%), monocytes (10\^3/mm\^3), monocytes/leukocytes (%). Clinical chemistry included parameters: aspartate aminotransferase (units per liter \[U/L\]) (\>3.0\* ULN), alanine aminotransferase (U/L) (\>3.0\* ULN), alkaline phosphatase (U/L) (\>3.0\* ULN), creatinine (milligram per deciliter \[mg/dL\]) (\>1.3\* ULN), potassium (milliequivalent per liter \[mEq/L\]) (\>1.1\* ULN), bicarbonate (mEq/L) (\>1.1\* ULN).

Secondary

MeasureTime frameDescription
Time to First Improvement From Baseline in Eczema Area and Severity Index (EASI) Total Score of Greater Than or Equal to (>=) 75%Baseline up to Day 43EASI quantifies severity of participant's AD (excluded scalp) based on lesion severity and %BSA affected. Lesion severity included erythema (E), induration/papulation (I), excoriation (Ex), lichenification (L) scored for 4 regions (head and neck \[h\], upper limbs \[u\], trunk \[t\] \[including axillae, groin\], lower limbs \[l\] \[including buttocks\]) on 4-point scale: 0= absent; 1= mild; 2= moderate; 3= severe. EASI area score(A) based upon %BSA with AD in body region: 0 (0%), 1 (\>0 to \<10%), 2 (10 to \<30%), 3 (30 to \<50%), 4 (50 to \<70%), 5 (70 to \<90%), 6 (90 to 100%). Total EASI score (aged \>=8 years) =0.1\*Ah\*(Eh + Ih + Exh + Lh) + 0.2\*Au\*(Eu + Iu + Exu + Lu) + 0.3\*At\*(Et + It +Ext + Lt) + 0.4\*Al\*(El + Il + Exl + Ll); for aged 2 to \<8 years =0.2\*Ah\*(Eh + Ih + Exh + Lh) + 0.2\*Au\*(Eu + Iu + Exu + Lu) + 0.3\*At\*(Et +It + Ext + Lt) + 0.3\*Al\*(El + Il + Exl + Ll). Total score ranges from 0.0 to 72.0, higher scores indicated greater AD severity.
Change From Baseline in Percent Body Surface Area (%BSA) at Day 8, 15, 22 and 29Baseline, Day 8, 15, 22 and 29Four body regions were evaluated: head and neck, upper limbs, trunk (including axillae) and lower limbs (including buttocks) excluding scalp. BSA was calculated using handprint method. Number of handprints (size of participant's full palmer hand in a closed position) fitting in affected area of a body region was estimated. Maximum number of handprints were: 10 for head, neck (20 for \<8 years age), 20 for upper limbs, 30 for trunk, 40 for lower limbs (30 for \<8 years age). Surface area (SA) of body region equivalent to 1 handprint: 10% for head, neck (5% for \<8 years age), 5% for upper limbs, 3.33% for trunk, 2.5% for lower limbs (3.33% for \<8 years age). Overall %BSA for a body region = total number of handprints in a body region \* % SA equivalent to 1 handprint. % BSA for an individual: mean of % BSA of all 4 body regions, range =0-100%, higher values = greater AD severity.
Change From Baseline in Participant Reported Itch Severity Scale in Participants Aged 6-11 Years at Day 8, 15, 22 and 29Baseline, Day 8, 15, 22 and 29The severity of itch (pruritus) due to AD was assessed using the five-category participant reported itch severity scale for participants aged 6-11 years. Participants at specified time points were asked to circle the face that shows how itchy your skin has been today. The scale ranged from 0 to 4, where 0= no itch and 4= very itch. Higher scores indicated worse itch.
Change From Baseline in Observer Reported Itch Severity Scale in Participants Aged Less Than (<) 6 Years at Day 8, 15, 22 and 29Baseline, Day 8, 15, 22 and 29The severity of itch (pruritus) due to AD was assessed using the participant reported itch severity scale for participants aged \<6 years. Participant's caregivers at specified time points were asked the following question how would you rate your observation of your child's itch (scratching, rubbing) at the worst moment during the previous 24 hours?. The scale ranged from 0 to 10, where 0= no itch and 10= worst itch imaginable. Higher scores indicated worse itch.
Time to Greater Than or Equal to (>=2) Point Improvement From Baseline in Peak Pruritus Numeric Rating Scale (NRS) in Participants Aged Greater Than (>) 12 YearsBaseline up to Day 29The severity of itch (pruritus) due to AD was assessed using the peak pruritus NRS for participants aged \>12 years. Participants at specified time points were asked the following question: how would you rate your itch at the worst moment during the previous 24 hours? The scale ranged from 0 to 10, where 0= no itch and 10= worst itch imaginable. Higher scores indicated worse itch.
Time to >= 3 Point Improvement From Baseline in Peak Pruritus Numeric Rating Scale (NRS) in Participants Aged Greater Than (>)12 YearsBaseline up to Day 29The severity of itch (pruritus) due to AD was assessed using the Peak Pruritus NRS for participants aged \>12 years. Participants at specified time points were asked the following question: how would you rate your itch at the worst moment during the previous 24 hours? The scale ranged from 0 to 10, where 0= no itch and 10= worst itch imaginable. Higher scores indicated worse itch.
Time >=2 Point to Improvement From Baseline in Observer Reported Itch Severity Scale in Participants Aged Less Than (<) 6 YearsBaseline up to Day 29The severity of itch (pruritus) due to AD was assessed using the patient reported itch severity scale for participants aged \<6 years. Participant's caregivers at specified time points were asked the following question how would you rate your observation of your child's itch (scratching, rubbing) at the worst moment during the previous 24 hours?. The scale ranged from 0 to 10, where 0= no itch and 10= worst itch imaginable. Higher scores indicated worse itch.
Change From Baseline in Peak Pruritus Numerical Rating Scale (NRS) in Participants Aged Greater Than or Equal to (>=) 12 Years at Day 8, 15, 22 and 29Baseline, Day 8, 15, 22 and 29The severity of itch (pruritus) due to AD was assessed using the peak pruritus NRS for participants aged \>=12 years. Participants at specified time points were asked the following question: how would you rate your itch at the worst moment during the previous 24 hours? The scale ranged from 0 to 10, where 0= no itch and 10= worst itch imaginable. Higher scores indicated worse itch.
Number of Participants Who Achieved >=2 Point Improvement From Baseline in Peak Pruritus Numeric Rating Scale (NRS) in Participants Aged Greater Than or Equal to (>=) 12 Years at Day 8, 15, 22 and 29Day 8, 15, 22 and 29The severity of itch (pruritus) due to AD was assessed using the peak pruritus NRS for participants aged \>=12 years. Participants at specified time points were asked the following question: how would you rate your itch at the worst moment during the previous 24 hours? The scale ranged from 0 to 10, where 0= no itch and 10= worst itch imaginable. Higher scores indicated worse itch.
Number of Participants Who Achieved >=3 Point Improvement From Baseline in Peak Pruritus Numeric Rating Scale (NRS) in Participants Aged Greater Than or Equal to (>=) 12 Years at Day 8, 15, 22 and 29Day 8, 15, 22 and 29The severity of itch (pruritus) due to AD was assessed using the Peak Pruritus NRS for participants aged \>=12 years. Participants at specified time points were asked the following question: how would you rate your itch at the worst moment during the previous 24 hours? The scale ranged from 0 to 10, where 0= no itch and 10= worst itch imaginable. Higher scores indicated worse itch.
Number of Participants Who Achieved Greater Than or Equal to (>=) 2 Point Improvement From Baseline in Observer Reported Itch Severity Scale in Participants Aged Less Than (<) 6 Years at Day 8, 15, 22 and 29Day 8, 15, 22 and 29The severity of itch (pruritus) due to AD was assessed using the Patient Reported Itch Severity Scale for participants aged \<6 years. Participant's caregivers at specified time points were asked the following question how would you rate your observation of your child's itch (scratching, rubbing) at the worst moment during the previous 24 hours?. The scale ranged from 0 to 10, where 0= no itch and 10= worst itch imaginable. Higher scores indicated worse itch.
Number of Participants Who Achieved Greater Than or Equal to (>=) 3 Point Improvement From Baseline in Observer Reported Itch Severity Scale in Participants Aged Less Than (<) 6 Years at Day 8, 15, 22 and 29Day 8, 15, 22 and 29The severity of itch (pruritus) due to AD was assessed using the Patient Reported Itch Severity Scale for participants aged \<6 years. Participant's caregivers at specified time points were asked the following question how would you rate your observation of your child's itch (scratching, rubbing) at the worst moment during the previous 24 hours?. The scale ranged from 0 to 10, where 0= no itch and 10= worst itch imaginable. Higher scores indicated worse itch.
Change From Baseline in Dermatology Life Quality Index (DLQI) in Participants Greater Than or Equal to (>=) 16 Years at Day 8, 15, 22 and 29Baseline, Day 8, 15, 22 and 29DLQI is a 10-item questionnaire that measures the impact of skin disease on participants aged \>=16 years. Each question was evaluated on a 4-point scale ranging from 0 (not at all) to 3 (very much); where higher scores indicated more impact on quality of life. Scores from all 10 questions were added up to give DLQI total score range from 0 (not at all) to 30 (very much). Higher scores indicated more impact on quality of life of participant.
Change From Baseline in Children's Dermatology Life Quality Index (CDLQI) in Participants Aged 4-15 Years at Day 8, 15, 22 and 29Baseline, Day 8, 15, 22 and 29The CDLQI was a 10-item questionnaire that measures the impact of skin disease on children's (aged 4 to 15 years) 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 CDLQI total score was the sum of individual scores of question 1-10 and ranged from 0 (not at all) to 30 (very much): 0-1 = no effect on the child's life; 2-6 = small effect; 7-12 = moderate effect; 13-18 = very large effect; 19-30 = extremely large effect. Higher scores indicated more impact on quality of life of children.
Change From Baseline in Dermatitis Family Impact Questionnaire (DFI) in Participants Aged 2-17 Years at Day 8, 15, 22 and 29Baseline, Day 8, 15, 22 and 29The DFI was a 10-item disease questionnaire that measures the impact of having a child (aged 2-17 years) with AD on family quality of life. It was completed by parent/legal guardian of the child (affected by AD), based on recall over the past week. Each question was scored on a 4-point scale ranging from 0 (not at all) to 30 (very much): where higher scores indicated worst quality of life of family. The DFI total score was the sum of individual scores of the 10 questions and ranged from 0 (no impact on life of family) to 30 (maximum effect on life of family), where higher DFI scores indicated maximum effect on life of family.
Time to >=3 Point Improvement From Baseline in Observer Reported Itch Severity Scale in Participants Aged Less Than (<) 6 YearsBaseline up to Day 29The severity of itch (pruritus) due to AD was assessed using the Patient Reported Itch Severity Scale for participants aged \<6 years. Participant's caregivers at specified time points were asked the following question how would you rate your observation of your child's itch (scratching, rubbing) at the worst moment during the previous 24 hours?. The scale ranged from 0 to 10, where 0= no itch and 10= worst itch imaginable. Higher scores indicated worse itch.
Percent Change From Baseline in Eczema Area and Severity Index (EASI) Total Score at Day 8, 15 and 22Baseline, Day 8, 15 and 22EASI quantifies severity of participant's AD (excluded scalp) based on lesion severity and %BSA affected. Lesion severity included erythema (E), induration/papulation (I), excoriation (Ex), lichenification (L) scored for 4 regions (head and neck \[h\], upper limbs \[u\], trunk \[t\] \[including axillae, groin\], lower limbs \[l\] \[including buttocks\]) on 4-point scale: 0= absent; 1= mild; 2= moderate; 3= severe. EASI area score(A) based upon %BSA with AD in body region: 0 (0%), 1 (\>0 to \<10%), 2 (10 to \<30%), 3 (30 to \<50%), 4 (50 to \<70%), 5 (70 to \<90%), 6 (90 to 100%). Total EASI score (aged \>=8 years) =0.1\*Ah\*(Eh + Ih + Exh + Lh) + 0.2\*Au\*(Eu + Iu + Exu + Lu) + 0.3\*At\*(Et + It +Ext + Lt) + 0.4\*Al\*(El + Il + Exl + Ll); for aged 2 to \<8 years =0.2\*Ah\*(Eh + Ih + Exh + Lh) + 0.2\*Au\*(Eu + Iu + Exu + Lu) + 0.3\*At\*(Et +It + Ext + Lt) + 0.3\*Al\*(El + Il + Exl + Ll). Total score ranges from 0.0 to 72.0, higher scores indicated greater AD severity.
Number of Participants Who Achieved Success in the Investigator's Static Global Assessment (ISGA) (ISGA Score of Clear [0] or Almost Clear [1] With At-least a 2-Grade Improvement From Baseline) at Day 8, 15, 22 and 29Day 8, 15, 22 and 29ISGA is a five point global assessment scale of AD severity, used to characterize participants' overall disease severity across all treatable AD lesions (excluding the scalp). ISGA score ranged from 0 to 4: where 0= clear (minor residual hypo/hyperpigmentation; no erythema or induration/papulation; no oozing/crusting), 1= almost clear (trace faint pink erythema, with barely perceptible induration/papulation and no oozing/crusting), 2= mild (faint pink erythema with mild induration/papulation and no oozing/crusting), 3= moderate (pink-red erythema with moderate induration/papulation with or without oozing/crusting), 4= severe (deep or bright red erythema with severe induration/papulation and with oozing/crusting). Higher scores indicated greater severity of AD.
Number of Participants Who Achieved Investigator's Static Global Assessment (ISGA) Score of Clear (0) or Almost Clear (1) at Day 8, 15, 22 and 29Day 8, 15, 22 and 29ISGA is a five point global assessment scale of AD severity, used to characterize participants' overall disease severity across all treatable AD lesions (excluding the scalp). ISGA score ranged from 0 to 4: where 0 = clear (minor residual hypo/hyperpigmentation; no erythema or induration/papulation; no oozing/crusting), 1= almost clear (trace faint pink erythema, with barely perceptible induration/papulation and no oozing/crusting), 2= mild (faint pink erythema with mild induration/papulation and no oozing/crusting), 3= moderate (pink-red erythema with moderate induration/papulation with or without oozing/crusting), 4= severe (deep or bright red erythema with severe induration/papulation and with oozing/crusting). Higher scores indicated greater severity of AD.
Number of Participants Who Achieved Greater Than or Equal to (>=) 75 Percent (%) Improvement From Baseline in Eczema Area and Severity Index (EASI) Total Score at Day 8, 15, 22 and 29Day 8, 15, 22 and 29EASI quantifies severity of participant's AD (excluded scalp) based on lesion severity and %BSA affected. Lesion severity included erythema (E), induration/papulation (I), excoriation (Ex), lichenification (L) scored for 4 regions (head and neck \[h\], upper limbs \[u\], trunk \[t\] \[including axillae, groin\], lower limbs \[l\] \[including buttocks\]) on 4-point scale: 0= absent; 1= mild; 2= moderate; 3= severe. EASI area score(A) based upon %BSA with AD in body region: 0 (0%), 1 (\>0 to \<10%), 2 (10 to \<30%), 3 (30 to \<50%), 4 (50 to \<70%), 5 (70 to \<90%), 6 (90 to 100%). Total EASI score (aged \>=8 years) =0.1\*Ah\*(Eh + Ih + Exh + Lh) + 0.2\*Au\*(Eu + Iu + Exu + Lu) + 0.3\*At\*(Et + It +Ext + Lt) + 0.4\*Al\*(El + Il + Exl + Ll); for aged 2 to \<8 years =0.2\*Ah\*(Eh + Ih + Exh + Lh) + 0.2\*Au\*(Eu + Iu + Exu + Lu) + 0.3\*At\*(Et +It + Ext + Lt) + 0.3\*Al\*(El + Il + Exl + Ll). Total score ranges from 0.0 to 72.0, higher scores indicated greater AD severity.

