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A Study to Learn About Abrocitinib Tablets in People With Atopic Dermatitis in India

A RANDOMIZED, OPEN-LABEL, PARALLEL-GROUP STUDY TO EVALUATE THE SAFETY AND EFFICACY OF ABROCITINIB 100 MG AND 200 MG TABLETS IN PARTICIPANTS AGED 12 YEARS AND OLDER WITH MODERATE TO SEVERE ATOPIC DERMATITIS IN INDIA

Status
Completed
Phases
Phase 3
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT05375929
Enrollment
200
Registered
2022-05-17
Start date
2022-07-16
Completion date
2024-03-14
Last updated
2024-10-15

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

Conditions

Atopic Dermatitis

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

Pfizer
Lead SponsorINDUSTRY

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE

Eligibility

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

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

MeasureTime frameDescription
Number of Participants With Adverse Events (AEs) and Serious AEs (SAEs): Main StudyFrom 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

MeasureTime frameDescription
Percentage of Participants Achieving Eczema Area and Severity Index (EASI) Response >= 75% Improvement From Baseline at Week 12: Main StudyBaseline (prior to dosing on Day 1), Week 12EASI 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 StudyBaseline (prior to dosing on Day 1), Week 12SCORAD: 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 StudyBaseline (prior to dosing on Day 1), Week 12IGA 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 StudyBaseline (prior to dosing on Day 1), Weeks 2, 4, 8 and 12ADCT 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: SubstudyUp to 1 year from randomization on Day 1 of main studyMRI 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 StudyBaseline (prior to dosing on Day 1), Weeks 2, 4, 8 and 12POEM 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

ArmCount
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
Total200

Withdrawals & dropouts

PeriodReasonFG000FG001FG002FG003
Main Study: Follow-up (4 Weeks)Did not complete study follow-up0100
Main Study: Follow-up (4 Weeks)Lost to Follow-up1000
Main Study: Treatment Phase (12 Weeks)Adverse Event1000
Main Study: Treatment Phase (12 Weeks)Lost to Follow-up1100
Main Study: Treatment Phase (12 Weeks)Withdrawal by parent/guardian0100
Main Study: Treatment Phase (12 Weeks)Withdrawal by Subject6500
Substudy: Treatment Phase (1 Year)Adverse Event0020
Substudy: Treatment Phase (1 Year)Lost to Follow-up0010
Substudy: Treatment Phase (1 Year)Physician Decision0040
Substudy: Treatment Phase (1 Year)Withdrawal by parent/guardian0001

Baseline characteristics

CharacteristicMain Study: Abrocitinib 200 mg QDMain Study: Abrocitinib 100 mg QDTotal
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 Participants0 Participants0 Participants
Ethnicity (NIH/OMB)
Main Study
Not Hispanic or Latino
99 Participants101 Participants200 Participants
Ethnicity (NIH/OMB)
Main Study
Unknown or Not Reported
0 Participants0 Participants0 Participants
Ethnicity (NIH/OMB)
Substudy
Hispanic or Latino
0 Participants0 Participants0 Participants
Ethnicity (NIH/OMB)
Substudy
Not Hispanic or Latino
19 Participants16 Participants35 Participants
Ethnicity (NIH/OMB)
Substudy
Unknown or Not Reported
0 Participants0 Participants0 Participants
Race (NIH/OMB)
Main Study
American Indian or Alaska Native
0 Participants0 Participants0 Participants
Race (NIH/OMB)
Main Study
Asian
99 Participants101 Participants200 Participants
Race (NIH/OMB)
Main Study
Black or African American
0 Participants0 Participants0 Participants
Race (NIH/OMB)
Main Study
More than one race
0 Participants0 Participants0 Participants
Race (NIH/OMB)
Main Study
Native Hawaiian or Other Pacific Islander
0 Participants0 Participants0 Participants
Race (NIH/OMB)
Main Study
Unknown or Not Reported
0 Participants0 Participants0 Participants
Race (NIH/OMB)
Main Study
White
0 Participants0 Participants0 Participants
Race (NIH/OMB)
Substudy
American Indian or Alaska Native
0 Participants0 Participants0 Participants
Race (NIH/OMB)
Substudy
Asian
19 Participants16 Participants35 Participants
Race (NIH/OMB)
Substudy
Black or African American
0 Participants0 Participants0 Participants
Race (NIH/OMB)
Substudy
More than one race
0 Participants0 Participants0 Participants
Race (NIH/OMB)
Substudy
Native Hawaiian or Other Pacific Islander
0 Participants0 Participants0 Participants
Race (NIH/OMB)
Substudy
Unknown or Not Reported
0 Participants0 Participants0 Participants
Race (NIH/OMB)
Substudy
White
0 Participants0 Participants0 Participants
Sex: Female, Male
Main Study
Female
61 Participants48 Participants109 Participants
Sex: Female, Male
Main Study
Male
38 Participants53 Participants91 Participants
Sex: Female, Male
Substudy
Female
12 Participants7 Participants19 Participants
Sex: Female, Male
Substudy
Male
7 Participants9 Participants16 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
EG002
affected / at risk
EG003
affected / at risk
deaths
Total, all-cause mortality
0 / 990 / 1010 / 190 / 16
other
Total, other adverse events
22 / 9920 / 1018 / 195 / 16
serious
Total, serious adverse events
0 / 991 / 1010 / 190 / 16

