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A Study of AK120 (IL-4Rα) in Healthy Subjects and Subjects With Moderate- to- Severe Atopic Dermatitis

Primary Purpose

Atopic Dermatitis

Status
Completed
Phase
Phase 1
Locations
International
Study Type
Interventional
Intervention
AK120 or placebo- Part 1- Cohort 1
AK120 or placebo- Part 1- Cohort 2
AK120 or placebo- Part 1- Cohort 3
AK120 or placebo- Part 1- Cohort 4
AK120 or placebo- Part 1- Cohort 5
AK120 or placebo- Part 2- Cohort 1
AK120 or placebo- Part 2- Cohort 2
AK120 or placebo- Part 2- Cohort 3
AK120 or placebo- Part 2- Cohort 4
Sponsored by
Akesobio Australia Pty Ltd
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional other trial for Atopic Dermatitis

Eligibility Criteria

18 Years - 65 Years (Adult, Older Adult)All SexesAccepts Healthy Volunteers

Major Inclusion Criteria:

Subjects must meet all the following inclusion criteria (as applicable) to be eligible for participation in this study:

Part 1:

  1. Willing and able to understand and sign an Informed Consent Form (ICF).
  2. Women or men between 18 and 55 years of age, inclusive, at screening.
  3. Must have a calculated body mass index within 18.0 to 30.0 kg/m2 (inclusive) at screening, and a total body weight ≥50 kg for men or ≥45 kg for women at screening and Day -1 before randomization.
  4. Women of childbearing potential who are sexually active must use one of the permitted methods of contraception from screening until at least 180 days after dosing of study medication.
  5. Non-sterilized male subjects who are sexually active with a female partner of childbearing potential must use an effective method of contraception from Day 1 through 180 days after dosing of study medication.
  6. Must, in the opinion of the Investigator, be in good general health based upon medical history, physical examination (including vital signs), and 12-lead ECG; and clinical laboratory tests

Part 2:

  1. Male or female, aged 18 to 65 years (inclusive) at time of Screening.
  2. Chronic atopic dermatitis (AD) diagnosed by the revised Hanifin and Rajka criteria that has been present for at least 1 year before the Screening visit.
  3. EASI score ≥12 at the screening and baseline visits.
  4. IGA score ≥3 at the screening and baseline visits.
  5. BSA of AD involvement ≥10% at the screening and baseline visits.
  6. History of an inadequate response or medically inappropriate use of topical drug treatment, in the judgment of the Investigator, to AD treatment with a topical regimen of corticosteroids, phosphodiesterase inhibitors or calcineurin inhibitors or with phototherapy within 6 months of the Screening visit.
  7. Subjects must be applying stable doses of an additive-free, basic bland emollient twice daily for at least 7 days before the baseline visit.

Major Exclusion Criteria:

Subjects who meet any of the following exclusion criteria will not be enrolled in this study:

Part 1:

  1. Clinically significant clinical safety laboratory result, or blood pressure or electrocardiogram (ECG) abnormalities.
  2. Current acute infection or history of acute infection within 7 days prior to receipt of the study drug.
  3. Have a recent history of conjunctivitis or keratitis within 6 months prior to screening.
  4. History or complications of tuberculosis, or evidence of latent tuberculosis by QuantiFERON®-TB Gold screening.
  5. Are positive for hepatitis B surface antigen, hepatitis C antibodies, or human immunodeficiency virus (HIV) at screening.

Part 2:

  1. The washout period for prior drug therapy (eg. corticosteroids, immunosuppressive/immunomodulating, biologics, phototherapy, Chinese medicine,anti-infective agents) is inadequate.
  2. Any medical or psychiatric condition, laboratory or ECG parameter which, in the opinion of the Investigator or the Sponsor's medical monitor, would place the subject at risk, interfere with participation in the study, or interfere with the interpretation of study results.
  3. History of exposure to active TB, and/or history or current evidence of TB infection; and/or Chest X-ray showed old TB lesions at Screening or within 3 months before the Screening visit ..
  4. Positive results at Screening for hepatitis B surface antigen (HBsAg), hepatitis B core antibody (HBcAb) or hepatitis C antibody with positive hepatitis C virus (HCV) RNA polymerase chain reaction; positive HIV serology at screening.
  5. Any history of vernal keratoconjunctivitis (VKC) and atopic keratoconjunctivitis (AKC) within 6 months before the baseline visit.
  6. History of clinical parasite infection, recent or planned travel to an area with endemic parasite infection within 6 months before the Screening visit