Countries

Germany, Italy, Poland, Sweden, Switzerland, United Kingdom, United States

Participant flow

Recruitment details

At time of early termination, less than 40% of planned participants were treated across treatment groups. Number of participants enrolled up to early termination of study were insufficient to allow a meaningful inference and robust statistical analyses of data. As a result, all safety data was summarized with Cohort 1 and Cohort 2 combined for crisaborole and vehicle groups.

Pre-assignment details

This study was originally plan to conduct in 2 different cohorts for crisaborole and vehicle groups. Cohort 1 was planned for participants eligible for topical corticosteroid (TCS) therapy (hydrocortisone butyrate cream 0.1%), and Cohort 2 was planned for participants not eligible for TCS therapy but eligible for topical calcineurin inhibitor (TCI) therapy (pimecrolimus cream 1%).

Participants by arm

ArmCount
Vehicle
Vehicle matched to crisaborole 2% ointment was applied topically BID to all treatable AD involved areas (excluding the scalp) identified at Baseline (Day 1) through Day 28. End of treatment visit was scheduled on Day 29. Participants were followed-up for at least 28 days after last dose, maximum up to Day 60.
59
Crisaborole Ointment 2% BID
Crisaborole ointment 2% was applied topically BID to all treatable AD involved areas (excluding the scalp) identified at Baseline (Day 1) through Day 28. End of treatment visit was scheduled on Day 29. Participants were followed-up for at least 28 days after last dose, maximum up to Day 60.
58
Hydrocortisone Butyrate Cream 0.1% BID
Hydrocortisone butyrate cream 0.1% was applied topically BID to all treatable AD involved areas (excluding the scalp) identified at Baseline (Day 1) through Day 28. End of treatment visit was scheduled on Day 29. Participants were followed-up for at least 28 days after last dose, maximum up to Day 60.
71
Pimecrolimus Cream 1% BID
Pimecrolimus cream 1% was applied topically BID to all treatable AD involved areas (excluding the scalp) identified at Baseline (Day 1) through Day 28. End of treatment visit was scheduled on Day 29. Participants were followed-up for at least 28 days after last dose, maximum up to Day 60.
47
Total235

Withdrawals & dropouts

PeriodReasonFG000FG001FG002FG003
Overall StudyAdverse Event0200
Overall StudyLost to Follow-up2450
Overall StudyRandomized but not treated1100
Overall StudyWithdrawal by Subject2001
Overall StudyWithdraw by parent/guardian1010

Baseline characteristics

CharacteristicVehicleCrisaborole Ointment 2% BIDHydrocortisone Butyrate Cream 0.1% BIDPimecrolimus Cream 1% BIDTotal
Age, Continuous19.8 Years
STANDARD_DEVIATION 18.22
21.5 Years
STANDARD_DEVIATION 19.12
19.6 Years
STANDARD_DEVIATION 16.28
21.1 Years
STANDARD_DEVIATION 18.2
20.4 Years
STANDARD_DEVIATION 17.79
Ethnicity (NIH/OMB)
Hispanic or Latino
6 Participants1 Participants11 Participants4 Participants22 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
53 Participants57 Participants60 Participants43 Participants213 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants0 Participants0 Participants0 Participants0 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants0 Participants0 Participants0 Participants0 Participants
Race (NIH/OMB)
Asian
2 Participants3 Participants1 Participants3 Participants9 Participants
Race (NIH/OMB)
Black or African American
17 Participants14 Participants23 Participants6 Participants60 Participants
Race (NIH/OMB)
More than one race
1 Participants3 Participants1 Participants0 Participants5 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
1 Participants0 Participants0 Participants0 Participants1 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants0 Participants2 Participants1 Participants3 Participants
Race (NIH/OMB)
White
38 Participants38 Participants44 Participants37 Participants157 Participants
Sex: Female, Male
Female
35 Participants35 Participants43 Participants26 Participants139 Participants
Sex: Female, Male
Male
24 Participants23 Participants28 Participants21 Participants96 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
EG002
affected / at risk
EG003
affected / at risk
deaths
Total, all-cause mortality
0 / 590 / 580 / 710 / 47
other
Total, other adverse events
10 / 5918 / 584 / 7116 / 47
serious
Total, serious adverse events
0 / 590 / 580 / 710 / 47

Outcome results

Primary

Number of Participants With Clinically Significant Abnormal Laboratory Parameters

Hematology parameters included with criteria greater than (\>) 1.2\*upper limit of normal (ULN): leukocytes (10\^3 per cubic millimeter \[10\^3/mm\^3\]), lymphocytes (10\^3/mm\^3), lymphocytes/leukocytes (%), neutrophils (10\^3/mm\^3), neutrophils/leukocytes (%), basophils/leukocytes (%), eosinophils (10\^3/mm\^3), eosinophils/leukocytes (%), monocytes (10\^3/mm\^3), monocytes/leukocytes (%). Clinical chemistry included parameters: aspartate aminotransferase (units per liter \[U/L\]) (\>3.0\* ULN), alanine aminotransferase (U/L) (\>3.0\* ULN), alkaline phosphatase (U/L) (\>3.0\* ULN), creatinine (milligram per deciliter \[mg/dL\]) (\>1.3\* ULN), potassium (milliequivalent per liter \[mEq/L\]) (\>1.1\* ULN), bicarbonate (mEq/L) (\>1.1\* ULN).

Time frame: Screening up to Day 29

Population: Safety analysis set included all participants who received at least 1 dose of the investigational product according to actual treatment received.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
Vehicle: Participants 2-17 YearsNumber of Participants With Clinically Significant Abnormal Laboratory Parameters0 Participants
Crisaborole Ointment 2% BID: Participants 2-17 YearsNumber of Participants With Clinically Significant Abnormal Laboratory Parameters0 Participants
Hydrocortisone Butyrate Cream 0.1% BID: Participants 2-17 YearsNumber of Participants With Clinically Significant Abnormal Laboratory Parameters1 Participants
Pimecrolimus Cream 1% BID: Participants 2-17 YearsNumber of Participants With Clinically Significant Abnormal Laboratory Parameters0 Participants
Primary

Number of Participants With Clinically Significant Changes in Vital Signs

Vital sign measurements included temperature, respiratory rate, pulse rate, and blood pressure. Temperature, respiratory rate, pulse rate, and blood pressure were taken in the seated or supine position, after the participant has been sitting or lying calmly for a minimum of 5 minutes (when possible for younger children). Position of recording was consistent within participant through-out the study.

Time frame: Screening up to Day 29

Population: Safety analysis set included all participants who received at least 1 dose of the investigational product according to actual treatment received.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
Vehicle: Participants 2-17 YearsNumber of Participants With Clinically Significant Changes in Vital Signs0 Participants
Crisaborole Ointment 2% BID: Participants 2-17 YearsNumber of Participants With Clinically Significant Changes in Vital Signs0 Participants
Hydrocortisone Butyrate Cream 0.1% BID: Participants 2-17 YearsNumber of Participants With Clinically Significant Changes in Vital Signs1 Participants
Pimecrolimus Cream 1% BID: Participants 2-17 YearsNumber of Participants With Clinically Significant Changes in Vital Signs0 Participants
Primary

Number of Participants With Local Tolerability Adverse Events (AEs)

Local tolerability AEs included application and instillation site reactions, application site discharge, application site erythema, application site exfoliation, application site pain, application site pruritus, application site swelling, dermatitis and eczema, dermatitis atopic, dermatitis contact, eczema, skin irritation, telangiectasia and related conditions, and urticarias.

Time frame: From Baseline up to 28 days after last dose of study treatment (maximum up to 60 Days)

Population: Safety analysis set included all participants who received at least 1 dose of the investigational product according to actual treatment received.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
Vehicle: Participants 2-17 YearsNumber of Participants With Local Tolerability Adverse Events (AEs)12 Participants
Crisaborole Ointment 2% BID: Participants 2-17 YearsNumber of Participants With Local Tolerability Adverse Events (AEs)13 Participants
Hydrocortisone Butyrate Cream 0.1% BID: Participants 2-17 YearsNumber of Participants With Local Tolerability Adverse Events (AEs)2 Participants
Pimecrolimus Cream 1% BID: Participants 2-17 YearsNumber of Participants With Local Tolerability Adverse Events (AEs)8 Participants
Primary

Number of Participants With Treatment Emergent Adverse Events (TEAEs), Serious Adverse Events (SAEs) and Treatment Discontinuations Due to AEs and SAEs

An AE is any untoward medical occurrence in a study participant administered a product or medical device; the event need not necessarily have a causal relationship with the treatment or usage. TEAEs are events between the first dose of study drug up to 28 days after last dose that were absent before treatment or that worsened relative to pretreatment state. A SAE is any untoward medical occurrence at any dose that: results in death; is life-threatening (immediate risk of death); requires inpatient hospitalization or prolongation of existing hospitalization; results in persistent or significant disability/incapacity (substantial disruption of the ability to conduct normal life functions); results in congenital anomaly/birth defect; or that is considered to be an important medical event.

Time frame: From Baseline up to 28 days after last dose of study treatment (maximum up to 60 Days)

Population: Safety analysis set included all participants who received at least 1 dose of the investigational product according to actual treatment received.

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
Vehicle: Participants 2-17 YearsNumber of Participants With Treatment Emergent Adverse Events (TEAEs), Serious Adverse Events (SAEs) and Treatment Discontinuations Due to AEs and SAEsTEAEs18 Participants
Vehicle: Participants 2-17 YearsNumber of Participants With Treatment Emergent Adverse Events (TEAEs), Serious Adverse Events (SAEs) and Treatment Discontinuations Due to AEs and SAEsSAEs0 Participants
Vehicle: Participants 2-17 YearsNumber of Participants With Treatment Emergent Adverse Events (TEAEs), Serious Adverse Events (SAEs) and Treatment Discontinuations Due to AEs and SAEsDiscontinuation due to AEs0 Participants
Vehicle: Participants 2-17 YearsNumber of Participants With Treatment Emergent Adverse Events (TEAEs), Serious Adverse Events (SAEs) and Treatment Discontinuations Due to AEs and SAEsDiscontinuation due to SAEs0 Participants
Crisaborole Ointment 2% BID: Participants 2-17 YearsNumber of Participants With Treatment Emergent Adverse Events (TEAEs), Serious Adverse Events (SAEs) and Treatment Discontinuations Due to AEs and SAEsSAEs0 Participants
Crisaborole Ointment 2% BID: Participants 2-17 YearsNumber of Participants With Treatment Emergent Adverse Events (TEAEs), Serious Adverse Events (SAEs) and Treatment Discontinuations Due to AEs and SAEsDiscontinuation due to AEs3 Participants
Crisaborole Ointment 2% BID: Participants 2-17 YearsNumber of Participants With Treatment Emergent Adverse Events (TEAEs), Serious Adverse Events (SAEs) and Treatment Discontinuations Due to AEs and SAEsDiscontinuation due to SAEs0 Participants
Crisaborole Ointment 2% BID: Participants 2-17 YearsNumber of Participants With Treatment Emergent Adverse Events (TEAEs), Serious Adverse Events (SAEs) and Treatment Discontinuations Due to AEs and SAEsTEAEs25 Participants
Hydrocortisone Butyrate Cream 0.1% BID: Participants 2-17 YearsNumber of Participants With Treatment Emergent Adverse Events (TEAEs), Serious Adverse Events (SAEs) and Treatment Discontinuations Due to AEs and SAEsDiscontinuation due to AEs0 Participants
Hydrocortisone Butyrate Cream 0.1% BID: Participants 2-17 YearsNumber of Participants With Treatment Emergent Adverse Events (TEAEs), Serious Adverse Events (SAEs) and Treatment Discontinuations Due to AEs and SAEsSAEs0 Participants
Hydrocortisone Butyrate Cream 0.1% BID: Participants 2-17 YearsNumber of Participants With Treatment Emergent Adverse Events (TEAEs), Serious Adverse Events (SAEs) and Treatment Discontinuations Due to AEs and SAEsDiscontinuation due to SAEs0 Participants
Hydrocortisone Butyrate Cream 0.1% BID: Participants 2-17 YearsNumber of Participants With Treatment Emergent Adverse Events (TEAEs), Serious Adverse Events (SAEs) and Treatment Discontinuations Due to AEs and SAEsTEAEs12 Participants
Pimecrolimus Cream 1% BID: Participants 2-17 YearsNumber of Participants With Treatment Emergent Adverse Events (TEAEs), Serious Adverse Events (SAEs) and Treatment Discontinuations Due to AEs and SAEsDiscontinuation due to SAEs0 Participants
Pimecrolimus Cream 1% BID: Participants 2-17 YearsNumber of Participants With Treatment Emergent Adverse Events (TEAEs), Serious Adverse Events (SAEs) and Treatment Discontinuations Due to AEs and SAEsSAEs0 Participants
Pimecrolimus Cream 1% BID: Participants 2-17 YearsNumber of Participants With Treatment Emergent Adverse Events (TEAEs), Serious Adverse Events (SAEs) and Treatment Discontinuations Due to AEs and SAEsTEAEs24 Participants
Pimecrolimus Cream 1% BID: Participants 2-17 YearsNumber of Participants With Treatment Emergent Adverse Events (TEAEs), Serious Adverse Events (SAEs) and Treatment Discontinuations Due to AEs and SAEsDiscontinuation due to AEs0 Participants
Primary

Percent Change From Baseline in the Eczema Area and Severity Index (EASI) Total Score at Day 29

EASI quantifies severity of participant's AD (excluded scalp) based on lesion severity and percent (%) body surface area (%BSA) affected. Lesion severity included erythema (E), induration/papulation (I), excoriation (Ex), lichenification (L) scored for 4 regions (head and neck \[h\], upper limbs \[u\], trunk \[t\] \[including axillae, groin\], lower limbs \[l\] \[including buttocks\]) on 4-point scale: 0= absent; 1= mild; 2= moderate; 3= severe. EASI area score (A) based upon %BSA with AD in body region: 0 (0%), 1 (\>0 to \<10%), 2 (10 to \<30%), 3 (30 to \<50%), 4 (50 to \<70%), 5 (70 to \<90%), 6 (90 to 100%). Total EASI score (aged \>=8 years) =0.1\*Ah\*(Eh + Ih + Exh + Lh) + 0.2\*Au\*(Eu + Iu + Exu + Lu) + 0.3\*At\*(Et + It +Ext + Lt) + 0.4\*Al\*(El + Il + Exl + Ll); for aged 2 to \<8 years =0.2\*Ah\*(Eh + Ih + Exh + Lh) + 0.2\*Au\*(Eu + Iu + Exu + Lu) + 0.3\*At\*(Et +It + Ext + Lt) + 0.3\*Al\*(El + Il + Exl + Ll). Total score ranges from 0.0 to 72.0, higher scores indicated greater AD severity.

