Atopic Dermatitis
Conditions
Keywords
AD, Atopic Eczema
Brief summary
The purpose of this clinical trial is to learn about the safety and how well the study medicine (called Abrocitinib) works for the potential treatment of moderate to severe Atopic Dermatitis (AD) in India. AD, also known as atopic eczema, is a chronic, relapsing skin condition characterized by dry, itchy skin lesions which can affect any part of the body. Adult peoples who participate in this study will take either 100 mg or 200 mg of abrocitinib tablets by mouth for a duration of 12 weeks and adolescents will take for duration of 52 weeks. Knee Magnetic Resonance Imagine (MRI) will be done on adolescent peoples to determine bone safety findings. We will examine the experiences of people receiving the study medicines. This will help us determine if the study medicines are safe and how well they work.
Detailed description
Abrocitinib is an oral, once daily Janus kinase 1 (JAK1) selective inhibitor for the treatment of moderate to severe Atopic Dermatitis (AD). Selective inhibition of JAK1 with abrocitinib modulates signaling by Interleukin-4 (IL-4), Interleukin (IL-13), and other cytokines \[eg, IL-31, IL-22, and thymic stromal lymphopoietin (TSLP)\] involved in the pathogenesis of Atopic Dermatitis and pruritus. This is a randomized, open label, parallel group study to assess the safety and efficacy of orally administered tablets of abrocitinib in participants aged 12 years and older with moderate to severe AD in India. There is a planned treatment duration of 12 weeks, with 4 weeks of off-treatment safety follow up thereafter. This study protocol also includes a sub-study evaluating whether abrocitinib has any potential effects on adolescent bone with regard to abnormal bone findings in knee magnetic resonance imaging (MRI). Adolescent participants (12 to \<18 years of age) will continue to receive study intervention until 1 year after randomization into the main study.
Interventions
Orally administered, abrocitinib 100 mg tablets QD
Orally administered, abrocitinib 200 mg tablets QD.
Sponsors
Study design
Eligibility
Inclusion criteria
This study is seeking participants who: 1. Must be of 12 years of age or older, at the time of informed consent. 2. Meet all the following Atopic Dermatitis (AD) criteria: * Clinical diagnosis of chronic AD (also known as atopic eczema) for at least 1 year prior to Day 1 and has confirmed AD (Hanifin and Rajka criteria of AD10). * Moderate to severe AD (affected body surface area (BSA) ≥10%, Investigator's Global Assessment (IGA) ≥3, Eczema Area and Severity Index (EASI) ≥16, and Peak Pruritus Numerical Rating Scale (PP-NRS) ≥4 at the baseline visit); * Documented recent history (within 6 months before the screening visit) of inadequate response to treatment with topical medications for at least 4 weeks, or for whom topical treatments are otherwise medically inadvisable (eg, because of important side effects or safety risks), or who have required systemic therapies for control of their disease. 3. Negative pregnancy test for females of childbearing potential at Screening. Female participants of childbearing potential must agree to use a highly effective method of contraception for the duration of the active treatment period and for at least 28 days after the last dose of study intervention. 4. Body weight ≥25 kg at Baseline 5. Capable of giving signed informed consent, which includes compliance with the requirements and restrictions listed in the Informed Consent Document (ICD) and in this protocol. Evidence of a personally signed and dated ICD indicating that the participant (or a legally acceptable representative, parent(s)/legal guardian) has been informed of all pertinent aspects of the study. For minors under the age of legal consent in India, assent of the participating child needs to be documented for the age range 12 to 18 years in addition to the parental informed consent.
