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A Study to Evaluate Risankizumab in Adults and Adolescents With Moderate to Severe Atopic Dermatitis

A Phase 2, Multicenter, Randomized, Placebo-Controlled, Double-Blind Study to Evaluate Risankizumab in Adult and Adolescent Subjects With Moderate to Severe Atopic Dermatitis

Status
Completed
Phases
Phase 2
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT03706040
Enrollment
172
Registered
2018-10-15
Start date
2018-12-27
Completion date
2021-04-26
Last updated
2021-11-18

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

Conditions

Dermatitis

Keywords

Atopic dermatitis, Atopic dermatitis (atopic eczema)

Brief summary

The purpose of this study is to assess the safety and efficacy of risankizumab for the treatment of moderate to severe atopic dermatitis (AD) in adults and adolescents.

Detailed description

This study includes a screening period of up to 35 days, a 16-week double-blind treatment period (Period A), and a 36-week double-blind treatment period (Period B). Participants who meet eligibility criteria will be randomized at Baseline in a 2:2:1 ratio to one of 3 treatment groups: (1) risankizumab 150 mg, (2) risankizumab 300 mg, or (3) matching placebo. Randomization will be stratified by Baseline disease severity (Validated Investigator Global Assessment scale for Atopic Dermatitis \[vIGA-AD\] score of moderate \[3\] versus severe \[4\]) and geographic region (Japan versus rest of world). At Week 16, participants in the placebo group will be re-randomized in a 1:1 ratio to receive either risankizumab 150 mg or 300 mg for the remainder of the study. Participants originally randomized to the risankizumab 150 mg or 300 mg arms will stay on their previously-assigned treatment through the end of the study.

Interventions

BIOLOGICALPlacebo

subcutaneous (SC) injection

BIOLOGICALRisankizumab

subcutaneous (SC) injection

Sponsors

AbbVie
Lead SponsorINDUSTRY

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
DOUBLE (Subject, Investigator)

Eligibility

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

Inclusion criteria

* adults who are ≥ 18 years old and, where locally permissible and approved, adolescent subjects who are at least 12 years old * a diagnosis of atopic dermatitis (AD) with onset of symptoms at least 2 years prior to Baseline and subject meets Hanifin and Rajka criteria * moderate to severe AD at the Baseline Visit * history of inadequate response to previous topical corticosteroid and/or topical calcineurin inhibitor treatments or a medical inability to receive these treatments

Exclusion criteria

* prior exposure to any biologic immunomodulatory agent or Janus kinase (JAK) inhibitor * concurrent treatment with systemic therapy for AD (biologic or non-biologic) or topical and/or phototherapy treatments

Design outcomes

Primary

MeasureTime frameDescription
Percentage of Participants Achieving At Least a 75% Reduction From Baseline in Eczema Area and Severity Index (EASI 75) at Week 16Baseline and Week 16EASI is a tool used to measure the extent (area) and severity of atopic eczema based on assessments of the head/neck, trunk, upper limbs and lower limbs. For each region the area score is recorded as the percentage of skin affected by eczema. For each region, the severity score is calculated as the sum of the intensity scores (scored as none \[0\], mild \[1\], moderate \[2\], or severe \[3\]) for redness (erythema, inflammation), thickness (induration, papulation, swelling - acute eczema), scratching (excoriation), and lichenification (lined skin, prurigo nodules - chronic eczema). The total EASI score for each region is calculated by multiplying the severity score by the area score, with adjustment for the proportion of the body region to the whole body. The final EASI score is the sum of the 4 region scores and ranges from 0 to 72 where higher scores represent worse disease.