Time frame: Baseline, Day 29

Population: FAS included all randomized participants who received at least 1 dose of investigational product. Here, Overall Number of Participants Analyzed= participants evaluable for this outcome measure.

ArmMeasureValue (MEAN)Dispersion
Vehicle: Participants 2-17 YearsPercent Change From Baseline in the Eczema Area and Severity Index (EASI) Total Score at Day 29-26.62 Percent changeStandard Deviation 46.283
Crisaborole Ointment 2% BID: Participants 2-17 YearsPercent Change From Baseline in the Eczema Area and Severity Index (EASI) Total Score at Day 29-49.47 Percent changeStandard Deviation 34.195
Hydrocortisone Butyrate Cream 0.1% BID: Participants 2-17 YearsPercent Change From Baseline in the Eczema Area and Severity Index (EASI) Total Score at Day 29-75.50 Percent changeStandard Deviation 30.305
Pimecrolimus Cream 1% BID: Participants 2-17 YearsPercent Change From Baseline in the Eczema Area and Severity Index (EASI) Total Score at Day 29-60.08 Percent changeStandard Deviation 31.877
Vehicle: Participants >=18 YearsPercent Change From Baseline in the Eczema Area and Severity Index (EASI) Total Score at Day 29-44.67 Percent changeStandard Deviation 49.267
Crisaborole Ointment 2% BID: Participants >=18 YearsPercent Change From Baseline in the Eczema Area and Severity Index (EASI) Total Score at Day 29-57.14 Percent changeStandard Deviation 48.345
Hydrocortisone Butyrate Cream 0.1% BID: Participants >=18 YearsPercent Change From Baseline in the Eczema Area and Severity Index (EASI) Total Score at Day 29-70.29 Percent changeStandard Deviation 32.097
Pimecrolimus Cream 1% BID: Participants >=18 YearsPercent Change From Baseline in the Eczema Area and Severity Index (EASI) Total Score at Day 29-62.59 Percent changeStandard Deviation 28.317
Secondary

Change From Baseline in Children's Dermatology Life Quality Index (CDLQI) in Participants Aged 4-15 Years at Day 8, 15, 22 and 29

The CDLQI was a 10-item questionnaire that measures the impact of skin disease on children's (aged 4 to 15 years) 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 CDLQI total score was the sum of individual scores of question 1-10 and ranged from 0 (not at all) to 30 (very much): 0-1 = no effect on the child's life; 2-6 = small effect; 7-12 = moderate effect; 13-18 = very large effect; 19-30 = extremely large effect. Higher scores indicated more impact on quality of life of children.

Time frame: Baseline, Day 8, 15, 22 and 29

Population: Analysis was performed on all participants aged 4 to 15 years from FAS, and FAS included all randomized participants who received at least 1 dose of investigational product. Here, Overall Number of Participants Analyzed = participants evaluable for this outcome measure and 'number analyzed' = participants evaluable for each specified row.

ArmMeasureGroupValue (MEAN)Dispersion
Vehicle: Participants 2-17 YearsChange From Baseline in Children's Dermatology Life Quality Index (CDLQI) in Participants Aged 4-15 Years at Day 8, 15, 22 and 29Change at Day 8-0.2 Units on a scaleStandard Deviation 3.42
Vehicle: Participants 2-17 YearsChange From Baseline in Children's Dermatology Life Quality Index (CDLQI) in Participants Aged 4-15 Years at Day 8, 15, 22 and 29Change at Day 15-2.0 Units on a scaleStandard Deviation 4.49
Vehicle: Participants 2-17 YearsChange From Baseline in Children's Dermatology Life Quality Index (CDLQI) in Participants Aged 4-15 Years at Day 8, 15, 22 and 29Change at Day 22-2.7 Units on a scaleStandard Deviation 3.04
Vehicle: Participants 2-17 YearsChange From Baseline in Children's Dermatology Life Quality Index (CDLQI) in Participants Aged 4-15 Years at Day 8, 15, 22 and 29Change at Day 29-3.1 Units on a scaleStandard Deviation 2.73
Crisaborole Ointment 2% BID: Participants 2-17 YearsChange From Baseline in Children's Dermatology Life Quality Index (CDLQI) in Participants Aged 4-15 Years at Day 8, 15, 22 and 29Change at Day 15-3.1 Units on a scaleStandard Deviation 5.13
Crisaborole Ointment 2% BID: Participants 2-17 YearsChange From Baseline in Children's Dermatology Life Quality Index (CDLQI) in Participants Aged 4-15 Years at Day 8, 15, 22 and 29Change at Day 22-2.6 Units on a scaleStandard Deviation 5.81
Crisaborole Ointment 2% BID: Participants 2-17 YearsChange From Baseline in Children's Dermatology Life Quality Index (CDLQI) in Participants Aged 4-15 Years at Day 8, 15, 22 and 29Change at Day 29-3.4 Units on a scaleStandard Deviation 4.85
Crisaborole Ointment 2% BID: Participants 2-17 YearsChange From Baseline in Children's Dermatology Life Quality Index (CDLQI) in Participants Aged 4-15 Years at Day 8, 15, 22 and 29Change at Day 8-2.1 Units on a scaleStandard Deviation 4.49
Hydrocortisone Butyrate Cream 0.1% BID: Participants 2-17 YearsChange From Baseline in Children's Dermatology Life Quality Index (CDLQI) in Participants Aged 4-15 Years at Day 8, 15, 22 and 29Change at Day 22-4.9 Units on a scaleStandard Deviation 7.89
Hydrocortisone Butyrate Cream 0.1% BID: Participants 2-17 YearsChange From Baseline in Children's Dermatology Life Quality Index (CDLQI) in Participants Aged 4-15 Years at Day 8, 15, 22 and 29Change at Day 15-5.5 Units on a scaleStandard Deviation 6.32
Hydrocortisone Butyrate Cream 0.1% BID: Participants 2-17 YearsChange From Baseline in Children's Dermatology Life Quality Index (CDLQI) in Participants Aged 4-15 Years at Day 8, 15, 22 and 29Change at Day 29-6.4 Units on a scaleStandard Deviation 5.49
Hydrocortisone Butyrate Cream 0.1% BID: Participants 2-17 YearsChange From Baseline in Children's Dermatology Life Quality Index (CDLQI) in Participants Aged 4-15 Years at Day 8, 15, 22 and 29Change at Day 8-5.4 Units on a scaleStandard Deviation 6.14
Pimecrolimus Cream 1% BID: Participants 2-17 YearsChange From Baseline in Children's Dermatology Life Quality Index (CDLQI) in Participants Aged 4-15 Years at Day 8, 15, 22 and 29Change at Day 29-3.4 Units on a scaleStandard Deviation 3.52
Pimecrolimus Cream 1% BID: Participants 2-17 YearsChange From Baseline in Children's Dermatology Life Quality Index (CDLQI) in Participants Aged 4-15 Years at Day 8, 15, 22 and 29Change at Day 15-1.6 Units on a scaleStandard Deviation 4.66
Pimecrolimus Cream 1% BID: Participants 2-17 YearsChange From Baseline in Children's Dermatology Life Quality Index (CDLQI) in Participants Aged 4-15 Years at Day 8, 15, 22 and 29Change at Day 8-1.7 Units on a scaleStandard Deviation 4.03
Pimecrolimus Cream 1% BID: Participants 2-17 YearsChange From Baseline in Children's Dermatology Life Quality Index (CDLQI) in Participants Aged 4-15 Years at Day 8, 15, 22 and 29Change at Day 22-2.5 Units on a scaleStandard Deviation 3.15
Secondary

Change From Baseline in Dermatitis Family Impact Questionnaire (DFI) in Participants Aged 2-17 Years at Day 8, 15, 22 and 29

The DFI was a 10-item disease questionnaire that measures the impact of having a child (aged 2-17 years) with AD on family quality of life. It was completed by parent/legal guardian of the child (affected by AD), based on recall over the past week. Each question was scored on a 4-point scale ranging from 0 (not at all) to 30 (very much): where higher scores indicated worst quality of life of family. The DFI total score was the sum of individual scores of the 10 questions and ranged from 0 (no impact on life of family) to 30 (maximum effect on life of family), where higher DFI scores indicated maximum effect on life of family.

Time frame: Baseline, Day 8, 15, 22 and 29

Population: Analysis was performed on all participants aged 2 to 17 years from FAS, and FAS included all randomized participants who received at least 1 dose of investigational product. Here, Overall Number of Participants Analyzed = participants evaluable for this outcome measure and 'number analyzed' = participants evaluable for each specified row.

ArmMeasureGroupValue (MEAN)Dispersion
Vehicle: Participants 2-17 YearsChange From Baseline in Dermatitis Family Impact Questionnaire (DFI) in Participants Aged 2-17 Years at Day 8, 15, 22 and 29Change at Day 8-1.2 Units on a scaleStandard Deviation 6.43
Vehicle: Participants 2-17 YearsChange From Baseline in Dermatitis Family Impact Questionnaire (DFI) in Participants Aged 2-17 Years at Day 8, 15, 22 and 29Change at Day 15-1.1 Units on a scaleStandard Deviation 6.77
Vehicle: Participants 2-17 YearsChange From Baseline in Dermatitis Family Impact Questionnaire (DFI) in Participants Aged 2-17 Years at Day 8, 15, 22 and 29Change at Day 22-2.5 Units on a scaleStandard Deviation 4.84
Vehicle: Participants 2-17 YearsChange From Baseline in Dermatitis Family Impact Questionnaire (DFI) in Participants Aged 2-17 Years at Day 8, 15, 22 and 29Change at Day 29-1.8 Units on a scaleStandard Deviation 5.26
Crisaborole Ointment 2% BID: Participants 2-17 YearsChange From Baseline in Dermatitis Family Impact Questionnaire (DFI) in Participants Aged 2-17 Years at Day 8, 15, 22 and 29Change at Day 15-2.3 Units on a scaleStandard Deviation 4.71
Crisaborole Ointment 2% BID: Participants 2-17 YearsChange From Baseline in Dermatitis Family Impact Questionnaire (DFI) in Participants Aged 2-17 Years at Day 8, 15, 22 and 29Change at Day 22-3.1 Units on a scaleStandard Deviation 5.24
Crisaborole Ointment 2% BID: Participants 2-17 YearsChange From Baseline in Dermatitis Family Impact Questionnaire (DFI) in Participants Aged 2-17 Years at Day 8, 15, 22 and 29Change at Day 29-3.6 Units on a scaleStandard Deviation 4.4
Crisaborole Ointment 2% BID: Participants 2-17 YearsChange From Baseline in Dermatitis Family Impact Questionnaire (DFI) in Participants Aged 2-17 Years at Day 8, 15, 22 and 29Change at Day 8-2.3 Units on a scaleStandard Deviation 5.16
Hydrocortisone Butyrate Cream 0.1% BID: Participants 2-17 YearsChange From Baseline in Dermatitis Family Impact Questionnaire (DFI) in Participants Aged 2-17 Years at Day 8, 15, 22 and 29Change at Day 22-5.3 Units on a scaleStandard Deviation 6.92
Hydrocortisone Butyrate Cream 0.1% BID: Participants 2-17 YearsChange From Baseline in Dermatitis Family Impact Questionnaire (DFI) in Participants Aged 2-17 Years at Day 8, 15, 22 and 29Change at Day 15-5.5 Units on a scaleStandard Deviation 6.82
Hydrocortisone Butyrate Cream 0.1% BID: Participants 2-17 YearsChange From Baseline in Dermatitis Family Impact Questionnaire (DFI) in Participants Aged 2-17 Years at Day 8, 15, 22 and 29Change at Day 29-6.4 Units on a scaleStandard Deviation 5.61
Hydrocortisone Butyrate Cream 0.1% BID: Participants 2-17 YearsChange From Baseline in Dermatitis Family Impact Questionnaire (DFI) in Participants Aged 2-17 Years at Day 8, 15, 22 and 29Change at Day 8-5.6 Units on a scaleStandard Deviation 5.61
Pimecrolimus Cream 1% BID: Participants 2-17 YearsChange From Baseline in Dermatitis Family Impact Questionnaire (DFI) in Participants Aged 2-17 Years at Day 8, 15, 22 and 29Change at Day 29-4.8 Units on a scaleStandard Deviation 5.61
Pimecrolimus Cream 1% BID: Participants 2-17 YearsChange From Baseline in Dermatitis Family Impact Questionnaire (DFI) in Participants Aged 2-17 Years at Day 8, 15, 22 and 29Change at Day 15-3.2 Units on a scaleStandard Deviation 5.94
Pimecrolimus Cream 1% BID: Participants 2-17 YearsChange From Baseline in Dermatitis Family Impact Questionnaire (DFI) in Participants Aged 2-17 Years at Day 8, 15, 22 and 29Change at Day 8-2.8 Units on a scaleStandard Deviation 6.79
Pimecrolimus Cream 1% BID: Participants 2-17 YearsChange From Baseline in Dermatitis Family Impact Questionnaire (DFI) in Participants Aged 2-17 Years at Day 8, 15, 22 and 29Change at Day 22-4.5 Units on a scaleStandard Deviation 5.93
Secondary

Change From Baseline in Dermatology Life Quality Index (DLQI) in Participants Greater Than or Equal to (>=) 16 Years at Day 8, 15, 22 and 29

DLQI is a 10-item questionnaire that measures the impact of skin disease on participants aged \>=16 years. Each question was evaluated on a 4-point scale ranging from 0 (not at all) to 3 (very much); where higher scores indicated more impact on quality of life. Scores from all 10 questions were added up to give DLQI total score range from 0 (not at all) to 30 (very much). Higher scores indicated more impact on quality of life of participant.

Time frame: Baseline, Day 8, 15, 22 and 29

Population: Analysis was performed on all participants aged \>=16 years from FAS, and FAS included all randomized participants who received at least 1 dose of investigational product. Here, Overall Number of Participants Analyzed= participants evaluable for this outcome measure and 'number analyzed' signifies number of participants evaluable for each specified row.