Exclusion criteria
This study does not include participants who: 1. Currently have active forms of other inflammatory skin diseases or have evidence of skin conditions (eg, psoriasis, seborrheic dermatitis, lupus). 2. A current or past medical history of conditions associated with thrombocytopenia, coagulopathy or platelet dysfunction or QT interval abnormalities. 3. Have increased risk of developing venous thromboembolism, eg, deep vein thrombosis or pulmonary embolism: 4. Have a history of any lymphoproliferative disorder such as Epstein Barr virus (EBV) related lymphoproliferative disorder, history of lymphoma, leukemia, or signs or symptoms suggestive of current lymphatic or lymphoid disease. 5. Past history or active infection with Mycobacterium tuberculosis (TB), disseminated herpes zoster or disseminated herpes simplex, human immunodeficiency virus (HIV), Hepatitis B, or Hepatitis C. 6. Have any malignancies or have a history of malignancies with the exception of adequately treated or excised non-metastatic basal cell or squamous cell cancer of the skin, or cervical carcinoma in situ. 7. Other medical or psychiatric condition including recent (within the past year) or active suicidal ideation/behavior or laboratory abnormality that may increase the risk of study participation or, in the investigator's judgement, make the participant inappropriate for the study. Any psychiatric condition including recent or active suicidal ideation or behavior that met any of the following criteria when screened for during the main study: * Suicidal ideation associated with actual intent and a method or plan in the past year: Yes answers on items 4 or 5 of the Columbia suicide severity rating scale (C-SSRS); * Previous history of suicidal behaviors in the past 5 years: Yes answer (for events that occurred in the past 5 years) to any of the suicidal behavior items of the C-SSRS; * Any lifetime history of serious or recurrent suicidal behavior; * The presence of any current major psychiatric disorder that is not explicitly permitted in the inclusion/
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Number of Participants With Adverse Events (AEs) and Serious AEs (SAEs): Main Study | From Day 1 of dosing up to 4 weeks post last dose (maximum up to Week 16) | An AE was any untoward medical occurrence in a participant or clinical study participant, temporally associated with the use of study intervention, whether or not considered related to the study intervention. 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; was a suspected transmission via a Pfizer product of an infectious agent, pathogenic or non-pathogenic or other situations where medical or scientific judgement should be exercised by investigator. AEs included SAEs and all non-SAEs. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Percentage of Participants Achieving Eczema Area and Severity Index (EASI) Response >= 75% Improvement From Baseline at Week 12: Main Study | Baseline (prior to dosing on Day 1), Week 12 | EASI evaluates severity of participant's AD based on both severity of lesion clinical signs and % of body surface area (BSA) affected. Severity of clinical signs of AD (erythema \[E\], induration/papulation \[I\], excoriation \[Ex\] and lichenification \[L\]) scored separately for each of 4 body regions (head and neck \[h\], upper limbs \[u\], trunk \[t\]-\[including axillae and groin\] and lower limbs \[l\]-\[including buttocks\]) on 4-point scale: 0= absent; 1= mild; 2= moderate; 3= severe. EASI area score was based upon % BSA with AD in body region: 0 (0%), 1 (\>0 to \<10%), 2 (10 to \<30%), 3 (30 to \<50%), 4 (50 to \<70%), 5 (70 to \<90%) and 6 (90 to 100%). Total EASI score =0.1\*Ah\*(Eh + Ih + Exh + Lh) + 0.2\*Au\*(Eu + Iu + ExU + Lu) + 0.3\*At\*(Et + It + Ext + Lt) + 0.4\*Al\*(El + Il + Exl +Ll); A = EASI area score. Total EASI score ranged from 0.0 to 72.0, higher scores = greater severity of AD. \>=75% improvement from baseline: decrease of 75% in EASI score from Baseline at Week 12. |
