Evaluation of Upadacitinib in Adolescent and Adult Patients With Moderate to Severe Atopic Dermatitis (Eczema) (Measure Up 1)
Primary Purpose
Atopic Dermatitis
Status
Active
Phase
Phase 3
Locations
International
Study Type
Interventional
Intervention
Placebo for Upadacitinib
Upadacitinib
Sponsored by
About this trial
This is an interventional treatment trial for Atopic Dermatitis focused on measuring Atopic Dermatitis, Upadacitinib
Eligibility Criteria
Inclusion Criteria:
- Body weight of ≥ 40 kg at Baseline Visit for participants between ≥ 12 and < 18 years of age
- Chronic atopic dermatitis (AD) with onset of symptoms at least 3 years before Baseline Visit and subject meets Hanifin and Rajka criteria.
Active moderate to severe AD defined by:
- Eczema Area and Severity Index (EASI) score ≥ 16 at the Screening and Baseline Visits;
- Validated Investigator's Global Assessment (vIGA) score ≥ 3 at the Screening and Baseline Visits;
- ≥ 10% Body surface area (BSA) of AD involvement at the Screening and Baseline Visits;
- Baseline weekly average of daily Worst Pruritus NRS ≥ 4.
- Candidate for systemic therapy or have recently required systemic therapy for AD
- Subject has applied a topical emollient (moisturizer) twice daily for at least 7 days before the Baseline Visit.
- Documented history of inadequate response to topical corticosteroids (TCS) or topical calcineurin inhibitor (TCI) or documented systemic treatment for AD within 6 months before Baseline Visit
Exclusion Criteria:
- Prior exposure to any Janus kinase (JAK) inhibitor
- Unable or unwilling to discontinue current atopic dermatitis treatments prior to the study
- Requirement of prohibited medications during the study
- Other active skin diseases or skin infections requiring systemic treatment or would interfere with appropriate assessment of atopic dermatitis lesions
- Female subject who is pregnant, breastfeeding, or considering pregnancy during the study
Sites / Locations
- Alliance Dermatology and MOHs /ID# 200375
- Clear Dermatology & Aesthetics Center /ID# 201256
- Bakersfield Derma & Skin Cance /ID# 200433
- First OC Dermatology /ID# 201910
- California Allergy and Asthma Medical Group /ID# 200727
- Allergy & Asthma Associates of Southern California /ID# 200733
- Dermatology Clinical Trials /ID# 205876
- UC Davis /ID# 203622
- Synergy Dermatology /ID# 200842
- San Luis Derm and Laser Clinic /ID# 200372
- Stanford University /ID# 200440
- Care Access Research - Walnut Creek /ID# 200940
- Dermatology Physicians of Connecticut /ID# 200928
- Foxhall Research Center /ID# 213682
- Duplicate_George Washington Univ Med /ID# 200364
- Clearlyderm Dermatology /ID# 208371
- Skin Care Research, LLC /ID# 200811
- Olympian Clinical Research /ID# 202914
- Multi-Speciality Research Associates /ID# 213254
- GSI Clinical Research, LLC /ID# 200849
- Florida International Rsrch cr /ID# 218507
- Tory P Sullivan, MD PA /ID# 200671
- Leavitt Medical Associates of Florida /ID# 200880
- Precision Clinical Research /ID# 209002
- Integrated Clinical Research LLC /ID# 200900
- Christie Clinic, LLC /ID# 200427
- Northwestern University Feinberg School of Medicine /ID# 201644
- Dawes Fretzin, LLC /ID# 200366
- The South Bend Clinic Center /ID# 200371
- Clinical Trials Management, LLC - Covington /ID# 212658
- Clinical Trials Management, LLC - Metairie /ID# 212659
- Northeast Dermatology /ID# 201338
- Massachusetts General Hospital /ID# 200474
- Integrated Dermatology of Massachusetts, LLC /ID# 209468
- Clin Res Inst of Michigan, LLC /ID# 208019
- Henry Ford Medical Center /ID# 204191
- Cleaver Dermatology /ID# 202825
- Advanced Dermatology of the Midlands /ID# 201689
- Clinical Research Consortium /ID# 200734
- AllCutis Research Inc /ID# 200981
- Montefiore Medical Center /ID# 200456
- Forest Hills Dermatology Group /ID# 209244
- Icahn School of Medicine at Mount Sinai /ID# 200370
- J. Schwartz, MD, PLLC /ID# 202121
- Velocity clinical research /ID# 202653
- Lynn Health Science Institute (LHSI) /ID# 212676
- Newton Clinical Research /ID# 204169
- Oregon Medical Res Center PC /ID# 200428
- Oregon Health and Science University /ID# 200992
- Dermdox Dermatology Centers, PC /ID# 213782
- Clinical Partners, LLC /ID# 200460
- Coastal Clinical Research Center of the Carolinas /ID# 200402
- Arlington Research Center, Inc /ID# 200391
- Orion Clinical Research /ID# 204703
- Modern Research Associates, PL /ID# 200705
- Menter Dermatology Res Inst /ID# 200390
- Center for Clinical Studies - Webster TX /ID# 203185
- Dermatology Specialists of Spokane /ID# 202068
- Framingham Centro Medico /ID# 202688
- Instituto de Neumonología y Dermatología /ID# 203444
- Psoriahue Med Interdisciplinar /ID# 202451
- Woden Dermatology /ID# 205799
- Holdsworth House Medical Practice /ID# 211236
- North Eastern Health Specialists /ID# 205802
- Skin Health Institute Inc /ID# 204791
- Fremantle Dermatology /ID# 205305
- University Clinical Centre of the Republic of Srpska /ID# 202666
- University Clinical Centre of the Republic of Srpska /ID# 202667
- Clinical Center University of Sarajevo /ID# 202668
- Clinical Center University of Sarajevo /ID# 202669
- UMHAT Alexandrovska EAD /ID# 201519
- UMHAT Dr Georgi Stranski EAD /ID# 201521
- UMHAT Professor Stoyan Kirkovich /ID# 201522
- Kirk Barber Research, CA /ID# 200324
- Dermatology Research Institute Inc. /ID# 200318
- Dr. Chih-ho Hong Medical Inc. /ID# 200311
- Enverus Medical Research /ID# 200307
- Wiseman Dermatology Research /ID# 200323
- Dr. Irina Turchin PC Inc. /ID# 200322
- Karma Clinical Trials /ID# 200316
- Hamilton Health Sciences - McMaster University Medical Centre /ID# 200313
- Dr. Wei Jing Loo Medicine Prof /ID# 206051
- Lynderm Research Inc. /ID# 200315
- Dermatology Ottawa Research Centre /ID# 200319
- K. Papp Clinical Research /ID# 200317
- Dr. David Gratton Dermat Inc. /ID# 200309
- Innovaderm Research Inc. /ID# 200320
- Dre Angelique Gagne-Henley M.D. inc. /ID# 200326
- Peking University People's Hospital /ID# 202549
- Peking University Third Hospital /ID# 202612
- Sun Yat-sen Memorial Hospital of Sun Yat-sen University /ID# 208597
- The Third Affiliated Hospital Of Sun Yat-Sen University /ID# 202548
- The First Hospital of China Medical University /ID# 202615
- Ruijin Hospital, Shanghai Jiaotong University School of Medicine /ID# 202554
- The second Affiliated hospital of Zhejiang University school of Medicine /ID# 202608
- Beijing Friendship Hospital /ID# 202601
- Huashan Hospital of Fudan University /ID# 205760
- Union Hospital affiliated to Tongji Medical College of Huazhong University of Sc /ID# 208598
- Clinisalud del sur /ID# 218100
- Fundacion Hospital San Vicente de Paul - Rionegro /ID# 202043
- Ctr Int de Reum del Caribe SAS /ID# 201620
- Fundacion Centro de Excelencia en Enfermedades Cronicas no Transmisibles - FUNCE /ID# 201905
- Klinicki bolnicki centar Zagreb /ID# 201879
- Klinika za dječje bolesti Zagreb /ID# 203151
- Duplicate_Klinicki bolnicki centar Osijek /ID# 201523
- Klinicki bolnicki centar Rijeka /ID# 217423
- Klinicki bolnicki centar Split /ID# 201527
- Bispebjerg and Frederiksberg Hospital /ID# 200979
- Herlev and Gentofte Hospital /ID# 200736
- Aarhus University Hospital /ID# 200737
- North Estonia Medical Centre /ID# 200951
- Confido Private Medical Clinic /ID# 200846
- Tartu University Hospital /ID# 200847
- Mehiläinen Neo /ID# 201116
- Kuopio University Hospital /ID# 202449
- Terveystalo Tampere /ID# 201117
- HCL - Hôpital Lyon Sud /ID# 201529
- CHU de Nantes, Hotel Dieu -HME /ID# 206377
- Centre Hospitalier du Mans /ID# 205991
- Hopital Saint Vincent de Paul /ID# 218253
- Le Bateau BLanc /ID# 206833
- AP-HP - Hopital Necker /ID# 218364
- Hôpital Charles-Nicolle /ID# 201525
- CHU Toulouse - Hopital Larrey /ID# 201528
- Duplicate_Klinikum rechts der Isar - Technische Universitaet Muenchen /ID# 202087
- Universitaetsklinikum Frankfurt /ID# 202089
- Universitaetsklinikum Muenster /ID# 202085
- CMS3 Company for Medical Study /ID# 205193
- Universitaetsklinikum Schleswig-Holstein Campus Kiel /ID# 202255
- Universitaetsklinikum Bonn /ID# 202086
- TFS Trial Form Support GmbH /ID# 202083
- Medizinische Hochschule Hannover /ID# 202091
- Universitaetsmedizin der Johannes Gutenberg-Universitaet Mainz /ID# 205192
- Fondazione PTV Policlinico Tor Vergata /ID# 201136
- Azienda Ospedaliero Universitaria Ospedali Riuniti di Ancona /ID# 200692
- A.O.U. di Bologna Policlinico S.Orsola-Malpighi /ID# 200746
- A.O.U. Policlinico G. Rodolico S.Marco- Presidio G.Rodolico /ID# 200741
- Azienda Ospedaliera Universitaria Federico II /ID# 200750
- Azienda Ospedaliero Universitaria Pisana-Stabilimento di Santa Chiara /ID# 200695
- Aichi Medical University Hospital /ID# 202833
- Fukuoka University Hospital /ID# 201309
- Kyushu Central Hospital of the Mutual Aid Association of Public School Teachers /ID# 202891
- Gifu University Hospital /ID# 201760
- Ogaki Municipal Hospital /ID# 203463
- Takagi Dermatology Clinic /ID# 201238
- Medical Cooperation Kojinkai Sapporo Skin Clinic /ID# 201239
- University Hospital Kyoto Prefectural University of Medicine /ID# 201876
- Kume Clinic /ID# 201912
- NTT Medical Center Tokyo /ID# 201759
- University of Yamanashi Hospital /ID# 204174
- Hospital Raja Permaisuri Bainun /ID# 204375
- Queen Elizabeth Hospital /ID# 204379
- Hospital Selayang /ID# 204378
- Clinical Trials NZ /ID# 205335
- Cruz-Santana, Carolina, PR /ID# 201096
- Ponce Medical School Foundation /ID# 201821
- Clinical Research Puerto Rico /ID# 203309
- Spitalul Clinic Colentina /ID# 205860
- Cabinet Medical de Dermatovenerologie Dr. Remus Orasan /ID# 205862
- Chelyabinsk Regional Clinical Dermatovenerologic Dispensary /ID# 201996
- Clinical Dermatovenerology Dispensary /ID# 203439
- Saratov State Medical University n.a. V.I. Razumovskiy /ID# 201595
- Ural Research Institute of dermatovenerology and immunopathology /ID# 201593
- National Medical Research Center for Children's Health /ID# 203440
- Universitätsspital Basel /ID# 201599
- Hôpitaux Universitaires Genève /ID# 201600
- CHUV, Centre hospitalier universitaire vaudois /ID# 200910
- CHUV, Centre hospitalier universitaire vaudois /ID# 206505
- Inselspital, Universitätsspital Bern /ID# 201598
- Erciyes University Medical Fac /ID# 204098
- Hacettepe University Faculty of Medicine /ID# 204099
- Istanbul University-Cerrahpasa, Cerrahpasa Medical Faculty /ID# 204100
- Gazi Universitesi Tip Fakultes /ID# 204176
- Military Hospital of Military-Medical Clinical Center of Southern Region /ID# 201962
- ME "Rivne Regional Dermatology and Venereology Dispensary" of RRC /ID# 210504
- West Middlesex University Hospital /ID# 202273
- Barts Health NHS Trust /ID# 201043
- Guy's and St Thomas' NHS Foundation Trust /ID# 201192
- Chelsea and Westminster Hospital NHS Foundation Trust9 /ID# 201971
- Northern Care Alliance NHS Group /ID# 201194
Arms of the Study
Arm 1
Arm 2
Arm 3
Arm Type
Placebo Comparator
Experimental
Experimental
Arm Label
Placebo / Upadacitinib
Upadacitinib 15 mg QD
Upadacitinib 30 mg QD
Arm Description
Participants will receive placebo orally once a day (QD) for 16 weeks in the double-blind treatment period. At Week 16 participants will be re-randomized to receive either upadacitinib 15 mg or upadacitinib 30 mg QD up to Week 260.
