Phase 2B Study to Evaluate ASN002 in Subjects With Moderate to Severe Atopic Dermatitis (RADIANT)
Primary Purpose
Atopic Dermatitis
Status
Completed
Phase
Phase 2
Locations
International
Study Type
Interventional
Intervention
ASN002
Placebo Oral Tablet
Sponsored by
About this trial
This is an interventional treatment trial for Atopic Dermatitis focused on measuring eczema
Eligibility Criteria
Inclusion Criteria:
Written informed consent obtained prior to any study-related procedure being performed;
- Male or female, 18≤ years and ≤75 years of age with chronic AD for at least 6 months.
- At least 10% body surface area (BSA) of AD involvement at the baseline visits
- Has a body mass index (BMI) ≤35 kg/m2
- History of inadequate response to topical corticosteroids or calcineurin inhibitors as treatment for AD within 1 year before the screening visit.
- Willing to apply only a basic bland emollient once or twice-daily for at least 7 days before the baseline visit.
- Willing to comply with discontinuation of certain treatments for AD, as directed by the Investigator.
- Willing to use medically effective methods of birth control
- Females of reproductive potential must have a negative serum pregnancy test at screening and negative urine pregnancy test at Day 1..
- Willing and able to comply with clinic visits and study-related procedures
Exclusion Criteria:
Clinically infected atopic dermatitis.
- Presence of any of the following laboratory abnormalities at the screening visit: Hemoglobin < 11 g/dL, White blood cell (WBC) < 3.0 x 103 /μL, Platelet count < 125 x 103 /μL, Neutrophils < < 2.50 x 103 /μL, Lymphocytes ≤ 1.2 x 103 /μL, Aspartate aminotransferase (AST)/alanine aminotransferase (ALT) > 1.5 x the upper limit of normal (ULN),Total bilirubin > ULN (except for elevated indirect bilirubin secondary to Gilbert's syndrome), Creatinine > ULN
- A serious uncontrolled condition including hypertension, history of tuberculosis, hepatitis B or C infection, immune deficiency, heart disease, heart conduction disorder, diverticulitis, diabetes, reflux disease requiring protocol pump inhibitor therapy, malabsorption syndrome, or cancer.
- Any condition requiring the use of anticoagulants.
- History of hypertrophic scarring or keloid formation in scars or suture sites.
- Any medical or psychiatric condition which, in the opinion of the investigator or the sponsor's medical monitor, would place the patient at risk, interfere with participation in the study, or interfere with the interpretation of study results
- Pregnant or breast-feeding women
- Known hypersensitivity to ASN002 or its excipients;
- Prior treatment with SYK or JAK inhibitors for which the subject received no clinical benefit, or the subject relapsed whilst on therapy.
- Has received any marketed or investigational biological agent within 12 weeks or 5 half-lives (whichever is longer) prior to Day 1.
- Planned major surgical procedure during the length of the patient's participation in this study
- There will be a waiting period of 4 weeks before receiving the first does for anyone who has used oral or intravenous treatments (other than biologics) that could affect atopic dermatitis, received a non-biological investigational product or device, excessive sun exposure, is planning a trip to a sunny climate, or has used tanning booths, or received or plans to receive a live attenuated vaccine one four weeks after the last day of taking the drug.
Sites / Locations
- Pinnacle Research Group, LLC
- Total Skin and Dermatology Center, PC.
- Center for Dermatology Clinical Research, Inc.
- L.A. Universal Research Center, Inc.
- Dermatology Research Associates
- Revival Research
- Clinical Physiology Associates
- Leavitt Medical Associates of Florida
- Dermatology Consulting Services
- Forward Clinical Trials
- Dawes Fretzin Clinical Research Group
- Dermatology Center of Indiana, PC
- The Indiana Clinical Trials Center
- Central Kentucky Research Associates, LLC
- Dermatology Specialists Research
- ActivMed Practices and Research, Inc.