ArmMeasureGroupValue (MEAN)Dispersion
Vehicle: Participants 2-17 YearsChange From Baseline in Dermatology Life Quality Index (DLQI) in Participants Greater Than or Equal to (>=) 16 Years at Day 8, 15, 22 and 29Change at Day 8-1.9 Units on a scaleStandard Deviation 5.53
Vehicle: Participants 2-17 YearsChange From Baseline in Dermatology Life Quality Index (DLQI) in Participants Greater Than or Equal to (>=) 16 Years at Day 8, 15, 22 and 29Change at Day 15-3.4 Units on a scaleStandard Deviation 3.72
Vehicle: Participants 2-17 YearsChange From Baseline in Dermatology Life Quality Index (DLQI) in Participants Greater Than or Equal to (>=) 16 Years at Day 8, 15, 22 and 29Change at Day 22-2.8 Units on a scaleStandard Deviation 4.12
Vehicle: Participants 2-17 YearsChange From Baseline in Dermatology Life Quality Index (DLQI) in Participants Greater Than or Equal to (>=) 16 Years at Day 8, 15, 22 and 29Change at Day 29-4.9 Units on a scaleStandard Deviation 5.6
Crisaborole Ointment 2% BID: Participants 2-17 YearsChange From Baseline in Dermatology Life Quality Index (DLQI) in Participants Greater Than or Equal to (>=) 16 Years at Day 8, 15, 22 and 29Change at Day 29-3.9 Units on a scaleStandard Deviation 4.76
Crisaborole Ointment 2% BID: Participants 2-17 YearsChange From Baseline in Dermatology Life Quality Index (DLQI) in Participants Greater Than or Equal to (>=) 16 Years at Day 8, 15, 22 and 29Change at Day 22-3.4 Units on a scaleStandard Deviation 4.73
Crisaborole Ointment 2% BID: Participants 2-17 YearsChange From Baseline in Dermatology Life Quality Index (DLQI) in Participants Greater Than or Equal to (>=) 16 Years at Day 8, 15, 22 and 29Change at Day 8-3.8 Units on a scaleStandard Deviation 3.45
Crisaborole Ointment 2% BID: Participants 2-17 YearsChange From Baseline in Dermatology Life Quality Index (DLQI) in Participants Greater Than or Equal to (>=) 16 Years at Day 8, 15, 22 and 29Change at Day 15-3.5 Units on a scaleStandard Deviation 2.92
Hydrocortisone Butyrate Cream 0.1% BID: Participants 2-17 YearsChange From Baseline in Dermatology Life Quality Index (DLQI) in Participants Greater Than or Equal to (>=) 16 Years at Day 8, 15, 22 and 29Change at Day 15-6.8 Units on a scaleStandard Deviation 5.94
Hydrocortisone Butyrate Cream 0.1% BID: Participants 2-17 YearsChange From Baseline in Dermatology Life Quality Index (DLQI) in Participants Greater Than or Equal to (>=) 16 Years at Day 8, 15, 22 and 29Change at Day 8-5.1 Units on a scaleStandard Deviation 4.98
Hydrocortisone Butyrate Cream 0.1% BID: Participants 2-17 YearsChange From Baseline in Dermatology Life Quality Index (DLQI) in Participants Greater Than or Equal to (>=) 16 Years at Day 8, 15, 22 and 29Change at Day 22-6.9 Units on a scaleStandard Deviation 6.37
Hydrocortisone Butyrate Cream 0.1% BID: Participants 2-17 YearsChange From Baseline in Dermatology Life Quality Index (DLQI) in Participants Greater Than or Equal to (>=) 16 Years at Day 8, 15, 22 and 29Change at Day 29-7.0 Units on a scaleStandard Deviation 6.69
Pimecrolimus Cream 1% BID: Participants 2-17 YearsChange From Baseline in Dermatology Life Quality Index (DLQI) in Participants Greater Than or Equal to (>=) 16 Years at Day 8, 15, 22 and 29Change at Day 8-1.4 Units on a scaleStandard Deviation 2.99
Pimecrolimus Cream 1% BID: Participants 2-17 YearsChange From Baseline in Dermatology Life Quality Index (DLQI) in Participants Greater Than or Equal to (>=) 16 Years at Day 8, 15, 22 and 29Change at Day 15-2.9 Units on a scaleStandard Deviation 2.63
Pimecrolimus Cream 1% BID: Participants 2-17 YearsChange From Baseline in Dermatology Life Quality Index (DLQI) in Participants Greater Than or Equal to (>=) 16 Years at Day 8, 15, 22 and 29Change at Day 22-3.4 Units on a scaleStandard Deviation 3.88
Pimecrolimus Cream 1% BID: Participants 2-17 YearsChange From Baseline in Dermatology Life Quality Index (DLQI) in Participants Greater Than or Equal to (>=) 16 Years at Day 8, 15, 22 and 29Change at Day 29-4.1 Units on a scaleStandard Deviation 3.76
Secondary

Change From Baseline in Observer Reported Itch Severity Scale in Participants Aged Less Than (<) 6 Years at Day 8, 15, 22 and 29

The severity of itch (pruritus) due to AD was assessed using the participant reported itch severity scale for participants aged \<6 years. Participant's caregivers at specified time points were asked the following question how would you rate your observation of your child's itch (scratching, rubbing) at the worst moment during the previous 24 hours?. The scale ranged from 0 to 10, where 0= no itch and 10= worst itch imaginable. Higher scores indicated worse itch.

Time frame: Baseline, Day 8, 15, 22 and 29

Population: Data was not summarized as per SAP which was revised prior to the analyses and which reflect limitations related to reduced sample size (39% enrollment) of early terminated study. Smaller than originally planned sample size was insufficient to allow robust statistical analyses. Pruritus related PRO endpoints used different instruments in each of 3 age groups. As a result, subdividing population based on age group renders smaller sample size in pediatric groups, therefore data was not summarized.

Secondary

Change From Baseline in Participant Reported Itch Severity Scale in Participants Aged 6-11 Years at Day 8, 15, 22 and 29

The severity of itch (pruritus) due to AD was assessed using the five-category participant reported itch severity scale for participants aged 6-11 years. Participants at specified time points were asked to circle the face that shows how itchy your skin has been today. The scale ranged from 0 to 4, where 0= no itch and 4= very itch. Higher scores indicated worse itch.

Time frame: Baseline, Day 8, 15, 22 and 29

Population: Data was not summarized as per SAP which was revised prior to the analyses and which reflect limitations related to reduced sample size (39% enrollment) of early terminated study. Smaller than originally planned sample size was insufficient to allow robust statistical analyses. Pruritus related PRO endpoints used different instruments in each of 3 age groups. As a result, subdividing population based on age group renders smaller sample size in pediatric groups, therefore data was not summarized.

Secondary

Change From Baseline in Peak Pruritus Numerical Rating Scale (NRS) in Participants Aged Greater Than or Equal to (>=) 12 Years at Day 8, 15, 22 and 29

The severity of itch (pruritus) due to AD was assessed using the peak pruritus NRS for participants aged \>=12 years. Participants at specified time points were asked the following question: how would you rate your itch at the worst moment during the previous 24 hours? The scale ranged from 0 to 10, where 0= no itch and 10= worst itch imaginable. Higher scores indicated worse itch.

Time frame: Baseline, Day 8, 15, 22 and 29

Population: Analysis was performed on all participants aged \>=12 years from FAS, and FAS included all randomized participants who received at least 1 dose of investigational product. Here, Overall Number of Participants Analyzed= participants evaluable for this outcome measure and 'number analyzed' signifies number of participants evaluable for each specified row.

ArmMeasureGroupValue (MEAN)Dispersion
Vehicle: Participants 2-17 YearsChange From Baseline in Peak Pruritus Numerical Rating Scale (NRS) in Participants Aged Greater Than or Equal to (>=) 12 Years at Day 8, 15, 22 and 29Change at Day 8-0.67 Units on a scaleStandard Deviation 1.254
Vehicle: Participants 2-17 YearsChange From Baseline in Peak Pruritus Numerical Rating Scale (NRS) in Participants Aged Greater Than or Equal to (>=) 12 Years at Day 8, 15, 22 and 29Change at Day 15-0.97 Units on a scaleStandard Deviation 1.778
Vehicle: Participants 2-17 YearsChange From Baseline in Peak Pruritus Numerical Rating Scale (NRS) in Participants Aged Greater Than or Equal to (>=) 12 Years at Day 8, 15, 22 and 29Change at Day 22-0.98 Units on a scaleStandard Deviation 1.887
Vehicle: Participants 2-17 YearsChange From Baseline in Peak Pruritus Numerical Rating Scale (NRS) in Participants Aged Greater Than or Equal to (>=) 12 Years at Day 8, 15, 22 and 29Change at Day 29-1.30 Units on a scaleStandard Deviation 2.157
Crisaborole Ointment 2% BID: Participants 2-17 YearsChange From Baseline in Peak Pruritus Numerical Rating Scale (NRS) in Participants Aged Greater Than or Equal to (>=) 12 Years at Day 8, 15, 22 and 29Change at Day 15-1.08 Units on a scaleStandard Deviation 1.419
Crisaborole Ointment 2% BID: Participants 2-17 YearsChange From Baseline in Peak Pruritus Numerical Rating Scale (NRS) in Participants Aged Greater Than or Equal to (>=) 12 Years at Day 8, 15, 22 and 29Change at Day 22-1.28 Units on a scaleStandard Deviation 1.642
Crisaborole Ointment 2% BID: Participants 2-17 YearsChange From Baseline in Peak Pruritus Numerical Rating Scale (NRS) in Participants Aged Greater Than or Equal to (>=) 12 Years at Day 8, 15, 22 and 29Change at Day 29-1.65 Units on a scaleStandard Deviation 1.996
Crisaborole Ointment 2% BID: Participants 2-17 YearsChange From Baseline in Peak Pruritus Numerical Rating Scale (NRS) in Participants Aged Greater Than or Equal to (>=) 12 Years at Day 8, 15, 22 and 29Change at Day 8-1.01 Units on a scaleStandard Deviation 1.145
Hydrocortisone Butyrate Cream 0.1% BID: Participants 2-17 YearsChange From Baseline in Peak Pruritus Numerical Rating Scale (NRS) in Participants Aged Greater Than or Equal to (>=) 12 Years at Day 8, 15, 22 and 29Change at Day 22-3.83 Units on a scaleStandard Deviation 2.554
Hydrocortisone Butyrate Cream 0.1% BID: Participants 2-17 YearsChange From Baseline in Peak Pruritus Numerical Rating Scale (NRS) in Participants Aged Greater Than or Equal to (>=) 12 Years at Day 8, 15, 22 and 29Change at Day 15-3.21 Units on a scaleStandard Deviation 2.598
Hydrocortisone Butyrate Cream 0.1% BID: Participants 2-17 YearsChange From Baseline in Peak Pruritus Numerical Rating Scale (NRS) in Participants Aged Greater Than or Equal to (>=) 12 Years at Day 8, 15, 22 and 29Change at Day 29-4.02 Units on a scaleStandard Deviation 2.734
Hydrocortisone Butyrate Cream 0.1% BID: Participants 2-17 YearsChange From Baseline in Peak Pruritus Numerical Rating Scale (NRS) in Participants Aged Greater Than or Equal to (>=) 12 Years at Day 8, 15, 22 and 29Change at Day 8-2.24 Units on a scaleStandard Deviation 2.065
Pimecrolimus Cream 1% BID: Participants 2-17 YearsChange From Baseline in Peak Pruritus Numerical Rating Scale (NRS) in Participants Aged Greater Than or Equal to (>=) 12 Years at Day 8, 15, 22 and 29Change at Day 29-1.67 Units on a scaleStandard Deviation 1.952
Pimecrolimus Cream 1% BID: Participants 2-17 YearsChange From Baseline in Peak Pruritus Numerical Rating Scale (NRS) in Participants Aged Greater Than or Equal to (>=) 12 Years at Day 8, 15, 22 and 29Change at Day 15-1.35 Units on a scaleStandard Deviation 1.707
Pimecrolimus Cream 1% BID: Participants 2-17 YearsChange From Baseline in Peak Pruritus Numerical Rating Scale (NRS) in Participants Aged Greater Than or Equal to (>=) 12 Years at Day 8, 15, 22 and 29Change at Day 8-0.29 Units on a scaleStandard Deviation 1.225
Pimecrolimus Cream 1% BID: Participants 2-17 YearsChange From Baseline in Peak Pruritus Numerical Rating Scale (NRS) in Participants Aged Greater Than or Equal to (>=) 12 Years at Day 8, 15, 22 and 29Change at Day 22-1.66 Units on a scaleStandard Deviation 1.759
Secondary

Change From Baseline in Percent Body Surface Area (%BSA) at Day 8, 15, 22 and 29

Four body regions were evaluated: head and neck, upper limbs, trunk (including axillae) and lower limbs (including buttocks) excluding scalp. BSA was calculated using handprint method. Number of handprints (size of participant's full palmer hand in a closed position) fitting in affected area of a body region was estimated. Maximum number of handprints were: 10 for head, neck (20 for \<8 years age), 20 for upper limbs, 30 for trunk, 40 for lower limbs (30 for \<8 years age). Surface area (SA) of body region equivalent to 1 handprint: 10% for head, neck (5% for \<8 years age), 5% for upper limbs, 3.33% for trunk, 2.5% for lower limbs (3.33% for \<8 years age). Overall %BSA for a body region = total number of handprints in a body region \* % SA equivalent to 1 handprint. % BSA for an individual: mean of % BSA of all 4 body regions, range =0-100%, higher values = greater AD severity.

Time frame: Baseline, Day 8, 15, 22 and 29

Population: FAS included all randomized participants who received at least 1 dose of investigational product. Here 'number analyzed' signifies number of participants evaluable for each specified row.

