A Study of Lebrikizumab in Participants With Persistent Moderate to Severe Atopic Dermatitis
Atopic Dermatitis
About this trial
This is an interventional treatment trial for Atopic Dermatitis
Eligibility Criteria
Inclusion Criteria:
- AD diagnosed by the Hanifin/Rajka criteria and that has been present for at least 1 year at screening
- Moderate to severe AD as graded by the Rajka/Langeland criteria at screening
- History of inadequate response to a >/= 1 month (within the 3 months prior to the screening visit) treatment regimen of at least daily TCS and regular emollient for treatment of AD
- EASI score >/= 14 at screening and end of the run-in period
- IGA score >/= 3 (5-point scale) at screening and end of the run-in period
- AD involvement of >/= 10% BSA at screening
- Pruritus VAS score >/= 3 at screening
Exclusion Criteria:
- Past and/or current use of any anti-interleukin (IL)-13 or anti-IL-4/IL-13 therapy, including lebrikizumab
- Use of an investigational agent within 4 weeks prior to screening or within 5 half-lives of the investigational agent, whichever is longer
- History of a severe allergic reaction or anaphylactic reaction to a biologic agent or known hypersensitivity to any component of the lebrikizumab injection
- Use of any complementary, alternative, or homeopathic medicines including, but not limited to, phytotherapies, traditional or non-traditional herbal medications, essential fatty acids, or acupuncture within 7 days prior to the run-in period or need for such medications during the study
- Evidence of other skin conditions; including, but not limited to, T-cell lymphoma or allergic contact dermatitis
- Evidence of, or ongoing treatment (including topical antibiotics) for active skin infection at screening
- Other recent infections meeting protocol criteria
- Active tuberculosis requiring treatment within the 12 months prior to Visit 1
- Evidence of acute or chronic hepatitis or known liver cirrhosis
- Known immunodeficiency, including human immunodeficiency virus (HIV) infection
- Use of a topical calcineurin inhibitor (TCI) at the time of screening, unless the participant is willing to stop TCI use during the study (including the run-in period) and, in the investigator's opinion, it is safe to do so
- Clinically significant abnormality on screening electrocardiogram (ECG) or laboratory tests that, in the opinion of the investigator, may pose an additional risk in administering study drug or TCS to the participant
- Known current malignancy or current evaluation for a potential malignancy, including basal or squamous cell carcinoma of the skin or carcinoma in situ
- History of malignancy within 5 years prior to screening, except for appropriately treated carcinoma in situ of the cervix, non-melanoma skin carcinoma, Stage I uterine cancer
Sites / Locations
- Dermatology Research Associate
- UCSD Division of Dermatology
- Univ of Calif-San Francisco
- University of Colorado; Anschutz Cancer Pavilion
- Ameriderm Research
- Olympian Clinical Research
- Northwestern University Feinberg School Of Medicine
- University of Iowa Healthcare; Dermatology
- Massachusetts General Hospital
- Somerset Skin Centre
- Washington University; Dermatology
- Sadick Research Group
- Oregon Health & Science University; Department of Dermatology
- University of Texas Medical School-Houston
- Dermatology Clinical Research Center of San Antonio
- Virginia Clinical Research Inc.
- St George Dermatology and Skin Cancer Centre
- Skin & Cancer Foundation
- Royal Melbourne Hospital; Dermatology Department
- Fremantle Dermatology
- Institute for Skin Advancement
- Guildford Dermatology Specialists
- Dr. Melinda Gooderham Medicine Professional Corporation
- The Centre for Dermatology
- K. Papp Clinical Research Inc.
- XLR8 Medical Research Inc.
- Innovaderm Research Inc.
