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Efficacy and Safety Study of SHR-1819 Injection in Adult Patients With Severe Atopic Dermatitis

Primary Purpose

Moderate to Severe Atopic Dermatitis

Status
Not yet recruiting
Phase
Phase 2
Locations
Study Type
Interventional
Intervention
SHR1819
Placebo
Sponsored by
Shanghai Hengrui Pharmaceutical Co., Ltd.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Moderate to Severe Atopic Dermatitis

Eligibility Criteria

18 Years - 75 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  1. Subjects voluntarily sign informed consent forms prior to the commencement of any proceedings related to the study, are able to communicate smoothly with the investigator, understand and are willing to complete the study in strict compliance with the requirements of this clinical research protocol;
  2. Age 18 to 75 years old (inclusive) at the time of signing the informed consent form, regardless of gender;
  3. Have atopic dermatitis at the time of screening (according to the 2014 American College of Dermatology Guidelines) and have a course of at least 1 year before screening;
  4. At the screening and baseline periods, EASI ≥ 16, IGA ≥3, BSA ≥ 10 %
  5. The average daily peak pruritus (itch) numerical evaluation scale (P-NRS) score for the first 7 days of randomization ≥4 points (at least 4 days of daily peak pruritus P-NRS scores need to be collected);
  6. According to the investigators, topical TCS treatment was poor or intolerant within 6 months prior to screening

Exclusion Criteria:

  1. Pregnant or lactating women
  2. Major surgeries are planned for the duration of the study
  3. History of previous atopic corneal conjunctivitis involving the cornea
  4. History of clinically significant diseases (e.g., circulatory system abnormalities, endocrine system abnormalities, neurological disorders, hematologic disorders, immune system disorders, psychiatric disorders, and metabolic instability) that the researcher believes that participation in the study poses a risk to the safety of the subject or that the disease/illness worsens during the study period will affect the effectiveness or safety analysis.
  5. Subjects have had or are currently clinically significant diseases or abnormalities
  6. Screening for people with a history of heavy alcohol consumption or substance abuse in the 3 months prior to screening
  7. The drug has been used in the previous 6 months
  8. Screening of subjects with malignancy within the first 5 years (except completely cured cervical cancer in situ and non-metastatic cutaneous squamous cell carcinoma or basal cell carcinoma)
  9. Other comorbid (or co-occurring) skin disorders may be affected in the study evaluation
  10. Any cause that the researchers believe would prevent the participants from participating in the study

Sites / Locations

    Arms of the Study

    Arm 1

    Arm 2

    Arm 3

    Arm 4

    Arm Type

    Experimental

    Experimental

    Experimental

    Placebo Comparator

    Arm Label

    Treatment group A:SHR-1819

    Treatment group B:SHR-1819

    Treatment group C:SHR-1819

    Treatment group D:placebo

    Arm Description

    Outcomes

    Primary Outcome Measures

    At 16 weeks, the proportion of subjects who achieved eczema area and severity index (EASI) -75 (EASI score decreased ≥75% from baseline)
    EASI sore use EASI scale

    Secondary Outcome Measures

    At week 16, the proportion of participants with an overall investigator assessment (IGA) score of 0 or 1 (0-4 scale) and a decrease of ≥2 points from baseline
    The overall degree of improvement was assessed using the IGA scale
    At week 16, the proportion of subjects whose IGA score decreased from baseline by ≥2 points;
    The overall degree of improvement was assessed using the IGA scale
    At week 16, the proportion of subjects who achieved EASI-90 (EASI score ≥90% lower than baseline);
    The extent of area is assessed using the EASI scale
    At week 16, the percentage of subjects who achieved EASI-50 (EASI score ≥50% lower than baseline);
    The extent of area is assessed using the EASI scale
    At week 16, the weekly average of the daily peak itching (itch) digital evaluation scale (P-NRS) decreased from baseline by ≥4 points
    The extent of pruritus is assessed using the P-NRS scale
    At week 16, EASI is the percentage change from baseline and change;
    The extent of area is assessed using the EASI scale
    At week 16, the atopic dermatitis score (SCORAD) was the percentage change from baseline and change
    The extent of lesions and pruritus is assessed using the SCORAD scale
    At week 16, atopic dermatitis affects the body surface area (BSA) as a percentage of the baseline change and change
    The BSA scale was used to assess improvement in lesion area
    At week 16, the Dermatological Quality of Life Scale (DLQI) score was a percentage change from baseline and change.
    The quality of Life is assessed using the DLQI scale
    The incidence of adverse events ranged from the first dose to 24 weeks
    Assess the post-medication safety of subjects from the first dose to the time they exit the group
    The concentration of SHR-1819 in serum :Cmax
    The concentration of SHR-1819 in plasma will be determined
    The time of metabolism of the drug in the serum
    The concentration of SHR-1819 in plasma will be determined
    The concentration of SHR-1819 in serum :AUC
    The concentration of SHR-1819 in plasma will be determined
    Changes in the level of TARC in the serum
    Changes in the level of biomarkers in serum
    Changes in the level of CCL17 in the serum
    Changes in the level of biomarkers in serum
    Changes in the level of IgE in the serum
    Changes in the level of biomarkers in serum
    Immunogenic endpoint: evaluate the incidence and timing of ADA positivity for SHR-1819
    Changes in the level of immunogenicity in the body