ArmMeasureGroupValue (MEAN)Dispersion
Vehicle: Participants 2-17 YearsChange From Baseline in Percent Body Surface Area (%BSA) at Day 8, 15, 22 and 29Change at Day 8-2.04 Percent BSAStandard Deviation 7.533
Vehicle: Participants 2-17 YearsChange From Baseline in Percent Body Surface Area (%BSA) at Day 8, 15, 22 and 29Change at Day 15-2.38 Percent BSAStandard Deviation 8.566
Vehicle: Participants 2-17 YearsChange From Baseline in Percent Body Surface Area (%BSA) at Day 8, 15, 22 and 29Change at Day 22-2.23 Percent BSAStandard Deviation 12.321
Vehicle: Participants 2-17 YearsChange From Baseline in Percent Body Surface Area (%BSA) at Day 8, 15, 22 and 29Change at Day 29-3.38 Percent BSAStandard Deviation 9.974
Crisaborole Ointment 2% BID: Participants 2-17 YearsChange From Baseline in Percent Body Surface Area (%BSA) at Day 8, 15, 22 and 29Change at Day 29-9.95 Percent BSAStandard Deviation 11.324
Crisaborole Ointment 2% BID: Participants 2-17 YearsChange From Baseline in Percent Body Surface Area (%BSA) at Day 8, 15, 22 and 29Change at Day 15-4.32 Percent BSAStandard Deviation 12.62
Crisaborole Ointment 2% BID: Participants 2-17 YearsChange From Baseline in Percent Body Surface Area (%BSA) at Day 8, 15, 22 and 29Change at Day 8-2.63 Percent BSAStandard Deviation 11.92
Crisaborole Ointment 2% BID: Participants 2-17 YearsChange From Baseline in Percent Body Surface Area (%BSA) at Day 8, 15, 22 and 29Change at Day 22-7.14 Percent BSAStandard Deviation 10.123
Hydrocortisone Butyrate Cream 0.1% BID: Participants 2-17 YearsChange From Baseline in Percent Body Surface Area (%BSA) at Day 8, 15, 22 and 29Change at Day 8-5.25 Percent BSAStandard Deviation 8.346
Hydrocortisone Butyrate Cream 0.1% BID: Participants 2-17 YearsChange From Baseline in Percent Body Surface Area (%BSA) at Day 8, 15, 22 and 29Change at Day 29-9.63 Percent BSAStandard Deviation 12.309
Hydrocortisone Butyrate Cream 0.1% BID: Participants 2-17 YearsChange From Baseline in Percent Body Surface Area (%BSA) at Day 8, 15, 22 and 29Change at Day 15-7.40 Percent BSAStandard Deviation 9.515
Hydrocortisone Butyrate Cream 0.1% BID: Participants 2-17 YearsChange From Baseline in Percent Body Surface Area (%BSA) at Day 8, 15, 22 and 29Change at Day 22-8.54 Percent BSAStandard Deviation 11.226
Pimecrolimus Cream 1% BID: Participants 2-17 YearsChange From Baseline in Percent Body Surface Area (%BSA) at Day 8, 15, 22 and 29Change at Day 8-2.84 Percent BSAStandard Deviation 5.296
Pimecrolimus Cream 1% BID: Participants 2-17 YearsChange From Baseline in Percent Body Surface Area (%BSA) at Day 8, 15, 22 and 29Change at Day 15-3.72 Percent BSAStandard Deviation 4.401
Pimecrolimus Cream 1% BID: Participants 2-17 YearsChange From Baseline in Percent Body Surface Area (%BSA) at Day 8, 15, 22 and 29Change at Day 22-6.52 Percent BSAStandard Deviation 9.883
Pimecrolimus Cream 1% BID: Participants 2-17 YearsChange From Baseline in Percent Body Surface Area (%BSA) at Day 8, 15, 22 and 29Change at Day 29-7.30 Percent BSAStandard Deviation 10.774
Vehicle: Participants >=18 YearsChange From Baseline in Percent Body Surface Area (%BSA) at Day 8, 15, 22 and 29Change at Day 29-6.76 Percent BSAStandard Deviation 8.089
Vehicle: Participants >=18 YearsChange From Baseline in Percent Body Surface Area (%BSA) at Day 8, 15, 22 and 29Change at Day 22-4.19 Percent BSAStandard Deviation 5.464
Vehicle: Participants >=18 YearsChange From Baseline in Percent Body Surface Area (%BSA) at Day 8, 15, 22 and 29Change at Day 15-3.73 Percent BSAStandard Deviation 5.895
Vehicle: Participants >=18 YearsChange From Baseline in Percent Body Surface Area (%BSA) at Day 8, 15, 22 and 29Change at Day 8-1.39 Percent BSAStandard Deviation 4.417
Crisaborole Ointment 2% BID: Participants >=18 YearsChange From Baseline in Percent Body Surface Area (%BSA) at Day 8, 15, 22 and 29Change at Day 8-4.09 Percent BSAStandard Deviation 6.397
Crisaborole Ointment 2% BID: Participants >=18 YearsChange From Baseline in Percent Body Surface Area (%BSA) at Day 8, 15, 22 and 29Change at Day 29-7.18 Percent BSAStandard Deviation 8.183
Crisaborole Ointment 2% BID: Participants >=18 YearsChange From Baseline in Percent Body Surface Area (%BSA) at Day 8, 15, 22 and 29Change at Day 22-5.98 Percent BSAStandard Deviation 7.852
Crisaborole Ointment 2% BID: Participants >=18 YearsChange From Baseline in Percent Body Surface Area (%BSA) at Day 8, 15, 22 and 29Change at Day 15-4.63 Percent BSAStandard Deviation 7.211
Hydrocortisone Butyrate Cream 0.1% BID: Participants >=18 YearsChange From Baseline in Percent Body Surface Area (%BSA) at Day 8, 15, 22 and 29Change at Day 29-7.18 Percent BSAStandard Deviation 5.971
Hydrocortisone Butyrate Cream 0.1% BID: Participants >=18 YearsChange From Baseline in Percent Body Surface Area (%BSA) at Day 8, 15, 22 and 29Change at Day 8-2.74 Percent BSAStandard Deviation 2.718
Hydrocortisone Butyrate Cream 0.1% BID: Participants >=18 YearsChange From Baseline in Percent Body Surface Area (%BSA) at Day 8, 15, 22 and 29Change at Day 15-5.00 Percent BSAStandard Deviation 5.189
Hydrocortisone Butyrate Cream 0.1% BID: Participants >=18 YearsChange From Baseline in Percent Body Surface Area (%BSA) at Day 8, 15, 22 and 29Change at Day 22-4.91 Percent BSAStandard Deviation 5.19
Pimecrolimus Cream 1% BID: Participants >=18 YearsChange From Baseline in Percent Body Surface Area (%BSA) at Day 8, 15, 22 and 29Change at Day 15-3.56 Percent BSAStandard Deviation 5.75
Pimecrolimus Cream 1% BID: Participants >=18 YearsChange From Baseline in Percent Body Surface Area (%BSA) at Day 8, 15, 22 and 29Change at Day 22-4.17 Percent BSAStandard Deviation 5.588
Pimecrolimus Cream 1% BID: Participants >=18 YearsChange From Baseline in Percent Body Surface Area (%BSA) at Day 8, 15, 22 and 29Change at Day 29-6.86 Percent BSAStandard Deviation 8.172
Pimecrolimus Cream 1% BID: Participants >=18 YearsChange From Baseline in Percent Body Surface Area (%BSA) at Day 8, 15, 22 and 29Change at Day 8-1.44 Percent BSAStandard Deviation 5.6
Secondary

Number of Participants Who Achieved >=2 Point Improvement From Baseline in Peak Pruritus Numeric Rating Scale (NRS) in Participants Aged Greater Than or Equal to (>=) 12 Years at Day 8, 15, 22 and 29

The severity of itch (pruritus) due to AD was assessed using the peak pruritus NRS for participants aged \>=12 years. Participants at specified time points were asked the following question: how would you rate your itch at the worst moment during the previous 24 hours? The scale ranged from 0 to 10, where 0= no itch and 10= worst itch imaginable. Higher scores indicated worse itch.

Time frame: Day 8, 15, 22 and 29

Population: Analysis was performed on all participants aged \>=12 years from FAS, and FAS included all randomized participants who received at least 1 dose of investigational product. Here, Overall Number of Participants Analyzed= participants evaluable for this outcome measure.

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
Vehicle: Participants 2-17 YearsNumber of Participants Who Achieved >=2 Point Improvement From Baseline in Peak Pruritus Numeric Rating Scale (NRS) in Participants Aged Greater Than or Equal to (>=) 12 Years at Day 8, 15, 22 and 29Day 83 Participants
Vehicle: Participants 2-17 YearsNumber of Participants Who Achieved >=2 Point Improvement From Baseline in Peak Pruritus Numeric Rating Scale (NRS) in Participants Aged Greater Than or Equal to (>=) 12 Years at Day 8, 15, 22 and 29Day 159 Participants
Vehicle: Participants 2-17 YearsNumber of Participants Who Achieved >=2 Point Improvement From Baseline in Peak Pruritus Numeric Rating Scale (NRS) in Participants Aged Greater Than or Equal to (>=) 12 Years at Day 8, 15, 22 and 29Day 229 Participants
Vehicle: Participants 2-17 YearsNumber of Participants Who Achieved >=2 Point Improvement From Baseline in Peak Pruritus Numeric Rating Scale (NRS) in Participants Aged Greater Than or Equal to (>=) 12 Years at Day 8, 15, 22 and 29Day 2910 Participants
Crisaborole Ointment 2% BID: Participants 2-17 YearsNumber of Participants Who Achieved >=2 Point Improvement From Baseline in Peak Pruritus Numeric Rating Scale (NRS) in Participants Aged Greater Than or Equal to (>=) 12 Years at Day 8, 15, 22 and 29Day 158 Participants
Crisaborole Ointment 2% BID: Participants 2-17 YearsNumber of Participants Who Achieved >=2 Point Improvement From Baseline in Peak Pruritus Numeric Rating Scale (NRS) in Participants Aged Greater Than or Equal to (>=) 12 Years at Day 8, 15, 22 and 29Day 227 Participants
Crisaborole Ointment 2% BID: Participants 2-17 YearsNumber of Participants Who Achieved >=2 Point Improvement From Baseline in Peak Pruritus Numeric Rating Scale (NRS) in Participants Aged Greater Than or Equal to (>=) 12 Years at Day 8, 15, 22 and 29Day 299 Participants
Crisaborole Ointment 2% BID: Participants 2-17 YearsNumber of Participants Who Achieved >=2 Point Improvement From Baseline in Peak Pruritus Numeric Rating Scale (NRS) in Participants Aged Greater Than or Equal to (>=) 12 Years at Day 8, 15, 22 and 29Day 87 Participants
Hydrocortisone Butyrate Cream 0.1% BID: Participants 2-17 YearsNumber of Participants Who Achieved >=2 Point Improvement From Baseline in Peak Pruritus Numeric Rating Scale (NRS) in Participants Aged Greater Than or Equal to (>=) 12 Years at Day 8, 15, 22 and 29Day 2232 Participants
Hydrocortisone Butyrate Cream 0.1% BID: Participants 2-17 YearsNumber of Participants Who Achieved >=2 Point Improvement From Baseline in Peak Pruritus Numeric Rating Scale (NRS) in Participants Aged Greater Than or Equal to (>=) 12 Years at Day 8, 15, 22 and 29Day 1531 Participants
Hydrocortisone Butyrate Cream 0.1% BID: Participants 2-17 YearsNumber of Participants Who Achieved >=2 Point Improvement From Baseline in Peak Pruritus Numeric Rating Scale (NRS) in Participants Aged Greater Than or Equal to (>=) 12 Years at Day 8, 15, 22 and 29Day 2932 Participants
Hydrocortisone Butyrate Cream 0.1% BID: Participants 2-17 YearsNumber of Participants Who Achieved >=2 Point Improvement From Baseline in Peak Pruritus Numeric Rating Scale (NRS) in Participants Aged Greater Than or Equal to (>=) 12 Years at Day 8, 15, 22 and 29Day 821 Participants
Pimecrolimus Cream 1% BID: Participants 2-17 YearsNumber of Participants Who Achieved >=2 Point Improvement From Baseline in Peak Pruritus Numeric Rating Scale (NRS) in Participants Aged Greater Than or Equal to (>=) 12 Years at Day 8, 15, 22 and 29Day 299 Participants
Pimecrolimus Cream 1% BID: Participants 2-17 YearsNumber of Participants Who Achieved >=2 Point Improvement From Baseline in Peak Pruritus Numeric Rating Scale (NRS) in Participants Aged Greater Than or Equal to (>=) 12 Years at Day 8, 15, 22 and 29Day 157 Participants
Pimecrolimus Cream 1% BID: Participants 2-17 YearsNumber of Participants Who Achieved >=2 Point Improvement From Baseline in Peak Pruritus Numeric Rating Scale (NRS) in Participants Aged Greater Than or Equal to (>=) 12 Years at Day 8, 15, 22 and 29Day 81 Participants
Pimecrolimus Cream 1% BID: Participants 2-17 YearsNumber of Participants Who Achieved >=2 Point Improvement From Baseline in Peak Pruritus Numeric Rating Scale (NRS) in Participants Aged Greater Than or Equal to (>=) 12 Years at Day 8, 15, 22 and 29Day 229 Participants
Secondary

Number of Participants Who Achieved >=3 Point Improvement From Baseline in Peak Pruritus Numeric Rating Scale (NRS) in Participants Aged Greater Than or Equal to (>=) 12 Years at Day 8, 15, 22 and 29

The severity of itch (pruritus) due to AD was assessed using the Peak Pruritus NRS for participants aged \>=12 years. Participants at specified time points were asked the following question: how would you rate your itch at the worst moment during the previous 24 hours? The scale ranged from 0 to 10, where 0= no itch and 10= worst itch imaginable. Higher scores indicated worse itch.

Time frame: Day 8, 15, 22 and 29

Population: Analysis was performed on all participants aged \>=12 years from FAS, and FAS included all randomized participants who received at least 1 dose of investigational product. Here, Overall Number of Participants Analyzed= participants evaluable for this outcome measure.

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
Vehicle: Participants 2-17 YearsNumber of Participants Who Achieved >=3 Point Improvement From Baseline in Peak Pruritus Numeric Rating Scale (NRS) in Participants Aged Greater Than or Equal to (>=) 12 Years at Day 8, 15, 22 and 29Day 82 Participants
Vehicle: Participants 2-17 YearsNumber of Participants Who Achieved >=3 Point Improvement From Baseline in Peak Pruritus Numeric Rating Scale (NRS) in Participants Aged Greater Than or Equal to (>=) 12 Years at Day 8, 15, 22 and 29Day 155 Participants
Vehicle: Participants 2-17 YearsNumber of Participants Who Achieved >=3 Point Improvement From Baseline in Peak Pruritus Numeric Rating Scale (NRS) in Participants Aged Greater Than or Equal to (>=) 12 Years at Day 8, 15, 22 and 29Day 224 Participants
Vehicle: Participants 2-17 YearsNumber of Participants Who Achieved >=3 Point Improvement From Baseline in Peak Pruritus Numeric Rating Scale (NRS) in Participants Aged Greater Than or Equal to (>=) 12 Years at Day 8, 15, 22 and 29Day 296 Participants
Crisaborole Ointment 2% BID: Participants 2-17 YearsNumber of Participants Who Achieved >=3 Point Improvement From Baseline in Peak Pruritus Numeric Rating Scale (NRS) in Participants Aged Greater Than or Equal to (>=) 12 Years at Day 8, 15, 22 and 29Day 155 Participants
Crisaborole Ointment 2% BID: Participants 2-17 YearsNumber of Participants Who Achieved >=3 Point Improvement From Baseline in Peak Pruritus Numeric Rating Scale (NRS) in Participants Aged Greater Than or Equal to (>=) 12 Years at Day 8, 15, 22 and 29Day 224 Participants
Crisaborole Ointment 2% BID: Participants 2-17 YearsNumber of Participants Who Achieved >=3 Point Improvement From Baseline in Peak Pruritus Numeric Rating Scale (NRS) in Participants Aged Greater Than or Equal to (>=) 12 Years at Day 8, 15, 22 and 29Day 296 Participants
Crisaborole Ointment 2% BID: Participants 2-17 YearsNumber of Participants Who Achieved >=3 Point Improvement From Baseline in Peak Pruritus Numeric Rating Scale (NRS) in Participants Aged Greater Than or Equal to (>=) 12 Years at Day 8, 15, 22 and 29Day 81 Participants
Hydrocortisone Butyrate Cream 0.1% BID: Participants 2-17 YearsNumber of Participants Who Achieved >=3 Point Improvement From Baseline in Peak Pruritus Numeric Rating Scale (NRS) in Participants Aged Greater Than or Equal to (>=) 12 Years at Day 8, 15, 22 and 29Day 2225 Participants
Hydrocortisone Butyrate Cream 0.1% BID: Participants 2-17 YearsNumber of Participants Who Achieved >=3 Point Improvement From Baseline in Peak Pruritus Numeric Rating Scale (NRS) in Participants Aged Greater Than or Equal to (>=) 12 Years at Day 8, 15, 22 and 29Day 1521 Participants
Hydrocortisone Butyrate Cream 0.1% BID: Participants 2-17 YearsNumber of Participants Who Achieved >=3 Point Improvement From Baseline in Peak Pruritus Numeric Rating Scale (NRS) in Participants Aged Greater Than or Equal to (>=) 12 Years at Day 8, 15, 22 and 29Day 2924 Participants
Hydrocortisone Butyrate Cream 0.1% BID: Participants 2-17 YearsNumber of Participants Who Achieved >=3 Point Improvement From Baseline in Peak Pruritus Numeric Rating Scale (NRS) in Participants Aged Greater Than or Equal to (>=) 12 Years at Day 8, 15, 22 and 29Day 811 Participants
Pimecrolimus Cream 1% BID: Participants 2-17 YearsNumber of Participants Who Achieved >=3 Point Improvement From Baseline in Peak Pruritus Numeric Rating Scale (NRS) in Participants Aged Greater Than or Equal to (>=) 12 Years at Day 8, 15, 22 and 29Day 296 Participants
Pimecrolimus Cream 1% BID: Participants 2-17 YearsNumber of Participants Who Achieved >=3 Point Improvement From Baseline in Peak Pruritus Numeric Rating Scale (NRS) in Participants Aged Greater Than or Equal to (>=) 12 Years at Day 8, 15, 22 and 29Day 153 Participants
Pimecrolimus Cream 1% BID: Participants 2-17 YearsNumber of Participants Who Achieved >=3 Point Improvement From Baseline in Peak Pruritus Numeric Rating Scale (NRS) in Participants Aged Greater Than or Equal to (>=) 12 Years at Day 8, 15, 22 and 29Day 80 Participants
Pimecrolimus Cream 1% BID: Participants 2-17 YearsNumber of Participants Who Achieved >=3 Point Improvement From Baseline in Peak Pruritus Numeric Rating Scale (NRS) in Participants Aged Greater Than or Equal to (>=) 12 Years at Day 8, 15, 22 and 29Day 224 Participants
Secondary

