A Study to Evaluate Upadacitinib in Adolescents and Adults With Moderate to Severe Atopic Dermatitis (Measure Up 2)
Primary Purpose
Atopic Dermatitis
Status
Active
Phase
Phase 3
Locations
International
Study Type
Interventional
Intervention
Placebo for Upadacitinib
Upadacitinib
Sponsored by
About this trial
This is an interventional treatment trial for Atopic Dermatitis focused on measuring Atopic Dermatitis, Upadacitinib, ABT-494, Measure Up 2
Eligibility Criteria
Inclusion Criteria:
- Body weight of ≥ 40 kg at Baseline Visit for participants ≥ 12 and < 18 years of age
- Chronic atopic dermatitis (AD) with onset of symptoms at least 3 years prior to Baseline and subject meets Hanifin and Rajka criteria
- Active moderate to severe AD defined by Eczema Area and Severity Index (EASI) ≥ 16, validated Investigator's Global Assessment (vIGA) ≥ 3, body surface area (BSA) affected by AD ≥ 10%, and weekly average of daily Worst Pruritus numerical rating scale (NRS) score ≥ 4.
- Candidate for systemic therapy or have recently required systemic therapy for AD
- Documented history (within 6 months prior to Baseline) of inadequate response to topical corticosteroid (TCS) or topical calcineurin inhibitor (TCI) or documented systemic treatment for AD or for whom topical treatments are otherwise medically inadvisable due to side effects or safety risks
Exclusion Criteria:
- Prior exposure to any Janus kinase (JAK) inhibitor
- Unable or unwilling to discontinue current AD treatments prior to the study
- Requirement of prohibited medications during the study
- Other active skin diseases or skin infections requiring systemic treatment or would interfere with appropriate assessment of atopic dermatitis lesions
- Female subject who is pregnant, breastfeeding, or considering pregnancy during the study
Sites / Locations
- Total Skin and Beauty Derm Ctr /ID# 205129
- Medical Dermatology Specialist /ID# 205516
- Arizona Research Center, Inc. /ID# 205795
- The Dermatology Clinic of Arkansas /ID# 218749
- Arkansas Research Trials /ID# 218469
- Encino Research Center /ID# 207472
- University of California Irvine /ID# 205136
- Ark Clinical Research /ID# 218193
- Keck School of Medicine of USC /ID# 206971
- Wallace Medical Group /ID# 205701
- Child Hosp of Orange County,CA /ID# 205735
- Palmtree Clinical Research Inc. /Id# 206184
- Rady Children's Hospital San Diego /ID# 208244
- Southern California Derma. Inc /ID# 205734
- Innovative Clinical Research - Lafayette /ID# 208400
- New England Research Associates, LLC /ID# 206896
- Ideal Clinical Research Inc. /ID# 209880
- Skin Care Research, LLC /ID# 207099
- Midflorida Clinical Research, Inc. /ID# 213700
- Clinical Research of West Florida, Inc /ID# 206146
- Revival Research /ID# 208383
- Universal Axon Clinical Research /ID# 213703
- Savin Medical Group, LLC /ID# 206902
- Floridian Clinical Research /ID# 207433
- Lakes Research, LLC /ID# 209156
- Miami Dade Medical Research Institute /ID# 209413
- Advanced Research for Health Improvement /ID# 217987
- Advanced Research for Health Improvement /ID# 218003
- Complete Health Research /ID# 213459
- Precision Clinical Research /ID# 207364
- Clinical Research Trials of Florida, Inc. /ID# 206840
- ForCare Clinical Research /ID# 205120
- Georgia Pollens Clinical Research Centers, Inc /ID# 218567
- Marietta Dermatology Clinical Research /ID# 210317
- Agile Clinical Research Trials /ID# 218080
- Treasure Valley Medical Research /ID# 210298
- Great Lakes Clinical Trials /ID# 205830
- Ashira Dermatology /ID# 205512
- Clinical Investigation Specialists, Inc. /ID# 206898
- Northshore University Health System Dermatology Clinical Trials Unit /ID# 205135
- Raga Clinical Studies, LLC. /ID# 206749
- Hutchinson Clinic /ID# 205970
- Continental Clinical Solutions /ID# 210327
- Beacon Clinical Research, LLC /ID# 206894
- David Fivenson, MD, PLC /ID# 206903
- University of Michigan Comprehensive Cancer Center Michigan Medicine /ID# 206895
- Allergy, Asthma & Immunology Associates, PC /ID# 218169
- Skin Specialists, PC /ID# 205515
- Duplicate_Summit Medical Group /ID# 213863
- Skin Laser and Surgery Specialists of NY and NJ /ID# 206754
- Care Access Research /ID# 218476
- University of New Mexico School of Medicine /ID# 206756
- Fordham Dermatology /ID# 218508
- PMG Research of Wilmington LLC /ID# 205968
- University Hospitals Case Medical Center /ID# 206639
- Awasty Research Network, LLC /ID# 206748
- Southside Dermatology /ID# 214451
- Vital Prospects Clinical Research Institute, PC /ID# 205824
- Cyn3rgy Research /ID# 218064
- Velocity Clinical Research Hallandale Beach /ID# 207544
- Clinical Research Solutions, LLC /ID# 218416
- Stones River Dermatology /ID# 205178
- Metroplex Dermatology /ID# 213307
- Bellaire Dermatology /ID# 205470
- Center for Clinical Studies /ID# 213186
- Dermatology Treatment and Research Center, PA /ID# 205473
- Epiphany Dermatology - Fort Worth /ID# 210073
- Styde Research, LLC /ID# 213469
- Austin Institute for Clinical Research /ID# 206640
- Derm Clin Res Ctr San Antonio /ID# 205469
- EPIC Medical Research /ID# 206382
- Aspen Clinical Research /ID# 208399
- Timber Lane Allergy & Asthma Research, LLC /ID# 206897
- The Education & Research Foundation, Inc. /ID# 206900
- Bellingham Asthma Allergy and Immunology Clinic /ID# 210357
- Clinical Investigation Specialist, Inc - Kenosha /ID# 215933
- The Skin Hospital /ID# 217846
- The Skin Centre /ID# 205922
- Box Hill Hospital /ID# 206023
- Monash Children's Hospital /ID# 217917
- Sinclair Dermatology /ID# 217791
- The Royal Melbourne Hospital /ID# 205919
- Murdoch Children's Research Institute /ID# 205667
- Universitaetsklinikum St. Poelten /ID# 206909
- Ordensklinikum Linz GmbH Elisabethinen /ID# 206573
- Klinik Donaustadt /ID# 206572
- Landeskrankenhaus Salzburg-Universitätsklinikum der PMU (LKH) /ID# 208281
- UCL Saint-Luc /ID# 205537
- UZ Gent /ID# 205181
- Centre Hospitalier Universitaire du Sart Tilman CHU de Liege /ID# 204938
- Medical center Sveti Panteleimon /ID# 210414
- Acibadem City Clinic Tokuda University Hospital EAD /ID# 205292
- Military Medical Academy Multiprofile Hospital /ID# 205291
- Medical complex Doverie /ID# 211289
- Stratica Medical /ID# 205415
- Alberta DermaSurgery Centre /ID# 205422
- UBC Department of Dermatology and Skin Science The Skin Care Centre /ID# 207837
- Pacific Derm /ID# 206797
- Skin Care Studio /ID# 205420
- SimcoDerm Medical and Surgical Dermatology Center /ID# 206333
- Kingsway Clinical Research /ID# 206005
- Dr. Dusan Sajic Medicine Professional Corporation /ID# 206890
- The Guenther Dermatology Research Centre /ID# 206772
- DermEdge Research Inc. /ID# 206036
- Dr. S.K. Siddha Medicine Professional Corporation /ID# 207138
- Allergy Research Canada Inc. /ID# 213547
- Dr. Lyne Giroux Medicine Professional Corporation /ID# 206771
- Niakosari Medicine Professional Corporation /ID# 206004
- Skinsense Medical Research /ID# 206873
- DermaPlus - Poliklinika za dermatologiju i venerologiju /ID# 205429
- Djecja bolnica Srebrnjak /ID# 205926
- Poliklinika Vlatka Cavka d.o.o. /ID# 211126
- Naftalan - Specijalna bolnica za medicinsku rehabilitaciju /ID# 203448
- Fakultni nemocnice Plzen /ID# 205096
- Sanatorium profesora Arenbergera /ID# 205098
- Vseobecna fakultni nemocnice v Praze /ID# 205201
- Fakultni Nemocnice v Motole /ID# 218192
- Krajska zdravotni, a.s. - Masarykova nemocnice v Usti nad Labem, o. z. /ID# 205097
- Aarhus University Hospital /ID# 205524
- Sjællands Universitetshospital /ID# 205960
- Hopital Prive d'Antony /ID# 206553
- Hopital Saint-Andre /ID# 206554
- CHRU de Brest - Hopital Morvan /ID# 206555
- C.H. de Bretagne Sud /ID# 206910
- AP-HP - Hopital Saint-Louis /ID# 206552
- Universitaetsklinikum Schleswig-Holstein Campus Kiel /ID# 206658
- Klinikum Darmstadt /ID# 207483
- Universitaetsklinikum Carl Gustav Carus an der TU Dresden /ID# 205767
- Universitaetsklinikum Hamburg-Eppendorf (UKE) /ID# 207982
- Dermatologische Gemeinschaftspraxis Mahlow /ID# 205765
- Haut- und Laserzentrum Hunsrück /ID# 205768
- Hautarztpraxis Dr. med. Matthias Hoffmann /ID# 205766
- CentroDerm GmbH /ID# 206861
- 251 Airforce General Hospital /ID# 205841
- 401 GSNA - 401 Army General Hospital /ID# 205352
- General Hospital Andreas Syggros /ID# 204527
- Papageorgiou General Hospital Thessaloniki /ID# 204526
- Borsod-Abauj-Zemplen Megyei Kozponti Korhaz es Egyetemi Oktatokorhaz /ID# 218072
- Bugat Pal Korhaz /ID# 211247
- Somogy Megyei Kaposi Mor Oktato Korhaz /ID# 205611
- Drug Research Center /ID# 217855
- Clinexpert Kft /ID# 211246
- Synexus Magyarorszag Kft. /ID# 206008
- Pecsi Tudomanyegyetem Klinikai Kozpont /ID# 205085
- St James Hospital /ID# 204264
- South Infirmary Victoria University Hospital /ID# 204265
- University Hospital Galway /ID# 209965
- University Hospital Waterford /ID# 204266
- IRCCS Istituti Fisioterapici Ospitalieri-Istituto Dermatologico San Gallicano /ID# 205986
- Fondazione Policlinico Universitario Agostino Gemelli IRCCS-Università Cattolica /ID# 205987
- ASST Spedali civili di Brescia /ID# 205927
- Azienda Ospedaliero Universitaria di Cagliari- Presidio Ospedaliero /ID# 205168
- Presidio Ospedaliero San Salvatore /ID# 205167
- Azienda Ospedaliero-Universitaria di Modena /ID# 205169
- Korea University Ansan Hospital /ID# 206342
- SoonChunHyang University Buchon Hospital /ID# 206391
- Ajou University Hospital /ID# 206341
- The Catholic University of Korea Incheon St.Mary's Hospital /ID# 206529
- Seoul National University Hospital /ID# 206396
- Chung-Ang University Hostipal /ID# 206397
- Hallym University Kangnam Sacred Heart Hospital /ID# 206343
- Bravis Ziekenhuis /ID# 206676
- Centrum Oosterwal /ID# 209640
- Reinier de Graaf /ID# 205811
- Universitair Medisch Centrum Groningen /ID# 205162
- Greenlane Clinical Centre /ID# 205664
- CCA Braga - Hospital de Braga /ID# 205854
- Centro Hospitalar de Leiria, EPE /ID# 209906
- Centro Hospitalar Universitário de Lisboa Norte, EPE - Hospital de Santa Maria /ID# 205839
- Hospital CUF Descobertas /ID# 205431
- CHP, EPE- Hospital Geral de Sa /ID# 205187
- Centro Hospitalar Universitario de Sao Joao, EPE /ID# 205679
- National Skin Centre /ID# 205222
- National University Hospital /ID# 205224
- Singapore General Hospital /ID# 205225
- KK Women's & Children Hospital /ID# 206693
- Changi General Hospital /ID# 205223
- Hospital Vital Alvarez Buylla /ID# 205770
- Hospital Sant Joan de Deu /ID# 218047
- Hospital Parc de Salut del Mar /ID# 204709
- Hospital Clinic de Barcelona /ID# 210564
- Hospital Universitario Reina Sofia /ID# 204712
- Hospital Campus de la Salud /ID# 205544
- Hospital General Universitario Gregorio Maranon /ID# 204380
- Hospital Infantil Universitario Nino Jesus /ID# 210437
- Hospital Universitario Infanta Leonor /ID# 204710
- Hospital General Universitario de Valencia /ID# 210565
- Taipei Medical University Shuang Ho Hospital /ID# 204804
- Chung Shan Medical University Hospital /ID# 205092
- National Taiwan University Hospital /ID# 204803
- Linkou Chang Gung Memorial Ho /ID# 204783
- University Hospital Southampton NHS Foundation Trust /ID# 205711
- Northwick Park Hospital /ID# 205250
- Barts Health NHS Trust /ID# 206491
- The Newcastle Upon Tyne Hospitals NHS Foundation Trust /ID# 204993
- University Hospital Plymouth NHS Trust /ID# 204649
Arms of the Study
Arm 1
Arm 2
Arm 3
Arm Type
Placebo Comparator
Experimental
Experimental
Arm Label
Placebo / Upadacitinib
Upadacitinib 15 mg QD
Upadacitinib 30 mg QD
Arm Description
Participants will receive placebo orally once a day (QD) for 16 weeks in the double-blind treatment period. At Week 16 participants will be re-randomized to receive either upadacitinib 15 mg or upadacitinib 30 mg QD up to Week 260.
Participants will receive upadacitinib 15 mg orally once a day for up to 260 weeks.
Participants will receive upadacitinib 30 mg orally once a day for up to 260 weeks.
Outcomes
Primary Outcome Measures
Main Study: Percentage of Participants Achieving at Least a 75% Reduction in Eczema Area and Severity Index Score (EASI 75) From Baseline at Week 16
EASI is a tool used to measure the extent (area) and severity of atopic eczema based on assessments of the head/ neck, trunk, upper limbs and lower limbs. For each region the area score is recorded as the percentage of skin affected by eczema. For each region, the severity score is calculated as the sum of the intensity scores (scored as none [0], mild [1], moderate [2], or severe [3]) for redness (erythema, inflammation), thickness (induration, papulation, swelling - acute eczema), scratching (excoriation), and lichenification (lined skin, prurigo nodules - chronic eczema).