    Full Information

    First Posted
    September 19, 2022
    Last Updated
    September 21, 2022
    Sponsor
    Shanghai Hengrui Pharmaceutical Co., Ltd.
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    1. Study Identification

    Unique Protocol Identification Number
    NCT05549947
    Brief Title
    Efficacy and Safety Study of SHR-1819 Injection in Adult Patients With Severe Atopic Dermatitis
    Official Title
    A Multicenter, Randomized, Double-blind, Placebo-controlled Phase II Clinical Study Evaluating the Efficacy, Safety, Pharmacokinetics and Pharmacokinetics of SHR-1819 Injection in Adults With Moderate to Severe Atopic Dermatitis
    Study Type
    Interventional

    2. Study Status

    Record Verification Date
    September 2022
    Overall Recruitment Status
    Not yet recruiting
    Study Start Date
    October 12, 2022 (Anticipated)
    Primary Completion Date
    September 28, 2023 (Anticipated)
    Study Completion Date
    November 28, 2023 (Anticipated)

    3. Sponsor/Collaborators

    Responsible Party, by Official Title
    Sponsor
    Name of the Sponsor
    Shanghai Hengrui Pharmaceutical Co., Ltd.

    4. Oversight

    Studies a U.S. FDA-regulated Drug Product
    No
    Studies a U.S. FDA-regulated Device Product
    No

    5. Study Description

    Brief Summary
    This trial was designed to evaluate the efficacy and safety of SHR-1819 injection in patients with atopic dermatitis

    6. Conditions and Keywords

    Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
    Moderate to Severe Atopic Dermatitis

    7. Study Design

    Primary Purpose
    Treatment
    Study Phase
    Phase 2
    Interventional Study Model
    Parallel Assignment
    Masking
    Participant
    Allocation
    Randomized
    Enrollment
    148 (Anticipated)