Sites / Locations

  • Emeritus Sydney
  • Emeritus Melbourne
  • CMAX Clinical Research
  • Sinclair Dermatology
  • Peninsula Specialist Centre
  • Scientia Clinical Research Ltd
  • Southern Clinical Trials - Waitemata
  • Optimal Clinical Trials
  • Christchurch Clinical Studies Trust
  • Southern Clinical Trials - Christchurch
  • P3 Research Hawkes Bay
  • P3 Research Tauranga
  • P3 Research Wellington

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm 5

Arm 6

Arm 7

Arm 8

Arm 9

Arm Type

Experimental

Experimental

Experimental

Experimental

Experimental

Experimental

Experimental

Experimental

Experimental

Arm Label

Part 1:15mg cohort

Part 1: 50mg cohort

Part 1: 150mg cohort

Part 1: 300 mg cohort

Part 1: 600 mg cohort

Part 2: low dose cohort

Part 2: medium dose cohort

Part 2: high dose cohort

Part 2: Loading dose cohort

Arm Description

Single dose of 15mg AK120 or placebo is administered subcutaneously to healthy subjects.

Single dose of 50mg AK120 or placebo is administered subcutaneously to healthy subjects.

Single dose of 150mg AK120 or placebo is administered subcutaneously to healthy subjects.

Single dose of 300mg AK120 or placebo is administered subcutaneously to healthy subjects.

Single dose of 600mg AK120 or placebo is administered subcutaneously to healthy subjects.

Multiple low doses of AK120 or placebo are administered subcutaneously to subjects with moderate- to- severe atopic dermatitis.

Multiple medium doses of AK120 or placebo are administered subcutaneously to subjects with moderate- to- severe atopic dermatitis.

Multiple high doses of AK120 or placebo are administered subcutaneously to subjects with moderate- to- severe atopic dermatitis.

A loading dose followed by multiple high doses of AK120 or placebo are administered subcutaneously to subjects with moderate- to- severe atopic dermatitis.

Outcomes

Primary Outcome Measures

Adverse events(AEs)/serious adverse events(SAEs)
Incidence of treatment emergent adverse events(AEs)/serious adverse events(SAEs)

Secondary Outcome Measures

Thymus and activation regulated chemokine (TARC)/Chemokine Ligand 17(CCL17)
Change from baseline in serum levels of thymus activation and regulated chemokine (TARC)/Chemokine Ligand 17 (CCL17) in serum
Maximum observed serum concentration (Cmax)
Maximum observed serum concentration (Cmax) of AK120
Area under the concentration-time curve (AUC)
Area under the concentration-time curve (AUC) of serum concentration of AK120
Anti-drug antibodies(ADAs)
Number and percentage of subjects who develop detectable anti-drug antibodies(ADAs)
Investigator global assessment (IGA) (part 2)
The proportion of subjects with Investigator global assessment (IGA) 0 to 1 and subjects with IGA reduction from baseline of ≥ 2-point. IGA is an assessment scale used to determine severity of AD and clinical response to treatment on a static 6-point scale (0 = clear; 1 = almost clear; 2 = mild; 3 = moderate; 4 = severe;5 = very severe) based on erythema and papulation/infiltration.
Pruritus-Numeric Rating Scale (P-NRS) (part 2)
The proportion of subjects with Pruritus-Numeric Rating Scale (P-NRS) improvement (reduction) from baseline of ≥ 3-point. Pruritus NRS is an assessment tool that is used to report the intensity of participant's pruritus (itch), both maximum and average intensity, during a 24-hour recall period. Participants were asked the following question: how would a participant rate his itch at the worst moment during the previous 24 hours (for maximum itch intensity on a scale of 0 - 10 [0 = no itch; 10 = worst itch imaginable])
Change from baseline in Eczema Area and Severity Index (EASI) score(part 2)
The EASI score was used to measure the severity and extent of atopic dermatitis (AD). The total EASI score range from 0 (minimum) to 72 (maximum) points, with the higher scores reflecting the worse severity of AD.
Change from baseline in body surface area (BSA) of AD involvement. (part 2)
Body surface area determined by palm method where 1 palm is equivalent to 1%. Total body surface area ranges from 1% to 100%, with the higher body surface area reflecting the worse severity of AD.