The total EASI score for each region is calculated by multiplying the severity score by the area score, with adjustment for the proportion of the body region to the whole body. The final EASI score is the sum of the 4 region scores and ranges from 0 to 72 where higher scores represent worse disease.
Main Study: Percentage of Participants Achieving Validated Investigator Global Assessment for Atopic Dermatitis (vIGA-AD) of 0 or 1 With a Reduction From Baseline of ≥ 2 Points at Week 16
The vIGA-AD is a validated assessment instrument to rate the severity of atopic dermatitis globally, based on the following scale:
0 - Clear: No inflammatory signs of AD;
1 - Almost clear: Barely perceptible erythema, induration/papulation and/or lichenification, no oozing or crusting;
2 - Mild: Slight but definite erythema, induration/papulation and/or minimal lichenification, no oozing or crusting;
3 - Moderate: Clearly perceptible erythema, induration/papulation and/or lichenification, oozing or crusting may be present;
4 - Severe: Marked erythema, induration/papulation and/or lichenification; Oozing or crusting may be present.
Secondary Outcome Measures
Main Study: Percentage of Participants Achieving a Reduction of ≥ 4 Points From Baseline in Worst Pruritus Numerical Rating Scale (NRS) at Week 16
Participants were asked to rate itch (pruritus) intensity at its worst during the past 24 hours on a daily basis using an 11-point scale from 0 (no itch) to 10 (worst imaginable itch). Worst Pruritus NRS was analyzed based on weekly rolling averages of daily scores.
Main Study: Percentage of Participants Achieving a 90% Reduction From Baseline in EASI Score (EASI 90) at Week 16
EASI is a tool used to measure the extent (area) and severity of atopic eczema based on assessments of the head/neck, trunk, upper limbs and lower limbs. For each region the area score is recorded as the percentage of skin affected by eczema. For each region, the severity score is calculated as the sum of the intensity scores (scored as none [0], mild [1], moderate [2], or severe [3]) for redness (erythema, inflammation), thickness (induration, papulation, swelling - acute eczema), scratching (excoriation), and lichenification (lined skin, prurigo nodules - chronic eczema).
The total EASI score for each region is calculated by multiplying the severity score by the area score, with adjustment for the proportion of the body region to the whole body. The final EASI score is the sum of the 4 region scores and ranges from 0 to 72 where higher scores represent worse disease.
Main Study: Percentage of Participants Achieving a Reduction of ≥ 4 Points From Baseline in Worst Pruritus NRS at Week 4
Participants were asked to rate itch (pruritus) intensity at its worst during the past 24 hours on a daily basis using an 11-point scale from 0 (no itch) to 10 (worst imaginable itch). Worst Pruritus NRS was analyzed based on weekly rolling averages of daily scores.
Main Study: Percentage of Participants Achieving an EASI 75 Response at Week 2
EASI is a tool used to measure the extent (area) and severity of atopic eczema based on assessments of the head/neck, trunk, upper limbs and lower limbs. For each region the area score is recorded as the percentage of skin affected by eczema. For each region, the severity score is calculated as the sum of the intensity scores (scored as none [0], mild [1], moderate [2], or severe [3]) for redness (erythema, inflammation), thickness (induration, papulation, swelling - acute eczema), scratching (excoriation), and lichenification (lined skin, prurigo nodules - chronic eczema).
The total EASI score for each region is calculated by multiplying the severity score by the area score, with adjustment for the proportion of the body region to the whole body. The final EASI score is the sum of the 4 region scores and ranges from 0 to 72 where higher scores represent worse disease.
An EASI 75 response is defined as at least a 75% reduction (improvement) from Baseline in EASI score.
Main Study: Percentage of Participants Achieving a Reduction of ≥ 4 Points From Baseline in Worst Pruritus NRS at Week 1
Participants were asked to rate itch (pruritus) intensity at its worst during the past 24 hours on a daily basis using an 11-point scale from 0 (no itch) to 10 (worst imaginable itch). Worst Pruritus NRS was analyzed based on weekly rolling averages of daily scores.
Main Study: Percentage of Participants Achieving a Reduction of ≥ 4 Points From Baseline in Worst Pruritus NRS at Day 2
Participants were asked to rate itch (pruritus) intensity at its worst during the past 24 hours on a daily basis using an 11- point scale from 0 (no itch) to 10 (worst imaginable itch). The percentage of participants who had a 4-point or greater improvement from Baseline in Worst Pruritus NRS score at Day 2 was pre-specified as a ranked secondary endpoint for participants in the upadacitinib 30 mg group versus placebo group only.
Main Study: Percentage of Participants Achieving a Reduction of ≥ 4 Points From Baseline in Worst Pruritus NRS at Day 3
Participants were asked to rate itch (pruritus) intensity at its worst during the past 24 hours on a daily basis using an 11-point scale from 0 (no itch) to 10 (worst imaginable itch).
The percentage of participants who had a 4-point or greater improvement in Worst Pruritus NRS score from Baseline at Day 3 was pre-specified as a ranked secondary endpoint for participants in the upadacitinib 15 mg group versus placebo group only.
Main Study: Percentage of Participants Experiencing a Flare During the Double-blind Treatment Period
A flare, characterized as a clinically meaningful worsening in EASI, is defined as an increase in EASI score of ≥ 6.6 points from Baseline during the double-blind treatment period and prior to use of any rescue medication. Flare was assessed in participants with an EASI score of 65.4 or less at Baseline.
Main Study: Percentage of Participants Achieving a Reduction of ≥ 12 Points From Baseline in Atopic Dermatitis Impact Scale (ADerm-IS) Sleep Domain Score at Week 16
The ADerm-IS is a 10-item patient reported outcome (PRO) questionnaire designed to assess a variety of impacts that participants experience from their AD.
The ADerm-IS sleep domain consists of 3 questions designed to assess the impact of AD on sleep on a daily basis over a 24-hour recall period. The items include difficulty falling asleep, impact on sleep, and waking at night. Each question is scored on an 11-point NRS from 0 (no impact) to 10 (extreme impact). The ADerm-IS sleep domain score is the sum of the 3 item scores and ranges from 0 (no impact) to 30 (worst impact). The ADerm-IS sleep domain was analyzed based on weekly rolling averages of daily scores.
The minimal clinically important difference for ADerm-IS sleep domain score is 12.
Main Study: Percentage of Participants Achieving a Reduction of ≥ 4 Points From Baseline in Atopic Dermatitis Symptom Scale (ADerm-SS) Skin Pain Score at Week 16
The ADerm-SS is an 11-item PRO questionnaire designed to assess signs and symptoms that patients may experience due to AD using a 24-hour recall period. For the skin pain item participants were asked on a daily basis to indicate how bad their worst skin pain due to AD was in the past 24 hours on an NRS from 0 (no pain) to 10 (worst imaginable pain). The ADerm-SS skin pain score was analyzed using weekly rolling averages of daily scores. The minimal clinically important difference for ADerm-SS skin pain score is 4.
Main Study: Percentage of Participants Achieving a Reduction of ≥ 28 Points From Baseline in ADerm-SS 7-Item Total Symptom Score (TSS-7) at Week 16
The ADerm-SS is an 11-item questionnaire designed to assess signs and symptoms that participants may experience due to AD using a 24-hour recall period. The 7-item total symptom score includes 7 symptoms (items 1-7 of the ADerm-SS), each assessed on a NRS from 0 (no symptom) to 10 (worst imaginable). The 7 symptoms included in the score are itch while asleep, itch while awake, skin pain (each assessed daily), skin cracking, skin cracking pain, dry skin, and skin flaking (assessed weekly). The TSS-7 score ranges from 0 to 70, with higher scores indicating worsening symptoms. The minimal clinically important difference for ADerm-SS TSS-7 is 28.
Main Study: Percentage of Participants Achieving a Reduction of ≥ 11 Points From Baseline in ADerm-IS Emotional State Domain Score at Week 16
The ADerm-IS is a 10-item PRO questionnaire designed to assess a variety of impacts that participants experience from their AD.
ADerm-IS emotional state sums three items [Items 8-10] measuring self-consciousness, embarrassment, and sadness with a 7-day recall. Each question is scored on an 11-point NRS from 0 (no impact) to 10 (extreme impact). The emotional state domain score ranges from 0 to 30, where higher scores represent worst impact.
The minimal clinically important difference for ADerm-IS emotional state domain score is 11.
Main Study: Percentage of Participants Achieving a Reduction of ≥ 14 Points From Baseline in ADerm-IS Daily Activities Domain Score at Week 16
The ADerm-IS is a 10-item PRO questionnaire designed to assess a variety of impacts that participants experience from their AD.
ADerm-IS Daily Activities sums four items measuring limitations of household, physical, and social activities, and difficulty concentrating with a 7-day recall. Each question is scored on an 11-point NRS from 0 (no impact) to 10 (extreme impact). The daily activities domain score ranges from 0 to 40, where higher scores represent worst impact.
The minimal clinically important difference for the ADerm-IS daily activities domain score is 14.
Main Study: Percentage of Participants Achieving a 100% Reduction From Baseline in EASI Score (EASI 100) at Week 16
EASI is a tool used to measure the extent (area) and severity of atopic eczema based on assessments of the head/neck, trunk, upper limbs and lower limbs. For each region the area score is recorded as the percentage of skin affected by eczema. For each region, the severity score is calculated as the sum of the intensity scores (scored as none [0], mild [1], moderate [2], or severe [3]) for redness (erythema, inflammation), thickness (induration, papulation, swelling - acute eczema), scratching (excoriation), and lichenification (lined skin, prurigo nodules - chronic eczema).
The total EASI score for each region is calculated by multiplying the severity score by the area score, with adjustment for the proportion of the body region to the whole body. The final EASI score is the sum of the 4 region scores and ranges from 0 to 72 where higher scores represent worse disease.
Main Study: Percent Change From Baseline in Worst Pruritus NRS at Week 16
Participants were asked to rate itch (pruritus) intensity at its worst during the past 24 hours on a daily basis using an 11-point scale from 0 (no itch) to 10 (worst imaginable itch). Worst Pruritus NRS was analyzed based on weekly rolling averages of daily scores. A negative change from Baseline indicates improvement.
Main Study: Percent Change From Baseline in EASI Score at Week 16
EASI is a tool used to measure the extent (area) and severity of atopic eczema based on assessments of the head/neck, trunk, upper limbs and lower limbs. For each region the area score is recorded as the percentage of skin affected by eczema. For each region, the severity score is calculated as the sum of the intensity scores (scored as none [0], mild [1)] moderate [2], or severe [3]) for Redness (erythema, inflammation), Thickness (induration, papulation, swelling - acute eczema), Scratching (excoriation), and Lichenification (lined skin, prurigo nodules - chronic eczema).
The total EASI score for each region is calculated by multiplying the severity score by the area score, with adjustment for the proportion of the body region to the whole body. The final EASI score is the sum of the 4 region scores and ranges from 0 to 72 where higher scores represent worse disease; a negative change from Baseline indicates improvement.
Main Study: Percentage of Participants Achieving a Reduction of ≥ 4 Points From Baseline in Patient Oriented Eczema Measure (POEM) Total Score at Week 16
The POEM is a 7-item, validated questionnaire used to assess disease symptoms in both children and adults.
Participants respond to 7 questions, including dryness, itching, flaking, cracking, sleep loss, bleeding, and weeping, each scored on a 5-point scale based on frequency of occurrence during the previous week: 0 = no days, 1 = 1 to 2 days, 2 = 3 to 4 days, 3 = 5 to 6 days, and 4 = all days. Item scores are added to provide a total score ranging from 0 (clear) to 28 (very severe atopic eczema). A change in POEM score of 3.4 points is considered the minimal clinically important difference.
Main Study: Percentage of Participants Achieving a Reduction of ≥ 4 Points From Baseline in Dermatology Life Quality Index (DLQI) at Week 16
The DLQI is a 10-item validated questionnaire used to assess the impact of AD disease symptoms and treatment on quality of life (QoL). It consists of 10 questions evaluating impact of skin diseases on different aspects of a participant's QoL over the prior week, including symptoms and feelings, daily activities, leisure, work or school, personal relationships, and the side effects of treatment. Each item is scored on a 4-point scale (0 = not at all/not relevant; 1 = a little; 2 = a lot; and 3 = very much).
Item scores are added to provide a total score, ranging from 0 to 30, with higher scores indicating greater impairment of QoL.
the DLQI was administered to participants who were ≥ 16 (16 to 75) years old at the time of the Screening visit.
Main Study: Percent Change From Baseline in Scoring Atopic Dermatitis (SCORAD) Score at Week 16
SCORAD is a clinical tool used to assess the extent and severity of eczema (SCORing Atopic Dermatitis). The extent is assessed using the rule of 9 to calculate the affected area (A) as a percentage of the whole body (0-100%). The intensity part of the SCORAD (B) consists of 6 items: erythema, oedema/papulation, excoriations, lichenification, oozing/crusts and dryness, each graded on a scale from 0 (none) to 3 (severe), for a total score of 0 to 18. Subjective items (C) include daily pruritus and sleeplessness, each scored on a visual analogue scale (VAS) from 0 to 10 (total score 0-20). SCORAD is calculated as A/5 + 7B/2 + C, and ranges from 0 to 103 (worst). A negative change from Baseline indicates improvement.
Main Study: Percentage of Participants Achieving a Hospital Anxiety and Depression Scale-Anxiety (HADS-A) Score and Hospital Anxiety and Depression Scale-Depression (HADS-D) Score of < 8 at Week 16
The HADS is a 14-item questionnaire, with seven items related to anxiety (HADS-A) and seven items related to depression (HADS-D). Each item is scored from 0 to 3; scores for each subscale range from 0 to 21, with higher scores indicating more distress. For each domain, scores 7 or lower are considered normal, 8 to 10 are borderline, and 11 or higher indicate clinical anxiety or depression.
Main Study: Percentage of Participants Achieving a DLQI Score of 0 or 1 at Week 16
The DLQI is a 10-item validated questionnaire used to assess the impact of AD disease symptoms and treatment on quality of life (QoL). It consists of 10 questions evaluating impact of skin diseases on different aspects of a participant's QoL over the prior week, including symptoms and feelings, daily activities, leisure, work or school, personal relationships, and the side effects of treatment. Each item is scored on a 4-point scale (0 = not at all/not relevant; 1 = a little; 2 = a lot; and 3 = very much).
Item scores are added to provide a total score, ranging from 0 to 30, with higher scores indicating greater impairment of QoL. A score of 0 or 1 means that the disease has no effect at all.
The DLQI was administered to participants who were ≥ 16 (16 to 75) years old at the time of the Screening visit.