    8. Arms, Groups, and Interventions

    Arm Title
    Treatment group A:SHR-1819
    Arm Type
    Experimental
    Arm Title
    Treatment group B:SHR-1819
    Arm Type
    Experimental
    Arm Title
    Treatment group C:SHR-1819
    Arm Type
    Experimental
    Arm Title
    Treatment group D:placebo
    Arm Type
    Placebo Comparator
    Intervention Type
    Drug
    Intervention Name(s)
    SHR1819
    Intervention Description
    Treatment group A:SHR-1819 injection dose 1, Treatment group B:SHR-1819 injection dose 2, Treatment group C:SHR-1819 injection dose 3,
    Intervention Type
    Drug
    Intervention Name(s)
    Placebo
    Intervention Description
    Treatment group D:placebo
    Primary Outcome Measure Information:
    Title
    At 16 weeks, the proportion of subjects who achieved eczema area and severity index (EASI) -75 (EASI score decreased ≥75% from baseline)
    Description
    EASI sore use EASI scale
    Time Frame
    up to 16 weeks
    Secondary Outcome Measure Information:
    Title
    At week 16, the proportion of participants with an overall investigator assessment (IGA) score of 0 or 1 (0-4 scale) and a decrease of ≥2 points from baseline
    Description
    The overall degree of improvement was assessed using the IGA scale
    Time Frame
    up to 16 weeks]
    Title
    At week 16, the proportion of subjects whose IGA score decreased from baseline by ≥2 points;
    Description
    The overall degree of improvement was assessed using the IGA scale
    Time Frame
    up to 16 weeks
    Title
    At week 16, the proportion of subjects who achieved EASI-90 (EASI score ≥90% lower than baseline);
    Description
    The extent of area is assessed using the EASI scale
    Time Frame
    up to 16 weeks
    Title
    At week 16, the percentage of subjects who achieved EASI-50 (EASI score ≥50% lower than baseline);
    Description
    The extent of area is assessed using the EASI scale
    Time Frame
    up to 16 weeks
    Title
    At week 16, the weekly average of the daily peak itching (itch) digital evaluation scale (P-NRS) decreased from baseline by ≥4 points
    Description
    The extent of pruritus is assessed using the P-NRS scale
    Time Frame
    up to 16 weeks
    Title
    At week 16, EASI is the percentage change from baseline and change;
    Description
    The extent of area is assessed using the EASI scale
    Time Frame
    up to 16 weeks
    Title
    At week 16, the atopic dermatitis score (SCORAD) was the percentage change from baseline and change
    Description
    The extent of lesions and pruritus is assessed using the SCORAD scale
    Time Frame
    up to 16 weeks
    Title
    At week 16, atopic dermatitis affects the body surface area (BSA) as a percentage of the baseline change and change
    Description
    The BSA scale was used to assess improvement in lesion area
    Time Frame
    up to 16 weeks
    Title
    At week 16, the Dermatological Quality of Life Scale (DLQI) score was a percentage change from baseline and change.
    Description
    The quality of Life is assessed using the DLQI scale
    Time Frame
    up to 16 weeks
    Title
    The incidence of adverse events ranged from the first dose to 24 weeks
    Description
    Assess the post-medication safety of subjects from the first dose to the time they exit the group
    Time Frame
    From the beginning of administration to the 24th week
    Title
    The concentration of SHR-1819 in serum :Cmax
    Description
    The concentration of SHR-1819 in plasma will be determined
    Time Frame
    From the beginning of administration to the 24th week
    Title
    The time of metabolism of the drug in the serum
    Description
    The concentration of SHR-1819 in plasma will be determined
    Time Frame
    From the beginning of administration to the 24th week
    Title
    The concentration of SHR-1819 in serum :AUC
    Description
    The concentration of SHR-1819 in plasma will be determined
    Time Frame
    From the beginning of administration to the 24th week
    Title
    Changes in the level of TARC in the serum
    Description
    Changes in the level of biomarkers in serum
    Time Frame
    From the beginning of administration to the 24th week
    Title
    Changes in the level of CCL17 in the serum
    Description
    Changes in the level of biomarkers in serum
    Time Frame
    From the beginning of administration to the 24th week
    Title
    Changes in the level of IgE in the serum
    Description
    Changes in the level of biomarkers in serum
    Time Frame
    From the beginning of administration to the 24th week
    Title
    Immunogenic endpoint: evaluate the incidence and timing of ADA positivity for SHR-1819
    Description
    Changes in the level of immunogenicity in the body
    Time Frame
    From the beginning of administration to the 24th week

    10. Eligibility

    Sex
    All
    Minimum Age & Unit of Time
    18 Years
    Maximum Age & Unit of Time
    75 Years
    Accepts Healthy Volunteers
    No
    Eligibility Criteria
    Inclusion Criteria: Subjects voluntarily sign informed consent forms prior to the commencement of any proceedings related to the study, are able to communicate smoothly with the investigator, understand and are willing to complete the study in strict compliance with the requirements of this clinical research protocol; Age 18 to 75 years old (inclusive) at the time of signing the informed consent form, regardless of gender; Have atopic dermatitis at the time of screening (according to the 2014 American College of Dermatology Guidelines) and have a course of at least 1 year before screening; At the screening and baseline periods, EASI ≥ 16, IGA ≥3, BSA ≥ 10 % The average daily peak pruritus (itch) numerical evaluation scale (P-NRS) score for the first 7 days of randomization ≥4 points (at least 4 days of daily peak pruritus P-NRS scores need to be collected); According to the investigators, topical TCS treatment was poor or intolerant within 6 months prior to screening Exclusion Criteria: Pregnant or lactating women Major surgeries are planned for the duration of the study History of previous atopic corneal conjunctivitis involving the cornea History of clinically significant diseases (e.g., circulatory system abnormalities, endocrine system abnormalities, neurological disorders, hematologic disorders, immune system disorders, psychiatric disorders, and metabolic instability) that the researcher believes that participation in the study poses a risk to the safety of the subject or that the disease/illness worsens during the study period will affect the effectiveness or safety analysis. Subjects have had or are currently clinically significant diseases or abnormalities Screening for people with a history of heavy alcohol consumption or substance abuse in the 3 months prior to screening The drug has been used in the previous 6 months Screening of subjects with malignancy within the first 5 years (except completely cured cervical cancer in situ and non-metastatic cutaneous squamous cell carcinoma or basal cell carcinoma) Other comorbid (or co-occurring) skin disorders may be affected in the study evaluation Any cause that the researchers believe would prevent the participants from participating in the study
    Central Contact Person:
    First Name & Middle Initial & Last Name or Official Title & Degree
    Yuling Lian, M.D.
    Phone
    0518-82342973
    Email
    yuling.lian@hengrui.com

    12. IPD Sharing Statement

    Plan to Share IPD
    Undecided

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    Efficacy and Safety Study of SHR-1819 Injection in Adult Patients With Severe Atopic Dermatitis

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