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A Study of Bermekimab (JNJ-77474462) in the Treatment of Participants With Moderate to Severe Atopic Dermatitis

A Phase 2b, Multicenter, Randomized, Placebo- and Active-comparator-controlled, Double-blind Study to Evaluate the Safety and Efficacy of Bermekimab (JNJ-77474462) for the Treatment of Participants With Moderate to Severe Atopic Dermatitis

Status
Terminated
Phases
Phase 2
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT04791319
Acronym
GENESIS
Enrollment
199
Registered
2021-03-10
Start date
2021-05-03
Completion date
2022-03-31
Last updated
2023-03-01

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

Conditions

Dermatitis, Atopic

Brief summary

The purpose of this study is to evaluate the efficacy and safety of bermekimab in participants with moderate to severe atopic dermatitis (AD).

Interventions

DRUGPlacebo

Placebo will be administered subcutaneously.

Bermekimab will be administered subcutaneously.

DRUGDupilumab

Dupilumab will be administered subcutaneously.

Sponsors

Janssen Research & Development, LLC
Lead SponsorINDUSTRY

Study design

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

Eligibility

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

Inclusion criteria

* Be otherwise healthy on the basis of physical examination, medical history, vital signs, and 12-lead electrocardiograms (ECGs) performed at screening. Any abnormalities, must be consistent with the underlying illness in the study population and this determination must be recorded in the participant's source documents and initialed by the investigator * Have atopic dermatitis (AD) for at least 1 year (365 days) prior to the first administration of study intervention as determined by the investigator through participant interview and/or review of the medical history * Have a history of inadequate response to treatment for AD with topical medications or for whom topical treatments are otherwise medically inadvisable (example \[eg\], due to important side effects or safety risks) * Be considered, in the opinion of the investigator, a suitable candidate for dupilumab (DUPIXENT) therapy according to their country's approved DUPIXENT product labeling * Have an eczema area and severity index (EASI) score greater than or equal (\>=) to 16 at screening and at baseline * Have an investigator global assessment (IGA) score \>=3 and involved body surface area (BSA) \>=10 percent (%) at screening and baseline

Exclusion criteria

* Has a current diagnosis or signs or symptoms of severe, progressive, or uncontrolled renal, cardiac, vascular, pulmonary, gastrointestinal, endocrine, neurologic, hematologic, rheumatologic, psychiatric, or metabolic disturbances * Has unstable cardiovascular disease, defined as a recent clinical deterioration (eg, unstable angina, rapid atrial fibrillation) in the last 3 months or a cardiac hospitalization within the last 3 months * Has or has had a serious infection (eg, sepsis, pneumonia, or pyelonephritis), or has been hospitalized or received intravenous (IV) antibiotics for an infection during the 2 months before screening * Has or has had herpes zoster within the 2 months before screening * Has a history of being human immunodeficiency virus (HIV) antibody-positive, or tests positive for HIV at screening

Design outcomes

Primary

MeasureTime frameDescription
Percentage of Participants Achieving Eczema Area and Severity Index-75 (EASI-75) (Greater Than or Equal to [>=] 75 Percent [%] Improvement From Baseline) at Week 16Week 16Percentage of participants achieving EASI-75 at Week 16 were reported. EASI-75 response is defined as at least 75% improvement from baseline in EASI total score. The EASI score was used to measure the severity and extent of atopic dermatitis (AD) and measures erythema, infiltration/papulation, excoriation and lichenification on 4 anatomic regions of the body: head/neck, trunk, upper and lower extremities. The total EASI score ranges from 0 (minimum) to 72 (maximum) points, with the higher scores reflecting the worse severity of AD.