Participants will receive upadacitinib 15 mg orally once a day for up to 260 weeks.
Participants will receive upadacitinib 30 mg orally once a day for up to 260 weeks.
Outcomes
Primary Outcome Measures
Main Study: Percentage of Participants Achieving at Least a 75% Reduction in Eczema Area and Severity Index Score (EASI 75) From Baseline at Week 16
EASI is a tool used to measure the extent (area) and severity of atopic eczema based on assessments of the head/neck, trunk, upper limbs and lower limbs. For each region the area score is recorded as the percentage of skin affected by eczema. For each region, the severity score is calculated as the sum of the intensity scores (scored as none [0], mild [1], moderate [2], or severe [3]) for redness (erythema, inflammation), thickness (induration, papulation, swelling - acute eczema), scratching (excoriation), and lichenification (lined skin, prurigo nodules - chronic eczema).
The total EASI score for each region is calculated by multiplying the severity score by the area score, with adjustment for the proportion of the body region to the whole body. The final EASI score is the sum of the 4 region scores and ranges from 0 to 72 where higher scores represent worse disease.
Main Study: Percentage of Participants Achieving Validated Investigator Global Assessment for Atopic Dermatitis (vIGA-AD) of 0 or 1 With a Reduction From Baseline of ≥ 2 Points at Week 16
The vIGA-AD is a validated assessment instrument to rate the severity of atopic dermatitis globally, based on the following scale:
0 - Clear: No inflammatory signs of AD;
1 - Almost clear: Barely perceptible erythema, induration/papulation and/or lichenification;
2 - Mild: Slight but definite erythema, induration/papulation and/or minimal lichenification. No oozing or crusting;
3 - Moderate: Clearly perceptible erythema, induration/papulation and/or lichenification, oozing or crusting may be present;
4 - Severe: Marked erythema, induration/papulation and/or lichenification; Oozing or crusting may be present.
Secondary Outcome Measures
Main Study: Percentage of Participants Achieving a Reduction of ≥ 4 Points From Baseline in Worst Pruritus Numerical Rating Scale (NRS) at Week 16
Participants were asked to rate itch (pruritus) intensity at its worst during the past 24 hours on a daily basis using an 11-point scale from 0 (no itch) to 10 (worst imaginable itch). Pruritus NRS was analyzed based on weekly rolling averages of daily scores.
Main Study: Percentage of Participants Achieving a 90% Reduction From Baseline in EASI Score (EASI 90) at Week 16
EASI is a tool used to measure the extent (area) and severity of atopic eczema based on assessments of the head/neck, trunk, upper limbs and lower limbs. For each region the area score is recorded as the percentage of skin affected by eczema. For each region, the severity score is calculated as the sum of the intensity scores (scored as none [0], mild [1], moderate [2], or severe [3]) for redness (erythema, inflammation), thickness (induration, papulation, swelling - acute eczema), scratching (excoriation), and lichenification (lined skin, prurigo nodules - chronic eczema).
The total EASI score for each region is calculated by multiplying the severity score by the area score, with adjustment for the proportion of the body region to the whole body. The final EASI score is the sum of the 4 region scores and ranges from 0 to 72 where higher scores represent worse disease.
Main Study: Percentage of Participants Achieving a Reduction of ≥ 4 Points From Baseline in Worst Pruritus NRS at Week 4
Participants were asked to rate itch (pruritus) intensity at its worst during the past 24 hours on a daily basis using an 11-point scale from 0 (no itch) to 10 (worst imaginable itch). Pruritus NRS was analyzed based on weekly rolling averages of daily scores.
Main Study: Percentage of Participants Achieving an EASI 75 Response at Week 2
EASI is a tool used to measure the extent (area) and severity of atopic eczema based on assessments of the head/neck, trunk, upper limbs and lower limbs. For each region the area score is recorded as the percentage of skin affected by eczema. For each region, the severity score is calculated as the sum of the intensity scores (scored as none [0], mild [1], moderate [2], or severe [3]) for redness (erythema, inflammation), thickness (induration, papulation, swelling - acute eczema), scratching (excoriation), and lichenification (lined skin, prurigo nodules - chronic eczema).
The total EASI score for each region is calculated by multiplying the severity score by the area score, with adjustment for the proportion of the body region to the whole body. The final EASI score is the sum of the 4 region scores and ranges from 0 to 72 where higher scores represent worse disease.
An EASI 75 response is defined as at least a 75% reduction (improvement) from Baseline in EASI score.
Main Study: Percentage of Participants Achieving a Reduction of ≥ 4 Points From Baseline in Worst Pruritus NRS at Week 1
Participants were asked to rate itch (pruritus) intensity at its worst during the past 24 hours on a daily basis using an 11-point scale from 0 (no itch) to 10 (worst imaginable itch). Pruritus NRS was analyzed based on weekly rolling averages of daily scores.
Main Study: Percentage of Participants Achieving a Reduction of ≥ 4 Points From Baseline in Worst Pruritus NRS at Day 2
Participants were asked to rate itch (pruritus) intensity at its worst during the past 24 hours on a daily basis using an 11-point scale from 0 (no itch) to 10 (worst imaginable itch).
The percentage of participants who had a 4-point or greater improvement from Baseline in Worst Pruritus NRS score at Day 2 was pre-specified as a ranked secondary endpoint for participants in the upadacitinib 30 mg group versus placebo group only.
Main Study: Percentage of Participants Achieving a Reduction of ≥ 4 Points From Baseline in Worst Pruritus NRS at Day 3
Participants were asked to rate itch (pruritus) intensity at its worst during the past 24 hours on a daily basis using an 11-point scale from 0 (no itch) to 10 (worst imaginable itch).
The percentage of participants who had a 4-point or greater improvement in Worst Pruritus NRS score from Baseline at Day 3 was pre-specified as a ranked secondary endpoint for participants in the upadacitinib 15 mg group versus placebo group only.
Main Study: Percentage of Participants Experiencing a Flare During the Double-blind Treatment Period
A flare, characterized as a clinically meaningful worsening in EASI, is defined as an increase in EASI score of ≥ 6.6 points from Baseline during the double-blind treatment period and prior to use of any rescue medication. Flare was assessed in participants with an EASI score of 65.4 or less at Baseline.
Main Study: Percentage of Participants Achieving a Reduction of ≥ 12 Points From Baseline in Atopic Dermatitis Impact Scale (ADerm-IS) Sleep Domain Score at Week 16
The ADerm-IS is a 10-item patient reported outcome (PRO) questionnaire designed to assess a variety of impacts that participants experience from their AD.
The ADerm-IS sleep domain consists of 3 questions designed to assess the impact of AD on sleep on a daily basis over a 24-hour recall period. The items include difficulty falling asleep, impact on sleep, and waking at night. Each question is scored on an 11-point NRS from 0 (no impact) to 10 (extreme impact). The ADerm-IS sleep domain score is the sum of the 3 item scores and ranges from 0 (no impact) to 30 (worst impact). The ADerm-IS sleep domain was analyzed based on weekly rolling averages of daily scores.
The minimal clinically important difference for ADerm-IS sleep domain score is 12.
Main Study: Percentage of Participants Achieving a Reduction of ≥ 4 Points From Baseline in Atopic Dermatitis Symptom Scale (ADerm-SS) Skin Pain Score at Week 16
The ADerm-SS is an 11-item PRO questionnaire designed to assess signs and symptoms that patients may experience due to AD using a 24-hour recall period. For the skin pain item participants were asked on a daily basis to indicate how bad their worst skin pain due to AD was in the past 24 hours on an NRS from 0 (no pain) to 10 (worst imaginable pain). The ADerm-SS skin pain score was analyzed using weekly rolling averages of daily scores. The minimal clinically important difference for ADerm-SS skin pain score is 4.
Main Study: Percentage of Participants Achieving a Reduction of ≥ 28 Points From Baseline in ADerm-SS 7-Item Total Symptom Score (TSS-7) at Week 16
The ADerm-SS is an 11-item questionnaire designed to assess signs and symptoms that participants may experience due to AD using a 24-hour recall period. The 7-item total symptom score includes 7 symptoms (items 1-7 of the ADerm-SS), each assessed on a NRS from 0 (no symptom) to 10 (worst imaginable). The 7 symptoms included in the score are itch while asleep, itch while awake, skin pain (each assessed daily), skin cracking, skin cracking pain, dry skin, and skin flaking (assessed weekly). The TSS-7 score ranges from 0 to 70, with higher scores indicating worsening symptoms. The minimal clinically important difference for ADerm-SS TSS-7 is 28.
Main Study: Percentage of Participants Achieving a Reduction of ≥ 11 Points From Baseline in ADerm-IS Emotional State Domain Score at Week 16
The ADerm-IS is a 10-item PRO questionnaire designed to assess a variety of impacts that participants experience from their AD.
ADerm-IS emotional state sums three items [Items 8-10] measuring self-consciousness, embarrassment, and sadness with a 7-day recall. Each question is scored on an 11-point NRS from 0 (no impact) to 10 (extreme impact). The emotional state domain score ranges from 0 to 30, where higher scores represent worst impact.
The minimal clinically important difference for ADerm-IS emotional state domain score is 11.
Main Study: Percentage of Participants Achieving a Reduction of ≥ 14 Points From Baseline in in ADerm-IS Daily Activities Domain Score at Week 16
The ADerm-IS is a 10-item PRO questionnaire designed to assess a variety of impacts that participants experience from their AD.
ADerm-IS daily activities sums four items measuring limitations of household, physical, and social activities, and difficulty concentrating with a 7-day recall. Each question is scored on an 11-point NRS from 0 (no impact) to 10 (extreme impact). The daily activities domain score ranges from 0 to 40, where higher scores represent worst impact.
The minimal clinically important difference for the ADerm-IS daily activities domain score is 14.
Main Study: Percentage of Participants Achieving a 100% Reduction From Baseline in EASI Score (EASI 100) at Week 16
EASI is a tool used to measure the extent (area) and severity of atopic eczema based on assessments of the head/neck, trunk, upper limbs and lower limbs. For each region the area score is recorded as the percentage of skin affected by eczema. For each region, the severity score is calculated as the sum of the intensity scores (scored as none [0], mild [1], moderate [2], or severe [3]) for redness (erythema, inflammation), thickness (induration, papulation, swelling - acute eczema), scratching (excoriation), and lichenification (lined skin, prurigo nodules - chronic eczema).