- Corning Center for Clinical Research
- Mt. Sinai Hospital
- Wake Research Associates, LLC
- Dermatologists of Greater Colombus
- Wright State Physicians
- Unity Clinical Research
- Vital Prospects Clinical Research Institute
- DermDox Centers for Dermatology
- Synexus
- Dermatology Treatment and Research Center
- Innovate Research, LLC
- The Center for Skin Research
- Progressive Clinical Research
- Virginia Clinical Research, Inc.
- Institute of Skin Advancement Medical, Surgical, Costmetic & Laser Dermatology
- Innovaderm Research, Inc.
- Ontario Inc.
- York Regional Dermatology
- NewLab Clinical Research, Inc.
- AvantDerm
- SkinWISE Dermatology
- Fachklinik Bad Bentheim
- Charité - Universitätsmedizin Berlin
- Universitätsklinikum Bonn AöR
- Universitätsklinikum Dresden
- Universitätsklinikum Frankfurt
- SRH Wald-Klinikum Gera GmbH
- MENSINGDERMA research GmbH
- Medizinische Hochschule Hannover
- Universitätsklinikum Schleswig-Holstein
- Universitätshautklinik Münster
Arms of the Study
Arm 1
Arm 2
Arm 3
Arm 4
Arm Type
Experimental
Experimental
Experimental
Experimental
Arm Label
ASN002 40 mg
ASN002 60 mg
ASN002 80 mg
Placebo Oral Tablet
Arm Description
40 mg ASN002
60 mg ASN002
80 mg ASN002
Matching placebo for ASN002 doses
Outcomes
Primary Outcome Measures
Change From Baseline in Eczema Area and Severity Index (EASI) at Week 12
The Eczema Area and Severity Index (EASI) is a composite score ranging from 0 to 72, the higher the value the worse the disease, that takes into account the degree of erythema, induration/infiltration (papules), excoriation, and lichenification (each scored from 0 to 3 separately) for each of four body regions, with adjustment for the percentage of BSA involved for each body region and for the proportion of the body region to the whole body.
Secondary Outcome Measures
Percent of Participant With at Least a 75% Reduction From Baseline in Eczema Area and Severity Index (EASI75)
Percent of participants with at least a 75% reduction from baseline in EASI (EASI75) at Week 12
Change From Baseline in 5-D Pruritus (Itching) Scale
The 5-D Pruritus Scale is a 1-page, 5-question, validated questionnaire used in clinical trials to assess 5 dimensions of background itch: degree, duration, direction, disability, and distribution. Each question corresponds to 1 of the 5 dimensions of itch; subjects rated their symptoms over the preceding 2-week period as "present" or on a 1 to 5 scale, with 5 being the most affected. The total score of 5-D pruritus is a sum of the 5 scores to provide a total score range from 5 (best) to 25 (worst).
Percent Change From Baseline in SCORing Atopic Dermatitis (SCORAD)
In the SCORAD grading system, six items (erythema, edema/papulation, oozing/crusts, excoriation, lichenification, and dryness) evaluate the Atopic Dermatitis severity. The overall body surface area affected by atopic dermatitis was evaluated (from 0% to 100%) and included in the SCORAD scores. Loss of sleep and pruritus were evaluated by subjects on a visual analog scale (0-10) and were based on the average of the last three days/nights. The sum of these measures represented the SCORAD, which could range from 0 to 103. The higher the score the more severe the disease.
Percentage of Participants With a Response of Investigator's Global Assessment (IGA) 0 or 1
The IGA is a global assessment of the current state of the disease. It is a 5-point (0-4) morphological assessment of overall disease severity. The 0 is the least severe and 4 is the most severe.
Change From Baseline in Patient-Oriented Eczema Measure (POEM)
The Patient-Oriented Eczema Measure (POEM) is a self-assessment of disease severity by the subject. The POEM has a maximum value of 28 based on the subject's response to seven questions scored from 0 to 4. The higher the value the more severe the disease is.