| Percentage of Participants Achieving Scoring Atopic Dermatitis (SCORAD) Response >= 75% Improvement From Baseline at Week 12: Main Study | Baseline (prior to dosing on Day 1), Week 12 | SCORAD: scoring index for AD combining extent (A), severity (B), subjective symptoms (C). A: rule of 9 was used to calculate BSA affected by AD as a % of whole BSA for each body region- head and neck 9%; upper limbs 9% each; lower limbs 18% each; anterior trunk 18%; back 18%; 1% for genitals. Score for each body region was added to determine A (0-100). B: severity of each sign (erythema; edema; oozing; excoriation; lichenification; dryness) assessed as none =0, mild =1, moderate =2, severe =3. Severity scores were added to give B (0-18). C: pruritus and sleep, each was scored by participant/caregiver using visual analogue scale (VAS) where 0= no itch/no sleeplessness and 10= worst imaginable itch/sleeplessness. Scores for itch and sleeplessness were added to give C (0-20). Total SCORAD was calculated: A/5 + 7\*B/2 + C; total SCORAD range from 0-103; higher SCORAD scores = greater severity of AD. \>=75% improvement from baseline: decrease of 75% in SCORAD score from Baseline at Week 12. |
| Percentage of Participants Who Achieved Investigator's Global Assessment (IGA) Score of Clear (0) or Almost Clear (1) and >= 2 Points Improvement From Baseline at Week 12: Main Study | Baseline (prior to dosing on Day 1), Week 12 | IGA assesses severity of AD on a 5-point scale (0 to 4: higher scores = more severity). Scores: 0= clear (no AD inflammatory signs except for any residual discolouration \[post-inflammatory hyperpigmentation and/or hypopigmentation\]); 1= almost clear (AD not entirely cleared- light pink residual lesions \[except post-inflammatory hyperpigmentation\], just barely perceptible erythema, papulation/induration lichenification, excoriation, and no oozing/crusting); 2= mild (AD with light red lesions, slight but definite erythema, papulation/induration, lichenification, excoriation and no oozing/crusting); 3= moderate (AD with red lesions, moderate erythema, papulation/induration, lichenification, excoriation and slight oozing/crusting); 4= severe (AD with deep dark red lesions, severe erythema, papulation/induration, lichenification, excoriation and moderate to severe oozing/crusting). \>=2 points improvement from baseline: decrease of at least 2 points in IGA score from baseline at Week 12. |
| Change From Baseline in Atopic Dermatitis Control Tool (ADCT) Score at Weeks 2, 4, 8 and 12: Main Study | Baseline (prior to dosing on Day 1), Weeks 2, 4, 8 and 12 | ADCT score is used to measure the participants perceived AD control. It consists of 6 questions (overall severity of symptoms, days with intense episodes of itching, intensity of bother, problem with sleep, impact on daily activities, and impact on mood or emotions) which are evaluated over the past week on scale from 0 to 4. Scores from all 6 questions are added up to provide ADCT score, ranging from 0 to 24, where higher scores indicate lower AD control. |
| Percentage of Participants With Bone Safety Findings in Knee Magnetic Resonance Imaging (MRI) at 1 Year After Randomization: Substudy | Up to 1 year from randomization on Day 1 of main study | MRI imaging session was performed when participant was in supine position in the confined space of the MRI scanner for approximately 30 mins. The assessments included evaluation of epiphyseal plate closure and mineralization of cartilage at the growth centers. |
| Change From Baseline in Patient-Oriented Eczema Measure (POEM) Score at Weeks 2, 4, 8 and 12: Main Study | Baseline (prior to dosing on Day 1), Weeks 2, 4, 8 and 12 | POEM is a 7-item participant reported outcome (PRO) measure to assess the impact of AD over the past week. Items were: dryness or roughness of skin in day, skin being itchy in day, skin flaking off in day, skin cracking in day, skin bleeding in day, skin weeping or oozing in day and sleep disturbed in night. Each item is scored from 0 to 4, depending on number of days/night (for sleep items) over the past week symptoms happened, where 0= no days, 1= 1-2 days, 2= 3-4 days, 3= 5-6 days and 4= every day. Scores from all items are added up, which results in POEM score, ranging from 0 to 28, where higher scores indicate greater severity of AD and greater symptom burden. |
Countries
India
Participant flow
Recruitment details
A total of 200 participants aged greater than or equal to (\>=) 12 years with moderate to severe atopic dermatitis (AD) were enrolled in the study.
Pre-assignment details
This study had main study and substudy. Adolescent participants consented for substudy at main study inform consent/assent. Eligible participants who consented for substudy continued to receive study intervention as assigned in the main study after the 12-week treatment period, until 1 year after randomization in the main study or until they turned 18 years of age. As per statistical analysis plan (SAP) participants' disposition, and discontinuation were to be summarized by treatment arm.