Secondary

MeasureTime frameDescription
Percentage of Participants With Improvement (Reduction From Baseline) in Eczema-Related Itch Numeric Rating Scale (NRS) of Score >=4 at Week 16 Among Participants With a Baseline Itch Value >=4Week 16Percentage of participants with improvement (reduction from baseline) in eczema-related itch NRS of score \>=4 at Week 16 among participants with a baseline itch value \>=4 were reported. The eczema skin pain and Itch NRS is a 2-item patient-reported outcome that participants used to rate the severity of their eczema-related skin pain and eczema related itch daily. Participants were asked the following questions: Please rate the severity of your eczema-related skin pain at its worst in the past 24 hours; and please rate the severity of your eczema-related itch at its worst in the past 24 hours. Each item was on a 0 to 10 NRS ranging from 0 none to 10 worst possible and were scored separately. Higher score indicated more severity.
Percentage of Participants Achieving EASI-90 (>= 90% Improvement in EASI From Baseline) at Week 16Week 16Percentage of participants achieving EASI-90 at Week 16 were reported. EASI-90 response is defined as at least 90% improvement from baseline in EASI total score. The EASI score was used to measure the severity and extent of atopic dermatitis (AD) and measures erythema, infiltration/papulation, excoriation and lichenification on 4 anatomic regions of the body: head/neck, trunk, upper and lower extremities. The total EASI score ranges from 0 (minimum) to 72 (maximum) points, with the higher scores reflecting the worse severity of AD.
Number of Participants With Treatment-Emergent Adverse Events (TEAEs)Up to Week 36An adverse event is any untoward medical event that occurs in a participant administered an investigational product, and it does not necessarily indicate only events with clear causal relationship with the relevant investigational product. TEAEs were AEs with onset during the intervention period or that were a consequence of a pre-existing condition that has worsened since baseline. AEs are presented by individual dose received by participants during placebo-controlled period and by responders individual dose received during active treatment period.
Percentage of Participants Achieving Validated Investigator Global Assessment for Atopic Dermatitis (vIGA-AD) of 0 or 1 and a Reduction From Baseline of >=2 Points at Week 16Week 16Percentage of participants achieving vIGA-AD at Week 16 were reported. It is an assessment instrument used in clinical studies to rate the severity of AD, based on a 5-point scale ranging from 0, where 0=Clear: No inflammatory 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, oozing or crusting may be present and 4=severe: Marked erythema, induration/papulation and/or lichenification; Oozing or crusting may be present. Higher score indicated more severity of AD.
Serum Bermekimab Concentration Over TimePre-dose at Week 0, Week 1, Week 4, Week 8, Week 12, Week 16, Week 20, Week 24, Week 28, Week 32, and Week 36Serum bermekimab concentration over time were reported. Data are presented by individual dose of investigational medicinal product received by participants during active treatment period as preplanned in protocol.
Number of Participants With Anti-Bermekimab AntibodiesUp to Week 36Number of participants with anti-bermekimab antibodies were reported. Data are presented by individual dose of investigational medicinal product received by participants during active treatment period as preplanned in protocol.
Number of Participants With Treatment-emergent Serious Adverse Events (SAEs)Up to Week 36An adverse event is any untoward medical event that occurs in a participant administered an investigational product, and it does not necessarily indicate only events with clear causal relationship with the relevant investigational product. SAE is any AE that results in: death, persistent or significant disability/incapacity, requires inpatient hospitalization or prolongation of existing hospitalization, is life-threatening experience, is a congenital anomaly/birth defect and may jeopardize participant and/or may require medical or surgical intervention to prevent one of the outcomes listed above. Any SAE with onset during the intervention period or that were a consequence of a pre-existing condition that has worsened since baseline was considered to be TESAEs. AEs are presented by individual dose received by participants during placebo-controlled period and active treatment period.

Countries

Canada, Germany, Japan, Poland, United States

Participant flow

Participants by arm

ArmCount
Placebo
Participants received two placebo subcutaneous (SC) injections once a week (qw) through Week 15. After completion of placebo-contorlled period, at Week 16 participants entered active treatment period and were crossed-over to receive bermekimab 700 mg (2 doses of 350 mg) SC injection qw through Week 31.
33
Bermekimab 350 mg
Participants received a single bermekimab 350 milligrams (mg) SC injection qw from Week 0 through Week 15. After completion of placebo-controlled period, at Week 16 participants entered active treatment period and continued to receive a single bermekimab 350 mg SC injection qw through 31.
33
Bermekimab 700 mg
Participants received bermekimab 700 mg (2 doses of 350mg) SC injections qw from Week 0 through Week 15. After completion of placebo-controlled period, at Week 16 participants who achieved an eczema area and severity index (EASI-75) response (greater than or equal to \[\>=\] 75 percent \[%\] improvement from baseline) were considered as responders and were rerandomized in a 1:1 ratio either to receive bermekimab 700 mg (2 doses of 350 mg) SC injection qw or to receive bermekimab 350 mg SC injection qw through Week 31. After completion of placebo-controlled period, at Week 16 participants who did not achieved an EASI-75 response were considered as non-responders and they continued bermekimab 700 mg SC injection qw through Week 31.
67
Dupilumab
Participants received a loading dose of dupilumab 600 mg (2 doses of 300 mg) SC injection at Week 0 followed by two placebo SC injections every two weeks (q2w) from Week 1 through Week 15 and a single dupilumab 300 mg SC injection q2w beginning at Week 2 through Week 14. After completion of placebo-controlled period, at Week 16 participants who achieved an EASI-75 response were considered as responders and they continued to dupilumab 300 mg SC injection q2w from Week 16 through Week 30 and placebo SC injection q2w from Week 17 through Week 31. After completion of placebo-controlled period, at Week 16 participants who did not achieved an EASI-75 response were considered as non-responders and they received placebo SC injection qw from Week 16 through Week 18 (that is, washout period), and bermekimab 700 mg SC injection qw from Week 19 through Week 31.
65
Total198