The total EASI score for each region is calculated by multiplying the severity score by the area score, with adjustment for the proportion of the body region to the whole body. The final EASI score is the sum of the 4 region scores and ranges from 0 to 72 where higher scores represent worse disease.
Main Study: Percent Change From Baseline in Worst Pruritus NRS at Week 16
Participants were asked to rate itch (pruritus) intensity at its worst during the past 24 hours on a daily basis using an 11-point scale from 0 (no itch) to 10 (worst imaginable itch). Pruritus NRS was analyzed based on weekly rolling averages of daily scores. A negative change from Baseline indicates improvement.
Main Study: Percent Change From Baseline in EASI Score at Week 16
EASI is a tool used to measure the extent (area) and severity of atopic eczema based on assessments of the head/neck, trunk, upper limbs and lower limbs. For each region the area score is recorded as the percentage of skin affected by eczema. For each region, the severity score is calculated as the sum of the intensity scores (scored as none [0], mild [1)] moderate [2], or severe [3]) for Redness (erythema, inflammation), Thickness (induration, papulation, swelling - acute eczema), Scratching (excoriation), and Lichenification (lined skin, prurigo nodules - chronic eczema).
The total EASI score for each region is calculated by multiplying the severity score by the area score, with adjustment for the proportion of the body region to the whole body. The final EASI score is the sum of the 4 region scores and ranges from 0 to 72 where higher scores represent worse disease; a negative change from Baseline indicates improvement.
Main Study: Percentage of Participants Achieving a Reduction of ≥ 4 Points From Baseline in Patient Oriented Eczema Measure (POEM) Total Score at Week 16
The POEM is a 7-item, validated questionnaire used to assess disease symptoms in both children and adults. Participants respond to 7 questions, including dryness, itching, flaking, cracking, sleep loss, bleeding, and weeping, each scored on a 5-point scale based on frequency of occurrence during the previous week: 0 = no days, 1 = 1 to 2 days, 2 = 3 to 4 days, 3 = 5 to 6 days, and 4 = all days. Item scores are added to provide a total score ranging from 0 (clear) to 28 (very severe atopic eczema). A change in POEM score of 3.4 points is considered the minimal clinically important difference.
Main Study: Percentage of Participants Achieving a Reduction of ≥ 4 Points From Baseline in Dermatology Life Quality Index (DLQI) at Week 16
The DLQI is a 10-item validated questionnaire used to assess the impact of AD disease symptoms and treatment on quality of life (QoL). It consists of 10 questions evaluating impact of skin diseases on different aspects of a participant's QoL over the prior week, including symptoms and feelings, daily activities, leisure, work or school, personal relationships, and the side effects of treatment. Each item is scored on a 4-point scale (0 = not at all/not relevant; 1 = a little; 2 = a lot; and 3 = very much).
Item scores are added to provide a total score, ranging from 0 to 30, with higher scores indicating greater impairment of QoL.
the DLQI was administered to participants who were ≥ 16 (16 to 75) years old at the time of the Screening visit.
Main Study: Percent Change From Baseline in Scoring Atopic Dermatitis (SCORAD) Score at Week 16
SCORAD is a clinical tool used to assess the extent and severity of eczema (SCORing Atopic Dermatitis). The extent is assessed using the rule of 9 to calculate the affected area (A) as a percentage of the whole body (0-100%). The intensity part of the SCORAD (B) consists of 6 items: erythema, oedema/papulation, excoriations, lichenification, oozing/crusts and dryness, each graded on a scale from 0 (none) to 3 (severe), for a total score of 0 to 18. Subjective items (C) include daily pruritus and sleeplessness, each scored on a visual analogue scale (VAS) from 0 to 10 (total score 0-20). SCORAD is calculated as A/5 + 7B/2 + C, and ranges from 0 to 103 (worst). A negative change from Baseline indicates improvement.
Main Study: Percentage of Participants Achieving a Hospital Anxiety and Depression Scale-Anxiety (HADS-A) Score and Hospital Anxiety and Depression Scale-Depression (HADS-D) Score of < 8 at Week 16
The HADS is a 14-item questionnaire, with seven items related to anxiety (HADS-A) and seven items related to depression (HADS-D). Each item is scored from 0 to 3; scores for each subscale range from 0 to 21, with higher scores indicating more distress. For each domain, scores 7 or lower are considered normal, 8 to 10 are borderline, and 11 or higher indicate clinical anxiety or depression.
Main Study: Percentage of Participants Achieving a DLQI Score of 0 or 1 at Week 16
The DLQI is a 10-item validated questionnaire used to assess the impact of AD disease symptoms and treatment on quality of life (QoL). It consists of 10 questions evaluating impact of skin diseases on different aspects of a participant's QoL over the prior week, including symptoms and feelings, daily activities, leisure, work or school, personal relationships, and the side effects of treatment. Each item is scored on a 4-point scale (0 = not at all/not relevant; 1 = a little; 2 = a lot; and 3 = very much).
Item scores are added to provide a total score, ranging from 0 to 30, with higher scores indicating greater impairment of QoL. A score of 0 or 1 means that the disease has no effect at all.
the DLQI was administered to participants who were ≥ 16 (16 to 75) years old at the time of the Screening visit.
Adolescents: Percentage of Participants Achieving an EASI 75 Response at Week 16
EASI is a tool used to measure the extent (area) and severity of atopic eczema based on assessments of the head/neck, trunk, upper limbs and lower limbs. For each region the area score is recorded as the percentage of skin affected by eczema. For each region, the severity score is calculated as the sum of the intensity scores (scored as none [0], mild [1], moderate [2], or severe [3]) for redness (erythema, inflammation), thickness (induration, papulation, swelling - acute eczema), scratching (excoriation), and lichenification (lined skin, prurigo nodules - chronic eczema).
The total EASI score for each region is calculated by multiplying the severity score by the area score, with adjustment for the proportion of the body region to the whole body. The final EASI score is the sum of the 4 region scores and ranges from 0 to 72 where higher scores represent worse disease.
An EASI 75 response is defined as at least a 75% reduction (improvement) from Baseline in EASI score.
Adolescents: Percentage of Participants Achieving a vIGA-AD of 0 or 1 With a Reduction From Baseline of ≥ 2 Points at Week 16
The vIGA-AD is a validated assessment instrument to rate the severity of atopic dermatitis globally, based on the following scale:
0 - Clear: No signs of AD;
1 - Almost clear: Barely perceptible erythema, induration/papulation and/or lichenification;
2 - Mild: Slight but definite erythema, induration/papulation and/or minimal lichenification. No oozing or crusting;
3 - Moderate: Clearly perceptible erythema, induration/papulation and/or lichenification, possible oozing or crusting;
4 - Severe: Marked erythema, induration/papulation and/or lichenification; possible oozing or crusting.
Adolescents: Percentage of Participants Achieving a Reduction of ≥ 4 Points From Baseline in Worst Pruritus NRS at Week 16
Participants were asked to rate itch (pruritus) intensity at its worst during the past 24 hours on a daily basis using an 11-point scale from 0 (no itch) to 10 (worst imaginable itch). Worst pruritus NRS was analyzed based on weekly rolling averages of daily scores.
Adolescents: Percentage of Participants Achieving an EASI 90 Response at Week 16
EASI is a tool used to measure the extent (area) and severity of atopic eczema based on assessments of the head/neck, trunk, upper limbs and lower limbs. For each region the area score is recorded as the percentage of skin affected by eczema. For each region, the severity score is calculated as the sum of the intensity scores (scored as none [0], mild [1], moderate [2], or severe [3]) for redness (erythema, inflammation), thickness (induration, papulation, swelling - acute eczema), scratching (excoriation), and lichenification (lined skin, prurigo nodules - chronic eczema).
The total EASI score for each region is calculated by multiplying the severity score by the area score, with adjustment for the proportion of the body region to the whole body. The final EASI score is the sum of the 4 region scores and ranges from 0 to 72 where higher scores represent worse disease.
An EASI 90 response is defined as at least a 90% reduction (improvement) from Baseline in EASI score.
Adolescents: Percentage of Participants Achieving a Reduction of ≥ 4 Points From Baseline in Worst Pruritus NRS at Week 4
Participants were asked to rate itch (pruritus) intensity at its worst during the past 24 hours on a daily basis using an 11-point scale from 0 (no itch) to 10 (worst imaginable itch). Worst pruritus NRS was analyzed based on weekly rolling averages of daily scores.
Adolescents: Percentage of Participants Achieving an EASI 75 Response at Week 2
EASI is a tool used to measure the extent (area) and severity of atopic eczema based on assessments of the head/neck, trunk, upper limbs and lower limbs. For each region the area score is recorded as the percentage of skin affected by eczema. For each region, the severity score is calculated as the sum of the intensity scores (scored as none [0], mild [1], moderate [2], or severe [3]) for redness (erythema, inflammation), thickness (induration, papulation, swelling - acute eczema), scratching (excoriation), and lichenification (lined skin, prurigo nodules - chronic eczema).
The total EASI score for each region is calculated by multiplying the severity score by the area score, with adjustment for the proportion of the body region to the whole body. The final EASI score is the sum of the 4 region scores and ranges from 0 to 72 where higher scores represent worse disease.
An EASI 75 response is defined as at least a 75% reduction (improvement) from Baseline in EASI score.
Adolescents: Percentage of Participants Achieving a Reduction of ≥ 4 Points From Baseline in Worst Pruritus NRS at Week 1
Participants were asked to rate itch (pruritus) intensity at its worst during the past 24 hours on a daily basis using an 11-point scale from 0 (no itch) to 10 (worst imaginable itch). Worst pruritus NRS was analyzed based on weekly rolling averages of daily scores.
Adolescents: Percentage of Participants Achieving a Reduction of ≥ 4 Points From Baseline in Worst Pruritus NRS at Day 2
Participants were asked to rate itch (pruritus) intensity at its worst during the past 24 hours on a daily basis using an 11-point scale from 0 (no itch) to 10 (worst imaginable itch).
Adolescents: Percentage of Participants Achieving a Reduction of ≥ 4 Points From Baseline in Worst Pruritus NRS at Day 3
Participants were asked to rate itch (pruritus) intensity at its worst during the past 24 hours on a daily basis using an 11-point scale from 0 (no itch) to 10 (worst imaginable itch).
Adolescents: Percentage of Participants Experiencing a Flare During the Double-blind Treatment Period
A flare, characterized as a clinically meaningful worsening in EASI, is defined as an increase in EASI score of ≥ 6.6 points from Baseline during the double-blind treatment period and prior to use of any rescue medication. Flares were assessed in participants with an EASI score of 65.4 or less at Baseline.
Adolescents: Percentage of Participants Achieving a Reduction of ≥ 12 Points From Baseline in ADerm-IS Sleep Domain Score at Week 16
The ADerm-IS is a 10-item patient reported outcome questionnaire designed to assess a variety of impacts that participants experience from their AD.
The ADerm-IS sleep domain consists of 3 questions designed to assess the impact of AD on sleep on a daily basis over a 24-hour recall period. The items include difficulty falling asleep, impact on sleep, and waking at night. Each question is scored on an 11-point NRS from 0 (no impact) to 10 (extreme impact). The ADerm-IS sleep domain score is the sum of the 3 item scores and ranges from 0 (no impact) to 30 (worst impact). The ADerm-IS sleep domain was analyzed based on weekly rolling averages of daily scores.
The minimal clinically important difference for ADerm-IS sleep domain score is 12.
Adolescents: Percentage of Participants Achieving a Reduction of ≥ 4 Points From Baseline in ADerm-SS Skin Pain Score at Week 16
The ADerm-SS is an 11-item PRO questionnaire designed to assess signs and symptoms that patients may experience due to AD using a 24-hour recall period. For the skin pain item participants were asked to indicate on a daily basis how bad their worst skin pain due to AD was in the past 24 hours on an NRS from 0 (no pain) to 10 (worst imaginable pain). The minimal clinically important difference for ADerm-SS skin pain score is 4.
