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Crisaborole for Chinese and Japanese Subjects (≥2 Years of Age) With Mild to Moderate Atopic Dermatitis

A PHASE 3, MULTICENTER, RANDOMIZED, DOUBLE BLIND, VEHICLE CONTROLLED STUDY OF THE EFFICACY AND SAFETY OF CRISABOROLE OINTMENT, 2% IN CHINESE AND JAPANESE PEDIATRIC AND ADULT SUBJECTS (AGES 2 YEARS AND OLDER) WITH MILD TO MODERATE ATOPIC DERMATITIS

Status
Completed
Phases
Phase 3
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT04360187
Enrollment
391
Registered
2020-04-24
Start date
2020-07-27
Completion date
2021-09-08
Last updated
2022-06-07

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

Conditions

Atopic Dermatitis

Brief summary

This study is a phase 3, randomized, double blind and vehicle study to evaluate the efficacy and safety of Crisaborole ointment, 2% in Chinese and Japanese subjects with mild to moderate atopic dermatitis involving at least 5% treatable BSA. Eligible subjects will be randomized in a 2:1 ratio to one of 2 treatment groups (Crisaborole BID, Vehicle BID, respectively).

Interventions

Crisaborole ointment 2%

DRUGCrisaborole Placebo Vehicle

Placebo for crisaborole ointment

Sponsors

Pfizer
Lead SponsorINDUSTRY

Study design

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

Eligibility

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

Inclusion criteria

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

Exclusion criteria

* Has any clinically significant medical disorder, condition, or disease (including active or potentially recurrent non AD dermatological conditions and known genetic dermatological conditions that overlap with AD, such as Netherton syndrome) or clinically significant physical examination finding at Screening that in the PI's or designee's opinion may interfere with study objectives. * Has participated in a previous crisaborole clinical study.

Design outcomes

Primary

MeasureTime frameDescription
Percent Change From Baseline in Eczema Area and Severity Index (EASI) Total Score at Day 29Baseline, Day 29The EASI quantifies the severity of a participant's AD based on both severity of lesion clinical signs and the percent of body surface area (BSA) affected. EASI is a composite scoring of the degree of erythema, induration/papulation, excoriation, and lichenification (each scored separately) for each of four body regions, with adjustment for the percent of BSA involved for each body region and for the proportion of the body region to the whole body. Total EASI score ranged from 0.0 to 72.0, higher scores = greater severity of AD.
Percentage of Participants With Treatment-Emergent Adverse Events (AEs) or Serious Adverse Events (SAEs)Baseline up to Day 60An adverse event was considered as a treatment-emergent adverse event (TEAE) if the event started after the first dose of treatment regardless of whether a similar event of equal or greater severity existed in the baseline period. SAE was an AE resulting in any of the following outcomes or deemed significant for any other reason: death; initial or prolonged inpatient hospitalization; life-threatening experience (immediate risk of dying); persistent or significant disability/incapacity; congenital anomaly. AEs are classified according to the severity in 3 categories a) mild - AEs does not interfere with participant's usual function b) moderate - AEs interferes to some extent with participant's usual function c) severe - AEs interferes significantly with participant's usual function.
Percentage of Participants With Clinically Significant Changes From Baseline in Clinical Laboratory ParametersBaseline up to Day 29Laboratory parameters included: hematology and chemistry. Clinically significant laboratory abnormalities are defined as abnormal values that have clinical manifestations or require medical intervention. Clinically significant laboratory criteria included Hemoglobin \<0.8 x lower limit of normal (LLN), Leukocytes \>1.5 x upper limit of normal (ULN), Lymphocytes \<0.8 x LLN, Lymphocytes/Leukocytes \>1.2 x ULN, Neutrophils \<0.8 x LLN, Neutrophils \>1.2x ULN, Neutrophils/Leukocytes \<0.8 x LLN, Basophils/Leukocytes \>1.2 x ULN, Eosinophils \>1.2 x ULN, Eosinophils/Leukocytes \>1.2 x ULN, Monocytes \>1.2 x ULN, Monocytes/Leukocytes (%) \>1.2 x ULN, Bicarbonate \<0.9 x LLN, and Glucose \>1.5x ULN.
Percentage of Participants With Clinically Significant Changes From Baseline in Vital SignsBaseline up to Day 29Vital signs (temperature, respiratory rate, pulse, systolic and diastolic blood pressure) were obtained with participants in the seated position, after having sat/lied calmly for at least 5 minutes. Clinically significant vital signs criteria included Diastolic Blood Pressure (DBP) Value \<50 mmHg, DBP Change ≥20 mmHg increase, DBP Change ≥20 mmHg decrease, Pulse Rate Value \>120 beats per minute (bpm), Systolic Blood Pressure (SBP) Value \<90 mmHg, SBP Change ≥30 mmHg increase, SBP Change ≥30mmHg decrease

