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Идёт набор NCT06397911

Evaluate Efficacy and Safety of Repeat Subcutaneous Doses of FB825 in Adults With Moderate-to-Severe Atopic Dermatitis

Фаза II С лечением Atopic Dermatitis

Ориентир для пациента и семьи

Простыми словами

Автоматическая сводка по структурированным данным реестра. Она помогает сориентироваться, но не заменяет официальный протокол или оценку врача.

Что изучают
В протоколе указаны: FB825, Placebo.
Кому может быть актуально
Состояния в реестре: Atopic Dermatitis. Базовые параметры: 18 лет — 65 лет · Все.
Что важно проверить
Возраст, диагноз и пол — только базовые ориентиры. Предыдущее лечение, анализы и другие обязательные условия указаны ниже в критериях участия.
Где проводится
США, Тайвань
Следующий шаг
Сохраните исследование, покажите его лечащему врачу и уточните актуальный статус у исследовательского центра. Расходы, документы и поездка →
Официальное название

A Multicenter, Randomized, Double-Blind, Placebo-Controlled Study to Evaluate Efficacy, Pharmacokinetics, and Safety of Repeat Subcutaneous Doses of FB825 in Adults With Moderate-to-Severe Atopic Dermatitis

Обзор

This is a randomized, placebo-controlled and double-blind study to evaluate the efficacy, pharmacokinetics, and Safety of repeat subcutaneous doses of FB825 in adults with moderate-to-severe atopic dermatitis.

Подробное описание

This multicenter, randomized, double-blind, placebo-controlled, 2-arm, parallel-group study will enroll approximately 90 subjects with moderate-to-severe atopic dermatitis, with approximately 45 subjects per group.

The study duration of subject participation in the study is up to 28 weeks, including up to 4 weeks for screening, a 12-week study intervention and a 12-week follow-up period after study intervention. The study treatment will be administered as 5 SC doses.

Вмешательства

  • Препарат FB825
    The study treatment will be administered as 5 SC doses in total 12 weeks
  • Препарат Placebo
    The study treatment will be administered as 5 SC doses in total 12 weeks

Первичные конечные точки

  • The percentage change from baseline in Eczema Area and Severity Index (EASI) score [Срок оценки: Week 16]
Вторичные конечные точки (12)
  • The percentage change from baseline in Eczema Area and Severity Index (EASI) score [Срок оценки: Week 2, 4, 8, 12, 20 and 24]
  • The mean change from baseline in Eczema Area and Severity Index (EASI) score [Срок оценки: Week 2, 4, 8, 12, 16, 20, and 24]
  • Proportion of patients with EASI-75 (≥75% improvement from baseline) [Срок оценки: Week 2, 4, 8, 12, 16, 20, and 24]
  • Proportion of patients with EASI-50 (≥50% improvement from baseline) [Срок оценки: Week 2, 4, 8, 12, 16, 20, and 24]
  • Proportion of patients with EASI-90 [Срок оценки: Week 2, 4, 8, 12, 16, 20, and 24]
  • The percentage change from baseline in Investigator Global Assessment (IGA) score [Срок оценки: Week 2, 4, 8, 12, 16, 20, and 24]
  • Proportion of patients with both Investigator Global Assessment (IGA) 0 to 1 and a reduction from baseline of ≥2 points [Срок оценки: Week 2, 4, 8, 12, 16, 20, and 24]
  • The percentage change from baseline in Severity Scoring of Atopic Dermatitis Index (SCORAD) score [Срок оценки: Week 2, 4, 8, 12, 16, 20, and 24]
  • The percentage change from baseline in pruritus numerical rating scale (NRS) score [Срок оценки: Week 2, 4, 8, 12, 16, 20, and 24]
  • The mean change from baseline in Dermatology Life Quality Index (DLQI) score [Срок оценки: Week 2, 4, 8, 12, 16, 20, and 24]
  • The percentage change from baseline in total IgE [Срок оценки: Week 2, 4, 8, 12, 16, 20, and 24]
  • The percentage change from baseline in allergen-specific IgE [Срок оценки: Week 4, 16, and 24]

Критерии участия

Критерии включения

Subjects must meet all of the following criteria to be included in the study:

  • The subject is male or female between 18 and 65 years of age at the time of giving informed consent.
  • Body weight equal to or greater than 40 Kg at the time of screening.
  • The subject has a physician-confirmed diagnosis of moderate-to-severe atopic dermatitis based on 12 months history of symptoms designated by Hanifin and Rajka criteria.
  • Eczema Area and Severity Index (EASI) score ≥16 at screening and baseline visits.
  • Validated Investigator Global Assessment for Atopic Dermatitis (vIGA-AD) score ≥ 3 (5-point scale) at the screening and baseline visits.
  • ≥10 % body surface area (BSA) of AD involvement at the screening and baseline visits.
  • Baseline pruritus numerical rating scale (NRS) average score for maximum itch intensity of ≥ 3, based on the average of daily pruritus NRS scores for maximum itch intensity reported during the 7 days prior to randomization.
  • History of inadequate response to a stable (4 weeks) regimen of topical corticosteroids (TCS) or topical calcineurin inhibitors (TCI) as treatment for AD within 6 months before the screening visit. (The TCS should belong to medium to high potency strength and has been applied for at least 4 weeks or for the maximum duration recommended by product prescribing information.)
  • An inadequate response is defined as the inability to achieve and maintain remission or a low disease activity state (comparable to vIGA-AD 0=clear to 2=mild).
  • Subjects with systemic treatment for AD in the past 6 months were also considered as inadequate responders to topical treatments.
  • Patients must be applying stable doses of an additive-free, basic bland emollient twice-daily for at least 1 week immediately before the baseline visit.

Note: See exclusion criterion #13 for limitations regarding emollients.

  • Female subjects must have a negative serum pregnancy test at screening. All subjects of childbearing potential and his/her sexual partner must meet 2 following condition or acceptable methods of birth control throughout the study.
  • Oral, injectable, or implanted hormonal contraceptives
  • Condom with a spermicidal form, gel, film, cream, or suppository
  • Occlusive cap (diaphragm or cervical/vault caps) with a spermicidal foam, gel, film, cream, or suppository
  • Intrauterine device
  • Intrauterine system (for example, progestin-releasing coil) or be surgically sterile (i.e., hysterectomy, bilateral tubal ligation, bilateral oophorectomy, or vasectomy)
  • Postmenopausal (defined as amenorrhea 12 consecutive months and documented serum follicle stimulating hormone level per laboratory standard) Note: The subject must utilize the method of effective contraception during study period as well as 16 weeks or 5 half-lives following the last dosing of FB825.
  • The subject is able to provide written informed consent.
  • The subject agrees to and is capable of adhering to scheduled visits, the treatment plan, laboratory tests, other study procedures, and all protocol requirements.