Participants by arm
| Arm | Count |
|---|---|
| Main Study: Abrocitinib 200 mg QD Participants received at least 1 dose of abrocitinib 200 mg, orally QD in the study. | 99 |
| Main Study: Abrocitinib 100 mg QD Participants received at least 1 dose of abrocitinib 100 mg, orally QD in the study. | 101 |
| Total | 200 |
Withdrawals & dropouts
| Period | Reason | FG000 | FG001 | FG002 | FG003 |
|---|---|---|---|---|---|
| Main Study: Follow-up (4 Weeks) | Did not complete study follow-up | 0 | 1 | 0 | 0 |
| Main Study: Follow-up (4 Weeks) | Lost to Follow-up | 1 | 0 | 0 | 0 |
| Main Study: Treatment Phase (12 Weeks) | Adverse Event | 1 | 0 | 0 | 0 |
| Main Study: Treatment Phase (12 Weeks) | Lost to Follow-up | 1 | 1 | 0 | 0 |
| Main Study: Treatment Phase (12 Weeks) | Withdrawal by parent/guardian | 0 | 1 | 0 | 0 |
| Main Study: Treatment Phase (12 Weeks) | Withdrawal by Subject | 6 | 5 | 0 | 0 |
| Substudy: Treatment Phase (1 Year) | Adverse Event | 0 | 0 | 2 | 0 |
| Substudy: Treatment Phase (1 Year) | Lost to Follow-up | 0 | 0 | 1 | 0 |
| Substudy: Treatment Phase (1 Year) | Physician Decision | 0 | 0 | 4 | 0 |
| Substudy: Treatment Phase (1 Year) | Withdrawal by parent/guardian | 0 | 0 | 0 | 1 |
Baseline characteristics
| Characteristic | Main Study: Abrocitinib 200 mg QD | Main Study: Abrocitinib 100 mg QD | Total |
|---|---|---|---|
| Age, Continuous Main Study | 35.37 Years STANDARD_DEVIATION 17.19 | 37.50 Years STANDARD_DEVIATION 17.49 | 36.45 Years STANDARD_DEVIATION 17.33 |
| Age, Continuous Substudy | 14.79 Years STANDARD_DEVIATION 2.25 | 14.44 Years STANDARD_DEVIATION 1.36 | 14.63 Years STANDARD_DEVIATION 1.88 |
| Ethnicity (NIH/OMB) Main Study Hispanic or Latino | 0 Participants | 0 Participants | 0 Participants |
| Ethnicity (NIH/OMB) Main Study Not Hispanic or Latino | 99 Participants | 101 Participants | 200 Participants |
| Ethnicity (NIH/OMB) Main Study Unknown or Not Reported | 0 Participants | 0 Participants | 0 Participants |
| Ethnicity (NIH/OMB) Substudy Hispanic or Latino | 0 Participants | 0 Participants | 0 Participants |
| Ethnicity (NIH/OMB) Substudy Not Hispanic or Latino | 19 Participants | 16 Participants | 35 Participants |
| Ethnicity (NIH/OMB) Substudy Unknown or Not Reported | 0 Participants | 0 Participants | 0 Participants |
| Race (NIH/OMB) Main Study American Indian or Alaska Native | 0 Participants | 0 Participants | 0 Participants |
| Race (NIH/OMB) Main Study Asian | 99 Participants | 101 Participants | 200 Participants |
| Race (NIH/OMB) Main Study Black or African American | 0 Participants | 0 Participants | 0 Participants |
| Race (NIH/OMB) Main Study More than one race | 0 Participants | 0 Participants | 0 Participants |
| Race (NIH/OMB) Main Study Native Hawaiian or Other Pacific Islander | 0 Participants | 0 Participants | 0 Participants |
| Race (NIH/OMB) Main Study Unknown or Not Reported | 0 Participants | 0 Participants | 0 Participants |
| Race (NIH/OMB) Main Study White | 0 Participants | 0 Participants | 0 Participants |
| Race (NIH/OMB) Substudy American Indian or Alaska Native | 0 Participants | 0 Participants | 0 Participants |
| Race (NIH/OMB) Substudy Asian | 19 Participants | 16 Participants | 35 Participants |
| Race (NIH/OMB) Substudy Black or African American | 0 Participants | 0 Participants | 0 Participants |
| Race (NIH/OMB) Substudy More than one race | 0 Participants | 0 Participants | 0 Participants |
| Race (NIH/OMB) Substudy Native Hawaiian or Other Pacific Islander | 0 Participants | 0 Participants | 0 Participants |