Full Information

First Posted
February 3, 2020
Last Updated
August 15, 2022
Sponsor
Akesobio Australia Pty Ltd
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1. Study Identification

Unique Protocol Identification Number
NCT04256174
Brief Title
A Study of AK120 (IL-4Rα) in Healthy Subjects and Subjects With Moderate- to- Severe Atopic Dermatitis
Official Title
A Phase 1, Randomized, Two-Part, Double-Blind, Placebo-Controlled, Dose-Escalation, Study Evaluating the Safety, Tolerability, Pharmacokinetics, Pharmacodynamics and Immunogenicity of AK120 in Healthy Subjects and Subjects With Moderate- to- Severe Atopic Dermatitis
Study Type
Interventional

2. Study Status

Record Verification Date
August 2022
Overall Recruitment Status
Completed
Study Start Date
June 15, 2020 (Actual)
Primary Completion Date
October 29, 2021 (Actual)
Study Completion Date
October 29, 2021 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Akesobio Australia Pty Ltd

4. Oversight

Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
No

5. Study Description

Brief Summary
A dose escalation, first-in-human study evaluating the safety, tolerability, pharmacokinetics, pharmacodynamics and immunogenicity of AK120 in healthy subjects and subjects with moderate- to- severe atopic dermatitis
Detailed Description
This is a phase 1, randomized, two-part, double-blind, placebo-controlled, dose-escalation, first-in-human study evaluating the safety, tolerability, pharmacokinetics, pharmacodynamics and immunogenicity of AK120 in healthy subjects (part 1, single ascending dose) and subjects with moderate- to- severe atopic dermatitis(part 2, multiple ascending dose)