Withdrawals & dropouts

PeriodReasonFG000FG001FG002FG003FG004FG005FG006FG007FG008FG009FG010
Active Treatment Period (Week 16-31)Lost to Follow-up00000000010
Active Treatment Period (Week 16-31)Participants who completed safety follow-up00001281623114
Active Treatment Period (Week 16-31)Trial termination and COVID-19 related00004520192
Active Treatment Period (Week 16-31)Withdrawal by Subject00002210003
Placebo Controlled Period (Week 0-15)Lost to Follow-up10210000000
Placebo Controlled Period (Week 0-15)Not treated00010000000
Placebo Controlled Period (Week 0-15)Participants who completed only safety follow-up7621190000000
Placebo Controlled Period (Week 0-15)Trial termination24540000000
Placebo Controlled Period (Week 0-15)Withdrawal by Subject42930000000

Baseline characteristics

CharacteristicPlaceboBermekimab 350 mgBermekimab 700 mgDupilumabTotal
Age, Continuous35.1 years
STANDARD_DEVIATION 14.18
34.6 years
STANDARD_DEVIATION 13.32
36 years
STANDARD_DEVIATION 12.3
37.2 years
STANDARD_DEVIATION 15.02
36 years
STANDARD_DEVIATION 13.65
Age, Customized
From 18 to 64 years
33 Participants33 Participants66 Participants62 Participants194 Participants
Age, Customized
From 65 to 84 years
0 Participants0 Participants1 Participants3 Participants4 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
0 Participants0 Participants5 Participants4 Participants9 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
33 Participants31 Participants62 Participants59 Participants185 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants2 Participants0 Participants2 Participants4 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants0 Participants0 Participants0 Participants0 Participants
Race (NIH/OMB)
Asian
6 Participants7 Participants14 Participants10 Participants37 Participants
Race (NIH/OMB)
Black or African American
2 Participants1 Participants2 Participants7 Participants12 Participants
Race (NIH/OMB)
More than one race
0 Participants2 Participants0 Participants0 Participants2 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants1 Participants0 Participants0 Participants1 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants2 Participants0 Participants2 Participants4 Participants
Race (NIH/OMB)
White
25 Participants20 Participants51 Participants46 Participants142 Participants
Region of Enrollment
CANADA
8 Participants6 Participants15 Participants15 Participants44 Participants
Region of Enrollment
GERMANY
8 Participants8 Participants14 Participants14 Participants44 Participants
Region of Enrollment
JAPAN
2 Participants4 Participants7 Participants4 Participants17 Participants
Region of Enrollment
POLAND
10 Participants12 Participants19 Participants21 Participants62 Participants
Region of Enrollment
UNITED STATES
5 Participants3 Participants12 Participants11 Participants31 Participants
Sex: Female, Male
Female
13 Participants14 Participants28 Participants32 Participants87 Participants
Sex: Female, Male
Male
20 Participants19 Participants39 Participants33 Participants111 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
EG002
affected / at risk
EG003
affected / at risk
EG004
affected / at risk
EG005
affected / at risk
EG006
affected / at risk
EG007
affected / at risk
EG008
affected / at risk
EG009
affected / at risk
EG010
affected / at risk
deaths
Total, all-cause mortality
0 / 330 / 330 / 670 / 650 / 190 / 210 / 220 / 30 / 50 / 270 / 11
other
Total, other adverse events
15 / 3315 / 3329 / 6720 / 657 / 197 / 218 / 222 / 32 / 59 / 277 / 11
serious
Total, serious adverse events
0 / 331 / 332 / 670 / 650 / 190 / 210 / 220 / 30 / 50 / 270 / 11

