Dermatitis
Conditions
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
subcutaneous (SC) injection
subcutaneous (SC) injection
Sponsors
Study design
Eligibility
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
| Measure | Time frame | Description |
|---|---|---|
| Percentage of Participants Achieving At Least a 75% Reduction From Baseline in Eczema Area and Severity Index (EASI 75) at Week 16 | Baseline and 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. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Percentage of Participants Who Achieved a Reduction of ≥ 4 Points in Worst Pruritus Numerical Rating Scale (NRS) Score From Baseline to Week 16 | Baseline and 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). |
| Percent Change From Baseline in EASI Score at Week 16 | Baseline and 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. |
| Percent Change From Baseline in EASI Score at Week 28 and Week 52 | Baseline and Weeks 28 and 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. |
| Percentage of Participants Who Achieved an EASI 75 Response at Week 28 and Week 52 | Baseline and Weeks 28 and 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. |
| Percentage of Participants Who Achieved an EASI 50 Response at Week 16 | Baseline and 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. |
| Percentage of Participants Who Achieved an EASI 50 Response at Week 28 and Week 52 | Baseline and Weeks 28 and 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. |
| Percentage of Participants Who Achieved an EASI 90 Response at Week 16 | Baseline, 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. |
| Percentage of Participants Who Achieved an EASI 90 Response at Week 28 and Week 52 | Baseline and Weeks 28 and 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. |
| 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 | Baseline and Weeks 28 and 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. |
| Change From Baseline in Percentage of Body Surface Area (BSA) Affected by Atopic Dermatitis at Week 16 | Baseline and 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. |
| Change From Baseline in Percentage of BSA Affected by Atopic Dermatitis at Weeks 28 and 52 | Baseline and 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. |
| Percentage of Participants Who Achieved a 50% Improvement in SCORing Atopic Dermatitis (SCORAD) Score (SCORAD 50) at Week 16 | Baseline, 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). |
| Percentage of Participants Who Achieved a SCORAD 50 Response at Week 28 and Week 52 | Baseline and Weeks 28 and 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). |
| Percentage of Participants Who Achieved a SCORAD 75 Response at Week 16 | Baseline and 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. |
| Percentage of Participants Who Achieved a SCORAD 75 Response at Week 28 and Week 52 | Baseline and Weeks 28 and 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. |
| Percentage of Participants Who Achieved a vIGA-AD Score of 0 or 1 With a Reduction From Baseline of ≥ 2 Points at Week 16 | Baseline and 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. |
| Percentage of Participants Who Achieved a SCORAD 90 Response at Week 28 and Week 52 | Baseline and Weeks 28 and 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. |
| Percentage of Participants Who Achieved a Dermatology Life Quality Index (DLQI) Score of 0 or 1 at Week 16 | 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. |
| Percentage of Participants Who Achieved a DLQI Score of 0 or 1 at Week 28 and Week 52 | Weeks 28 and 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. |
| Percentage of Participants Who Achieved a Children's Dermatology Life Quality Index (CDLQI) Score of 0 or 1 at Week 16 | 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. |
| Percentage of Participants Who Achieved a CDLQI Score of 0 or 1 at Week 28 and Week 52 | Weeks 28 and 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. |
| 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 | Baseline and 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 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 Baseline | Baseline and Weeks 28 and 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 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 16 | Baseline and 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. |
| Change From Baseline in DLQI Score at Week 28 and Week 52 | Baseline and Weeks 28 and 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. |
| Change From Baseline in CDLQI Score at Week 16 | Baseline and 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. |
| Change From Baseline in CDLQI Score at Week 28 and Week 52 | Baseline and Weeks 28 and 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. |
| Change From Baseline in Worst Pruritus Numerical Rating Scale at Week 16 | Baseline and 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. |