| Race (NIH/OMB) Substudy Unknown or Not Reported | 0 Participants | 0 Participants | 0 Participants |
| Race (NIH/OMB) Substudy White | 0 Participants | 0 Participants | 0 Participants |
| Sex: Female, Male Main Study Female | 61 Participants | 48 Participants | 109 Participants |
| Sex: Female, Male Main Study Male | 38 Participants | 53 Participants | 91 Participants |
| Sex: Female, Male Substudy Female | 12 Participants | 7 Participants | 19 Participants |
| Sex: Female, Male Substudy Male | 7 Participants | 9 Participants | 16 Participants |
Adverse events
| Event type | EG000 affected / at risk | EG001 affected / at risk | EG002 affected / at risk | EG003 affected / at risk |
|---|---|---|---|---|
| deaths Total, all-cause mortality | 0 / 99 | 0 / 101 | 0 / 19 | 0 / 16 |
| other Total, other adverse events | 22 / 99 | 20 / 101 | 8 / 19 | 5 / 16 |
| serious Total, serious adverse events | 0 / 99 | 1 / 101 | 0 / 19 | 0 / 16 |
Outcome results
Number of Participants With Adverse Events (AEs) and Serious AEs (SAEs): Main Study
An AE was any untoward medical occurrence in a participant or clinical study participant, temporally associated with the use of study intervention, whether or not considered related to the study intervention. 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; was a suspected transmission via a Pfizer product of an infectious agent, pathogenic or non-pathogenic or other situations where medical or scientific judgement should be exercised by investigator. AEs included SAEs and all non-SAEs.
Time frame: From Day 1 of dosing up to 4 weeks post last dose (maximum up to Week 16)
Population: Safety analysis set included all participants randomly assigned to study intervention and who had taken at least 1 dose of study intervention. Participants were analyzed according to the treatment they actually received.
| Arm | Measure | Group | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|---|
| Main Study: Abrocitinib 200 mg | Number of Participants With Adverse Events (AEs) and Serious AEs (SAEs): Main Study | AEs | 30 Participants |
| Main Study: Abrocitinib 200 mg | Number of Participants With Adverse Events (AEs) and Serious AEs (SAEs): Main Study | SAEs | 0 Participants |
| Main Study: Abrocitinib 100 mg | Number of Participants With Adverse Events (AEs) and Serious AEs (SAEs): Main Study | AEs | 26 Participants |
| Main Study: Abrocitinib 100 mg | Number of Participants With Adverse Events (AEs) and Serious AEs (SAEs): Main Study | SAEs | 1 Participants |
Change From Baseline in Atopic Dermatitis Control Tool (ADCT) Score at Weeks 2, 4, 8 and 12: Main Study
ADCT score is used to measure the participants perceived AD control. It consists of 6 questions (overall severity of symptoms, days with intense episodes of itching, intensity of bother, problem with sleep, impact on daily activities, and impact on mood or emotions) which are evaluated over the past week on scale from 0 to 4. Scores from all 6 questions are added up to provide ADCT score, ranging from 0 to 24, where higher scores indicate lower AD control.
Time frame: Baseline (prior to dosing on Day 1), Weeks 2, 4, 8 and 12
Population: FAS evaluated. Participants were analyzed according to the treatment arm they were randomized to. All participants reported under Number of Participants Analyzed contributed data to the table but may not have evaluable data for every row. Number Analyzed signifies number of participants evaluable at specified timepoints.