Secondary

MeasureTime frameDescription
Percentage of Participants Who Achieved a Reduction of ≥ 4 Points in Worst Pruritus Numerical Rating Scale (NRS) Score From Baseline to Week 16Baseline and Week 16Participants were asked to rate itch (pruritus) intensity at its worst during the past 24 hours on an 11-point scale from 0 (no itch) to 10 (worst imaginable itch).
Percent Change From Baseline in EASI Score at Week 16Baseline and Week 16EASI is a tool used to measure the extent (area) and severity of atopic eczema based on assessments of the head/neck, trunk, upper limbs and lower limbs. For each region the area score is recorded as the percentage of skin affected by eczema. For each region, the severity score is calculated as the sum of the intensity scores (scored as none \[0\], mild \[1\], moderate \[2\], or severe \[3\]) for redness (erythema, inflammation), thickness (induration, papulation, swelling - acute eczema), scratching (excoriation), and lichenification (lined skin, prurigo nodules - chronic eczema). The total EASI score for each region is calculated by multiplying the severity score by the area score, with adjustment for the proportion of the body region to the whole body. The final EASI score is the sum of the 4 region scores and ranges from 0 to 72 where higher scores represent worse disease; a negative change from Baseline indicates improvement.
Percent Change From Baseline in EASI Score at Week 28 and Week 52Baseline and Weeks 28 and 52EASI is used to measure the extent (area) and severity of atopic eczema based on assessments of the head/neck, trunk, upper limbs and lower limbs. For each region the area score is recorded as the percentage of skin affected and the severity score is calculated as the sum of the intensity scores (scored as none \[0\], mild \[1\], moderate \[2\], or severe \[3\]) for redness (erythema, inflammation), thickness (induration, papulation, swelling), scratching, and lichenification (lined skin, prurigo nodules). The total EASI score for each region is calculated by multiplying the severity score by the area score, with adjustment for the proportion of the body region to the whole body. The final EASI score is the sum of the 4 region scores and ranges from 0 to 72 where higher scores represent worse disease; a negative change from Baseline indicates improvement. LS means were calculated from an analysis of covariance (ANCOVA) model with Baseline, treatment and vIGA-AD categories in the model.
Percentage of Participants Who Achieved an EASI 75 Response at Week 28 and Week 52Baseline and Weeks 28 and 52EASI is a tool used to measure the extent (area) and severity of atopic eczema based on assessments of the head/neck, trunk, upper limbs and lower limbs. For each region the area score is recorded as the percentage of skin affected by eczema. For each region, the severity score is calculated as the sum of the intensity scores (scored as none \[0\], mild \[1\], moderate \[2\], or severe \[3\]) for redness (erythema, inflammation), thickness (induration, papulation, swelling - acute eczema), scratching (excoriation), and lichenification (lined skin, prurigo nodules - chronic eczema). The total EASI score for each region is calculated by multiplying the severity score by the area score, with adjustment for the proportion of the body region to the whole body. The final EASI score is the sum of the 4 region scores and ranges from 0 to 72 where higher scores represent worse disease.
Percentage of Participants Who Achieved an EASI 50 Response at Week 16Baseline and Week 16EASI is a tool used to measure the extent (area) and severity of atopic eczema based on assessments of the head/neck, trunk, upper limbs and lower limbs. For each region the area score is recorded as the percentage of skin affected by eczema. For each region, the severity score is calculated as the sum of the intensity scores (scored as none \[0\], mild \[1\], moderate \[2\], or severe \[3\]) for redness (erythema, inflammation), thickness (induration, papulation, swelling - acute eczema), scratching (excoriation), and lichenification (lined skin, prurigo nodules - chronic eczema). The total EASI score for each region is calculated by multiplying the severity score by the area score, with adjustment for the proportion of the body region to the whole body. The final EASI score is the sum of the 4 region scores and ranges from 0 to 72 where higher scores represent worse disease. EASI 50 response is defined as at least a 50% reduction (improvement) from Baseline in EASI score.
Percentage of Participants Who Achieved an EASI 50 Response at Week 28 and Week 52Baseline and Weeks 28 and 52EASI is a tool used to measure the extent (area) and severity of atopic eczema based on assessments of the head/neck, trunk, upper limbs and lower limbs. For each region the area score is recorded as the percentage of skin affected by eczema. For each region, the severity score is calculated as the sum of the intensity scores (scored as none \[0\], mild \[1\], moderate \[2\], or severe \[3\]) for redness (erythema, inflammation), thickness (induration, papulation, swelling - acute eczema), scratching (excoriation), and lichenification (lined skin, prurigo nodules - chronic eczema). The total EASI score for each region is calculated by multiplying the severity score by the area score, with adjustment for the proportion of the body region to the whole body. The final EASI score is the sum of the 4 region scores and ranges from 0 to 72 where higher scores represent worse disease. An EASI 50 response is defined as at least a 50% reduction (improvement) from Baseline in EASI score.
Percentage of Participants Who Achieved an EASI 90 Response at Week 16Baseline, Week 16EASI is a tool used to measure the extent (area) and severity of atopic eczema based on assessments of the head/neck, trunk, upper limbs and lower limbs. For each region the area score is recorded as the percentage of skin affected by eczema. For each region, the severity score is calculated as the sum of the intensity scores (scored as none \[0\], mild \[1\], moderate \[2\], or severe \[3\]) for redness (erythema, inflammation), thickness (induration, papulation, swelling - acute eczema), scratching (excoriation), and lichenification (lined skin, prurigo nodules - chronic eczema). The total EASI score for each region is calculated by multiplying the severity score by the area score, with adjustment for the proportion of the body region to the whole body. The final EASI score is the sum of the 4 region scores and ranges from 0 to 72 where higher scores represent worse disease. An EASI 90 response is defined as at least a 90% reduction (improvement) from Baseline in EASI score.
Percentage of Participants Who Achieved an EASI 90 Response at Week 28 and Week 52Baseline and Weeks 28 and 52EASI is a tool used to measure the extent (area) and severity of atopic eczema based on assessments of the head/neck, trunk, upper limbs and lower limbs. For each region the area score is recorded as the percentage of skin affected by eczema. For each region, the severity score is calculated as the sum of the intensity scores (scored as none \[0\], mild \[1\], moderate \[2\], or severe \[3\]) for redness (erythema, inflammation), thickness (induration, papulation, swelling - acute eczema), scratching (excoriation), and lichenification (lined skin, prurigo nodules - chronic eczema). The total EASI score for each region is calculated by multiplying the severity score by the area score, with adjustment for the proportion of the body region to the whole body. The final EASI score is the sum of the 4 region scores and ranges from 0 to 72 where higher scores represent worse disease. An EASI 90 response is defined as at least a 90% reduction (improvement) from Baseline in EASI score.
Percentage of Participants Who Achieved a vIGA-AD Score of 0 or 1 With a Reduction From Baseline of ≥ 2 Points at Week 28 and Week 52Baseline and Weeks 28 and 52Validated Investigator Global Assessment scale for Atopic Dermatitis (vIGA-AD) was used to assess the severity of AD based on lesion appearance on the following scale: * 0 - Clear: No signs of AD; * 1 - Almost clear: Barely perceptible erythema, induration/papulation and/or lichenification; * 2 - Mild: Slight but definite erythema, induration/papulation and/or minimal lichenification. No oozing or crusting; * 3 - Moderate: Clearly perceptible erythema, induration/papulation and/or lichenification, possible oozing or crusting; * 4 - Severe: Marked erythema, induration/papulation and/or lichenification; possible oozing or crusting.
Change From Baseline in Percentage of Body Surface Area (BSA) Affected by Atopic Dermatitis at Week 16Baseline and Week 16Body surface area (BSA) affected by atopic dermatitis was assessed by the physician and is expressed as a percentage of the total BSA. For purposes of the estimation, the total surface of the participant's palm plus five digits was assumed to be approximately equivalent to 1% BSA. A negative change from Baseline indicates improvement.
Change From Baseline in Percentage of BSA Affected by Atopic Dermatitis at Weeks 28 and 52Baseline and Weeks 28 and 52Body surface area (BSA) affected by atopic dermatitis was assessed by the physician and is expressed as a percentage of the total BSA. For purposes of the estimation, the total surface of the participant's palm plus five digits was assumed to be approximately equivalent to 1% BSA. A negative change from Baseline indicates improvement. LS means and standard errors were calculated from ANCOVA with Baseline, treatment and stratum (Baseline vIGA-AD categories) in the model.
Percentage of Participants Who Achieved a 50% Improvement in SCORing Atopic Dermatitis (SCORAD) Score (SCORAD 50) at Week 16Baseline, Week 16SCORAD is a clinical tool used to assess the extent and severity of eczema (SCORing Atopic Dermatitis). The extent is assessed using the rule of 9 to calculate the affected area (A) as a percentage of the whole body (0-100%). The intensity part of the SCORAD (B) consists of 6 items: erythema, oedema/papulation, excoriations, lichenification, oozing/crusts and dryness, each graded on a scale from 0 (none) to 3 (severe), for a total score of 0 to 18. Subjective items (C) include daily pruritus and sleeplessness, each scored on a visual analogue scale (VAS) from 0 to 10 (total score 0-20). SCORAD is calculated as A/5 + 7B/2 + C, and ranges from 0 to 103 (worst).
Percentage of Participants Who Achieved a SCORAD 50 Response at Week 28 and Week 52Baseline and Weeks 28 and 52SCORAD is a clinical tool used to assess the extent and severity of eczema (SCORing Atopic Dermatitis). The extent is assessed using the rule of 9 to calculate the affected area (A) as a percentage of the whole body (0-100%). The intensity part of the SCORAD (B) consists of 6 items: erythema, oedema/papulation, excoriations, lichenification, oozing/crusts and dryness, each graded on a scale from 0 (none) to 3 (severe), for a total score of 0 to 18. Subjective items (C) include daily pruritus and sleeplessness, each scored on a visual analogue scale (VAS) from 0 to 10 (total score 0-20). SCORAD is calculated as A/5 + 7B/2 + C, and ranges from 0 to 103 (worst).
Percentage of Participants Who Achieved a SCORAD 75 Response at Week 16Baseline and Week 16SCORAD is a clinical tool used to assess the extent and severity of eczema (SCORing Atopic Dermatitis). The extent is assessed using the rule of 9 to calculate the affected area (A) as a percentage of the whole body (0-100%). The intensity part of the SCORAD (B) consists of 6 items: erythema, oedema/papulation, excoriations, lichenification, oozing/crusts and dryness, each graded on a scale from 0 (none) to 3 (severe), for a total score of 0 to 18. Subjective items (C) include daily pruritus and sleeplessness, each scored on a visual analogue scale (VAS) from 0 to 10 (total score 0-20). SCORAD is calculated as A/5 + 7B/2 + C, and ranges from 0 to 103 (worst). A SCORAD 75 response is defined as at least a 75% reduction (improvement) from Baseline in SCORAD score.
Percentage of Participants Who Achieved a SCORAD 75 Response at Week 28 and Week 52Baseline and Weeks 28 and 52SCORAD is a clinical tool used to assess the extent and severity of eczema (SCORing Atopic Dermatitis). The extent is assessed using the rule of 9 to calculate the affected area (A) as a percentage of the whole body (0-100%). The intensity part of the SCORAD (B) consists of 6 items: erythema, oedema/papulation, excoriations, lichenification, oozing/crusts and dryness, each graded on a scale from 0 (none) to 3 (severe), for a total score of 0 to 18. Subjective items (C) include daily pruritus and sleeplessness, each scored on a visual analogue scale (VAS) from 0 to 10 (total score 0-20). SCORAD is calculated as A/5 + 7B/2 + C, and ranges from 0 to 103 (worst). A SCORAD 75 response is defined as at least a 75% reduction (improvement) from Baseline in SCORAD score.
Percentage of Participants Who Achieved a vIGA-AD Score of 0 or 1 With a Reduction From Baseline of ≥ 2 Points at Week 16Baseline and Week 16Validated Investigator Global Assessment scale for Atopic Dermatitis (vIGA-AD) was used to assess the severity of AD based on lesion appearance on the following scale: * 0 - Clear: No signs of AD; * 1 - Almost clear: Barely perceptible erythema, induration/papulation and/or lichenification; * 2 - Mild: Slight but definite erythema, induration/papulation and/or minimal lichenification. No oozing or crusting; * 3 - Moderate: Clearly perceptible erythema, induration/papulation and/or lichenification, possible oozing or crusting; * 4 - Severe: Marked erythema, induration/papulation and/or lichenification; possible oozing or crusting.
Percentage of Participants Who Achieved a SCORAD 90 Response at Week 28 and Week 52Baseline and Weeks 28 and 52SCORAD is a clinical tool used to assess the extent and severity of eczema (SCORing Atopic Dermatitis). The extent is assessed using the rule of 9 to calculate the affected area (A) as a percentage of the whole body (0-100%). The intensity part of the SCORAD (B) consists of 6 items: erythema, oedema/papulation, excoriations, lichenification, oozing/crusts and dryness, each graded on a scale from 0 (none) to 3 (severe), for a total score of 0 to 18. Subjective items (C) include daily pruritus and sleeplessness, each scored on a visual analogue scale (VAS) from 0 to 10 (total score 0-20). SCORAD is calculated as A/5 + 7B/2 + C, and ranges from 0 to 103 (worst). A SCORAD 90 response is defined as at least a 90% reduction (improvement) from Baseline in SCORAD score.
Percentage of Participants Who Achieved a Dermatology Life Quality Index (DLQI) Score of 0 or 1 at Week 16Week 16The DLQI is a 10-item validated questionnaire used to assess the impact of AD disease symptoms and treatment on quality of life (QoL). It consists of 10 questions evaluating impact of skin diseases on different aspects of a participant's QoL over the prior week, including symptoms and feelings, daily activities, leisure, work or school, personal relationships, and the side effects of treatment. Each item is scored on a 4-point scale (0 = not at all/not relevant; 1 = a little; 2 = a lot; and 3 = very much). Item scores are added to provide a total score, ranging from 0 to 30, with higher scores indicating greater impairment of QoL. A score of 0 or 1 means that the disease has no effect at all.
Percentage of Participants Who Achieved a DLQI Score of 0 or 1 at Week 28 and Week 52Weeks 28 and 52The DLQI is a 10-item validated questionnaire used to assess the impact of AD disease symptoms and treatment on quality of life (QoL). It consists of 10 questions evaluating impact of skin diseases on different aspects of a participant's QoL over the prior week, including symptoms and feelings, daily activities, leisure, work or school, personal relationships, and the side effects of treatment. Each item is scored on a 4-point scale (0 = not at all/not relevant; 1 = a little; 2 = a lot; and 3 = very much). Item scores are added to provide a total score, ranging from 0 to 30, with higher scores indicating greater impairment of QoL. A score of 0 or 1 means that the disease has no effect at all.
Percentage of Participants Who Achieved a Children's Dermatology Life Quality Index (CDLQI) Score of 0 or 1 at Week 16Week 16The CDLQI is a 10-item, validated questionnaire used to assess the impact of AD disease symptoms and treatment on QoL. The CDLQI has been validated for use in individuals 4-16 years old. It consists of 10 questions assessing impact of skin diseases on different aspects of a patient's QoL over the prior week. The CDLQI items include symptoms and feelings, daily activities, leisure, school, relationships, sleep, and treatment. Each item is scored on a 4-point scale (0 = not at all; 1 = only a little; 2 = quite a lot; and 3 = very much). Item scores (0 to 3) are added to provide a total score range of 0 to 30; higher scores indicate greater impairment of QoL. A score of 0 or 1 means that the disease has no effect at all. In this study, the CDLQI was administered to participants who were \< 16 years old at Baseline.
Percentage of Participants Who Achieved a CDLQI Score of 0 or 1 at Week 28 and Week 52Weeks 28 and 52The CDLQI is a 10-item, validated questionnaire used to assess the impact of AD disease symptoms and treatment on QoL. The CDLQI has been validated for use in individuals 4-16 years old. It consists of 10 questions assessing impact of skin diseases on different aspects of a patient's QoL over the prior week. The CDLQI items include symptoms and feelings, daily activities, leisure, school, relationships, sleep, and treatment. Each item is scored on a 4-point scale (0 = not at all; 1 = only a little; 2 = quite a lot; and 3 = very much). Item scores (0 to 3) are added to provide a total score range of 0 to 30; higher scores indicate greater impairment of QoL. A score of 0 or 1 means that the disease has no effect at all. In this study, the CDLQI was administered to participants who were \< 16 years old at Baseline.
Percentage of Participants Who Achieved a Reduction in DLQI of ≥ 4 Points From Baseline at Week 16 Among Those With a DLQI ≥ 4 at BaselineBaseline and Week 16The DLQI is a 10-item validated questionnaire used to assess the impact of AD disease symptoms and treatment on quality of life (QoL). It consists of 10 questions evaluating impact of skin diseases on different aspects of a participant's QoL over the prior week, including symptoms and feelings, daily activities, leisure, work or school, personal relationships, and the side effects of treatment. Each item is scored on a 4-point scale (0 = not at all/not relevant; 1 = a little; 2 = a lot; and 3 = very much). Item scores are added to provide a total score, ranging from 0 to 30, with higher scores indicating greater impairment of QoL. A change in DLQI score of at least 4 points is considered the minimum clinically important difference (MCID).
Percentage of Participants Who Achieved a Reduction in DLQI of ≥ 4 Points From Baseline at Week 28 and Week 52 Among Those With a DLQI ≥ 4 at BaselineBaseline and Weeks 28 and 52The DLQI is a 10-item validated questionnaire used to assess the impact of AD disease symptoms and treatment on quality of life (QoL). It consists of 10 questions evaluating impact of skin diseases on different aspects of a participant's QoL over the prior week, including symptoms and feelings, daily activities, leisure, work or school, personal relationships, and the side effects of treatment. Each item is scored on a 4-point scale (0 = not at all/not relevant; 1 = a little; 2 = a lot; and 3 = very much). Item scores are added to provide a total score, ranging from 0 to 30, with higher scores indicating greater impairment of QoL. A change in DLQI score of at least 4 points is considered the minimum clinically important difference (MCID).
Change From Baseline in DLQI Score at Week 16Baseline and Week 16The DLQI is a 10-item validated questionnaire used to assess the impact of AD disease symptoms and treatment on quality of life (QoL). It consists of 10 questions evaluating impact of skin diseases on different aspects of a participant's QoL over the prior week, including symptoms and feelings, daily activities, leisure, work or school, personal relationships, and the side effects of treatment. Each item is scored on a 4-point scale (0 = not at all/not relevant; 1 = a little; 2 = a lot; and 3 = very much). Item scores are added to provide a total score, ranging from 0 to 30, with higher scores indicating greater impairment of QoL. A negative change from Baseline indicates improvement.
Change From Baseline in DLQI Score at Week 28 and Week 52Baseline and Weeks 28 and 52The DLQI is a 10-item validated questionnaire used to assess the impact of AD disease symptoms and treatment on quality of life (QoL). It consists of 10 questions evaluating impact of skin diseases on different aspects of a participant's QoL over the prior week, including symptoms and feelings, daily activities, leisure, work or school, personal relationships, and the side effects of treatment. Each item is scored on a 4-point scale (0 = not at all/not relevant; 1 = a little; 2 = a lot; and 3 = very much). Item scores are added to provide a total score, ranging from 0 to 30, with higher scores indicating greater impairment of QoL. A negative change from Baseline indicates improvement. LS means and standard errors were calculated from an ANCOVA model with Baseline, treatment and stratum (Baseline vIGA-AD categories) in the model.
Change From Baseline in CDLQI Score at Week 16Baseline and Week 16The CDLQI is a 10-item, validated questionnaire used to assess the impact of AD disease symptoms and treatment on QoL. The CDLQI has been validated for use in individuals 4-16 years old. It consists of 10 questions assessing impact of skin diseases on different aspects of a patient's QoL over the prior week. The CDLQI items include symptoms and feelings, daily activities, leisure, school, relationships, sleep, and treatment. Each item is scored on a 4-point scale (0 = not at all; 1 = only a little; 2 = quite a lot; and 3 = very much). Item scores (0 to 3) are added to provide a total score range of 0 to 30; higher scores indicate greater impairment of QoL. A negative change from Baseline indicates improvement. In this study, the CDLQI was administered to participants who were \< 16 years old at the Baseline visit.
Change From Baseline in CDLQI Score at Week 28 and Week 52Baseline and Weeks 28 and 52The CDLQI is a 10-item, validated questionnaire used to assess the impact of AD disease symptoms and treatment on QoL. The CDLQI has been validated for use in individuals 4-16 years old. It consists of 10 questions assessing impact of skin diseases on different aspects of a patient's QoL over the prior week. The CDLQI items include symptoms and feelings, daily activities, leisure, school, relationships, sleep, and treatment. Each item is scored on a 4-point scale (0 = not at all; 1 = only a little; 2 = quite a lot; and 3 = very much). Item scores (0 to 3) are added to provide a total score range of 0 to 30; higher scores indicate greater impairment of QoL. A negative change from Baseline indicates improvement. In this study, the CDLQI was administered to participants who were \< 16 years old at the Baseline visit. LS means were calculated from ANCOVA with Baseline and treatment in the model.
Change From Baseline in Worst Pruritus Numerical Rating Scale at Week 16Baseline and Week 16Participants were asked to rate itch (pruritus) intensity at its worst during the past 24 hours on an 11-point scale from 0 (no itch) to 10 (worst imaginable itch). Change from Baseline was calculated from a rolling weekly average. A negative change from Baseline indicates improvement.
Change From Baseline in Worst Pruritus NRS Score at Week 28 and Week 52Baseline and Weeks 28 and 52Participants were asked to rate itch (pruritus) intensity at its worst during the past 24 hours on an 11-point scale from 0 (no itch) to 10 (worst imaginable itch). Change from Baseline was calculated from a rolling weekly average. A negative change from Baseline indicates improvement. LS means and standard errors were calculated from an ANCOVA with Baseline, treatment and stratum (Baseline vIGA-AD categories) in the model.
Percentage of Participants Who Achieved a Reduction of ≥ 4 Points From Baseline in Worst Pruritus NRS Score at Week 28 and Week 52Baseline and Weeks 28 and 52Participants were asked to rate itch (pruritus) intensity at its worst during the past 24 hours on an 11-point scale from 0 (no itch) to 10 (worst imaginable itch).
Percentage of Participants Who Achieved a SCORAD 90 Response at Week 16Baseline and Week 16SCORAD is a clinical tool used to assess the extent and severity of eczema (SCORing Atopic Dermatitis). The extent is assessed using the rule of 9 to calculate the affected area (A) as a percentage of the whole body (0-100%). The intensity part of the SCORAD (B) consists of 6 items: erythema, oedema/papulation, excoriations, lichenification, oozing/crusts and dryness, each graded on a scale from 0 (none) to 3 (severe), for a total score of 0 to 18. Subjective items (C) include daily pruritus and sleeplessness, each scored on a visual analogue scale (VAS) from 0 to 10 (total score 0-20). SCORAD is calculated as A/5 + 7B/2 + C, and ranges from 0 to 103 (worst). A SCORAD 90 response is defined as at least a 90% reduction (improvement) from Baseline in SCORAD score.

