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Phase 2 Study of SAR444656 in Adult Participants With Moderate to Severe Atopic Dermatitis (ADVANTA)

Primary Purpose

Atopic Dermatitis

Status
Not yet recruiting
Phase
Phase 2
Locations
Study Type
Interventional
Intervention
SAR444656 (KT-474)
Placebo
Sponsored by
Sanofi
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Atopic Dermatitis

Eligibility Criteria

18 Years - undefined (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria: Participants with atopic dermatitis as defined by the American Academy of Dermatology Consensus Criteria for at least 1 year before the baseline visit. EASI ≥12 at screening and at baseline visit vIGA score ≥3 (on the 0 to 4 IGA scale, in which 3 is moderate and 4 is severe) at screening and baseline visit. AD involvement ≥10% of BSA at screening and baseline visit Baseline PP-NRS ≥4 Participants must have documented history within 6 months prior to baseline visit, of either inadequate response or inadvisability to topical medications Participants must have applied daily topical emollient (moisturizer) for at least the 7 consecutive days immediately before the baseline visit. Participants should continue using daily moisturizers during the study. Participants must be willing and able to complete the electronic diary for the duration of the study as required by the study protocol. Contraceptive use by men and women should be consistent with local regulations regarding the methods of contraception for those participating in clinical studies. Exclusion Criteria: Presence of other skin conditions that may interfere with study assessments such as psoriasis, tinea corporis, lupus erythematosus Any active or chronic infection requiring systemic treatment within 4 weeks prior to baseline Known history of, or suspected, significant current immunosuppression, including history of invasive opportunistic or helminth infections despite infection resolution or otherwise recurrent infections of abnormal frequency or prolonged duration. History of solid organ or stem cell transplant. Participants with history of splenectomy. Participants with history of any malignancy or lymphoproliferative disease, except if the participant has been free from disease for ≥5 years. Successfully treated non-metastatic cutaneous squamous cell carcinoma, basal cell carcinoma, or localized carcinoma in situ of the cervix are allowed. Family history of sudden death or long QT syndrome. History of congenital or drug-induced long QT syndrome. Congestive heart failure (NYHA Class 2-4), greater than Class 1 angina pectoris, acute coronary syndrome within prior 6 months, known structural heart disease. History of any major cardiovascular events (eg, myocardial infarction, unstable angina pectoris, coronary revascularization, stroke, or transient ischemic attack) at any time prior to screening. History of ventricular fibrillation, ventricular tachycardia, Torsades de Pointes, atrial fibrillation, syncope not explained by non-cardiac etiology. Uncontrolled hypertension defined as consistent systolic blood pressure ≥150 mm Hg or consistent diastolic blood pressure ≥90 mm Hg despite antihypertensive medication. Participants had major surgery within 4 weeks prior to the screening or have planned any elective major surgery during the study. Having received any of protocol-specified prohibited therapy (Topical or systemic) within the specified timeframe prior to the baseline visit. The above information is not intended to contain all considerations relevant to a participant's potential participation in a clinical trial.

Sites / Locations

    Arms of the Study

    Arm 1

    Arm 2

    Arm 3

    Arm Type

    Experimental

    Experimental

    Placebo Comparator

    Arm Label

    SAR444656 dose 1

    SAR444656 dose 2

    Placebo

    Arm Description

    Participants will receive SAR444656 dose 1 orally

    Participants will receive SAR444656 dose 2 orally

    Participants will receive placebo orally

    Outcomes

    Primary Outcome Measures

    Percent change from baseline in EASI
    Eczema area severity index is an Investigator-assessed validated tool used to measure the extent (area) and severity of atopic dermatitis (AD). Total score ranges from 0 to 72 with a higher score indicating increased extent and severity of AD.

    Secondary Outcome Measures

    Proportion of participants with validated Investigational Global Assessment (vIGA)-AD of 0 or 1 and a reduction from baseline of ≥2 points
    Proportion of participants achieving EASI-75 (reduction of EASI score by ≥75% from baseline)
    Absolute change from baseline in EASI
    Proportion of participants achieving EASI-50 (reduction of EASI score by ≥50% from baseline)
    Proportion of participants achieving EASI-90 (reduction of EASI score by ≥90% from baseline)
    Change from baseline in percent body surface area (BSA) affected by AD
    Proportion of participants with reduction of weekly average of daily peak pruritus numeric rating scale (PP-NRS) by ≥4 points from baseline
    Percent change from baseline in weekly average of daily PP-NRS
    Absolute change from baseline in weekly average of daily PP-NRS
    Incidence of treatment-emergent adverse events (TEAEs), serious adverse events (SAEs), and adverse events of special interest (AESIs), investigational medicinal product (IMP) discontinuation due to TEAEs
    Plasma SAR444656 concentration