Outcome results

Primary

Percentage of Participants Achieving Eczema Area and Severity Index-75 (EASI-75) (Greater Than or Equal to [>=] 75 Percent [%] Improvement From Baseline) at Week 16

Percentage of participants achieving EASI-75 at Week 16 were reported. EASI-75 response is defined as at least 75% improvement from baseline in EASI total score. The EASI score was used to measure the severity and extent of atopic dermatitis (AD) and measures erythema, infiltration/papulation, excoriation and lichenification on 4 anatomic regions of the body: head/neck, trunk, upper and lower extremities. The total EASI score ranges from 0 (minimum) to 72 (maximum) points, with the higher scores reflecting the worse severity of AD.

Time frame: Week 16

Population: The modified full analysis set (mFAS) included all participants who were randomized at Week 0 and received at least 1 dose of study intervention and had reached a visit by the time of the decision was made to terminate the study on 02 February 2022. Participants were excluded from the analysis after projected visit. Projected visit (weeks) = (decision date of study termination - first dose date +1) /7.

ArmMeasureValue (NUMBER)
PlaceboPercentage of Participants Achieving Eczema Area and Severity Index-75 (EASI-75) (Greater Than or Equal to [>=] 75 Percent [%] Improvement From Baseline) at Week 169.5 percentage of participants
Bermekimab 350 mgPercentage of Participants Achieving Eczema Area and Severity Index-75 (EASI-75) (Greater Than or Equal to [>=] 75 Percent [%] Improvement From Baseline) at Week 1616.7 percentage of participants
Bermekimab 700 mgPercentage of Participants Achieving Eczema Area and Severity Index-75 (EASI-75) (Greater Than or Equal to [>=] 75 Percent [%] Improvement From Baseline) at Week 1616.7 percentage of participants
DupilumabPercentage of Participants Achieving Eczema Area and Severity Index-75 (EASI-75) (Greater Than or Equal to [>=] 75 Percent [%] Improvement From Baseline) at Week 1651.2 percentage of participants
p-value: 0.48995% CI: [-12.1, 26.2]Chi-squared
p-value: 0.44895% CI: [-9.4, 23.7]Chi-squared
p-value: 0.00195% CI: [22.9, 61.1]Chi-squared
Secondary

Number of Participants With Anti-Bermekimab Antibodies

Number of participants with anti-bermekimab antibodies were reported. Data are presented by individual dose of investigational medicinal product received by participants during active treatment period as preplanned in protocol.

Time frame: Up to Week 36

Population: The immunogenicity analysis set included all participants who had received at least 1 dose of bermekimab and who had at least 1 sample obtained after their first dose of bermekimab for the detection of antibodies to bermekimab.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
PlaceboNumber of Participants With Anti-Bermekimab Antibodies1 Participants
Bermekimab 350 mgNumber of Participants With Anti-Bermekimab Antibodies9 Participants
Bermekimab 700 mgNumber of Participants With Anti-Bermekimab Antibodies2 Participants
DupilumabNumber of Participants With Anti-Bermekimab Antibodies0 Participants
Placebo Then Bermekimab 700 mgNumber of Participants With Anti-Bermekimab Antibodies2 Participants
Secondary

Number of Participants With Treatment-Emergent Adverse Events (TEAEs)

An adverse event is any untoward medical event that occurs in a participant administered an investigational product, and it does not necessarily indicate only events with clear causal relationship with the relevant investigational product. TEAEs were AEs with onset during the intervention period or that were a consequence of a pre-existing condition that has worsened since baseline. AEs are presented by individual dose received by participants during placebo-controlled period and by responders individual dose received during active treatment period.