Secondary

MeasureTime frameDescription
Percentage of Participants Achieving Success in ISGA Over TimeBaseline, Day 8, Day 15, Day 22, Day 29ISGA assessed the severity of AD on a 5-point scale ranged from 0 (clear) to 4 (maximum severe), where higher scores indicate higher degree of AD. Grades for classification of severity: 0= clear (minor residual discoloration, no erythema or induration or papulation, no oozing or crusting), 1= almost clear (trace faint pink erythema, with barely perceptible induration or papulation and no oozing or crusting), 2= mild (faint pink erythema with mild induration or papulation and no oozing or crusting), 3= moderate (pink-red erythema with moderate induration or papulation with or without oozing or crusting) and 4= severe (deep or bright red erythema with severe induration or papulation and with oozing or crusting). Success in ISGA is defined as an ISGA score of Clear (0) or Almost Clear (1) with at least a 2 grade improvement from Baseline.
Percentage of Participants Achieving Improvement in ISGA Over TimeBaseline, Day 8, Day 15, Day 22, Day 29ISGA (Investigator's Static Global Assessment) assessed the severity of AD on a 5-point scale ranged from 0 (clear) to 4 (maximum severe), where higher scores indicate higher degree of AD. Improvement in ISGA is defined as an ISGA score of Clear (0) or Almost Clear (1) .
Percent Change From Baseline in EASI Total Score Over TimeBaseline, Day 8, Day 15, Day 22, Day 29The EASI quantifies the severity of a participant's AD based on both severity of lesion clinical signs and the percent of BSA affected. EASI is a composite scoring of the degree of erythema, induration/papulation, excoriation, and lichenification (each scored separately) for each of four body regions, with adjustment for the percent of BSA involved for each body region and for the proportion of the body region to the whole body. Total EASI score ranged from 0.0 to 72.0, higher scores = greater severity of AD.
Percentage of Participants Achieving EASI-50 Over TimeBaseline, Day 8, Day 15, Day 22, Day 29The EASI quantifies the severity of a participant's AD based on both severity of lesion clinical signs and the percent of BSA affected. The EASI score can vary in increments of range from 0.0 to 72.0, with higher scores representing greater severity of atopic dermatitis. EASI-50 is defined as EASI score has ≥50% improvement from baseline.
Percentage of Participants Achieving EASI-75 Over TimeBaseline, Day 8, Day 15, Day 22, Day 29The EASI quantifies the severity of a participant's AD based on both severity of lesion clinical signs and the percent of BSA affected. The EASI score can vary in increments of range from 0.0 to 72.0, with higher scores representing greater severity of atopic dermatitis. EASI-75 is defined as EASI score has ≥75% improvement from baseline.
Change From Baseline in Peak Pruritus NRS Over Time-for Participants ≥12 YearsBaseline, Week 1, Week 2, Week 3, Week 4Peak Pruritus NRS is participants-rated pruritus score of lesions rated the severity of pruritus suffered in the past 24 hours on an 11-point NRS where 0 is no pruritus and 10 is worst itch imaginable. Change: score at observation minus score at baseline.
Change From Baseline in Patient Reported Itch Severity Scale Over Time-for Participants ≥6 Years and <12 YearsBaseline, Week 1, Week 2, Week 3, Week 4Patient Reported Itch Severity Scale is a 5-point scale indicating no itchy to very itchy (ranged from 0 to 4, where 0=no itch to 4=worst itch imaginable) for participants ≥6 and \<12 years of age.
Change From Baseline in Observer Reported Itch Severity Scale Over Time-for Participants <6 YearsBaseline, Week 1, Week 2, Week 3, Week 4Observer Reported Itch Severity Scale is an 11-point (ranged from 0 to 10, where 0=no itch to 10=worst itch imaginable) scale and must be completed by the observer (caregivers of participants) for participants \<6 years of age.
Change From Baseline in Dermatology Life Quality Index (DLQI) Total Score Over TimeBaseline, Day 15, Day 29The DLQI was a 10-item questionnaire that measures the impact of skin disease on participant's quality of life. The questionnaire will be completed by all participants aged 16 years and older, based on the age at Screening Visit/time of informed consent/assent. The DLQI is calculated by summing the score of each question resulting in a maximum of 30 and a minimum of 0. The higher the score, the more quality of life is impaired.
Change From Baseline in Percent Body Surface Area (%BSA) Over TimeBaseline, Day 8, Day 15, Day 22, Day 294 body regions were evaluated: head and neck, upper limbs, trunk (including axillae and groin) and lower limbs (including buttocks). Scalp was excluded. BSA was calculated using handprint method. Number of handprints (size of participant's hand with fingers in a closed position) fitting in the affected area of a body region was estimated.
Change From Infants' Dermatitis Quality of Life Index (IDQOL) Total Score Over TimeBaseline, Day 15, Day 29The IDQOL was completed by observer for participants aged 2-3 years, based on the age at the Screening Visit/time of informed consent/assent. The IDQOL is calculated by summing the score of each question resulting in a maximum of 30 and a minimum of 0. The higher the score the more quality of life is impaired.
Change From Baseline in Dermatitis Family Impact Questionnaire (DFI) Score Over TimeBaseline, Day 15, Day 29The DFI was completed by all observer for participants aged 2-17 years, based on the age at Screening Visit/time of informed consent/assent. The minimum DFI score is 0; the maximum DFI score is 30. The higher score means worse outcome.
Change From Baseline in Patient-Oriented Eczema Measure (POEM) Over Time in Participants ≥12 YearsBaseline, Day 15, Day 29The POEM is a validated 7-item measure used to assess the impact of AD over the past week. The POEM contains 7 symptom based questions with responses rating number of days each symptom is experienced over the past week, from 0 (no days) to 4 (every day), with a maximum score of 28. Higher score means worse outcome.
Change From Baseline in POEM Over Time in Participants ≥2 Years and <12 YearsBaseline, Day 15, Day 29The POEM is a validated 7-item measure used to assess the impact of AD over the past week. The POEM contains 7 symptom based questions with responses rating number of days each symptom is experienced over the past week, from 0 (no days) to 4 (every day), with a maximum score of 28. Higher score means worse outcome.
Change From Baseline in Weekly Average of Patient Global Impression of Severity (PGIS) ScoreBaseline, Week 1, Week 2, Week 3, Week 4The PGIS (for participants 12 years and older) is a single item patient-rated measure of the participant's AD condition severity at a given point in time. This single item instrument uses a 7-point rating scale, which range from 1 to 7, where 1=Not present to 7=Extremely severe.
Patient Global Impression of Change (PGIC) ScoreDay 8, Day 15, Day 22, Day 29The PGIC (for participants 12 years and older) was used to determine global improvement as assessed by the participant or caregiver. It was used as an anchor to define a responder definition for the peak pruritus scales for 'clinically important responder' and as a sensitivity analysis for defining a 'clinical important difference' on the peak pruritus scales. This single item instrument is a 7-point rating scale, anchored by (1) 'very much improved' to (7) 'very much worse'.
Change From Baseline in Weekly Average of Observer Reported Global Impression of Severity (OGIS) ScoreBaseline, Week 1, Week 2, Week 3, Week 4The OGIS (for participants ≥2 and \<12 years) is a single item observer-rated measure of the participant's AD condition severity at a given point in time. This single item instrument uses a 7-point rating scale, which ranged from 1 to 7, where 1=Not present to 7=Extremely severe.
Observer Reported Global Impression of Change (OGIC) ScoreDay 8, Day 15, Day 22, Day 29The OGIC (for participants ≥2 and \<12 years ) was used to determine global improvement as assessed by the participant or caregiver. It was used as an anchor to define a responder definition for the peak pruritus scales for 'clinically important responder' and as a sensitivity analysis for defining a 'clinical important difference' on the peak pruritus scales. This single item instrument is a 7-point rating scale, anchored by (1) 'very much improved' to (7) 'very much worse'.
Change From Baseline in Children's Dermatology Life Quality Index (CDLQI) Score Over TimeBaseline, Day 15, Day 29The CDLQI was a 10-item questionnaire that measures the impact of skin disease on children's (aged 4-15 years) quality of life. The CDLQI is calculated by summing the score of each question resulting in a maximum of 30 and a minimum of 0. The higher the score, the more quality of life is impaired.
Percentage of Participants Achieving Improvement in Investigator's Static Global Assessment (ISGA) at Day 29Baseline, Day 29ISGA assessed the severity of atopic dermatitis (AD) on a 5-point scale ranged from 0 (clear) to 4 (maximum severe), where higher scores indicate higher degree of AD. Grades for classification of severity: 0= clear (minor residual discoloration, no erythema or induration or papulation, no oozing or crusting), 1= almost clear (trace faint pink erythema, with barely perceptible induration or papulation and no oozing or crusting), 2= mild (faint pink erythema with mild induration or papulation and no oozing or crusting), 3= moderate (pink-red erythema with moderate induration or papulation with or without oozing or crusting) and 4= severe (deep or bright red erythema with severe induration or papulation and with oozing or crusting). Improvement in ISGA is defined as ISGA score of 0 or 1.
Percentage of Participants Achieving Success in ISGA at Day 29Baseline, Day 29ISGA assessed the severity of AD on a 5-point scale ranged from 0 (clear) to 4 (maximum severe), where higher scores indicate higher degree of AD. Grades for classification of severity: 0= clear (minor residual discoloration, no erythema or induration or papulation, no oozing or crusting), 1= almost clear (trace faint pink erythema, with barely perceptible induration or papulation and no oozing or crusting), 2= mild (faint pink erythema with mild induration or papulation and no oozing or crusting), 3= moderate (pink-red erythema with moderate induration or papulation with or without oozing or crusting) and 4= severe (deep or bright red erythema with severe induration or papulation and with oozing or crusting). Success in ISGA is defined as an ISGA score of Clear (0) or Almost Clear (1) with at least a 2 grade improvement from Baseline.
Change From Baseline in Peak Pruritus Numeric Rating Scale (NRS) at Week 4-for Participants ≥12 YearsBaseline, Week 4Participant-rated pruritus score of lesions rated the severity of pruritus suffered in the past 24 hours on an 11-point NRS where 0 is no pruritus and 10 is worst itch imaginable. Change: score at Week 4 minus score at baseline.

Countries

China, Japan, South Korea

Participant flow

Participants by arm

ArmCount
Vehicle Twice a Day (BID)
Vehicle was applied BID for 28 days to the Treatable BSA identified at Baseline/Day 1 and new AD lesions that appear after the Baseline/Day 1.
131
Crisaborole 2% Twice a Day (BID)
Crisaborole 2% was applied BID for 28 days to the Treatable BSA identified at Baseline/Day 1 and new AD lesions that appear after the Baseline/Day 1.
260
Total391

Withdrawals & dropouts

PeriodReasonFG000FG001
Double-Blind TreatmentAdverse Event911
Double-Blind TreatmentLack of Efficacy72
Double-Blind TreatmentPhysician Decision10
Double-Blind TreatmentWithdrawal By Parent/Guardian20
Double-Blind TreatmentWithdrawal by Subject42
Follow-UpLost to Follow-up10

Baseline characteristics

CharacteristicVehicle Twice a Day (BID)TotalCrisaborole 2% Twice a Day (BID)
Age, Customized
12-17 Years
15 Participants40 Participants25 Participants
Age, Customized
>=18 Years
47 Participants159 Participants112 Participants
Age, Customized
2-11 Years
69 Participants192 Participants123 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
0 Participants0 Participants0 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
131 Participants391 Participants260 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants0 Participants0 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants0 Participants0 Participants
Race (NIH/OMB)
Asian
131 Participants391 Participants260 Participants
Race (NIH/OMB)
Black or African American
0 Participants0 Participants0 Participants
Race (NIH/OMB)
More than one race
0 Participants0 Participants0 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants0 Participants0 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants0 Participants0 Participants
Race (NIH/OMB)
White
0 Participants0 Participants0 Participants
Sex: Female, Male
Female
64 Participants186 Participants122 Participants
Sex: Female, Male
Male
67 Participants205 Participants138 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
deaths
Total, all-cause mortality
0 / 1310 / 260
other
Total, other adverse events
43 / 131101 / 260
serious
Total, serious adverse events
1 / 1311 / 260

Outcome results

Primary

Percentage of Participants With Clinically Significant Changes From Baseline in Clinical Laboratory Parameters

Laboratory parameters included: hematology and chemistry. Clinically significant laboratory abnormalities are defined as abnormal values that have clinical manifestations or require medical intervention. Clinically significant laboratory criteria included Hemoglobin \<0.8 x lower limit of normal (LLN), Leukocytes \>1.5 x upper limit of normal (ULN), Lymphocytes \<0.8 x LLN, Lymphocytes/Leukocytes \>1.2 x ULN, Neutrophils \<0.8 x LLN, Neutrophils \>1.2x ULN, Neutrophils/Leukocytes \<0.8 x LLN, Basophils/Leukocytes \>1.2 x ULN, Eosinophils \>1.2 x ULN, Eosinophils/Leukocytes \>1.2 x ULN, Monocytes \>1.2 x ULN, Monocytes/Leukocytes (%) \>1.2 x ULN, Bicarbonate \<0.9 x LLN, and Glucose \>1.5x ULN.