Change From Baseline in Dermatology Life Quality Index (DLQI)
Dermatology Life Quality Index Questionnaire (DLQI) is a simple 10-question validated questionnaire that has been used in more than 40 different skin conditions. The DLQI total score is defined as the sum of the 10 item scales, ranging from 0 to 30. The higher the value, the more severe the disease is.
Change From Baseline in Body Surface Area (BSA)
The overall body surface area (BSA) affected by atopic dermatitis is evaluated (from 0% to 100%).
Full Information
1. Study Identification
Unique Protocol Identification Number
NCT03531957
Brief Title
Phase 2B Study to Evaluate ASN002 in Subjects With Moderate to Severe Atopic Dermatitis (RADIANT)
Official Title
A Randomized, Double-blind, Placebo-controlled, Phase 2B Study to Evaluate the Efficacy, Safety, Tolerability, and Pharmacokinetics of ASN002 in Subjects With Moderate to Severe Atopic Dermatitis
Study Type
Interventional
2. Study Status
Record Verification Date
June 2023
Overall Recruitment Status
Completed
Study Start Date
July 5, 2018 (Actual)
Primary Completion Date
July 22, 2019 (Actual)
Study Completion Date
August 14, 2019 (Actual)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Asana BioSciences
4. Oversight
Studies a U.S. FDA-regulated Drug Product
Yes
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
Yes
5. Study Description
Brief Summary
This is a randomized double-blind/placebo study evaluate the efficacy of ASN002 in subjects with moderate to severe atopic dermatitis (AD).
Detailed Description
This is a placebo controlled study where subjects with moderate to severe atopic dermatitis will be randomized (1:1:1:1) to receive ASN002 at 40 mg, 60 mg, or 80 mg, or placebo once daily for 12 weeks. Eligible subjects will get the opportunity to enroll in the 24 month open-label extension study (OLE). There will be a 4-week follow up period for subjects not participating in the OLE study. This study will also characterize the pharmacokinetics and pharmacodynamics of ASN002 through blood sampling and three or four biopsies from subjects who consent.
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Atopic Dermatitis
Keywords
eczema
7. Study Design
Primary Purpose
Treatment
Study Phase
Phase 2
Interventional Study Model
Parallel Assignment
Masking
ParticipantCare ProviderInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
244 (Actual)
8. Arms, Groups, and Interventions
Arm Title
ASN002 40 mg
Arm Type
Experimental
Arm Description
40 mg ASN002
Arm Title
ASN002 60 mg
Arm Type
Experimental
Arm Description
60 mg ASN002
Arm Title
ASN002 80 mg
Arm Type
Experimental
Arm Description
80 mg ASN002
Arm Title
Placebo Oral Tablet
Arm Type
Experimental
Arm Description
Matching placebo for ASN002 doses
Intervention Type
Drug
Intervention Name(s)
ASN002
Intervention Description
Daily dose of ASN002 for 12 weeks
Intervention Type
Drug
Intervention Name(s)
Placebo Oral Tablet
Intervention Description
Placebo of ASN002 for 12 weeks
Primary Outcome Measure Information:
Title
Change From Baseline in Eczema Area and Severity Index (EASI) at Week 12
Description
The Eczema Area and Severity Index (EASI) is a composite score ranging from 0 to 72, the higher the value the worse the disease, that takes into account the degree of erythema, induration/infiltration (papules), excoriation, and lichenification (each scored from 0 to 3 separately) for each of four body regions, with adjustment for the percentage of BSA involved for each body region and for the proportion of the body region to the whole body.