Countries

Australia, Canada, Japan, Puerto Rico, United States

Participant flow

Recruitment details

Adults and adolescents with moderate to severe atopic dermatitis (AD) with onset of symptoms at least 2 years before the Baseline visit were enrolled at 50 sites in the United States, Canada, Japan, and Australia. The study included a 16-week double-blind treatment period (Period A) followed by a 36-week double-blind treatment period (Period B).

Pre-assignment details

Participants were randomized in a 2:2:1 ratio to risankizumab 150 mg, 300 mg, or placebo. Randomization was stratified by disease severity (Validated Investigator Global Assessment Scale for AD \[vIGA-AD\] moderate vs severe) and geographic region. At Week 16 participants in the placebo group were re-randomized in a 1:1 ratio to receive either risankizumab 150 mg or 300 mg in Period B. Participants originally randomized to risankizumab remained on their previously assigned treatment.

Participants by arm

ArmCount
Placebo
Participants randomized to receive placebo by subcutaneous (SC) injection at Weeks 0 and 4 in Period A.
34
Risankizumab 150 mg
Participants randomized to receive 150 mg risankizumab SC at Weeks 0 and 4 in Period A.
69
Risankizumab 300 mg
Participants randomized to receive 300 mg risankizumab SC at Weeks 0 and 4 in Period A.
69
Total172

Withdrawals & dropouts

PeriodReasonFG000FG001FG002FG003FG004FG005FG006
Period A (Week 0 to Week 16)Adverse Event3210000
Period A (Week 0 to Week 16)Lost to Follow-up1140000
Period A (Week 0 to Week 16)Other2020000
Period A (Week 0 to Week 16)Withdrew Consent3540000
Period B (Week 16 to Week 52)Adverse Event0001230
Period B (Week 16 to Week 52)Lost to Follow-up0000011
Period B (Week 16 to Week 52)Other000452317
Period B (Week 16 to Week 52)Withdrew Consent00032110

Baseline characteristics

CharacteristicTotalPlaceboRisankizumab 150 mgRisankizumab 300 mg
Age, Continuous43.3 years
STANDARD_DEVIATION 16.66
45.5 years
STANDARD_DEVIATION 19.66
41.7 years
STANDARD_DEVIATION 15.12
43.8 years
STANDARD_DEVIATION 16.63
Age, Customized
18 - 39 years
76 Participants15 Participants34 Participants27 Participants
Age, Customized
< 18 years
2 Participants0 Participants1 Participants1 Participants
Age, Customized
40 - 64 years
73 Participants10 Participants27 Participants36 Participants
Age, Customized
≥ 65 years
21 Participants9 Participants7 Participants5 Participants
Disease Severity
3 (Moderate)
99 Participants20 Participants40 Participants39 Participants
Disease Severity
4 (Severe)
73 Participants14 Participants29 Participants30 Participants
Eczema Area and Severity Index (EASI) Score30.07 score on a scale
STANDARD_DEVIATION 12.605
30.85 score on a scale
STANDARD_DEVIATION 12.345
31.06 score on a scale
STANDARD_DEVIATION 13.995
28.70 score on a scale
STANDARD_DEVIATION 11.247
Ethnicity (NIH/OMB)
Hispanic or Latino
14 Participants0 Participants8 Participants6 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
158 Participants34 Participants61 Participants63 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants0 Participants0 Participants0 Participants
Geographic Region
Japan
32 Participants6 Participants13 Participants13 Participants
Geographic Region
Rest of World
140 Participants28 Participants56 Participants56 Participants
Race/Ethnicity, Customized
American Indian or Alaska Native
2 Participants0 Participants1 Participants1 Participants
Race/Ethnicity, Customized
Asian
49 Participants8 Participants21 Participants20 Participants
Race/Ethnicity, Customized
Black or African American
26 Participants7 Participants8 Participants11 Participants
Race/Ethnicity, Customized
Multiple
1 Participants1 Participants0 Participants0 Participants
Race/Ethnicity, Customized
Native Hawaiian or Other Pacific Islander
2 Participants1 Participants0 Participants1 Participants
Race/Ethnicity, Customized
White
92 Participants17 Participants39 Participants36 Participants
Sex: Female, Male
Female
76 Participants13 Participants31 Participants32 Participants
Sex: Female, Male
Male
96 Participants21 Participants38 Participants37 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
EG002
affected / at risk
EG003
affected / at risk
EG004
affected / at risk
EG005
affected / at risk
EG006
affected / at risk
deaths
Total, all-cause mortality
1 / 340 / 690 / 690 / 130 / 110 / 610 / 57
other
Total, other adverse events
17 / 3425 / 6925 / 696 / 135 / 1113 / 6110 / 57
serious
Total, serious adverse events
3 / 340 / 690 / 690 / 130 / 112 / 613 / 57

Outcome results

Primary

Percentage of Participants Achieving At Least a 75% Reduction From Baseline in Eczema Area and Severity Index (EASI 75) at Week 16

EASI is a tool used to measure the extent (area) and severity of atopic eczema based on assessments of the head/neck, trunk, upper limbs and lower limbs. For each region the area score is recorded as the percentage of skin affected by eczema. For each region, the severity score is calculated as the sum of the intensity scores (scored as none \[0\], mild \[1\], moderate \[2\], or severe \[3\]) for redness (erythema, inflammation), thickness (induration, papulation, swelling - acute eczema), scratching (excoriation), and lichenification (lined skin, prurigo nodules - chronic eczema). The total EASI score for each region is calculated by multiplying the severity score by the area score, with adjustment for the proportion of the body region to the whole body. The final EASI score is the sum of the 4 region scores and ranges from 0 to 72 where higher scores represent worse disease.

Time frame: Baseline and Week 16

Population: Intent-to-treat population; non-responder imputation incorporating multiple imputation (MI) to handle missing data due to coronavirus pandemic 2019 (COVID-19) (NRI-C) was used in the analysis.

ArmMeasureValue (NUMBER)
PlaceboPercentage of Participants Achieving At Least a 75% Reduction From Baseline in Eczema Area and Severity Index (EASI 75) at Week 1611.8 percentage of participants
Risankizumab 150 mgPercentage of Participants Achieving At Least a 75% Reduction From Baseline in Eczema Area and Severity Index (EASI 75) at Week 1624.6 percentage of participants
Risankizumab 300 mgPercentage of Participants Achieving At Least a 75% Reduction From Baseline in Eczema Area and Severity Index (EASI 75) at Week 1621.7 percentage of participants
p-value: 0.08495% CI: [-1.7, 27.7]Cochran-Mantel-Haenszel
p-value: 0.17995% CI: [-4.6, 24.6]Cochran-Mantel-Haenszel
Secondary

Change From Baseline in CDLQI Score at Week 16

The CDLQI is a 10-item, validated questionnaire used to assess the impact of AD disease symptoms and treatment on QoL. The CDLQI has been validated for use in individuals 4-16 years old. It consists of 10 questions assessing impact of skin diseases on different aspects of a patient's QoL over the prior week. The CDLQI items include symptoms and feelings, daily activities, leisure, school, relationships, sleep, and treatment. Each item is scored on a 4-point scale (0 = not at all; 1 = only a little; 2 = quite a lot; and 3 = very much). Item scores (0 to 3) are added to provide a total score range of 0 to 30; higher scores indicate greater impairment of QoL. A negative change from Baseline indicates improvement. In this study, the CDLQI was administered to participants who were \< 16 years old at the Baseline visit.