| Change From Baseline in Worst Pruritus NRS Score at Week 28 and Week 52 | Baseline and Weeks 28 and 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. |
| Percentage of Participants Who Achieved a Reduction of ≥ 4 Points From Baseline in Worst Pruritus NRS Score at Week 28 and Week 52 | Baseline and Weeks 28 and 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). |
| Percentage of Participants Who Achieved a SCORAD 90 Response at Week 16 | Baseline and 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. |
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
| Arm | Count |
|---|---|
| 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 |
| Total | 172 |
Withdrawals & dropouts
| Period | Reason | FG000 | FG001 | FG002 | FG003 | FG004 | FG005 | FG006 |
|---|---|---|---|---|---|---|---|---|
| Period A (Week 0 to Week 16) | Adverse Event | 3 | 2 | 1 | 0 | 0 | 0 | 0 |
| Period A (Week 0 to Week 16) | Lost to Follow-up | 1 | 1 | 4 | 0 | 0 | 0 | 0 |
| Period A (Week 0 to Week 16) | Other | 2 | 0 | 2 | 0 | 0 | 0 | 0 |
| Period A (Week 0 to Week 16) | Withdrew Consent | 3 | 5 | 4 | 0 | 0 | 0 | 0 |
| Period B (Week 16 to Week 52) | Adverse Event | 0 | 0 | 0 | 1 | 2 | 3 | 0 |
| Period B (Week 16 to Week 52) | Lost to Follow-up | 0 | 0 | 0 | 0 | 0 | 1 | 1 |
| Period B (Week 16 to Week 52) | Other | 0 | 0 | 0 | 4 | 5 | 23 | 17 |
| Period B (Week 16 to Week 52) | Withdrew Consent | 0 | 0 | 0 | 3 | 2 | 1 | 10 |
Baseline characteristics
| Characteristic | Total | Placebo | Risankizumab 150 mg | Risankizumab 300 mg |
|---|---|---|---|---|
| Age, Continuous | 43.3 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 Participants | 15 Participants | 34 Participants | 27 Participants |
| Age, Customized < 18 years | 2 Participants | 0 Participants | 1 Participants | 1 Participants |
| Age, Customized 40 - 64 years | 73 Participants | 10 Participants | 27 Participants | 36 Participants |
| Age, Customized ≥ 65 years | 21 Participants | 9 Participants | 7 Participants | 5 Participants |
| Disease Severity 3 (Moderate) | 99 Participants | 20 Participants | 40 Participants | 39 Participants |
| Disease Severity 4 (Severe) | 73 Participants | 14 Participants | 29 Participants | 30 Participants |
| Eczema Area and Severity Index (EASI) Score | 30.07 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 Participants | 0 Participants | 8 Participants | 6 Participants |
| Ethnicity (NIH/OMB) Not Hispanic or Latino | 158 Participants | 34 Participants | 61 Participants | 63 Participants |
| Ethnicity (NIH/OMB) Unknown or Not Reported | 0 Participants | 0 Participants | 0 Participants | 0 Participants |
| Geographic Region Japan | 32 Participants | 6 Participants | 13 Participants | 13 Participants |
| Geographic Region Rest of World | 140 Participants | 28 Participants | 56 Participants | 56 Participants |
| Race/Ethnicity, Customized American Indian or Alaska Native | 2 Participants | 0 Participants | 1 Participants | 1 Participants |
| Race/Ethnicity, Customized Asian | 49 Participants | 8 Participants | 21 Participants | 20 Participants |
| Race/Ethnicity, Customized Black or African American | 26 Participants | 7 Participants | 8 Participants | 11 Participants |
| Race/Ethnicity, Customized Multiple | 1 Participants | 1 Participants | 0 Participants | 0 Participants |
| Race/Ethnicity, Customized Native Hawaiian or Other Pacific Islander | 2 Participants | 1 Participants | 0 Participants | 1 Participants |
| Race/Ethnicity, Customized White | 92 Participants | 17 Participants | 39 Participants | 36 Participants |
| Sex: Female, Male Female | 76 Participants | 13 Participants | 31 Participants | 32 Participants |
| Sex: Female, Male Male | 96 Participants | 21 Participants | 38 Participants | 37 Participants |
Adverse events
| Event type | EG000 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 / 34 | 0 / 69 | 0 / 69 | 0 / 13 | 0 / 11 | 0 / 61 | 0 / 57 |
| other Total, other adverse events | 17 / 34 | 25 / 69 | 25 / 69 | 6 / 13 | 5 / 11 | 13 / 61 | 10 / 57 |
| serious Total, serious adverse events | 3 / 34 | 0 / 69 | 0 / 69 | 0 / 13 | 0 / 11 | 2 / 61 | 3 / 57 |
Outcome results
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.
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| Placebo | Percentage of Participants Achieving At Least a 75% Reduction From Baseline in Eczema Area and Severity Index (EASI 75) at Week 16 | 11.8 percentage of participants |
| Risankizumab 150 mg | Percentage of Participants Achieving At Least a 75% Reduction From Baseline in Eczema Area and Severity Index (EASI 75) at Week 16 | 24.6 percentage of participants |
| Risankizumab 300 mg | Percentage of Participants Achieving At Least a 75% Reduction From Baseline in Eczema Area and Severity Index (EASI 75) at Week 16 | 21.7 percentage of participants |
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.
| Arm | Measure | Value (LEAST_SQUARES_MEAN) |
|---|---|---|
| Risankizumab 150 mg | Change From Baseline in CDLQI Score at Week 16 | -2.0 score on a scale |
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.