Time Frame
Week 12
Secondary Outcome Measure Information:
Title
Percent of Participant With at Least a 75% Reduction From Baseline in Eczema Area and Severity Index (EASI75)
Description
Percent of participants with at least a 75% reduction from baseline in EASI (EASI75) at Week 12
Time Frame
Week 12
Title
Change From Baseline in 5-D Pruritus (Itching) Scale
Description
The 5-D Pruritus Scale is a 1-page, 5-question, validated questionnaire used in clinical trials to assess 5 dimensions of background itch: degree, duration, direction, disability, and distribution. Each question corresponds to 1 of the 5 dimensions of itch; subjects rated their symptoms over the preceding 2-week period as "present" or on a 1 to 5 scale, with 5 being the most affected. The total score of 5-D pruritus is a sum of the 5 scores to provide a total score range from 5 (best) to 25 (worst).
Time Frame
Week 12
Title
Percent Change From Baseline in SCORing Atopic Dermatitis (SCORAD)
Description
In the SCORAD grading system, six items (erythema, edema/papulation, oozing/crusts, excoriation, lichenification, and dryness) evaluate the Atopic Dermatitis severity. The overall body surface area affected by atopic dermatitis was evaluated (from 0% to 100%) and included in the SCORAD scores. Loss of sleep and pruritus were evaluated by subjects on a visual analog scale (0-10) and were based on the average of the last three days/nights. The sum of these measures represented the SCORAD, which could range from 0 to 103. The higher the score the more severe the disease.
Time Frame
Week 12
Title
Percentage of Participants With a Response of Investigator's Global Assessment (IGA) 0 or 1
Description
The IGA is a global assessment of the current state of the disease. It is a 5-point (0-4) morphological assessment of overall disease severity. The 0 is the least severe and 4 is the most severe.
Time Frame
Week 12
Title
Change From Baseline in Patient-Oriented Eczema Measure (POEM)
Description
The Patient-Oriented Eczema Measure (POEM) is a self-assessment of disease severity by the subject. The POEM has a maximum value of 28 based on the subject's response to seven questions scored from 0 to 4. The higher the value the more severe the disease is.
Time Frame
Week 12
Title
Change From Baseline in Dermatology Life Quality Index (DLQI)
Description
Dermatology Life Quality Index Questionnaire (DLQI) is a simple 10-question validated questionnaire that has been used in more than 40 different skin conditions. The DLQI total score is defined as the sum of the 10 item scales, ranging from 0 to 30. The higher the value, the more severe the disease is.
Time Frame
Week 12
Title
Change From Baseline in Body Surface Area (BSA)
Description
The overall body surface area (BSA) affected by atopic dermatitis is evaluated (from 0% to 100%).
Time Frame
Week 12
10. Eligibility
Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
75 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria:
Written informed consent obtained prior to any study-related procedure being performed;
Male or female, 18≤ years and ≤75 years of age with chronic AD for at least 6 months.
At least 10% body surface area (BSA) of AD involvement at the baseline visits
Has a body mass index (BMI) ≤35 kg/m2
History of inadequate response to topical corticosteroids or calcineurin inhibitors as treatment for AD within 1 year before the screening visit.
Willing to apply only a basic bland emollient once or twice-daily for at least 7 days before the baseline visit.
Willing to comply with discontinuation of certain treatments for AD, as directed by the Investigator.
Willing to use medically effective methods of birth control
Females of reproductive potential must have a negative serum pregnancy test at screening and negative urine pregnancy test at Day 1..
Willing and able to comply with clinic visits and study-related procedures
Exclusion Criteria:
Clinically infected atopic dermatitis.
Presence of any of the following laboratory abnormalities at the screening visit: Hemoglobin < 11 g/dL, White blood cell (WBC) < 3.0 x 103 /μL, Platelet count < 125 x 103 /μL, Neutrophils < < 2.50 x 103 /μL, Lymphocytes ≤ 1.2 x 103 /μL, Aspartate aminotransferase (AST)/alanine aminotransferase (ALT) > 1.5 x the upper limit of normal (ULN),Total bilirubin > ULN (except for elevated indirect bilirubin secondary to Gilbert's syndrome), Creatinine > ULN
A serious uncontrolled condition including hypertension, history of tuberculosis, hepatitis B or C infection, immune deficiency, heart disease, heart conduction disorder, diverticulitis, diabetes, reflux disease requiring protocol pump inhibitor therapy, malabsorption syndrome, or cancer.