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| Main Study: Abrocitinib 200 mg | Change From Baseline in Atopic Dermatitis Control Tool (ADCT) Score at Weeks 2, 4, 8 and 12: Main Study | Week 2 | -5.2 Units on a scale | Standard Deviation 4.06 |
| Main Study: Abrocitinib 200 mg | Change From Baseline in Atopic Dermatitis Control Tool (ADCT) Score at Weeks 2, 4, 8 and 12: Main Study | Week 4 | -8.1 Units on a scale | Standard Deviation 4.9 |
| Main Study: Abrocitinib 200 mg | Change From Baseline in Atopic Dermatitis Control Tool (ADCT) Score at Weeks 2, 4, 8 and 12: Main Study | Week 8 | -10.7 Units on a scale | Standard Deviation 4.8 |
| Main Study: Abrocitinib 200 mg | Change From Baseline in Atopic Dermatitis Control Tool (ADCT) Score at Weeks 2, 4, 8 and 12: Main Study | Week 12 | -12.8 Units on a scale | Standard Deviation 5.33 |
| Main Study: Abrocitinib 100 mg | Change From Baseline in Atopic Dermatitis Control Tool (ADCT) Score at Weeks 2, 4, 8 and 12: Main Study | Week 12 | -11.5 Units on a scale | Standard Deviation 5.64 |
| Main Study: Abrocitinib 100 mg | Change From Baseline in Atopic Dermatitis Control Tool (ADCT) Score at Weeks 2, 4, 8 and 12: Main Study | Week 2 | -4.4 Units on a scale | Standard Deviation 4.57 |
| Main Study: Abrocitinib 100 mg | Change From Baseline in Atopic Dermatitis Control Tool (ADCT) Score at Weeks 2, 4, 8 and 12: Main Study | Week 8 | -9.4 Units on a scale | Standard Deviation 5.21 |
| Main Study: Abrocitinib 100 mg | Change From Baseline in Atopic Dermatitis Control Tool (ADCT) Score at Weeks 2, 4, 8 and 12: Main Study | Week 4 | -7.4 Units on a scale | Standard Deviation 4.64 |
Change From Baseline in Patient-Oriented Eczema Measure (POEM) Score at Weeks 2, 4, 8 and 12: Main Study
POEM is a 7-item participant reported outcome (PRO) measure to assess the impact of AD over the past week. Items were: dryness or roughness of skin in day, skin being itchy in day, skin flaking off in day, skin cracking in day, skin bleeding in day, skin weeping or oozing in day and sleep disturbed in night. Each item is scored from 0 to 4, depending on number of days/night (for sleep items) over the past week symptoms happened, where 0= no days, 1= 1-2 days, 2= 3-4 days, 3= 5-6 days and 4= every day. Scores from all items are added up, which results in POEM score, ranging from 0 to 28, where higher scores indicate greater severity of AD and greater symptom burden.
Time frame: Baseline (prior to dosing on Day 1), Weeks 2, 4, 8 and 12
Population: FAS evaluated. Participants were analyzed according to the treatment arm they were randomized to. All participants reported under Number of Participants Analyzed contributed data to the table but may not have evaluable data for every row. Number Analyzed signifies number of participants evaluable at specified timepoints.
