A Study to Assess Treat-to-Target and Dosing Flexibility of Oral Upadacitinib Tablets in Adult Participants With Moderate to Severe Atopic Dermatitis (Flex-Up)
Atopic Dermatitis
About this trial
This is an interventional treatment trial for Atopic Dermatitis focused on measuring Atopic Dermatitis (AD), Upadacitinib, RINVOQ
Eligibility Criteria
Inclusion Criteria:
- Chronic AD with onset of symptoms at least 3 years prior to Baseline and participant meets Hanifin and Rajka criteria.
- EASI score >= 16, vIGA-AD score >= 3 and >= 10% Body Surface Area (BSA) of AD involvement at the Baseline Visit.
- Baseline weekly average of daily Worst Pruritus NRS >= 4.
- Candidate for systemic treatment defined as prior use of systemic treatment for AD, OR previous inadequate response to TCS, TCI or PDE-4 inhibitors, OR for whom topical treatments are otherwise medically inadvisable
Exclusion Criteria:
Participants with current or past history of infection including:
- Two or more episodes of herpes zoster, or one or more episodes of disseminated herpes zoster;
- One or more episodes of disseminated herpes simplex (including eczema herpeticum);
- Human immunodeficiency virus (HIV) infection defined as confirmed positive anti-HIV antibody (HIV Ab) test;
- Active tuberculosis (TB) or meet TB exclusionary parameters (protocol specified requirements for TB testing);
- Active infection(s) requiring treatment with intravenous anti-infectives within 30 days, or oral/intramuscular anti-infectives within 14 days prior to the Baseline Visit;
- Chronic recurring infection and/or active viral infection that, based on the investigator's clinical assessment, makes the participant an unsuitable candidate for the study;
- Confirmed COVID-19: the Baseline visit must be at least 14 days from onset of signs/symptoms or positive SARS-CoV-2 test; symptomatic participants must have recovered, defined as resolution of fever without use of antipyretics and improvement in symptoms; or
- Suspected COVID-19: participants with signs/symptoms suggestive of COVID-19, known exposure, or high-risk behavior should undergo molecular (e.g., Polymerase chain reaction [PCR]) testing to rule out SARS-CoV-2 infection or must be asymptomatic for 14 days from a potential exposure.
- Participants must not have evidence of Hepatitis B virus (HBV) or Hepatitis C virus (HCV).
Participant must not have any of the following medical diseases or disorders:
- Recent (within past 6 months) cerebrovascular accident, myocardial infarction, coronary stenting, and aorto-coronary bypass surgery;
- History of an organ transplant which requires continued immunosuppression;
- Participant must not have a history of an allergic reaction or significant sensitivity to constituents of the study drug (and its excipients) and/or other products in the same class;
- History of gastrointestinal perforation (other than due to appendicitis or mechanical injury), diverticulitis, or significantly increased risk for gastrointestinal perforation per investigator judgment;
- Conditions that could interfere with drug absorption including but not limited to short bowel syndrome or gastric bypass surgery; participants with a history of gastric banding/segmentation are not excluded;
- History of malignancy except for successfully treated non-melanoma skin cancer (NMSC) or localized carcinoma in situ of the cervix.
Sites / Locations
- Holdsworth House Medical Practice /ID# 254028Recruiting
- Premier Specialist /ID# 246150Recruiting
- Veracity Clinical Research /ID# 246154Recruiting
- North Eastern Health Specialists /ID# 246153Recruiting
- Skin Health Institute Inc /ID# 246146Recruiting
- UCL Saint-Luc /ID# 245842Recruiting
- Grand Hopital de Charleroi /ID# 245837Recruiting
- Dermatologie Maldegem /ID# 245840Recruiting
- CHU de Liege /ID# 245839Recruiting
- UMHAT Alexandrovska EAD /ID# 246594Recruiting
- Medical center Cordis /ID# 253310Recruiting
- Acibadem City Clinic Tokuda University Hospital EAD /ID# 246395Recruiting
- Ambulatory for Specialized Medical Care for skin and venereal diseases /ID# 247027Recruiting
- Medical center EuroHealth /ID# 246305Recruiting
- Medical Center Euroderma /ID# 246736Recruiting
- Dermatology Research Institute Inc. /ID# 246703Recruiting
- Beacon Dermatology Inc /ID# 246705Recruiting
- Alberta DermaSurgery Centre /ID# 247286Recruiting
- Dr. Chih-ho Hong Medical Inc. /ID# 246700Recruiting
- Lynderm Research Inc. /ID# 246699Recruiting
- SKIN Centre for Dermatology /ID# 246702Recruiting
- Alliance Clinical Trials /ID# 246698Recruiting
- Universitaetsklinikum Frankfurt /ID# 245627Recruiting
- Universitaetsklinikum Muenster /ID# 245623Recruiting
- Fachklinik Bad Bentheim /ID# 245634Recruiting
- Studienzentrum an der Hase GbR Dr. Weyergraf/Dr. Frick/Thomas Heiber /ID# 245636Recruiting
- Elbe Klinikum Buxtehude /ID# 245626Recruiting
