A Study of Lebrikizumab (LY3650150) in Combination With Topical Corticosteroids in Japanese Participants With Moderate-to-Severe Atopic Dermatitis (ADhere-J)
Dermatitis, Atopic, Dermatitis, Eczema
About this trial
This is an interventional treatment trial for Dermatitis, Atopic focused on measuring Corticosteroids
Eligibility Criteria
Inclusion Criteria:
- Have chronic Atopic Dermatitis (AD) that has been present for ≥1 year before the screening.
Have moderate-to-severe AD, including all of the following:
- EASI score ≥16 at the baseline
- IGA score ≥3 (scale of 0 to 4) at the baseline
- AD involvement on ≥10% of Body Surface Area (BSA) at the baseline
Have a documented history provided by a physician and/or investigator of inadequate response to existing topical medications within 6 months preceding screening as defined by at least 1 of the following:
- Inability to achieve good disease control, defined as mild disease or better (for example, IGA ≤2) after use of at least a medium-potency topical corticosteroids (TCS) for at least 4 weeks, or for the maximum duration recommended by the product prescribing information (for example, 14 days for super-potent TCS), whichever is shorter. Topical corticosteroids may be used with or without Topical calcineurin inhibitors (TCI) and/or topical Janus Kinase (JAK) inhibitors.
- Participants who failed systemic therapies intended to treat AD within 6 months preceding screening, such as cyclosporine, methotrexate (MTX), azathioprine, and mycophenolate mofetil (MMF), will also be considered as surrogates for having inadequate response to topical therapy.
- Body weight ≥40 kilogram (kg)
Exclusion Criteria:
- Have a history of anaphylaxis
- Have uncontrolled chronic disease that might require bursts of oral corticosteroids for example, comorbid severe uncontrolled asthma within the past 12 months requiring systemic corticosteroid treatment or hospitalization for >24 hours at baseline.
- Have an active chronic or acute infection requiring treatment with systemic antibiotics, antivirals, antiparasitics, antiprotozoals, or antifungals within 2 weeks before the baseline or superficial skin infections within 1 week before the baseline.
- Evidence of acute or chronic hepatitis or known liver cirrhosis.
- Have a history of pneumocystis pneumonia (PCP) or a positive beta-D-glucan test at screening and a confirmed diagnosis of PCP.
- Have a history of human immunodeficiency virus (HIV) infection or positive HIV serology at screening.
- Have presence of skin comorbidities (for example, sclerosis, psoriasis, or lupus erythematosus) that may interfere with study assessments.
- Have presence of significant uncontrolled neuropsychiatric disorder.
- Have been exposed to a live vaccine within 12 weeks prior to baseline or are expected to need/receive a live vaccine during the study or up to 125 days after the last dose of study drug.
Sites / Locations
- Yanagihara dermatology clinic
- Kawashima Dermatology Clinic
- Charme Clinique
- Yasumoto Dermatology Clinic
- Hino Dermatology Clinic
- Hiroshima University Hospital
- Takagi Dermatology
- Kobayashi Skin Clinic
- Sapporo Skin Clinic
- Dermatology Shimizu Clinic
- Ibaraki Medical Center
- KAJI Dermatology Clinic
- Kosugi Dermatology Clinic
- Queen's Square Dermatology and Allergology
- Nomura Dermatology Clinic
- Noguchi Dermatology
- Jyouzanhihuka・Hinyoukika Clinic
- Osaka Habikino Medical Center
- Mochida Dermatology Clinic
- Kume Clinic
- Yoshikawa Dermatology Clinic
- Sanrui Dermatology Clinic
- Dokkyo Medical University Hospital
- Akihabara Skin Clinic
- Sumire Dermatology Clinic
- Maruyama Dermatology Clinic
- Hamaguchi Skin Clinic
- Mita Dermatology Clinic
- Tanpopo Dermatology Clinic
- Yamate Dermatological Clinic
- Yoshihara Dermatology Clinic
- Tachikawa Dermatology Clinic
- Shirasaki Clinic
- Matsuda Tomoko Dermatological Clinic
- Kyoto Furitsu Medical University Hospital
- Osaka City University Hospital
- Goto Dermatology Clinic
Arms of the Study
Arm 1
Arm 2
Arm 3
Experimental
Experimental
Placebo Comparator
Lebrikizumab 250 mg Every 4 weeks (Q4W)
Lebrikizumab 250 mg Every 2 weeks (Q2W)
Placebo
Participants received 500 mg of Lebrikizumab (2 x 250 mg) subcutaneous (SC) injections as a loading dose at Baseline followed by 250 mg of Lebrikizumab administered SC Q4W from Week 4 until Week 12, in combination with topical corticosteroid. Week 16 responders entered maintenance period and continued with the same treatment. Week 16 non responders entered Escape Arm and received Lebrikizumab 250 mg Q2W until Week 68.
Participants received 500 mg of Lebrikizumab (2 x 250 mg) SC injections as a loading dose at Baseline and Week 2 followed by 250 mg of Lebrikizumab administered SC Q2W from Week 4 until Week 14, in combination with topical corticosteroid. Week 16 responders entered maintenance period and were randomly allocated to receive 250 mg lebrikizumab Q2W or 250 mg lebrikizumab Q4W, in a 1:1 ratio. Week 16 non responders entered Escape Arm and received Lebrikizumab 250 mg Q2W until Week 68.
Participants received two SC injections of Placebo as a loading dose at Baseline in combination with topical corticosteroid and Week 2 followed by a single injection Q2W from Week 4 until Week 14. Week 16 responders entered maintenance period and continued with the same treatment. Week 16 non responders entered Escape Arm and received Lebrikizumab 250 mg Q2W until Week 68.