Adolescents: Percentage of Participants Achieving an EASI 75 Response at Week 16
EASI is a tool used to measure the extent (area) and severity of atopic eczema based on assessments of the head/neck, trunk, upper limbs and lower limbs. For each region the area score is recorded as the percentage of skin affected by eczema. For each region, the severity score is calculated as the sum of the intensity scores (scored as none [0], mild [1], moderate [2], or severe [3]) for redness (erythema, inflammation), thickness (induration, papulation, swelling - acute eczema), scratching (excoriation), and lichenification (lined skin, prurigo nodules - chronic eczema).
The total EASI score for each region is calculated by multiplying the severity score by the area score, with adjustment for the proportion of the body region to the whole body. The final EASI score is the sum of the 4 region scores and ranges from 0 to 72 where higher scores represent worse disease.
An EASI 75 response is defined as at least a 75% reduction (improvement) from Baseline in EASI score.
Adolescents: Percentage of Participants Achieving a vIGA-AD of 0 or 1 With a Reduction From Baseline of ≥ 2 Points at Week 16
The vIGA-AD is a validated assessment instrument to rate the severity of atopic dermatitis globally, based on the following scale:
0 - Clear: No signs of AD;
1 - Almost clear: Barely perceptible erythema, induration/papulation and/or lichenification, no oozing or crusting;;
2 - Mild: Slight but definite erythema, induration/papulation and/or minimal lichenification, no oozing or crusting;
3 - Moderate: Clearly perceptible erythema, induration/papulation and/or lichenification, possible oozing or crusting;
4 - Severe: Marked erythema, induration/papulation and/or lichenification; possible oozing or crusting.
Adolescents: Percentage of Participants Achieving a Reduction of ≥ 4 Points From Baseline in Worst Pruritus NRS at Week 16
Participants were asked to rate itch (pruritus) intensity at its worst during the past 24 hours on a daily basis using an 11-point scale from 0 (no itch) to 10 (worst imaginable itch). Worst pruritus NRS was analyzed based on weekly rolling averages of daily scores.
Adolescents: Percentage of Participants Achieving an EASI 90 Response at Week 16
EASI is a tool used to measure the extent (area) and severity of atopic eczema based on assessments of the head/neck, trunk, upper limbs and lower limbs. For each region the area score is recorded as the percentage of skin affected by eczema. For each region, the severity score is calculated as the sum of the intensity scores (scored as none [0], mild [1], moderate [2], or severe [3]) for redness (erythema, inflammation), thickness (induration, papulation, swelling - acute eczema), scratching (excoriation), and lichenification (lined skin, prurigo nodules - chronic eczema).
The total EASI score for each region is calculated by multiplying the severity score by the area score, with adjustment for the proportion of the body region to the whole body. The final EASI score is the sum of the 4 region scores and ranges from 0 to 72 where higher scores represent worse disease.
An EASI 90 response is defined as at least a 90% reduction (improvement) from Baseline in EASI score.
Adolescents: Percentage of Participants Achieving a Reduction of ≥ 4 Points From Baseline in Worst Pruritus NRS at Week 4
Participants were asked to rate itch (pruritus) intensity at its worst during the past 24 hours on a daily basis using an 11-point scale from 0 (no itch) to 10 (worst imaginable itch). Worst pruritus NRS was analyzed based on weekly rolling averages of daily scores.
Adolescents: Percentage of Participants Achieving an EASI 75 Response at Week 2
EASI is a tool used to measure the extent (area) and severity of atopic eczema based on assessments of the head/neck, trunk, upper limbs and lower limbs. For each region the area score is recorded as the percentage of skin affected by eczema. For each region, the severity score is calculated as the sum of the intensity scores (scored as none [0], mild [1], moderate [2], or severe [3]) for redness (erythema, inflammation), thickness (induration, papulation, swelling - acute eczema), scratching (excoriation), and lichenification (lined skin, prurigo nodules - chronic eczema).
The total EASI score for each region is calculated by multiplying the severity score by the area score, with adjustment for the proportion of the body region to the whole body. The final EASI score is the sum of the 4 region scores and ranges from 0 to 72 where higher scores represent worse disease.
An EASI 75 response is defined as at least a 75% reduction (improvement) from Baseline in EASI score.
Adolescents: Percentage of Participants Achieving a Reduction of ≥ 4 Points From Baseline in Worst Pruritus NRS at Week 1
Participants were asked to rate itch (pruritus) intensity at its worst during the past 24 hours on a daily basis using an 11-point scale from 0 (no itch) to 10 (worst imaginable itch). Worst pruritus NRS was analyzed based on weekly rolling averages of daily scores.
Adolescents: Percentage of Participants Achieving a Reduction of ≥ 4 Points From Baseline in Worst Pruritus NRS at Day 2
Participants were asked to rate itch (pruritus) intensity at its worst during the past 24 hours on a daily basis using an 11-point scale from 0 (no itch) to 10 (worst imaginable itch).
Adolescents: Percentage of Participants Achieving a Reduction of ≥ 4 Points From Baseline in Worst Pruritus NRS at Day 3
Participants were asked to rate itch (pruritus) intensity at its worst during the past 24 hours on a daily basis using an 11-point scale from 0 (no itch) to 10 (worst imaginable itch).
Adolescents: Percentage of Participants Experiencing a Flare During the Double-blind Treatment Period
A flare, characterized as a clinically meaningful worsening in EASI, is defined as an increase in EASI score of ≥ 6.6 points from Baseline during the double-blind treatment period and prior to use of any rescue medication. Flares were assessed in participants with an EASI score of 65.4 or less at Baseline.
Adolescents: Percentage of Participants Achieving a Reduction of ≥ 12 Points From Baseline in ADerm-IS Sleep Domain Score at Week 16
The ADerm-IS is a 10-item patient reported outcome questionnaire designed to assess a variety of impacts that participants experience from their AD.
The ADerm-IS sleep domain consists of 3 questions designed to assess the impact of AD on sleep on a daily basis over a 24-hour recall period. The items include difficulty falling asleep, impact on sleep, and waking at night. Each question is scored on an 11-point NRS from 0 (no impact) to 10 (extreme impact). The ADerm-IS sleep domain score is the sum of the 3 item scores and ranges from 0 (no impact) to 30 (worst impact). The ADerm-IS sleep domain was analyzed based on weekly rolling averages of daily scores.
The minimal clinically important difference for ADerm-IS sleep domain score is 12.
Adolescents: Percentage of Participants Achieving a Reduction of ≥ 4 Points From Baseline in ADerm-SS Skin Pain Score at Week 16
The ADerm-SS is an 11-item PRO questionnaire designed to assess signs and symptoms that patients may experience due to AD using a 24-hour recall period. For the skin pain item participants were asked to indicate on a daily basis how bad their worst skin pain due to AD was in the past 24 hours on an NRS from 0 (no pain) to 10 (worst imaginable pain).
The minimal clinically important difference for ADerm-SS skin pain score is 4. The ADerm-SS skin pain score was analyzed based on weekly rolling averages of daily scores.
Adolescents: Percentage of Participants Achieving a Reduction of ≥ 28 Points From Baseline in ADerm-SS TSS-7 at Week 16
The ADerm-SS is an 11-item questionnaire designed to assess signs and symptoms that participants may experience due to AD using a 24-hour recall period. The 7-item total symptom score includes 7 symptoms (items 1-7 of the ADerm-SS), each assessed on a NRS from 0 (no symptom) to 10 (worst imaginable). The 7 symptoms included in the score are itch while asleep, itch while awake, skin pain (each assessed daily), skin cracking, skin cracking pain, dry skin, and skin flaking (assessed weekly). The TSS-7 score ranges from 0 to 70, with higher scores indicating worsening symptoms. The minimal clinically important difference for ADerm-SS TSS-7 is 28.
Adolescents: Percentage of Participants Achieving a Reduction of ≥ 11 Points From Baseline in ADerm-IS Emotional State Domain Score at Week 16
The ADerm-IS is a 10-item PRO questionnaire designed to assess a variety of impacts that participants experience from their AD.
ADerm-IS emotional state sums three items [Items 8-10] measuring self-consciousness, embarrassment, and sadness with a 7-day recall. Each question is scored on an 11-point NRS from 0 (no impact) to 10 (extreme impact). The emotional state domain score ranges from 0 to 30, where higher scores represent worst impact.
The minimal clinically important difference for ADerm-IS emotional state domain score is 11.
Adolescents: Percentage of Participants Achieving a Reduction of ≥ 14 Points From Baseline in ADerm-IS Daily Activities Domain Score at Week 16
The ADerm-IS is a 10-item PRO questionnaire designed to assess a variety of impacts that participants experience from their AD.
ADerm-IS daily activities sums four items measuring limitations of household, physical, and social activities, and difficulty concentrating with a 7-day recall. Each question is scored on an 11-point NRS from 0 (no impact) to 10 (extreme impact). The daily activities domain score ranges from 0 to 40, where higher scores represent worst impact.
The minimal clinically important difference for the ADerm-IS daily activities domain score is 14.
Adolescents: Percentage of Participants Achieving an EASI 100 Response at Week 16
EASI is a tool used to measure the extent (area) and severity of atopic eczema based on assessments of the head/neck, trunk, upper limbs and lower limbs. For each region the area score is recorded as the percentage of skin affected by eczema. For each region, the severity score is calculated as the sum of the intensity scores (scored as none [0], mild [1], moderate [2], or severe [3]) for redness (erythema, inflammation), thickness (induration, papulation, swelling - acute eczema), scratching (excoriation), and lichenification (lined skin, prurigo nodules - chronic eczema).
The total EASI score for each region is calculated by multiplying the severity score by the area score, with adjustment for the proportion of the body region to the whole body. The final EASI score is the sum of the 4 region scores and ranges from 0 to 72 where higher scores represent worse disease.
An EASI 100 response is defined as a 100% reduction (improvement) from Baseline in EASI score.
Adolescents: Percent Change From Baseline in Worst Pruritus NRS at Week 16
Participants were asked to rate itch (pruritus) intensity at its worst during the past 24 hours on a daily basis using an 11-point scale from 0 (no itch) to 10 (worst imaginable itch). Worst Pruritus NRS was analyzed based on weekly rolling averages of daily scores. A negative change from Baseline indicates improvement.
Adolescents: Percent Change From Baseline in EASI Score at Week 16
EASI is a tool used to measure the extent (area) and severity of atopic eczema based on assessments of the head/neck, trunk, upper limbs and lower limbs. For each region the area score is recorded as the percentage of skin affected by eczema. For each region, the severity score is calculated as the sum of the intensity scores (scored as none [0], mild [1)] moderate [2], or severe [3]) for Redness (erythema, inflammation), Thickness (induration, papulation, swelling - acute eczema), Scratching (excoriation), and Lichenification (lined skin, prurigo nodules - chronic eczema).
The total EASI score for each region is calculated by multiplying the severity score by the area score, with adjustment for the proportion of the body region to the whole body. The final EASI score is the sum of the 4 region scores and ranges from 0 to 72 where higher scores represent worse disease; a negative change from Baseline indicates improvement.
Adolescents: Percentage of Participants Achieving a Reduction of ≥ 4 Points From Baseline in POEM Total Score at Week 16
The POEM is a 7-item, validated questionnaire used to assess disease symptoms in both children and adults. Participants respond to 7 questions, including dryness, itching, flaking, cracking, sleep loss, bleeding, and weeping, each scored on a 5-point scale based on frequency of occurrence during the previous week: 0 = no days, 1 = 1 to 2 days, 2 = 3 to 4 days, 3 = 5 to 6 days, and 4 = all days. Item scores are added to provide a total score ranging from 0 (clear) to 28 (very severe atopic eczema). A change in POEM score of 3.4 points is considered the minimal clinically important difference.
Adolescents: Percentage of Participants Achieving a Reduction of ≥ 4 Points From Baseline in DLQI Score at Week 16
The DLQI is a 10-item validated questionnaire used to assess the impact of AD disease symptoms and treatment on quality of life (QoL). It consists of 10 questions evaluating impact of skin diseases on different aspects of a participant's QoL over the prior week, including symptoms and feelings, daily activities, leisure, work or school, personal relationships, and the side effects of treatment. Each item is scored on a 4-point scale (0 = not at all/not relevant; 1 = a little; 2 = a lot; and 3 = very much).
Item scores are added to provide a total score, ranging from 0 to 30, with higher scores indicating greater impairment of QoL.
the DLQI was administered to participants who were ≥ 16 (16 to 75) years old at the time of the Screening visit.
Adolescents: Percent Change From Baseline in SCORAD Score at Week 16
SCORAD is a clinical tool used to assess the extent and severity of eczema (SCORing Atopic Dermatitis). The extent is assessed using the rule of 9 to calculate the affected area (A) as a percentage of the whole body (0-100%). The intensity part of the SCORAD (B) consists of 6 items: erythema, oedema/papulation, excoriations, lichenification, oozing/crusts and dryness, each graded on a scale from 0 (none) to 3 (severe), for a total score of 0 to 18. Subjective items (C) include daily pruritus and sleeplessness, each scored on a visual analogue scale (VAS) from 0 to 10 (total score 0-20). SCORAD is calculated as A/5 + 7B/2 + C, and ranges from 0 to 103 (worst). A negative change from Baseline indicates improvement.
Adolescents: Percentage of Participants Achieving HADS-A Score and HADS-D Score of < 8 at Week 16
The HADS is a 14-item questionnaire, with seven items related to anxiety (HADS-A) and seven items related to depression (HADS-D). Each item is scored from 0 to 3; scores for each subscale range from 0 to 21, with higher scores indicating more distress. For each domain, scores 7 or lower are considered normal, 8 to 10 are borderline, and 11 or higher indicate clinical anxiety or depression.
Adolescents: Percentage of Participants Achieving a DLQI Score of 0 or 1 at Week 16
The DLQI is a 10-item validated questionnaire used to assess the impact of AD disease symptoms and treatment on quality of life (QoL). It consists of 10 questions evaluating impact of skin diseases on different aspects of a participant's QoL over the prior week, including symptoms and feelings, daily activities, leisure, work or school, personal relationships, and the side effects of treatment. Each item is scored on a 4-point scale (0 = not at all/not relevant; 1 = a little; 2 = a lot; and 3 = very much).
Item scores are added to provide a total score, ranging from 0 to 30, with higher scores indicating greater impairment of QoL. A score of 0 or 1 means that the disease has no effect at all.
the DLQI was administered to participants who were ≥ 16 (16 to 75) years old at the time of the Screening visit.