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Atopic Dermatitis

7. Study Design

Primary Purpose
Other
Study Phase
Phase 1
Interventional Study Model
Sequential Assignment
Masking
ParticipantCare ProviderInvestigator
Masking Description
Double-Blind
Allocation
Randomized
Enrollment
80 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Part 1:15mg cohort
Arm Type
Experimental
Arm Description
Single dose of 15mg AK120 or placebo is administered subcutaneously to healthy subjects.
Arm Title
Part 1: 50mg cohort
Arm Type
Experimental
Arm Description
Single dose of 50mg AK120 or placebo is administered subcutaneously to healthy subjects.
Arm Title
Part 1: 150mg cohort
Arm Type
Experimental
Arm Description
Single dose of 150mg AK120 or placebo is administered subcutaneously to healthy subjects.
Arm Title
Part 1: 300 mg cohort
Arm Type
Experimental
Arm Description
Single dose of 300mg AK120 or placebo is administered subcutaneously to healthy subjects.
Arm Title
Part 1: 600 mg cohort
Arm Type
Experimental
Arm Description
Single dose of 600mg AK120 or placebo is administered subcutaneously to healthy subjects.
Arm Title
Part 2: low dose cohort
Arm Type
Experimental
Arm Description
Multiple low doses of AK120 or placebo are administered subcutaneously to subjects with moderate- to- severe atopic dermatitis.
Arm Title
Part 2: medium dose cohort
Arm Type
Experimental
Arm Description
Multiple medium doses of AK120 or placebo are administered subcutaneously to subjects with moderate- to- severe atopic dermatitis.
Arm Title
Part 2: high dose cohort
Arm Type
Experimental
Arm Description
Multiple high doses of AK120 or placebo are administered subcutaneously to subjects with moderate- to- severe atopic dermatitis.
Arm Title
Part 2: Loading dose cohort
Arm Type
Experimental
Arm Description
A loading dose followed by multiple high doses of AK120 or placebo are administered subcutaneously to subjects with moderate- to- severe atopic dermatitis.
Intervention Type
Drug
Intervention Name(s)
AK120 or placebo- Part 1- Cohort 1
Intervention Description
Single dose of 15mg AK120 or placebo is administered subcutaneously to healthy subjects
Intervention Type
Drug
Intervention Name(s)
AK120 or placebo- Part 1- Cohort 2
Intervention Description
Single dose of 50mg AK120 or placebo is administered subcutaneously to healthy subjects
Intervention Type
Drug
Intervention Name(s)
AK120 or placebo- Part 1- Cohort 3
Intervention Description
Single dose of 150mg AK120 or placebo is administered subcutaneously to healthy subjects
Intervention Type
Drug
Intervention Name(s)
AK120 or placebo- Part 1- Cohort 4
Intervention Description
Single dose of 300mg AK120 or placebo is administered subcutaneously to healthy subjects
Intervention Type
Drug
Intervention Name(s)
AK120 or placebo- Part 1- Cohort 5
Intervention Description
Single dose of 600mg AK120 or placebo is administered subcutaneously to healthy subjects
Intervention Type
Drug
Intervention Name(s)
AK120 or placebo- Part 2- Cohort 1
Intervention Description
Multiple low doses of AK120 or placebo are administered subcutaneously as a weekly dose for a total of four doses to subjects with moderate-to-severe atopic dermatitis
Intervention Type
Drug
Intervention Name(s)
AK120 or placebo- Part 2- Cohort 2
Intervention Description
Multiple medium doses of AK120 or placebo are administered subcutaneously as a weekly dose for a total of four doses to subjects with moderate-to-severe atopic dermatitis
Intervention Type
Drug
Intervention Name(s)
AK120 or placebo- Part 2- Cohort 3
Intervention Description
Multiple high doses of AK120 or placebo are administered subcutaneously as a weekly dose for a total of four doses to subjects with moderate-to-severe atopic dermatitis
Intervention Type
Drug
Intervention Name(s)
AK120 or placebo- Part 2- Cohort 4
Intervention Description
Multiple high doses of AK120 or placebo are administered subcutaneously as a bi-weekly dose for a total of three doses to subjects with moderate-to-severe atopic dermatitis.
Primary Outcome Measure Information:
Title
Adverse events(AEs)/serious adverse events(SAEs)
Description
Incidence of treatment emergent adverse events(AEs)/serious adverse events(SAEs)
Time Frame
From signing of informed consent through through 12 weeks post-dose
Secondary Outcome Measure Information:
Title
Thymus and activation regulated chemokine (TARC)/Chemokine Ligand 17(CCL17)
Description
Change from baseline in serum levels of thymus activation and regulated chemokine (TARC)/Chemokine Ligand 17 (CCL17) in serum
Time Frame
From baseline through 12 weeks post-dose
Title
Maximum observed serum concentration (Cmax)
Description
Maximum observed serum concentration (Cmax) of AK120
Time Frame
From baseline through 12 weeks post-dose
Title
Area under the concentration-time curve (AUC)
Description
Area under the concentration-time curve (AUC) of serum concentration of AK120
Time Frame
From baseline through 12 weeks postdose
Title
Anti-drug antibodies(ADAs)
Description
Number and percentage of subjects who develop detectable anti-drug antibodies(ADAs)
Time Frame
From baseline through 12 weeks postdose
Title
Investigator global assessment (IGA) (part 2)
Description
The proportion of subjects with Investigator global assessment (IGA) 0 to 1 and subjects with IGA reduction from baseline of ≥ 2-point. IGA is an assessment scale used to determine severity of AD and clinical response to treatment on a static 6-point scale (0 = clear; 1 = almost clear; 2 = mild; 3 = moderate; 4 = severe;5 = very severe) based on erythema and papulation/infiltration.
Time Frame
From baseline through 12 weeks postdose
Title
Pruritus-Numeric Rating Scale (P-NRS) (part 2)
Description
The proportion of subjects with Pruritus-Numeric Rating Scale (P-NRS) improvement (reduction) from baseline of ≥ 3-point. Pruritus NRS is an assessment tool that is used to report the intensity of participant's pruritus (itch), both maximum and average intensity, during a 24-hour recall period. Participants were asked the following question: how would a participant rate his itch at the worst moment during the previous 24 hours (for maximum itch intensity on a scale of 0 - 10 [0 = no itch; 10 = worst itch imaginable])
Time Frame
From baseline through 12 weeks postdose
Title
Change from baseline in Eczema Area and Severity Index (EASI) score(part 2)
Description
The EASI score was used to measure the severity and extent of atopic dermatitis (AD). The total EASI score range from 0 (minimum) to 72 (maximum) points, with the higher scores reflecting the worse severity of AD.
Time Frame
From baseline through 12 weeks postdose
Title
Change from baseline in body surface area (BSA) of AD involvement. (part 2)
Description
Body surface area determined by palm method where 1 palm is equivalent to 1%. Total body surface area ranges from 1% to 100%, with the higher body surface area reflecting the worse severity of AD.
Time Frame
From baseline through 12 weeks postdose

