A Study of Long-term Baricitinib (LY3009104) Therapy in Atopic Dermatitis (BREEZE-AD3)
Atopic Dermatitis
About this trial
This is an interventional treatment trial for Atopic Dermatitis focused on measuring eczema, atopic eczema
Eligibility Criteria
Have participated in previous studies (JAHL, JAHM and JAIY) and met specific completion requirements for those studies, and do not meet any of the following Exclusions:
Exclusion Criteria:
- Had investigational product permanently discontinued at any time during a previous Baricitinib study.
- Had temporary investigational product interruption continue at the final study visit of a previous Baricitinib study and, in the opinion of the investigator, this poses an unacceptable risk for the participant's participation in the study
OR
Have not participated in previous studies (JAHL, JAHM and JAIY) and satisfy the following criteria:
Inclusion Criteria:
- Have been diagnosed with moderate to severe Atopic Dermatitis for at least 12 months.
- Have had inadequate response or intolerance to existing topical (applied to the skin) medications within 6 months preceding screening.
- Are willing to discontinue certain treatments for eczema (such as systemic and topical treatments during a washout period).
- Agree to use emollients daily.
Exclusion Criteria:
- Are currently experiencing or have a history of other concomitant skin conditions (e.g., psoriasis or lupus erythematosus), or a history of erythrodermic, refractory, or unstable skin disease that requires frequent hospitalizations and/or intravenous treatment for skin infections.
- A history of eczema herpeticum within 12 months, and/or a history of 2 or more episode of eczema herpeticum in the past.
- Participants who are currently experiencing a skin infection that requires treatment, or is currently being treated, with topical or systemic antibiotics.
- Have any serious illness that is anticipated to require the use of systemic corticosteroids or otherwise interfere with study participation or require active frequent monitoring (e.g., unstable chronic asthma).
Have been treated with the following therapies:
- Monoclonal antibody for less than 5 half-lives prior to randomization.
- Received prior treatment with any oral Janus kinase (JAK) inhibitor.
- Received any parenteral corticosteroids administered by intramuscular or intravenous (IV) injection within 2 weeks prior to study entry or within 6 weeks prior to planned randomization or are anticipated to require parenteral injection of corticosteroids during the study.
- Have had an intra-articular corticosteroid injection within 2 weeks prior to study entry or within 6 weeks prior to planned randomization.
- Have high blood pressure characterized by a repeated systolic blood pressure >160 millimeters of mercury (mm Hg) or diastolic blood pressure >100 mm Hg.
- Have had major surgery within the past eight weeks or are planning major surgery during the study.
- Have experienced any of the following within 12 weeks of screening: venous thromboembolic event (VTE), myocardial infarction (MI), unstable ischemic heart disease, stroke, or New York Heart Association Stage III/IV heart failure.
- Have a history of recurrent (≥ 2) VTE or are considered at high risk of VTE as deemed by the investigator.
- Have a history or presence of cardiovascular, respiratory, hepatic, chronic liver disease gastrointestinal, endocrine, hematological, neurological, lymphoproliferative disease or neuropsychiatric disorders or any other serious and/or unstable illness.
- Have a current or recent clinically serious viral, bacterial, fungal, or parasitic infection including herpes zoster, tuberculosis.
- Have specific laboratory abnormalities.
- Have received certain treatments that are contraindicated.
- Pregnant or breastfeeding.
Sites / Locations
- CEDIC-Centro de Investigaciones Clinicas
- Centro de Investigaciones Metabólicas (CINME)
- Buenos Aires Skin
- Fundacion CIDEA
- Instituto de Neumonología y Dermatología
- Psoriahue Medicina Interdisciplinaria
- Parra Dermatología
- Woden Dermatology
- Skin & Cancer Foundation Australia
- The Skin Centre
- Veracity Clinical Research Pty Ltd
- Clinical Trials SA Pty Ltd
- Skin and Cancer Foundation Inc.
