Dermatitis, Atopic
Conditions
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
Placebo will be administered subcutaneously.
Bermekimab will be administered subcutaneously.
Dupilumab will be administered subcutaneously.
Sponsors
Study design
Eligibility
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
| Measure | Time frame | Description |
|---|---|---|
| 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 | 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. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| 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 | Week 16 | 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. |
| Percentage of Participants Achieving EASI-90 (>= 90% Improvement in EASI From Baseline) at Week 16 | 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. |
| Number of Participants With Treatment-Emergent Adverse Events (TEAEs) | Up to Week 36 | 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. |
| 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 | 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. |
| Serum Bermekimab Concentration Over Time | 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 | 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. |
| Number of Participants With Anti-Bermekimab Antibodies | Up to Week 36 | 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. |
| Number of Participants With Treatment-emergent Serious Adverse Events (SAEs) | Up to Week 36 | 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. |
Countries
Canada, Germany, Japan, Poland, United States
Participant flow
Participants by arm
| Arm | Count |
|---|---|
| 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 |
| Total | 198 |
Withdrawals & dropouts
| Period | Reason | FG000 | FG001 | FG002 | FG003 | FG004 | FG005 | FG006 | FG007 | FG008 | FG009 | FG010 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Active Treatment Period (Week 16-31) | Lost to Follow-up | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 1 | 0 |
| Active Treatment Period (Week 16-31) | Participants who completed safety follow-up | 0 | 0 | 0 | 0 | 12 | 8 | 16 | 2 | 3 | 11 | 4 |
| Active Treatment Period (Week 16-31) | Trial termination and COVID-19 related | 0 | 0 | 0 | 0 | 4 | 5 | 2 | 0 | 1 | 9 | 2 |
| Active Treatment Period (Week 16-31) | Withdrawal by Subject | 0 | 0 | 0 | 0 | 2 | 2 | 1 | 0 | 0 | 0 | 3 |
| Placebo Controlled Period (Week 0-15) | Lost to Follow-up | 1 | 0 | 2 | 1 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| Placebo Controlled Period (Week 0-15) | Not treated | 0 | 0 | 0 | 1 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| Placebo Controlled Period (Week 0-15) | Participants who completed only safety follow-up | 7 | 6 | 21 | 19 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| Placebo Controlled Period (Week 0-15) | Trial termination | 2 | 4 | 5 | 4 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| Placebo Controlled Period (Week 0-15) | Withdrawal by Subject | 4 | 2 | 9 | 3 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
Baseline characteristics
| Characteristic | Placebo | Bermekimab 350 mg | Bermekimab 700 mg | Dupilumab | Total |
|---|---|---|---|---|---|
| Age, Continuous | 35.1 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 Participants | 33 Participants | 66 Participants | 62 Participants | 194 Participants |
| Age, Customized From 65 to 84 years | 0 Participants | 0 Participants | 1 Participants | 3 Participants | 4 Participants |
| Ethnicity (NIH/OMB) Hispanic or Latino | 0 Participants | 0 Participants | 5 Participants | 4 Participants | 9 Participants |
| Ethnicity (NIH/OMB) Not Hispanic or Latino | 33 Participants | 31 Participants | 62 Participants | 59 Participants | 185 Participants |
| Ethnicity (NIH/OMB) Unknown or Not Reported | 0 Participants | 2 Participants | 0 Participants | 2 Participants | 4 Participants |
| Race (NIH/OMB) American Indian or Alaska Native | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants |
| Race (NIH/OMB) Asian | 6 Participants | 7 Participants | 14 Participants | 10 Participants | 37 Participants |
| Race (NIH/OMB) Black or African American | 2 Participants | 1 Participants | 2 Participants | 7 Participants | 12 Participants |
| Race (NIH/OMB) More than one race | 0 Participants | 2 Participants | 0 Participants | 0 Participants | 2 Participants |
| Race (NIH/OMB) Native Hawaiian or Other Pacific Islander | 0 Participants | 1 Participants | 0 Participants | 0 Participants | 1 Participants |
| Race (NIH/OMB) Unknown or Not Reported | 0 Participants | 2 Participants | 0 Participants | 2 Participants | 4 Participants |
| Race (NIH/OMB) White | 25 Participants | 20 Participants | 51 Participants | 46 Participants | 142 Participants |
| Region of Enrollment CANADA | 8 Participants | 6 Participants | 15 Participants | 15 Participants | 44 Participants |