    Full Information

    First Posted
    September 21, 2023
    Last Updated
    September 21, 2023
    Sponsor
    Sanofi
    Collaborators
    Kymera Therapeutics, Inc.
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    1. Study Identification

    Unique Protocol Identification Number
    NCT06058156
    Brief Title
    Phase 2 Study of SAR444656 in Adult Participants With Moderate to Severe Atopic Dermatitis
    Acronym
    ADVANTA
    Official Title
    A Multinational, Multicenter, Double-blind, Placebo-controlled Phase 2 Study to Evaluate Efficacy and Safety of SAR444656 in Adult Participants With Moderate to Severe Atopic Dermatitis
    Study Type
    Interventional

    2. Study Status

    Record Verification Date
    September 2023
    Overall Recruitment Status
    Not yet recruiting
    Study Start Date
    October 27, 2023 (Anticipated)
    Primary Completion Date
    January 17, 2025 (Anticipated)
    Study Completion Date
    February 14, 2025 (Anticipated)

    3. Sponsor/Collaborators

    Responsible Party, by Official Title
    Sponsor
    Name of the Sponsor
    Sanofi
    Collaborators
    Kymera Therapeutics, Inc.

    4. Oversight

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

    5. Study Description

    Brief Summary
    This is a multinational, multicenter, double-blind, placebo-controlled, parallel-group Phase 2, 3-arm study in adult participants with moderate to severe AD who are inadequately controlled with topical therapies or for whom such topical therapies are inadvisable and who are candidates for systemic therapy. Participants will be randomized to receive SAR444656 dose 1, SAR444656 dose 2 or matching placebo. Participants who meet inclusion/exclusion criteria will be stratified for randomization by severity of AD (moderate [baseline EASI score <22] versus severe [baseline EASI score ≥22]). The total duration of study is approximately 24 weeks, including 1 to 4 weeks for screening, 16 weeks for double-blind study treatment and 4 weeks for follow-up.

    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
    Treatment
    Study Phase
    Phase 2
    Interventional Study Model
    Parallel Assignment
    Masking
    ParticipantCare ProviderInvestigatorOutcomes Assessor
    Allocation
    Randomized
    Enrollment
    115 (Anticipated)

    8. Arms, Groups, and Interventions

    Arm Title
    SAR444656 dose 1
    Arm Type
    Experimental
    Arm Description
    Participants will receive SAR444656 dose 1 orally
    Arm Title
    SAR444656 dose 2
    Arm Type
    Experimental
    Arm Description
    Participants will receive SAR444656 dose 2 orally
    Arm Title
    Placebo
    Arm Type
    Placebo Comparator
    Arm Description
    Participants will receive placebo orally
    Intervention Type
    Drug
    Intervention Name(s)
    SAR444656 (KT-474)
    Intervention Description
    Oral Tablet
    Intervention Type
    Drug
    Intervention Name(s)
    Placebo
    Intervention Description
    Oral Tablet
    Primary Outcome Measure Information:
    Title
    Percent change from baseline in EASI
    Description
    Eczema area severity index is an Investigator-assessed validated tool used to measure the extent (area) and severity of atopic dermatitis (AD). Total score ranges from 0 to 72 with a higher score indicating increased extent and severity of AD.
    Time Frame
    Week 16
    Secondary Outcome Measure Information:
    Title
    Proportion of participants with validated Investigational Global Assessment (vIGA)-AD of 0 or 1 and a reduction from baseline of ≥2 points
    Time Frame
    Week 16
    Title
    Proportion of participants achieving EASI-75 (reduction of EASI score by ≥75% from baseline)
    Time Frame
    Week 16
    Title
    Absolute change from baseline in EASI
    Time Frame
    Week 16
    Title
    Proportion of participants achieving EASI-50 (reduction of EASI score by ≥50% from baseline)
    Time Frame
    Week 16
    Title
    Proportion of participants achieving EASI-90 (reduction of EASI score by ≥90% from baseline)
    Time Frame
    Week 16
    Title
    Change from baseline in percent body surface area (BSA) affected by AD
    Time Frame
    Week 16
    Title
    Proportion of participants with reduction of weekly average of daily peak pruritus numeric rating scale (PP-NRS) by ≥4 points from baseline
    Time Frame
    Week 16
    Title
    Percent change from baseline in weekly average of daily PP-NRS
    Time Frame
    Week 16
    Title
    Absolute change from baseline in weekly average of daily PP-NRS
    Time Frame
    Week 16
    Title
    Incidence of treatment-emergent adverse events (TEAEs), serious adverse events (SAEs), and adverse events of special interest (AESIs), investigational medicinal product (IMP) discontinuation due to TEAEs
    Time Frame
    Up to Week 20
    Title
    Plasma SAR444656 concentration
    Time Frame
    Week 0, Week 1, Week 2, Week 4, and Week 16