Time frame: Up to Week 36

Population: The safety analysis set included all participants who had received at least 1 dose of study intervention.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
PlaceboNumber of Participants With Treatment-Emergent Adverse Events (TEAEs)18 Participants
Bermekimab 350 mgNumber of Participants With Treatment-Emergent Adverse Events (TEAEs)26 Participants
Bermekimab 700 mgNumber of Participants With Treatment-Emergent Adverse Events (TEAEs)46 Participants
DupilumabNumber of Participants With Treatment-Emergent Adverse Events (TEAEs)40 Participants
Placebo Then Bermekimab 700 mgNumber of Participants With Treatment-Emergent Adverse Events (TEAEs)7 Participants
Bermekimab 700 mg Then Bermekimab 350 mg (Responders)Number of Participants With Treatment-Emergent Adverse Events (TEAEs)2 Participants
Dupilumab Then Bermekimab 700 mg (Non-Responders)Number of Participants With Treatment-Emergent Adverse Events (TEAEs)4 Participants
Secondary

Number of Participants With Treatment-emergent Serious Adverse Events (SAEs)

An adverse event is any untoward medical event that occurs in a participant administered an investigational product, and it does not necessarily indicate only events with clear causal relationship with the relevant investigational product. SAE is any AE that results in: death, persistent or significant disability/incapacity, requires inpatient hospitalization or prolongation of existing hospitalization, is life-threatening experience, is a congenital anomaly/birth defect and may jeopardize participant and/or may require medical or surgical intervention to prevent one of the outcomes listed above. Any SAE with onset during the intervention period or that were a consequence of a pre-existing condition that has worsened since baseline was considered to be TESAEs. AEs are presented by individual dose received by participants during placebo-controlled period and active treatment period.

Time frame: Up to Week 36

Population: The safety analysis set included all participants who had received at least 1 dose of study intervention.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
PlaceboNumber of Participants With Treatment-emergent Serious Adverse Events (SAEs)0 Participants
Bermekimab 350 mgNumber of Participants With Treatment-emergent Serious Adverse Events (SAEs)1 Participants
Bermekimab 700 mgNumber of Participants With Treatment-emergent Serious Adverse Events (SAEs)2 Participants
DupilumabNumber of Participants With Treatment-emergent Serious Adverse Events (SAEs)0 Participants
Placebo Then Bermekimab 700 mgNumber of Participants With Treatment-emergent Serious Adverse Events (SAEs)0 Participants
Bermekimab 700 mg Then Bermekimab 350 mg (Responders)Number of Participants With Treatment-emergent Serious Adverse Events (SAEs)0 Participants
Dupilumab Then Bermekimab 700 mg (Non-Responders)Number of Participants With Treatment-emergent Serious Adverse Events (SAEs)0 Participants
Bermekimab 700 mg Then Bermekimab 700 mg (Responders)Number of Participants With Treatment-emergent Serious Adverse Events (SAEs)0 Participants
Bermekimab 700 mg Then Bermekimab 350 mg (Responders)Number of Participants With Treatment-emergent Serious Adverse Events (SAEs)0 Participants
Dupilumab Then Dupilumab 300 mg (Responders)Number of Participants With Treatment-emergent Serious Adverse Events (SAEs)0 Participants
Dupilumab Then Bermekimab 700 mg (Non-Responders)Number of Participants With Treatment-emergent Serious Adverse Events (SAEs)0 Participants
Secondary

Percentage of Participants Achieving EASI-90 (>= 90% Improvement in EASI From Baseline) at Week 16

Percentage of participants achieving EASI-90 at Week 16 were reported. EASI-90 response is defined as at least 90% improvement from baseline in EASI total score. The EASI score was used to measure the severity and extent of atopic dermatitis (AD) and measures erythema, infiltration/papulation, excoriation and lichenification on 4 anatomic regions of the body: head/neck, trunk, upper and lower extremities. The total EASI score ranges from 0 (minimum) to 72 (maximum) points, with the higher scores reflecting the worse severity of AD.

Time frame: Week 16

Population: The mFAS included all participants who were randomized at Week 0 and received at least 1 dose of study intervention and had reached a visit by the time of the decision was made to terminate the study on 02 February 2022. Participants were excluded from the analysis after projected visit. Projected visit (weeks) = (decision date of study termination - first dose date +1) /7.