| Region of Enrollment GERMANY | 8 Participants | 8 Participants | 14 Participants | 14 Participants | 44 Participants |
| Region of Enrollment JAPAN | 2 Participants | 4 Participants | 7 Participants | 4 Participants | 17 Participants |
| Region of Enrollment POLAND | 10 Participants | 12 Participants | 19 Participants | 21 Participants | 62 Participants |
| Region of Enrollment UNITED STATES | 5 Participants | 3 Participants | 12 Participants | 11 Participants | 31 Participants |
| Sex: Female, Male Female | 13 Participants | 14 Participants | 28 Participants | 32 Participants | 87 Participants |
| Sex: Female, Male Male | 20 Participants | 19 Participants | 39 Participants | 33 Participants | 111 Participants |
Adverse events
| Event type | EG000 affected / at risk | EG001 affected / at risk | EG002 affected / at risk | EG003 affected / at risk | EG004 affected / at risk | EG005 affected / at risk | EG006 affected / at risk | EG007 affected / at risk | EG008 affected / at risk | EG009 affected / at risk | EG010 affected / at risk |
|---|---|---|---|---|---|---|---|---|---|---|---|
| deaths Total, all-cause mortality | 0 / 33 | 0 / 33 | 0 / 67 | 0 / 65 | 0 / 19 | 0 / 21 | 0 / 22 | 0 / 3 | 0 / 5 | 0 / 27 | 0 / 11 |
| other Total, other adverse events | 15 / 33 | 15 / 33 | 29 / 67 | 20 / 65 | 7 / 19 | 7 / 21 | 8 / 22 | 2 / 3 | 2 / 5 | 9 / 27 | 7 / 11 |
| serious Total, serious adverse events | 0 / 33 | 1 / 33 | 2 / 67 | 0 / 65 | 0 / 19 | 0 / 21 | 0 / 22 | 0 / 3 | 0 / 5 | 0 / 27 | 0 / 11 |
Outcome results
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.
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| Placebo | 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 | 9.5 percentage of participants |
| Bermekimab 350 mg | 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 | 16.7 percentage of participants |
| Bermekimab 700 mg | 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 | 16.7 percentage of participants |
| Dupilumab | 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 | 51.2 percentage of participants |
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.
| Arm | Measure | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|
| Placebo | Number of Participants With Anti-Bermekimab Antibodies | 1 Participants |
| Bermekimab 350 mg | Number of Participants With Anti-Bermekimab Antibodies | 9 Participants |
| Bermekimab 700 mg | Number of Participants With Anti-Bermekimab Antibodies | 2 Participants |
| Dupilumab | Number of Participants With Anti-Bermekimab Antibodies | 0 Participants |
| Placebo Then Bermekimab 700 mg | Number of Participants With Anti-Bermekimab Antibodies | 2 Participants |
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.
| Arm | Measure | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|
| Placebo | Number of Participants With Treatment-Emergent Adverse Events (TEAEs) | 18 Participants |
| Bermekimab 350 mg | Number of Participants With Treatment-Emergent Adverse Events (TEAEs) | 26 Participants |
| Bermekimab 700 mg | Number of Participants With Treatment-Emergent Adverse Events (TEAEs) | 46 Participants |
| Dupilumab | Number of Participants With Treatment-Emergent Adverse Events (TEAEs) | 40 Participants |
| Placebo Then Bermekimab 700 mg | Number 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 |
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.
| Arm | Measure | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|
| Placebo | Number of Participants With Treatment-emergent Serious Adverse Events (SAEs) | 0 Participants |
| Bermekimab 350 mg | Number of Participants With Treatment-emergent Serious Adverse Events (SAEs) | 1 Participants |
| Bermekimab 700 mg | Number of Participants With Treatment-emergent Serious Adverse Events (SAEs) | 2 Participants |
| Dupilumab | Number of Participants With Treatment-emergent Serious Adverse Events (SAEs) | 0 Participants |
| Placebo Then Bermekimab 700 mg | 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 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 |
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.
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| Placebo | Percentage of Participants Achieving EASI-90 (>= 90% Improvement in EASI From Baseline) at Week 16 | 9.5 percentage of participants |
| Bermekimab 350 mg | Percentage of Participants Achieving EASI-90 (>= 90% Improvement in EASI From Baseline) at Week 16 | 12.5 percentage of participants |
| Bermekimab 700 mg | Percentage of Participants Achieving EASI-90 (>= 90% Improvement in EASI From Baseline) at Week 16 | 11.9 percentage of participants |
| Dupilumab | Percentage of Participants Achieving EASI-90 (>= 90% Improvement in EASI From Baseline) at Week 16 | 34.9 percentage of participants |
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.