Time frame: Baseline and Week 16

Population: Intent-to-treat population \< 16 years old at the Baseline visit; missing data were handled using a mixed-effect model with repeated measurements. The overall number of participants analyzed is based on the number of participants with non-missing Baseline and Week 16 values.

ArmMeasureValue (LEAST_SQUARES_MEAN)
Risankizumab 150 mgChange From Baseline in CDLQI Score at Week 16-2.0 score on a scale
Secondary

Change From Baseline in CDLQI Score at Week 28 and Week 52

The CDLQI is a 10-item, validated questionnaire used to assess the impact of AD disease symptoms and treatment on QoL. The CDLQI has been validated for use in individuals 4-16 years old. It consists of 10 questions assessing impact of skin diseases on different aspects of a patient's QoL over the prior week. The CDLQI items include symptoms and feelings, daily activities, leisure, school, relationships, sleep, and treatment. Each item is scored on a 4-point scale (0 = not at all; 1 = only a little; 2 = quite a lot; and 3 = very much). Item scores (0 to 3) are added to provide a total score range of 0 to 30; higher scores indicate greater impairment of QoL. A negative change from Baseline indicates improvement. In this study, the CDLQI was administered to participants who were \< 16 years old at the Baseline visit. LS means were calculated from ANCOVA with Baseline and treatment in the model.

Time frame: Baseline and Weeks 28 and 52

Population: Intent-to-treat population \< 16 years old at the Baseline visit with available data at each time point.

ArmMeasureGroupValue (LEAST_SQUARES_MEAN)Dispersion
Risankizumab 300 mgChange From Baseline in CDLQI Score at Week 28 and Week 52Week 281.0 score on a scaleStandard Error 0
Secondary

Change From Baseline in DLQI Score at Week 16

The DLQI is a 10-item validated questionnaire used to assess the impact of AD disease symptoms and treatment on quality of life (QoL). It consists of 10 questions evaluating impact of skin diseases on different aspects of a participant's QoL over the prior week, including symptoms and feelings, daily activities, leisure, work or school, personal relationships, and the side effects of treatment. Each item is scored on a 4-point scale (0 = not at all/not relevant; 1 = a little; 2 = a lot; and 3 = very much). Item scores are added to provide a total score, ranging from 0 to 30, with higher scores indicating greater impairment of QoL. A negative change from Baseline indicates improvement.

Time frame: Baseline and Week 16

Population: Intent-to-treat population; missing data were handled using a mixed-effect model with repeated measurements. The overall number of participants analyzed is based on the number of participants with non-missing Baseline and Week 16 values.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
PlaceboChange From Baseline in DLQI Score at Week 16-3.4 score on a scaleStandard Error 1.55
Risankizumab 150 mgChange From Baseline in DLQI Score at Week 16-3.4 score on a scaleStandard Error 0.95
Risankizumab 300 mgChange From Baseline in DLQI Score at Week 16-4.4 score on a scaleStandard Error 1.03
p-value: 0.98895% CI: [-3.6, 3.6]Mixed Effect Model Repeated Measurement
p-value: 0.59495% CI: [-4.7, 2.7]Mixed Effect Model Repeated Measurement
Secondary

Change From Baseline in DLQI Score at Week 28 and Week 52

The DLQI is a 10-item validated questionnaire used to assess the impact of AD disease symptoms and treatment on quality of life (QoL). It consists of 10 questions evaluating impact of skin diseases on different aspects of a participant's QoL over the prior week, including symptoms and feelings, daily activities, leisure, work or school, personal relationships, and the side effects of treatment. Each item is scored on a 4-point scale (0 = not at all/not relevant; 1 = a little; 2 = a lot; and 3 = very much). Item scores are added to provide a total score, ranging from 0 to 30, with higher scores indicating greater impairment of QoL. A negative change from Baseline indicates improvement. LS means and standard errors were calculated from an ANCOVA model with Baseline, treatment and stratum (Baseline vIGA-AD categories) in the model.

Time frame: Baseline and Weeks 28 and 52

Population: Intent-to-treat population with available data at each time point.

ArmMeasureGroupValue (LEAST_SQUARES_MEAN)Dispersion
PlaceboChange From Baseline in DLQI Score at Week 28 and Week 52Week 28-8.0 score on a scaleStandard Error 2.06
PlaceboChange From Baseline in DLQI Score at Week 28 and Week 52Week 52-4.5 score on a scaleStandard Error 2.99
Risankizumab 150 mgChange From Baseline in DLQI Score at Week 28 and Week 52Week 52-5.0 score on a scaleStandard Error 3.3
Risankizumab 150 mgChange From Baseline in DLQI Score at Week 28 and Week 52Week 28-5.3 score on a scaleStandard Error 2.69
Risankizumab 300 mgChange From Baseline in DLQI Score at Week 28 and Week 52Week 52-7.7 score on a scaleStandard Error 1.11
Risankizumab 300 mgChange From Baseline in DLQI Score at Week 28 and Week 52Week 28-7.1 score on a scaleStandard Error 0.87
Risankizumab 300 mg / Risankizumab 300 mgChange From Baseline in DLQI Score at Week 28 and Week 52Week 52-6.5 score on a scaleStandard Error 1.18
Risankizumab 300 mg / Risankizumab 300 mgChange From Baseline in DLQI Score at Week 28 and Week 52Week 28-7.3 score on a scaleStandard Error 0.93
Secondary

Change From Baseline in Percentage of Body Surface Area (BSA) Affected by Atopic Dermatitis at Week 16

Body surface area (BSA) affected by atopic dermatitis was assessed by the physician and is expressed as a percentage of the total BSA. For purposes of the estimation, the total surface of the participant's palm plus five digits was assumed to be approximately equivalent to 1% BSA. A negative change from Baseline indicates improvement.

Time frame: Baseline and Week 16

Population: Intent-to-treat population; missing data were handled using a mixed-effect model with repeated measurements. The overall number of participants analyzed is based on the number of participants with non-missing Baseline and Week 16 values.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
PlaceboChange From Baseline in Percentage of Body Surface Area (BSA) Affected by Atopic Dermatitis at Week 16-7.41 percentage of body surface areaStandard Error 3.813
Risankizumab 150 mgChange From Baseline in Percentage of Body Surface Area (BSA) Affected by Atopic Dermatitis at Week 16-13.64 percentage of body surface areaStandard Error 2.429
Risankizumab 300 mgChange From Baseline in Percentage of Body Surface Area (BSA) Affected by Atopic Dermatitis at Week 16-13.27 percentage of body surface areaStandard Error 2.569
p-value: 0.16995% CI: [-15.15, 2.68]Mixed Effect Model Repeated Measurement
p-value: 0.20495% CI: [-14.94, 3.22]Mixed Effect Model Repeated Measurement
Secondary

Change From Baseline in Percentage of BSA Affected by Atopic Dermatitis at Weeks 28 and 52

Body surface area (BSA) affected by atopic dermatitis was assessed by the physician and is expressed as a percentage of the total BSA. For purposes of the estimation, the total surface of the participant's palm plus five digits was assumed to be approximately equivalent to 1% BSA. A negative change from Baseline indicates improvement. LS means and standard errors were calculated from ANCOVA with Baseline, treatment and stratum (Baseline vIGA-AD categories) in the model.

Time frame: Baseline and Weeks 28 and 52

Population: Intent-to-treat population with available data at each time point

ArmMeasureGroupValue (LEAST_SQUARES_MEAN)Dispersion
PlaceboChange From Baseline in Percentage of BSA Affected by Atopic Dermatitis at Weeks 28 and 52Week 28-20.07 percentage of body surface areaStandard Error 5.843
PlaceboChange From Baseline in Percentage of BSA Affected by Atopic Dermatitis at Weeks 28 and 52Week 52-0.86 percentage of body surface areaStandard Error 6.525
Risankizumab 150 mgChange From Baseline in Percentage of BSA Affected by Atopic Dermatitis at Weeks 28 and 52Week 52-30.23 percentage of body surface areaStandard Error 7.316
Risankizumab 150 mgChange From Baseline in Percentage of BSA Affected by Atopic Dermatitis at Weeks 28 and 52Week 28-11.90 percentage of body surface areaStandard Error 7.294
Risankizumab 300 mgChange From Baseline in Percentage of BSA Affected by Atopic Dermatitis at Weeks 28 and 52Week 28-23.23 percentage of body surface areaStandard Error 2.438
Risankizumab 300 mgChange From Baseline in Percentage of BSA Affected by Atopic Dermatitis at Weeks 28 and 52Week 52-29.26 percentage of body surface areaStandard Error 2.4
Risankizumab 300 mg / Risankizumab 300 mgChange From Baseline in Percentage of BSA Affected by Atopic Dermatitis at Weeks 28 and 52Week 28-23.22 percentage of body surface areaStandard Error 2.443
Risankizumab 300 mg / Risankizumab 300 mgChange From Baseline in Percentage of BSA Affected by Atopic Dermatitis at Weeks 28 and 52Week 52-22.14 percentage of body surface areaStandard Error 2.51
Secondary

Change From Baseline in Worst Pruritus NRS Score at Week 28 and Week 52

Participants were asked to rate itch (pruritus) intensity at its worst during the past 24 hours on an 11-point scale from 0 (no itch) to 10 (worst imaginable itch). Change from Baseline was calculated from a rolling weekly average. A negative change from Baseline indicates improvement. LS means and standard errors were calculated from an ANCOVA with Baseline, treatment and stratum (Baseline vIGA-AD categories) in the model.

Time frame: Baseline and Weeks 28 and 52

Population: Intent-to-treat population with available data at each time point.

ArmMeasureGroupValue (LEAST_SQUARES_MEAN)Dispersion
PlaceboChange From Baseline in Worst Pruritus NRS Score at Week 28 and Week 52Week 28-2.685 score on a scaleStandard Error 0.9303
PlaceboChange From Baseline in Worst Pruritus NRS Score at Week 28 and Week 52Week 52-2.668 score on a scaleStandard Error 1.2153
Risankizumab 150 mgChange From Baseline in Worst Pruritus NRS Score at Week 28 and Week 52Week 52-4.012 score on a scaleStandard Error 1.3907
Risankizumab 150 mgChange From Baseline in Worst Pruritus NRS Score at Week 28 and Week 52Week 28-3.182 score on a scaleStandard Error 1.2347
Risankizumab 300 mgChange From Baseline in Worst Pruritus NRS Score at Week 28 and Week 52Week 52-2.936 score on a scaleStandard Error 0.4567
Risankizumab 300 mgChange From Baseline in Worst Pruritus NRS Score at Week 28 and Week 52Week 28-2.474 score on a scaleStandard Error 0.3887
Risankizumab 300 mg / Risankizumab 300 mgChange From Baseline in Worst Pruritus NRS Score at Week 28 and Week 52Week 28-2.684 score on a scaleStandard Error 0.4179
Risankizumab 300 mg / Risankizumab 300 mgChange From Baseline in Worst Pruritus NRS Score at Week 28 and Week 52Week 52-2.454 score on a scaleStandard Error 0.4957
Secondary

Change From Baseline in Worst Pruritus Numerical Rating Scale at Week 16

Participants were asked to rate itch (pruritus) intensity at its worst during the past 24 hours on an 11-point scale from 0 (no itch) to 10 (worst imaginable itch). Change from Baseline was calculated from a rolling weekly average. A negative change from Baseline indicates improvement.