- Faculty Hospital; Department of Dermatology
- Charles University School of Medicine; Deptartment of Dermatology
- Masarykova nemocnice o.z; kozni oddeleni
- Helsinki University Central Hospital; Skin & Allergy Hospital
- Tampere University Hospital; Dermatology and allergology
- Turku Central University Hospital; Dermatology and allergology
- Hopital Saint Andre CHU De Bordeaux; Dermatologie
- Hopital du Bocage; Dermatologie
- Hopital Hotel Dieu Et Hme; Clinique Dermatologique
- Hopital l Archet 2; Ginestriere, Service de; Dermatologie
- Centre Hospitalier Lyon Sud; Dermatologie
- Charite Mitte; Klinik fur Dermatologie
- Universitätsklinik Bonn
- Klinik Johann Wolfgang von Goethe Uni; Klinik für Dermatologie, Venerologie und Allergologie
- SRH Wald-Klinikum Gera GmbH; Hautkrankheiten und Allergologie
- UKSH Kiel; Klinik für Dermatologie, Venerologie und Allergologie
- Universitätsklinikum Mainz
- Seoul National University Hospital
- Severance Hospital, Yonsei University Health System
- ChungAng University Hospital
- Academisch Medisch Centrum Universiteit Amsterdam; Dermatology and VU University Medical Center
- University Medical Center Groningen; Department of Dermatology
- UMC Utrecht; Dermatology
- Uniwersyteckie Centeum Kliniczne GUMed; Klinika Dermatologii, Wenerologii i Alergologii
- DERMED Centrum Medyczne; Sp zoo
- Laser Clinic
- ALERGO-MED Specjalistyczna Przychodnia Lekarska Sp. z o. o
- dermMedica sp.z o.o.
- Clinica Universitaria de Navarra; Servicio de Dermatologia
- Hospital de la Santa Creu i Sant Pau; Servicio de Dermatologia
- Hospital Universitario La Princesa, Servicio dermatologia
- HUGregorio Marañón, Servicio de dermatología
- Hospital Ramon y Cajal; servicio dermatologia
- Hospital Universitario La Paz; Servicio de dermatologia
- Hospital General Universitario de Valencia; servicio de dermatología
- Inselspital Bern; Dermatologie
- CHUV; Dermatologie
- Universitätsspital Zürich; Dermatologische Klinik
- Chang Gung Medical Foundation;Kaohsiung Branch; Department of Dermatology
- National Cheng-Kung University Hospital; Department of Dermatology
- National Taiwan University Hospital; Department of Dermatology
- Russells Hall Hospital
- Guys and St Thomas NHS Foundation Trust, Guys Hospital; Skin Therapy Research Unit
- Newcastle University & The Newcastle upon Tyne Hospitals NHS Foundation Trust
- Churchill Hospital
- Poole Hospital
- Salford Royal NHS Foundation Trust
Arms of the Study
Arm 1
Arm 2
Arm 3
Arm 4
Experimental
Experimental
Experimental
Placebo Comparator
Lebrikizumab 250 mg Single Dose + TCS Cream
Lebrikizumab 125 mg Single Dose + TCS Cream
Lebrikizumab 125 mg Q4W + TCS Cream
Placebo Q4W + TCS Cream
Participants will receive lebrikizumab 250 milligrams (mg) SC single dose on Day 1 followed by placebo on Week 4 and Week 8. Participants will continue to apply TCS cream (triamcenolone acetonide 0.1% or hydrocortisone 2.5% cream) twice daily to active skin lesions throughout the 12-week treatment period.
Participants will receive lebrikizumab 125 mg SC single dose on Day 1 followed by placebo on Week 4 and Week 8. Participants will continue to apply TCS cream (triamcenolone acetonide 0.1% or hydrocortisone 2.5% cream) twice daily to active skin lesions throughout the 12-week treatment period.
Participants will receive lebrikizumab 125 mg SC every 4 weeks (Q4W) for a total of 3 doses. Participants will continue to apply TCS cream (triamcenolone acetonide 0.1% or hydrocortisone 2.5% cream) twice daily to active skin lesions throughout the 12-week treatment period.
Participants will receive placebo Q4W for a total of 3 doses. Participants will continue to apply TCS cream (triamcenolone acetonide 0.1% or hydrocortisone 2.5% cream) twice daily to active skin lesions throughout the 12-week treatment period.