Number of Participants Who Achieved Greater Than or Equal to (>=) 2 Point Improvement From Baseline in Observer Reported Itch Severity Scale in Participants Aged Less Than (<) 6 Years at Day 8, 15, 22 and 29

The severity of itch (pruritus) due to AD was assessed using the Patient Reported Itch Severity Scale for participants aged \<6 years. Participant's caregivers at specified time points were asked the following question how would you rate your observation of your child's itch (scratching, rubbing) at the worst moment during the previous 24 hours?. The scale ranged from 0 to 10, where 0= no itch and 10= worst itch imaginable. Higher scores indicated worse itch.

Time frame: Day 8, 15, 22 and 29

Population: Data was not summarized as per SAP which was revised prior to the analyses and which reflect limitations related to reduced sample size (39% enrollment) of early terminated study. Smaller than originally planned sample size was insufficient to allow robust statistical analyses. Pruritus related PRO endpoints used different instruments in each of 3 age groups. As a result, subdividing population based on age group renders smaller sample size in pediatric groups, therefore data was not summarized.

Secondary

Number of Participants Who Achieved Greater Than or Equal to (>=) 3 Point Improvement From Baseline in Observer Reported Itch Severity Scale in Participants Aged Less Than (<) 6 Years at Day 8, 15, 22 and 29

The severity of itch (pruritus) due to AD was assessed using the Patient Reported Itch Severity Scale for participants aged \<6 years. Participant's caregivers at specified time points were asked the following question how would you rate your observation of your child's itch (scratching, rubbing) at the worst moment during the previous 24 hours?. The scale ranged from 0 to 10, where 0= no itch and 10= worst itch imaginable. Higher scores indicated worse itch.

Time frame: Day 8, 15, 22 and 29

Population: Data was not summarized as per SAP which was revised prior to the analyses and which reflect limitations related to reduced sample size (39% enrollment) of early terminated study. Smaller than originally planned sample size was insufficient to allow robust statistical analyses. Pruritus related PRO endpoints used different instruments in each of 3 age groups. As a result, subdividing population based on age group renders smaller sample size in pediatric groups, therefore data was not summarized.

Secondary

Number of Participants Who Achieved Greater Than or Equal to (>=) 75 Percent (%) Improvement From Baseline in Eczema Area and Severity Index (EASI) Total Score at Day 8, 15, 22 and 29

EASI quantifies severity of participant's AD (excluded scalp) based on lesion severity and %BSA affected. Lesion severity included erythema (E), induration/papulation (I), excoriation (Ex), lichenification (L) scored for 4 regions (head and neck \[h\], upper limbs \[u\], trunk \[t\] \[including axillae, groin\], lower limbs \[l\] \[including buttocks\]) on 4-point scale: 0= absent; 1= mild; 2= moderate; 3= severe. EASI area score(A) based upon %BSA with AD in body region: 0 (0%), 1 (\>0 to \<10%), 2 (10 to \<30%), 3 (30 to \<50%), 4 (50 to \<70%), 5 (70 to \<90%), 6 (90 to 100%). Total EASI score (aged \>=8 years) =0.1\*Ah\*(Eh + Ih + Exh + Lh) + 0.2\*Au\*(Eu + Iu + Exu + Lu) + 0.3\*At\*(Et + It +Ext + Lt) + 0.4\*Al\*(El + Il + Exl + Ll); for aged 2 to \<8 years =0.2\*Ah\*(Eh + Ih + Exh + Lh) + 0.2\*Au\*(Eu + Iu + Exu + Lu) + 0.3\*At\*(Et +It + Ext + Lt) + 0.3\*Al\*(El + Il + Exl + Ll). Total score ranges from 0.0 to 72.0, higher scores indicated greater AD severity.

Time frame: Day 8, 15, 22 and 29

Population: FAS included all randomized participants who received at least 1 dose of investigational product. Here, Overall Number of Participants Analyzed= participants evaluable for this outcome measure.

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
Vehicle: Participants 2-17 YearsNumber of Participants Who Achieved Greater Than or Equal to (>=) 75 Percent (%) Improvement From Baseline in Eczema Area and Severity Index (EASI) Total Score at Day 8, 15, 22 and 29Day 82 Participants
Vehicle: Participants 2-17 YearsNumber of Participants Who Achieved Greater Than or Equal to (>=) 75 Percent (%) Improvement From Baseline in Eczema Area and Severity Index (EASI) Total Score at Day 8, 15, 22 and 29Day 154 Participants
Vehicle: Participants 2-17 YearsNumber of Participants Who Achieved Greater Than or Equal to (>=) 75 Percent (%) Improvement From Baseline in Eczema Area and Severity Index (EASI) Total Score at Day 8, 15, 22 and 29Day 228 Participants
Vehicle: Participants 2-17 YearsNumber of Participants Who Achieved Greater Than or Equal to (>=) 75 Percent (%) Improvement From Baseline in Eczema Area and Severity Index (EASI) Total Score at Day 8, 15, 22 and 29Day 299 Participants
Crisaborole Ointment 2% BID: Participants 2-17 YearsNumber of Participants Who Achieved Greater Than or Equal to (>=) 75 Percent (%) Improvement From Baseline in Eczema Area and Severity Index (EASI) Total Score at Day 8, 15, 22 and 29Day 1510 Participants
Crisaborole Ointment 2% BID: Participants 2-17 YearsNumber of Participants Who Achieved Greater Than or Equal to (>=) 75 Percent (%) Improvement From Baseline in Eczema Area and Severity Index (EASI) Total Score at Day 8, 15, 22 and 29Day 2213 Participants
Crisaborole Ointment 2% BID: Participants 2-17 YearsNumber of Participants Who Achieved Greater Than or Equal to (>=) 75 Percent (%) Improvement From Baseline in Eczema Area and Severity Index (EASI) Total Score at Day 8, 15, 22 and 29Day 2917 Participants
Crisaborole Ointment 2% BID: Participants 2-17 YearsNumber of Participants Who Achieved Greater Than or Equal to (>=) 75 Percent (%) Improvement From Baseline in Eczema Area and Severity Index (EASI) Total Score at Day 8, 15, 22 and 29Day 87 Participants
Hydrocortisone Butyrate Cream 0.1% BID: Participants 2-17 YearsNumber of Participants Who Achieved Greater Than or Equal to (>=) 75 Percent (%) Improvement From Baseline in Eczema Area and Severity Index (EASI) Total Score at Day 8, 15, 22 and 29Day 2229 Participants
Hydrocortisone Butyrate Cream 0.1% BID: Participants 2-17 YearsNumber of Participants Who Achieved Greater Than or Equal to (>=) 75 Percent (%) Improvement From Baseline in Eczema Area and Severity Index (EASI) Total Score at Day 8, 15, 22 and 29Day 1525 Participants
Hydrocortisone Butyrate Cream 0.1% BID: Participants 2-17 YearsNumber of Participants Who Achieved Greater Than or Equal to (>=) 75 Percent (%) Improvement From Baseline in Eczema Area and Severity Index (EASI) Total Score at Day 8, 15, 22 and 29Day 2940 Participants
Hydrocortisone Butyrate Cream 0.1% BID: Participants 2-17 YearsNumber of Participants Who Achieved Greater Than or Equal to (>=) 75 Percent (%) Improvement From Baseline in Eczema Area and Severity Index (EASI) Total Score at Day 8, 15, 22 and 29Day 89 Participants
Pimecrolimus Cream 1% BID: Participants 2-17 YearsNumber of Participants Who Achieved Greater Than or Equal to (>=) 75 Percent (%) Improvement From Baseline in Eczema Area and Severity Index (EASI) Total Score at Day 8, 15, 22 and 29Day 2917 Participants
Pimecrolimus Cream 1% BID: Participants 2-17 YearsNumber of Participants Who Achieved Greater Than or Equal to (>=) 75 Percent (%) Improvement From Baseline in Eczema Area and Severity Index (EASI) Total Score at Day 8, 15, 22 and 29Day 158 Participants
Pimecrolimus Cream 1% BID: Participants 2-17 YearsNumber of Participants Who Achieved Greater Than or Equal to (>=) 75 Percent (%) Improvement From Baseline in Eczema Area and Severity Index (EASI) Total Score at Day 8, 15, 22 and 29Day 82 Participants
Pimecrolimus Cream 1% BID: Participants 2-17 YearsNumber of Participants Who Achieved Greater Than or Equal to (>=) 75 Percent (%) Improvement From Baseline in Eczema Area and Severity Index (EASI) Total Score at Day 8, 15, 22 and 29Day 2211 Participants
Secondary

Number of Participants Who Achieved Investigator's Static Global Assessment (ISGA) Score of Clear (0) or Almost Clear (1) at Day 8, 15, 22 and 29

ISGA is a five point global assessment scale of AD severity, used to characterize participants' overall disease severity across all treatable AD lesions (excluding the scalp). ISGA score ranged from 0 to 4: where 0 = clear (minor residual hypo/hyperpigmentation; no erythema or induration/papulation; no oozing/crusting), 1= almost clear (trace faint pink erythema, with barely perceptible induration/papulation and no oozing/crusting), 2= mild (faint pink erythema with mild induration/papulation and no oozing/crusting), 3= moderate (pink-red erythema with moderate induration/papulation with or without oozing/crusting), 4= severe (deep or bright red erythema with severe induration/papulation and with oozing/crusting). Higher scores indicated greater severity of AD.

Time frame: Day 8, 15, 22 and 29

Population: FAS included all randomized participants who received at least 1 dose of investigational product.