Time frame: Baseline and Week 16

Population: Intent-to-treat population; missing data were handled using a mixed-effect model with repeated measurements. The overall number of participants analyzed is based on the number of participants with non-missing Baseline and Week 16 values.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
PlaceboChange From Baseline in Worst Pruritus Numerical Rating Scale at Week 16-0.098 score on a scaleStandard Error 0.511
Risankizumab 150 mgChange From Baseline in Worst Pruritus Numerical Rating Scale at Week 16-1.416 score on a scaleStandard Error 0.3408
Risankizumab 300 mgChange From Baseline in Worst Pruritus Numerical Rating Scale at Week 16-1.746 score on a scaleStandard Error 0.3619
p-value: 0.03395% CI: [-2.531, -0.105]Mixed Effect Model Repeated Measurement
p-value: 0.00995% CI: [-2.885, -0.411]Mixed Effect Model Repeated Measurement
Secondary

Percentage of Participants Who Achieved a 50% Improvement in SCORing Atopic Dermatitis (SCORAD) Score (SCORAD 50) at Week 16

SCORAD is a clinical tool used to assess the extent and severity of eczema (SCORing Atopic Dermatitis). The extent is assessed using the rule of 9 to calculate the affected area (A) as a percentage of the whole body (0-100%). The intensity part of the SCORAD (B) consists of 6 items: erythema, oedema/papulation, excoriations, lichenification, oozing/crusts and dryness, each graded on a scale from 0 (none) to 3 (severe), for a total score of 0 to 18. Subjective items (C) include daily pruritus and sleeplessness, each scored on a visual analogue scale (VAS) from 0 to 10 (total score 0-20). SCORAD is calculated as A/5 + 7B/2 + C, and ranges from 0 to 103 (worst).

Time frame: Baseline, Week 16

Population: Intent-to-treat population; Non-responder imputation incorporating multiple imputation to handle missing data due to COVID-19 (NRI-C) was used in the analysis.

ArmMeasureValue (NUMBER)
PlaceboPercentage of Participants Who Achieved a 50% Improvement in SCORing Atopic Dermatitis (SCORAD) Score (SCORAD 50) at Week 1618.0 percentage of participants
Risankizumab 150 mgPercentage of Participants Who Achieved a 50% Improvement in SCORing Atopic Dermatitis (SCORAD) Score (SCORAD 50) at Week 1624.6 percentage of participants
Risankizumab 300 mgPercentage of Participants Who Achieved a 50% Improvement in SCORing Atopic Dermatitis (SCORAD) Score (SCORAD 50) at Week 1613.0 percentage of participants
p-value: 0.42295% CI: [-9.7, 23.1]Cochran-Mantel-Haenszel
p-value: 0.50595% CI: [-20.3, 10]Cochran-Mantel-Haenszel
Secondary

Percentage of Participants Who Achieved a CDLQI Score of 0 or 1 at Week 28 and Week 52

The CDLQI is a 10-item, validated questionnaire used to assess the impact of AD disease symptoms and treatment on QoL. The CDLQI has been validated for use in individuals 4-16 years old. It consists of 10 questions assessing impact of skin diseases on different aspects of a patient's QoL over the prior week. The CDLQI items include symptoms and feelings, daily activities, leisure, school, relationships, sleep, and treatment. Each item is scored on a 4-point scale (0 = not at all; 1 = only a little; 2 = quite a lot; and 3 = very much). Item scores (0 to 3) are added to provide a total score range of 0 to 30; higher scores indicate greater impairment of QoL. A score of 0 or 1 means that the disease has no effect at all. In this study, the CDLQI was administered to participants who were \< 16 years old at Baseline.

Time frame: Weeks 28 and 52

Population: Intent-to-treat population \< 16 years old at the Baseline visit with available data at each time point

ArmMeasureGroupValue (NUMBER)
Risankizumab 300 mgPercentage of Participants Who Achieved a CDLQI Score of 0 or 1 at Week 28 and Week 52Week 280 percentage of participants
Secondary

Percentage of Participants Who Achieved a Children's Dermatology Life Quality Index (CDLQI) Score of 0 or 1 at Week 16

The CDLQI is a 10-item, validated questionnaire used to assess the impact of AD disease symptoms and treatment on QoL. The CDLQI has been validated for use in individuals 4-16 years old. It consists of 10 questions assessing impact of skin diseases on different aspects of a patient's QoL over the prior week. The CDLQI items include symptoms and feelings, daily activities, leisure, school, relationships, sleep, and treatment. Each item is scored on a 4-point scale (0 = not at all; 1 = only a little; 2 = quite a lot; and 3 = very much). Item scores (0 to 3) are added to provide a total score range of 0 to 30; higher scores indicate greater impairment of QoL. A score of 0 or 1 means that the disease has no effect at all. In this study, the CDLQI was administered to participants who were \< 16 years old at Baseline.

Time frame: Week 16

Population: Intent-to-treat population \< 16 years old at the Baseline visit; Non-responder imputation incorporating multiple imputation to handle missing data due to COVID-19 (NRI-C) was used in the analysis.

ArmMeasureValue (NUMBER)
Risankizumab 150 mgPercentage of Participants Who Achieved a Children's Dermatology Life Quality Index (CDLQI) Score of 0 or 1 at Week 160 percentage of participants
Risankizumab 300 mgPercentage of Participants Who Achieved a Children's Dermatology Life Quality Index (CDLQI) Score of 0 or 1 at Week 160 percentage of participants
Secondary

Percentage of Participants Who Achieved a Dermatology Life Quality Index (DLQI) Score of 0 or 1 at Week 16

The DLQI is a 10-item validated questionnaire used to assess the impact of AD disease symptoms and treatment on quality of life (QoL). It consists of 10 questions evaluating impact of skin diseases on different aspects of a participant's QoL over the prior week, including symptoms and feelings, daily activities, leisure, work or school, personal relationships, and the side effects of treatment. Each item is scored on a 4-point scale (0 = not at all/not relevant; 1 = a little; 2 = a lot; and 3 = very much). Item scores are added to provide a total score, ranging from 0 to 30, with higher scores indicating greater impairment of QoL. A score of 0 or 1 means that the disease has no effect at all.

Time frame: Week 16

Population: Intent-to-treat population; non-responder imputation incorporating multiple imputation to handle missing data due to COVID-19 (NRI-C) was used in the analysis.

ArmMeasureValue (NUMBER)
PlaceboPercentage of Participants Who Achieved a Dermatology Life Quality Index (DLQI) Score of 0 or 1 at Week 169.0 percentage of participants
Risankizumab 150 mgPercentage of Participants Who Achieved a Dermatology Life Quality Index (DLQI) Score of 0 or 1 at Week 168.7 percentage of participants
Risankizumab 300 mgPercentage of Participants Who Achieved a Dermatology Life Quality Index (DLQI) Score of 0 or 1 at Week 165.8 percentage of participants
p-value: 0.96595% CI: [-12, 11.5]Cochran-Mantel-Haenszel
p-value: 0.58395% CI: [-14.3, 8.1]Cochran-Mantel-Haenszel
Secondary

Percentage of Participants Who Achieved a DLQI Score of 0 or 1 at Week 28 and Week 52

The DLQI is a 10-item validated questionnaire used to assess the impact of AD disease symptoms and treatment on quality of life (QoL). It consists of 10 questions evaluating impact of skin diseases on different aspects of a participant's QoL over the prior week, including symptoms and feelings, daily activities, leisure, work or school, personal relationships, and the side effects of treatment. Each item is scored on a 4-point scale (0 = not at all/not relevant; 1 = a little; 2 = a lot; and 3 = very much). Item scores are added to provide a total score, ranging from 0 to 30, with higher scores indicating greater impairment of QoL. A score of 0 or 1 means that the disease has no effect at all.

Time frame: Weeks 28 and 52

Population: Intent-to-treat population with available data at each time point

ArmMeasureGroupValue (NUMBER)
PlaceboPercentage of Participants Who Achieved a DLQI Score of 0 or 1 at Week 28 and Week 52Week 2822.2 percentage of participants
PlaceboPercentage of Participants Who Achieved a DLQI Score of 0 or 1 at Week 28 and Week 52Week 5220.0 percentage of participants
Risankizumab 150 mgPercentage of Participants Who Achieved a DLQI Score of 0 or 1 at Week 28 and Week 52Week 5225.0 percentage of participants
Risankizumab 150 mgPercentage of Participants Who Achieved a DLQI Score of 0 or 1 at Week 28 and Week 52Week 2820.0 percentage of participants
Risankizumab 300 mgPercentage of Participants Who Achieved a DLQI Score of 0 or 1 at Week 28 and Week 52Week 2816.3 percentage of participants
Risankizumab 300 mgPercentage of Participants Who Achieved a DLQI Score of 0 or 1 at Week 28 and Week 52Week 5213.9 percentage of participants
Risankizumab 300 mg / Risankizumab 300 mgPercentage of Participants Who Achieved a DLQI Score of 0 or 1 at Week 28 and Week 52Week 2813.6 percentage of participants
Risankizumab 300 mg / Risankizumab 300 mgPercentage of Participants Who Achieved a DLQI Score of 0 or 1 at Week 28 and Week 52Week 5215.6 percentage of participants
Secondary

Percentage of Participants Who Achieved an EASI 50 Response at Week 16

EASI is a tool used to measure the extent (area) and severity of atopic eczema based on assessments of the head/neck, trunk, upper limbs and lower limbs. For each region the area score is recorded as the percentage of skin affected by eczema. For each region, the severity score is calculated as the sum of the intensity scores (scored as none \[0\], mild \[1\], moderate \[2\], or severe \[3\]) for redness (erythema, inflammation), thickness (induration, papulation, swelling - acute eczema), scratching (excoriation), and lichenification (lined skin, prurigo nodules - chronic eczema). The total EASI score for each region is calculated by multiplying the severity score by the area score, with adjustment for the proportion of the body region to the whole body. The final EASI score is the sum of the 4 region scores and ranges from 0 to 72 where higher scores represent worse disease. EASI 50 response is defined as at least a 50% reduction (improvement) from Baseline in EASI score.

Time frame: Baseline and Week 16

Population: Intent-to-treat population; non-responder imputation incorporating multiple imputation to handle missing data due to COVID-19 (NRI-C) was used in the analysis.

ArmMeasureValue (NUMBER)
PlaceboPercentage of Participants Who Achieved an EASI 50 Response at Week 1629.4 percentage of participants
Risankizumab 150 mgPercentage of Participants Who Achieved an EASI 50 Response at Week 1642.0 percentage of participants
Risankizumab 300 mgPercentage of Participants Who Achieved an EASI 50 Response at Week 1634.8 percentage of participants
p-value: 0.17195% CI: [-5.6, 31.4]Cochran-Mantel-Haenszel
p-value: 0.55295% CI: [-13.1, 24.5]Cochran-Mantel-Haenszel
Secondary

Percentage of Participants Who Achieved an EASI 50 Response at Week 28 and Week 52

EASI is a tool used to measure the extent (area) and severity of atopic eczema based on assessments of the head/neck, trunk, upper limbs and lower limbs. For each region the area score is recorded as the percentage of skin affected by eczema. For each region, the severity score is calculated as the sum of the intensity scores (scored as none \[0\], mild \[1\], moderate \[2\], or severe \[3\]) for redness (erythema, inflammation), thickness (induration, papulation, swelling - acute eczema), scratching (excoriation), and lichenification (lined skin, prurigo nodules - chronic eczema). The total EASI score for each region is calculated by multiplying the severity score by the area score, with adjustment for the proportion of the body region to the whole body. The final EASI score is the sum of the 4 region scores and ranges from 0 to 72 where higher scores represent worse disease. An EASI 50 response is defined as at least a 50% reduction (improvement) from Baseline in EASI score.