- Fremantle Dermatology
- Ordensklinikum Linz GmbH - Elisabethinen
- Universitätsklinikum Graz
- KA Rudolfstiftung
- AKH
- KH Hietzing mit neurologischem Zentrum Rosenhügel
- Sozialmed. Zentrum Ost - Donauspital
- Clintrial, s.r.o.
- Fakultni nemocnice Kralovske Vinohrady
- Fakultni Nemocnice v Motole
- Nemocnice Na Bulovce
- Fakultni Nemocnice U svate Anny
- Nemocnice Novy Jicin a.s.
- Fakultni Nemocnice Plzen
- Kozni ambulance Kutna Hora, s.r.o.
- Krajska zdravotni a.s. - Masarykova nemocnice v Usti nad Labem, o.z.
- Gentofte Hospital
- Aarhus Universitehospital Marselisborg Centret
- Hopital Saint-Louis
- CHU de Bordeaux Hopital Saint Andre
- CHU Grenoble Alpes
- Chru De Nantes Hotel-Dieu
- CHU de Nice Hopital de L'Archet
- Centre Hospitalier Lyon Sud
- Hopital Larrey
- Universitätsklinikum Freiburg
- Universitätsklinikum Heidelberg
- Klinikum der Universität München
- Gemeinschaftspraxis Mahlow
- Rosenpark Research Geschäftsbereich der Rosenparkklinik GmbH
- Klinikum der Johann Wolfgang Goethe-Universität Frankfurt
- Universitätsmedizin Rostock
- Dermatologisches Zentrum Osnabrück Nord
- Universitätsmedizin Göttingen
- Universitaetsklinikum Essen
- Universitätsklinikum Otto-von-Guericke-Universität
- Praxis Gerlach
- Universitätsklinikum Carl Gustav Carus
- Universität Leipzig - Universitätsklinikum
- Universitätsklinikum Schleswig-Holstein
- Universitätsklinikum Schleswig-Holstein
- Universitätsklinikum Aachen AöR - Klinik für Dermatologie und Allergologie - Hautklinik
- Charité Universitätsmedizin Berlin
- Rothhaar Studien GmbH
- ISA GmbH
- Praxis für Ganzheitliche Dermatologie im Ärztehaus
- TFS Trial Form Support GmbH
- Oroshaza Varosi Onkormanyzat Korhaza
- SZTE AOK Borgyogyaszati es Allergologiai Klinika
- Debreceni Egyetem Klinikai Kozpont Borgyogyaszati Klinika
- Trial Pharma Kft.
- Allergo-Derm Bakos Kft
- Kaposi Mor Oktato Korhaz
- Markusovszky Korhaz
- UNO Medical Trials Kft.
- MedMare Bt
- King George Hospital
- All India Institue of Medical Sciences (AIIMS)
- Sir Ganga Ram Hospital
- Panchshil Hospital
- Byramjee Jeejeebhoy Medical College & Civil Hospital
- Dr. D. Y. Patil Medical College & Hospital
- Seth GS Medical College & KEM Hospital
- Gandhi Hospital
- Haemek Medical Center- Dermatology
- Rambam Medical Center
- Hadassah Medical Center
- Rabin Medical Center
- Sheba Medical Center
- Tel Aviv Sourasky Medical Center
- Policlinico Univ. Agostino Gemelli
- Istituto Clinico Humanitas
- Azienda Ospedaliera Universitaria Ospedale San Martino di Genova
- Azienda Ospedaliera Universitaria Federico II
- Azienda Ospedaliera - Universitaria Pisana
- Policlinico di Tor Vergata
- Ospedale Policlinico Giambattista Rossi, Borgo Roma
- ULSS 8
- Yanagihara dermatology clinic
- Kawashima Dermatology Clinic
- Medical Corporation Soleil Miyata Dermatology Clinic
- Fumimori Clinic
- Kurume University Hospital
- Hiroshima University Hospital
- Shibaki Dermatology Clinic
- Sapporo Skin Clinic
- Tokyo Medical University Ibaraki Medical Center
- Queen's Square Dermatology and Allergology
- Nomura Dermatology Clinic
- Yokohama City Minato Red Cross Hospital
- Noguchi Dermatology
- Kyoto Prefectural University of Medicine
- Osaka Habikino Medical Center
- Yoshioka Dermatology Clinic
- Kume Clinic
- Senri-Chuo Hanafusa Dermatology Clinic