Full Information
1. Study Identification
Unique Protocol Identification Number
NCT03607422
Brief Title
A Study to Evaluate Upadacitinib in Adolescents and Adults With Moderate to Severe Atopic Dermatitis (Measure Up 2)
Official Title
A Phase 3 Randomized, Placebo-Controlled, Double-Blind Study to Evaluate Upadacitinib in Adolescent and Adult Subjects With Moderate to Severe Atopic Dermatitis
Study Type
Interventional
2. Study Status
Record Verification Date
June 2023
Overall Recruitment Status
Active, not recruiting
Study Start Date
July 27, 2018 (Actual)
Primary Completion Date
March 11, 2021 (Actual)
Study Completion Date
December 3, 2025 (Anticipated)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Sponsor
Name of the Sponsor
AbbVie
4. Oversight
Studies a U.S. FDA-regulated Drug Product
Yes
Studies a U.S. FDA-regulated Device Product
No
Product Manufactured in and Exported from the U.S.
No
Data Monitoring Committee
Yes
5. Study Description
Brief Summary
The objective of this study is to assess the efficacy and safety of upadacitinib for the treatment of adolescent and adult participants with moderate to severe atopic dermatitis (AD) who are candidates for systemic therapy.
Detailed Description
This study includes a 35-day screening period, a 16-week double-blind period, a blinded extension period up to Week 260, and a 30-day follow-up visit.
Participants who meet eligibility criteria in the main study will be randomized in a 1:1:1 ratio to receive a daily oral dose of upadacitinib 30 mg or upadacitinib 15 mg or matching placebo. Upon completion of enrollment of a minimum of 810 participants in the main study, a supplemental study will continue to enroll adolescents (adolescent sub-study) until a total of 180 adolescent participants are enrolled overall (main study + adolescent sub-study).
Randomization in the main study will be stratified by baseline disease severity (validated Investigator Global Assessment scale for Atopic Dermatitis [vIGA-AD] score of moderate [3] versus severe [4]), by geographic region (United States [US]/Puerto Rico/Canada, and Other), and by age (adolescent [ages 12 to 17] versus adult [ages 18 to 75]). The separate randomization for the adolescent sub-study will be stratified by baseline disease severity (moderate [vIGA-AD = 3] vs. severe [vIGA-AD = 4]) and by geographic region (US/Puerto Rico/Canada and Other).
At Week 16 of the main study and the adolescent sub-study, participants in the placebo group will be re-randomized in a 1:1 ratio to receive daily oral doses of upadacitinib 30 mg or upadacitinib 15 mg in the blinded extension period. In the main study the re-randomization at Week 16 will be stratified by Week 16 50% improvement in Eczema Area and Severity Index [EASI 50] responder [Yes/No], geographic region [US/Puerto Rico/Canada, and other], and age group [adolescent/adult]. For the adolescent sub-study, the re-randomization will be stratified by EASI 50 responder (Yes/No) and by geographic region (US/Puerto Rico/Canada and Other). Participants originally randomized to upadacitinib will continue upadacitinib in the extension period at the same dose.
Starting at the Week 4 visit, rescue treatment for AD may be provided at the discretion of the investigator if medically necessary.
The Primary Analysis for the main study will be conducted after all ongoing participants have completed Week 16. In addition, a Primary Analysis for the adolescent population (including the adolescent participants from the main study and the adolescent sub-study) will be conducted after all ongoing adolescent participants have completed Week 16.
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Atopic Dermatitis
Keywords
Atopic Dermatitis, Upadacitinib, ABT-494, Measure Up 2
7. Study Design
Primary Purpose
Treatment
Study Phase
Phase 3
Interventional Study Model
Parallel Assignment
Masking
ParticipantCare ProviderInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
912 (Actual)
8. Arms, Groups, and Interventions
Arm Title
Placebo / Upadacitinib
Arm Type
Placebo Comparator
Arm Description
Participants will receive placebo orally once a day (QD) for 16 weeks in the double-blind treatment period. At Week 16 participants will be re-randomized to receive either upadacitinib 15 mg or upadacitinib 30 mg QD up to Week 260.
Arm Title
Upadacitinib 15 mg QD
Arm Type
Experimental
Arm Description
Participants will receive upadacitinib 15 mg orally once a day for up to 260 weeks.
Arm Title
Upadacitinib 30 mg QD
Arm Type
Experimental
Arm Description
Participants will receive upadacitinib 30 mg orally once a day for up to 260 weeks.
Intervention Type
Drug
Intervention Name(s)
Placebo for Upadacitinib
Intervention Description
Tablets taken orally once a day
Intervention Type
Drug
Intervention Name(s)
Upadacitinib
Other Intervention Name(s)
ABT-494, RINVOQ®
Intervention Description
Tablets taken orally once a day
Primary Outcome Measure Information:
Title
Main Study: Percentage of Participants Achieving at Least a 75% Reduction in Eczema Area and Severity Index Score (EASI 75) From Baseline at Week 16
Description
EASI is a tool used to measure the extent (area) and severity of atopic eczema based on assessments of the head/ neck, trunk, upper limbs and lower limbs. For each region the area score is recorded as the percentage of skin affected by eczema. For each region, the severity score is calculated as the sum of the intensity scores (scored as none [0], mild [1], moderate [2], or severe [3]) for redness (erythema, inflammation), thickness (induration, papulation, swelling - acute eczema), scratching (excoriation), and lichenification (lined skin, prurigo nodules - chronic eczema).
The total EASI score for each region is calculated by multiplying the severity score by the area score, with adjustment for the proportion of the body region to the whole body. The final EASI score is the sum of the 4 region scores and ranges from 0 to 72 where higher scores represent worse disease.
Time Frame
Baseline and Week 16
Title
Main Study: Percentage of Participants Achieving Validated Investigator Global Assessment for Atopic Dermatitis (vIGA-AD) of 0 or 1 With a Reduction From Baseline of ≥ 2 Points at Week 16
Description
The vIGA-AD is a validated assessment instrument to rate the severity of atopic dermatitis globally, based on the following scale:
0 - Clear: No inflammatory signs of AD;
1 - Almost clear: Barely perceptible erythema, induration/papulation and/or lichenification, no oozing or crusting;
2 - Mild: Slight but definite erythema, induration/papulation and/or minimal lichenification, no oozing or crusting;
3 - Moderate: Clearly perceptible erythema, induration/papulation and/or lichenification, oozing or crusting may be present;
4 - Severe: Marked erythema, induration/papulation and/or lichenification; Oozing or crusting may be present.
Time Frame
Baseline and Week 16
Secondary Outcome Measure Information:
Title
Main Study: Percentage of Participants Achieving a Reduction of ≥ 4 Points From Baseline in Worst Pruritus Numerical Rating Scale (NRS) at Week 16
Description
Participants were asked to rate itch (pruritus) intensity at its worst during the past 24 hours on a daily basis using an 11-point scale from 0 (no itch) to 10 (worst imaginable itch). Worst Pruritus NRS was analyzed based on weekly rolling averages of daily scores.
Time Frame
Baseline (last available rolling average before the first dose of study drug) and Week 16
Title
Main Study: Percentage of Participants Achieving a 90% Reduction From Baseline in EASI Score (EASI 90) at Week 16
Description
EASI is a tool used to measure the extent (area) and severity of atopic eczema based on assessments of the head/neck, trunk, upper limbs and lower limbs. For each region the area score is recorded as the percentage of skin affected by eczema. For each region, the severity score is calculated as the sum of the intensity scores (scored as none [0], mild [1], moderate [2], or severe [3]) for redness (erythema, inflammation), thickness (induration, papulation, swelling - acute eczema), scratching (excoriation), and lichenification (lined skin, prurigo nodules - chronic eczema).
The total EASI score for each region is calculated by multiplying the severity score by the area score, with adjustment for the proportion of the body region to the whole body. The final EASI score is the sum of the 4 region scores and ranges from 0 to 72 where higher scores represent worse disease.
Time Frame
Baseline and Week 16
Title
Main Study: Percentage of Participants Achieving a Reduction of ≥ 4 Points From Baseline in Worst Pruritus NRS at Week 4
Description
Participants were asked to rate itch (pruritus) intensity at its worst during the past 24 hours on a daily basis using an 11-point scale from 0 (no itch) to 10 (worst imaginable itch). Worst Pruritus NRS was analyzed based on weekly rolling averages of daily scores.
Time Frame
Baseline (last available rolling average before the first dose of study drug) and Week 4
Title
Main Study: Percentage of Participants Achieving an EASI 75 Response at Week 2
Description
EASI is a tool used to measure the extent (area) and severity of atopic eczema based on assessments of the head/neck, trunk, upper limbs and lower limbs. For each region the area score is recorded as the percentage of skin affected by eczema. For each region, the severity score is calculated as the sum of the intensity scores (scored as none [0], mild [1], moderate [2], or severe [3]) for redness (erythema, inflammation), thickness (induration, papulation, swelling - acute eczema), scratching (excoriation), and lichenification (lined skin, prurigo nodules - chronic eczema).
The total EASI score for each region is calculated by multiplying the severity score by the area score, with adjustment for the proportion of the body region to the whole body. The final EASI score is the sum of the 4 region scores and ranges from 0 to 72 where higher scores represent worse disease.
An EASI 75 response is defined as at least a 75% reduction (improvement) from Baseline in EASI score.
Time Frame
Baseline and Week 2
Title
Main Study: Percentage of Participants Achieving a Reduction of ≥ 4 Points From Baseline in Worst Pruritus NRS at Week 1
Description
Participants were asked to rate itch (pruritus) intensity at its worst during the past 24 hours on a daily basis using an 11-point scale from 0 (no itch) to 10 (worst imaginable itch). Worst Pruritus NRS was analyzed based on weekly rolling averages of daily scores.
Time Frame
Baseline (last available rolling average before the first dose of study drug) and Week 1
Title
Main Study: Percentage of Participants Achieving a Reduction of ≥ 4 Points From Baseline in Worst Pruritus NRS at Day 2
Description
Participants were asked to rate itch (pruritus) intensity at its worst during the past 24 hours on a daily basis using an 11- point scale from 0 (no itch) to 10 (worst imaginable itch). The percentage of participants who had a 4-point or greater improvement from Baseline in Worst Pruritus NRS score at Day 2 was pre-specified as a ranked secondary endpoint for participants in the upadacitinib 30 mg group versus placebo group only.
Time Frame
Baseline and Day 2
Title
Main Study: Percentage of Participants Achieving a Reduction of ≥ 4 Points From Baseline in Worst Pruritus NRS at Day 3
Description
Participants were asked to rate itch (pruritus) intensity at its worst during the past 24 hours on a daily basis using an 11-point scale from 0 (no itch) to 10 (worst imaginable itch).
The percentage of participants who had a 4-point or greater improvement in Worst Pruritus NRS score from Baseline at Day 3 was pre-specified as a ranked secondary endpoint for participants in the upadacitinib 15 mg group versus placebo group only.
Time Frame
Baseline and Day 3
Title
Main Study: Percentage of Participants Experiencing a Flare During the Double-blind Treatment Period
Description
A flare, characterized as a clinically meaningful worsening in EASI, is defined as an increase in EASI score of ≥ 6.6 points from Baseline during the double-blind treatment period and prior to use of any rescue medication. Flare was assessed in participants with an EASI score of 65.4 or less at Baseline.
Time Frame
From first dose of study drug to Week 16
Title
Main Study: Percentage of Participants Achieving a Reduction of ≥ 12 Points From Baseline in Atopic Dermatitis Impact Scale (ADerm-IS) Sleep Domain Score at Week 16
Description
The ADerm-IS is a 10-item patient reported outcome (PRO) questionnaire designed to assess a variety of impacts that participants experience from their AD.
The ADerm-IS sleep domain consists of 3 questions designed to assess the impact of AD on sleep on a daily basis over a 24-hour recall period. The items include difficulty falling asleep, impact on sleep, and waking at night. Each question is scored on an 11-point NRS from 0 (no impact) to 10 (extreme impact). The ADerm-IS sleep domain score is the sum of the 3 item scores and ranges from 0 (no impact) to 30 (worst impact). The ADerm-IS sleep domain was analyzed based on weekly rolling averages of daily scores.
The minimal clinically important difference for ADerm-IS sleep domain score is 12.
Time Frame
Baseline (last available rolling average before the first dose of study drug) and Week 16
Title
Main Study: Percentage of Participants Achieving a Reduction of ≥ 4 Points From Baseline in Atopic Dermatitis Symptom Scale (ADerm-SS) Skin Pain Score at Week 16
Description
The ADerm-SS is an 11-item PRO questionnaire designed to assess signs and symptoms that patients may experience due to AD using a 24-hour recall period. For the skin pain item participants were asked on a daily basis to indicate how bad their worst skin pain due to AD was in the past 24 hours on an NRS from 0 (no pain) to 10 (worst imaginable pain). The ADerm-SS skin pain score was analyzed using weekly rolling averages of daily scores. The minimal clinically important difference for ADerm-SS skin pain score is 4.
Time Frame
Baseline (last available rolling average before the first dose of study drug) and Week 16
Title
Main Study: Percentage of Participants Achieving a Reduction of ≥ 28 Points From Baseline in ADerm-SS 7-Item Total Symptom Score (TSS-7) at Week 16
Description
The ADerm-SS is an 11-item questionnaire designed to assess signs and symptoms that participants may experience due to AD using a 24-hour recall period. The 7-item total symptom score includes 7 symptoms (items 1-7 of the ADerm-SS), each assessed on a NRS from 0 (no symptom) to 10 (worst imaginable). The 7 symptoms included in the score are itch while asleep, itch while awake, skin pain (each assessed daily), skin cracking, skin cracking pain, dry skin, and skin flaking (assessed weekly). The TSS-7 score ranges from 0 to 70, with higher scores indicating worsening symptoms. The minimal clinically important difference for ADerm-SS TSS-7 is 28.
Time Frame
Baseline and Week 16
Title
Main Study: Percentage of Participants Achieving a Reduction of ≥ 11 Points From Baseline in ADerm-IS Emotional State Domain Score at Week 16
Description
The ADerm-IS is a 10-item PRO questionnaire designed to assess a variety of impacts that participants experience from their AD.
ADerm-IS emotional state sums three items [Items 8-10] measuring self-consciousness, embarrassment, and sadness with a 7-day recall. Each question is scored on an 11-point NRS from 0 (no impact) to 10 (extreme impact). The emotional state domain score ranges from 0 to 30, where higher scores represent worst impact.
The minimal clinically important difference for ADerm-IS emotional state domain score is 11.
Time Frame
Baseline and Week 16
Title
Main Study: Percentage of Participants Achieving a Reduction of ≥ 14 Points From Baseline in ADerm-IS Daily Activities Domain Score at Week 16
Description
The ADerm-IS is a 10-item PRO questionnaire designed to assess a variety of impacts that participants experience from their AD.
ADerm-IS Daily Activities sums four items measuring limitations of household, physical, and social activities, and difficulty concentrating with a 7-day recall. Each question is scored on an 11-point NRS from 0 (no impact) to 10 (extreme impact). The daily activities domain score ranges from 0 to 40, where higher scores represent worst impact.