ArmMeasureValue (NUMBER)
PlaceboPercentage of Participants Achieving EASI-90 (>= 90% Improvement in EASI From Baseline) at Week 169.5 percentage of participants
Bermekimab 350 mgPercentage of Participants Achieving EASI-90 (>= 90% Improvement in EASI From Baseline) at Week 1612.5 percentage of participants
Bermekimab 700 mgPercentage of Participants Achieving EASI-90 (>= 90% Improvement in EASI From Baseline) at Week 1611.9 percentage of participants
DupilumabPercentage of Participants Achieving EASI-90 (>= 90% Improvement in EASI From Baseline) at Week 1634.9 percentage of participants
Secondary

Percentage of Participants Achieving Validated Investigator Global Assessment for Atopic Dermatitis (vIGA-AD) of 0 or 1 and a Reduction From Baseline of >=2 Points at Week 16

Percentage of participants achieving vIGA-AD at Week 16 were reported. It is an assessment instrument used in clinical studies to rate the severity of AD, based on a 5-point scale ranging from 0, where 0=Clear: No inflammatory 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, oozing or crusting may be present and 4=severe: Marked erythema, induration/papulation and/or lichenification; Oozing or crusting may be present. Higher score indicated more severity of AD.

Time frame: Week 16

Population: The mFAS included all participants who were randomized at Week 0 and received at least 1 dose of study intervention and had reached a visit by the time of the decision was made to terminate the study on 02 February 2022. Participants were excluded from the analysis after projected visit. Projected visit (weeks) = (decision date of study termination - first dose date +1) /7.

ArmMeasureValue (NUMBER)
PlaceboPercentage of Participants Achieving Validated Investigator Global Assessment for Atopic Dermatitis (vIGA-AD) of 0 or 1 and a Reduction From Baseline of >=2 Points at Week 169.5 percentage of participants
Bermekimab 350 mgPercentage of Participants Achieving Validated Investigator Global Assessment for Atopic Dermatitis (vIGA-AD) of 0 or 1 and a Reduction From Baseline of >=2 Points at Week 1612.5 percentage of participants
Bermekimab 700 mgPercentage of Participants Achieving Validated Investigator Global Assessment for Atopic Dermatitis (vIGA-AD) of 0 or 1 and a Reduction From Baseline of >=2 Points at Week 1611.9 percentage of participants
DupilumabPercentage of Participants Achieving Validated Investigator Global Assessment for Atopic Dermatitis (vIGA-AD) of 0 or 1 and a Reduction From Baseline of >=2 Points at Week 1627.9 percentage of participants
Secondary

Percentage of Participants With Improvement (Reduction From Baseline) in Eczema-Related Itch Numeric Rating Scale (NRS) of Score >=4 at Week 16 Among Participants With a Baseline Itch Value >=4

Percentage of participants with improvement (reduction from baseline) in eczema-related itch NRS of score \>=4 at Week 16 among participants with a baseline itch value \>=4 were reported. The eczema skin pain and Itch NRS is a 2-item patient-reported outcome that participants used to rate the severity of their eczema-related skin pain and eczema related itch daily. Participants were asked the following questions: Please rate the severity of your eczema-related skin pain at its worst in the past 24 hours; and please rate the severity of your eczema-related itch at its worst in the past 24 hours. Each item was on a 0 to 10 NRS ranging from 0 none to 10 worst possible and were scored separately. Higher score indicated more severity.

Time frame: Week 16

Population: The mFAS included all participants who were randomized at Week 0 and received at least 1 dose of study intervention and had reached a visit by the time of the decision was made to terminate the study on 02 February 2022. Participants were excluded from the analysis after projected visit. Projected visit (weeks) = (decision date of study termination - first dose date +1) /7. Here, N (number of participants analyzed) signifies participants who were evaluated for this outcome measure.

ArmMeasureValue (NUMBER)
PlaceboPercentage of Participants With Improvement (Reduction From Baseline) in Eczema-Related Itch Numeric Rating Scale (NRS) of Score >=4 at Week 16 Among Participants With a Baseline Itch Value >=410.5 percentage of participants
Bermekimab 350 mgPercentage of Participants With Improvement (Reduction From Baseline) in Eczema-Related Itch Numeric Rating Scale (NRS) of Score >=4 at Week 16 Among Participants With a Baseline Itch Value >=420.0 percentage of participants
Bermekimab 700 mgPercentage of Participants With Improvement (Reduction From Baseline) in Eczema-Related Itch Numeric Rating Scale (NRS) of Score >=4 at Week 16 Among Participants With a Baseline Itch Value >=46.3 percentage of participants
DupilumabPercentage of Participants With Improvement (Reduction From Baseline) in Eczema-Related Itch Numeric Rating Scale (NRS) of Score >=4 at Week 16 Among Participants With a Baseline Itch Value >=432.4 percentage of participants
Secondary

Serum Bermekimab Concentration Over Time

Serum bermekimab concentration over time were reported. Data are presented by individual dose of investigational medicinal product received by participants during active treatment period as preplanned in protocol.