Time frame: Baseline up to Day 29

Population: The Safety Analysis Set included all participants who were randomized and received at least 1 confirmed dose of investigational product. Overall number of participants analyzed=participants evaluable for this outcome measure. Number analyzed=participants evaluable for each row.

ArmMeasureGroupValue (NUMBER)
Vehicle Twice a Day (BID)Percentage of Participants With Clinically Significant Changes From Baseline in Clinical Laboratory ParametersHemoglobin (g/L) <0.8 x lower limit of normal (LLN)1.6 Percentage of Participants
Vehicle Twice a Day (BID)Percentage of Participants With Clinically Significant Changes From Baseline in Clinical Laboratory ParametersLeukocytes (10^9/L) >1.5 x upper limit of normal (ULN)0 Percentage of Participants
Vehicle Twice a Day (BID)Percentage of Participants With Clinically Significant Changes From Baseline in Clinical Laboratory ParametersLymphocytes (10^9/L) <0.8 x LLN0.8 Percentage of Participants
Vehicle Twice a Day (BID)Percentage of Participants With Clinically Significant Changes From Baseline in Clinical Laboratory ParametersLymphocytes/Leukocytes (%) >1.2 x ULN3.2 Percentage of Participants
Vehicle Twice a Day (BID)Percentage of Participants With Clinically Significant Changes From Baseline in Clinical Laboratory ParametersNeutrophils (10^9/L) <0.8 x LLN0 Percentage of Participants
Vehicle Twice a Day (BID)Percentage of Participants With Clinically Significant Changes From Baseline in Clinical Laboratory ParametersNeutrophils (10^9/L) >1.2 x ULN0 Percentage of Participants
Vehicle Twice a Day (BID)Percentage of Participants With Clinically Significant Changes From Baseline in Clinical Laboratory ParametersNeutrophils/Leukocytes (%) <0.8 x LLN3.2 Percentage of Participants
Vehicle Twice a Day (BID)Percentage of Participants With Clinically Significant Changes From Baseline in Clinical Laboratory ParametersBasophils/Leukocytes (%) >1.2 x ULN4.8 Percentage of Participants
Vehicle Twice a Day (BID)Percentage of Participants With Clinically Significant Changes From Baseline in Clinical Laboratory ParametersEosinophils (10^9/L) >1.2 x ULN33.1 Percentage of Participants
Vehicle Twice a Day (BID)Percentage of Participants With Clinically Significant Changes From Baseline in Clinical Laboratory ParametersEosinophils/Leukocytes (%) >1.2 x ULN29.8 Percentage of Participants
Vehicle Twice a Day (BID)Percentage of Participants With Clinically Significant Changes From Baseline in Clinical Laboratory ParametersMonocytes (10^9/L) >1.2 x ULN0 Percentage of Participants
Vehicle Twice a Day (BID)Percentage of Participants With Clinically Significant Changes From Baseline in Clinical Laboratory ParametersMonocytes/Leukocytes (%) >1.2 x ULN1.6 Percentage of Participants
Vehicle Twice a Day (BID)Percentage of Participants With Clinically Significant Changes From Baseline in Clinical Laboratory ParametersBicarbonate (mmol/L) <0.9 x LLN0.8 Percentage of Participants
Vehicle Twice a Day (BID)Percentage of Participants With Clinically Significant Changes From Baseline in Clinical Laboratory ParametersGlucose (mmol/L) >1.5 x ULN0 Percentage of Participants
Crisaborole 2% Twice a Day (BID)Percentage of Participants With Clinically Significant Changes From Baseline in Clinical Laboratory ParametersMonocytes (10^9/L) >1.2 x ULN0.4 Percentage of Participants
Crisaborole 2% Twice a Day (BID)Percentage of Participants With Clinically Significant Changes From Baseline in Clinical Laboratory ParametersHemoglobin (g/L) <0.8 x lower limit of normal (LLN)0 Percentage of Participants
Crisaborole 2% Twice a Day (BID)Percentage of Participants With Clinically Significant Changes From Baseline in Clinical Laboratory ParametersBasophils/Leukocytes (%) >1.2 x ULN3.1 Percentage of Participants
Crisaborole 2% Twice a Day (BID)Percentage of Participants With Clinically Significant Changes From Baseline in Clinical Laboratory ParametersLeukocytes (10^9/L) >1.5 x upper limit of normal (ULN)0.4 Percentage of Participants
Crisaborole 2% Twice a Day (BID)Percentage of Participants With Clinically Significant Changes From Baseline in Clinical Laboratory ParametersBicarbonate (mmol/L) <0.9 x LLN0.8 Percentage of Participants
Crisaborole 2% Twice a Day (BID)Percentage of Participants With Clinically Significant Changes From Baseline in Clinical Laboratory ParametersLymphocytes (10^9/L) <0.8 x LLN0 Percentage of Participants
Crisaborole 2% Twice a Day (BID)Percentage of Participants With Clinically Significant Changes From Baseline in Clinical Laboratory ParametersEosinophils (10^9/L) >1.2 x ULN31.1 Percentage of Participants
Crisaborole 2% Twice a Day (BID)Percentage of Participants With Clinically Significant Changes From Baseline in Clinical Laboratory ParametersLymphocytes/Leukocytes (%) >1.2 x ULN1.9 Percentage of Participants
Crisaborole 2% Twice a Day (BID)Percentage of Participants With Clinically Significant Changes From Baseline in Clinical Laboratory ParametersMonocytes/Leukocytes (%) >1.2 x ULN1.6 Percentage of Participants
Crisaborole 2% Twice a Day (BID)Percentage of Participants With Clinically Significant Changes From Baseline in Clinical Laboratory ParametersNeutrophils (10^9/L) <0.8 x LLN0.4 Percentage of Participants
Crisaborole 2% Twice a Day (BID)Percentage of Participants With Clinically Significant Changes From Baseline in Clinical Laboratory ParametersEosinophils/Leukocytes (%) >1.2 x ULN33.1 Percentage of Participants
Crisaborole 2% Twice a Day (BID)Percentage of Participants With Clinically Significant Changes From Baseline in Clinical Laboratory ParametersNeutrophils (10^9/L) >1.2 x ULN0.4 Percentage of Participants
Crisaborole 2% Twice a Day (BID)Percentage of Participants With Clinically Significant Changes From Baseline in Clinical Laboratory ParametersGlucose (mmol/L) >1.5 x ULN0.8 Percentage of Participants
Crisaborole 2% Twice a Day (BID)Percentage of Participants With Clinically Significant Changes From Baseline in Clinical Laboratory ParametersNeutrophils/Leukocytes (%) <0.8 x LLN2.7 Percentage of Participants
Primary

Percentage of Participants With Clinically Significant Changes From Baseline in Vital Signs

Vital signs (temperature, respiratory rate, pulse, systolic and diastolic blood pressure) were obtained with participants in the seated position, after having sat/lied calmly for at least 5 minutes. Clinically significant vital signs criteria included Diastolic Blood Pressure (DBP) Value \<50 mmHg, DBP Change ≥20 mmHg increase, DBP Change ≥20 mmHg decrease, Pulse Rate Value \>120 beats per minute (bpm), Systolic Blood Pressure (SBP) Value \<90 mmHg, SBP Change ≥30 mmHg increase, SBP Change ≥30mmHg decrease

Time frame: Baseline up to Day 29

Population: The Safety Analysis Set included all participants who were randomized and received at least 1 confirmed dose of investigational product. Overall number of participants analyzed=participants evaluable for this outcome measure. Number analyzed=participants evaluable for this outcome measure for each row.