The minimal clinically important difference for the ADerm-IS daily activities domain score is 14.
Time Frame
Baseline and Week 16
Title
Main Study: Percentage of Participants Achieving a 100% Reduction From Baseline in EASI Score (EASI 100) at Week 16
Description
EASI is a tool used to measure the extent (area) and severity of atopic eczema based on assessments of the head/neck, trunk, upper limbs and lower limbs. For each region the area score is recorded as the percentage of skin affected by eczema. For each region, the severity score is calculated as the sum of the intensity scores (scored as none [0], mild [1], moderate [2], or severe [3]) for redness (erythema, inflammation), thickness (induration, papulation, swelling - acute eczema), scratching (excoriation), and lichenification (lined skin, prurigo nodules - chronic eczema).
The total EASI score for each region is calculated by multiplying the severity score by the area score, with adjustment for the proportion of the body region to the whole body. The final EASI score is the sum of the 4 region scores and ranges from 0 to 72 where higher scores represent worse disease.
Time Frame
Baseline and Week 16
Title
Main Study: Percent Change From Baseline in Worst Pruritus NRS at Week 16
Description
Participants were asked to rate itch (pruritus) intensity at its worst during the past 24 hours on a daily basis using an 11-point scale from 0 (no itch) to 10 (worst imaginable itch). Worst Pruritus NRS was analyzed based on weekly rolling averages of daily scores. A negative change from Baseline indicates improvement.
Time Frame
Baseline (last available rolling average before the first dose of study drug) and Week 16
Title
Main Study: Percent Change From Baseline in EASI Score at Week 16
Description
EASI is a tool used to measure the extent (area) and severity of atopic eczema based on assessments of the head/neck, trunk, upper limbs and lower limbs. For each region the area score is recorded as the percentage of skin affected by eczema. For each region, the severity score is calculated as the sum of the intensity scores (scored as none [0], mild [1)] moderate [2], or severe [3]) for Redness (erythema, inflammation), Thickness (induration, papulation, swelling - acute eczema), Scratching (excoriation), and Lichenification (lined skin, prurigo nodules - chronic eczema).
The total EASI score for each region is calculated by multiplying the severity score by the area score, with adjustment for the proportion of the body region to the whole body. The final EASI score is the sum of the 4 region scores and ranges from 0 to 72 where higher scores represent worse disease; a negative change from Baseline indicates improvement.
Time Frame
Baseline and Week 16
Title
Main Study: Percentage of Participants Achieving a Reduction of ≥ 4 Points From Baseline in Patient Oriented Eczema Measure (POEM) Total Score at Week 16
Description
The POEM is a 7-item, validated questionnaire used to assess disease symptoms in both children and adults.
Participants respond to 7 questions, including dryness, itching, flaking, cracking, sleep loss, bleeding, and weeping, each scored on a 5-point scale based on frequency of occurrence during the previous week: 0 = no days, 1 = 1 to 2 days, 2 = 3 to 4 days, 3 = 5 to 6 days, and 4 = all days. Item scores are added to provide a total score ranging from 0 (clear) to 28 (very severe atopic eczema). A change in POEM score of 3.4 points is considered the minimal clinically important difference.
Time Frame
Baseline and Week 16
Title
Main Study: Percentage of Participants Achieving a Reduction of ≥ 4 Points From Baseline in Dermatology Life Quality Index (DLQI) at Week 16
Description
The DLQI is a 10-item validated questionnaire used to assess the impact of AD disease symptoms and treatment on quality of life (QoL). It consists of 10 questions evaluating impact of skin diseases on different aspects of a participant's QoL over the prior week, including symptoms and feelings, daily activities, leisure, work or school, personal relationships, and the side effects of treatment. Each item is scored on a 4-point scale (0 = not at all/not relevant; 1 = a little; 2 = a lot; and 3 = very much).
Item scores are added to provide a total score, ranging from 0 to 30, with higher scores indicating greater impairment of QoL.
the DLQI was administered to participants who were ≥ 16 (16 to 75) years old at the time of the Screening visit.
Time Frame
Baseline and Week 16
Title
Main Study: Percent Change From Baseline in Scoring Atopic Dermatitis (SCORAD) Score at Week 16
Description
SCORAD is a clinical tool used to assess the extent and severity of eczema (SCORing Atopic Dermatitis). The extent is assessed using the rule of 9 to calculate the affected area (A) as a percentage of the whole body (0-100%). The intensity part of the SCORAD (B) consists of 6 items: erythema, oedema/papulation, excoriations, lichenification, oozing/crusts and dryness, each graded on a scale from 0 (none) to 3 (severe), for a total score of 0 to 18. Subjective items (C) include daily pruritus and sleeplessness, each scored on a visual analogue scale (VAS) from 0 to 10 (total score 0-20). SCORAD is calculated as A/5 + 7B/2 + C, and ranges from 0 to 103 (worst). A negative change from Baseline indicates improvement.
Time Frame
Baseline and Week 16
Title
Main Study: Percentage of Participants Achieving a Hospital Anxiety and Depression Scale-Anxiety (HADS-A) Score and Hospital Anxiety and Depression Scale-Depression (HADS-D) Score of < 8 at Week 16
Description
The HADS is a 14-item questionnaire, with seven items related to anxiety (HADS-A) and seven items related to depression (HADS-D). Each item is scored from 0 to 3; scores for each subscale range from 0 to 21, with higher scores indicating more distress. For each domain, scores 7 or lower are considered normal, 8 to 10 are borderline, and 11 or higher indicate clinical anxiety or depression.
Time Frame
Week 16
Title
Main Study: Percentage of Participants Achieving a DLQI Score of 0 or 1 at Week 16
Description
The DLQI is a 10-item validated questionnaire used to assess the impact of AD disease symptoms and treatment on quality of life (QoL). It consists of 10 questions evaluating impact of skin diseases on different aspects of a participant's QoL over the prior week, including symptoms and feelings, daily activities, leisure, work or school, personal relationships, and the side effects of treatment. Each item is scored on a 4-point scale (0 = not at all/not relevant; 1 = a little; 2 = a lot; and 3 = very much).
Item scores are added to provide a total score, ranging from 0 to 30, with higher scores indicating greater impairment of QoL. A score of 0 or 1 means that the disease has no effect at all.
The DLQI was administered to participants who were ≥ 16 (16 to 75) years old at the time of the Screening visit.
Time Frame
Week 16
Title
Adolescents: Percentage of Participants Achieving an EASI 75 Response at Week 16
Description
EASI is a tool used to measure the extent (area) and severity of atopic eczema based on assessments of the head/neck, trunk, upper limbs and lower limbs. For each region the area score is recorded as the percentage of skin affected by eczema. For each region, the severity score is calculated as the sum of the intensity scores (scored as none [0], mild [1], moderate [2], or severe [3]) for redness (erythema, inflammation), thickness (induration, papulation, swelling - acute eczema), scratching (excoriation), and lichenification (lined skin, prurigo nodules - chronic eczema).
The total EASI score for each region is calculated by multiplying the severity score by the area score, with adjustment for the proportion of the body region to the whole body. The final EASI score is the sum of the 4 region scores and ranges from 0 to 72 where higher scores represent worse disease.
An EASI 75 response is defined as at least a 75% reduction (improvement) from Baseline in EASI score.
Time Frame
Baseline and Week 16
Title
Adolescents: Percentage of Participants Achieving a vIGA-AD of 0 or 1 With a Reduction From Baseline of ≥ 2 Points at Week 16
Description
The vIGA-AD is a validated assessment instrument to rate the severity of atopic dermatitis globally, based on the following scale:
0 - Clear: No signs of AD;
1 - Almost clear: Barely perceptible erythema, induration/papulation and/or lichenification, no oozing or crusting;;
2 - Mild: Slight but definite erythema, induration/papulation and/or minimal lichenification, no oozing or crusting;
3 - Moderate: Clearly perceptible erythema, induration/papulation and/or lichenification, possible oozing or crusting;
4 - Severe: Marked erythema, induration/papulation and/or lichenification; possible oozing or crusting.
Time Frame
Baseline and Week 16
Title
Adolescents: Percentage of Participants Achieving a Reduction of ≥ 4 Points From Baseline in Worst Pruritus NRS at Week 16
Description
Participants were asked to rate itch (pruritus) intensity at its worst during the past 24 hours on a daily basis using an 11-point scale from 0 (no itch) to 10 (worst imaginable itch). Worst pruritus NRS was analyzed based on weekly rolling averages of daily scores.
Time Frame
Baseline (last available rolling average before the first dose of study drug) and Week 16
Title
Adolescents: Percentage of Participants Achieving an EASI 90 Response at Week 16
Description
EASI is a tool used to measure the extent (area) and severity of atopic eczema based on assessments of the head/neck, trunk, upper limbs and lower limbs. For each region the area score is recorded as the percentage of skin affected by eczema. For each region, the severity score is calculated as the sum of the intensity scores (scored as none [0], mild [1], moderate [2], or severe [3]) for redness (erythema, inflammation), thickness (induration, papulation, swelling - acute eczema), scratching (excoriation), and lichenification (lined skin, prurigo nodules - chronic eczema).
The total EASI score for each region is calculated by multiplying the severity score by the area score, with adjustment for the proportion of the body region to the whole body. The final EASI score is the sum of the 4 region scores and ranges from 0 to 72 where higher scores represent worse disease.
An EASI 90 response is defined as at least a 90% reduction (improvement) from Baseline in EASI score.
Time Frame
Baseline and Week 16
Title
Adolescents: Percentage of Participants Achieving a Reduction of ≥ 4 Points From Baseline in Worst Pruritus NRS at Week 4
Description
Participants were asked to rate itch (pruritus) intensity at its worst during the past 24 hours on a daily basis using an 11-point scale from 0 (no itch) to 10 (worst imaginable itch). Worst pruritus NRS was analyzed based on weekly rolling averages of daily scores.
Time Frame
Baseline (last available rolling average before the first dose of study drug) and Week 4
Title
Adolescents: Percentage of Participants Achieving an EASI 75 Response at Week 2
Description
EASI is a tool used to measure the extent (area) and severity of atopic eczema based on assessments of the head/neck, trunk, upper limbs and lower limbs. For each region the area score is recorded as the percentage of skin affected by eczema. For each region, the severity score is calculated as the sum of the intensity scores (scored as none [0], mild [1], moderate [2], or severe [3]) for redness (erythema, inflammation), thickness (induration, papulation, swelling - acute eczema), scratching (excoriation), and lichenification (lined skin, prurigo nodules - chronic eczema).
The total EASI score for each region is calculated by multiplying the severity score by the area score, with adjustment for the proportion of the body region to the whole body. The final EASI score is the sum of the 4 region scores and ranges from 0 to 72 where higher scores represent worse disease.
An EASI 75 response is defined as at least a 75% reduction (improvement) from Baseline in EASI score.
Time Frame
Baseline and Week 2
Title
Adolescents: Percentage of Participants Achieving a Reduction of ≥ 4 Points From Baseline in Worst Pruritus NRS at Week 1
Description
Participants were asked to rate itch (pruritus) intensity at its worst during the past 24 hours on a daily basis using an 11-point scale from 0 (no itch) to 10 (worst imaginable itch). Worst pruritus NRS was analyzed based on weekly rolling averages of daily scores.
Time Frame
Baseline (last available rolling average before the first dose of study drug) and Week 1
Title
Adolescents: Percentage of Participants Achieving a Reduction of ≥ 4 Points From Baseline in Worst Pruritus NRS at Day 2
Description
Participants were asked to rate itch (pruritus) intensity at its worst during the past 24 hours on a daily basis using an 11-point scale from 0 (no itch) to 10 (worst imaginable itch).
Time Frame
Baseline and Day 2
Title
Adolescents: Percentage of Participants Achieving a Reduction of ≥ 4 Points From Baseline in Worst Pruritus NRS at Day 3
Description
Participants were asked to rate itch (pruritus) intensity at its worst during the past 24 hours on a daily basis using an 11-point scale from 0 (no itch) to 10 (worst imaginable itch).
Time Frame
Baseline and Day 3
Title
Adolescents: Percentage of Participants Experiencing a Flare During the Double-blind Treatment Period
Description
A flare, characterized as a clinically meaningful worsening in EASI, is defined as an increase in EASI score of ≥ 6.6 points from Baseline during the double-blind treatment period and prior to use of any rescue medication. Flares were assessed in participants with an EASI score of 65.4 or less at Baseline.
Time Frame
From first dose of study drug to Week 16
Title
Adolescents: Percentage of Participants Achieving a Reduction of ≥ 12 Points From Baseline in ADerm-IS Sleep Domain Score at Week 16
Description
The ADerm-IS is a 10-item patient reported outcome questionnaire designed to assess a variety of impacts that participants experience from their AD.
The ADerm-IS sleep domain consists of 3 questions designed to assess the impact of AD on sleep on a daily basis over a 24-hour recall period. The items include difficulty falling asleep, impact on sleep, and waking at night. Each question is scored on an 11-point NRS from 0 (no impact) to 10 (extreme impact). The ADerm-IS sleep domain score is the sum of the 3 item scores and ranges from 0 (no impact) to 30 (worst impact). The ADerm-IS sleep domain was analyzed based on weekly rolling averages of daily scores.
The minimal clinically important difference for ADerm-IS sleep domain score is 12.
Time Frame
Baseline (last available rolling average before the first dose of study drug) and Week 16
Title
Adolescents: Percentage of Participants Achieving a Reduction of ≥ 4 Points From Baseline in ADerm-SS Skin Pain Score at Week 16
Description
The ADerm-SS is an 11-item PRO questionnaire designed to assess signs and symptoms that patients may experience due to AD using a 24-hour recall period. For the skin pain item participants were asked to indicate on a daily basis how bad their worst skin pain due to AD was in the past 24 hours on an NRS from 0 (no pain) to 10 (worst imaginable pain).
The minimal clinically important difference for ADerm-SS skin pain score is 4. The ADerm-SS skin pain score was analyzed based on weekly rolling averages of daily scores.
Time Frame
Baseline (last available rolling average before the first dose of study drug) and Week 16
Title
Adolescents: Percentage of Participants Achieving a Reduction of ≥ 28 Points From Baseline in ADerm-SS TSS-7 at Week 16
Description
The ADerm-SS is an 11-item questionnaire designed to assess signs and symptoms that participants may experience due to AD using a 24-hour recall period. The 7-item total symptom score includes 7 symptoms (items 1-7 of the ADerm-SS), each assessed on a NRS from 0 (no symptom) to 10 (worst imaginable). The 7 symptoms included in the score are itch while asleep, itch while awake, skin pain (each assessed daily), skin cracking, skin cracking pain, dry skin, and skin flaking (assessed weekly). The TSS-7 score ranges from 0 to 70, with higher scores indicating worsening symptoms. The minimal clinically important difference for ADerm-SS TSS-7 is 28.