Time frame: Baseline and Weeks 28 and 52

Population: Intent-to-treat population with available data at each time point.

ArmMeasureGroupValue (NUMBER)
PlaceboPercentage of Participants Who Achieved an EASI 50 Response at Week 28 and Week 52Week 2875.0 percentage of participants
PlaceboPercentage of Participants Who Achieved an EASI 50 Response at Week 28 and Week 52Week 5240.0 percentage of participants
Risankizumab 150 mgPercentage of Participants Who Achieved an EASI 50 Response at Week 28 and Week 52Week 5275.0 percentage of participants
Risankizumab 150 mgPercentage of Participants Who Achieved an EASI 50 Response at Week 28 and Week 52Week 2880.0 percentage of participants
Risankizumab 300 mgPercentage of Participants Who Achieved an EASI 50 Response at Week 28 and Week 52Week 2873.3 percentage of participants
Risankizumab 300 mgPercentage of Participants Who Achieved an EASI 50 Response at Week 28 and Week 52Week 5278.4 percentage of participants
Risankizumab 300 mg / Risankizumab 300 mgPercentage of Participants Who Achieved an EASI 50 Response at Week 28 and Week 52Week 2874.4 percentage of participants
Risankizumab 300 mg / Risankizumab 300 mgPercentage of Participants Who Achieved an EASI 50 Response at Week 28 and Week 52Week 5272.7 percentage of participants
Secondary

Percentage of Participants Who Achieved an EASI 75 Response at Week 28 and Week 52

EASI is a tool used to measure the extent (area) and severity of atopic eczema based on assessments of the head/neck, trunk, upper limbs and lower limbs. For each region the area score is recorded as the percentage of skin affected by eczema. For each region, the severity score is calculated as the sum of the intensity scores (scored as none \[0\], mild \[1\], moderate \[2\], or severe \[3\]) for redness (erythema, inflammation), thickness (induration, papulation, swelling - acute eczema), scratching (excoriation), and lichenification (lined skin, prurigo nodules - chronic eczema). The total EASI score for each region is calculated by multiplying the severity score by the area score, with adjustment for the proportion of the body region to the whole body. The final EASI score is the sum of the 4 region scores and ranges from 0 to 72 where higher scores represent worse disease.

Time frame: Baseline and Weeks 28 and 52

Population: Intent-to-treat population with available data at each time point.

ArmMeasureGroupValue (NUMBER)
PlaceboPercentage of Participants Who Achieved an EASI 75 Response at Week 28 and Week 52Week 2837.5 percentage of participants
PlaceboPercentage of Participants Who Achieved an EASI 75 Response at Week 28 and Week 52Week 520 percentage of participants
Risankizumab 150 mgPercentage of Participants Who Achieved an EASI 75 Response at Week 28 and Week 52Week 280 percentage of participants
Risankizumab 150 mgPercentage of Participants Who Achieved an EASI 75 Response at Week 28 and Week 52Week 5275.0 percentage of participants
Risankizumab 300 mgPercentage of Participants Who Achieved an EASI 75 Response at Week 28 and Week 52Week 2853.3 percentage of participants
Risankizumab 300 mgPercentage of Participants Who Achieved an EASI 75 Response at Week 28 and Week 52Week 5243.2 percentage of participants
Risankizumab 300 mg / Risankizumab 300 mgPercentage of Participants Who Achieved an EASI 75 Response at Week 28 and Week 52Week 5245.5 percentage of participants
Risankizumab 300 mg / Risankizumab 300 mgPercentage of Participants Who Achieved an EASI 75 Response at Week 28 and Week 52Week 2841.9 percentage of participants
Secondary

Percentage of Participants Who Achieved an EASI 90 Response at Week 16

EASI is a tool used to measure the extent (area) and severity of atopic eczema based on assessments of the head/neck, trunk, upper limbs and lower limbs. For each region the area score is recorded as the percentage of skin affected by eczema. For each region, the severity score is calculated as the sum of the intensity scores (scored as none \[0\], mild \[1\], moderate \[2\], or severe \[3\]) for redness (erythema, inflammation), thickness (induration, papulation, swelling - acute eczema), scratching (excoriation), and lichenification (lined skin, prurigo nodules - chronic eczema). The total EASI score for each region is calculated by multiplying the severity score by the area score, with adjustment for the proportion of the body region to the whole body. The final EASI score is the sum of the 4 region scores and ranges from 0 to 72 where higher scores represent worse disease. An EASI 90 response is defined as at least a 90% reduction (improvement) from Baseline in EASI score.

Time frame: Baseline, Week 16

Population: Intent-to-treat population; non-responder imputation incorporating multiple imputation to handle missing data due to COVID-19 (NRI-C) was used in the analysis.

ArmMeasureValue (NUMBER)
PlaceboPercentage of Participants Who Achieved an EASI 90 Response at Week 162.9 percentage of participants
Risankizumab 150 mgPercentage of Participants Who Achieved an EASI 90 Response at Week 1614.5 percentage of participants
Risankizumab 300 mgPercentage of Participants Who Achieved an EASI 90 Response at Week 168.7 percentage of participants
p-value: 0.02295% CI: [1.7, 21.6]Cochran-Mantel-Haenszel
p-value: 0.19295% CI: [-2.9, 14.4]Cochran-Mantel-Haenszel
Secondary

Percentage of Participants Who Achieved an EASI 90 Response at Week 28 and Week 52

EASI is a tool used to measure the extent (area) and severity of atopic eczema based on assessments of the head/neck, trunk, upper limbs and lower limbs. For each region the area score is recorded as the percentage of skin affected by eczema. For each region, the severity score is calculated as the sum of the intensity scores (scored as none \[0\], mild \[1\], moderate \[2\], or severe \[3\]) for redness (erythema, inflammation), thickness (induration, papulation, swelling - acute eczema), scratching (excoriation), and lichenification (lined skin, prurigo nodules - chronic eczema). The total EASI score for each region is calculated by multiplying the severity score by the area score, with adjustment for the proportion of the body region to the whole body. The final EASI score is the sum of the 4 region scores and ranges from 0 to 72 where higher scores represent worse disease. An EASI 90 response is defined as at least a 90% reduction (improvement) from Baseline in EASI score.

Time frame: Baseline and Weeks 28 and 52

Population: Intent-to-treat population with available data at each time point

ArmMeasureGroupValue (NUMBER)
PlaceboPercentage of Participants Who Achieved an EASI 90 Response at Week 28 and Week 52Week 2825.0 percentage of participants
PlaceboPercentage of Participants Who Achieved an EASI 90 Response at Week 28 and Week 52Week 520 percentage of participants
Risankizumab 150 mgPercentage of Participants Who Achieved an EASI 90 Response at Week 28 and Week 52Week 280 percentage of participants
Risankizumab 150 mgPercentage of Participants Who Achieved an EASI 90 Response at Week 28 and Week 52Week 520 percentage of participants
Risankizumab 300 mgPercentage of Participants Who Achieved an EASI 90 Response at Week 28 and Week 52Week 5224.3 percentage of participants
Risankizumab 300 mgPercentage of Participants Who Achieved an EASI 90 Response at Week 28 and Week 52Week 2826.7 percentage of participants
Risankizumab 300 mg / Risankizumab 300 mgPercentage of Participants Who Achieved an EASI 90 Response at Week 28 and Week 52Week 5218.2 percentage of participants
Risankizumab 300 mg / Risankizumab 300 mgPercentage of Participants Who Achieved an EASI 90 Response at Week 28 and Week 52Week 2827.9 percentage of participants
Secondary

Percentage of Participants Who Achieved a Reduction in DLQI of ≥ 4 Points From Baseline at Week 16 Among Those With a DLQI ≥ 4 at Baseline

The DLQI is a 10-item validated questionnaire used to assess the impact of AD disease symptoms and treatment on quality of life (QoL). It consists of 10 questions evaluating impact of skin diseases on different aspects of a participant's QoL over the prior week, including symptoms and feelings, daily activities, leisure, work or school, personal relationships, and the side effects of treatment. Each item is scored on a 4-point scale (0 = not at all/not relevant; 1 = a little; 2 = a lot; and 3 = very much). Item scores are added to provide a total score, ranging from 0 to 30, with higher scores indicating greater impairment of QoL. A change in DLQI score of at least 4 points is considered the minimum clinically important difference (MCID).

Time frame: Baseline and Week 16

Population: Intent-to-treat population with a Baseline DLQI of ≥ 4; Non-responder imputation incorporating multiple imputation to handle missing data due to COVID-19 (NRI-C) was used in the analysis.

ArmMeasureValue (NUMBER)
PlaceboPercentage of Participants Who Achieved a Reduction in DLQI of ≥ 4 Points From Baseline at Week 16 Among Those With a DLQI ≥ 4 at Baseline25.6 percentage of participants
Risankizumab 150 mgPercentage of Participants Who Achieved a Reduction in DLQI of ≥ 4 Points From Baseline at Week 16 Among Those With a DLQI ≥ 4 at Baseline31.3 percentage of participants
Risankizumab 300 mgPercentage of Participants Who Achieved a Reduction in DLQI of ≥ 4 Points From Baseline at Week 16 Among Those With a DLQI ≥ 4 at Baseline37.5 percentage of participants
p-value: 0.53995% CI: [-13, 24.9]Cochran-Mantel-Haenszel
p-value: 0.21395% CI: [-7, 31.5]Cochran-Mantel-Haenszel
Secondary

Percentage of Participants Who Achieved a Reduction in DLQI of ≥ 4 Points From Baseline at Week 28 and Week 52 Among Those With a DLQI ≥ 4 at Baseline

The DLQI is a 10-item validated questionnaire used to assess the impact of AD disease symptoms and treatment on quality of life (QoL). It consists of 10 questions evaluating impact of skin diseases on different aspects of a participant's QoL over the prior week, including symptoms and feelings, daily activities, leisure, work or school, personal relationships, and the side effects of treatment. Each item is scored on a 4-point scale (0 = not at all/not relevant; 1 = a little; 2 = a lot; and 3 = very much). Item scores are added to provide a total score, ranging from 0 to 30, with higher scores indicating greater impairment of QoL. A change in DLQI score of at least 4 points is considered the minimum clinically important difference (MCID).

Time frame: Baseline and Weeks 28 and 52

Population: Intent-to-treat population with a Baseline DLQI of ≥ 4 and with available data at each time point.