| Arm | Measure | Group | Value (LEAST_SQUARES_MEAN) | Dispersion |
|---|---|---|---|---|
| Risankizumab 300 mg | Change From Baseline in CDLQI Score at Week 28 and Week 52 | Week 28 | 1.0 score on a scale | Standard Error 0 |
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.
| Arm | Measure | Value (LEAST_SQUARES_MEAN) | Dispersion |
|---|---|---|---|
| Placebo | Change From Baseline in DLQI Score at Week 16 | -3.4 score on a scale | Standard Error 1.55 |
| Risankizumab 150 mg | Change From Baseline in DLQI Score at Week 16 | -3.4 score on a scale | Standard Error 0.95 |
| Risankizumab 300 mg | Change From Baseline in DLQI Score at Week 16 | -4.4 score on a scale | Standard Error 1.03 |
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.
| Arm | Measure | Group | Value (LEAST_SQUARES_MEAN) | Dispersion |
|---|---|---|---|---|
| Placebo | Change From Baseline in DLQI Score at Week 28 and Week 52 | Week 28 | -8.0 score on a scale | Standard Error 2.06 |
| Placebo | Change From Baseline in DLQI Score at Week 28 and Week 52 | Week 52 | -4.5 score on a scale | Standard Error 2.99 |
| Risankizumab 150 mg | Change From Baseline in DLQI Score at Week 28 and Week 52 | Week 52 | -5.0 score on a scale | Standard Error 3.3 |
| Risankizumab 150 mg | Change From Baseline in DLQI Score at Week 28 and Week 52 | Week 28 | -5.3 score on a scale | Standard Error 2.69 |
| Risankizumab 300 mg | Change From Baseline in DLQI Score at Week 28 and Week 52 | Week 52 | -7.7 score on a scale | Standard Error 1.11 |
| Risankizumab 300 mg | Change From Baseline in DLQI Score at Week 28 and Week 52 | Week 28 | -7.1 score on a scale | Standard Error 0.87 |
| Risankizumab 300 mg / Risankizumab 300 mg | Change From Baseline in DLQI Score at Week 28 and Week 52 | Week 52 | -6.5 score on a scale | Standard Error 1.18 |
| Risankizumab 300 mg / Risankizumab 300 mg | Change From Baseline in DLQI Score at Week 28 and Week 52 | Week 28 | -7.3 score on a scale | Standard Error 0.93 |
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.
| Arm | Measure | Value (LEAST_SQUARES_MEAN) | Dispersion |
|---|---|---|---|
| Placebo | Change From Baseline in Percentage of Body Surface Area (BSA) Affected by Atopic Dermatitis at Week 16 | -7.41 percentage of body surface area | Standard Error 3.813 |
| Risankizumab 150 mg | Change From Baseline in Percentage of Body Surface Area (BSA) Affected by Atopic Dermatitis at Week 16 | -13.64 percentage of body surface area | Standard Error 2.429 |
| Risankizumab 300 mg | Change From Baseline in Percentage of Body Surface Area (BSA) Affected by Atopic Dermatitis at Week 16 | -13.27 percentage of body surface area | Standard Error 2.569 |
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
| Arm | Measure | Group | Value (LEAST_SQUARES_MEAN) | Dispersion |
|---|---|---|---|---|
| Placebo | Change From Baseline in Percentage of BSA Affected by Atopic Dermatitis at Weeks 28 and 52 | Week 28 | -20.07 percentage of body surface area | Standard Error 5.843 |
| Placebo | Change From Baseline in Percentage of BSA Affected by Atopic Dermatitis at Weeks 28 and 52 | Week 52 | -0.86 percentage of body surface area | Standard Error 6.525 |
| Risankizumab 150 mg | Change From Baseline in Percentage of BSA Affected by Atopic Dermatitis at Weeks 28 and 52 | Week 52 | -30.23 percentage of body surface area | Standard Error 7.316 |
| Risankizumab 150 mg | Change From Baseline in Percentage of BSA Affected by Atopic Dermatitis at Weeks 28 and 52 | Week 28 | -11.90 percentage of body surface area | Standard Error 7.294 |
| Risankizumab 300 mg | Change From Baseline in Percentage of BSA Affected by Atopic Dermatitis at Weeks 28 and 52 | Week 28 | -23.23 percentage of body surface area | Standard Error 2.438 |
| Risankizumab 300 mg | Change From Baseline in Percentage of BSA Affected by Atopic Dermatitis at Weeks 28 and 52 | Week 52 | -29.26 percentage of body surface area | Standard Error 2.4 |
| Risankizumab 300 mg / Risankizumab 300 mg | Change From Baseline in Percentage of BSA Affected by Atopic Dermatitis at Weeks 28 and 52 | Week 28 | -23.22 percentage of body surface area | Standard Error 2.443 |
| Risankizumab 300 mg / Risankizumab 300 mg | Change From Baseline in Percentage of BSA Affected by Atopic Dermatitis at Weeks 28 and 52 | Week 52 | -22.14 percentage of body surface area | Standard Error 2.51 |
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.