Time frame: Pre-dose at Week 0, Week 1, Week 4, Week 8, Week 12, Week 16, Week 20, Week 24, Week 28, Week 32, and Week 36

Population: The pharmacokinetic (PK) analysis set included all participants who had received at least 1 dose of bermekimab and had at least 1 valid blood sample drawn for PK analysis. Here, n (number analyzed) specifies number of participants who were analyzed at the specified timepoint and '0' in the number analyzed field signifies that none of the participants were evaluable at the specified timepoint.

ArmMeasureGroupValue (MEAN)Dispersion
PlaceboSerum Bermekimab Concentration Over TimeWeek 2086.49 micrograms per mililiters (mcg/mL)Standard Deviation 43.182
PlaceboSerum Bermekimab Concentration Over TimeWeek 160.00 micrograms per mililiters (mcg/mL)Standard Deviation 0
PlaceboSerum Bermekimab Concentration Over TimeWeek 2899.41 micrograms per mililiters (mcg/mL)Standard Deviation 58.863
PlaceboSerum Bermekimab Concentration Over TimeWeek 2490.40 micrograms per mililiters (mcg/mL)Standard Deviation 51.619
PlaceboSerum Bermekimab Concentration Over TimeWeek 3230.13 micrograms per mililiters (mcg/mL)Standard Deviation 23.807
Bermekimab 350 mgSerum Bermekimab Concentration Over TimeWeek 00.00 micrograms per mililiters (mcg/mL)Standard Deviation 0
Bermekimab 350 mgSerum Bermekimab Concentration Over TimeWeek 124.80 micrograms per mililiters (mcg/mL)Standard Deviation 10.156
Bermekimab 350 mgSerum Bermekimab Concentration Over TimeWeek 437.85 micrograms per mililiters (mcg/mL)Standard Deviation 19.347
Bermekimab 350 mgSerum Bermekimab Concentration Over TimeWeek 842.33 micrograms per mililiters (mcg/mL)Standard Deviation 20.88
Bermekimab 350 mgSerum Bermekimab Concentration Over TimeWeek 1246.90 micrograms per mililiters (mcg/mL)Standard Deviation 19.759
Bermekimab 350 mgSerum Bermekimab Concentration Over TimeWeek 1651.26 micrograms per mililiters (mcg/mL)Standard Deviation 19.349
Bermekimab 350 mgSerum Bermekimab Concentration Over TimeWeek 2050.91 micrograms per mililiters (mcg/mL)Standard Deviation 20.004
Bermekimab 350 mgSerum Bermekimab Concentration Over TimeWeek 2455.55 micrograms per mililiters (mcg/mL)Standard Deviation 24.609
Bermekimab 350 mgSerum Bermekimab Concentration Over TimeWeek 2858.31 micrograms per mililiters (mcg/mL)Standard Deviation 24.15
Bermekimab 350 mgSerum Bermekimab Concentration Over TimeWeek 3248.68 micrograms per mililiters (mcg/mL)Standard Deviation 21.937
Bermekimab 350 mgSerum Bermekimab Concentration Over TimeWeek 367.31 micrograms per mililiters (mcg/mL)Standard Deviation 6.821
Bermekimab 700 mgSerum Bermekimab Concentration Over TimeWeek 360.57 micrograms per mililiters (mcg/mL)Standard Deviation 0.813
Bermekimab 700 mgSerum Bermekimab Concentration Over TimeWeek 1281.17 micrograms per mililiters (mcg/mL)Standard Deviation 42.878
Bermekimab 700 mgSerum Bermekimab Concentration Over TimeWeek 3212.95 micrograms per mililiters (mcg/mL)Standard Deviation 18.318
Bermekimab 700 mgSerum Bermekimab Concentration Over TimeWeek 1680.56 micrograms per mililiters (mcg/mL)Standard Deviation 46.644
Bermekimab 700 mgSerum Bermekimab Concentration Over TimeWeek 144.61 micrograms per mililiters (mcg/mL)Standard Deviation 16.945
Bermekimab 700 mgSerum Bermekimab Concentration Over TimeWeek 2079.51 micrograms per mililiters (mcg/mL)Standard Deviation 50.18