    10. Eligibility

    Sex
    All
    Minimum Age & Unit of Time
    18 Years
    Accepts Healthy Volunteers
    No
    Eligibility Criteria
    Inclusion Criteria: Participants with atopic dermatitis as defined by the American Academy of Dermatology Consensus Criteria for at least 1 year before the baseline visit. EASI ≥12 at screening and at baseline visit vIGA score ≥3 (on the 0 to 4 IGA scale, in which 3 is moderate and 4 is severe) at screening and baseline visit. AD involvement ≥10% of BSA at screening and baseline visit Baseline PP-NRS ≥4 Participants must have documented history within 6 months prior to baseline visit, of either inadequate response or inadvisability to topical medications Participants must have applied daily topical emollient (moisturizer) for at least the 7 consecutive days immediately before the baseline visit. Participants should continue using daily moisturizers during the study. Participants must be willing and able to complete the electronic diary for the duration of the study as required by the study protocol. Contraceptive use by men and women should be consistent with local regulations regarding the methods of contraception for those participating in clinical studies. Exclusion Criteria: Presence of other skin conditions that may interfere with study assessments such as psoriasis, tinea corporis, lupus erythematosus Any active or chronic infection requiring systemic treatment within 4 weeks prior to baseline Known history of, or suspected, significant current immunosuppression, including history of invasive opportunistic or helminth infections despite infection resolution or otherwise recurrent infections of abnormal frequency or prolonged duration. History of solid organ or stem cell transplant. Participants with history of splenectomy. Participants with history of any malignancy or lymphoproliferative disease, except if the participant has been free from disease for ≥5 years. Successfully treated non-metastatic cutaneous squamous cell carcinoma, basal cell carcinoma, or localized carcinoma in situ of the cervix are allowed. Family history of sudden death or long QT syndrome. History of congenital or drug-induced long QT syndrome. Congestive heart failure (NYHA Class 2-4), greater than Class 1 angina pectoris, acute coronary syndrome within prior 6 months, known structural heart disease. History of any major cardiovascular events (eg, myocardial infarction, unstable angina pectoris, coronary revascularization, stroke, or transient ischemic attack) at any time prior to screening. History of ventricular fibrillation, ventricular tachycardia, Torsades de Pointes, atrial fibrillation, syncope not explained by non-cardiac etiology. Uncontrolled hypertension defined as consistent systolic blood pressure ≥150 mm Hg or consistent diastolic blood pressure ≥90 mm Hg despite antihypertensive medication. Participants had major surgery within 4 weeks prior to the screening or have planned any elective major surgery during the study. Having received any of protocol-specified prohibited therapy (Topical or systemic) within the specified timeframe prior to the baseline visit. The above information is not intended to contain all considerations relevant to a participant's potential participation in a clinical trial.
    Central Contact Person:
    First Name & Middle Initial & Last Name or Official Title & Degree
    Trial Transparency email recommended (Toll free number for US & Canada)
    Phone
    800-633-1610
    Ext
    option 6
    Email
    Contact-US@sanofi.com

    12. IPD Sharing Statement

    Plan to Share IPD
    Yes
    IPD Sharing Plan Description
    Qualified researchers may request access to patient level data and related study documents including the clinical study report, study protocol with any amendments, blank case report form, statistical analysis plan, and dataset specifications. Patient level data will be anonymized and study documents will be redacted to protect the privacy of trial participants. Further details on Sanofi's data sharing criteria, eligible studies, and process for requesting access can be found at: https://vivli.org

    Learn more about this trial

    Phase 2 Study of SAR444656 in Adult Participants With Moderate to Severe Atopic Dermatitis

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