Outcome results

Primary

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.

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
Main Study: Abrocitinib 200 mgNumber of Participants With Adverse Events (AEs) and Serious AEs (SAEs): Main StudyAEs30 Participants
Main Study: Abrocitinib 200 mgNumber of Participants With Adverse Events (AEs) and Serious AEs (SAEs): Main StudySAEs0 Participants
Main Study: Abrocitinib 100 mgNumber of Participants With Adverse Events (AEs) and Serious AEs (SAEs): Main StudyAEs26 Participants
Main Study: Abrocitinib 100 mgNumber of Participants With Adverse Events (AEs) and Serious AEs (SAEs): Main StudySAEs1 Participants
Secondary

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.

ArmMeasureGroupValue (MEAN)Dispersion
Main Study: Abrocitinib 200 mgChange From Baseline in Atopic Dermatitis Control Tool (ADCT) Score at Weeks 2, 4, 8 and 12: Main StudyWeek 2-5.2 Units on a scaleStandard Deviation 4.06
Main Study: Abrocitinib 200 mgChange From Baseline in Atopic Dermatitis Control Tool (ADCT) Score at Weeks 2, 4, 8 and 12: Main StudyWeek 4-8.1 Units on a scaleStandard Deviation 4.9
Main Study: Abrocitinib 200 mgChange From Baseline in Atopic Dermatitis Control Tool (ADCT) Score at Weeks 2, 4, 8 and 12: Main StudyWeek 8-10.7 Units on a scaleStandard Deviation 4.8
Main Study: Abrocitinib 200 mgChange From Baseline in Atopic Dermatitis Control Tool (ADCT) Score at Weeks 2, 4, 8 and 12: Main StudyWeek 12-12.8 Units on a scaleStandard Deviation 5.33
Main Study: Abrocitinib 100 mgChange From Baseline in Atopic Dermatitis Control Tool (ADCT) Score at Weeks 2, 4, 8 and 12: Main StudyWeek 12-11.5 Units on a scaleStandard Deviation 5.64
Main Study: Abrocitinib 100 mgChange From Baseline in Atopic Dermatitis Control Tool (ADCT) Score at Weeks 2, 4, 8 and 12: Main StudyWeek 2-4.4 Units on a scaleStandard Deviation 4.57
Main Study: Abrocitinib 100 mgChange From Baseline in Atopic Dermatitis Control Tool (ADCT) Score at Weeks 2, 4, 8 and 12: Main StudyWeek 8-9.4 Units on a scaleStandard Deviation 5.21
Main Study: Abrocitinib 100 mgChange From Baseline in Atopic Dermatitis Control Tool (ADCT) Score at Weeks 2, 4, 8 and 12: Main StudyWeek 4-7.4 Units on a scaleStandard Deviation 4.64
Secondary

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.