| Arm | Measure | Group | Value (LEAST_SQUARES_MEAN) | Dispersion |
|---|---|---|---|---|
| Placebo | Change From Baseline in Worst Pruritus NRS Score at Week 28 and Week 52 | Week 28 | -2.685 score on a scale | Standard Error 0.9303 |
| Placebo | Change From Baseline in Worst Pruritus NRS Score at Week 28 and Week 52 | Week 52 | -2.668 score on a scale | Standard Error 1.2153 |
| Risankizumab 150 mg | Change From Baseline in Worst Pruritus NRS Score at Week 28 and Week 52 | Week 52 | -4.012 score on a scale | Standard Error 1.3907 |
| Risankizumab 150 mg | Change From Baseline in Worst Pruritus NRS Score at Week 28 and Week 52 | Week 28 | -3.182 score on a scale | Standard Error 1.2347 |
| Risankizumab 300 mg | Change From Baseline in Worst Pruritus NRS Score at Week 28 and Week 52 | Week 52 | -2.936 score on a scale | Standard Error 0.4567 |
| Risankizumab 300 mg | Change From Baseline in Worst Pruritus NRS Score at Week 28 and Week 52 | Week 28 | -2.474 score on a scale | Standard Error 0.3887 |
| Risankizumab 300 mg / Risankizumab 300 mg | Change From Baseline in Worst Pruritus NRS Score at Week 28 and Week 52 | Week 28 | -2.684 score on a scale | Standard Error 0.4179 |
| Risankizumab 300 mg / Risankizumab 300 mg | Change From Baseline in Worst Pruritus NRS Score at Week 28 and Week 52 | Week 52 | -2.454 score on a scale | Standard Error 0.4957 |
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.
| Arm | Measure | Value (LEAST_SQUARES_MEAN) | Dispersion |
|---|---|---|---|
| Placebo | Change From Baseline in Worst Pruritus Numerical Rating Scale at Week 16 | -0.098 score on a scale | Standard Error 0.511 |
| Risankizumab 150 mg | Change From Baseline in Worst Pruritus Numerical Rating Scale at Week 16 | -1.416 score on a scale | Standard Error 0.3408 |
| Risankizumab 300 mg | Change From Baseline in Worst Pruritus Numerical Rating Scale at Week 16 | -1.746 score on a scale | Standard Error 0.3619 |
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.
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| Placebo | Percentage of Participants Who Achieved a 50% Improvement in SCORing Atopic Dermatitis (SCORAD) Score (SCORAD 50) at Week 16 | 18.0 percentage of participants |
| Risankizumab 150 mg | Percentage of Participants Who Achieved a 50% Improvement in SCORing Atopic Dermatitis (SCORAD) Score (SCORAD 50) at Week 16 | 24.6 percentage of participants |
| Risankizumab 300 mg | Percentage of Participants Who Achieved a 50% Improvement in SCORing Atopic Dermatitis (SCORAD) Score (SCORAD 50) at Week 16 | 13.0 percentage of participants |
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
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| Risankizumab 300 mg | Percentage of Participants Who Achieved a CDLQI Score of 0 or 1 at Week 28 and Week 52 | Week 28 | 0 percentage of participants |
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.
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| Risankizumab 150 mg | Percentage of Participants Who Achieved a Children's Dermatology Life Quality Index (CDLQI) Score of 0 or 1 at Week 16 | 0 percentage of participants |
| Risankizumab 300 mg | Percentage of Participants Who Achieved a Children's Dermatology Life Quality Index (CDLQI) Score of 0 or 1 at Week 16 | 0 percentage of participants |
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.