The ADerm-SS skin pain score was analyzed based on weekly rolling averages of daily scores.
Adolescents: Percentage of Participants Achieving a Reduction of ≥ 28 Points From Baseline in ADerm-SS TSS-7 at Week 16
The ADerm-SS is an 11-item questionnaire designed to assess signs and symptoms that participants may experience due to AD using a 24-hour recall period. The 7-item total symptom score includes 7 symptoms (items 1-7 of the ADerm-SS), each assessed on a NRS from 0 (no symptom) to 10 (worst imaginable). The 7 symptoms included in the score are itch while asleep, itch while awake, skin pain (each assessed daily), skin cracking, skin cracking pain, dry skin, and skin flaking (assessed weekly). The TSS-7 score ranges from 0 to 70, with higher scores indicating worsening symptoms. The minimal clinically important difference for ADerm-SS TSS-7 is 28.
Adolescents: Percentage of Participants Achieving a Reduction of ≥ 11 Points From Baseline in ADerm-IS Emotional State Domain Score at Week 16
The ADerm-IS is a 10-item PRO questionnaire designed to assess a variety of impacts that participants experience from their AD.
ADerm-IS emotional state sums three items [Items 8-10] measuring self-consciousness, embarrassment, and sadness with a 7-day recall. Each question is scored on an 11-point NRS from 0 (no impact) to 10 (extreme impact). The emotional state domain score ranges from 0 to 30, where higher scores represent worst impact.
The minimal clinically important difference for ADerm-IS emotional state domain score is 11.
Adolescents: Percentage of Participants Achieving a Reduction of ≥ 14 Points From Baseline in ADerm-IS Daily Activities Domain Score at Week 16
The ADerm-IS is a 10-item PRO questionnaire designed to assess a variety of impacts that participants experience from their AD.
ADerm-IS daily activities sums four items measuring limitations of household, physical, and social activities, and difficulty concentrating with a 7-day recall. Each question is scored on an 11-point NRS from 0 (no impact) to 10 (extreme impact). The daily activities domain score ranges from 0 to 40, where higher scores represent worst impact.
The minimal clinically important difference for the ADerm-IS daily activities domain score is 14.
Adolescents: Percentage of Participants Achieving an EASI 100 Response at Week 16
EASI is a tool used to measure the extent (area) and severity of atopic eczema based on assessments of the head/neck, trunk, upper limbs and lower limbs. For each region the area score is recorded as the percentage of skin affected by eczema. For each region, the severity score is calculated as the sum of the intensity scores (scored as none [0], mild [1], moderate [2], or severe [3]) for redness (erythema, inflammation), thickness (induration, papulation, swelling - acute eczema), scratching (excoriation), and lichenification (lined skin, prurigo nodules - chronic eczema).
The total EASI score for each region is calculated by multiplying the severity score by the area score, with adjustment for the proportion of the body region to the whole body. The final EASI score is the sum of the 4 region scores and ranges from 0 to 72 where higher scores represent worse disease.
An EASI 100 response is defined as a 100% reduction (improvement) from Baseline in EASI score.
Adolescents: Percent Change From Baseline in Worst Pruritus NRS at Week 16
Participants were asked to rate itch (pruritus) intensity at its worst during the past 24 hours on a daily basis using an 11-point scale from 0 (no itch) to 10 (worst imaginable itch). Pruritus NRS was analyzed based on weekly rolling averages of daily scores. A negative change from Baseline indicates improvement.
Adolescents: Percent Change From Baseline in EASI Score at Week 16
EASI is a tool used to measure the extent (area) and severity of atopic eczema based on assessments of the head/neck, trunk, upper limbs and lower limbs. For each region the area score is recorded as the percentage of skin affected by eczema. For each region, the severity score is calculated as the sum of the intensity scores (scored as none [0], mild [1)] moderate [2], or severe [3]) for Redness (erythema, inflammation), Thickness (induration, papulation, swelling - acute eczema), Scratching (excoriation), and Lichenification (lined skin, prurigo nodules - chronic eczema).
The total EASI score for each region is calculated by multiplying the severity score by the area score, with adjustment for the proportion of the body region to the whole body. The final EASI score is the sum of the 4 region scores and ranges from 0 to 72 where higher scores represent worse disease; a negative change from Baseline indicates improvement.
Adolescents: Percentage of Participants Achieving a Reduction of ≥ 4 Points From Baseline in POEM Total Score at Week 16
The POEM is a 7-item, validated questionnaire used to assess disease symptoms in both children and adults. Participants respond to 7 questions, including dryness, itching, flaking, cracking, sleep loss, bleeding, and weeping, each scored on a 5-point scale based on frequency of occurrence during the previous week: 0 = no days, 1 = 1 to 2 days, 2 = 3 to 4 days, 3 = 5 to 6 days, and 4 = all days. Item scores are added to provide a total score ranging from 0 (clear) to 28 (very severe atopic eczema). A change in POEM score of 3.4 points is considered the minimal clinically important difference.
Adolescents: Percentage of Participants Achieving a Reduction of ≥ 4 Points From Baseline in DLQI Score at Week 16
The DLQI is a 10-item validated questionnaire used to assess the impact of AD disease symptoms and treatment on quality of life (QoL). It consists of 10 questions evaluating impact of skin diseases on different aspects of a participant's QoL over the prior week, including symptoms and feelings, daily activities, leisure, work or school, personal relationships, and the side effects of treatment. Each item is scored on a 4-point scale (0 = not at all/not relevant; 1 = a little; 2 = a lot; and 3 = very much).
Item scores are added to provide a total score, ranging from 0 to 30, with higher scores indicating greater impairment of QoL.
the DLQI was administered to participants who were ≥ 16 (16 to 75) years old at the time of the Screening visit.
Adolescents: Percent Change From Baseline in SCORAD Score at Week 16
SCORAD is a clinical tool used to assess the extent and severity of eczema (SCORing Atopic Dermatitis). The extent is assessed using the rule of 9 to calculate the affected area (A) as a percentage of the whole body (0-100%). The intensity part of the SCORAD (B) consists of 6 items: erythema, oedema/papulation, excoriations, lichenification, oozing/crusts and dryness, each graded on a scale from 0 (none) to 3 (severe), for a total score of 0 to 18. Subjective items (C) include daily pruritus and sleeplessness, each scored on a visual analogue scale (VAS) from 0 to 10 (total score 0-20). SCORAD is calculated as A/5 + 7B/2 + C, and ranges from 0 to 103 (worst). A negative change from Baseline indicates improvement.
Adolescents: Percentage of Participants Achieving HADS-A Score and HADS-D Score of < 8 at Week 16
The HADS is a 14-item questionnaire, with seven items related to anxiety (HADS-A) and seven items related to depression (HADS-D). Each item is scored from 0 to 3; scores for each subscale range from 0 to 21, with higher scores indicating more distress. For each domain, scores 7 or lower are considered normal, 8 to 10 are borderline, and 11 or higher indicate clinical anxiety or depression.
Adolescents: Percentage of Participants Achieving a DLQI Score of 0 or 1 at Week 16
The DLQI is a 10-item validated questionnaire used to assess the impact of AD disease symptoms and treatment on quality of life (QoL). It consists of 10 questions evaluating impact of skin diseases on different aspects of a participant's QoL over the prior week, including symptoms and feelings, daily activities, leisure, work or school, personal relationships, and the side effects of treatment. Each item is scored on a 4-point scale (0 = not at all/not relevant; 1 = a little; 2 = a lot; and 3 = very much).
Item scores are added to provide a total score, ranging from 0 to 30, with higher scores indicating greater impairment of QoL. A score of 0 or 1 means that the disease has no effect at all.
the DLQI was administered to participants who were ≥ 16 (16 to 75) years old at the time of the Screening visit.
Full Information
1. Study Identification
Unique Protocol Identification Number
NCT03569293
Brief Title
Evaluation of Upadacitinib in Adolescent and Adult Patients With Moderate to Severe Atopic Dermatitis (Eczema)
Acronym
Measure Up 1
Official Title
A Phase 3 Randomized, Placebo-Controlled, Double-Blind Study to Evaluate Upadacitinib in Adolescent and Adult Subjects With Moderate to Severe Atopic Dermatitis
Study Type
Interventional
2. Study Status
Record Verification Date
June 2023
Overall Recruitment Status
Active, not recruiting
Study Start Date
August 13, 2018 (Actual)
Primary Completion Date
January 6, 2021 (Actual)
Study Completion Date
October 9, 2025 (Anticipated)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Sponsor
Name of the Sponsor
AbbVie
4. Oversight
Studies a U.S. FDA-regulated Drug Product
Yes
Studies a U.S. FDA-regulated Device Product
No
Product Manufactured in and Exported from the U.S.
No
Data Monitoring Committee
Yes
5. Study Description
Brief Summary
The objective of this study is to assess the efficacy and safety of upadacitinib for the treatment of adolescent and adult participants with moderate to severe atopic dermatitis (AD) who are candidates for systemic therapy.
Detailed Description
This study includes a 35-day screening period, a 16-week double-blind period, a blinded extension period up to Week 260, and a 30-day follow-up visit.
Participants who meet eligibility criteria in the main study will be randomized in a 1:1:1 ratio to receive a daily oral dose of upadacitinib 30 mg or upadacitinib 15 mg or matching placebo. Upon completion of enrollment of 810 participants in the main study, a supplemental study will continue to enroll adolescents (adolescent sub-study) until a total of 180 adolescent participants are enrolled in the overall study (main study + adolescent sub-study).
Randomization for the main study will be stratified by baseline disease severity (validated Investigator Global Assessment scale for Atopic Dermatitis [vIGA-AD] score of moderate [3] versus severe [4]), by geographic region (United States [US]/Puerto Rico/Canada, Japan, China, and Other), and by age (adolescent [ages 12 to 17] versus adult [ages 18 to 75]). The separate randomization for the adolescent sub-study will be stratified by baseline disease severity (moderate [vIGA-AD 3] vs. severe [vIGA-AD 4]) and by geographic region (US/Puerto Rico/Canada and Other).
At Week 16 of the main study and the adolescent sub-study, participants in the placebo group will be re-randomized in a 1:1 ratio to receive daily oral doses of upadacitinib 30 mg or upadacitinib 15 mg in the blinded extension period. In the main study the re-randomization at Week 16 will be stratified by Week 16 50% improvement in Eczema Area and Severity Index [EASI 50] responder [yes/no], geographic region [US/Puerto Rico/Canada, China [Mainland], Japan, and other], and age group [adolescent/adult]. For the adolescent sub-study, the re-randomization will be stratified by EASI 50 responder (Yes/No) and by geographic region (US/Puerto Rico/Canada and Other).
Participants originally randomized to upadacitinib will continue upadacitinib in the extension period at the same dose.
Starting at the Week 4 visit, rescue treatment for AD may be provided at the discretion of the investigator if medically necessary.
The Primary Analysis for the main study will be conducted after all ongoing participants have completed Week 16. In addition, a Primary Analysis for the adolescent population (including the adolescent participants from the main study and the adolescent sub-study) will be conducted after all ongoing adolescent participants have completed Week 16.
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Atopic Dermatitis
Keywords
Atopic Dermatitis, Upadacitinib
7. Study Design
Primary Purpose
Treatment
Study Phase
Phase 3
Interventional Study Model
Parallel Assignment
Masking
ParticipantCare ProviderInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
912 (Actual)
8. Arms, Groups, and Interventions
Arm Title
Placebo / Upadacitinib
Arm Type
Placebo Comparator
Arm Description
Participants will receive placebo orally once a day (QD) for 16 weeks in the double-blind treatment period. At Week 16 participants will be re-randomized to receive either upadacitinib 15 mg or upadacitinib 30 mg QD up to Week 260.
Arm Title
Upadacitinib 15 mg QD
Arm Type
Experimental
Arm Description
Participants will receive upadacitinib 15 mg orally once a day for up to 260 weeks.