Time Frame
Baseline and Week 16
Title
Adolescents: Percentage of Participants Achieving a Reduction of ≥ 11 Points From Baseline in ADerm-IS Emotional State Domain Score at Week 16
Description
The ADerm-IS is a 10-item PRO questionnaire designed to assess a variety of impacts that participants experience from their AD.
ADerm-IS emotional state sums three items [Items 8-10] measuring self-consciousness, embarrassment, and sadness with a 7-day recall. Each question is scored on an 11-point NRS from 0 (no impact) to 10 (extreme impact). The emotional state domain score ranges from 0 to 30, where higher scores represent worst impact.
The minimal clinically important difference for ADerm-IS emotional state domain score is 11.
Time Frame
Baseline and Week 16
Title
Adolescents: Percentage of Participants Achieving a Reduction of ≥ 14 Points From Baseline in ADerm-IS Daily Activities Domain Score at Week 16
Description
The ADerm-IS is a 10-item PRO questionnaire designed to assess a variety of impacts that participants experience from their AD.
ADerm-IS daily activities sums four items measuring limitations of household, physical, and social activities, and difficulty concentrating with a 7-day recall. Each question is scored on an 11-point NRS from 0 (no impact) to 10 (extreme impact). The daily activities domain score ranges from 0 to 40, where higher scores represent worst impact.
The minimal clinically important difference for the ADerm-IS daily activities domain score is 14.
Time Frame
Baseline and Week 16
Title
Adolescents: Percentage of Participants Achieving an EASI 100 Response at Week 16
Description
EASI is a tool used to measure the extent (area) and severity of atopic eczema based on assessments of the head/neck, trunk, upper limbs and lower limbs. For each region the area score is recorded as the percentage of skin affected by eczema. For each region, the severity score is calculated as the sum of the intensity scores (scored as none [0], mild [1], moderate [2], or severe [3]) for redness (erythema, inflammation), thickness (induration, papulation, swelling - acute eczema), scratching (excoriation), and lichenification (lined skin, prurigo nodules - chronic eczema).
The total EASI score for each region is calculated by multiplying the severity score by the area score, with adjustment for the proportion of the body region to the whole body. The final EASI score is the sum of the 4 region scores and ranges from 0 to 72 where higher scores represent worse disease.
An EASI 100 response is defined as a 100% reduction (improvement) from Baseline in EASI score.
Time Frame
Baseline and Week 16
Title
Adolescents: Percent Change From Baseline in Worst Pruritus NRS at Week 16
Description
Participants were asked to rate itch (pruritus) intensity at its worst during the past 24 hours on a daily basis using an 11-point scale from 0 (no itch) to 10 (worst imaginable itch). Worst Pruritus NRS was analyzed based on weekly rolling averages of daily scores. A negative change from Baseline indicates improvement.
Time Frame
Baseline (last available rolling average before the first dose of study drug) and Week 16
Title
Adolescents: Percent Change From Baseline in EASI Score at Week 16
Description
EASI is a tool used to measure the extent (area) and severity of atopic eczema based on assessments of the head/neck, trunk, upper limbs and lower limbs. For each region the area score is recorded as the percentage of skin affected by eczema. For each region, the severity score is calculated as the sum of the intensity scores (scored as none [0], mild [1)] moderate [2], or severe [3]) for Redness (erythema, inflammation), Thickness (induration, papulation, swelling - acute eczema), Scratching (excoriation), and Lichenification (lined skin, prurigo nodules - chronic eczema).
The total EASI score for each region is calculated by multiplying the severity score by the area score, with adjustment for the proportion of the body region to the whole body. The final EASI score is the sum of the 4 region scores and ranges from 0 to 72 where higher scores represent worse disease; a negative change from Baseline indicates improvement.
Time Frame
Baseline and Week 16
Title
Adolescents: Percentage of Participants Achieving a Reduction of ≥ 4 Points From Baseline in POEM Total Score at Week 16
Description
The POEM is a 7-item, validated questionnaire used to assess disease symptoms in both children and adults. Participants respond to 7 questions, including dryness, itching, flaking, cracking, sleep loss, bleeding, and weeping, each scored on a 5-point scale based on frequency of occurrence during the previous week: 0 = no days, 1 = 1 to 2 days, 2 = 3 to 4 days, 3 = 5 to 6 days, and 4 = all days. Item scores are added to provide a total score ranging from 0 (clear) to 28 (very severe atopic eczema). A change in POEM score of 3.4 points is considered the minimal clinically important difference.
Time Frame
Baseline and Week 16
Title
Adolescents: Percentage of Participants Achieving a Reduction of ≥ 4 Points From Baseline in DLQI Score at Week 16
Description
The DLQI is a 10-item validated questionnaire used to assess the impact of AD disease symptoms and treatment on quality of life (QoL). It consists of 10 questions evaluating impact of skin diseases on different aspects of a participant's QoL over the prior week, including symptoms and feelings, daily activities, leisure, work or school, personal relationships, and the side effects of treatment. Each item is scored on a 4-point scale (0 = not at all/not relevant; 1 = a little; 2 = a lot; and 3 = very much).
Item scores are added to provide a total score, ranging from 0 to 30, with higher scores indicating greater impairment of QoL.
the DLQI was administered to participants who were ≥ 16 (16 to 75) years old at the time of the Screening visit.
Time Frame
Baseline and Week 16
Title
Adolescents: Percent Change From Baseline in SCORAD Score at Week 16
Description
SCORAD is a clinical tool used to assess the extent and severity of eczema (SCORing Atopic Dermatitis). The extent is assessed using the rule of 9 to calculate the affected area (A) as a percentage of the whole body (0-100%). The intensity part of the SCORAD (B) consists of 6 items: erythema, oedema/papulation, excoriations, lichenification, oozing/crusts and dryness, each graded on a scale from 0 (none) to 3 (severe), for a total score of 0 to 18. Subjective items (C) include daily pruritus and sleeplessness, each scored on a visual analogue scale (VAS) from 0 to 10 (total score 0-20). SCORAD is calculated as A/5 + 7B/2 + C, and ranges from 0 to 103 (worst). A negative change from Baseline indicates improvement.
Time Frame
Baseline and Week 16
Title
Adolescents: Percentage of Participants Achieving HADS-A Score and HADS-D Score of < 8 at Week 16
Description
The HADS is a 14-item questionnaire, with seven items related to anxiety (HADS-A) and seven items related to depression (HADS-D). Each item is scored from 0 to 3; scores for each subscale range from 0 to 21, with higher scores indicating more distress. For each domain, scores 7 or lower are considered normal, 8 to 10 are borderline, and 11 or higher indicate clinical anxiety or depression.
Time Frame
Week 16
Title
Adolescents: Percentage of Participants Achieving a DLQI Score of 0 or 1 at Week 16
Description
The DLQI is a 10-item validated questionnaire used to assess the impact of AD disease symptoms and treatment on quality of life (QoL). It consists of 10 questions evaluating impact of skin diseases on different aspects of a participant's QoL over the prior week, including symptoms and feelings, daily activities, leisure, work or school, personal relationships, and the side effects of treatment. Each item is scored on a 4-point scale (0 = not at all/not relevant; 1 = a little; 2 = a lot; and 3 = very much).
Item scores are added to provide a total score, ranging from 0 to 30, with higher scores indicating greater impairment of QoL. A score of 0 or 1 means that the disease has no effect at all.
the DLQI was administered to participants who were ≥ 16 (16 to 75) years old at the time of the Screening visit.
Time Frame
Week 16
10. Eligibility
Sex
All
Minimum Age & Unit of Time
12 Years
Maximum Age & Unit of Time
75 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria:
Body weight of ≥ 40 kg at Baseline Visit for participants ≥ 12 and < 18 years of age
Chronic atopic dermatitis (AD) with onset of symptoms at least 3 years prior to Baseline and subject meets Hanifin and Rajka criteria
Active moderate to severe AD defined by Eczema Area and Severity Index (EASI) ≥ 16, validated Investigator's Global Assessment (vIGA) ≥ 3, body surface area (BSA) affected by AD ≥ 10%, and weekly average of daily Worst Pruritus numerical rating scale (NRS) score ≥ 4.
Candidate for systemic therapy or have recently required systemic therapy for AD
Documented history (within 6 months prior to Baseline) of inadequate response to topical corticosteroid (TCS) or topical calcineurin inhibitor (TCI) or documented systemic treatment for AD or for whom topical treatments are otherwise medically inadvisable due to side effects or safety risks
Exclusion Criteria:
Prior exposure to any Janus kinase (JAK) inhibitor
Unable or unwilling to discontinue current AD treatments prior to the study
Requirement of prohibited medications during the study
Other active skin diseases or skin infections requiring systemic treatment or would interfere with appropriate assessment of atopic dermatitis lesions
Female subject who is pregnant, breastfeeding, or considering pregnancy during the study
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
ABBVIE INC.
Organizational Affiliation
AbbVie
Official's Role
Study Director
Facility Information:
Facility Name
Total Skin and Beauty Derm Ctr /ID# 205129
City
Birmingham
State/Province
Alabama
ZIP/Postal Code
35205
Country
United States
Facility Name
Medical Dermatology Specialist /ID# 205516
City
Phoenix
State/Province
Arizona
ZIP/Postal Code
85006-2722
Country
United States
Facility Name
Arizona Research Center, Inc. /ID# 205795
City
Phoenix
State/Province
Arizona
ZIP/Postal Code
85053-4061
Country
United States
Facility Name
The Dermatology Clinic of Arkansas /ID# 218749
City
Bryant
State/Province
Arkansas
ZIP/Postal Code
72022-7514
Country
United States
Facility Name
Arkansas Research Trials /ID# 218469
City
North Little Rock
State/Province
Arkansas
ZIP/Postal Code
72117
Country
United States
Facility Name
Encino Research Center /ID# 207472
City
Encino
State/Province
California
ZIP/Postal Code
91436
Country
United States
Facility Name
University of California Irvine /ID# 205136
City
Irvine
State/Province
California
ZIP/Postal Code
92697-1385
Country
United States
Facility Name
Ark Clinical Research /ID# 218193
City
Long Beach
State/Province
California
ZIP/Postal Code
90806-2325
Country
United States
Facility Name
Keck School of Medicine of USC /ID# 206971
City
Los Angeles
State/Province
California
ZIP/Postal Code
90033
Country
United States
Facility Name
Wallace Medical Group /ID# 205701
City
Los Angeles
State/Province
California
ZIP/Postal Code
90056
Country
United States
Facility Name
Child Hosp of Orange County,CA /ID# 205735
City
Orange
State/Province
California
ZIP/Postal Code
92868
Country
United States
Facility Name
Palmtree Clinical Research Inc. /Id# 206184
City
Palm Springs
State/Province
California
ZIP/Postal Code
92262
Country
United States
Facility Name
Rady Children's Hospital San Diego /ID# 208244
City
San Diego
State/Province
California
ZIP/Postal Code
92123
Country
United States
Facility Name
Southern California Derma. Inc /ID# 205734
City
Santa Ana
State/Province
California
ZIP/Postal Code
92701
Country
United States
Facility Name
Innovative Clinical Research - Lafayette /ID# 208400
City
Lafayette
State/Province
Colorado
ZIP/Postal Code
80026
Country
United States
Facility Name
New England Research Associates, LLC /ID# 206896
City
Bridgeport
State/Province
Connecticut
ZIP/Postal Code
06606-1827
Country
United States
Facility Name
Ideal Clinical Research Inc. /ID# 209880
City
Aventura
State/Province
Florida
ZIP/Postal Code
33180
Country
United States
Facility Name
Skin Care Research, LLC /ID# 207099
City
Boca Raton
State/Province
Florida
ZIP/Postal Code
33486-2269
Country
United States
Facility Name
Midflorida Clinical Research, Inc. /ID# 213700
City
Brandon
State/Province
Florida
ZIP/Postal Code
33511-5335
Country
United States
Facility Name
Clinical Research of West Florida, Inc /ID# 206146
City
Clearwater
State/Province
Florida
ZIP/Postal Code
33765
Country
United States
Facility Name
Revival Research /ID# 208383
City
Doral
State/Province
Florida
ZIP/Postal Code
33122-1902
Country
United States
Facility Name
Universal Axon Clinical Research /ID# 213703
City
Doral
State/Province
Florida
ZIP/Postal Code
33166
Country
United States
Facility Name
Savin Medical Group, LLC /ID# 206902
City
Miami Lakes
State/Province