ArmMeasureGroupValue (NUMBER)
Vehicle Twice a Day (BID)Percentage of Participants With Clinically Significant Changes From Baseline in Vital SignsPulse Rate (bpm) Value >120 beats per minute (bpm)2.3 Percentage of Participants
Vehicle Twice a Day (BID)Percentage of Participants With Clinically Significant Changes From Baseline in Vital SignsDiastolic Blood Pressure (mmHg) Value <50 mmHg7.8 Percentage of Participants
Vehicle Twice a Day (BID)Percentage of Participants With Clinically Significant Changes From Baseline in Vital SignsSystolic Blood Pressure (mmHg) Value <90mmHg23.3 Percentage of Participants
Vehicle Twice a Day (BID)Percentage of Participants With Clinically Significant Changes From Baseline in Vital SignsDiastolic Blood Pressure (mmHg) Change ≥20mmHg decrease3.9 Percentage of Participants
Vehicle Twice a Day (BID)Percentage of Participants With Clinically Significant Changes From Baseline in Vital SignsSystolic Blood Pressure (mmHg) Change ≥30mmHg increase0 Percentage of Participants
Vehicle Twice a Day (BID)Percentage of Participants With Clinically Significant Changes From Baseline in Vital SignsSystolic Blood Pressure (mmHg) Change ≥30mmHg decrease3.1 Percentage of Participants
Vehicle Twice a Day (BID)Percentage of Participants With Clinically Significant Changes From Baseline in Vital SignsDiastolic Blood Pressure (mmHg) Change ≥20mmHg increase2.3 Percentage of Participants
Crisaborole 2% Twice a Day (BID)Percentage of Participants With Clinically Significant Changes From Baseline in Vital SignsSystolic Blood Pressure (mmHg) Change ≥30mmHg decrease0.8 Percentage of Participants
Crisaborole 2% Twice a Day (BID)Percentage of Participants With Clinically Significant Changes From Baseline in Vital SignsDiastolic Blood Pressure (mmHg) Value <50 mmHg7.3 Percentage of Participants
Crisaborole 2% Twice a Day (BID)Percentage of Participants With Clinically Significant Changes From Baseline in Vital SignsDiastolic Blood Pressure (mmHg) Change ≥20mmHg increase3.5 Percentage of Participants
Crisaborole 2% Twice a Day (BID)Percentage of Participants With Clinically Significant Changes From Baseline in Vital SignsDiastolic Blood Pressure (mmHg) Change ≥20mmHg decrease3.1 Percentage of Participants
Crisaborole 2% Twice a Day (BID)Percentage of Participants With Clinically Significant Changes From Baseline in Vital SignsPulse Rate (bpm) Value >120 beats per minute (bpm)1.9 Percentage of Participants
Crisaborole 2% Twice a Day (BID)Percentage of Participants With Clinically Significant Changes From Baseline in Vital SignsSystolic Blood Pressure (mmHg) Value <90mmHg26.3 Percentage of Participants
Crisaborole 2% Twice a Day (BID)Percentage of Participants With Clinically Significant Changes From Baseline in Vital SignsSystolic Blood Pressure (mmHg) Change ≥30mmHg increase2.3 Percentage of Participants
Primary

Percentage of Participants With Treatment-Emergent Adverse Events (AEs) or Serious Adverse Events (SAEs)

An adverse event was considered as a treatment-emergent adverse event (TEAE) if the event started after the first dose of treatment regardless of whether a similar event of equal or greater severity existed in the baseline period. SAE was an AE resulting in any of the following outcomes or deemed significant for any other reason: death; initial or prolonged inpatient hospitalization; life-threatening experience (immediate risk of dying); persistent or significant disability/incapacity; congenital anomaly. AEs are classified according to the severity in 3 categories a) mild - AEs does not interfere with participant's usual function b) moderate - AEs interferes to some extent with participant's usual function c) severe - AEs interferes significantly with participant's usual function.

Time frame: Baseline up to Day 60

Population: Overall number of participants analyzed included all participants who were randomized and received at least 1 confirmed dose of investigational product.

ArmMeasureGroupValue (NUMBER)
Vehicle Twice a Day (BID)Percentage of Participants With Treatment-Emergent Adverse Events (AEs) or Serious Adverse Events (SAEs)Participants With Adverse Events44.3 Percentage of Participants
Vehicle Twice a Day (BID)Percentage of Participants With Treatment-Emergent Adverse Events (AEs) or Serious Adverse Events (SAEs)Participants With Serious Adverse Events0.8 Percentage of Participants
Vehicle Twice a Day (BID)Percentage of Participants With Treatment-Emergent Adverse Events (AEs) or Serious Adverse Events (SAEs)Participants With Severe Adverse Events1.5 Percentage of Participants
Vehicle Twice a Day (BID)Percentage of Participants With Treatment-Emergent Adverse Events (AEs) or Serious Adverse Events (SAEs)Participants Discontinued From Study Due to Adverse Events0.8 Percentage of Participants
Crisaborole 2% Twice a Day (BID)Percentage of Participants With Treatment-Emergent Adverse Events (AEs) or Serious Adverse Events (SAEs)Participants Discontinued From Study Due to Adverse Events0 Percentage of Participants
Crisaborole 2% Twice a Day (BID)Percentage of Participants With Treatment-Emergent Adverse Events (AEs) or Serious Adverse Events (SAEs)Participants With Adverse Events46.2 Percentage of Participants
Crisaborole 2% Twice a Day (BID)Percentage of Participants With Treatment-Emergent Adverse Events (AEs) or Serious Adverse Events (SAEs)Participants With Severe Adverse Events0 Percentage of Participants
Crisaborole 2% Twice a Day (BID)Percentage of Participants With Treatment-Emergent Adverse Events (AEs) or Serious Adverse Events (SAEs)Participants With Serious Adverse Events0.4 Percentage of Participants
Primary

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

The EASI quantifies the severity of a participant's AD based on both severity of lesion clinical signs and the percent of body surface area (BSA) affected. EASI is a composite scoring of the degree of erythema, induration/papulation, excoriation, and lichenification (each scored separately) for each of four body regions, with adjustment for the percent of BSA involved for each body region and for the proportion of the body region to the whole body. Total EASI score ranged from 0.0 to 72.0, higher scores = greater severity of AD.

Time frame: Baseline, Day 29

Population: Overall number of participants analyzed included all participants randomized and dispensed study drug. Participants were assigned to the randomized treatment regardless of what treatment was received.

ArmMeasureValue (LEAST_SQUARES_MEAN)
Vehicle Twice a Day (BID)Percent Change From Baseline in Eczema Area and Severity Index (EASI) Total Score at Day 29-42.79 Percent Change
Crisaborole 2% Twice a Day (BID)Percent Change From Baseline in Eczema Area and Severity Index (EASI) Total Score at Day 29-59.92 Percent Change
p-value: 0.000295% CI: [-25.98, -8.27]Mixed effect Model for Repeated Measures
Secondary

Change From Baseline in Children's Dermatology Life Quality Index (CDLQI) Score Over Time

The CDLQI was a 10-item questionnaire that measures the impact of skin disease on children's (aged 4-15 years) quality of life. The CDLQI is calculated by summing the score of each question resulting in a maximum of 30 and a minimum of 0. The higher the score, the more quality of life is impaired.

Time frame: Baseline, Day 15, Day 29

Population: Overall number of participants analyzed included all participants randomized and dispensed study drug and aged 4-15 years. Participants were assigned to the randomized treatment regardless of what treatment was received. Number analyzed=participants evaluable for this outcome measure at specified time points.

ArmMeasureGroupValue (MEAN)Dispersion
Vehicle Twice a Day (BID)Change From Baseline in Children's Dermatology Life Quality Index (CDLQI) Score Over TimeDay 29-1.8 Units on a ScaleStandard Deviation 6
Vehicle Twice a Day (BID)Change From Baseline in Children's Dermatology Life Quality Index (CDLQI) Score Over TimeDay 15-1.3 Units on a ScaleStandard Deviation 5.18
Crisaborole 2% Twice a Day (BID)Change From Baseline in Children's Dermatology Life Quality Index (CDLQI) Score Over TimeDay 15-3.6 Units on a ScaleStandard Deviation 4.64
Crisaborole 2% Twice a Day (BID)Change From Baseline in Children's Dermatology Life Quality Index (CDLQI) Score Over TimeDay 29-3.9 Units on a ScaleStandard Deviation 5.37
Secondary

Change From Baseline in Dermatitis Family Impact Questionnaire (DFI) Score Over Time

The DFI was completed by all observer for participants aged 2-17 years, based on the age at Screening Visit/time of informed consent/assent. The minimum DFI score is 0; the maximum DFI score is 30. The higher score means worse outcome.

Time frame: Baseline, Day 15, Day 29

Population: Overall number of participants analyzed included all participants randomized and dispensed study drug and aged 2-17 years. Participants were assigned to the randomized treatment regardless of what treatment was received. Number analyzed=participants evaluable for this outcome measure at specified time points.

ArmMeasureGroupValue (MEAN)Dispersion
Vehicle Twice a Day (BID)Change From Baseline in Dermatitis Family Impact Questionnaire (DFI) Score Over TimeDay 15-0.5 Units on a ScaleStandard Deviation 3.87
Vehicle Twice a Day (BID)Change From Baseline in Dermatitis Family Impact Questionnaire (DFI) Score Over TimeDay 29-2.1 Units on a ScaleStandard Deviation 4.86
Crisaborole 2% Twice a Day (BID)Change From Baseline in Dermatitis Family Impact Questionnaire (DFI) Score Over TimeDay 15-2.4 Units on a ScaleStandard Deviation 4.66
Crisaborole 2% Twice a Day (BID)Change From Baseline in Dermatitis Family Impact Questionnaire (DFI) Score Over TimeDay 29-3.0 Units on a ScaleStandard Deviation 5.22
Secondary

Change From Baseline in Dermatology Life Quality Index (DLQI) Total Score Over Time

The DLQI was a 10-item questionnaire that measures the impact of skin disease on participant's quality of life. The questionnaire will be completed by all participants aged 16 years and older, based on the age at Screening Visit/time of informed consent/assent. The DLQI is calculated by summing the score of each question resulting in a maximum of 30 and a minimum of 0. The higher the score, the more quality of life is impaired.

Time frame: Baseline, Day 15, Day 29

Population: Overall number of participants analyzed included all participants randomized and dispensed study drug and aged ≥16 years. Participants were assigned to the randomized treatment regardless of what treatment was received. Number analyzed=participants evaluable for this outcome measure at specified time points.