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| Placebo | Percentage of Participants Who Achieved a Dermatology Life Quality Index (DLQI) Score of 0 or 1 at Week 16 | 9.0 percentage of participants |
| Risankizumab 150 mg | Percentage of Participants Who Achieved a Dermatology Life Quality Index (DLQI) Score of 0 or 1 at Week 16 | 8.7 percentage of participants |
| Risankizumab 300 mg | Percentage of Participants Who Achieved a Dermatology Life Quality Index (DLQI) Score of 0 or 1 at Week 16 | 5.8 percentage of participants |
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
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| Placebo | Percentage of Participants Who Achieved a DLQI Score of 0 or 1 at Week 28 and Week 52 | Week 28 | 22.2 percentage of participants |
| Placebo | Percentage of Participants Who Achieved a DLQI Score of 0 or 1 at Week 28 and Week 52 | Week 52 | 20.0 percentage of participants |
| Risankizumab 150 mg | Percentage of Participants Who Achieved a DLQI Score of 0 or 1 at Week 28 and Week 52 | Week 52 | 25.0 percentage of participants |
| Risankizumab 150 mg | Percentage of Participants Who Achieved a DLQI Score of 0 or 1 at Week 28 and Week 52 | Week 28 | 20.0 percentage of participants |
| Risankizumab 300 mg | Percentage of Participants Who Achieved a DLQI Score of 0 or 1 at Week 28 and Week 52 | Week 28 | 16.3 percentage of participants |
| Risankizumab 300 mg | Percentage of Participants Who Achieved a DLQI Score of 0 or 1 at Week 28 and Week 52 | Week 52 | 13.9 percentage of participants |
| Risankizumab 300 mg / Risankizumab 300 mg | Percentage of Participants Who Achieved a DLQI Score of 0 or 1 at Week 28 and Week 52 | Week 28 | 13.6 percentage of participants |
| Risankizumab 300 mg / Risankizumab 300 mg | Percentage of Participants Who Achieved a DLQI Score of 0 or 1 at Week 28 and Week 52 | Week 52 | 15.6 percentage of participants |
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.
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| Placebo | Percentage of Participants Who Achieved an EASI 50 Response at Week 16 | 29.4 percentage of participants |
| Risankizumab 150 mg | Percentage of Participants Who Achieved an EASI 50 Response at Week 16 | 42.0 percentage of participants |
| Risankizumab 300 mg | Percentage of Participants Who Achieved an EASI 50 Response at Week 16 | 34.8 percentage of participants |
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.
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| Placebo | Percentage of Participants Who Achieved an EASI 50 Response at Week 28 and Week 52 | Week 28 | 75.0 percentage of participants |
| Placebo | Percentage of Participants Who Achieved an EASI 50 Response at Week 28 and Week 52 | Week 52 | 40.0 percentage of participants |
| Risankizumab 150 mg | Percentage of Participants Who Achieved an EASI 50 Response at Week 28 and Week 52 | Week 52 | 75.0 percentage of participants |
| Risankizumab 150 mg | Percentage of Participants Who Achieved an EASI 50 Response at Week 28 and Week 52 | Week 28 | 80.0 percentage of participants |
| Risankizumab 300 mg | Percentage of Participants Who Achieved an EASI 50 Response at Week 28 and Week 52 | Week 28 | 73.3 percentage of participants |
| Risankizumab 300 mg | Percentage of Participants Who Achieved an EASI 50 Response at Week 28 and Week 52 | Week 52 | 78.4 percentage of participants |
| Risankizumab 300 mg / Risankizumab 300 mg | Percentage of Participants Who Achieved an EASI 50 Response at Week 28 and Week 52 | Week 28 | 74.4 percentage of participants |
| Risankizumab 300 mg / Risankizumab 300 mg | Percentage of Participants Who Achieved an EASI 50 Response at Week 28 and Week 52 | Week 52 | 72.7 percentage of participants |
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.
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| Placebo | Percentage of Participants Who Achieved an EASI 75 Response at Week 28 and Week 52 | Week 28 | 37.5 percentage of participants |
| Placebo | Percentage of Participants Who Achieved an EASI 75 Response at Week 28 and Week 52 | Week 52 | 0 percentage of participants |
| Risankizumab 150 mg | Percentage of Participants Who Achieved an EASI 75 Response at Week 28 and Week 52 | Week 28 | 0 percentage of participants |
| Risankizumab 150 mg | Percentage of Participants Who Achieved an EASI 75 Response at Week 28 and Week 52 | Week 52 | 75.0 percentage of participants |
| Risankizumab 300 mg | Percentage of Participants Who Achieved an EASI 75 Response at Week 28 and Week 52 | Week 28 | 53.3 percentage of participants |
| Risankizumab 300 mg | Percentage of Participants Who Achieved an EASI 75 Response at Week 28 and Week 52 | Week 52 | 43.2 percentage of participants |
| Risankizumab 300 mg / Risankizumab 300 mg | Percentage of Participants Who Achieved an EASI 75 Response at Week 28 and Week 52 | Week 52 | 45.5 percentage of participants |
| Risankizumab 300 mg / Risankizumab 300 mg | Percentage of Participants Who Achieved an EASI 75 Response at Week 28 and Week 52 | Week 28 | 41.9 percentage of participants |
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.