Bermekimab 700 mgSerum Bermekimab Concentration Over TimeWeek 2465.57 micrograms per mililiters (mcg/mL)Standard Deviation 31.614
Bermekimab 700 mgSerum Bermekimab Concentration Over TimeWeek 2862.20 micrograms per mililiters (mcg/mL)Standard Deviation 30.876
Bermekimab 700 mgSerum Bermekimab Concentration Over TimeWeek 475.65 micrograms per mililiters (mcg/mL)Standard Deviation 35.815
Bermekimab 700 mgSerum Bermekimab Concentration Over TimeWeek 00.00 micrograms per mililiters (mcg/mL)Standard Deviation 0
Bermekimab 700 mgSerum Bermekimab Concentration Over TimeWeek 881.25 micrograms per mililiters (mcg/mL)Standard Deviation 41.734
DupilumabSerum Bermekimab Concentration Over TimeWeek 3256.96 micrograms per mililiters (mcg/mL)
DupilumabSerum Bermekimab Concentration Over TimeWeek 2082.14 micrograms per mililiters (mcg/mL)Standard Deviation 21.151
DupilumabSerum Bermekimab Concentration Over TimeWeek 2445.13 micrograms per mililiters (mcg/mL)Standard Deviation 31.291
DupilumabSerum Bermekimab Concentration Over TimeWeek 00.00 micrograms per mililiters (mcg/mL)Standard Deviation 0
DupilumabSerum Bermekimab Concentration Over TimeWeek 364.44 micrograms per mililiters (mcg/mL)
DupilumabSerum Bermekimab Concentration Over TimeWeek 880.72 micrograms per mililiters (mcg/mL)Standard Deviation 40.377
DupilumabSerum Bermekimab Concentration Over TimeWeek 2868.88 micrograms per mililiters (mcg/mL)Standard Deviation 13.172
DupilumabSerum Bermekimab Concentration Over TimeWeek 1283.89 micrograms per mililiters (mcg/mL)Standard Deviation 21.875
DupilumabSerum Bermekimab Concentration Over TimeWeek 136.88 micrograms per mililiters (mcg/mL)Standard Deviation 2.831
DupilumabSerum Bermekimab Concentration Over TimeWeek 1683.35 micrograms per mililiters (mcg/mL)Standard Deviation 43.518
DupilumabSerum Bermekimab Concentration Over TimeWeek 483.07 micrograms per mililiters (mcg/mL)Standard Deviation 46.927
Placebo Then Bermekimab 700 mgSerum Bermekimab Concentration Over TimeWeek 282.02 micrograms per mililiters (mcg/mL)Standard Deviation 1.742
Placebo Then Bermekimab 700 mgSerum Bermekimab Concentration Over TimeWeek 2038.73 micrograms per mililiters (mcg/mL)Standard Deviation 19.023
Placebo Then Bermekimab 700 mgSerum Bermekimab Concentration Over TimeWeek 00.00 micrograms per mililiters (mcg/mL)Standard Deviation 0
Placebo Then Bermekimab 700 mgSerum Bermekimab Concentration Over TimeWeek 3238.84 micrograms per mililiters (mcg/mL)
Placebo Then Bermekimab 700 mgSerum Bermekimab Concentration Over TimeWeek 471.15 micrograms per mililiters (mcg/mL)Standard Deviation 29.254
Placebo Then Bermekimab 700 mgSerum Bermekimab Concentration Over TimeWeek 876.88 micrograms per mililiters (mcg/mL)Standard Deviation 32.047
Placebo Then Bermekimab 700 mgSerum Bermekimab Concentration Over TimeWeek 2423.93 micrograms per mililiters (mcg/mL)Standard Deviation 17.506
Placebo Then Bermekimab 700 mgSerum Bermekimab Concentration Over TimeWeek 1274.06 micrograms per mililiters (mcg/mL)Standard Deviation 32.283
Placebo Then Bermekimab 700 mgSerum Bermekimab Concentration Over TimeWeek 1677.95 micrograms per mililiters (mcg/mL)Standard Deviation 47.186
Placebo Then Bermekimab 700 mgSerum Bermekimab Concentration Over TimeWeek 134.96 micrograms per mililiters (mcg/mL)Standard Deviation 11.796

Source: ClinicalTrials.gov · Data processed: Feb 6, 2026