Arm Title
Upadacitinib 30 mg QD
Arm Type
Experimental
Arm Description
Participants will receive upadacitinib 30 mg orally once a day for up to 260 weeks.
Intervention Type
Drug
Intervention Name(s)
Placebo for Upadacitinib
Intervention Description
Tablets taken orally once a day
Intervention Type
Drug
Intervention Name(s)
Upadacitinib
Other Intervention Name(s)
ABT-494, RINVOQ™
Intervention Description
Tablets taken orally once a day
Primary Outcome Measure Information:
Title
Main Study: Percentage of Participants Achieving at Least a 75% Reduction in Eczema Area and Severity Index Score (EASI 75) From Baseline at Week 16
Description
EASI is a tool used to measure the extent (area) and severity of atopic eczema based on assessments of the head/neck, trunk, upper limbs and lower limbs. For each region the area score is recorded as the percentage of skin affected by eczema. For each region, the severity score is calculated as the sum of the intensity scores (scored as none [0], mild [1], moderate [2], or severe [3]) for redness (erythema, inflammation), thickness (induration, papulation, swelling - acute eczema), scratching (excoriation), and lichenification (lined skin, prurigo nodules - chronic eczema).
The total EASI score for each region is calculated by multiplying the severity score by the area score, with adjustment for the proportion of the body region to the whole body. The final EASI score is the sum of the 4 region scores and ranges from 0 to 72 where higher scores represent worse disease.
Time Frame
Baseline and Week 16
Title
Main Study: Percentage of Participants Achieving Validated Investigator Global Assessment for Atopic Dermatitis (vIGA-AD) of 0 or 1 With a Reduction From Baseline of ≥ 2 Points at Week 16
Description
The vIGA-AD is a validated assessment instrument to rate the severity of atopic dermatitis globally, based on the following scale:
0 - Clear: No inflammatory signs of AD;
1 - Almost clear: Barely perceptible erythema, induration/papulation and/or lichenification;
2 - Mild: Slight but definite erythema, induration/papulation and/or minimal lichenification. No oozing or crusting;
3 - Moderate: Clearly perceptible erythema, induration/papulation and/or lichenification, oozing or crusting may be present;
4 - Severe: Marked erythema, induration/papulation and/or lichenification; Oozing or crusting may be present.
Time Frame
Baseline and Week 16
Secondary Outcome Measure Information:
Title
Main Study: Percentage of Participants Achieving a Reduction of ≥ 4 Points From Baseline in Worst Pruritus Numerical Rating Scale (NRS) at Week 16
Description
Participants were asked to rate itch (pruritus) intensity at its worst during the past 24 hours on a daily basis using an 11-point scale from 0 (no itch) to 10 (worst imaginable itch). Pruritus NRS was analyzed based on weekly rolling averages of daily scores.
Time Frame
Baseline (last available rolling average before the first dose of study drug) and Week 16
Title
Main Study: Percentage of Participants Achieving a 90% Reduction From Baseline in EASI Score (EASI 90) at Week 16
Description
EASI is a tool used to measure the extent (area) and severity of atopic eczema based on assessments of the head/neck, trunk, upper limbs and lower limbs. For each region the area score is recorded as the percentage of skin affected by eczema. For each region, the severity score is calculated as the sum of the intensity scores (scored as none [0], mild [1], moderate [2], or severe [3]) for redness (erythema, inflammation), thickness (induration, papulation, swelling - acute eczema), scratching (excoriation), and lichenification (lined skin, prurigo nodules - chronic eczema).
The total EASI score for each region is calculated by multiplying the severity score by the area score, with adjustment for the proportion of the body region to the whole body. The final EASI score is the sum of the 4 region scores and ranges from 0 to 72 where higher scores represent worse disease.
Time Frame
Baseline and Week 16
Title
Main Study: Percentage of Participants Achieving a Reduction of ≥ 4 Points From Baseline in Worst Pruritus NRS at Week 4
Description
Participants were asked to rate itch (pruritus) intensity at its worst during the past 24 hours on a daily basis using an 11-point scale from 0 (no itch) to 10 (worst imaginable itch). Pruritus NRS was analyzed based on weekly rolling averages of daily scores.
Time Frame
Baseline (last available rolling average before the first dose of study drug) and Week 4
Title
Main Study: Percentage of Participants Achieving an EASI 75 Response at Week 2
Description
EASI is a tool used to measure the extent (area) and severity of atopic eczema based on assessments of the head/neck, trunk, upper limbs and lower limbs. For each region the area score is recorded as the percentage of skin affected by eczema. For each region, the severity score is calculated as the sum of the intensity scores (scored as none [0], mild [1], moderate [2], or severe [3]) for redness (erythema, inflammation), thickness (induration, papulation, swelling - acute eczema), scratching (excoriation), and lichenification (lined skin, prurigo nodules - chronic eczema).
The total EASI score for each region is calculated by multiplying the severity score by the area score, with adjustment for the proportion of the body region to the whole body. The final EASI score is the sum of the 4 region scores and ranges from 0 to 72 where higher scores represent worse disease.
An EASI 75 response is defined as at least a 75% reduction (improvement) from Baseline in EASI score.
Time Frame
Baseline and Week 2
Title
Main Study: Percentage of Participants Achieving a Reduction of ≥ 4 Points From Baseline in Worst Pruritus NRS at Week 1
Description
Participants were asked to rate itch (pruritus) intensity at its worst during the past 24 hours on a daily basis using an 11-point scale from 0 (no itch) to 10 (worst imaginable itch). Pruritus NRS was analyzed based on weekly rolling averages of daily scores.
Time Frame
Baseline (last available rolling average before the first dose of study drug) and Week 1
Title
Main Study: Percentage of Participants Achieving a Reduction of ≥ 4 Points From Baseline in Worst Pruritus NRS at Day 2
Description
Participants were asked to rate itch (pruritus) intensity at its worst during the past 24 hours on a daily basis using an 11-point scale from 0 (no itch) to 10 (worst imaginable itch).
The percentage of participants who had a 4-point or greater improvement from Baseline in Worst Pruritus NRS score at Day 2 was pre-specified as a ranked secondary endpoint for participants in the upadacitinib 30 mg group versus placebo group only.
Time Frame
Baseline and Day 2
Title
Main Study: Percentage of Participants Achieving a Reduction of ≥ 4 Points From Baseline in Worst Pruritus NRS at Day 3
Description
Participants were asked to rate itch (pruritus) intensity at its worst during the past 24 hours on a daily basis using an 11-point scale from 0 (no itch) to 10 (worst imaginable itch).
The percentage of participants who had a 4-point or greater improvement in Worst Pruritus NRS score from Baseline at Day 3 was pre-specified as a ranked secondary endpoint for participants in the upadacitinib 15 mg group versus placebo group only.
Time Frame
Baseline and Day 3
Title
Main Study: Percentage of Participants Experiencing a Flare During the Double-blind Treatment Period
Description
A flare, characterized as a clinically meaningful worsening in EASI, is defined as an increase in EASI score of ≥ 6.6 points from Baseline during the double-blind treatment period and prior to use of any rescue medication. Flare was assessed in participants with an EASI score of 65.4 or less at Baseline.
Time Frame
From first dose of study drug to Week 16
Title
Main Study: Percentage of Participants Achieving a Reduction of ≥ 12 Points From Baseline in Atopic Dermatitis Impact Scale (ADerm-IS) Sleep Domain Score at Week 16
Description
The ADerm-IS is a 10-item patient reported outcome (PRO) questionnaire designed to assess a variety of impacts that participants experience from their AD.
The ADerm-IS sleep domain consists of 3 questions designed to assess the impact of AD on sleep on a daily basis over a 24-hour recall period. The items include difficulty falling asleep, impact on sleep, and waking at night. Each question is scored on an 11-point NRS from 0 (no impact) to 10 (extreme impact). The ADerm-IS sleep domain score is the sum of the 3 item scores and ranges from 0 (no impact) to 30 (worst impact). The ADerm-IS sleep domain was analyzed based on weekly rolling averages of daily scores.
The minimal clinically important difference for ADerm-IS sleep domain score is 12.
Time Frame
Baseline (last available rolling average before the first dose of study drug) and Week 16
Title
Main Study: Percentage of Participants Achieving a Reduction of ≥ 4 Points From Baseline in Atopic Dermatitis Symptom Scale (ADerm-SS) Skin Pain Score at Week 16
Description
The ADerm-SS is an 11-item PRO questionnaire designed to assess signs and symptoms that patients may experience due to AD using a 24-hour recall period. For the skin pain item participants were asked on a daily basis to indicate how bad their worst skin pain due to AD was in the past 24 hours on an NRS from 0 (no pain) to 10 (worst imaginable pain). The ADerm-SS skin pain score was analyzed using weekly rolling averages of daily scores. The minimal clinically important difference for ADerm-SS skin pain score is 4.
Time Frame
Baseline (last available rolling average before the first dose of study drug) and Week 16
Title
Main Study: Percentage of Participants Achieving a Reduction of ≥ 28 Points From Baseline in ADerm-SS 7-Item Total Symptom Score (TSS-7) at Week 16
Description
The ADerm-SS is an 11-item questionnaire designed to assess signs and symptoms that participants may experience due to AD using a 24-hour recall period. The 7-item total symptom score includes 7 symptoms (items 1-7 of the ADerm-SS), each assessed on a NRS from 0 (no symptom) to 10 (worst imaginable). The 7 symptoms included in the score are itch while asleep, itch while awake, skin pain (each assessed daily), skin cracking, skin cracking pain, dry skin, and skin flaking (assessed weekly). The TSS-7 score ranges from 0 to 70, with higher scores indicating worsening symptoms. The minimal clinically important difference for ADerm-SS TSS-7 is 28.
Time Frame
Baseline and Week 16
Title
Main Study: Percentage of Participants Achieving a Reduction of ≥ 11 Points From Baseline in ADerm-IS Emotional State Domain Score at Week 16
Description
The ADerm-IS is a 10-item PRO questionnaire designed to assess a variety of impacts that participants experience from their AD.
ADerm-IS emotional state sums three items [Items 8-10] measuring self-consciousness, embarrassment, and sadness with a 7-day recall. Each question is scored on an 11-point NRS from 0 (no impact) to 10 (extreme impact). The emotional state domain score ranges from 0 to 30, where higher scores represent worst impact.
The minimal clinically important difference for ADerm-IS emotional state domain score is 11.
Time Frame
Baseline and Week 16
Title
Main Study: Percentage of Participants Achieving a Reduction of ≥ 14 Points From Baseline in in ADerm-IS Daily Activities Domain Score at Week 16
Description
The ADerm-IS is a 10-item PRO questionnaire designed to assess a variety of impacts that participants experience from their AD.
ADerm-IS daily activities sums four items measuring limitations of household, physical, and social activities, and difficulty concentrating with a 7-day recall. Each question is scored on an 11-point NRS from 0 (no impact) to 10 (extreme impact). The daily activities domain score ranges from 0 to 40, where higher scores represent worst impact.
The minimal clinically important difference for the ADerm-IS daily activities domain score is 14.
Time Frame
Baseline and Week 16
Title
Main Study: Percentage of Participants Achieving a 100% Reduction From Baseline in EASI Score (EASI 100) at Week 16
Description
EASI is a tool used to measure the extent (area) and severity of atopic eczema based on assessments of the head/neck, trunk, upper limbs and lower limbs. For each region the area score is recorded as the percentage of skin affected by eczema. For each region, the severity score is calculated as the sum of the intensity scores (scored as none [0], mild [1], moderate [2], or severe [3]) for redness (erythema, inflammation), thickness (induration, papulation, swelling - acute eczema), scratching (excoriation), and lichenification (lined skin, prurigo nodules - chronic eczema).
The total EASI score for each region is calculated by multiplying the severity score by the area score, with adjustment for the proportion of the body region to the whole body. The final EASI score is the sum of the 4 region scores and ranges from 0 to 72 where higher scores represent worse disease.