Florida
ZIP/Postal Code
33014-2490
Country
United States
Facility Name
Floridian Clinical Research /ID# 207433
City
Miami Lakes
State/Province
Florida
ZIP/Postal Code
33016-1842
Country
United States
Facility Name
Lakes Research, LLC /ID# 209156
City
Miami
State/Province
Florida
ZIP/Postal Code
33014
Country
United States
Facility Name
Miami Dade Medical Research Institute /ID# 209413
City
Miami
State/Province
Florida
ZIP/Postal Code
33176
Country
United States
Facility Name
Advanced Research for Health Improvement /ID# 217987
City
Naples
State/Province
Florida
ZIP/Postal Code
34102-5430
Country
United States
Facility Name
Advanced Research for Health Improvement /ID# 218003
City
Naples
State/Province
Florida
ZIP/Postal Code
34102-5430
Country
United States
Facility Name
Complete Health Research /ID# 213459
City
Ormond Beach
State/Province
Florida
ZIP/Postal Code
32174-6302
Country
United States
Facility Name
Precision Clinical Research /ID# 207364
City
Sunrise
State/Province
Florida
ZIP/Postal Code
33351-7311
Country
United States
Facility Name
Clinical Research Trials of Florida, Inc. /ID# 206840
City
Tampa
State/Province
Florida
ZIP/Postal Code
33607
Country
United States
Facility Name
ForCare Clinical Research /ID# 205120
City
Tampa
State/Province
Florida
ZIP/Postal Code
33613-1244
Country
United States
Facility Name
Georgia Pollens Clinical Research Centers, Inc /ID# 218567
City
Albany
State/Province
Georgia
ZIP/Postal Code
31707-1282
Country
United States
Facility Name
Marietta Dermatology Clinical Research /ID# 210317
City
Marietta
State/Province
Georgia
ZIP/Postal Code
30060-1047
Country
United States
Facility Name
Agile Clinical Research Trials /ID# 218080
City
Sandy Springs
State/Province
Georgia
ZIP/Postal Code
30342
Country
United States
Facility Name
Treasure Valley Medical Research /ID# 210298
City
Boise
State/Province
Idaho
ZIP/Postal Code
83706
Country
United States
Facility Name
Great Lakes Clinical Trials /ID# 205830
City
Chicago
State/Province
Illinois
ZIP/Postal Code
60640
Country
United States
Facility Name
Ashira Dermatology /ID# 205512
City
Gurnee
State/Province
Illinois
ZIP/Postal Code
60031-3393
Country
United States
Facility Name
Clinical Investigation Specialists, Inc. /ID# 206898
City
Gurnee
State/Province
Illinois
ZIP/Postal Code
60031
Country
United States
Facility Name
Northshore University Health System Dermatology Clinical Trials Unit /ID# 205135
City
Skokie
State/Province
Illinois
ZIP/Postal Code
60077
Country
United States
Facility Name
Raga Clinical Studies, LLC. /ID# 206749
City
Crown Point
State/Province
Indiana
ZIP/Postal Code
46307
Country
United States
Facility Name
Hutchinson Clinic /ID# 205970
City
Hutchinson
State/Province
Kansas
ZIP/Postal Code
67502-1131
Country
United States
Facility Name
Continental Clinical Solutions /ID# 210327
City
Towson
State/Province
Maryland
ZIP/Postal Code
21204
Country
United States
Facility Name
Beacon Clinical Research, LLC /ID# 206894
City
Quincy
State/Province
Massachusetts
ZIP/Postal Code
02169
Country
United States
Facility Name
David Fivenson, MD, PLC /ID# 206903
City
Ann Arbor
State/Province
Michigan
ZIP/Postal Code
48103
Country
United States
Facility Name
University of Michigan Comprehensive Cancer Center Michigan Medicine /ID# 206895
City
Ann Arbor
State/Province
Michigan
ZIP/Postal Code
48109
Country
United States
Facility Name
Allergy, Asthma & Immunology Associates, PC /ID# 218169
City
Lincoln
State/Province
Nebraska
ZIP/Postal Code
68505-2343
Country
United States
Facility Name
Skin Specialists, PC /ID# 205515
City
Omaha
State/Province
Nebraska
ZIP/Postal Code
68144
Country
United States
Facility Name
Duplicate_Summit Medical Group /ID# 213863
City
Clifton
State/Province
New Jersey
ZIP/Postal Code
07012-1647
Country
United States
Facility Name
Skin Laser and Surgery Specialists of NY and NJ /ID# 206754
City
Hackensack
State/Province
New Jersey
ZIP/Postal Code
07601-1997
Country
United States
Facility Name
Care Access Research /ID# 218476
City
Hoboken
State/Province
New Jersey
ZIP/Postal Code
07030-2757
Country
United States
Facility Name
University of New Mexico School of Medicine /ID# 206756
City
Albuquerque
State/Province
New Mexico
ZIP/Postal Code
87131-0001
Country
United States
Facility Name
Fordham Dermatology /ID# 218508
City
Bronx
State/Province
New York
ZIP/Postal Code
10458-5046
Country
United States
Facility Name
PMG Research of Wilmington LLC /ID# 205968
City
Wilmington
State/Province
North Carolina
ZIP/Postal Code
28401
Country
United States
Facility Name
University Hospitals Case Medical Center /ID# 206639
City
Cleveland
State/Province
Ohio
ZIP/Postal Code
44106
Country
United States
Facility Name
Awasty Research Network, LLC /ID# 206748
City
Marion
State/Province
Ohio
ZIP/Postal Code
43302-6225
Country
United States
Facility Name
Southside Dermatology /ID# 214451
City
Tulsa
State/Province
Oklahoma
ZIP/Postal Code
74132
Country
United States
Facility Name
Vital Prospects Clinical Research Institute, PC /ID# 205824
City
Tulsa
State/Province
Oklahoma
ZIP/Postal Code
74136-7049
Country
United States
Facility Name
Cyn3rgy Research /ID# 218064
City
Gresham
State/Province
Oregon
ZIP/Postal Code
97030-8316
Country
United States
Facility Name
Velocity Clinical Research Hallandale Beach /ID# 207544
City
Medford
State/Province
Oregon
ZIP/Postal Code
97504
Country
United States
Facility Name
Clinical Research Solutions, LLC /ID# 218416
City
Jackson
State/Province
Tennessee
ZIP/Postal Code
38305-2163
Country
United States
Facility Name
Stones River Dermatology /ID# 205178
City
Murfreesboro
State/Province
Tennessee
ZIP/Postal Code
37129-3194
Country
United States
Facility Name
Metroplex Dermatology /ID# 213307
City
Arlington
State/Province
Texas
ZIP/Postal Code
76014-3105
Country
United States
Facility Name
Bellaire Dermatology /ID# 205470
City
Bellaire
State/Province
Texas
ZIP/Postal Code
77401
Country
United States
Facility Name
Center for Clinical Studies /ID# 213186
City
Cypress
State/Province
Texas
ZIP/Postal Code
77433
Country
United States
Facility Name
Dermatology Treatment and Research Center, PA /ID# 205473
City
Dallas
State/Province
Texas
ZIP/Postal Code
75230
Country
United States
Facility Name
Epiphany Dermatology - Fort Worth /ID# 210073
City
Fort Worth
State/Province
Texas
ZIP/Postal Code
76244-6548
Country
United States
Facility Name
Styde Research, LLC /ID# 213469
City
Lewisville
State/Province
Texas
ZIP/Postal Code
75067
Country
United States
Facility Name
Austin Institute for Clinical Research /ID# 206640
City
Pflugerville
State/Province
Texas
ZIP/Postal Code
78660
Country
United States
Facility Name
Derm Clin Res Ctr San Antonio /ID# 205469
City
San Antonio
State/Province
Texas
ZIP/Postal Code
78229
Country
United States
Facility Name
EPIC Medical Research /ID# 206382
City
Murray
State/Province
Utah
ZIP/Postal Code
84123-5632
Country
United States
Facility Name
Aspen Clinical Research /ID# 208399
City
Orem
State/Province
Utah
ZIP/Postal Code
84058
Country
United States
Facility Name
Timber Lane Allergy & Asthma Research, LLC /ID# 206897
City
South Burlington
State/Province
Vermont
ZIP/Postal Code
05403-7204
Country
United States
Facility Name
The Education & Research Foundation, Inc. /ID# 206900
City
Lynchburg
State/Province
Virginia
ZIP/Postal Code
24501-1403
Country
United States
Facility Name
Bellingham Asthma Allergy and Immunology Clinic /ID# 210357
City
Bellingham
State/Province
Washington
ZIP/Postal Code
98225-1945
Country
United States
Facility Name
Clinical Investigation Specialist, Inc - Kenosha /ID# 215933
City
Kenosha
State/Province
Wisconsin
ZIP/Postal Code
53144-1782
Country
United States
Facility Name
The Skin Hospital /ID# 217846
City
Westmead
State/Province
New South Wales
ZIP/Postal Code
2145
Country
Australia
Facility Name
The Skin Centre /ID# 205922
City
Benowa
State/Province
Queensland
ZIP/Postal Code
4217
Country
Australia
Facility Name
Box Hill Hospital /ID# 206023
City
Box Hill
State/Province
Victoria
ZIP/Postal Code
3128
Country
Australia
Facility Name
Monash Children's Hospital /ID# 217917
City
Clayton
State/Province
Victoria
ZIP/Postal Code
3168
Country
Australia
Facility Name
Sinclair Dermatology /ID# 217791
City
East Melbourne
State/Province
Victoria
ZIP/Postal Code
3002
Country
Australia
Facility Name
The Royal Melbourne Hospital /ID# 205919
City
Parkville
State/Province
Victoria
ZIP/Postal Code
3050
Country
Australia
Facility Name
Murdoch Children's Research Institute /ID# 205667
City
Parkville
State/Province
Victoria
ZIP/Postal Code
3052
Country
Australia
Facility Name
Universitaetsklinikum St. Poelten /ID# 206909
City
Sankt Poelten
State/Province
Niederoesterreich
ZIP/Postal Code
3100
Country
Austria
Facility Name
Ordensklinikum Linz GmbH Elisabethinen /ID# 206573
City
Linz
State/Province
Oberoesterreich
ZIP/Postal Code
4010
Country
Austria
Facility Name
Klinik Donaustadt /ID# 206572
City
Vienna
State/Province
Wien
ZIP/Postal Code
1220
Country
Austria
Facility Name
Landeskrankenhaus Salzburg-Universitätsklinikum der PMU (LKH) /ID# 208281
City
Salzburg
ZIP/Postal Code
5020
Country
Austria
Facility Name
UCL Saint-Luc /ID# 205537
City
Woluwe-Saint-Lambert
State/Province
Bruxelles-Capitale
ZIP/Postal Code
1200
Country
Belgium
Facility Name
UZ Gent /ID# 205181
City
Gent
State/Province
Oost-Vlaanderen
ZIP/Postal Code
9000
Country
Belgium
Facility Name
Centre Hospitalier Universitaire du Sart Tilman CHU de Liege /ID# 204938
City
Liege
ZIP/Postal Code
4000
Country
Belgium
Facility Name
Medical center Sveti Panteleimon /ID# 210414
City
Sofia
ZIP/Postal Code
1000
Country
Bulgaria
Facility Name
Acibadem City Clinic Tokuda University Hospital EAD /ID# 205292
City
Sofia
ZIP/Postal Code
1407
Country
Bulgaria
Facility Name
Military Medical Academy Multiprofile Hospital /ID# 205291
City
Sofia
ZIP/Postal Code
1606
Country
Bulgaria
Facility Name
Medical complex Doverie /ID# 211289
City
Sofia
ZIP/Postal Code
1632
Country
Bulgaria
Facility Name
Stratica Medical /ID# 205415
City
Edmonton
State/Province
Alberta
ZIP/Postal Code
T5K 1X3
Country
Canada
Facility Name
Alberta DermaSurgery Centre /ID# 205422
City
Edmonton
State/Province
Alberta
ZIP/Postal Code
T6G 1C3
Country
Canada
Facility Name
UBC Department of Dermatology and Skin Science The Skin Care Centre /ID# 207837
City
Vancouver
State/Province
British Columbia
ZIP/Postal Code
V5Z 4E8
Country
Canada
Facility Name
Pacific Derm /ID# 206797
City
Vancouver
State/Province
British Columbia
ZIP/Postal Code
V6H 4E1
Country
Canada
Facility Name
Skin Care Studio /ID# 205420
City
St. John's
State/Province
Newfoundland and Labrador
ZIP/Postal Code
A1E 1V4
Country
Canada
Facility Name
SimcoDerm Medical and Surgical Dermatology Center /ID# 206333
City
Barrie
State/Province
Ontario
ZIP/Postal Code
L4M 7G1
Country
Canada
Facility Name
Kingsway Clinical Research /ID# 206005
City
Etobicoke
State/Province
Ontario
ZIP/Postal Code
M8X 1Y9
Country
Canada
Facility Name
Dr. Dusan Sajic Medicine Professional Corporation /ID# 206890
City
Guelph
State/Province
Ontario
ZIP/Postal Code
N1L 0B7
Country
Canada
Facility Name
The Guenther Dermatology Research Centre /ID# 206772
City
London
State/Province
Ontario
ZIP/Postal Code
N6A 3H7
Country
Canada
Facility Name
DermEdge Research Inc. /ID# 206036
City
Mississauga
State/Province
Ontario
ZIP/Postal Code
L5H 1G9
Country
Canada
Facility Name
Dr. S.K. Siddha Medicine Professional Corporation /ID# 207138
City
Newmarket
State/Province
Ontario
ZIP/Postal Code
L3Y 5G8
Country
Canada
Facility Name
Allergy Research Canada Inc. /ID# 213547
City
Niagara Falls
State/Province
Ontario
ZIP/Postal Code
L2H 1H5
Country
Canada
Facility Name
Dr. Lyne Giroux Medicine Professional Corporation /ID# 206771
City
Sudbury
State/Province
Ontario
ZIP/Postal Code
P3C 1X8
Country
Canada
Facility Name
Niakosari Medicine Professional Corporation /ID# 206004
City
Toronto
State/Province
Ontario
ZIP/Postal Code
M2M 4J5
Country
Canada
Facility Name
Skinsense Medical Research /ID# 206873
City
Saskatoon
State/Province
Saskatchewan
ZIP/Postal Code
S7K 0H6
Country
Canada
Facility Name
DermaPlus - Poliklinika za dermatologiju i venerologiju /ID# 205429
City
Zagreb
State/Province
Grad Zagreb
ZIP/Postal Code
10000
Country
Croatia
Facility Name
Djecja bolnica Srebrnjak /ID# 205926
City
Zagreb
State/Province
Grad Zagreb
ZIP/Postal Code
10000
Country
Croatia
Facility Name
Poliklinika Vlatka Cavka d.o.o. /ID# 211126
City
Zagreb
State/Province
Grad Zagreb
ZIP/Postal Code
10000
Country
Croatia
Facility Name
Naftalan - Specijalna bolnica za medicinsku rehabilitaciju /ID# 203448
City
Ivanic-Grad
State/Province
Zagrebacka Zupanija
ZIP/Postal Code
10310
Country
Croatia
Facility Name
Fakultni nemocnice Plzen /ID# 205096
City
Plzen
ZIP/Postal Code
305 99
Country
Czechia
Facility Name
Sanatorium profesora Arenbergera /ID# 205098
City
Praha
ZIP/Postal Code
110 00
Country
Czechia
Facility Name
Vseobecna fakultni nemocnice v Praze /ID# 205201
City
Praha
ZIP/Postal Code
128 08
Country
Czechia
Facility Name