ArmMeasureGroupValue (MEAN)Dispersion
Vehicle Twice a Day (BID)Change From Baseline in Dermatology Life Quality Index (DLQI) Total Score Over TimeDay 15-1.1 Units on a ScaleStandard Deviation 4.02
Vehicle Twice a Day (BID)Change From Baseline in Dermatology Life Quality Index (DLQI) Total Score Over TimeDay 29-1.5 Units on a ScaleStandard Deviation 4.67
Crisaborole 2% Twice a Day (BID)Change From Baseline in Dermatology Life Quality Index (DLQI) Total Score Over TimeDay 15-1.7 Units on a ScaleStandard Deviation 3.57
Crisaborole 2% Twice a Day (BID)Change From Baseline in Dermatology Life Quality Index (DLQI) Total Score Over TimeDay 29-1.8 Units on a ScaleStandard Deviation 4.11
Secondary

Change From Baseline in Observer Reported Itch Severity Scale Over Time-for Participants <6 Years

Observer Reported Itch Severity Scale is an 11-point (ranged from 0 to 10, where 0=no itch to 10=worst itch imaginable) scale and must be completed by the observer (caregivers of participants) for participants \<6 years of age.

Time frame: Baseline, Week 1, Week 2, Week 3, Week 4

Population: Overall number of participants analyzed included all participants randomized and dispensed study drug and aged \<6 years. Participants were assigned to the randomized treatment regardless of what treatment was received. Number analyzed=participants evaluable for this outcome measure at specified time points.

ArmMeasureGroupValue (LEAST_SQUARES_MEAN)
Vehicle Twice a Day (BID)Change From Baseline in Observer Reported Itch Severity Scale Over Time-for Participants <6 YearsWeek 1-0.31 Units on a Scale
Vehicle Twice a Day (BID)Change From Baseline in Observer Reported Itch Severity Scale Over Time-for Participants <6 YearsWeek 2-0.73 Units on a Scale
Vehicle Twice a Day (BID)Change From Baseline in Observer Reported Itch Severity Scale Over Time-for Participants <6 YearsWeek 3-0.96 Units on a Scale
Vehicle Twice a Day (BID)Change From Baseline in Observer Reported Itch Severity Scale Over Time-for Participants <6 YearsWeek 4-1.25 Units on a Scale
Crisaborole 2% Twice a Day (BID)Change From Baseline in Observer Reported Itch Severity Scale Over Time-for Participants <6 YearsWeek 4-1.95 Units on a Scale
Crisaborole 2% Twice a Day (BID)Change From Baseline in Observer Reported Itch Severity Scale Over Time-for Participants <6 YearsWeek 1-1.03 Units on a Scale
Crisaborole 2% Twice a Day (BID)Change From Baseline in Observer Reported Itch Severity Scale Over Time-for Participants <6 YearsWeek 3-1.79 Units on a Scale
Crisaborole 2% Twice a Day (BID)Change From Baseline in Observer Reported Itch Severity Scale Over Time-for Participants <6 YearsWeek 2-1.68 Units on a Scale
Secondary

Change From Baseline in Patient-Oriented Eczema Measure (POEM) Over Time in Participants ≥12 Years

The POEM is a validated 7-item measure used to assess the impact of AD over the past week. The POEM contains 7 symptom based questions with responses rating number of days each symptom is experienced over the past week, from 0 (no days) to 4 (every day), with a maximum score of 28. Higher score means worse outcome.

Time frame: Baseline, Day 15, Day 29

Population: Overall number of participants analyzed included all participants randomized and dispensed study drug and aged ≥12 years. Participants were assigned to the randomized treatment regardless of what treatment was received. Number analyzed=participants evaluable for this outcome measure at specified time points.

ArmMeasureGroupValue (MEAN)Dispersion
Vehicle Twice a Day (BID)Change From Baseline in Patient-Oriented Eczema Measure (POEM) Over Time in Participants ≥12 YearsDay 15-1.8 Units on a ScaleStandard Deviation 5.25
Vehicle Twice a Day (BID)Change From Baseline in Patient-Oriented Eczema Measure (POEM) Over Time in Participants ≥12 YearsDay 29-3.3 Units on a ScaleStandard Deviation 5.38
Crisaborole 2% Twice a Day (BID)Change From Baseline in Patient-Oriented Eczema Measure (POEM) Over Time in Participants ≥12 YearsDay 15-5.4 Units on a ScaleStandard Deviation 5.19
Crisaborole 2% Twice a Day (BID)Change From Baseline in Patient-Oriented Eczema Measure (POEM) Over Time in Participants ≥12 YearsDay 29-5.7 Units on a ScaleStandard Deviation 6.32
Secondary

Change From Baseline in Patient Reported Itch Severity Scale Over Time-for Participants ≥6 Years and <12 Years

Patient Reported Itch Severity Scale is a 5-point scale indicating no itchy to very itchy (ranged from 0 to 4, where 0=no itch to 4=worst itch imaginable) for participants ≥6 and \<12 years of age.

Time frame: Baseline, Week 1, Week 2, Week 3, Week 4

Population: Overall number of participants analyzed included all participants randomized and dispensed study drug and aged ≥ 6 and \<12 years. Participants were assigned to the randomized treatment regardless of what treatment was received. Number analyzed=participants evaluable for this outcome measure at specified time points.

ArmMeasureGroupValue (LEAST_SQUARES_MEAN)
Vehicle Twice a Day (BID)Change From Baseline in Patient Reported Itch Severity Scale Over Time-for Participants ≥6 Years and <12 YearsWeek 1-0.26 Units on a Scale
Vehicle Twice a Day (BID)Change From Baseline in Patient Reported Itch Severity Scale Over Time-for Participants ≥6 Years and <12 YearsWeek 3-0.37 Units on a Scale
Vehicle Twice a Day (BID)Change From Baseline in Patient Reported Itch Severity Scale Over Time-for Participants ≥6 Years and <12 YearsWeek 2-0.22 Units on a Scale
Vehicle Twice a Day (BID)Change From Baseline in Patient Reported Itch Severity Scale Over Time-for Participants ≥6 Years and <12 YearsWeek 4-0.52 Units on a Scale
Crisaborole 2% Twice a Day (BID)Change From Baseline in Patient Reported Itch Severity Scale Over Time-for Participants ≥6 Years and <12 YearsWeek 2-0.70 Units on a Scale
Crisaborole 2% Twice a Day (BID)Change From Baseline in Patient Reported Itch Severity Scale Over Time-for Participants ≥6 Years and <12 YearsWeek 1-0.51 Units on a Scale
Crisaborole 2% Twice a Day (BID)Change From Baseline in Patient Reported Itch Severity Scale Over Time-for Participants ≥6 Years and <12 YearsWeek 4-0.86 Units on a Scale
Crisaborole 2% Twice a Day (BID)Change From Baseline in Patient Reported Itch Severity Scale Over Time-for Participants ≥6 Years and <12 YearsWeek 3-0.78 Units on a Scale
Secondary

Change From Baseline in Peak Pruritus NRS Over Time-for Participants ≥12 Years

Peak Pruritus NRS is participants-rated pruritus score of lesions rated the severity of pruritus suffered in the past 24 hours on an 11-point NRS where 0 is no pruritus and 10 is worst itch imaginable. Change: score at observation minus score at baseline.

Time frame: Baseline, Week 1, Week 2, Week 3, Week 4

Population: Overall number of participants analyzed included all participants randomized and dispensed study drug and aged ≥12 years. Participants were assigned to the randomized treatment regardless of what treatment was received. Number analyzed=participants evaluable for this outcome measure at specified time points.

ArmMeasureGroupValue (LEAST_SQUARES_MEAN)
Vehicle Twice a Day (BID)Change From Baseline in Peak Pruritus NRS Over Time-for Participants ≥12 YearsWeek 1-0.38 Units on a Scale
Vehicle Twice a Day (BID)Change From Baseline in Peak Pruritus NRS Over Time-for Participants ≥12 YearsWeek 2-0.53 Units on a Scale
Vehicle Twice a Day (BID)Change From Baseline in Peak Pruritus NRS Over Time-for Participants ≥12 YearsWeek 3-0.64 Units on a Scale
Vehicle Twice a Day (BID)Change From Baseline in Peak Pruritus NRS Over Time-for Participants ≥12 YearsWeek 4-0.79 Units on a Scale
Crisaborole 2% Twice a Day (BID)Change From Baseline in Peak Pruritus NRS Over Time-for Participants ≥12 YearsWeek 4-1.58 Units on a Scale
Crisaborole 2% Twice a Day (BID)Change From Baseline in Peak Pruritus NRS Over Time-for Participants ≥12 YearsWeek 1-0.94 Units on a Scale
Crisaborole 2% Twice a Day (BID)Change From Baseline in Peak Pruritus NRS Over Time-for Participants ≥12 YearsWeek 3-1.41 Units on a Scale
Crisaborole 2% Twice a Day (BID)Change From Baseline in Peak Pruritus NRS Over Time-for Participants ≥12 YearsWeek 2-1.26 Units on a Scale
Secondary

Change From Baseline in Peak Pruritus Numeric Rating Scale (NRS) at Week 4-for Participants ≥12 Years

Participant-rated pruritus score of lesions rated the severity of pruritus suffered in the past 24 hours on an 11-point NRS where 0 is no pruritus and 10 is worst itch imaginable. Change: score at Week 4 minus score at baseline.