Any condition requiring the use of anticoagulants.
History of hypertrophic scarring or keloid formation in scars or suture sites.
Any medical or psychiatric condition which, in the opinion of the investigator or the sponsor's medical monitor, would place the patient at risk, interfere with participation in the study, or interfere with the interpretation of study results
Pregnant or breast-feeding women
Known hypersensitivity to ASN002 or its excipients;
Prior treatment with SYK or JAK inhibitors for which the subject received no clinical benefit, or the subject relapsed whilst on therapy.
Has received any marketed or investigational biological agent within 12 weeks or 5 half-lives (whichever is longer) prior to Day 1.
Planned major surgical procedure during the length of the patient's participation in this study
There will be a waiting period of 4 weeks before receiving the first does for anyone who has used oral or intravenous treatments (other than biologics) that could affect atopic dermatitis, received a non-biological investigational product or device, excessive sun exposure, is planning a trip to a sunny climate, or has used tanning booths, or received or plans to receive a live attenuated vaccine one four weeks after the last day of taking the drug.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
David Zammit, Ph.D.
Organizational Affiliation
Asana BioSciences
Official's Role
Study Director
Facility Information:
Facility Name
Pinnacle Research Group, LLC
City
Anniston
State/Province
Alabama
ZIP/Postal Code
36207
Country
United States
Facility Name
Total Skin and Dermatology Center, PC.
City
Birmingham
State/Province
Alabama
ZIP/Postal Code
35205
Country
United States
Facility Name
Center for Dermatology Clinical Research, Inc.
City
Fremont
State/Province
California
ZIP/Postal Code
94538
Country
United States
Facility Name
L.A. Universal Research Center, Inc.
City
Los Angeles
State/Province
California
ZIP/Postal Code
89148
Country
United States
Facility Name
Dermatology Research Associates
City
Los Angeles
State/Province
California
ZIP/Postal Code
90045
Country
United States
Facility Name
Revival Research
City
Doral
State/Province
Florida
ZIP/Postal Code
33122
Country
United States
Facility Name
Clinical Physiology Associates
City
Fort Myers
State/Province
Florida
ZIP/Postal Code
33912
Country
United States
Facility Name
Leavitt Medical Associates of Florida
City
Ormond Beach
State/Province
Florida
ZIP/Postal Code
32174
Country
United States
Facility Name
Dermatology Consulting Services
City
Tampa
State/Province
Florida
ZIP/Postal Code
33625
Country
United States
Facility Name
Forward Clinical Trials
City
Tampa
State/Province
Florida
ZIP/Postal Code
33625
Country
United States
Facility Name
Dawes Fretzin Clinical Research Group
City
Indianapolis
State/Province
Indiana
ZIP/Postal Code
46256
Country
United States
Facility Name
Dermatology Center of Indiana, PC
City
Plainfield
State/Province
Indiana
ZIP/Postal Code
46168
Country
United States
Facility Name
The Indiana Clinical Trials Center
City
Plainfield
State/Province
Indiana
ZIP/Postal Code
46168
Country
United States
Facility Name
Central Kentucky Research Associates, LLC
City
Lexington
State/Province
Kentucky
ZIP/Postal Code
40509
Country
United States
Facility Name
Dermatology Specialists Research
City
Louisville
State/Province
Kentucky
ZIP/Postal Code
40241
Country
United States
Facility Name
ActivMed Practices and Research, Inc.