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
Vehicle: Participants 2-17 YearsNumber of Participants Who Achieved Investigator's Static Global Assessment (ISGA) Score of Clear (0) or Almost Clear (1) at Day 8, 15, 22 and 29Day 86 Participants
Vehicle: Participants 2-17 YearsNumber of Participants Who Achieved Investigator's Static Global Assessment (ISGA) Score of Clear (0) or Almost Clear (1) at Day 8, 15, 22 and 29Day 156 Participants
Vehicle: Participants 2-17 YearsNumber of Participants Who Achieved Investigator's Static Global Assessment (ISGA) Score of Clear (0) or Almost Clear (1) at Day 8, 15, 22 and 29Day 226 Participants
Vehicle: Participants 2-17 YearsNumber of Participants Who Achieved Investigator's Static Global Assessment (ISGA) Score of Clear (0) or Almost Clear (1) at Day 8, 15, 22 and 29Day 296 Participants
Crisaborole Ointment 2% BID: Participants 2-17 YearsNumber of Participants Who Achieved Investigator's Static Global Assessment (ISGA) Score of Clear (0) or Almost Clear (1) at Day 8, 15, 22 and 29Day 2910 Participants
Crisaborole Ointment 2% BID: Participants 2-17 YearsNumber of Participants Who Achieved Investigator's Static Global Assessment (ISGA) Score of Clear (0) or Almost Clear (1) at Day 8, 15, 22 and 29Day 157 Participants
Crisaborole Ointment 2% BID: Participants 2-17 YearsNumber of Participants Who Achieved Investigator's Static Global Assessment (ISGA) Score of Clear (0) or Almost Clear (1) at Day 8, 15, 22 and 29Day 83 Participants
Crisaborole Ointment 2% BID: Participants 2-17 YearsNumber of Participants Who Achieved Investigator's Static Global Assessment (ISGA) Score of Clear (0) or Almost Clear (1) at Day 8, 15, 22 and 29Day 228 Participants
Hydrocortisone Butyrate Cream 0.1% BID: Participants 2-17 YearsNumber of Participants Who Achieved Investigator's Static Global Assessment (ISGA) Score of Clear (0) or Almost Clear (1) at Day 8, 15, 22 and 29Day 812 Participants
Hydrocortisone Butyrate Cream 0.1% BID: Participants 2-17 YearsNumber of Participants Who Achieved Investigator's Static Global Assessment (ISGA) Score of Clear (0) or Almost Clear (1) at Day 8, 15, 22 and 29Day 2927 Participants
Hydrocortisone Butyrate Cream 0.1% BID: Participants 2-17 YearsNumber of Participants Who Achieved Investigator's Static Global Assessment (ISGA) Score of Clear (0) or Almost Clear (1) at Day 8, 15, 22 and 29Day 1519 Participants
Hydrocortisone Butyrate Cream 0.1% BID: Participants 2-17 YearsNumber of Participants Who Achieved Investigator's Static Global Assessment (ISGA) Score of Clear (0) or Almost Clear (1) at Day 8, 15, 22 and 29Day 2219 Participants
Pimecrolimus Cream 1% BID: Participants 2-17 YearsNumber of Participants Who Achieved Investigator's Static Global Assessment (ISGA) Score of Clear (0) or Almost Clear (1) at Day 8, 15, 22 and 29Day 85 Participants
Pimecrolimus Cream 1% BID: Participants 2-17 YearsNumber of Participants Who Achieved Investigator's Static Global Assessment (ISGA) Score of Clear (0) or Almost Clear (1) at Day 8, 15, 22 and 29Day 159 Participants
Pimecrolimus Cream 1% BID: Participants 2-17 YearsNumber of Participants Who Achieved Investigator's Static Global Assessment (ISGA) Score of Clear (0) or Almost Clear (1) at Day 8, 15, 22 and 29Day 229 Participants
Pimecrolimus Cream 1% BID: Participants 2-17 YearsNumber of Participants Who Achieved Investigator's Static Global Assessment (ISGA) Score of Clear (0) or Almost Clear (1) at Day 8, 15, 22 and 29Day 2913 Participants
Vehicle: Participants >=18 YearsNumber of Participants Who Achieved Investigator's Static Global Assessment (ISGA) Score of Clear (0) or Almost Clear (1) at Day 8, 15, 22 and 29Day 294 Participants
Vehicle: Participants >=18 YearsNumber of Participants Who Achieved Investigator's Static Global Assessment (ISGA) Score of Clear (0) or Almost Clear (1) at Day 8, 15, 22 and 29Day 221 Participants
Vehicle: Participants >=18 YearsNumber of Participants Who Achieved Investigator's Static Global Assessment (ISGA) Score of Clear (0) or Almost Clear (1) at Day 8, 15, 22 and 29Day 151 Participants
Vehicle: Participants >=18 YearsNumber of Participants Who Achieved Investigator's Static Global Assessment (ISGA) Score of Clear (0) or Almost Clear (1) at Day 8, 15, 22 and 29Day 80 Participants
Crisaborole Ointment 2% BID: Participants >=18 YearsNumber of Participants Who Achieved Investigator's Static Global Assessment (ISGA) Score of Clear (0) or Almost Clear (1) at Day 8, 15, 22 and 29Day 299 Participants
Crisaborole Ointment 2% BID: Participants >=18 YearsNumber of Participants Who Achieved Investigator's Static Global Assessment (ISGA) Score of Clear (0) or Almost Clear (1) at Day 8, 15, 22 and 29Day 228 Participants
Crisaborole Ointment 2% BID: Participants >=18 YearsNumber of Participants Who Achieved Investigator's Static Global Assessment (ISGA) Score of Clear (0) or Almost Clear (1) at Day 8, 15, 22 and 29Day 153 Participants
Crisaborole Ointment 2% BID: Participants >=18 YearsNumber of Participants Who Achieved Investigator's Static Global Assessment (ISGA) Score of Clear (0) or Almost Clear (1) at Day 8, 15, 22 and 29Day 84 Participants
Hydrocortisone Butyrate Cream 0.1% BID: Participants >=18 YearsNumber of Participants Who Achieved Investigator's Static Global Assessment (ISGA) Score of Clear (0) or Almost Clear (1) at Day 8, 15, 22 and 29Day 2920 Participants
Hydrocortisone Butyrate Cream 0.1% BID: Participants >=18 YearsNumber of Participants Who Achieved Investigator's Static Global Assessment (ISGA) Score of Clear (0) or Almost Clear (1) at Day 8, 15, 22 and 29Day 84 Participants
Hydrocortisone Butyrate Cream 0.1% BID: Participants >=18 YearsNumber of Participants Who Achieved Investigator's Static Global Assessment (ISGA) Score of Clear (0) or Almost Clear (1) at Day 8, 15, 22 and 29Day 2213 Participants
Hydrocortisone Butyrate Cream 0.1% BID: Participants >=18 YearsNumber of Participants Who Achieved Investigator's Static Global Assessment (ISGA) Score of Clear (0) or Almost Clear (1) at Day 8, 15, 22 and 29Day 1511 Participants
Pimecrolimus Cream 1% BID: Participants >=18 YearsNumber of Participants Who Achieved Investigator's Static Global Assessment (ISGA) Score of Clear (0) or Almost Clear (1) at Day 8, 15, 22 and 29Day 155 Participants
Pimecrolimus Cream 1% BID: Participants >=18 YearsNumber of Participants Who Achieved Investigator's Static Global Assessment (ISGA) Score of Clear (0) or Almost Clear (1) at Day 8, 15, 22 and 29Day 225 Participants
Pimecrolimus Cream 1% BID: Participants >=18 YearsNumber of Participants Who Achieved Investigator's Static Global Assessment (ISGA) Score of Clear (0) or Almost Clear (1) at Day 8, 15, 22 and 29Day 297 Participants
Pimecrolimus Cream 1% BID: Participants >=18 YearsNumber of Participants Who Achieved Investigator's Static Global Assessment (ISGA) Score of Clear (0) or Almost Clear (1) at Day 8, 15, 22 and 29Day 82 Participants
Secondary

Number of Participants Who Achieved Success in the Investigator's Static Global Assessment (ISGA) (ISGA Score of Clear [0] or Almost Clear [1] With At-least a 2-Grade Improvement From Baseline) at Day 8, 15, 22 and 29

ISGA is a five point global assessment scale of AD severity, used to characterize participants' overall disease severity across all treatable AD lesions (excluding the scalp). ISGA score ranged from 0 to 4: where 0= clear (minor residual hypo/hyperpigmentation; no erythema or induration/papulation; no oozing/crusting), 1= almost clear (trace faint pink erythema, with barely perceptible induration/papulation and no oozing/crusting), 2= mild (faint pink erythema with mild induration/papulation and no oozing/crusting), 3= moderate (pink-red erythema with moderate induration/papulation with or without oozing/crusting), 4= severe (deep or bright red erythema with severe induration/papulation and with oozing/crusting). Higher scores indicated greater severity of AD.

Time frame: Day 8, 15, 22 and 29

Population: FAS included all randomized participants who received at least 1 dose of investigational product.

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
Vehicle: Participants 2-17 YearsNumber of Participants Who Achieved Success in the Investigator's Static Global Assessment (ISGA) (ISGA Score of Clear [0] or Almost Clear [1] With At-least a 2-Grade Improvement From Baseline) at Day 8, 15, 22 and 29Day 82 Participants
Vehicle: Participants 2-17 YearsNumber of Participants Who Achieved Success in the Investigator's Static Global Assessment (ISGA) (ISGA Score of Clear [0] or Almost Clear [1] With At-least a 2-Grade Improvement From Baseline) at Day 8, 15, 22 and 29Day 151 Participants
Vehicle: Participants 2-17 YearsNumber of Participants Who Achieved Success in the Investigator's Static Global Assessment (ISGA) (ISGA Score of Clear [0] or Almost Clear [1] With At-least a 2-Grade Improvement From Baseline) at Day 8, 15, 22 and 29Day 222 Participants
Vehicle: Participants 2-17 YearsNumber of Participants Who Achieved Success in the Investigator's Static Global Assessment (ISGA) (ISGA Score of Clear [0] or Almost Clear [1] With At-least a 2-Grade Improvement From Baseline) at Day 8, 15, 22 and 29Day 292 Participants
Crisaborole Ointment 2% BID: Participants 2-17 YearsNumber of Participants Who Achieved Success in the Investigator's Static Global Assessment (ISGA) (ISGA Score of Clear [0] or Almost Clear [1] With At-least a 2-Grade Improvement From Baseline) at Day 8, 15, 22 and 29Day 295 Participants
Crisaborole Ointment 2% BID: Participants 2-17 YearsNumber of Participants Who Achieved Success in the Investigator's Static Global Assessment (ISGA) (ISGA Score of Clear [0] or Almost Clear [1] With At-least a 2-Grade Improvement From Baseline) at Day 8, 15, 22 and 29Day 153 Participants
Crisaborole Ointment 2% BID: Participants 2-17 YearsNumber of Participants Who Achieved Success in the Investigator's Static Global Assessment (ISGA) (ISGA Score of Clear [0] or Almost Clear [1] With At-least a 2-Grade Improvement From Baseline) at Day 8, 15, 22 and 29Day 80 Participants
Crisaborole Ointment 2% BID: Participants 2-17 YearsNumber of Participants Who Achieved Success in the Investigator's Static Global Assessment (ISGA) (ISGA Score of Clear [0] or Almost Clear [1] With At-least a 2-Grade Improvement From Baseline) at Day 8, 15, 22 and 29Day 222 Participants
Hydrocortisone Butyrate Cream 0.1% BID: Participants 2-17 YearsNumber of Participants Who Achieved Success in the Investigator's Static Global Assessment (ISGA) (ISGA Score of Clear [0] or Almost Clear [1] With At-least a 2-Grade Improvement From Baseline) at Day 8, 15, 22 and 29Day 82 Participants
Hydrocortisone Butyrate Cream 0.1% BID: Participants 2-17 YearsNumber of Participants Who Achieved Success in the Investigator's Static Global Assessment (ISGA) (ISGA Score of Clear [0] or Almost Clear [1] With At-least a 2-Grade Improvement From Baseline) at Day 8, 15, 22 and 29Day 2920 Participants
Hydrocortisone Butyrate Cream 0.1% BID: Participants 2-17 YearsNumber of Participants Who Achieved Success in the Investigator's Static Global Assessment (ISGA) (ISGA Score of Clear [0] or Almost Clear [1] With At-least a 2-Grade Improvement From Baseline) at Day 8, 15, 22 and 29Day 158 Participants
Hydrocortisone Butyrate Cream 0.1% BID: Participants 2-17 YearsNumber of Participants Who Achieved Success in the Investigator's Static Global Assessment (ISGA) (ISGA Score of Clear [0] or Almost Clear [1] With At-least a 2-Grade Improvement From Baseline) at Day 8, 15, 22 and 29Day 2211 Participants
Pimecrolimus Cream 1% BID: Participants 2-17 YearsNumber of Participants Who Achieved Success in the Investigator's Static Global Assessment (ISGA) (ISGA Score of Clear [0] or Almost Clear [1] With At-least a 2-Grade Improvement From Baseline) at Day 8, 15, 22 and 29Day 80 Participants
Pimecrolimus Cream 1% BID: Participants 2-17 YearsNumber of Participants Who Achieved Success in the Investigator's Static Global Assessment (ISGA) (ISGA Score of Clear [0] or Almost Clear [1] With At-least a 2-Grade Improvement From Baseline) at Day 8, 15, 22 and 29Day 152 Participants
Pimecrolimus Cream 1% BID: Participants 2-17 YearsNumber of Participants Who Achieved Success in the Investigator's Static Global Assessment (ISGA) (ISGA Score of Clear [0] or Almost Clear [1] With At-least a 2-Grade Improvement From Baseline) at Day 8, 15, 22 and 29Day 225 Participants
Pimecrolimus Cream 1% BID: Participants 2-17 YearsNumber of Participants Who Achieved Success in the Investigator's Static Global Assessment (ISGA) (ISGA Score of Clear [0] or Almost Clear [1] With At-least a 2-Grade Improvement From Baseline) at Day 8, 15, 22 and 29Day 297 Participants
Vehicle: Participants >=18 YearsNumber of Participants Who Achieved Success in the Investigator's Static Global Assessment (ISGA) (ISGA Score of Clear [0] or Almost Clear [1] With At-least a 2-Grade Improvement From Baseline) at Day 8, 15, 22 and 29Day 293 Participants
Vehicle: Participants >=18 YearsNumber of Participants Who Achieved Success in the Investigator's Static Global Assessment (ISGA) (ISGA Score of Clear [0] or Almost Clear [1] With At-least a 2-Grade Improvement From Baseline) at Day 8, 15, 22 and 29Day 221 Participants
Vehicle: Participants >=18 YearsNumber of Participants Who Achieved Success in the Investigator's Static Global Assessment (ISGA) (ISGA Score of Clear [0] or Almost Clear [1] With At-least a 2-Grade Improvement From Baseline) at Day 8, 15, 22 and 29Day 150 Participants
Vehicle: Participants >=18 YearsNumber of Participants Who Achieved Success in the Investigator's Static Global Assessment (ISGA) (ISGA Score of Clear [0] or Almost Clear [1] With At-least a 2-Grade Improvement From Baseline) at Day 8, 15, 22 and 29Day 80 Participants
Crisaborole Ointment 2% BID: Participants >=18 YearsNumber of Participants Who Achieved Success in the Investigator's Static Global Assessment (ISGA) (ISGA Score of Clear [0] or Almost Clear [1] With At-least a 2-Grade Improvement From Baseline) at Day 8, 15, 22 and 29Day 296 Participants
Crisaborole Ointment 2% BID: Participants >=18 YearsNumber of Participants Who Achieved Success in the Investigator's Static Global Assessment (ISGA) (ISGA Score of Clear [0] or Almost Clear [1] With At-least a 2-Grade Improvement From Baseline) at Day 8, 15, 22 and 29Day 223 Participants
Crisaborole Ointment 2% BID: Participants >=18 YearsNumber of Participants Who Achieved Success in the Investigator's Static Global Assessment (ISGA) (ISGA Score of Clear [0] or Almost Clear [1] With At-least a 2-Grade Improvement From Baseline) at Day 8, 15, 22 and 29Day 150 Participants
Crisaborole Ointment 2% BID: Participants >=18 YearsNumber of Participants Who Achieved Success in the Investigator's Static Global Assessment (ISGA) (ISGA Score of Clear [0] or Almost Clear [1] With At-least a 2-Grade Improvement From Baseline) at Day 8, 15, 22 and 29Day 80 Participants
Hydrocortisone Butyrate Cream 0.1% BID: Participants >=18 YearsNumber of Participants Who Achieved Success in the Investigator's Static Global Assessment (ISGA) (ISGA Score of Clear [0] or Almost Clear [1] With At-least a 2-Grade Improvement From Baseline) at Day 8, 15, 22 and 29Day 2913 Participants
Hydrocortisone Butyrate Cream 0.1% BID: Participants >=18 YearsNumber of Participants Who Achieved Success in the Investigator's Static Global Assessment (ISGA) (ISGA Score of Clear [0] or Almost Clear [1] With At-least a 2-Grade Improvement From Baseline) at Day 8, 15, 22 and 29Day 80 Participants
Hydrocortisone Butyrate Cream 0.1% BID: Participants >=18 YearsNumber of Participants Who Achieved Success in the Investigator's Static Global Assessment (ISGA) (ISGA Score of Clear [0] or Almost Clear [1] With At-least a 2-Grade Improvement From Baseline) at Day 8, 15, 22 and 29Day 229 Participants
Hydrocortisone Butyrate Cream 0.1% BID: Participants >=18 YearsNumber of Participants Who Achieved Success in the Investigator's Static Global Assessment (ISGA) (ISGA Score of Clear [0] or Almost Clear [1] With At-least a 2-Grade Improvement From Baseline) at Day 8, 15, 22 and 29Day 156 Participants
Pimecrolimus Cream 1% BID: Participants >=18 YearsNumber of Participants Who Achieved Success in the Investigator's Static Global Assessment (ISGA) (ISGA Score of Clear [0] or Almost Clear [1] With At-least a 2-Grade Improvement From Baseline) at Day 8, 15, 22 and 29Day 151 Participants
Pimecrolimus Cream 1% BID: Participants >=18 YearsNumber of Participants Who Achieved Success in the Investigator's Static Global Assessment (ISGA) (ISGA Score of Clear [0] or Almost Clear [1] With At-least a 2-Grade Improvement From Baseline) at Day 8, 15, 22 and 29Day 221 Participants
Pimecrolimus Cream 1% BID: Participants >=18 YearsNumber of Participants Who Achieved Success in the Investigator's Static Global Assessment (ISGA) (ISGA Score of Clear [0] or Almost Clear [1] With At-least a 2-Grade Improvement From Baseline) at Day 8, 15, 22 and 29Day 292 Participants
Pimecrolimus Cream 1% BID: Participants >=18 YearsNumber of Participants Who Achieved Success in the Investigator's Static Global Assessment (ISGA) (ISGA Score of Clear [0] or Almost Clear [1] With At-least a 2-Grade Improvement From Baseline) at Day 8, 15, 22 and 29Day 80 Participants
Secondary