ArmMeasureGroupValue (NUMBER)
PlaceboPercentage of Participants Who Achieved a Reduction in DLQI of ≥ 4 Points From Baseline at Week 28 and Week 52 Among Those With a DLQI ≥ 4 at BaselineWeek 2877.8 percentage of participants
PlaceboPercentage of Participants Who Achieved a Reduction in DLQI of ≥ 4 Points From Baseline at Week 28 and Week 52 Among Those With a DLQI ≥ 4 at BaselineWeek 5260.0 percentage of participants
Risankizumab 150 mgPercentage of Participants Who Achieved a Reduction in DLQI of ≥ 4 Points From Baseline at Week 28 and Week 52 Among Those With a DLQI ≥ 4 at BaselineWeek 5250.0 percentage of participants
Risankizumab 150 mgPercentage of Participants Who Achieved a Reduction in DLQI of ≥ 4 Points From Baseline at Week 28 and Week 52 Among Those With a DLQI ≥ 4 at BaselineWeek 2840.0 percentage of participants
Risankizumab 300 mgPercentage of Participants Who Achieved a Reduction in DLQI of ≥ 4 Points From Baseline at Week 28 and Week 52 Among Those With a DLQI ≥ 4 at BaselineWeek 2866.7 percentage of participants
Risankizumab 300 mgPercentage of Participants Who Achieved a Reduction in DLQI of ≥ 4 Points From Baseline at Week 28 and Week 52 Among Those With a DLQI ≥ 4 at BaselineWeek 5263.6 percentage of participants
Risankizumab 300 mg / Risankizumab 300 mgPercentage of Participants Who Achieved a Reduction in DLQI of ≥ 4 Points From Baseline at Week 28 and Week 52 Among Those With a DLQI ≥ 4 at BaselineWeek 2868.3 percentage of participants
Risankizumab 300 mg / Risankizumab 300 mgPercentage of Participants Who Achieved a Reduction in DLQI of ≥ 4 Points From Baseline at Week 28 and Week 52 Among Those With a DLQI ≥ 4 at BaselineWeek 5266.7 percentage of participants
Secondary

Percentage of Participants Who Achieved a Reduction of ≥ 4 Points From Baseline in Worst Pruritus NRS Score at Week 28 and Week 52

Participants were asked to rate itch (pruritus) intensity at its worst during the past 24 hours on an 11-point scale from 0 (no itch) to 10 (worst imaginable itch).

Time frame: Baseline and Weeks 28 and 52

Population: Intent-to-treat population with a Baseline Pruritus NRS of ≥ 4, and with available data at each time point.

ArmMeasureGroupValue (NUMBER)
PlaceboPercentage of Participants Who Achieved a Reduction of ≥ 4 Points From Baseline in Worst Pruritus NRS Score at Week 28 and Week 52Week 5220.0 percentage of participants
PlaceboPercentage of Participants Who Achieved a Reduction of ≥ 4 Points From Baseline in Worst Pruritus NRS Score at Week 28 and Week 52Week 2822.2 percentage of participants
Risankizumab 150 mgPercentage of Participants Who Achieved a Reduction of ≥ 4 Points From Baseline in Worst Pruritus NRS Score at Week 28 and Week 52Week 5225.0 percentage of participants
Risankizumab 150 mgPercentage of Participants Who Achieved a Reduction of ≥ 4 Points From Baseline in Worst Pruritus NRS Score at Week 28 and Week 52Week 2820.0 percentage of participants
Risankizumab 300 mgPercentage of Participants Who Achieved a Reduction of ≥ 4 Points From Baseline in Worst Pruritus NRS Score at Week 28 and Week 52Week 2831.3 percentage of participants
Risankizumab 300 mgPercentage of Participants Who Achieved a Reduction of ≥ 4 Points From Baseline in Worst Pruritus NRS Score at Week 28 and Week 52Week 5238.2 percentage of participants
Risankizumab 300 mg / Risankizumab 300 mgPercentage of Participants Who Achieved a Reduction of ≥ 4 Points From Baseline in Worst Pruritus NRS Score at Week 28 and Week 52Week 2839.5 percentage of participants
Risankizumab 300 mg / Risankizumab 300 mgPercentage of Participants Who Achieved a Reduction of ≥ 4 Points From Baseline in Worst Pruritus NRS Score at Week 28 and Week 52Week 5228.1 percentage of participants
Secondary

Percentage of Participants Who Achieved a Reduction of ≥ 4 Points in Worst Pruritus Numerical Rating Scale (NRS) Score From Baseline to Week 16

Participants were asked to rate itch (pruritus) intensity at its worst during the past 24 hours on an 11-point scale from 0 (no itch) to 10 (worst imaginable itch).

Time frame: Baseline and Week 16

Population: Intent-to-treat population with a Baseline Pruritus NRS of ≥ 4; non-responder imputation incorporating multiple imputation to handle missing data due to COVID-19 (NRI-C) was used in the analysis.

ArmMeasureValue (NUMBER)
PlaceboPercentage of Participants Who Achieved a Reduction of ≥ 4 Points in Worst Pruritus Numerical Rating Scale (NRS) Score From Baseline to Week 160 percentage of participants
Risankizumab 150 mgPercentage of Participants Who Achieved a Reduction of ≥ 4 Points in Worst Pruritus Numerical Rating Scale (NRS) Score From Baseline to Week 1613.6 percentage of participants
Risankizumab 300 mgPercentage of Participants Who Achieved a Reduction of ≥ 4 Points in Worst Pruritus Numerical Rating Scale (NRS) Score From Baseline to Week 1615.2 percentage of participants
p-value: 0.00195% CI: [5.4, 22.1]Cochran-Mantel-Haenszel
p-value: <0.00195% CI: [6.6, 24]Cochran-Mantel-Haenszel
Secondary

Percentage of Participants Who Achieved a SCORAD 50 Response at Week 28 and Week 52

SCORAD is a clinical tool used to assess the extent and severity of eczema (SCORing Atopic Dermatitis). The extent is assessed using the rule of 9 to calculate the affected area (A) as a percentage of the whole body (0-100%). The intensity part of the SCORAD (B) consists of 6 items: erythema, oedema/papulation, excoriations, lichenification, oozing/crusts and dryness, each graded on a scale from 0 (none) to 3 (severe), for a total score of 0 to 18. Subjective items (C) include daily pruritus and sleeplessness, each scored on a visual analogue scale (VAS) from 0 to 10 (total score 0-20). SCORAD is calculated as A/5 + 7B/2 + C, and ranges from 0 to 103 (worst).

Time frame: Baseline and Weeks 28 and 52

Population: Intent-to-treat population with available data at each time point.

ArmMeasureGroupValue (NUMBER)
PlaceboPercentage of Participants Who Achieved a SCORAD 50 Response at Week 28 and Week 52Week 520 percentage of participants
PlaceboPercentage of Participants Who Achieved a SCORAD 50 Response at Week 28 and Week 52Week 2844.4 percentage of participants
Risankizumab 150 mgPercentage of Participants Who Achieved a SCORAD 50 Response at Week 28 and Week 52Week 2820.0 percentage of participants
Risankizumab 150 mgPercentage of Participants Who Achieved a SCORAD 50 Response at Week 28 and Week 52Week 5250.0 percentage of participants
Risankizumab 300 mgPercentage of Participants Who Achieved a SCORAD 50 Response at Week 28 and Week 52Week 5252.6 percentage of participants
Risankizumab 300 mgPercentage of Participants Who Achieved a SCORAD 50 Response at Week 28 and Week 52Week 2847.8 percentage of participants
Risankizumab 300 mg / Risankizumab 300 mgPercentage of Participants Who Achieved a SCORAD 50 Response at Week 28 and Week 52Week 5235.1 percentage of participants
Risankizumab 300 mg / Risankizumab 300 mgPercentage of Participants Who Achieved a SCORAD 50 Response at Week 28 and Week 52Week 2837.2 percentage of participants
Secondary

Percentage of Participants Who Achieved a SCORAD 75 Response at Week 16

SCORAD is a clinical tool used to assess the extent and severity of eczema (SCORing Atopic Dermatitis). The extent is assessed using the rule of 9 to calculate the affected area (A) as a percentage of the whole body (0-100%). The intensity part of the SCORAD (B) consists of 6 items: erythema, oedema/papulation, excoriations, lichenification, oozing/crusts and dryness, each graded on a scale from 0 (none) to 3 (severe), for a total score of 0 to 18. Subjective items (C) include daily pruritus and sleeplessness, each scored on a visual analogue scale (VAS) from 0 to 10 (total score 0-20). SCORAD is calculated as A/5 + 7B/2 + C, and ranges from 0 to 103 (worst). A SCORAD 75 response is defined as at least a 75% reduction (improvement) from Baseline in SCORAD score.

Time frame: Baseline and Week 16

Population: Intent-to-treat population; Non-responder imputation incorporating multiple imputation to handle missing data due to COVID-19 (NRI-C) was used in the analysis.

ArmMeasureValue (NUMBER)
PlaceboPercentage of Participants Who Achieved a SCORAD 75 Response at Week 160 percentage of participants
Risankizumab 150 mgPercentage of Participants Who Achieved a SCORAD 75 Response at Week 1610.1 percentage of participants
Risankizumab 300 mgPercentage of Participants Who Achieved a SCORAD 75 Response at Week 162.9 percentage of participants
p-value: 0.00595% CI: [3, 17.3]Cochran-Mantel-Haenszel
p-value: 0.15195% CI: [-1.1, 6.8]Cochran-Mantel-Haenszel
Secondary

Percentage of Participants Who Achieved a SCORAD 75 Response at Week 28 and Week 52

SCORAD is a clinical tool used to assess the extent and severity of eczema (SCORing Atopic Dermatitis). The extent is assessed using the rule of 9 to calculate the affected area (A) as a percentage of the whole body (0-100%). The intensity part of the SCORAD (B) consists of 6 items: erythema, oedema/papulation, excoriations, lichenification, oozing/crusts and dryness, each graded on a scale from 0 (none) to 3 (severe), for a total score of 0 to 18. Subjective items (C) include daily pruritus and sleeplessness, each scored on a visual analogue scale (VAS) from 0 to 10 (total score 0-20). SCORAD is calculated as A/5 + 7B/2 + C, and ranges from 0 to 103 (worst). A SCORAD 75 response is defined as at least a 75% reduction (improvement) from Baseline in SCORAD score.

Time frame: Baseline and Weeks 28 and 52

Population: Intent-to-treat population with available data at each time point.

ArmMeasureGroupValue (NUMBER)
PlaceboPercentage of Participants Who Achieved a SCORAD 75 Response at Week 28 and Week 52Week 2811.1 percentage of participants
PlaceboPercentage of Participants Who Achieved a SCORAD 75 Response at Week 28 and Week 52Week 520 percentage of participants
Risankizumab 150 mgPercentage of Participants Who Achieved a SCORAD 75 Response at Week 28 and Week 52Week 520 percentage of participants
Risankizumab 150 mgPercentage of Participants Who Achieved a SCORAD 75 Response at Week 28 and Week 52Week 280 percentage of participants
Risankizumab 300 mgPercentage of Participants Who Achieved a SCORAD 75 Response at Week 28 and Week 52Week 2823.9 percentage of participants
Risankizumab 300 mgPercentage of Participants Who Achieved a SCORAD 75 Response at Week 28 and Week 52Week 5221.1 percentage of participants
Risankizumab 300 mg / Risankizumab 300 mgPercentage of Participants Who Achieved a SCORAD 75 Response at Week 28 and Week 52Week 2811.6 percentage of participants
Risankizumab 300 mg / Risankizumab 300 mgPercentage of Participants Who Achieved a SCORAD 75 Response at Week 28 and Week 52Week 5213.5 percentage of participants
Secondary

Percentage of Participants Who Achieved a SCORAD 90 Response at Week 16

SCORAD is a clinical tool used to assess the extent and severity of eczema (SCORing Atopic Dermatitis). The extent is assessed using the rule of 9 to calculate the affected area (A) as a percentage of the whole body (0-100%). The intensity part of the SCORAD (B) consists of 6 items: erythema, oedema/papulation, excoriations, lichenification, oozing/crusts and dryness, each graded on a scale from 0 (none) to 3 (severe), for a total score of 0 to 18. Subjective items (C) include daily pruritus and sleeplessness, each scored on a visual analogue scale (VAS) from 0 to 10 (total score 0-20). SCORAD is calculated as A/5 + 7B/2 + C, and ranges from 0 to 103 (worst). A SCORAD 90 response is defined as at least a 90% reduction (improvement) from Baseline in SCORAD score.