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| Placebo | Percentage of Participants Who Achieved an EASI 90 Response at Week 16 | 2.9 percentage of participants |
| Risankizumab 150 mg | Percentage of Participants Who Achieved an EASI 90 Response at Week 16 | 14.5 percentage of participants |
| Risankizumab 300 mg | Percentage of Participants Who Achieved an EASI 90 Response at Week 16 | 8.7 percentage of participants |
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
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| Placebo | Percentage of Participants Who Achieved an EASI 90 Response at Week 28 and Week 52 | Week 28 | 25.0 percentage of participants |
| Placebo | Percentage of Participants Who Achieved an EASI 90 Response at Week 28 and Week 52 | Week 52 | 0 percentage of participants |
| Risankizumab 150 mg | Percentage of Participants Who Achieved an EASI 90 Response at Week 28 and Week 52 | Week 28 | 0 percentage of participants |
| Risankizumab 150 mg | Percentage of Participants Who Achieved an EASI 90 Response at Week 28 and Week 52 | Week 52 | 0 percentage of participants |
| Risankizumab 300 mg | Percentage of Participants Who Achieved an EASI 90 Response at Week 28 and Week 52 | Week 52 | 24.3 percentage of participants |
| Risankizumab 300 mg | Percentage of Participants Who Achieved an EASI 90 Response at Week 28 and Week 52 | Week 28 | 26.7 percentage of participants |
| Risankizumab 300 mg / Risankizumab 300 mg | Percentage of Participants Who Achieved an EASI 90 Response at Week 28 and Week 52 | Week 52 | 18.2 percentage of participants |
| Risankizumab 300 mg / Risankizumab 300 mg | Percentage of Participants Who Achieved an EASI 90 Response at Week 28 and Week 52 | Week 28 | 27.9 percentage of participants |
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.
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| Placebo | 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 | 25.6 percentage of participants |
| Risankizumab 150 mg | 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 | 31.3 percentage of participants |
| Risankizumab 300 mg | 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 | 37.5 percentage of participants |
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.
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| Placebo | 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 | Week 28 | 77.8 percentage of participants |
| Placebo | 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 | Week 52 | 60.0 percentage of participants |
| Risankizumab 150 mg | 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 | Week 52 | 50.0 percentage of participants |
| Risankizumab 150 mg | 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 | Week 28 | 40.0 percentage of participants |
| Risankizumab 300 mg | 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 | Week 28 | 66.7 percentage of participants |
| Risankizumab 300 mg | 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 | Week 52 | 63.6 percentage of participants |
| Risankizumab 300 mg / Risankizumab 300 mg | 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 | Week 28 | 68.3 percentage of participants |
| Risankizumab 300 mg / Risankizumab 300 mg | 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 | Week 52 | 66.7 percentage of participants |
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.
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| Placebo | Percentage of Participants Who Achieved a Reduction of ≥ 4 Points From Baseline in Worst Pruritus NRS Score at Week 28 and Week 52 | Week 52 | 20.0 percentage of participants |
| Placebo | Percentage of Participants Who Achieved a Reduction of ≥ 4 Points From Baseline in Worst Pruritus NRS Score at Week 28 and Week 52 | Week 28 | 22.2 percentage of participants |
| Risankizumab 150 mg | Percentage of Participants Who Achieved a Reduction of ≥ 4 Points From Baseline in Worst Pruritus NRS Score at Week 28 and Week 52 | Week 52 | 25.0 percentage of participants |
| Risankizumab 150 mg | Percentage of Participants Who Achieved a Reduction of ≥ 4 Points From Baseline in Worst Pruritus NRS Score at Week 28 and Week 52 | Week 28 | 20.0 percentage of participants |
| Risankizumab 300 mg | Percentage of Participants Who Achieved a Reduction of ≥ 4 Points From Baseline in Worst Pruritus NRS Score at Week 28 and Week 52 | Week 28 | 31.3 percentage of participants |
| Risankizumab 300 mg | Percentage of Participants Who Achieved a Reduction of ≥ 4 Points From Baseline in Worst Pruritus NRS Score at Week 28 and Week 52 | Week 52 | 38.2 percentage of participants |
| Risankizumab 300 mg / Risankizumab 300 mg | Percentage of Participants Who Achieved a Reduction of ≥ 4 Points From Baseline in Worst Pruritus NRS Score at Week 28 and Week 52 | Week 28 | 39.5 percentage of participants |
| Risankizumab 300 mg / Risankizumab 300 mg | Percentage of Participants Who Achieved a Reduction of ≥ 4 Points From Baseline in Worst Pruritus NRS Score at Week 28 and Week 52 | Week 52 | 28.1 percentage of participants |
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.