Time Frame
Baseline and Week 16
Title
Main Study: Percent Change From Baseline in Worst Pruritus NRS at Week 16
Description
Participants were asked to rate itch (pruritus) intensity at its worst during the past 24 hours on a daily basis using an 11-point scale from 0 (no itch) to 10 (worst imaginable itch). Pruritus NRS was analyzed based on weekly rolling averages of daily scores. A negative change from Baseline indicates improvement.
Time Frame
Baseline (last available rolling average before the first dose of study drug) and Week 16
Title
Main Study: Percent Change From Baseline in EASI Score at Week 16
Description
EASI is a tool used to measure the extent (area) and severity of atopic eczema based on assessments of the head/neck, trunk, upper limbs and lower limbs. For each region the area score is recorded as the percentage of skin affected by eczema. For each region, the severity score is calculated as the sum of the intensity scores (scored as none [0], mild [1)] moderate [2], or severe [3]) for Redness (erythema, inflammation), Thickness (induration, papulation, swelling - acute eczema), Scratching (excoriation), and Lichenification (lined skin, prurigo nodules - chronic eczema).
The total EASI score for each region is calculated by multiplying the severity score by the area score, with adjustment for the proportion of the body region to the whole body. The final EASI score is the sum of the 4 region scores and ranges from 0 to 72 where higher scores represent worse disease; a negative change from Baseline indicates improvement.
Time Frame
Baseline and Week 16
Title
Main Study: Percentage of Participants Achieving a Reduction of ≥ 4 Points From Baseline in Patient Oriented Eczema Measure (POEM) Total Score at Week 16
Description
The POEM is a 7-item, validated questionnaire used to assess disease symptoms in both children and adults. Participants respond to 7 questions, including dryness, itching, flaking, cracking, sleep loss, bleeding, and weeping, each scored on a 5-point scale based on frequency of occurrence during the previous week: 0 = no days, 1 = 1 to 2 days, 2 = 3 to 4 days, 3 = 5 to 6 days, and 4 = all days. Item scores are added to provide a total score ranging from 0 (clear) to 28 (very severe atopic eczema). A change in POEM score of 3.4 points is considered the minimal clinically important difference.
Time Frame
Baseline and Week 16
Title
Main Study: Percentage of Participants Achieving a Reduction of ≥ 4 Points From Baseline in Dermatology Life Quality Index (DLQI) at Week 16
Description
The DLQI is a 10-item validated questionnaire used to assess the impact of AD disease symptoms and treatment on quality of life (QoL). It consists of 10 questions evaluating impact of skin diseases on different aspects of a participant's QoL over the prior week, including symptoms and feelings, daily activities, leisure, work or school, personal relationships, and the side effects of treatment. Each item is scored on a 4-point scale (0 = not at all/not relevant; 1 = a little; 2 = a lot; and 3 = very much).
Item scores are added to provide a total score, ranging from 0 to 30, with higher scores indicating greater impairment of QoL.
the DLQI was administered to participants who were ≥ 16 (16 to 75) years old at the time of the Screening visit.
Time Frame
Baseline and Week 16
Title
Main Study: Percent Change From Baseline in Scoring Atopic Dermatitis (SCORAD) Score at Week 16
Description
SCORAD is a clinical tool used to assess the extent and severity of eczema (SCORing Atopic Dermatitis). The extent is assessed using the rule of 9 to calculate the affected area (A) as a percentage of the whole body (0-100%). The intensity part of the SCORAD (B) consists of 6 items: erythema, oedema/papulation, excoriations, lichenification, oozing/crusts and dryness, each graded on a scale from 0 (none) to 3 (severe), for a total score of 0 to 18. Subjective items (C) include daily pruritus and sleeplessness, each scored on a visual analogue scale (VAS) from 0 to 10 (total score 0-20). SCORAD is calculated as A/5 + 7B/2 + C, and ranges from 0 to 103 (worst). A negative change from Baseline indicates improvement.
Time Frame
Baseline and Week 16
Title
Main Study: Percentage of Participants Achieving a Hospital Anxiety and Depression Scale-Anxiety (HADS-A) Score and Hospital Anxiety and Depression Scale-Depression (HADS-D) Score of < 8 at Week 16
Description
The HADS is a 14-item questionnaire, with seven items related to anxiety (HADS-A) and seven items related to depression (HADS-D). Each item is scored from 0 to 3; scores for each subscale range from 0 to 21, with higher scores indicating more distress. For each domain, scores 7 or lower are considered normal, 8 to 10 are borderline, and 11 or higher indicate clinical anxiety or depression.
Time Frame
Baseline and Week 16
Title
Main Study: Percentage of Participants Achieving a DLQI Score of 0 or 1 at Week 16
Description
The DLQI is a 10-item validated questionnaire used to assess the impact of AD disease symptoms and treatment on quality of life (QoL). It consists of 10 questions evaluating impact of skin diseases on different aspects of a participant's QoL over the prior week, including symptoms and feelings, daily activities, leisure, work or school, personal relationships, and the side effects of treatment. Each item is scored on a 4-point scale (0 = not at all/not relevant; 1 = a little; 2 = a lot; and 3 = very much).
Item scores are added to provide a total score, ranging from 0 to 30, with higher scores indicating greater impairment of QoL. A score of 0 or 1 means that the disease has no effect at all.
the DLQI was administered to participants who were ≥ 16 (16 to 75) years old at the time of the Screening visit.
Time Frame
Week 16
Title
Adolescents: Percentage of Participants Achieving an EASI 75 Response at Week 16
Description
EASI is a tool used to measure the extent (area) and severity of atopic eczema based on assessments of the head/neck, trunk, upper limbs and lower limbs. For each region the area score is recorded as the percentage of skin affected by eczema. For each region, the severity score is calculated as the sum of the intensity scores (scored as none [0], mild [1], moderate [2], or severe [3]) for redness (erythema, inflammation), thickness (induration, papulation, swelling - acute eczema), scratching (excoriation), and lichenification (lined skin, prurigo nodules - chronic eczema).
The total EASI score for each region is calculated by multiplying the severity score by the area score, with adjustment for the proportion of the body region to the whole body. The final EASI score is the sum of the 4 region scores and ranges from 0 to 72 where higher scores represent worse disease.
An EASI 75 response is defined as at least a 75% reduction (improvement) from Baseline in EASI score.
Time Frame
Baseline and Week 16
Title
Adolescents: Percentage of Participants Achieving a vIGA-AD of 0 or 1 With a Reduction From Baseline of ≥ 2 Points at Week 16
Description
The vIGA-AD is a validated assessment instrument to rate the severity of atopic dermatitis globally, based on the following scale:
0 - Clear: No signs of AD;
1 - Almost clear: Barely perceptible erythema, induration/papulation and/or lichenification;
2 - Mild: Slight but definite erythema, induration/papulation and/or minimal lichenification. No oozing or crusting;
3 - Moderate: Clearly perceptible erythema, induration/papulation and/or lichenification, possible oozing or crusting;
4 - Severe: Marked erythema, induration/papulation and/or lichenification; possible oozing or crusting.
Time Frame
Baseline and Week 16
Title
Adolescents: Percentage of Participants Achieving a Reduction of ≥ 4 Points From Baseline in Worst Pruritus NRS at Week 16
Description
Participants were asked to rate itch (pruritus) intensity at its worst during the past 24 hours on a daily basis using an 11-point scale from 0 (no itch) to 10 (worst imaginable itch). Worst pruritus NRS was analyzed based on weekly rolling averages of daily scores.
Time Frame
Baseline (last available rolling average before the first dose of study drug) and Week 16
Title
Adolescents: Percentage of Participants Achieving an EASI 90 Response at Week 16
Description
EASI is a tool used to measure the extent (area) and severity of atopic eczema based on assessments of the head/neck, trunk, upper limbs and lower limbs. For each region the area score is recorded as the percentage of skin affected by eczema. For each region, the severity score is calculated as the sum of the intensity scores (scored as none [0], mild [1], moderate [2], or severe [3]) for redness (erythema, inflammation), thickness (induration, papulation, swelling - acute eczema), scratching (excoriation), and lichenification (lined skin, prurigo nodules - chronic eczema).
The total EASI score for each region is calculated by multiplying the severity score by the area score, with adjustment for the proportion of the body region to the whole body. The final EASI score is the sum of the 4 region scores and ranges from 0 to 72 where higher scores represent worse disease.
An EASI 90 response is defined as at least a 90% reduction (improvement) from Baseline in EASI score.
Time Frame
Baseline and Week 16
Title
Adolescents: Percentage of Participants Achieving a Reduction of ≥ 4 Points From Baseline in Worst Pruritus NRS at Week 4
Description
Participants were asked to rate itch (pruritus) intensity at its worst during the past 24 hours on a daily basis using an 11-point scale from 0 (no itch) to 10 (worst imaginable itch). Worst pruritus NRS was analyzed based on weekly rolling averages of daily scores.
Time Frame
Baseline (last available rolling average before the first dose of study drug) and Week 4
Title
Adolescents: Percentage of Participants Achieving an EASI 75 Response at Week 2
Description
EASI is a tool used to measure the extent (area) and severity of atopic eczema based on assessments of the head/neck, trunk, upper limbs and lower limbs. For each region the area score is recorded as the percentage of skin affected by eczema. For each region, the severity score is calculated as the sum of the intensity scores (scored as none [0], mild [1], moderate [2], or severe [3]) for redness (erythema, inflammation), thickness (induration, papulation, swelling - acute eczema), scratching (excoriation), and lichenification (lined skin, prurigo nodules - chronic eczema).
The total EASI score for each region is calculated by multiplying the severity score by the area score, with adjustment for the proportion of the body region to the whole body. The final EASI score is the sum of the 4 region scores and ranges from 0 to 72 where higher scores represent worse disease.
An EASI 75 response is defined as at least a 75% reduction (improvement) from Baseline in EASI score.
Time Frame
Baseline and Week 2
Title
Adolescents: Percentage of Participants Achieving a Reduction of ≥ 4 Points From Baseline in Worst Pruritus NRS at Week 1
Description
Participants were asked to rate itch (pruritus) intensity at its worst during the past 24 hours on a daily basis using an 11-point scale from 0 (no itch) to 10 (worst imaginable itch). Worst pruritus NRS was analyzed based on weekly rolling averages of daily scores.
Time Frame
Baseline (last available rolling average before the first dose of study drug) and Week 1
Title
Adolescents: Percentage of Participants Achieving a Reduction of ≥ 4 Points From Baseline in Worst Pruritus NRS at Day 2
Description
Participants were asked to rate itch (pruritus) intensity at its worst during the past 24 hours on a daily basis using an 11-point scale from 0 (no itch) to 10 (worst imaginable itch).
Time Frame
Baseline and Day 2
Title
Adolescents: Percentage of Participants Achieving a Reduction of ≥ 4 Points From Baseline in Worst Pruritus NRS at Day 3
Description
Participants were asked to rate itch (pruritus) intensity at its worst during the past 24 hours on a daily basis using an 11-point scale from 0 (no itch) to 10 (worst imaginable itch).
Time Frame
Baseline and Day 3
Title
Adolescents: Percentage of Participants Experiencing a Flare During the Double-blind Treatment Period
Description
A flare, characterized as a clinically meaningful worsening in EASI, is defined as an increase in EASI score of ≥ 6.6 points from Baseline during the double-blind treatment period and prior to use of any rescue medication. Flares were assessed in participants with an EASI score of 65.4 or less at Baseline.
Time Frame
From first dose of study drug to Week 16
Title
Adolescents: Percentage of Participants Achieving a Reduction of ≥ 12 Points From Baseline in ADerm-IS Sleep Domain Score at Week 16
Description
The ADerm-IS is a 10-item patient reported outcome questionnaire designed to assess a variety of impacts that participants experience from their AD.