Time frame: Baseline and Week 16

Population: Intent-to-treat population; non-responder imputation incorporating multiple imputation to handle missing data due to COVID-19 (NRI-C) was used in the analysis.

ArmMeasureValue (NUMBER)
PlaceboPercentage of Participants Who Achieved a SCORAD 90 Response at Week 160 percentage of participants
Risankizumab 150 mgPercentage of Participants Who Achieved a SCORAD 90 Response at Week 165.8 percentage of participants
Risankizumab 300 mgPercentage of Participants Who Achieved a SCORAD 90 Response at Week 161.4 percentage of participants
p-value: 0.03595% CI: [0.4, 11.3]Cochran-Mantel-Haenszel
p-value: 0.31195% CI: [-1.4, 4.4]Cochran-Mantel-Haenszel
Secondary

Percentage of Participants Who Achieved a SCORAD 90 Response at Week 28 and Week 52

SCORAD is a clinical tool used to assess the extent and severity of eczema (SCORing Atopic Dermatitis). The extent is assessed using the rule of 9 to calculate the affected area (A) as a percentage of the whole body (0-100%). The intensity part of the SCORAD (B) consists of 6 items: erythema, oedema/papulation, excoriations, lichenification, oozing/crusts and dryness, each graded on a scale from 0 (none) to 3 (severe), for a total score of 0 to 18. Subjective items (C) include daily pruritus and sleeplessness, each scored on a visual analogue scale (VAS) from 0 to 10 (total score 0-20). SCORAD is calculated as A/5 + 7B/2 + C, and ranges from 0 to 103 (worst). A SCORAD 90 response is defined as at least a 90% reduction (improvement) from Baseline in SCORAD score.

Time frame: Baseline and Weeks 28 and 52

Population: Intent-to-treat population with available data at each time point.

ArmMeasureGroupValue (NUMBER)
PlaceboPercentage of Participants Who Achieved a SCORAD 90 Response at Week 28 and Week 52Week 520 percentage of participants
PlaceboPercentage of Participants Who Achieved a SCORAD 90 Response at Week 28 and Week 52Week 280 percentage of participants
Risankizumab 150 mgPercentage of Participants Who Achieved a SCORAD 90 Response at Week 28 and Week 52Week 520 percentage of participants
Risankizumab 150 mgPercentage of Participants Who Achieved a SCORAD 90 Response at Week 28 and Week 52Week 280 percentage of participants
Risankizumab 300 mgPercentage of Participants Who Achieved a SCORAD 90 Response at Week 28 and Week 52Week 286.5 percentage of participants
Risankizumab 300 mgPercentage of Participants Who Achieved a SCORAD 90 Response at Week 28 and Week 52Week 5215.8 percentage of participants
Risankizumab 300 mg / Risankizumab 300 mgPercentage of Participants Who Achieved a SCORAD 90 Response at Week 28 and Week 52Week 284.7 percentage of participants
Risankizumab 300 mg / Risankizumab 300 mgPercentage of Participants Who Achieved a SCORAD 90 Response at Week 28 and Week 52Week 5210.8 percentage of participants
Secondary

Percentage of Participants Who Achieved a vIGA-AD Score of 0 or 1 With a Reduction From Baseline of ≥ 2 Points at Week 16

Validated Investigator Global Assessment scale for Atopic Dermatitis (vIGA-AD) was used to assess the severity of AD based on lesion appearance on the following scale: * 0 - Clear: No signs of AD; * 1 - Almost clear: Barely perceptible erythema, induration/papulation and/or lichenification; * 2 - Mild: Slight but definite erythema, induration/papulation and/or minimal lichenification. No oozing or crusting; * 3 - Moderate: Clearly perceptible erythema, induration/papulation and/or lichenification, possible oozing or crusting; * 4 - Severe: Marked erythema, induration/papulation and/or lichenification; possible oozing or crusting.

Time frame: Baseline and Week 16

Population: Intent-to-treat population; non-responder imputation incorporating multiple imputation to handle missing data due to COVID-19 (NRI-C) was used in the analysis.

ArmMeasureValue (NUMBER)
PlaceboPercentage of Participants Who Achieved a vIGA-AD Score of 0 or 1 With a Reduction From Baseline of ≥ 2 Points at Week 165.9 percentage of participants
Risankizumab 150 mgPercentage of Participants Who Achieved a vIGA-AD Score of 0 or 1 With a Reduction From Baseline of ≥ 2 Points at Week 1614.5 percentage of participants
Risankizumab 300 mgPercentage of Participants Who Achieved a vIGA-AD Score of 0 or 1 With a Reduction From Baseline of ≥ 2 Points at Week 165.8 percentage of participants
p-value: 0.12995% CI: [-2.5, 20]Cochran-Mantel-Haenszel
p-value: 0.99495% CI: [-9.4, 9.4]Cochran-Mantel-Haenszel
Secondary

Percentage of Participants Who Achieved a vIGA-AD Score of 0 or 1 With a Reduction From Baseline of ≥ 2 Points at Week 28 and Week 52

Validated Investigator Global Assessment scale for Atopic Dermatitis (vIGA-AD) was used to assess the severity of AD based on lesion appearance on the following scale: * 0 - Clear: No signs of AD; * 1 - Almost clear: Barely perceptible erythema, induration/papulation and/or lichenification; * 2 - Mild: Slight but definite erythema, induration/papulation and/or minimal lichenification. No oozing or crusting; * 3 - Moderate: Clearly perceptible erythema, induration/papulation and/or lichenification, possible oozing or crusting; * 4 - Severe: Marked erythema, induration/papulation and/or lichenification; possible oozing or crusting.

Time frame: Baseline and Weeks 28 and 52

Population: Intent-to-treat population with available data at each time point

ArmMeasureGroupValue (NUMBER)
PlaceboPercentage of Participants Who Achieved a vIGA-AD Score of 0 or 1 With a Reduction From Baseline of ≥ 2 Points at Week 28 and Week 52Week 280 percentage of participants
PlaceboPercentage of Participants Who Achieved a vIGA-AD Score of 0 or 1 With a Reduction From Baseline of ≥ 2 Points at Week 28 and Week 52Week 520 percentage of participants
Risankizumab 150 mgPercentage of Participants Who Achieved a vIGA-AD Score of 0 or 1 With a Reduction From Baseline of ≥ 2 Points at Week 28 and Week 52Week 520 percentage of participants
Risankizumab 150 mgPercentage of Participants Who Achieved a vIGA-AD Score of 0 or 1 With a Reduction From Baseline of ≥ 2 Points at Week 28 and Week 52Week 280 percentage of participants
Risankizumab 300 mgPercentage of Participants Who Achieved a vIGA-AD Score of 0 or 1 With a Reduction From Baseline of ≥ 2 Points at Week 28 and Week 52Week 5224.3 percentage of participants
Risankizumab 300 mgPercentage of Participants Who Achieved a vIGA-AD Score of 0 or 1 With a Reduction From Baseline of ≥ 2 Points at Week 28 and Week 52Week 2822.2 percentage of participants
Risankizumab 300 mg / Risankizumab 300 mgPercentage of Participants Who Achieved a vIGA-AD Score of 0 or 1 With a Reduction From Baseline of ≥ 2 Points at Week 28 and Week 52Week 5221.2 percentage of participants
Risankizumab 300 mg / Risankizumab 300 mgPercentage of Participants Who Achieved a vIGA-AD Score of 0 or 1 With a Reduction From Baseline of ≥ 2 Points at Week 28 and Week 52Week 2825.6 percentage of participants
Secondary

Percent Change From Baseline in EASI Score at Week 16

EASI is a tool used to measure the extent (area) and severity of atopic eczema based on assessments of the head/neck, trunk, upper limbs and lower limbs. For each region the area score is recorded as the percentage of skin affected by eczema. For each region, the severity score is calculated as the sum of the intensity scores (scored as none \[0\], mild \[1\], moderate \[2\], or severe \[3\]) for redness (erythema, inflammation), thickness (induration, papulation, swelling - acute eczema), scratching (excoriation), and lichenification (lined skin, prurigo nodules - chronic eczema). The total EASI score for each region is calculated by multiplying the severity score by the area score, with adjustment for the proportion of the body region to the whole body. The final EASI score is the sum of the 4 region scores and ranges from 0 to 72 where higher scores represent worse disease; a negative change from Baseline indicates improvement.

Time frame: Baseline and Week 16

Population: Intent-to-treat population; missing data were handled using a mixed-effect model with repeated measurements (MMRM). The overall number of participants analyzed is based on the number of participants with non-missing Baseline and Week 16 values.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
PlaceboPercent Change From Baseline in EASI Score at Week 16-28.54 percent changeStandard Error 9.378
Risankizumab 150 mgPercent Change From Baseline in EASI Score at Week 16-38.86 percent changeStandard Error 5.989
Risankizumab 300 mgPercent Change From Baseline in EASI Score at Week 16-45.39 percent changeStandard Error 6.351
p-value: 0.35395% CI: [-32.25, 11.61]Mixed Effect Model Repeated Measurement
p-value: 0.13995% CI: [-39.24, 5.53]Mixed Effect Model Repeated Measurement
Secondary

Percent Change From Baseline in EASI Score at Week 28 and Week 52

EASI is used to measure the extent (area) and severity of atopic eczema based on assessments of the head/neck, trunk, upper limbs and lower limbs. For each region the area score is recorded as the percentage of skin affected and the severity score is calculated as the sum of the intensity scores (scored as none \[0\], mild \[1\], moderate \[2\], or severe \[3\]) for redness (erythema, inflammation), thickness (induration, papulation, swelling), scratching, and lichenification (lined skin, prurigo nodules). The total EASI score for each region is calculated by multiplying the severity score by the area score, with adjustment for the proportion of the body region to the whole body. The final EASI score is the sum of the 4 region scores and ranges from 0 to 72 where higher scores represent worse disease; a negative change from Baseline indicates improvement. LS means were calculated from an analysis of covariance (ANCOVA) model with Baseline, treatment and vIGA-AD categories in the model.

Time frame: Baseline and Weeks 28 and 52

Population: Intent-to-treat population with available data at each time point.

ArmMeasureGroupValue (LEAST_SQUARES_MEAN)Dispersion
PlaceboPercent Change From Baseline in EASI Score at Week 28 and Week 52Week 28-58.60 percent changeStandard Error 12.091
PlaceboPercent Change From Baseline in EASI Score at Week 28 and Week 52Week 52-31.39 percent changeStandard Error 12.979
Risankizumab 150 mgPercent Change From Baseline in EASI Score at Week 28 and Week 52Week 52-76.75 percent changeStandard Error 14.199
Risankizumab 150 mgPercent Change From Baseline in EASI Score at Week 28 and Week 52Week 28-59.81 percent changeStandard Error 14.956
Risankizumab 300 mgPercent Change From Baseline in EASI Score at Week 28 and Week 52Week 28-62.44 percent changeStandard Error 5.065
Risankizumab 300 mgPercent Change From Baseline in EASI Score at Week 28 and Week 52Week 52-67.47 percent changeStandard Error 4.663
Risankizumab 300 mg / Risankizumab 300 mgPercent Change From Baseline in EASI Score at Week 28 and Week 52Week 28-63.77 percent changeStandard Error 5.051
Risankizumab 300 mg / Risankizumab 300 mgPercent Change From Baseline in EASI Score at Week 28 and Week 52Week 52-62.70 percent changeStandard Error 4.875

Source: ClinicalTrials.gov · Data processed: Feb 14, 2026