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| Placebo | Percentage of Participants Who Achieved a Reduction of ≥ 4 Points in Worst Pruritus Numerical Rating Scale (NRS) Score From Baseline to Week 16 | 0 percentage of participants |
| Risankizumab 150 mg | Percentage of Participants Who Achieved a Reduction of ≥ 4 Points in Worst Pruritus Numerical Rating Scale (NRS) Score From Baseline to Week 16 | 13.6 percentage of participants |
| Risankizumab 300 mg | Percentage of Participants Who Achieved a Reduction of ≥ 4 Points in Worst Pruritus Numerical Rating Scale (NRS) Score From Baseline to Week 16 | 15.2 percentage of participants |
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.
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| Placebo | Percentage of Participants Who Achieved a SCORAD 50 Response at Week 28 and Week 52 | Week 52 | 0 percentage of participants |
| Placebo | Percentage of Participants Who Achieved a SCORAD 50 Response at Week 28 and Week 52 | Week 28 | 44.4 percentage of participants |
| Risankizumab 150 mg | Percentage of Participants Who Achieved a SCORAD 50 Response at Week 28 and Week 52 | Week 28 | 20.0 percentage of participants |
| Risankizumab 150 mg | Percentage of Participants Who Achieved a SCORAD 50 Response at Week 28 and Week 52 | Week 52 | 50.0 percentage of participants |
| Risankizumab 300 mg | Percentage of Participants Who Achieved a SCORAD 50 Response at Week 28 and Week 52 | Week 52 | 52.6 percentage of participants |
| Risankizumab 300 mg | Percentage of Participants Who Achieved a SCORAD 50 Response at Week 28 and Week 52 | Week 28 | 47.8 percentage of participants |
| Risankizumab 300 mg / Risankizumab 300 mg | Percentage of Participants Who Achieved a SCORAD 50 Response at Week 28 and Week 52 | Week 52 | 35.1 percentage of participants |
| Risankizumab 300 mg / Risankizumab 300 mg | Percentage of Participants Who Achieved a SCORAD 50 Response at Week 28 and Week 52 | Week 28 | 37.2 percentage of participants |
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.
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| Placebo | Percentage of Participants Who Achieved a SCORAD 75 Response at Week 16 | 0 percentage of participants |
| Risankizumab 150 mg | Percentage of Participants Who Achieved a SCORAD 75 Response at Week 16 | 10.1 percentage of participants |
| Risankizumab 300 mg | Percentage of Participants Who Achieved a SCORAD 75 Response at Week 16 | 2.9 percentage of participants |
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.
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| Placebo | Percentage of Participants Who Achieved a SCORAD 75 Response at Week 28 and Week 52 | Week 28 | 11.1 percentage of participants |
| Placebo | Percentage of Participants Who Achieved a SCORAD 75 Response at Week 28 and Week 52 | Week 52 | 0 percentage of participants |
| Risankizumab 150 mg | Percentage of Participants Who Achieved a SCORAD 75 Response at Week 28 and Week 52 | Week 52 | 0 percentage of participants |
| Risankizumab 150 mg | Percentage of Participants Who Achieved a SCORAD 75 Response at Week 28 and Week 52 | Week 28 | 0 percentage of participants |
| Risankizumab 300 mg | Percentage of Participants Who Achieved a SCORAD 75 Response at Week 28 and Week 52 | Week 28 | 23.9 percentage of participants |
| Risankizumab 300 mg | Percentage of Participants Who Achieved a SCORAD 75 Response at Week 28 and Week 52 | Week 52 | 21.1 percentage of participants |
| Risankizumab 300 mg / Risankizumab 300 mg | Percentage of Participants Who Achieved a SCORAD 75 Response at Week 28 and Week 52 | Week 28 | 11.6 percentage of participants |
| Risankizumab 300 mg / Risankizumab 300 mg | Percentage of Participants Who Achieved a SCORAD 75 Response at Week 28 and Week 52 | Week 52 | 13.5 percentage of participants |
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.
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| Placebo | Percentage of Participants Who Achieved a SCORAD 90 Response at Week 16 | 0 percentage of participants |
| Risankizumab 150 mg | Percentage of Participants Who Achieved a SCORAD 90 Response at Week 16 | 5.8 percentage of participants |
| Risankizumab 300 mg | Percentage of Participants Who Achieved a SCORAD 90 Response at Week 16 | 1.4 percentage of participants |
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.