Time frame: Baseline, Week 4

Population: Overall number of participants analyzed included all participants randomized and dispensed study drug and aged ≥12 years. Participants were assigned to the randomized treatment regardless of what treatment was received.

ArmMeasureValue (LEAST_SQUARES_MEAN)
Vehicle Twice a Day (BID)Change From Baseline in Peak Pruritus Numeric Rating Scale (NRS) at Week 4-for Participants ≥12 Years-0.79 Units on a Scale
Crisaborole 2% Twice a Day (BID)Change From Baseline in Peak Pruritus Numeric Rating Scale (NRS) at Week 4-for Participants ≥12 Years-1.58 Units on a Scale
p-value: 0.000995% CI: [-1.26, -0.33]Mixed effect Model for Repeated Measures
Secondary

Change From Baseline in Percent Body Surface Area (%BSA) Over Time

4 body regions were evaluated: head and neck, upper limbs, trunk (including axillae and groin) and lower limbs (including buttocks). Scalp was excluded. BSA was calculated using handprint method. Number of handprints (size of participant's hand with fingers in a closed position) fitting in the affected area of a body region was estimated.

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

Population: Overall number of participants analyzed included all participants randomized and dispensed study drug. Participants were assigned to the randomized treatment regardless of what treatment was received. Number analyzed=participants evaluable for this outcome measure at specified time points.

ArmMeasureGroupValue (LEAST_SQUARES_MEAN)
Vehicle Twice a Day (BID)Change From Baseline in Percent Body Surface Area (%BSA) Over TimeDay 8-1.75 Percentage BSA
Vehicle Twice a Day (BID)Change From Baseline in Percent Body Surface Area (%BSA) Over TimeDay 15-3.31 Percentage BSA
Vehicle Twice a Day (BID)Change From Baseline in Percent Body Surface Area (%BSA) Over TimeDay 22-4.38 Percentage BSA
Vehicle Twice a Day (BID)Change From Baseline in Percent Body Surface Area (%BSA) Over TimeDay 29-4.81 Percentage BSA
Crisaborole 2% Twice a Day (BID)Change From Baseline in Percent Body Surface Area (%BSA) Over TimeDay 29-9.89 Percentage BSA
Crisaborole 2% Twice a Day (BID)Change From Baseline in Percent Body Surface Area (%BSA) Over TimeDay 8-5.12 Percentage BSA
Crisaborole 2% Twice a Day (BID)Change From Baseline in Percent Body Surface Area (%BSA) Over TimeDay 22-8.72 Percentage BSA
Crisaborole 2% Twice a Day (BID)Change From Baseline in Percent Body Surface Area (%BSA) Over TimeDay 15-7.60 Percentage BSA
Secondary

Change From Baseline in POEM Over Time in Participants ≥2 Years and <12 Years

The POEM is a validated 7-item measure used to assess the impact of AD over the past week. The POEM contains 7 symptom based questions with responses rating number of days each symptom is experienced over the past week, from 0 (no days) to 4 (every day), with a maximum score of 28. Higher score means worse outcome.

Time frame: Baseline, Day 15, Day 29

Population: Overall number of participants analyzed included all participants randomized and dispensed study drug and aged ≥2 and \<12 years. Participants were assigned to the randomized treatment regardless of what treatment was received. Number analyzed=participants evaluable for this outcome measure at specified time points.

ArmMeasureGroupValue (MEAN)Dispersion
Vehicle Twice a Day (BID)Change From Baseline in POEM Over Time in Participants ≥2 Years and <12 YearsDay 15-2.5 Units on a ScaleStandard Deviation 5.17
Vehicle Twice a Day (BID)Change From Baseline in POEM Over Time in Participants ≥2 Years and <12 YearsDay 29-3.8 Units on a ScaleStandard Deviation 5.33
Crisaborole 2% Twice a Day (BID)Change From Baseline in POEM Over Time in Participants ≥2 Years and <12 YearsDay 15-6.7 Units on a ScaleStandard Deviation 6.09
Crisaborole 2% Twice a Day (BID)Change From Baseline in POEM Over Time in Participants ≥2 Years and <12 YearsDay 29-7.7 Units on a ScaleStandard Deviation 5.41
Secondary

Change From Baseline in Weekly Average of Observer Reported Global Impression of Severity (OGIS) Score

The OGIS (for participants ≥2 and \<12 years) is a single item observer-rated measure of the participant's AD condition severity at a given point in time. This single item instrument uses a 7-point rating scale, which ranged from 1 to 7, where 1=Not present to 7=Extremely severe.

Time frame: Baseline, Week 1, Week 2, Week 3, Week 4

Population: Overall number of participants analyzed included all participants randomized and dispensed study drug and aged ≥2 and \<12 years. Participants were assigned to the randomized treatment regardless of what treatment was received. Number analyzed=participants evaluable for this outcome measure at specified time points.

ArmMeasureGroupValue (MEAN)Dispersion
Vehicle Twice a Day (BID)Change From Baseline in Weekly Average of Observer Reported Global Impression of Severity (OGIS) ScoreWeek 1-0.12 Units on a ScaleStandard Deviation 0.593
Vehicle Twice a Day (BID)Change From Baseline in Weekly Average of Observer Reported Global Impression of Severity (OGIS) ScoreWeek 2-0.27 Units on a ScaleStandard Deviation 0.617
Vehicle Twice a Day (BID)Change From Baseline in Weekly Average of Observer Reported Global Impression of Severity (OGIS) ScoreWeek 3-0.41 Units on a ScaleStandard Deviation 0.77
Vehicle Twice a Day (BID)Change From Baseline in Weekly Average of Observer Reported Global Impression of Severity (OGIS) ScoreWeek 4-0.54 Units on a ScaleStandard Deviation 0.854
Crisaborole 2% Twice a Day (BID)Change From Baseline in Weekly Average of Observer Reported Global Impression of Severity (OGIS) ScoreWeek 2-0.93 Units on a ScaleStandard Deviation 0.794
Crisaborole 2% Twice a Day (BID)Change From Baseline in Weekly Average of Observer Reported Global Impression of Severity (OGIS) ScoreWeek 4-1.14 Units on a ScaleStandard Deviation 0.893
Crisaborole 2% Twice a Day (BID)Change From Baseline in Weekly Average of Observer Reported Global Impression of Severity (OGIS) ScoreWeek 1-0.62 Units on a ScaleStandard Deviation 0.667
Crisaborole 2% Twice a Day (BID)Change From Baseline in Weekly Average of Observer Reported Global Impression of Severity (OGIS) ScoreWeek 3-1.03 Units on a ScaleStandard Deviation 0.822
Secondary

Change From Baseline in Weekly Average of Patient Global Impression of Severity (PGIS) Score

The PGIS (for participants 12 years and older) is a single item patient-rated measure of the participant's AD condition severity at a given point in time. This single item instrument uses a 7-point rating scale, which range from 1 to 7, where 1=Not present to 7=Extremely severe.

Time frame: Baseline, Week 1, Week 2, Week 3, Week 4

Population: Overall number of participants analyzed included all participants randomized and dispensed study drug and aged ≥12 years. Participants were assigned to the randomized treatment regardless of what treatment was received. Number analyzed=participants evaluable for this outcome measure at specified time points.

ArmMeasureGroupValue (MEAN)Dispersion
Vehicle Twice a Day (BID)Change From Baseline in Weekly Average of Patient Global Impression of Severity (PGIS) ScoreWeek 1-0.24 Units on a ScaleStandard Deviation 0.511
Vehicle Twice a Day (BID)Change From Baseline in Weekly Average of Patient Global Impression of Severity (PGIS) ScoreWeek 2-0.26 Units on a ScaleStandard Deviation 0.692
Vehicle Twice a Day (BID)Change From Baseline in Weekly Average of Patient Global Impression of Severity (PGIS) ScoreWeek 3-0.38 Units on a ScaleStandard Deviation 0.871
Vehicle Twice a Day (BID)Change From Baseline in Weekly Average of Patient Global Impression of Severity (PGIS) ScoreWeek 4-0.44 Units on a ScaleStandard Deviation 0.965
Crisaborole 2% Twice a Day (BID)Change From Baseline in Weekly Average of Patient Global Impression of Severity (PGIS) ScoreWeek 4-0.71 Units on a ScaleStandard Deviation 1.028
Crisaborole 2% Twice a Day (BID)Change From Baseline in Weekly Average of Patient Global Impression of Severity (PGIS) ScoreWeek 1-0.43 Units on a ScaleStandard Deviation 0.649
Crisaborole 2% Twice a Day (BID)Change From Baseline in Weekly Average of Patient Global Impression of Severity (PGIS) ScoreWeek 3-0.66 Units on a ScaleStandard Deviation 0.913
Crisaborole 2% Twice a Day (BID)Change From Baseline in Weekly Average of Patient Global Impression of Severity (PGIS) ScoreWeek 2-0.60 Units on a ScaleStandard Deviation 0.836
Secondary

Change From Infants' Dermatitis Quality of Life Index (IDQOL) Total Score Over Time

The IDQOL was completed by observer for participants aged 2-3 years, based on the age at the Screening Visit/time of informed consent/assent. The IDQOL is calculated by summing the score of each question resulting in a maximum of 30 and a minimum of 0. The higher the score the more quality of life is impaired.