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| Main Study: Abrocitinib 200 mg | Change From Baseline in Patient-Oriented Eczema Measure (POEM) Score at Weeks 2, 4, 8 and 12: Main Study | Week 2 | -6.3 Units on a scale | Standard Deviation 4.97 |
| Main Study: Abrocitinib 200 mg | Change From Baseline in Patient-Oriented Eczema Measure (POEM) Score at Weeks 2, 4, 8 and 12: Main Study | Week 4 | -9.4 Units on a scale | Standard Deviation 5.42 |
| Main Study: Abrocitinib 200 mg | Change From Baseline in Patient-Oriented Eczema Measure (POEM) Score at Weeks 2, 4, 8 and 12: Main Study | Week 8 | -12.0 Units on a scale | Standard Deviation 5.98 |
| Main Study: Abrocitinib 200 mg | Change From Baseline in Patient-Oriented Eczema Measure (POEM) Score at Weeks 2, 4, 8 and 12: Main Study | Week 12 | -14.2 Units on a scale | Standard Deviation 5.88 |
| Main Study: Abrocitinib 100 mg | Change From Baseline in Patient-Oriented Eczema Measure (POEM) Score at Weeks 2, 4, 8 and 12: Main Study | Week 12 | -12.4 Units on a scale | Standard Deviation 6.02 |
| Main Study: Abrocitinib 100 mg | Change From Baseline in Patient-Oriented Eczema Measure (POEM) Score at Weeks 2, 4, 8 and 12: Main Study | Week 2 | -5.1 Units on a scale | Standard Deviation 5.12 |
| Main Study: Abrocitinib 100 mg | Change From Baseline in Patient-Oriented Eczema Measure (POEM) Score at Weeks 2, 4, 8 and 12: Main Study | Week 8 | -10.3 Units on a scale | Standard Deviation 5.55 |
| Main Study: Abrocitinib 100 mg | Change From Baseline in Patient-Oriented Eczema Measure (POEM) Score at Weeks 2, 4, 8 and 12: Main Study | Week 4 | -8.1 Units on a scale | Standard Deviation 5.49 |
Percentage of Participants Achieving Eczema Area and Severity Index (EASI) Response >= 75% Improvement From Baseline at Week 12: Main Study
EASI evaluates severity of participant's AD based on both severity of lesion clinical signs and % of body surface area (BSA) affected. Severity of clinical signs of AD (erythema \[E\], induration/papulation \[I\], excoriation \[Ex\] and lichenification \[L\]) scored separately for each of 4 body regions (head and neck \[h\], upper limbs \[u\], trunk \[t\]-\[including axillae and groin\] and lower limbs \[l\]-\[including buttocks\]) on 4-point scale: 0= absent; 1= mild; 2= moderate; 3= severe. EASI area score was based upon % BSA with AD in body region: 0 (0%), 1 (\>0 to \<10%), 2 (10 to \<30%), 3 (30 to \<50%), 4 (50 to \<70%), 5 (70 to \<90%) and 6 (90 to 100%). Total EASI score =0.1\*Ah\*(Eh + Ih + Exh + Lh) + 0.2\*Au\*(Eu + Iu + ExU + Lu) + 0.3\*At\*(Et + It + Ext + Lt) + 0.4\*Al\*(El + Il + Exl +Ll); A = EASI area score. Total EASI score ranged from 0.0 to 72.0, higher scores = greater severity of AD. \>=75% improvement from baseline: decrease of 75% in EASI score from Baseline at Week 12.
Time frame: Baseline (prior to dosing on Day 1), Week 12
Population: FAS included all participants randomly assigned to study intervention and who had taken at least 1 dose of study intervention. Participants were analyzed according to the treatment arm they were randomized to. NRI was applied. Here, Number of Participants Analyzed signifies participants evaluable for this outcome measure.
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| Main Study: Abrocitinib 200 mg | Percentage of Participants Achieving Eczema Area and Severity Index (EASI) Response >= 75% Improvement From Baseline at Week 12: Main Study | 71.7 Percentage of participants |
| Main Study: Abrocitinib 100 mg | Percentage of Participants Achieving Eczema Area and Severity Index (EASI) Response >= 75% Improvement From Baseline at Week 12: Main Study | 69.0 Percentage of participants |
Percentage of Participants Achieving Scoring Atopic Dermatitis (SCORAD) Response >= 75% Improvement From Baseline at Week 12: Main Study
SCORAD: scoring index for AD combining extent (A), severity (B), subjective symptoms (C). A: rule of 9 was used to calculate BSA affected by AD as a % of whole BSA for each body region- head and neck 9%; upper limbs 9% each; lower limbs 18% each; anterior trunk 18%; back 18%; 1% for genitals. Score for each body region was added to determine A (0-100). B: severity of each sign (erythema; edema; oozing; excoriation; lichenification; dryness) assessed as none =0, mild =1, moderate =2, severe =3. Severity scores were added to give B (0-18). C: pruritus and sleep, each was scored by participant/caregiver using visual analogue scale (VAS) where 0= no itch/no sleeplessness and 10= worst imaginable itch/sleeplessness. Scores for itch and sleeplessness were added to give C (0-20). Total SCORAD was calculated: A/5 + 7\*B/2 + C; total SCORAD range from 0-103; higher SCORAD scores = greater severity of AD. \>=75% improvement from baseline: decrease of 75% in SCORAD score from Baseline at Week 12.