City
Portsmouth
State/Province
New Hampshire
ZIP/Postal Code
03801
Country
United States
Facility Name
Corning Center for Clinical Research
City
Corning
State/Province
New York
ZIP/Postal Code
14830
Country
United States
Facility Name
Mt. Sinai Hospital
City
New York
State/Province
New York
ZIP/Postal Code
10029
Country
United States
Facility Name
Wake Research Associates, LLC
City
Raleigh
State/Province
North Carolina
ZIP/Postal Code
27612
Country
United States
Facility Name
Dermatologists of Greater Colombus
City
Bexley
State/Province
Ohio
ZIP/Postal Code
43209
Country
United States
Facility Name
Wright State Physicians
City
Fairborn
State/Province
Ohio
ZIP/Postal Code
45324
Country
United States
Facility Name
Unity Clinical Research
City
Oklahoma City
State/Province
Oklahoma
ZIP/Postal Code
73118
Country
United States
Facility Name
Vital Prospects Clinical Research Institute
City
Tulsa
State/Province
Oklahoma
ZIP/Postal Code
74136
Country
United States
Facility Name
DermDox Centers for Dermatology
City
Hazleton
State/Province
Pennsylvania
ZIP/Postal Code
18201
Country
United States
Facility Name
Synexus
City
Greer
State/Province
South Carolina
ZIP/Postal Code
29651
Country
United States
Facility Name
Dermatology Treatment and Research Center
City
Dallas
State/Province
Texas
ZIP/Postal Code
75320
Country
United States
Facility Name
Innovate Research, LLC
City
Fort Worth
State/Province
Texas
ZIP/Postal Code
76244
Country
United States
Facility Name
The Center for Skin Research
City
Houston
State/Province
Texas
ZIP/Postal Code
77056
Country
United States
Facility Name
Progressive Clinical Research
City
San Antonio
State/Province
Texas
ZIP/Postal Code
78213
Country
United States
Facility Name
Virginia Clinical Research, Inc.
City
Norfolk
State/Province
Virginia
ZIP/Postal Code
23502
Country
United States
Facility Name
Institute of Skin Advancement Medical, Surgical, Costmetic & Laser Dermatology
City
Calgary
ZIP/Postal Code
T3A2N1
Country
Canada
Facility Name
Innovaderm Research, Inc.
City
Montreal
ZIP/Postal Code
H2K4L5
Country
Canada
Facility Name
Ontario Inc.
City
Ottawa
ZIP/Postal Code
K2C3N2
Country
Canada
Facility Name
York Regional Dermatology
City
Richmond Hill
ZIP/Postal Code
L4C9M7
Country
Canada
Facility Name
NewLab Clinical Research, Inc.
City
Saint John's
ZIP/Postal Code
A1C2H5
Country
Canada
Facility Name
AvantDerm
City
Toronto
ZIP/Postal Code
M5A3R6
Country
Canada
Facility Name
SkinWISE Dermatology
City
Winnipeg
ZIP/Postal Code
ABR3M3Z4
Country
Canada
Facility Name
Fachklinik Bad Bentheim
City
Bad Bentheim
Country
Germany
Facility Name
Charité - Universitätsmedizin Berlin
City
Berlin
Country
Germany
Facility Name
Universitätsklinikum Bonn AöR
City
Bonn
Country
Germany
Facility Name
Universitätsklinikum Dresden
City
Dresden
Country
Germany
Facility Name
Universitätsklinikum Frankfurt
City
Frankfurt
Country
Germany
Facility Name
SRH Wald-Klinikum Gera GmbH
City
Gera
Country
Germany
Facility Name
MENSINGDERMA research GmbH
City
Hamburg
Country
Germany
Facility Name
Medizinische Hochschule Hannover
City
Hannover
Country
Germany
Facility Name
Universitätsklinikum Schleswig-Holstein
City
Lubeck
Country
Germany
Facility Name
Universitätshautklinik Münster
City
Münster
Country
Germany
12. IPD Sharing Statement
Learn more about this trial
Phase 2B Study to Evaluate ASN002 in Subjects With Moderate to Severe Atopic Dermatitis (RADIANT)
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