Fakultni Nemocnice v Motole /ID# 218192
City
Praha
ZIP/Postal Code
150 06
Country
Czechia
Facility Name
Krajska zdravotni, a.s. - Masarykova nemocnice v Usti nad Labem, o. z. /ID# 205097
City
Usti nad Labem
ZIP/Postal Code
400 11
Country
Czechia
Facility Name
Aarhus University Hospital /ID# 205524
City
Aarhus N
State/Province
Midtjylland
ZIP/Postal Code
8200
Country
Denmark
Facility Name
Sjællands Universitetshospital /ID# 205960
City
Roskilde
State/Province
Sjælland
ZIP/Postal Code
4000
Country
Denmark
Facility Name
Hopital Prive d'Antony /ID# 206553
City
Antony
State/Province
Ile-de-France
ZIP/Postal Code
92160
Country
France
Facility Name
Hopital Saint-Andre /ID# 206554
City
Bordeaux
ZIP/Postal Code
33075
Country
France
Facility Name
CHRU de Brest - Hopital Morvan /ID# 206555
City
Brest
ZIP/Postal Code
29200
Country
France
Facility Name
C.H. de Bretagne Sud /ID# 206910
City
Lorient
ZIP/Postal Code
56322
Country
France
Facility Name
AP-HP - Hopital Saint-Louis /ID# 206552
City
Paris
ZIP/Postal Code
75010
Country
France
Facility Name
Universitaetsklinikum Schleswig-Holstein Campus Kiel /ID# 206658
City
Kiel
State/Province
Schleswig-Holstein
ZIP/Postal Code
24105
Country
Germany
Facility Name
Klinikum Darmstadt /ID# 207483
City
Darmstadt
ZIP/Postal Code
64283
Country
Germany
Facility Name
Universitaetsklinikum Carl Gustav Carus an der TU Dresden /ID# 205767
City
Dresden
ZIP/Postal Code
01307
Country
Germany
Facility Name
Universitaetsklinikum Hamburg-Eppendorf (UKE) /ID# 207982
City
Hamburg
ZIP/Postal Code
20246
Country
Germany
Facility Name
Dermatologische Gemeinschaftspraxis Mahlow /ID# 205765
City
Mahlow
ZIP/Postal Code
15831
Country
Germany
Facility Name
Haut- und Laserzentrum Hunsrück /ID# 205768
City
Simmern
ZIP/Postal Code
55469
Country
Germany
Facility Name
Hautarztpraxis Dr. med. Matthias Hoffmann /ID# 205766
City
Witten
ZIP/Postal Code
58453
Country
Germany
Facility Name
CentroDerm GmbH /ID# 206861
City
Wuppertal
ZIP/Postal Code
42287
Country
Germany
Facility Name
251 Airforce General Hospital /ID# 205841
City
Athens
State/Province
Attiki
ZIP/Postal Code
11525
Country
Greece
Facility Name
401 GSNA - 401 Army General Hospital /ID# 205352
City
Athens
State/Province
Attiki
ZIP/Postal Code
11525
Country
Greece
Facility Name
General Hospital Andreas Syggros /ID# 204527
City
Athens
State/Province
Attiki
ZIP/Postal Code
16121
Country
Greece
Facility Name
Papageorgiou General Hospital Thessaloniki /ID# 204526
City
Stavroupoli (Thessalonikis)
State/Province
Thessaloniki
ZIP/Postal Code
55536
Country
Greece
Facility Name
Borsod-Abauj-Zemplen Megyei Kozponti Korhaz es Egyetemi Oktatokorhaz /ID# 218072
City
Miskolc
State/Province
Borsod-Abauj-Zemplen
ZIP/Postal Code
3526
Country
Hungary
Facility Name
Bugat Pal Korhaz /ID# 211247
City
Gyöngyös
State/Province
Heves
ZIP/Postal Code
3200
Country
Hungary
Facility Name
Somogy Megyei Kaposi Mor Oktato Korhaz /ID# 205611
City
Kaposvár
State/Province
Somogy
ZIP/Postal Code
7400
Country
Hungary
Facility Name
Drug Research Center /ID# 217855
City
Balatonfured
State/Province
Veszprem
ZIP/Postal Code
8230
Country
Hungary
Facility Name
Clinexpert Kft /ID# 211246
City
Budapest
ZIP/Postal Code
1033
Country
Hungary
Facility Name
Synexus Magyarorszag Kft. /ID# 206008
City
Budapest
ZIP/Postal Code
1036
Country
Hungary
Facility Name
Pecsi Tudomanyegyetem Klinikai Kozpont /ID# 205085
City
Pecs
ZIP/Postal Code
7624
Country
Hungary
Facility Name
St James Hospital /ID# 204264
City
Dublin 8
State/Province
Dublin
ZIP/Postal Code
D08 NHY1
Country
Ireland
Facility Name
South Infirmary Victoria University Hospital /ID# 204265
City
Cork
ZIP/Postal Code
T12 X23H
Country
Ireland
Facility Name
University Hospital Galway /ID# 209965
City
Galway
ZIP/Postal Code
H91 YR71
Country
Ireland
Facility Name
University Hospital Waterford /ID# 204266
City
Waterford
ZIP/Postal Code
X91 ER8E
Country
Ireland
Facility Name
IRCCS Istituti Fisioterapici Ospitalieri-Istituto Dermatologico San Gallicano /ID# 205986
City
Rome
State/Province
Lazio
ZIP/Postal Code
00144
Country
Italy
Facility Name
Fondazione Policlinico Universitario Agostino Gemelli IRCCS-Università Cattolica /ID# 205987
City
Rome
State/Province
Lazio
ZIP/Postal Code
00168
Country
Italy
Facility Name
ASST Spedali civili di Brescia /ID# 205927
City
Brescia
ZIP/Postal Code
25123
Country
Italy
Facility Name
Azienda Ospedaliero Universitaria di Cagliari- Presidio Ospedaliero /ID# 205168
City
Cagliari
ZIP/Postal Code
09124
Country
Italy
Facility Name
Presidio Ospedaliero San Salvatore /ID# 205167
City
L'Aquila
ZIP/Postal Code
67100
Country
Italy
Facility Name
Azienda Ospedaliero-Universitaria di Modena /ID# 205169
City
Modena
ZIP/Postal Code
41124
Country
Italy
Facility Name
Korea University Ansan Hospital /ID# 206342
City
Ansan
State/Province
Gyeonggido
ZIP/Postal Code
15355
Country
Korea, Republic of
Facility Name
SoonChunHyang University Buchon Hospital /ID# 206391
City
Buncheon
State/Province
Gyeonggido
ZIP/Postal Code
14584
Country
Korea, Republic of
Facility Name
Ajou University Hospital /ID# 206341
City
Suwon
State/Province
Gyeonggido
ZIP/Postal Code
16499
Country
Korea, Republic of
Facility Name
The Catholic University of Korea Incheon St.Mary's Hospital /ID# 206529
City
Incheon
ZIP/Postal Code
21431
Country
Korea, Republic of
Facility Name
Seoul National University Hospital /ID# 206396
City
Seoul
ZIP/Postal Code
03080
Country
Korea, Republic of
Facility Name
Chung-Ang University Hostipal /ID# 206397
City
Seoul
ZIP/Postal Code
06973
Country
Korea, Republic of
Facility Name
Hallym University Kangnam Sacred Heart Hospital /ID# 206343
City
Seoul
ZIP/Postal Code
07441
Country
Korea, Republic of
Facility Name
Bravis Ziekenhuis /ID# 206676
City
Bergen op Zoom
State/Province
Noord-Brabant
ZIP/Postal Code
4624 VT
Country
Netherlands
Facility Name
Centrum Oosterwal /ID# 209640
City
Alkmaar
ZIP/Postal Code
1817 MS
Country
Netherlands
Facility Name
Reinier de Graaf /ID# 205811
City
Delft
ZIP/Postal Code
2625 AD
Country
Netherlands
Facility Name
Universitair Medisch Centrum Groningen /ID# 205162
City
Groningen
ZIP/Postal Code
9713 GZ
Country
Netherlands
Facility Name
Greenlane Clinical Centre /ID# 205664
City
Epsom
State/Province
Auckland
ZIP/Postal Code
1051
Country
New Zealand
Facility Name
CCA Braga - Hospital de Braga /ID# 205854
City
Braga
ZIP/Postal Code
4710-243
Country
Portugal
Facility Name
Centro Hospitalar de Leiria, EPE /ID# 209906
City
Leiria
ZIP/Postal Code
2410-197
Country
Portugal
Facility Name
Centro Hospitalar Universitário de Lisboa Norte, EPE - Hospital de Santa Maria /ID# 205839
City
Lisboa
ZIP/Postal Code
1649-035
Country
Portugal
Facility Name
Hospital CUF Descobertas /ID# 205431
City
Lisboa
ZIP/Postal Code
1998-018
Country
Portugal
Facility Name
CHP, EPE- Hospital Geral de Sa /ID# 205187
City
Porto
ZIP/Postal Code
4050
Country
Portugal
Facility Name
Centro Hospitalar Universitario de Sao Joao, EPE /ID# 205679
City
Porto
ZIP/Postal Code
4200-319
Country
Portugal
Facility Name
National Skin Centre /ID# 205222
City
Singapore
State/Province
Central Singapore
ZIP/Postal Code
308205
Country
Singapore
Facility Name
National University Hospital /ID# 205224
City
Singapore
ZIP/Postal Code
119074
Country
Singapore
Facility Name
Singapore General Hospital /ID# 205225
City
Singapore
ZIP/Postal Code
169608
Country
Singapore
Facility Name
KK Women's & Children Hospital /ID# 206693
City
Singapore
ZIP/Postal Code
229899
Country
Singapore
Facility Name
Changi General Hospital /ID# 205223
City
Singapore
ZIP/Postal Code
529889
Country
Singapore
Facility Name
Hospital Vital Alvarez Buylla /ID# 205770
City
Mieres
State/Province
Asturias
ZIP/Postal Code
33611
Country
Spain
Facility Name
Hospital Sant Joan de Deu /ID# 218047
City
Esplugues de Llobregat
State/Province
Barcelona
ZIP/Postal Code
08950
Country
Spain
Facility Name
Hospital Parc de Salut del Mar /ID# 204709
City
Barcelona
ZIP/Postal Code
08003
Country
Spain
Facility Name
Hospital Clinic de Barcelona /ID# 210564
City
Barcelona
ZIP/Postal Code
08036
Country
Spain
Facility Name
Hospital Universitario Reina Sofia /ID# 204712
City
Cordoba
ZIP/Postal Code
14004
Country
Spain
Facility Name
Hospital Campus de la Salud /ID# 205544
City
Granada
ZIP/Postal Code
18016
Country
Spain
Facility Name
Hospital General Universitario Gregorio Maranon /ID# 204380
City
Madrid
ZIP/Postal Code
28007
Country
Spain
Facility Name
Hospital Infantil Universitario Nino Jesus /ID# 210437
City
Madrid
ZIP/Postal Code
28009
Country
Spain
Facility Name
Hospital Universitario Infanta Leonor /ID# 204710
City
Madrid
ZIP/Postal Code
28031
Country
Spain
Facility Name
Hospital General Universitario de Valencia /ID# 210565
City
Valencia
ZIP/Postal Code
46014
Country
Spain
Facility Name
Taipei Medical University Shuang Ho Hospital /ID# 204804
City
New Taipei City
ZIP/Postal Code
23561
Country
Taiwan
Facility Name
Chung Shan Medical University Hospital /ID# 205092
City
Taichung
ZIP/Postal Code
40201
Country
Taiwan
Facility Name
National Taiwan University Hospital /ID# 204803
City
Taipei City
ZIP/Postal Code
100
Country
Taiwan
Facility Name
Linkou Chang Gung Memorial Ho /ID# 204783
City
Taoyuan City
ZIP/Postal Code
333
Country
Taiwan
Facility Name
University Hospital Southampton NHS Foundation Trust /ID# 205711
City
Southampton
State/Province
Hampshire
ZIP/Postal Code
SO16 6YD
Country
United Kingdom
Facility Name
Northwick Park Hospital /ID# 205250
City
Middlesex
State/Province
Harrow
ZIP/Postal Code
HA1 3UJ
Country
United Kingdom
Facility Name
Barts Health NHS Trust /ID# 206491
City
London
State/Province
London, City Of
ZIP/Postal Code
E1 2ES
Country
United Kingdom
Facility Name
The Newcastle Upon Tyne Hospitals NHS Foundation Trust /ID# 204993
City
Newcastle Upon Tyne
ZIP/Postal Code
NE7 7DN
Country
United Kingdom
Facility Name
University Hospital Plymouth NHS Trust /ID# 204649
City
Plymouth
ZIP/Postal Code
PL6 8DH
Country
United Kingdom
12. IPD Sharing Statement
Plan to Share IPD
Yes
IPD Sharing Plan Description
AbbVie is committed to responsible data sharing regarding the clinical trials we sponsor. This includes access to anonymized, individual and trial-level data (analysis data sets), as well as other information (e.g., protocols and clinical study reports), as long as the trials are not part of an ongoing or planned regulatory submission. This includes requests for clinical trial data for unlicensed products and indications.
IPD Sharing Time Frame
For details on when studies are available for sharing, please refer to the link below.
IPD Sharing Access Criteria
Access to this clinical trial data can be requested by any qualified researchers who engage in rigorous, independent scientific research, and will be provided following review and approval of a research proposal and Statistical Analysis Plan (SAP) and execution of a Data Use Agreement (DUA). For more information on the process, or to submit a request, visit the following link.
IPD Sharing URL
https://vivli.org/ourmember/abbvie/
Citations:
PubMed Identifier
35714786
Citation
Mendes-Bastos P, Ladizinski B, Guttman-Yassky E, Jiang P, Liu J, Prajapati VH, Simpson EL, Vigna N, Teixeira HD, Barbarot S. Characterization of acne associated with upadacitinib treatment in patients with moderate-to-severe atopic dermatitis: A post hoc integrated analysis of 3 phase 3 randomized, double-blind, placebo-controlled trials. J Am Acad Dermatol. 2022 Oct;87(4):784-791. doi: 10.1016/j.jaad.2022.06.012. Epub 2022 Jun 15.
Results Reference
derived
PubMed Identifier
35262646
Citation
Simpson EL, Papp KA, Blauvelt A, Chu CY, Hong HC, Katoh N, Calimlim BM, Thyssen JP, Chiou AS, Bissonnette R, Stein Gold LF, Wegzyn C, Hu X, Liu M, Liu J, Tenorio AR, Chu AD, Guttman-Yassky E. Efficacy and Safety of Upadacitinib in Patients With Moderate to Severe Atopic Dermatitis: Analysis of Follow-up Data From the Measure Up 1 and Measure Up 2 Randomized Clinical Trials. JAMA Dermatol. 2022 Apr 1;158(4):404-413. doi: 10.1001/jamadermatol.2022.0029.
Results Reference
derived
PubMed Identifier
34023008
Citation
Guttman-Yassky E, Teixeira HD, Simpson EL, Papp KA, Pangan AL, Blauvelt A, Thaci D, Chu CY, Hong HC, Katoh N, Paller AS, Calimlim B, Gu Y, Hu X, Liu M, Yang Y, Liu J, Tenorio AR, Chu AD, Irvine AD. Once-daily upadacitinib versus placebo in adolescents and adults with moderate-to-severe atopic dermatitis (Measure Up 1 and Measure Up 2): results from two replicate double-blind, randomised controlled phase 3 trials. Lancet. 2021 Jun 5;397(10290):2151-2168. doi: 10.1016/S0140-6736(21)00588-2. Epub 2021 May 21. Erratum In: Lancet. 2021 Jun 5;397(10290):2150.
Results Reference
derived
Links:
URL
http://rxabbvie.com
Description
This clinical study may be evaluating a usage that is not currently FDA approved. Please see US Prescribing Information for approved uses.
Learn more about this trial
A Study to Evaluate Upadacitinib in Adolescents and Adults With Moderate to Severe Atopic Dermatitis (Measure Up 2)
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