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| Placebo | 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 | 9.5 percentage of participants |
| Bermekimab 350 mg | 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 | 12.5 percentage of participants |
| Bermekimab 700 mg | 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 | 11.9 percentage of participants |
| Dupilumab | 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 | 27.9 percentage of participants |
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.
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| Placebo | 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 | 10.5 percentage of participants |
| Bermekimab 350 mg | 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 | 20.0 percentage of participants |
| Bermekimab 700 mg | 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 | 6.3 percentage of participants |
| Dupilumab | 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 | 32.4 percentage of participants |
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.
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| Placebo | Serum Bermekimab Concentration Over Time | Week 20 | 86.49 micrograms per mililiters (mcg/mL) | Standard Deviation 43.182 |
| Placebo | Serum Bermekimab Concentration Over Time | Week 16 | 0.00 micrograms per mililiters (mcg/mL) | Standard Deviation 0 |
| Placebo | Serum Bermekimab Concentration Over Time | Week 28 | 99.41 micrograms per mililiters (mcg/mL) | Standard Deviation 58.863 |
| Placebo | Serum Bermekimab Concentration Over Time | Week 24 | 90.40 micrograms per mililiters (mcg/mL) | Standard Deviation 51.619 |
| Placebo | Serum Bermekimab Concentration Over Time | Week 32 | 30.13 micrograms per mililiters (mcg/mL) | Standard Deviation 23.807 |
| Bermekimab 350 mg | Serum Bermekimab Concentration Over Time | Week 0 | 0.00 micrograms per mililiters (mcg/mL) | Standard Deviation 0 |
| Bermekimab 350 mg | Serum Bermekimab Concentration Over Time | Week 1 | 24.80 micrograms per mililiters (mcg/mL) | Standard Deviation 10.156 |
| Bermekimab 350 mg | Serum Bermekimab Concentration Over Time | Week 4 | 37.85 micrograms per mililiters (mcg/mL) | Standard Deviation 19.347 |
| Bermekimab 350 mg | Serum Bermekimab Concentration Over Time | Week 8 | 42.33 micrograms per mililiters (mcg/mL) | Standard Deviation 20.88 |
| Bermekimab 350 mg | Serum Bermekimab Concentration Over Time | Week 12 | 46.90 micrograms per mililiters (mcg/mL) | Standard Deviation 19.759 |
| Bermekimab 350 mg | Serum Bermekimab Concentration Over Time | Week 16 | 51.26 micrograms per mililiters (mcg/mL) | Standard Deviation 19.349 |
| Bermekimab 350 mg | Serum Bermekimab Concentration Over Time | Week 20 | 50.91 micrograms per mililiters (mcg/mL) | Standard Deviation 20.004 |
| Bermekimab 350 mg | Serum Bermekimab Concentration Over Time | Week 24 | 55.55 micrograms per mililiters (mcg/mL) | Standard Deviation 24.609 |
| Bermekimab 350 mg | Serum Bermekimab Concentration Over Time | Week 28 | 58.31 micrograms per mililiters (mcg/mL) | Standard Deviation 24.15 |
| Bermekimab 350 mg | Serum Bermekimab Concentration Over Time | Week 32 | 48.68 micrograms per mililiters (mcg/mL) | Standard Deviation 21.937 |
| Bermekimab 350 mg | Serum Bermekimab Concentration Over Time | Week 36 | 7.31 micrograms per mililiters (mcg/mL) | Standard Deviation 6.821 |
| Bermekimab 700 mg | Serum Bermekimab Concentration Over Time | Week 36 | 0.57 micrograms per mililiters (mcg/mL) | Standard Deviation 0.813 |
| Bermekimab 700 mg | Serum Bermekimab Concentration Over Time | Week 12 | 81.17 micrograms per mililiters (mcg/mL) | Standard Deviation 42.878 |
| Bermekimab 700 mg | Serum Bermekimab Concentration Over Time | Week 32 | 12.95 micrograms per mililiters (mcg/mL) | Standard Deviation 18.318 |
| Bermekimab 700 mg | Serum Bermekimab Concentration Over Time | Week 16 | 80.56 micrograms per mililiters (mcg/mL) | Standard Deviation 46.644 |