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
65 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Major Inclusion Criteria: Subjects must meet all the following inclusion criteria (as applicable) to be eligible for participation in this study: Part 1: Willing and able to understand and sign an Informed Consent Form (ICF). Women or men between 18 and 55 years of age, inclusive, at screening. Must have a calculated body mass index within 18.0 to 30.0 kg/m2 (inclusive) at screening, and a total body weight ≥50 kg for men or ≥45 kg for women at screening and Day -1 before randomization. Women of childbearing potential who are sexually active must use one of the permitted methods of contraception from screening until at least 180 days after dosing of study medication. Non-sterilized male subjects who are sexually active with a female partner of childbearing potential must use an effective method of contraception from Day 1 through 180 days after dosing of study medication. Must, in the opinion of the Investigator, be in good general health based upon medical history, physical examination (including vital signs), and 12-lead ECG; and clinical laboratory tests Part 2: Male or female, aged 18 to 65 years (inclusive) at time of Screening. Chronic atopic dermatitis (AD) diagnosed by the revised Hanifin and Rajka criteria that has been present for at least 1 year before the Screening visit. EASI score ≥12 at the screening and baseline visits. IGA score ≥3 at the screening and baseline visits. BSA of AD involvement ≥10% at the screening and baseline visits. History of an inadequate response or medically inappropriate use of topical drug treatment, in the judgment of the Investigator, to AD treatment with a topical regimen of corticosteroids, phosphodiesterase inhibitors or calcineurin inhibitors or with phototherapy within 6 months of the Screening visit. Subjects must be applying stable doses of an additive-free, basic bland emollient twice daily for at least 7 days before the baseline visit. Major Exclusion Criteria: Subjects who meet any of the following exclusion criteria will not be enrolled in this study: Part 1: Clinically significant clinical safety laboratory result, or blood pressure or electrocardiogram (ECG) abnormalities. Current acute infection or history of acute infection within 7 days prior to receipt of the study drug. Have a recent history of conjunctivitis or keratitis within 6 months prior to screening. History or complications of tuberculosis, or evidence of latent tuberculosis by QuantiFERON®-TB Gold screening. Are positive for hepatitis B surface antigen, hepatitis C antibodies, or human immunodeficiency virus (HIV) at screening. Part 2: The washout period for prior drug therapy (eg. corticosteroids, immunosuppressive/immunomodulating, biologics, phototherapy, Chinese medicine,anti-infective agents) is inadequate. Any medical or psychiatric condition, laboratory or ECG parameter which, in the opinion of the Investigator or the Sponsor's medical monitor, would place the subject at risk, interfere with participation in the study, or interfere with the interpretation of study results. History of exposure to active TB, and/or history or current evidence of TB infection; and/or Chest X-ray showed old TB lesions at Screening or within 3 months before the Screening visit .. Positive results at Screening for hepatitis B surface antigen (HBsAg), hepatitis B core antibody (HBcAb) or hepatitis C antibody with positive hepatitis C virus (HCV) RNA polymerase chain reaction; positive HIV serology at screening. Any history of vernal keratoconjunctivitis (VKC) and atopic keratoconjunctivitis (AKC) within 6 months before the baseline visit. History of clinical parasite infection, recent or planned travel to an area with endemic parasite infection within 6 months before the Screening visit
Facility Information:
Facility Name
Emeritus Sydney
City
Botany
State/Province
New South Wales
ZIP/Postal Code
2019
Country
Australia
Facility Name
Emeritus Melbourne
City
Camberwell
State/Province
Victoria
ZIP/Postal Code
3145
Country
Australia
Facility Name
CMAX Clinical Research
City
Adelaide
Country
Australia
Facility Name
Sinclair Dermatology
City
East Melbourne
Country
Australia
Facility Name
Peninsula Specialist Centre
City
Kippa-Ring
Country
Australia
Facility Name
Scientia Clinical Research Ltd
City
Randwick
ZIP/Postal Code
2031
Country
Australia
Facility Name
Southern Clinical Trials - Waitemata
City
Birkenhead
State/Province
Auckland
ZIP/Postal Code
0626
Country
New Zealand
Facility Name
Optimal Clinical Trials
City
Auckland
Country
New Zealand
Facility Name
Christchurch Clinical Studies Trust
City
Christchurch
ZIP/Postal Code
8011
Country
New Zealand
Facility Name
Southern Clinical Trials - Christchurch
City
Christchurch
ZIP/Postal Code
8013
Country
New Zealand
Facility Name
P3 Research Hawkes Bay
City
Havelock North
ZIP/Postal Code
4130
Country
New Zealand
Facility Name
P3 Research Tauranga
City
Tauranga
ZIP/Postal Code
3110
Country
New Zealand
Facility Name
P3 Research Wellington
City
Wellington
ZIP/Postal Code
6021
Country
New Zealand

12. IPD Sharing Statement

Plan to Share IPD
No

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A Study of AK120 (IL-4Rα) in Healthy Subjects and Subjects With Moderate- to- Severe Atopic Dermatitis

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