Time frame: Baseline, Day 15, Day 29

Population: Overall number of participants analyzed included all participants randomized and dispensed study drug and aged 2-3 years. Participants were assigned to the randomized treatment regardless of what treatment was received. Number analyzed=participants evaluable for this outcome measure at specified time points.

ArmMeasureGroupValue (MEAN)Dispersion
Vehicle Twice a Day (BID)Change From Infants' Dermatitis Quality of Life Index (IDQOL) Total Score Over TimeDay 15-1.3 Units on a ScaleStandard Deviation 3.34
Vehicle Twice a Day (BID)Change From Infants' Dermatitis Quality of Life Index (IDQOL) Total Score Over TimeDay 29-0.7 Units on a ScaleStandard Deviation 3.86
Crisaborole 2% Twice a Day (BID)Change From Infants' Dermatitis Quality of Life Index (IDQOL) Total Score Over TimeDay 15-3.0 Units on a ScaleStandard Deviation 3.3
Crisaborole 2% Twice a Day (BID)Change From Infants' Dermatitis Quality of Life Index (IDQOL) Total Score Over TimeDay 29-4.3 Units on a ScaleStandard Deviation 4.44
Secondary

Observer Reported Global Impression of Change (OGIC) Score

The OGIC (for participants ≥2 and \<12 years ) was used to determine global improvement as assessed by the participant or caregiver. It was used as an anchor to define a responder definition for the peak pruritus scales for 'clinically important responder' and as a sensitivity analysis for defining a 'clinical important difference' on the peak pruritus scales. This single item instrument is a 7-point rating scale, anchored by (1) 'very much improved' to (7) 'very much worse'.

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

Population: Overall number of participants analyzed included all participants randomized and dispensed study drug and aged ≥2 and \<12 years. Participants were assigned to the randomized treatment regardless of what treatment was received. Number analyzed=participants evaluable for this outcome measure at specified time points.

ArmMeasureGroupValue (MEAN)Dispersion
Vehicle Twice a Day (BID)Observer Reported Global Impression of Change (OGIC) ScoreDay 83.0 Units on a ScaleStandard Deviation 1.08
Vehicle Twice a Day (BID)Observer Reported Global Impression of Change (OGIC) ScoreDay 153.0 Units on a ScaleStandard Deviation 1.1
Vehicle Twice a Day (BID)Observer Reported Global Impression of Change (OGIC) ScoreDay 222.9 Units on a ScaleStandard Deviation 1.16
Vehicle Twice a Day (BID)Observer Reported Global Impression of Change (OGIC) ScoreDay 292.8 Units on a ScaleStandard Deviation 1.07
Crisaborole 2% Twice a Day (BID)Observer Reported Global Impression of Change (OGIC) ScoreDay 292.2 Units on a ScaleStandard Deviation 1.05
Crisaborole 2% Twice a Day (BID)Observer Reported Global Impression of Change (OGIC) ScoreDay 82.3 Units on a ScaleStandard Deviation 0.81
Crisaborole 2% Twice a Day (BID)Observer Reported Global Impression of Change (OGIC) ScoreDay 222.4 Units on a ScaleStandard Deviation 0.99
Crisaborole 2% Twice a Day (BID)Observer Reported Global Impression of Change (OGIC) ScoreDay 152.3 Units on a ScaleStandard Deviation 0.92
Secondary

Patient Global Impression of Change (PGIC) Score

The PGIC (for participants 12 years and older) was used to determine global improvement as assessed by the participant or caregiver. It was used as an anchor to define a responder definition for the peak pruritus scales for 'clinically important responder' and as a sensitivity analysis for defining a 'clinical important difference' on the peak pruritus scales. This single item instrument is a 7-point rating scale, anchored by (1) 'very much improved' to (7) 'very much worse'.

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

Population: Overall number of participants analyzed included all participants randomized and dispensed study drug and aged ≥12 years. Participants were assigned to the randomized treatment regardless of what treatment was received. Number analyzed=participants evaluable for this outcome measure at specified time points.

ArmMeasureGroupValue (MEAN)Dispersion
Vehicle Twice a Day (BID)Patient Global Impression of Change (PGIC) ScoreDay 153.2 Units on a ScaleStandard Deviation 1.1
Vehicle Twice a Day (BID)Patient Global Impression of Change (PGIC) ScoreDay 223.0 Units on a ScaleStandard Deviation 1.19
Vehicle Twice a Day (BID)Patient Global Impression of Change (PGIC) ScoreDay 292.9 Units on a ScaleStandard Deviation 1.21
Vehicle Twice a Day (BID)Patient Global Impression of Change (PGIC) ScoreDay 83.3 Units on a ScaleStandard Deviation 1.05
Crisaborole 2% Twice a Day (BID)Patient Global Impression of Change (PGIC) ScoreDay 82.6 Units on a ScaleStandard Deviation 1.1
Crisaborole 2% Twice a Day (BID)Patient Global Impression of Change (PGIC) ScoreDay 152.6 Units on a ScaleStandard Deviation 1.07
Crisaborole 2% Twice a Day (BID)Patient Global Impression of Change (PGIC) ScoreDay 292.5 Units on a ScaleStandard Deviation 1.12
Crisaborole 2% Twice a Day (BID)Patient Global Impression of Change (PGIC) ScoreDay 222.6 Units on a ScaleStandard Deviation 1.04
Secondary

Percentage of Participants Achieving EASI-50 Over Time

The EASI quantifies the severity of a participant's AD based on both severity of lesion clinical signs and the percent of BSA affected. The EASI score can vary in increments of range from 0.0 to 72.0, with higher scores representing greater severity of atopic dermatitis. EASI-50 is defined as EASI score has ≥50% improvement from baseline.

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

Population: Overall number of participants analyzed included all participants randomized and dispensed study drug. Participants were assigned to the randomized treatment regardless of what treatment was received. Number analyzed=participants evaluable for this outcome measure at specified time points.

ArmMeasureGroupValue (NUMBER)
Vehicle Twice a Day (BID)Percentage of Participants Achieving EASI-50 Over TimeDay 1532.7 Percentage of Participants
Vehicle Twice a Day (BID)Percentage of Participants Achieving EASI-50 Over TimeDay 2242.2 Percentage of Participants
Vehicle Twice a Day (BID)Percentage of Participants Achieving EASI-50 Over TimeDay 2949.4 Percentage of Participants
Vehicle Twice a Day (BID)Percentage of Participants Achieving EASI-50 Over TimeDay 818.5 Percentage of Participants
Crisaborole 2% Twice a Day (BID)Percentage of Participants Achieving EASI-50 Over TimeDay 837.1 Percentage of Participants
Crisaborole 2% Twice a Day (BID)Percentage of Participants Achieving EASI-50 Over TimeDay 1558.9 Percentage of Participants
Crisaborole 2% Twice a Day (BID)Percentage of Participants Achieving EASI-50 Over TimeDay 2972.7 Percentage of Participants
Crisaborole 2% Twice a Day (BID)Percentage of Participants Achieving EASI-50 Over TimeDay 2266.4 Percentage of Participants
Secondary

Percentage of Participants Achieving EASI-75 Over Time

The EASI quantifies the severity of a participant's AD based on both severity of lesion clinical signs and the percent of BSA affected. The EASI score can vary in increments of range from 0.0 to 72.0, with higher scores representing greater severity of atopic dermatitis. EASI-75 is defined as EASI score has ≥75% improvement from baseline.

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

Population: Overall number of participants analyzed included all participants randomized and dispensed study drug. Participants were assigned to the randomized treatment regardless of what treatment was received. Number analyzed=participants evaluable for this outcome measure at specified time points.