The ADerm-IS sleep domain consists of 3 questions designed to assess the impact of AD on sleep on a daily basis over a 24-hour recall period. The items include difficulty falling asleep, impact on sleep, and waking at night. Each question is scored on an 11-point NRS from 0 (no impact) to 10 (extreme impact). The ADerm-IS sleep domain score is the sum of the 3 item scores and ranges from 0 (no impact) to 30 (worst impact). The ADerm-IS sleep domain was analyzed based on weekly rolling averages of daily scores.
The minimal clinically important difference for ADerm-IS sleep domain score is 12.
Time Frame
Baseline (last available rolling average before the first dose of study drug) and Week 16
Title
Adolescents: Percentage of Participants Achieving a Reduction of ≥ 4 Points From Baseline in ADerm-SS Skin Pain Score at Week 16
Description
The ADerm-SS is an 11-item PRO questionnaire designed to assess signs and symptoms that patients may experience due to AD using a 24-hour recall period. For the skin pain item participants were asked to indicate on a daily basis how bad their worst skin pain due to AD was in the past 24 hours on an NRS from 0 (no pain) to 10 (worst imaginable pain). The minimal clinically important difference for ADerm-SS skin pain score is 4.
The ADerm-SS skin pain score was analyzed based on weekly rolling averages of daily scores.
Time Frame
Baseline (last available rolling average before the first dose of study drug) and Week 16
Title
Adolescents: Percentage of Participants Achieving a Reduction of ≥ 28 Points From Baseline in ADerm-SS TSS-7 at Week 16
Description
The ADerm-SS is an 11-item questionnaire designed to assess signs and symptoms that participants may experience due to AD using a 24-hour recall period. The 7-item total symptom score includes 7 symptoms (items 1-7 of the ADerm-SS), each assessed on a NRS from 0 (no symptom) to 10 (worst imaginable). The 7 symptoms included in the score are itch while asleep, itch while awake, skin pain (each assessed daily), skin cracking, skin cracking pain, dry skin, and skin flaking (assessed weekly). The TSS-7 score ranges from 0 to 70, with higher scores indicating worsening symptoms. The minimal clinically important difference for ADerm-SS TSS-7 is 28.
Time Frame
Baseline and Week 16
Title
Adolescents: Percentage of Participants Achieving a Reduction of ≥ 11 Points From Baseline in ADerm-IS Emotional State Domain Score at Week 16
Description
The ADerm-IS is a 10-item PRO questionnaire designed to assess a variety of impacts that participants experience from their AD.
ADerm-IS emotional state sums three items [Items 8-10] measuring self-consciousness, embarrassment, and sadness with a 7-day recall. Each question is scored on an 11-point NRS from 0 (no impact) to 10 (extreme impact). The emotional state domain score ranges from 0 to 30, where higher scores represent worst impact.
The minimal clinically important difference for ADerm-IS emotional state domain score is 11.
Time Frame
Baseline and Week 16
Title
Adolescents: Percentage of Participants Achieving a Reduction of ≥ 14 Points From Baseline in ADerm-IS Daily Activities Domain Score at Week 16
Description
The ADerm-IS is a 10-item PRO questionnaire designed to assess a variety of impacts that participants experience from their AD.
ADerm-IS daily activities sums four items measuring limitations of household, physical, and social activities, and difficulty concentrating with a 7-day recall. Each question is scored on an 11-point NRS from 0 (no impact) to 10 (extreme impact). The daily activities domain score ranges from 0 to 40, where higher scores represent worst impact.
The minimal clinically important difference for the ADerm-IS daily activities domain score is 14.
Time Frame
Baseline and Week 16
Title
Adolescents: Percentage of Participants Achieving an EASI 100 Response at Week 16
Description
EASI is a tool used to measure the extent (area) and severity of atopic eczema based on assessments of the head/neck, trunk, upper limbs and lower limbs. For each region the area score is recorded as the percentage of skin affected by eczema. For each region, the severity score is calculated as the sum of the intensity scores (scored as none [0], mild [1], moderate [2], or severe [3]) for redness (erythema, inflammation), thickness (induration, papulation, swelling - acute eczema), scratching (excoriation), and lichenification (lined skin, prurigo nodules - chronic eczema).
The total EASI score for each region is calculated by multiplying the severity score by the area score, with adjustment for the proportion of the body region to the whole body. The final EASI score is the sum of the 4 region scores and ranges from 0 to 72 where higher scores represent worse disease.
An EASI 100 response is defined as a 100% reduction (improvement) from Baseline in EASI score.
Time Frame
Baseline and Week 16
Title
Adolescents: Percent Change From Baseline in Worst Pruritus NRS at Week 16
Description
Participants were asked to rate itch (pruritus) intensity at its worst during the past 24 hours on a daily basis using an 11-point scale from 0 (no itch) to 10 (worst imaginable itch). Pruritus NRS was analyzed based on weekly rolling averages of daily scores. A negative change from Baseline indicates improvement.
Time Frame
Baseline (last available rolling average before the first dose of study drug) and Week 16
Title
Adolescents: Percent Change From Baseline in EASI Score at Week 16
Description
EASI is a tool used to measure the extent (area) and severity of atopic eczema based on assessments of the head/neck, trunk, upper limbs and lower limbs. For each region the area score is recorded as the percentage of skin affected by eczema. For each region, the severity score is calculated as the sum of the intensity scores (scored as none [0], mild [1)] moderate [2], or severe [3]) for Redness (erythema, inflammation), Thickness (induration, papulation, swelling - acute eczema), Scratching (excoriation), and Lichenification (lined skin, prurigo nodules - chronic eczema).
The total EASI score for each region is calculated by multiplying the severity score by the area score, with adjustment for the proportion of the body region to the whole body. The final EASI score is the sum of the 4 region scores and ranges from 0 to 72 where higher scores represent worse disease; a negative change from Baseline indicates improvement.
Time Frame
Baseline and Week 16
Title
Adolescents: Percentage of Participants Achieving a Reduction of ≥ 4 Points From Baseline in POEM Total Score at Week 16
Description
The POEM is a 7-item, validated questionnaire used to assess disease symptoms in both children and adults. Participants respond to 7 questions, including dryness, itching, flaking, cracking, sleep loss, bleeding, and weeping, each scored on a 5-point scale based on frequency of occurrence during the previous week: 0 = no days, 1 = 1 to 2 days, 2 = 3 to 4 days, 3 = 5 to 6 days, and 4 = all days. Item scores are added to provide a total score ranging from 0 (clear) to 28 (very severe atopic eczema). A change in POEM score of 3.4 points is considered the minimal clinically important difference.
Time Frame
Baseline and Week 16
Title
Adolescents: Percentage of Participants Achieving a Reduction of ≥ 4 Points From Baseline in DLQI Score at Week 16
Description
The DLQI is a 10-item validated questionnaire used to assess the impact of AD disease symptoms and treatment on quality of life (QoL). It consists of 10 questions evaluating impact of skin diseases on different aspects of a participant's QoL over the prior week, including symptoms and feelings, daily activities, leisure, work or school, personal relationships, and the side effects of treatment. Each item is scored on a 4-point scale (0 = not at all/not relevant; 1 = a little; 2 = a lot; and 3 = very much).
Item scores are added to provide a total score, ranging from 0 to 30, with higher scores indicating greater impairment of QoL.
the DLQI was administered to participants who were ≥ 16 (16 to 75) years old at the time of the Screening visit.
Time Frame
Baseline and Week 16
Title
Adolescents: Percent Change From Baseline in SCORAD Score at Week 16
Description
SCORAD is a clinical tool used to assess the extent and severity of eczema (SCORing Atopic Dermatitis). The extent is assessed using the rule of 9 to calculate the affected area (A) as a percentage of the whole body (0-100%). The intensity part of the SCORAD (B) consists of 6 items: erythema, oedema/papulation, excoriations, lichenification, oozing/crusts and dryness, each graded on a scale from 0 (none) to 3 (severe), for a total score of 0 to 18. Subjective items (C) include daily pruritus and sleeplessness, each scored on a visual analogue scale (VAS) from 0 to 10 (total score 0-20). SCORAD is calculated as A/5 + 7B/2 + C, and ranges from 0 to 103 (worst). A negative change from Baseline indicates improvement.
Time Frame
Baseline and Week 16
Title
Adolescents: Percentage of Participants Achieving HADS-A Score and HADS-D Score of < 8 at Week 16
Description
The HADS is a 14-item questionnaire, with seven items related to anxiety (HADS-A) and seven items related to depression (HADS-D). Each item is scored from 0 to 3; scores for each subscale range from 0 to 21, with higher scores indicating more distress. For each domain, scores 7 or lower are considered normal, 8 to 10 are borderline, and 11 or higher indicate clinical anxiety or depression.
Time Frame
Baseline and Week 16
Title
Adolescents: Percentage of Participants Achieving a DLQI Score of 0 or 1 at Week 16
Description
The DLQI is a 10-item validated questionnaire used to assess the impact of AD disease symptoms and treatment on quality of life (QoL). It consists of 10 questions evaluating impact of skin diseases on different aspects of a participant's QoL over the prior week, including symptoms and feelings, daily activities, leisure, work or school, personal relationships, and the side effects of treatment. Each item is scored on a 4-point scale (0 = not at all/not relevant; 1 = a little; 2 = a lot; and 3 = very much).
Item scores are added to provide a total score, ranging from 0 to 30, with higher scores indicating greater impairment of QoL. A score of 0 or 1 means that the disease has no effect at all.
the DLQI was administered to participants who were ≥ 16 (16 to 75) years old at the time of the Screening visit.
Time Frame
Baseline and Week 16
10. Eligibility
Sex
All
Minimum Age & Unit of Time
12 Years
Maximum Age & Unit of Time
75 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria:
Body weight of ≥ 40 kg at Baseline Visit for participants between ≥ 12 and < 18 years of age
Chronic atopic dermatitis (AD) with onset of symptoms at least 3 years before Baseline Visit and subject meets Hanifin and Rajka criteria.
Active moderate to severe AD defined by:
Eczema Area and Severity Index (EASI) score ≥ 16 at the Screening and Baseline Visits;
Validated Investigator's Global Assessment (vIGA) score ≥ 3 at the Screening and Baseline Visits;
≥ 10% Body surface area (BSA) of AD involvement at the Screening and Baseline Visits;
Baseline weekly average of daily Worst Pruritus NRS ≥ 4.
Candidate for systemic therapy or have recently required systemic therapy for AD
Subject has applied a topical emollient (moisturizer) twice daily for at least 7 days before the Baseline Visit.
Documented history of inadequate response to topical corticosteroids (TCS) or topical calcineurin inhibitor (TCI) or documented systemic treatment for AD within 6 months before Baseline Visit
Exclusion Criteria:
Prior exposure to any Janus kinase (JAK) inhibitor
Unable or unwilling to discontinue current atopic dermatitis treatments prior to the study
Requirement of prohibited medications during the study
Other active skin diseases or skin infections requiring systemic treatment or would interfere with appropriate assessment of atopic dermatitis lesions
Female subject who is pregnant, breastfeeding, or considering pregnancy during the study
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
ABBVIE INC.