- Klinikum Darmstadt /ID# 247028Recruiting
- Universitaetsklinikum Carl Gustav Carus an der TU Dresden /ID# 248413Recruiting
- Derma Study Center Friedrichshafen GmbH /ID# 245640Recruiting
- Universitaetsklinikum Halle (Saale) /ID# 245637Recruiting
- Dermatologikum Hamburg GmbH /ID# 245635Recruiting
- Dermatologische Gemeinschaftspraxis Mahlow /ID# 245629Recruiting
- Dermatologie Quist-BAG Dres. med. Quist PartG /ID# 245628Recruiting
- Gyongyosi Bugat Pal Korhaz /ID# 246422Recruiting
- Somogy Varmegyei Kaposi Mor Oktato Korhaz /ID# 246428Recruiting
- Clinexpert Kft /ID# 246427Recruiting
- Derma-B Egeszsegugyi es Szolgaltato Kft. /ID# 246426Recruiting
- Istituto Clinico Humanitas /ID# 246630Recruiting
- Azienda Ospedaliera di Perugia /ID# 246632Recruiting
- Azienda Ospedaliero Universitaria Ospedali Riuniti di Ancona /ID# 254355Recruiting
- ASST Spedali civili di Brescia /ID# 246631Recruiting
- Universita degli Studi Gabriele dAnnunzio /ID# 246629Recruiting
- Fondazione IRCCS Ca Granda Ospedale Maggiore Policlinico /ID# 246634Recruiting
- Miyata Dermatology Clinic /ID# 255491Recruiting
- Fukuoka University Hospital /ID# 255182Recruiting
- Takagi Dermatological Clinic Branch /ID# 255181Recruiting
- Nomura Dermatology Clinic /ID# 255534Recruiting
- Tohoku University Hospital /ID# 255183Recruiting
- Maruyama Dermatology Clinic /ID# 255441Recruiting
- Korea University Ansan Hospital /ID# 245653Recruiting
- Soonchunhyang University Hospital Bucheon /ID# 245654Recruiting
- Ajou University Hospital /ID# 245652Recruiting
- KonKuk University Medical Center /ID# 245657Recruiting
- Seoul National University Hospital /ID# 245651Recruiting
- Chung-Ang University Hostipal /ID# 245655Recruiting
- Academisch Medisch Centrum /ID# 245673Recruiting
- Amphia Ziekenhuis /ID# 246397Recruiting
- Greenlane Clinical Centre /ID# 246556Recruiting
- Middlemore Hospital /ID# 246559Recruiting
- Clinical Trials NZ /ID# 246557Recruiting
- MICS Centrum Medyczne Torun /ID# 245749Recruiting
- Dermed Centrum Medyczne Sp. z o.o /ID# 246329Recruiting
- Santa Sp. z o.o. Santa Familia Centrum Badan, Profilaktyki i Leczenia /ID# 253872Recruiting
- Centrum Nowoczesnych Terapii Dobry Lekarz Sp. z o.o. /ID# 245836Recruiting
- CenterMed Krakow Sp. z o.o. /ID# 253940Recruiting
- Klinika Ambroziak Sp. z o.o. /ID# 245748Recruiting
- Royalderm Agnieszka Nawrocka /ID# 245746Recruiting
- Centrum Badan Klinicznych PI-House sp. z o.o. /ID# 245741Recruiting
- Centrum Medyczne Pratia Gdynia /ID# 245835Recruiting
- Silmedic Sp. z o.o. /ID# 253863Recruiting
- Specjalistyczna Przychodnia Lekarska Alergo-Med Sp. z o.o. /ID# 253846Recruiting
- Specjalistyczny Niepubliczny Zaklad Opieki Zdrowotnej Alergologia Plus /ID# 253508Recruiting
- OFTALMIKA Sp. z o.o. /ID# 253429Recruiting
- Centro Hospitalar Universitario Lisboa Central, EPE - Hospital dos Capuchos /ID# 246247Recruiting
- Hospital CUF Descobertas /ID# 245702Recruiting
- Centro Hospitalar Universitario do Porto, EPE - Hospital Santo Antonio /ID# 245701Recruiting
- Centro Hospitalar Universitario de Sao Joao, EPE /ID# 245704Recruiting
- Poliklinika Bezrucova (Cliniq s.r.o.) /ID# 247515Recruiting
- BeneDerma s.r.o. /ID# 247513Recruiting
- Univerzitna nemocnica Martin /ID# 246948Recruiting
- Hospital Universitario de Bellvitge /ID# 246326Recruiting
- Hospital Universitario Puerta de Hierro, Majadahonda /ID# 253820Recruiting
- Hospital General Universitario de Alicante Doctor Balmis /ID# 246270Recruiting
- Hospital Universitario Infanta Leonor /ID# 246272Recruiting
- Hospital Universitario Ramon y Cajal /ID# 246273Recruiting
- Complejo Hospitalario Universitario de Pontevedra /ID# 246323Recruiting
- Hospital Universitario Virgen del Rocio /ID# 253822Recruiting
- Chung Shan Medical University Hospital /ID# 245707Recruiting
- National Taiwan University Hospital /ID# 245711Recruiting
- MacKay Memorial Hospital /ID# 245713Recruiting
- Taipei Municipal Wan Fang Hospital /ID# 245712Recruiting
- Linkou Chang Gung Memorial Hospital /ID# 245709Recruiting
Arms of the Study
Arm 1
Arm 2
Arm 3
Arm 4
Arm 5
Arm 6
Experimental
Experimental
Experimental
Experimental
Experimental
Experimental
Double-Blind Treatment Period Dose A
Double-Blind Treatment Period Dose B
Single-Blinded Treatment Period Arm A
Single-Blinded Treatment Period Arm B
Single-Blinded Treatment Period Arm C
Single-Blinded Treatment Period Arm D
Participants will be administered updadacitinib Dose A once daily (QD) for 12 weeks.
Participants will be administered updadacitinib Dose B once daily (QD) for 12 weeks.
Participants will be administered updadacitinib once daily (QD) for 12 weeks.
Participants will be administered updadacitinib once daily (QD) for 12 weeks.
Participants will be administered updadacitinib once daily (QD) for 12 weeks.
Participants will be administered updadacitinib once daily (QD) for 12 weeks.