Критерии исключения

  • Subjects to whom any of the following applies will be excluded from the study:
  • Female subjects who are pregnant or lactating
  • The subject with positive test results for HBeAg or HCV RNA should be excluded as they are indications of active hepatitis B virus and hepatitis C virus replication.
  • A positive human immunodeficiency virus (HIV) test (e.g., HIV Ag/Ab combo test) at screening or a history of HIV infection.
  • The subject has a history of alcohol or drug abuse within one year prior to screening that would impair or risk the patients' full participation in the study, in the opinion of the investigator.
  • The subject has a clinically significant, currently active or severe gastrointestinal, cardiovascular, nervous system, psychiatric, metabolic, renal, hepatic, respiratory (with the exception of uncomplicated allergic rhinitis and allergic asthma), inflammatory, immunological, endocrine, diabetes, obesity \[BMI≥35\] or infectious disease and is ineligible to participate in the study as judged by the investigator.
  • The subject has a clinically significant history, as determined by the investigator, of drug allergies or hypersensitivity such as, but not limited to, sulfonamides and penicillin, or a drug allergy witnessed in a previous study with experimental drugs.
  • The subject has any history of a previous anaphylactic reaction.
  • The subject has any condition that, in the opinion of the investigator, would compromise the study or the well-being of the subject or prevent the subject from meeting or performing study requirements.
  • The subject has received TCS or TCI within 7 days prior to the baseline visit (Day 1).
  • The subject has received any immunoglobulin products or blood products within 3 months prior to baseline visit.
  • The subject has received a biologic product (including investigational biologic product) within 5 half-lives or 3 months, whichever is longer, before baseline visit.
  • The subject has received an investigational drug within 8 weeks or within 5 half-lives (if known), whichever is longer, before baseline visit.
  • Initiation of treatment of AD with prescription moisturizers or moisturizers containing additives such as ceramide, hyaluronic acid, urea, or filaggrin degradation products during the screening period.
  • Initiation of treatment of AD with sedative anti-histamine products during the screening period (patients may continue using stable doses of non-sedative anti-histamine).
  • The subject is a member of the professional or ancillary personnel involved in the study.
  • The subject regular use (≥2 visits per week) of a tanning booth/parlor within 4 weeks prior to the baseline visit.
  • The subject has received cell-based immunotherapy treatment within 3 months prior to baseline visit.
  • The subject has used any of the following classes of medication (prescription or over-the-counter) within specific time frames before the study drug treatment:
  • Systemic corticosteroids within 4 weeks.
  • Leukotriene modifiers within 4 weeks.
  • Cyclosporine within 4 weeks, or other immunosuppressants (e.g. gold salts, methotrexate, azathioprine) within 4 weeks.
  • IFN-γ within 12 weeks, or other immunomodulating drugs within 4 weeks.
  • Allergen immunotherapy within 1 year.
  • JAK inhibitor within 4 weeks.
  • The subject has received phototherapy within 4 weeks before the study drug treatment.
  • The subject has received live vaccine within 12 weeks before the study drug treatment.
  • The subject has presence of skin comorbidities that may interfere with study assessments.
  • The subject has known or suspected history of immunosuppression, including history of opportunistic infections (e.g., TB) per investigator's judgment.
  • The subject has active chronic or acute infection requiring treatment with systemic antibiotics, antivirals, antiparasitics, antiprotozoals, or antifungals within 2 weeks before the baseline visit, or superficial skin infections within 1 week before the baseline visit.

Note: Patients with resolved infection may be rescreened.

  • The subject has history of malignancy within 5 years before the screening period, except completely treated in situ carcinoma of the cervix, completely treated and resolved non-metastatic squamous or basal cell carcinoma of the skin.
  • The subject has planned or anticipated the use of any prohibited medications and procedures during the entire study period.
  • The subject has planned or anticipated major surgical procedure during the entire study period.
  • High risk of parasite infection. Evidence of parasitic infection designated as having the following two items:
  • Risk factors for parasitic disease include living in an endemic area, experiencing chronic gastrointestinal symptoms, traveling to regions where geohelminthic infections are endemic within the last 6 months, and/or having chronic immunosuppression).

AND

  • Evidence of parasitic colonization or infection found during stool evaluation for ova and parasites.

Note: stool ova and parasite evaluation will only be conducted in patients with risk factors and an eosinophil count more than twice the upper limit of normal.

Критерии приведены из реестра в оригинале (на английском). Окончательную оценку соответствия проводит исследовательский центр.

Здоровые добровольцы: Нет

Дизайн исследования

Распределение
Рандомизированное
Модель
Параллельные группы
Маскирование
Четверное слепое
Основная цель
Лечение

Центры проведения

Тайвань · 10 центров
  • Kaohsiung Chang Gung Memorial Hospital — Kaohsiung City
  • Kaohsiung Veterans General Hospital — Kaohsiung City
  • Linkou Chang Gung Memorial Hospital — New Taipei City
  • Taipei Medical University-Shuang Ho Hospital — New Taipei City
  • China Medical University Hospital — Taichung
  • National Cheng Kung University Hospital — Tainan
  • National Taiwan University Hospital — Taipei
  • Taipei Mackay Memorial Hospital — Taipei
  • … и ещё 2 центра
США · 6 центров
  • First OC Dermatology — Fountain Valley
  • Center for Dermatology Clinical Research, Inc. — Fremont
  • California Allergy and Asthma Medical Group — Los Angeles
  • University of California, Davis Health, Department of Dermatology — Sacramento
  • UT Health Science Houston — Bellaire
  • Center for Clinical Studies — Webster

Идентификаторы

NCT: NCT06397911 · FB825CLRS02

Первоисточники (государственные реестры)

Открыть это исследование на ClinicalTrials.gov ↗