| Bermekimab 700 mg | Serum Bermekimab Concentration Over Time | Week 1 | 44.61 micrograms per mililiters (mcg/mL) | Standard Deviation 16.945 |
| Bermekimab 700 mg | Serum Bermekimab Concentration Over Time | Week 20 | 79.51 micrograms per mililiters (mcg/mL) | Standard Deviation 50.18 |
| Bermekimab 700 mg | Serum Bermekimab Concentration Over Time | Week 24 | 65.57 micrograms per mililiters (mcg/mL) | Standard Deviation 31.614 |
| Bermekimab 700 mg | Serum Bermekimab Concentration Over Time | Week 28 | 62.20 micrograms per mililiters (mcg/mL) | Standard Deviation 30.876 |
| Bermekimab 700 mg | Serum Bermekimab Concentration Over Time | Week 4 | 75.65 micrograms per mililiters (mcg/mL) | Standard Deviation 35.815 |
| Bermekimab 700 mg | Serum Bermekimab Concentration Over Time | Week 0 | 0.00 micrograms per mililiters (mcg/mL) | Standard Deviation 0 |
| Bermekimab 700 mg | Serum Bermekimab Concentration Over Time | Week 8 | 81.25 micrograms per mililiters (mcg/mL) | Standard Deviation 41.734 |
| Dupilumab | Serum Bermekimab Concentration Over Time | Week 32 | 56.96 micrograms per mililiters (mcg/mL) | — |
| Dupilumab | Serum Bermekimab Concentration Over Time | Week 20 | 82.14 micrograms per mililiters (mcg/mL) | Standard Deviation 21.151 |
| Dupilumab | Serum Bermekimab Concentration Over Time | Week 24 | 45.13 micrograms per mililiters (mcg/mL) | Standard Deviation 31.291 |
| Dupilumab | Serum Bermekimab Concentration Over Time | Week 0 | 0.00 micrograms per mililiters (mcg/mL) | Standard Deviation 0 |
| Dupilumab | Serum Bermekimab Concentration Over Time | Week 36 | 4.44 micrograms per mililiters (mcg/mL) | — |
| Dupilumab | Serum Bermekimab Concentration Over Time | Week 8 | 80.72 micrograms per mililiters (mcg/mL) | Standard Deviation 40.377 |
| Dupilumab | Serum Bermekimab Concentration Over Time | Week 28 | 68.88 micrograms per mililiters (mcg/mL) | Standard Deviation 13.172 |
| Dupilumab | Serum Bermekimab Concentration Over Time | Week 12 | 83.89 micrograms per mililiters (mcg/mL) | Standard Deviation 21.875 |
| Dupilumab | Serum Bermekimab Concentration Over Time | Week 1 | 36.88 micrograms per mililiters (mcg/mL) | Standard Deviation 2.831 |
| Dupilumab | Serum Bermekimab Concentration Over Time | Week 16 | 83.35 micrograms per mililiters (mcg/mL) | Standard Deviation 43.518 |
| Dupilumab | Serum Bermekimab Concentration Over Time | Week 4 | 83.07 micrograms per mililiters (mcg/mL) | Standard Deviation 46.927 |
| Placebo Then Bermekimab 700 mg | Serum Bermekimab Concentration Over Time | Week 28 | 2.02 micrograms per mililiters (mcg/mL) | Standard Deviation 1.742 |
| Placebo Then Bermekimab 700 mg | Serum Bermekimab Concentration Over Time | Week 20 | 38.73 micrograms per mililiters (mcg/mL) | Standard Deviation 19.023 |
| Placebo Then Bermekimab 700 mg | Serum Bermekimab Concentration Over Time | Week 0 | 0.00 micrograms per mililiters (mcg/mL) | Standard Deviation 0 |
| Placebo Then Bermekimab 700 mg | Serum Bermekimab Concentration Over Time | Week 32 | 38.84 micrograms per mililiters (mcg/mL) | — |
| Placebo Then Bermekimab 700 mg | Serum Bermekimab Concentration Over Time | Week 4 | 71.15 micrograms per mililiters (mcg/mL) | Standard Deviation 29.254 |
| Placebo Then Bermekimab 700 mg | Serum Bermekimab Concentration Over Time | Week 8 | 76.88 micrograms per mililiters (mcg/mL) | Standard Deviation 32.047 |
| Placebo Then Bermekimab 700 mg | Serum Bermekimab Concentration Over Time | Week 24 | 23.93 micrograms per mililiters (mcg/mL) | Standard Deviation 17.506 |
| Placebo Then Bermekimab 700 mg | Serum Bermekimab Concentration Over Time | Week 12 | 74.06 micrograms per mililiters (mcg/mL) | Standard Deviation 32.283 |
| Placebo Then Bermekimab 700 mg | Serum Bermekimab Concentration Over Time | Week 16 | 77.95 micrograms per mililiters (mcg/mL) | Standard Deviation 47.186 |
| Placebo Then Bermekimab 700 mg | Serum Bermekimab Concentration Over Time | Week 1 | 34.96 micrograms per mililiters (mcg/mL) | Standard Deviation 11.796 |