ArmMeasureGroupValue (MEAN)Dispersion
Main Study: Abrocitinib 200 mgChange From Baseline in Patient-Oriented Eczema Measure (POEM) Score at Weeks 2, 4, 8 and 12: Main StudyWeek 2-6.3 Units on a scaleStandard Deviation 4.97
Main Study: Abrocitinib 200 mgChange From Baseline in Patient-Oriented Eczema Measure (POEM) Score at Weeks 2, 4, 8 and 12: Main StudyWeek 4-9.4 Units on a scaleStandard Deviation 5.42
Main Study: Abrocitinib 200 mgChange From Baseline in Patient-Oriented Eczema Measure (POEM) Score at Weeks 2, 4, 8 and 12: Main StudyWeek 8-12.0 Units on a scaleStandard Deviation 5.98
Main Study: Abrocitinib 200 mgChange From Baseline in Patient-Oriented Eczema Measure (POEM) Score at Weeks 2, 4, 8 and 12: Main StudyWeek 12-14.2 Units on a scaleStandard Deviation 5.88
Main Study: Abrocitinib 100 mgChange From Baseline in Patient-Oriented Eczema Measure (POEM) Score at Weeks 2, 4, 8 and 12: Main StudyWeek 12-12.4 Units on a scaleStandard Deviation 6.02
Main Study: Abrocitinib 100 mgChange From Baseline in Patient-Oriented Eczema Measure (POEM) Score at Weeks 2, 4, 8 and 12: Main StudyWeek 2-5.1 Units on a scaleStandard Deviation 5.12
Main Study: Abrocitinib 100 mgChange From Baseline in Patient-Oriented Eczema Measure (POEM) Score at Weeks 2, 4, 8 and 12: Main StudyWeek 8-10.3 Units on a scaleStandard Deviation 5.55
Main Study: Abrocitinib 100 mgChange From Baseline in Patient-Oriented Eczema Measure (POEM) Score at Weeks 2, 4, 8 and 12: Main StudyWeek 4-8.1 Units on a scaleStandard Deviation 5.49
Secondary

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.

ArmMeasureValue (NUMBER)
Main Study: Abrocitinib 200 mgPercentage of Participants Achieving Eczema Area and Severity Index (EASI) Response >= 75% Improvement From Baseline at Week 12: Main Study71.7 Percentage of participants
Main Study: Abrocitinib 100 mgPercentage of Participants Achieving Eczema Area and Severity Index (EASI) Response >= 75% Improvement From Baseline at Week 12: Main Study69.0 Percentage of participants
Secondary

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.

ArmMeasureValue (NUMBER)
Main Study: Abrocitinib 200 mgPercentage of Participants Achieving Scoring Atopic Dermatitis (SCORAD) Response >= 75% Improvement From Baseline at Week 12: Main Study47.5 Percentage of participants
Main Study: Abrocitinib 100 mgPercentage of Participants Achieving Scoring Atopic Dermatitis (SCORAD) Response >= 75% Improvement From Baseline at Week 12: Main Study43.0 Percentage of participants
Secondary

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.

ArmMeasureValue (NUMBER)
Main Study: Abrocitinib 200 mgPercentage 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 Study48.5 Percentage of participants
Main Study: Abrocitinib 100 mgPercentage 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 Study50.0 Percentage of participants
Secondary

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.

ArmMeasureValue (NUMBER)
Main Study: Abrocitinib 200 mgPercentage of Participants With Bone Safety Findings in Knee Magnetic Resonance Imaging (MRI) at 1 Year After Randomization: Substudy0 Percentage of participants
Main Study: Abrocitinib 100 mgPercentage of Participants With Bone Safety Findings in Knee Magnetic Resonance Imaging (MRI) at 1 Year After Randomization: Substudy0 Percentage of participants

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026