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| Placebo | Percentage of Participants Who Achieved a SCORAD 90 Response at Week 28 and Week 52 | Week 52 | 0 percentage of participants |
| Placebo | Percentage of Participants Who Achieved a SCORAD 90 Response at Week 28 and Week 52 | Week 28 | 0 percentage of participants |
| Risankizumab 150 mg | Percentage of Participants Who Achieved a SCORAD 90 Response at Week 28 and Week 52 | Week 52 | 0 percentage of participants |
| Risankizumab 150 mg | Percentage of Participants Who Achieved a SCORAD 90 Response at Week 28 and Week 52 | Week 28 | 0 percentage of participants |
| Risankizumab 300 mg | Percentage of Participants Who Achieved a SCORAD 90 Response at Week 28 and Week 52 | Week 28 | 6.5 percentage of participants |
| Risankizumab 300 mg | Percentage of Participants Who Achieved a SCORAD 90 Response at Week 28 and Week 52 | Week 52 | 15.8 percentage of participants |
| Risankizumab 300 mg / Risankizumab 300 mg | Percentage of Participants Who Achieved a SCORAD 90 Response at Week 28 and Week 52 | Week 28 | 4.7 percentage of participants |
| Risankizumab 300 mg / Risankizumab 300 mg | Percentage of Participants Who Achieved a SCORAD 90 Response at Week 28 and Week 52 | Week 52 | 10.8 percentage of participants |
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.
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| Placebo | Percentage of Participants Who Achieved a vIGA-AD Score of 0 or 1 With a Reduction From Baseline of ≥ 2 Points at Week 16 | 5.9 percentage of participants |
| Risankizumab 150 mg | Percentage of Participants Who Achieved a vIGA-AD Score of 0 or 1 With a Reduction From Baseline of ≥ 2 Points at Week 16 | 14.5 percentage of participants |
| Risankizumab 300 mg | Percentage of Participants Who Achieved a vIGA-AD Score of 0 or 1 With a Reduction From Baseline of ≥ 2 Points at Week 16 | 5.8 percentage of participants |
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
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| Placebo | 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 | Week 28 | 0 percentage of participants |
| Placebo | 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 | Week 52 | 0 percentage of participants |
| Risankizumab 150 mg | 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 | Week 52 | 0 percentage of participants |
| Risankizumab 150 mg | 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 | Week 28 | 0 percentage of participants |
| Risankizumab 300 mg | 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 | Week 52 | 24.3 percentage of participants |
| Risankizumab 300 mg | 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 | Week 28 | 22.2 percentage of participants |
| Risankizumab 300 mg / Risankizumab 300 mg | 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 | Week 52 | 21.2 percentage of participants |
| Risankizumab 300 mg / Risankizumab 300 mg | 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 | Week 28 | 25.6 percentage of participants |
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.
| Arm | Measure | Value (LEAST_SQUARES_MEAN) | Dispersion |
|---|---|---|---|
| Placebo | Percent Change From Baseline in EASI Score at Week 16 | -28.54 percent change | Standard Error 9.378 |
| Risankizumab 150 mg | Percent Change From Baseline in EASI Score at Week 16 | -38.86 percent change | Standard Error 5.989 |
| Risankizumab 300 mg | Percent Change From Baseline in EASI Score at Week 16 | -45.39 percent change | Standard Error 6.351 |
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.
| Arm | Measure | Group | Value (LEAST_SQUARES_MEAN) | Dispersion |
|---|---|---|---|---|
| Placebo | Percent Change From Baseline in EASI Score at Week 28 and Week 52 | Week 28 | -58.60 percent change | Standard Error 12.091 |
| Placebo | Percent Change From Baseline in EASI Score at Week 28 and Week 52 | Week 52 | -31.39 percent change | Standard Error 12.979 |
| Risankizumab 150 mg | Percent Change From Baseline in EASI Score at Week 28 and Week 52 | Week 52 | -76.75 percent change | Standard Error 14.199 |
| Risankizumab 150 mg | Percent Change From Baseline in EASI Score at Week 28 and Week 52 | Week 28 | -59.81 percent change | Standard Error 14.956 |
| Risankizumab 300 mg | Percent Change From Baseline in EASI Score at Week 28 and Week 52 | Week 28 | -62.44 percent change | Standard Error 5.065 |
| Risankizumab 300 mg | Percent Change From Baseline in EASI Score at Week 28 and Week 52 | Week 52 | -67.47 percent change | Standard Error 4.663 |
| Risankizumab 300 mg / Risankizumab 300 mg | Percent Change From Baseline in EASI Score at Week 28 and Week 52 | Week 28 | -63.77 percent change | Standard Error 5.051 |
| Risankizumab 300 mg / Risankizumab 300 mg | Percent Change From Baseline in EASI Score at Week 28 and Week 52 | Week 52 | -62.70 percent change | Standard Error 4.875 |