Time frame: Baseline (prior to dosing on Day 1), Week 12
Population: FAS included all participants randomly assigned to study intervention and who had taken at least 1 dose of study intervention. Participants were analyzed according to the treatment arm they were randomized to. NRI was applied. Here, Number of Participants Analyzed signifies participants evaluable for this outcome measure.
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| Main Study: Abrocitinib 200 mg | Percentage of Participants Achieving Scoring Atopic Dermatitis (SCORAD) Response >= 75% Improvement From Baseline at Week 12: Main Study | 47.5 Percentage of participants |
| Main Study: Abrocitinib 100 mg | Percentage of Participants Achieving Scoring Atopic Dermatitis (SCORAD) Response >= 75% Improvement From Baseline at Week 12: Main Study | 43.0 Percentage of participants |
Percentage of Participants Who Achieved Investigator's Global Assessment (IGA) Score of Clear (0) or Almost Clear (1) and >= 2 Points Improvement From Baseline at Week 12: Main Study
IGA assesses severity of AD on a 5-point scale (0 to 4: higher scores = more severity). Scores: 0= clear (no AD inflammatory signs except for any residual discolouration \[post-inflammatory hyperpigmentation and/or hypopigmentation\]); 1= almost clear (AD not entirely cleared- light pink residual lesions \[except post-inflammatory hyperpigmentation\], just barely perceptible erythema, papulation/induration lichenification, excoriation, and no oozing/crusting); 2= mild (AD with light red lesions, slight but definite erythema, papulation/induration, lichenification, excoriation and no oozing/crusting); 3= moderate (AD with red lesions, moderate erythema, papulation/induration, lichenification, excoriation and slight oozing/crusting); 4= severe (AD with deep dark red lesions, severe erythema, papulation/induration, lichenification, excoriation and moderate to severe oozing/crusting). \>=2 points improvement from baseline: decrease of at least 2 points in IGA score from baseline at Week 12.
Time frame: Baseline (prior to dosing on Day 1), Week 12
Population: Full analysis set (FAS) included all participants randomly assigned to study intervention and who had taken at least 1 dose of study intervention. Participants were analyzed according to the treatment arm they were randomized to. Non-responder imputation (NRI) was applied. Number of Participants Analyzed signifies participants evaluable for this outcome measure.
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| Main Study: Abrocitinib 200 mg | Percentage of Participants Who Achieved Investigator's Global Assessment (IGA) Score of Clear (0) or Almost Clear (1) and >= 2 Points Improvement From Baseline at Week 12: Main Study | 48.5 Percentage of participants |
| Main Study: Abrocitinib 100 mg | Percentage of Participants Who Achieved Investigator's Global Assessment (IGA) Score of Clear (0) or Almost Clear (1) and >= 2 Points Improvement From Baseline at Week 12: Main Study | 50.0 Percentage of participants |
Percentage of Participants With Bone Safety Findings in Knee Magnetic Resonance Imaging (MRI) at 1 Year After Randomization: Substudy
MRI imaging session was performed when participant was in supine position in the confined space of the MRI scanner for approximately 30 mins. The assessments included evaluation of epiphyseal plate closure and mineralization of cartilage at the growth centers.
Time frame: Up to 1 year from randomization on Day 1 of main study
Population: Substudy analysis set included all participants who entered the substudy and who took at least 1 dose of study intervention during the substudy.
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| Main Study: Abrocitinib 200 mg | Percentage of Participants With Bone Safety Findings in Knee Magnetic Resonance Imaging (MRI) at 1 Year After Randomization: Substudy | 0 Percentage of participants |
| Main Study: Abrocitinib 100 mg | Percentage of Participants With Bone Safety Findings in Knee Magnetic Resonance Imaging (MRI) at 1 Year After Randomization: Substudy | 0 Percentage of participants |