ArmMeasureGroupValue (NUMBER)
Vehicle Twice a Day (BID)Percentage of Participants Achieving EASI-75 Over TimeDay 86.1 Percentage of Participants
Vehicle Twice a Day (BID)Percentage of Participants Achieving EASI-75 Over TimeDay 1515.4 Percentage of Participants
Vehicle Twice a Day (BID)Percentage of Participants Achieving EASI-75 Over TimeDay 2226.3 Percentage of Participants
Vehicle Twice a Day (BID)Percentage of Participants Achieving EASI-75 Over TimeDay 2927.6 Percentage of Participants
Crisaborole 2% Twice a Day (BID)Percentage of Participants Achieving EASI-75 Over TimeDay 2946.4 Percentage of Participants
Crisaborole 2% Twice a Day (BID)Percentage of Participants Achieving EASI-75 Over TimeDay 811.2 Percentage of Participants
Crisaborole 2% Twice a Day (BID)Percentage of Participants Achieving EASI-75 Over TimeDay 2238.2 Percentage of Participants
Crisaborole 2% Twice a Day (BID)Percentage of Participants Achieving EASI-75 Over TimeDay 1526.3 Percentage of Participants
Secondary

Percentage of Participants Achieving Improvement in Investigator's Static Global Assessment (ISGA) at Day 29

ISGA assessed the severity of atopic dermatitis (AD) on a 5-point scale ranged from 0 (clear) to 4 (maximum severe), where higher scores indicate higher degree of AD. Grades for classification of severity: 0= clear (minor residual discoloration, no erythema or induration or papulation, no oozing or crusting), 1= almost clear (trace faint pink erythema, with barely perceptible induration or papulation and no oozing or crusting), 2= mild (faint pink erythema with mild induration or papulation and no oozing or crusting), 3= moderate (pink-red erythema with moderate induration or papulation with or without oozing or crusting) and 4= severe (deep or bright red erythema with severe induration or papulation and with oozing or crusting). Improvement in ISGA is defined as ISGA score of 0 or 1.

Time frame: Baseline, Day 29

Population: Overall number of participants analyzed included all participants randomized and dispensed study drug. Participants were assigned to the randomized treatment regardless of what treatment was received.

ArmMeasureValue (NUMBER)
Vehicle Twice a Day (BID)Percentage of Participants Achieving Improvement in Investigator's Static Global Assessment (ISGA) at Day 2928.5 Percentage of Participants
Crisaborole 2% Twice a Day (BID)Percentage of Participants Achieving Improvement in Investigator's Static Global Assessment (ISGA) at Day 2941.4 Percentage of Participants
p-value: 0.012495% CI: [2.8, 23.1]normal approximation to response rates
Secondary

Percentage of Participants Achieving Improvement in ISGA Over Time

ISGA (Investigator's Static Global Assessment) assessed the severity of AD on a 5-point scale ranged from 0 (clear) to 4 (maximum severe), where higher scores indicate higher degree of AD. Improvement in ISGA is defined as an ISGA score of Clear (0) or Almost Clear (1) .

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

Population: Overall number of participants analyzed included all participants randomized and dispensed study drug. Participants were assigned to the randomized treatment regardless of what treatment was received. Number analyzed=participants evaluable for this outcome measure at specified time points.

ArmMeasureGroupValue (NUMBER)
Vehicle Twice a Day (BID)Percentage of Participants Achieving Improvement in ISGA Over TimeDay 87.8 Percentage of Participants
Vehicle Twice a Day (BID)Percentage of Participants Achieving Improvement in ISGA Over TimeDay 1518.3 Percentage of Participants
Vehicle Twice a Day (BID)Percentage of Participants Achieving Improvement in ISGA Over TimeDay 2225.1 Percentage of Participants
Vehicle Twice a Day (BID)Percentage of Participants Achieving Improvement in ISGA Over TimeDay 2928.5 Percentage of Participants
Crisaborole 2% Twice a Day (BID)Percentage of Participants Achieving Improvement in ISGA Over TimeDay 2941.4 Percentage of Participants
Crisaborole 2% Twice a Day (BID)Percentage of Participants Achieving Improvement in ISGA Over TimeDay 816.8 Percentage of Participants
Crisaborole 2% Twice a Day (BID)Percentage of Participants Achieving Improvement in ISGA Over TimeDay 2232.3 Percentage of Participants
Crisaborole 2% Twice a Day (BID)Percentage of Participants Achieving Improvement in ISGA Over TimeDay 1525.6 Percentage of Participants
Secondary

Percentage of Participants Achieving Success in ISGA at Day 29

ISGA assessed the severity of AD on a 5-point scale ranged from 0 (clear) to 4 (maximum severe), where higher scores indicate higher degree of AD. Grades for classification of severity: 0= clear (minor residual discoloration, no erythema or induration or papulation, no oozing or crusting), 1= almost clear (trace faint pink erythema, with barely perceptible induration or papulation and no oozing or crusting), 2= mild (faint pink erythema with mild induration or papulation and no oozing or crusting), 3= moderate (pink-red erythema with moderate induration or papulation with or without oozing or crusting) and 4= severe (deep or bright red erythema with severe induration or papulation and with oozing or crusting). Success in ISGA is defined as an ISGA score of Clear (0) or Almost Clear (1) with at least a 2 grade improvement from Baseline.

Time frame: Baseline, Day 29

Population: Overall number of participants analyzed included all participants randomized and dispensed study drug. Participants were assigned to the randomized treatment regardless of what treatment was received.

ArmMeasureValue (NUMBER)
Vehicle Twice a Day (BID)Percentage of Participants Achieving Success in ISGA at Day 2915.9 Percentage of Participants
Crisaborole 2% Twice a Day (BID)Percentage of Participants Achieving Success in ISGA at Day 2927.6 Percentage of Participants
p-value: 0.007895% CI: [3.1, 20.3]normal approximation to response rates
Secondary

Percentage of Participants Achieving Success in ISGA Over Time

ISGA assessed the severity of AD on a 5-point scale ranged from 0 (clear) to 4 (maximum severe), where higher scores indicate higher degree of AD. Grades for classification of severity: 0= clear (minor residual discoloration, no erythema or induration or papulation, no oozing or crusting), 1= almost clear (trace faint pink erythema, with barely perceptible induration or papulation and no oozing or crusting), 2= mild (faint pink erythema with mild induration or papulation and no oozing or crusting), 3= moderate (pink-red erythema with moderate induration or papulation with or without oozing or crusting) and 4= severe (deep or bright red erythema with severe induration or papulation and with oozing or crusting). Success in ISGA is defined as an ISGA score of Clear (0) or Almost Clear (1) with at least a 2 grade improvement from Baseline.

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

Population: Overall number of participants analyzed included all participants randomized and dispensed study drug. Participants were assigned to the randomized treatment regardless of what treatment was received. Number analyzed=participants evaluable for this outcome measure at specified time points.

ArmMeasureGroupValue (NUMBER)
Vehicle Twice a Day (BID)Percentage of Participants Achieving Success in ISGA Over TimeDay 80.0 Percentage of Participants
Vehicle Twice a Day (BID)Percentage of Participants Achieving Success in ISGA Over TimeDay 154.9 Percentage of Participants
Vehicle Twice a Day (BID)Percentage of Participants Achieving Success in ISGA Over TimeDay 2210.8 Percentage of Participants
Vehicle Twice a Day (BID)Percentage of Participants Achieving Success in ISGA Over TimeDay 2915.9 Percentage of Participants
Crisaborole 2% Twice a Day (BID)Percentage of Participants Achieving Success in ISGA Over TimeDay 2927.6 Percentage of Participants
Crisaborole 2% Twice a Day (BID)Percentage of Participants Achieving Success in ISGA Over TimeDay 84.8 Percentage of Participants
Crisaborole 2% Twice a Day (BID)Percentage of Participants Achieving Success in ISGA Over TimeDay 2218.1 Percentage of Participants
Crisaborole 2% Twice a Day (BID)Percentage of Participants Achieving Success in ISGA Over TimeDay 1511.6 Percentage of Participants
Secondary

Percent Change From Baseline in EASI Total Score Over Time

The EASI quantifies the severity of a participant's AD based on both severity of lesion clinical signs and the percent of BSA affected. EASI is a composite scoring of the degree of erythema, induration/papulation, excoriation, and lichenification (each scored separately) for each of four body regions, with adjustment for the percent of BSA involved for each body region and for the proportion of the body region to the whole body. Total EASI score ranged from 0.0 to 72.0, higher scores = greater severity of AD.

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

Population: Overall number of participants analyzed included all participants randomized and dispensed study drug. Participants were assigned to the randomized treatment regardless of what treatment was received. Number analyzed=participants evaluable for this outcome measure at specified time points.

ArmMeasureGroupValue (LEAST_SQUARES_MEAN)
Vehicle Twice a Day (BID)Percent Change From Baseline in EASI Total Score Over TimeDay 8-21.43 Percent Change
Vehicle Twice a Day (BID)Percent Change From Baseline in EASI Total Score Over TimeDay 15-37.15 Percent Change
Vehicle Twice a Day (BID)Percent Change From Baseline in EASI Total Score Over TimeDay 22-42.92 Percent Change
Vehicle Twice a Day (BID)Percent Change From Baseline in EASI Total Score Over TimeDay 29-42.79 Percent Change
Crisaborole 2% Twice a Day (BID)Percent Change From Baseline in EASI Total Score Over TimeDay 29-59.92 Percent Change
Crisaborole 2% Twice a Day (BID)Percent Change From Baseline in EASI Total Score Over TimeDay 8-36.65 Percent Change
Crisaborole 2% Twice a Day (BID)Percent Change From Baseline in EASI Total Score Over TimeDay 22-55.05 Percent Change
Crisaborole 2% Twice a Day (BID)Percent Change From Baseline in EASI Total Score Over TimeDay 15-49.65 Percent Change

Source: ClinicalTrials.gov · Data processed: Feb 9, 2026