- Sanrui Dermatology Clinic
- Shimane University Hospital
- JA Shizuoka Kohseiren Enshu Hospital
- Jichi Medical University Hospital
- Iidabashi Clinic
- Tokyo Teishin Hospital
- Nihonbashi Sakura Clinic
- Hosono Clinic
- Sumire Dermatology Clinic
- Oizumi Hanawa Clinic
- Naoko Dermatology Clinic
- NTT Medical Center Tokyo
- Yamate Dermatological Clinic
- Tachikawa Dermatology Clinic
- Shirasaki Clinic
- Yamanashi Prefectural Central Hospital
- Gifu University Hospital
- Osaka City University Hospital
- Ajou University Hospital
- Korea University Ansan Hospital
- Dongguk University Ilsan Hospital
- Gachon University Gil Medical Center
- Severance Hospital Yonsei University Health System
- Konkuk University Medical Center
- Seoul St. Mary's Hospital
- Chungang University Hospital
- Hallym University Kangnam Sacred Heart Hospital
- Hospital de Jesus I.A.P.
- Grupo Medico Camino S.C.
- Clinica De Enfermedades Cronicas y Procedimientos Especiales
- CRI Centro Regiomontano de Investigacion S.C.
- Hospital Universitario Dr. Jose Eleuterio Gonzalez
- JM Research S.C.
- RM Pharma Specialists S.A. de C.V.
- Instituto de Investigaciones Aplicadas a la Neurociencia A.C
- DermoDent, Centrum Medyczne Czajkowscy
- Dermed Centrum Medyczne Sp. z o.o.
- Lubelskie Centrum Diagnostyczne
- Barbara Rewerska DIAMOND CLINIC
- Wojskowy Instytut Medyczny CSK MON
- Centrum Medyczne AMED
- Centralny Szpital Kliniczny MSWiA
- Centrum Medyczne Evimed
- NZOZ Specjalistyczna Przychodnia Dermatologiczna Specderm
- Centrum Badan Klinicznych, PI House
- Centrum Medyczne Angelius Provita
- Miejski Szpital Zespolony w Olsztynie Klinika Dermatologii
- LASER CLINIC Specjalistyczne Gabinety Lekarskie
- GBUZ Clinical dermatology and venereological dispensary
- State scientific centre for dermatovenerology and cosmetolog
- Russian state medical-stomatological university n.a. Evdokimov
- LLC ArsVitae NorthWest
- LLC Medical Center "Kurator"
- SPb SBHI Skin-venerologic dispensary #10
- Hospital Germans Trias i Pujol
- Hospital Universitario Rey Juan Carlos
- Clinica Universitaria De Navarra
- Hospital General Universitario Alicante
- Hospital del Mar
- Hospital De Gran Canaria Dr. Negrin
- Hospital Infanta Leonor
- Hospital Universitario Ramon y Cajal
- Hospital Universitario 12 de Octubre
- Hospital Universitario La Paz
- Centro de Especialidades Mollabao
- CHUV Centre Hospitalier Universitaire Vaudois
- Inselspital Bern
- HUG-Hôpitaux Universitaires de Genève
- Universitätsspital Zürich
- Chang Gung Memorial Hospital - Kaohsiung
- Taipei Medical University- Shuang Ho Hospital
- Chung Shan Medical University Hospital
- National Cheng Kung University Hospital
- National Taiwan University Hospital
- Chang Gung Memorial Hospital - Taipei
- Chang Gung Memorial Hospital - Linkou
Arms of the Study
Arm 1
Arm 2
Arm 3
Arm 4
Arm 5
Arm 6
Arm 7
Arm 8
Arm 9
Arm 10
Arm 11
Arm 12
Arm 13
Arm 14
Arm 15
Arm 16
Placebo Comparator
Experimental
Experimental
Experimental
Experimental
Experimental
Experimental
Experimental
Experimental
Experimental
Experimental
Placebo Comparator
Experimental
Experimental
Experimental
Experimental
Responders and Partial Responders (RPR)-Placebo
RPR-Bari 1-milligram (mg)
RPR-Bari 2-mg
RPR-Bari 4-mg
Non-responders (NR): Bari 1 mg to 2 mg
