A Study of Bermekimab (JNJ-77474462) in the Treatment of Participants With Moderate to Severe Atopic Dermatitis (GENESIS)
Dermatitis, Atopic
About this trial
This is an interventional treatment trial for Dermatitis, Atopic
Eligibility Criteria
Inclusion Criteria:
- Be otherwise healthy on the basis of physical examination, medical history, vital signs, and 12-lead electrocardiograms (ECGs) performed at screening. Any abnormalities, must be consistent with the underlying illness in the study population and this determination must be recorded in the participant's source documents and initialed by the investigator
- Have atopic dermatitis (AD) for at least 1 year (365 days) prior to the first administration of study intervention as determined by the investigator through participant interview and/or review of the medical history
- Have a history of inadequate response to treatment for AD with topical medications or for whom topical treatments are otherwise medically inadvisable (example [eg], due to important side effects or safety risks)
- Be considered, in the opinion of the investigator, a suitable candidate for dupilumab (DUPIXENT) therapy according to their country's approved DUPIXENT product labeling
- Have an eczema area and severity index (EASI) score greater than or equal (>=) to 16 at screening and at baseline
- Have an investigator global assessment (IGA) score >=3 and involved body surface area (BSA) >=10 percent (%) at screening and baseline
Exclusion Criteria:
- Has a current diagnosis or signs or symptoms of severe, progressive, or uncontrolled renal, cardiac, vascular, pulmonary, gastrointestinal, endocrine, neurologic, hematologic, rheumatologic, psychiatric, or metabolic disturbances
- Has unstable cardiovascular disease, defined as a recent clinical deterioration (eg, unstable angina, rapid atrial fibrillation) in the last 3 months or a cardiac hospitalization within the last 3 months
- Has or has had a serious infection (eg, sepsis, pneumonia, or pyelonephritis), or has been hospitalized or received intravenous (IV) antibiotics for an infection during the 2 months before screening
- Has or has had herpes zoster within the 2 months before screening
- Has a history of being human immunodeficiency virus (HIV) antibody-positive, or tests positive for HIV at screening
Sites / Locations
- California Allergy & Asthma Medical Group Inc.
- Wolverine Clinical Trials
- Park Avenue Dermatology
- Forcare Clinical Research, Inc.
- Arlington Dermatology
- Dawes Fretzin Clinical Research Group
- Grekin Skin Institute
- Psoriasis Treatment Center of Central New Jersey
- Icahn School of Medicine at Mount Sinai
- Ohio State University
- University of Pittsburgh Medical Center
- Clinical Partners
- Arlington Center for Dermatology
- Austin Institute for Clinical Research
- Progressive Clinical Research
- Center for Clinical Studies
- Virginia Clinical Research
- Premier Clinical Research
- Dermatology Research Institute Inc.
- Lynderm Research Inc.
- DermEdge Research
- Allergy Research Canada Inc.
- Innovaderm Research Inc.
- Centre De Recherche Dermatologique Du Quebec Metropolitan
- Fachklinik Bad Bentheim
- ISA - Interdisciplinary Study Association GmbH
- Goethe Universität Frankfurt
- TFS Trial Form Support GmbH
- MensingDerma research GmbH
- Medizinische Hochschule Hannover
- Praxis Dr. med. Beate Schwarz - Germany
- Hautarztpraxis
- Takagi Clinic
- Kume Clinic
- Sapporo Skin Clinic
- Nzoz Przychodnia Specjalistyczna Medica
- Centrum Terapii Wspolczesnej J. M. Jasnorzewska Spolka Komandytowo-Akcyjna
- DermoDent Centrum Medyczne Aldona Czajkowska Rafał Czajkowski s.c.
- Klinika Ambroziak Estederm Sp. z o.o
- Royalderm Agnieszka Nawrocka
- Centrum Medyczne Matusiak w CITYCLINICPrzychodnia Lekarsko-Psychologiczna Matusiak Spółka Partnerska
- WroMedica I.Bielicka, A.Strzałkowska s.c.
Arms of the Study
Arm 1
Arm 2
Arm 3
Arm 4
Placebo Comparator
Experimental
Experimental
Active Comparator
Group 1: Placebo
Group 2: Bermekimab
Group 3: Bermekimab
Group 4: Dupilumab
Participants will receive subcutaneous (SC) placebo once a week (qw) through Week 15. At Week 16, participants will crossover to receive SC bermekimab Dose 2 qw through Week 31.
Participant will receive SC bermekimab Dose 1 qw from Week 0 through Week 31.
Participants will receive SC bermekimab Dose 2 qw from Week 0 through Week 15. At Week 16, participants who achieve an eczema area and severity index (EASI)-75 response (responders) will be rerandomized either to continue to receive bermekimab Dose 2 qw, or to receive bermekimab Dose 1 qw, through Week 31 and participants who do not achieve an EASI-75 response (non responders) will continue to receive bermekimab Dose 2 qw through Week 31.
Participants will receive a loading dose of SC dupilumab Dose 1 at Week 0, SC placebo every two week (q2w) from Week 1 through Week 15 and then dupilumab Dose 2 q2w from Week 2 through Week 14. At Week 16, participants who achieve EASI-75 response (dupilumab responders) will continue on dupilumab Dose 2 q2w through Week 30 and placebo q2w from Week 17 through Week 31. Participants who do not achieve an EASI-75 response (dupilumab non-responders) will receive placebo qw from Week 16 through Week 18 (washout period) and bermekimab Dose 2 qw from Week 19 through Week 31.