Percent Change From Baseline in Eczema Area and Severity Index (EASI) Total Score at Day 8, 15 and 22

EASI quantifies severity of participant's AD (excluded scalp) based on lesion severity and %BSA affected. Lesion severity included erythema (E), induration/papulation (I), excoriation (Ex), lichenification (L) scored for 4 regions (head and neck \[h\], upper limbs \[u\], trunk \[t\] \[including axillae, groin\], lower limbs \[l\] \[including buttocks\]) on 4-point scale: 0= absent; 1= mild; 2= moderate; 3= severe. EASI area score(A) based upon %BSA with AD in body region: 0 (0%), 1 (\>0 to \<10%), 2 (10 to \<30%), 3 (30 to \<50%), 4 (50 to \<70%), 5 (70 to \<90%), 6 (90 to 100%). Total EASI score (aged \>=8 years) =0.1\*Ah\*(Eh + Ih + Exh + Lh) + 0.2\*Au\*(Eu + Iu + Exu + Lu) + 0.3\*At\*(Et + It +Ext + Lt) + 0.4\*Al\*(El + Il + Exl + Ll); for aged 2 to \<8 years =0.2\*Ah\*(Eh + Ih + Exh + Lh) + 0.2\*Au\*(Eu + Iu + Exu + Lu) + 0.3\*At\*(Et +It + Ext + Lt) + 0.3\*Al\*(El + Il + Exl + Ll). Total score ranges from 0.0 to 72.0, higher scores indicated greater AD severity.

Time frame: Baseline, Day 8, 15 and 22

Population: FAS included all randomized participants who received at least 1 dose of investigational product. Here, 'number analyzed' signifies number of participants evaluable for each specified row.

ArmMeasureGroupValue (MEAN)Dispersion
Vehicle: Participants 2-17 YearsPercent Change From Baseline in Eczema Area and Severity Index (EASI) Total Score at Day 8, 15 and 22Percent Change at Day 8-17.88 Percent changeStandard Deviation 36.705
Vehicle: Participants 2-17 YearsPercent Change From Baseline in Eczema Area and Severity Index (EASI) Total Score at Day 8, 15 and 22Percent Change at Day 22-25.07 Percent changeStandard Deviation 49.326
Vehicle: Participants 2-17 YearsPercent Change From Baseline in Eczema Area and Severity Index (EASI) Total Score at Day 8, 15 and 22Percent Change at Day 15-25.77 Percent changeStandard Deviation 35.658
Crisaborole Ointment 2% BID: Participants 2-17 YearsPercent Change From Baseline in Eczema Area and Severity Index (EASI) Total Score at Day 8, 15 and 22Percent Change at Day 22-38.87 Percent changeStandard Deviation 32.624
Crisaborole Ointment 2% BID: Participants 2-17 YearsPercent Change From Baseline in Eczema Area and Severity Index (EASI) Total Score at Day 8, 15 and 22Percent Change at Day 15-36.72 Percent changeStandard Deviation 36.625
Crisaborole Ointment 2% BID: Participants 2-17 YearsPercent Change From Baseline in Eczema Area and Severity Index (EASI) Total Score at Day 8, 15 and 22Percent Change at Day 8-26.79 Percent changeStandard Deviation 39.28
Hydrocortisone Butyrate Cream 0.1% BID: Participants 2-17 YearsPercent Change From Baseline in Eczema Area and Severity Index (EASI) Total Score at Day 8, 15 and 22Percent Change at Day 22-69.09 Percent changeStandard Deviation 31.528
Hydrocortisone Butyrate Cream 0.1% BID: Participants 2-17 YearsPercent Change From Baseline in Eczema Area and Severity Index (EASI) Total Score at Day 8, 15 and 22Percent Change at Day 8-45.59 Percent changeStandard Deviation 28.103
Hydrocortisone Butyrate Cream 0.1% BID: Participants 2-17 YearsPercent Change From Baseline in Eczema Area and Severity Index (EASI) Total Score at Day 8, 15 and 22Percent Change at Day 15-58.96 Percent changeStandard Deviation 32.617
Pimecrolimus Cream 1% BID: Participants 2-17 YearsPercent Change From Baseline in Eczema Area and Severity Index (EASI) Total Score at Day 8, 15 and 22Percent Change at Day 8-34.20 Percent changeStandard Deviation 25.972
Pimecrolimus Cream 1% BID: Participants 2-17 YearsPercent Change From Baseline in Eczema Area and Severity Index (EASI) Total Score at Day 8, 15 and 22Percent Change at Day 15-42.75 Percent changeStandard Deviation 31.854
Pimecrolimus Cream 1% BID: Participants 2-17 YearsPercent Change From Baseline in Eczema Area and Severity Index (EASI) Total Score at Day 8, 15 and 22Percent Change at Day 22-59.86 Percent changeStandard Deviation 24.835
Vehicle: Participants >=18 YearsPercent Change From Baseline in Eczema Area and Severity Index (EASI) Total Score at Day 8, 15 and 22Percent Change at Day 15-25.93 Percent changeStandard Deviation 31.69
Vehicle: Participants >=18 YearsPercent Change From Baseline in Eczema Area and Severity Index (EASI) Total Score at Day 8, 15 and 22Percent Change at Day 8-14.77 Percent changeStandard Deviation 26.308
Vehicle: Participants >=18 YearsPercent Change From Baseline in Eczema Area and Severity Index (EASI) Total Score at Day 8, 15 and 22Percent Change at Day 22-34.43 Percent changeStandard Deviation 30.587
Crisaborole Ointment 2% BID: Participants >=18 YearsPercent Change From Baseline in Eczema Area and Severity Index (EASI) Total Score at Day 8, 15 and 22Percent Change at Day 15-48.42 Percent changeStandard Deviation 33.458
Crisaborole Ointment 2% BID: Participants >=18 YearsPercent Change From Baseline in Eczema Area and Severity Index (EASI) Total Score at Day 8, 15 and 22Percent Change at Day 8-29.83 Percent changeStandard Deviation 44.599
Crisaborole Ointment 2% BID: Participants >=18 YearsPercent Change From Baseline in Eczema Area and Severity Index (EASI) Total Score at Day 8, 15 and 22Percent Change at Day 22-56.05 Percent changeStandard Deviation 38.934
Hydrocortisone Butyrate Cream 0.1% BID: Participants >=18 YearsPercent Change From Baseline in Eczema Area and Severity Index (EASI) Total Score at Day 8, 15 and 22Percent Change at Day 15-56.29 Percent changeStandard Deviation 32.186
Hydrocortisone Butyrate Cream 0.1% BID: Participants >=18 YearsPercent Change From Baseline in Eczema Area and Severity Index (EASI) Total Score at Day 8, 15 and 22Percent Change at Day 8-42.48 Percent changeStandard Deviation 27.843
Hydrocortisone Butyrate Cream 0.1% BID: Participants >=18 YearsPercent Change From Baseline in Eczema Area and Severity Index (EASI) Total Score at Day 8, 15 and 22Percent Change at Day 22-61.82 Percent changeStandard Deviation 27.894
Pimecrolimus Cream 1% BID: Participants >=18 YearsPercent Change From Baseline in Eczema Area and Severity Index (EASI) Total Score at Day 8, 15 and 22Percent Change at Day 8-18.75 Percent changeStandard Deviation 39.016
Pimecrolimus Cream 1% BID: Participants >=18 YearsPercent Change From Baseline in Eczema Area and Severity Index (EASI) Total Score at Day 8, 15 and 22Percent Change at Day 15-37.18 Percent changeStandard Deviation 50.487
Pimecrolimus Cream 1% BID: Participants >=18 YearsPercent Change From Baseline in Eczema Area and Severity Index (EASI) Total Score at Day 8, 15 and 22Percent Change at Day 22-42.25 Percent changeStandard Deviation 40.192
Secondary

Time >=2 Point to Improvement From Baseline in Observer Reported Itch Severity Scale in Participants Aged Less Than (<) 6 Years

The severity of itch (pruritus) due to AD was assessed using the patient reported itch severity scale for participants aged \<6 years. Participant's caregivers at specified time points were asked the following question how would you rate your observation of your child's itch (scratching, rubbing) at the worst moment during the previous 24 hours?. The scale ranged from 0 to 10, where 0= no itch and 10= worst itch imaginable. Higher scores indicated worse itch.

Time frame: Baseline up to Day 29

Population: Data was not summarized as per SAP which was revised prior to the analyses and which reflect limitations related to reduced sample size (39% enrollment) of early terminated study. Smaller than originally planned sample size was insufficient to allow robust statistical analyses. Pruritus related PRO endpoints used different instruments in each of 3 age groups. As a result, subdividing population based on age group renders smaller sample size in pediatric groups, therefore data was not summarized.

Secondary

Time to >=3 Point Improvement From Baseline in Observer Reported Itch Severity Scale in Participants Aged Less Than (<) 6 Years

The severity of itch (pruritus) due to AD was assessed using the Patient Reported Itch Severity Scale for participants aged \<6 years. Participant's caregivers at specified time points were asked the following question how would you rate your observation of your child's itch (scratching, rubbing) at the worst moment during the previous 24 hours?. The scale ranged from 0 to 10, where 0= no itch and 10= worst itch imaginable. Higher scores indicated worse itch.

Time frame: Baseline up to Day 29

Population: Data was not summarized as per SAP which was revised prior to the analyses and which reflect limitations related to reduced sample size (39% enrollment) of early terminated study. Smaller than originally planned sample size was insufficient to allow robust statistical analyses. Pruritus related PRO endpoints used different instruments in each of 3 age groups. As a result, subdividing population based on age group renders smaller sample size in pediatric groups, therefore data was not summarized.

Secondary

Time to >= 3 Point Improvement From Baseline in Peak Pruritus Numeric Rating Scale (NRS) in Participants Aged Greater Than (>)12 Years

The severity of itch (pruritus) due to AD was assessed using the Peak Pruritus NRS for participants aged \>12 years. Participants at specified time points were asked the following question: how would you rate your itch at the worst moment during the previous 24 hours? The scale ranged from 0 to 10, where 0= no itch and 10= worst itch imaginable. Higher scores indicated worse itch.

Time frame: Baseline up to Day 29

Population: Data was not summarized as per SAP which was revised prior to the analyses and which reflected limitations related to reduced sample size (only 39% enrollment) of early terminated study. Smaller than originally planned sample size was insufficient to allow robust statistical analyses. Summarizing further by Time to \>3 Point Improvement will not provide additional useful information due to smaller than planned sample size as a result of study early termination.

Secondary

Time to First Improvement From Baseline in Eczema Area and Severity Index (EASI) Total Score of Greater Than or Equal to (>=) 75%

EASI quantifies severity of participant's AD (excluded scalp) based on lesion severity and %BSA affected. Lesion severity included erythema (E), induration/papulation (I), excoriation (Ex), lichenification (L) scored for 4 regions (head and neck \[h\], upper limbs \[u\], trunk \[t\] \[including axillae, groin\], lower limbs \[l\] \[including buttocks\]) on 4-point scale: 0= absent; 1= mild; 2= moderate; 3= severe. EASI area score(A) based upon %BSA with AD in body region: 0 (0%), 1 (\>0 to \<10%), 2 (10 to \<30%), 3 (30 to \<50%), 4 (50 to \<70%), 5 (70 to \<90%), 6 (90 to 100%). Total EASI score (aged \>=8 years) =0.1\*Ah\*(Eh + Ih + Exh + Lh) + 0.2\*Au\*(Eu + Iu + Exu + Lu) + 0.3\*At\*(Et + It +Ext + Lt) + 0.4\*Al\*(El + Il + Exl + Ll); for aged 2 to \<8 years =0.2\*Ah\*(Eh + Ih + Exh + Lh) + 0.2\*Au\*(Eu + Iu + Exu + Lu) + 0.3\*At\*(Et +It + Ext + Lt) + 0.3\*Al\*(El + Il + Exl + Ll). Total score ranges from 0.0 to 72.0, higher scores indicated greater AD severity.

Time frame: Baseline up to Day 43

Population: FAS included all randomized participants who received at least 1 dose of investigational product. Here, Overall Number of Participants Analyzed= participants evaluable for this outcome measure.

ArmMeasureValue (MEDIAN)
Vehicle: Participants 2-17 YearsTime to First Improvement From Baseline in Eczema Area and Severity Index (EASI) Total Score of Greater Than or Equal to (>=) 75%NA Days
Crisaborole Ointment 2% BID: Participants 2-17 YearsTime to First Improvement From Baseline in Eczema Area and Severity Index (EASI) Total Score of Greater Than or Equal to (>=) 75%43.0 Days
Hydrocortisone Butyrate Cream 0.1% BID: Participants 2-17 YearsTime to First Improvement From Baseline in Eczema Area and Severity Index (EASI) Total Score of Greater Than or Equal to (>=) 75%23.0 Days
Pimecrolimus Cream 1% BID: Participants 2-17 YearsTime to First Improvement From Baseline in Eczema Area and Severity Index (EASI) Total Score of Greater Than or Equal to (>=) 75%32.0 Days
Secondary

Time to Greater Than or Equal to (>=2) Point Improvement From Baseline in Peak Pruritus Numeric Rating Scale (NRS) in Participants Aged Greater Than (>) 12 Years

The severity of itch (pruritus) due to AD was assessed using the peak pruritus NRS for participants aged \>12 years. Participants at specified time points were asked the following question: how would you rate your itch at the worst moment during the previous 24 hours? The scale ranged from 0 to 10, where 0= no itch and 10= worst itch imaginable. Higher scores indicated worse itch.

Time frame: Baseline up to Day 29

Population: Data was not summarized as per SAP which was revised prior to the analyses and which reflected limitations related to reduced sample size (only 39% enrollment) of early terminated study. Smaller than originally planned sample size was insufficient to allow robust statistical analyses. Summarizing further by Time to \>2 Point Improvement will not provide additional useful information due to smaller than planned sample size as a result of study early termination.

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026