NR: Bari 1 mg to 4 mg
NR: Bari 2 mg to 2 mg
NR: Bari 2 mg to 4 mg
NR: Bari 4 mg to 4 mg
NR: Placebo to Bari 2 mg
NR: Placebo to Bari 4 mg
Placebo
Bari 1 mg
Bari 2 mg
Bari 4 mg
Bari 2-mg Open-Label Addendum
Responders or partial responders (RPR) [Investigator's Global Assessment (IGA) of (0,1, or 2) at entry to study JAHN and never rescued in originating study] participants from previous Baricitinib monotherapy studies-JAHL and JAHM and combination therapy study-JAIY were assigned to remain in this arm to receive placebo orally.
RPR participants from previous Baricitinib monotherapy studies-JAHL and JAHM were assigned to remain in this arm to receive Baricitinib 1 mg orally.
RPR participants from previous Baricitinib monotherapy studies-JAHL and JAHM and combination therapy study-JAIY were assigned to remain in this arm to receive Baricitinib 2 mg orally.
RPR participants from previous Baricitinib monotherapy studies-JAHL and JAHM and combination therapy study-JAIY were assigned to remain in this arm to receive Baricitinib 4 mg orally.
Non-responder (NR) [those not meeting definition of RPR] participants from previous Baricitinib monotherapy studies-JAHL and JAHM who received Baricitinib 1 mg and were re-randomized to this arm to receive Baricitinib 2 mg orally.
NR participants from previous Baricitinib monotherapy studies-JAHL and JAHM who received Baricitinib 1 mg and were re-randomized to this arm to receive Baricitinib 4 mg orally.
NR participants from previous Baricitinib monotherapy studies-JAHL and JAHM and combination therapy study-JAIY who received Baricitinib 2 mg and were re-randomized to this arm to receive Baricitinib 2 mg orally.
NR participants from previous Baricitinib monotherapy studies-JAHL and JAHM and combination therapy study-JAIY who received Baricitinib 2 mg and were re-randomized to this arm to receive Baricitinib 4 mg orally.
NR participants from previous Baricitinib monotherapy studies-JAHL and JAHM and combination therapy study-JAIY who received Baricitinib 4 mg and were re-randomized to this arm to receive Baricitinib 4 mg orally.
NR participants from previous Baricitinib monotherapy studies-JAHL and JAHM and combination therapy study-JAIY who received placebo and were re-randomized to this arm to receive Baricitinib 2 mg orally.
NR participants from previous Baricitinib monotherapy studies-JAHL and JAHM and combination therapy study-JAIY who received placebo and were re-randomized to this arm to receive Baricitinib 4 mg orally.
Participants from previous Baricitinib monotherapy studies (JAHL, JAHM) and combination therapy study (JAIY) were randomized or assigned to this arm to receive placebo orally.
Participants from previous Baricitinib monotherapy studies (JAHL, JAHM) were randomized or assigned to this arm to receive Baricitinib 1 mg orally.
Participants from previous Baricitinib monotherapy studies (JAHL, JAHM) and combination therapy study (JAIY) were randomized or assigned to this arm to receive Baricitinib 2 mg orally.
Participants from previous Baricitinib monotherapy studies (JAHL, JAHM) and combination therapy study (JAIY) were randomized or assigned to this arm to receive Baricitinib 4 mg orally.
Participants were directly enrolled to this open-label arm to receive Baricitinib 2-mg orally.