Organizational Affiliation
AbbVie
Official's Role
Study Director
Facility Information:
Facility Name
Alliance Dermatology and MOHs /ID# 200375
City
Phoenix
State/Province
Arizona
ZIP/Postal Code
85032
Country
United States
Facility Name
Clear Dermatology & Aesthetics Center /ID# 201256
City
Scottsdale
State/Province
Arizona
ZIP/Postal Code
85255-4134
Country
United States
Facility Name
Bakersfield Derma & Skin Cance /ID# 200433
City
Bakersfield
State/Province
California
ZIP/Postal Code
93309
Country
United States
Facility Name
First OC Dermatology /ID# 201910
City
Fountain Valley
State/Province
California
ZIP/Postal Code
92708-3701
Country
United States
Facility Name
California Allergy and Asthma Medical Group /ID# 200727
City
Los Angeles
State/Province
California
ZIP/Postal Code
90025-7014
Country
United States
Facility Name
Allergy & Asthma Associates of Southern California /ID# 200733
City
Mission Viejo
State/Province
California
ZIP/Postal Code
92691-6410
Country
United States
Facility Name
Dermatology Clinical Trials /ID# 205876
City
Newport Beach
State/Province
California
ZIP/Postal Code
92660-7853
Country
United States
Facility Name
UC Davis /ID# 203622
City
Sacramento
State/Province
California
ZIP/Postal Code
95817
Country
United States
Facility Name
Synergy Dermatology /ID# 200842
City
San Francisco
State/Province
California
ZIP/Postal Code
94132-1909
Country
United States
Facility Name
San Luis Derm and Laser Clinic /ID# 200372
City
San Luis Obispo
State/Province
California
ZIP/Postal Code
93405
Country
United States
Facility Name
Stanford University /ID# 200440
City
Stanford
State/Province
California
ZIP/Postal Code
94305
Country
United States
Facility Name
Care Access Research - Walnut Creek /ID# 200940
City
Walnut Creek
State/Province
California
ZIP/Postal Code
94598-2488
Country
United States
Facility Name
Dermatology Physicians of Connecticut /ID# 200928
City
Shelton
State/Province
Connecticut
ZIP/Postal Code
06484-6211
Country
United States
Facility Name
Foxhall Research Center /ID# 213682
City
Washington
State/Province
District of Columbia
ZIP/Postal Code
20016-4300
Country
United States
Facility Name
Duplicate_George Washington Univ Med /ID# 200364
City
Washington
State/Province
District of Columbia
ZIP/Postal Code
20037
Country
United States
Facility Name
Clearlyderm Dermatology /ID# 208371
City
Boca Raton
State/Province
Florida
ZIP/Postal Code
33428
Country
United States
Facility Name
Skin Care Research, LLC /ID# 200811
City
Boca Raton
State/Province
Florida
ZIP/Postal Code
33486-2269
Country
United States
Facility Name
Olympian Clinical Research /ID# 202914
City
Clearwater
State/Province
Florida
ZIP/Postal Code
33756
Country
United States
Facility Name
Multi-Speciality Research Associates /ID# 213254
City
Lake City
State/Province
Florida
ZIP/Postal Code
32055-8835
Country
United States
Facility Name
GSI Clinical Research, LLC /ID# 200849
City
Margate
State/Province
Florida
ZIP/Postal Code
33063
Country
United States
Facility Name
Florida International Rsrch cr /ID# 218507
City
Miami
State/Province
Florida
ZIP/Postal Code
33173
Country
United States
Facility Name
Tory P Sullivan, MD PA /ID# 200671
City
North Miami Beach
State/Province
Florida
ZIP/Postal Code
33162-4708
Country
United States
Facility Name
Leavitt Medical Associates of Florida /ID# 200880
City
Ormond Beach
State/Province
Florida
ZIP/Postal Code
32174
Country
United States
Facility Name
Precision Clinical Research /ID# 209002
City
Sunrise
State/Province
Florida
ZIP/Postal Code
33351-7311
Country
United States
Facility Name
Integrated Clinical Research LLC /ID# 200900
City
West Palm Beach
State/Province
Florida
ZIP/Postal Code
33406-6063
Country
United States
Facility Name
Christie Clinic, LLC /ID# 200427
City
Champaign
State/Province
Illinois
ZIP/Postal Code
61820
Country
United States
Facility Name
Northwestern University Feinberg School of Medicine /ID# 201644
City
Chicago
State/Province
Illinois
ZIP/Postal Code
60611-2927
Country
United States
Facility Name
Dawes Fretzin, LLC /ID# 200366
City
Indianapolis
State/Province
Indiana
ZIP/Postal Code
46256
Country
United States
Facility Name
The South Bend Clinic Center /ID# 200371
City
South Bend
State/Province
Indiana
ZIP/Postal Code
46617
Country
United States
Facility Name
Clinical Trials Management, LLC - Covington /ID# 212658
City
Covington
State/Province
Louisiana
ZIP/Postal Code
70433
Country
United States
Facility Name
Clinical Trials Management, LLC - Metairie /ID# 212659
City
Metairie
State/Province
Louisiana
ZIP/Postal Code
70006-4165
Country
United States
Facility Name
Northeast Dermatology /ID# 201338
City
Beverly
State/Province
Massachusetts
ZIP/Postal Code
01915
Country
United States
Facility Name
Massachusetts General Hospital /ID# 200474
City
Boston
State/Province
Massachusetts
ZIP/Postal Code
02114
Country
United States
Facility Name
Integrated Dermatology of Massachusetts, LLC /ID# 209468
City
Quincy
State/Province
Massachusetts
ZIP/Postal Code
02169
Country
United States
Facility Name
Clin Res Inst of Michigan, LLC /ID# 208019
City
Chesterfield
State/Province
Michigan
ZIP/Postal Code
48047
Country
United States
Facility Name
Henry Ford Medical Center /ID# 204191
City
Detroit
State/Province
Michigan
ZIP/Postal Code
48202-3046
Country
United States
Facility Name
Cleaver Dermatology /ID# 202825
City
Kirksville
State/Province
Missouri
ZIP/Postal Code
63501-5362
Country
United States
Facility Name
Advanced Dermatology of the Midlands /ID# 201689
City
Omaha
State/Province
Nebraska
ZIP/Postal Code
68144-1105
Country
United States
Facility Name
Clinical Research Consortium /ID# 200734
City
Las Vegas
State/Province
Nevada
ZIP/Postal Code
89119-5190
Country
United States
Facility Name
AllCutis Research Inc /ID# 200981
City
Portsmouth
State/Province
New Hampshire
ZIP/Postal Code
03801
Country
United States
Facility Name
Montefiore Medical Center /ID# 200456
City
Bronx
State/Province
New York
ZIP/Postal Code
10467
Country
United States
Facility Name
Forest Hills Dermatology Group /ID# 209244
City
Kew Gardens
State/Province
New York
ZIP/Postal Code
11415
Country
United States
Facility Name
Icahn School of Medicine at Mount Sinai /ID# 200370
City
New York
State/Province
New York
ZIP/Postal Code
10029-6504
Country
United States
Facility Name
J. Schwartz, MD, PLLC /ID# 202121
City
Troy
State/Province
New York
ZIP/Postal Code
12180-2323
Country
United States
Facility Name
Velocity clinical research /ID# 202653
City
Cleveland
State/Province
Ohio
ZIP/Postal Code
44122
Country
United States
Facility Name
Lynn Health Science Institute (LHSI) /ID# 212676
City
Oklahoma City
State/Province
Oklahoma
ZIP/Postal Code
73112
Country
United States
Facility Name
Newton Clinical Research /ID# 204169
City
Oklahoma City
State/Province
Oklahoma
ZIP/Postal Code
73120-5049
Country
United States
Facility Name
Oregon Medical Res Center PC /ID# 200428
City
Portland
State/Province
Oregon
ZIP/Postal Code
97223
Country
United States
Facility Name
Oregon Health and Science University /ID# 200992
City
Portland
State/Province
Oregon
ZIP/Postal Code
97239
Country
United States
Facility Name
Dermdox Dermatology Centers, PC /ID# 213782
City
Hazleton
State/Province
Pennsylvania
ZIP/Postal Code
18201
Country
United States
Facility Name
Clinical Partners, LLC /ID# 200460
City
Johnston
State/Province
Rhode Island
ZIP/Postal Code
02919
Country
United States
Facility Name
Coastal Clinical Research Center of the Carolinas /ID# 200402
City
Charleston
State/Province
South Carolina
ZIP/Postal Code
29414
Country
United States
Facility Name
Arlington Research Center, Inc /ID# 200391
City
Arlington
State/Province
Texas
ZIP/Postal Code
76011
Country
United States
Facility Name
Orion Clinical Research /ID# 204703
City
Austin
State/Province
Texas
ZIP/Postal Code
78759-4100
Country
United States
Facility Name
Modern Research Associates, PL /ID# 200705
City
Dallas
State/Province
Texas
ZIP/Postal Code
75231
Country
United States
Facility Name
Menter Dermatology Res Inst /ID# 200390
City
Dallas
State/Province
Texas
ZIP/Postal Code
75246
Country
United States
Facility Name
Center for Clinical Studies - Webster TX /ID# 203185
City
Webster
State/Province
Texas
ZIP/Postal Code
77598
Country
United States
Facility Name
Dermatology Specialists of Spokane /ID# 202068
City
Spokane
State/Province
Washington
ZIP/Postal Code
99202
Country
United States
Facility Name
Framingham Centro Medico /ID# 202688
City
La Plata
State/Province
Buenos Aires
ZIP/Postal Code
1902
Country
Argentina
Facility Name
Instituto de Neumonología y Dermatología /ID# 203444
City
Ciudad Autonoma de Buenos Aire
State/Province
Ciuadad Autonoma De Buenos Aires
ZIP/Postal Code
1425
Country
Argentina
Facility Name
Psoriahue Med Interdisciplinar /ID# 202451
City
Ciudad Autonoma de Buenos Aire
State/Province
Ciuadad Autonoma De Buenos Aires
ZIP/Postal Code
1425
Country
Argentina
Facility Name
Woden Dermatology /ID# 205799
City
Phillip
State/Province
Australian Capital Territory
ZIP/Postal Code
2606
Country
Australia
Facility Name
Holdsworth House Medical Practice /ID# 211236
City
Darlinghurst
State/Province
New South Wales
ZIP/Postal Code
2010
Country
Australia
Facility Name
North Eastern Health Specialists /ID# 205802
City
Hectorville
State/Province
South Australia
ZIP/Postal Code
5073
Country
Australia
Facility Name
Skin Health Institute Inc /ID# 204791
City
Carlton
State/Province
Victoria
ZIP/Postal Code
3053
Country
Australia
Facility Name
Fremantle Dermatology /ID# 205305
City
Fremantle
State/Province
Western Australia
ZIP/Postal Code
6160
Country
Australia
Facility Name
University Clinical Centre of the Republic of Srpska /ID# 202666
City
Banja Luka
State/Province
Republika Srpska
ZIP/Postal Code
78000
Country
Bosnia and Herzegovina
Facility Name
University Clinical Centre of the Republic of Srpska /ID# 202667
City
Banja Luka
State/Province
Republika Srpska
ZIP/Postal Code
78000
Country
Bosnia and Herzegovina
Facility Name
Clinical Center University of Sarajevo /ID# 202668
City
Sarajevo
ZIP/Postal Code
71000
Country
Bosnia and Herzegovina
Facility Name
Clinical Center University of Sarajevo /ID# 202669
City
Sarajevo
ZIP/Postal Code
71000
Country
Bosnia and Herzegovina
Facility Name
UMHAT Alexandrovska EAD /ID# 201519
City
Sofiya
State/Province
Sofia
ZIP/Postal Code
1431
Country
Bulgaria
Facility Name
UMHAT Dr Georgi Stranski EAD /ID# 201521
City
Pleven
ZIP/Postal Code
5800
Country
Bulgaria
Facility Name
UMHAT Professor Stoyan Kirkovich /ID# 201522
City
Stara Zagora
ZIP/Postal Code
6000
Country
Bulgaria
Facility Name
Kirk Barber Research, CA /ID# 200324
City
Calgary
State/Province
Alberta
ZIP/Postal Code
T2G 1B1
Country
Canada
Facility Name
Dermatology Research Institute Inc. /ID# 200318
City
Calgary
State/Province
Alberta
ZIP/Postal Code
T2J 7E1
Country
Canada
Facility Name
Dr. Chih-ho Hong Medical Inc. /ID# 200311
City
Surrey
State/Province
British Columbia
ZIP/Postal Code
V3R 6A7
Country
Canada
Facility Name
Enverus Medical Research /ID# 200307
City
Surrey
State/Province
British Columbia
ZIP/Postal Code
V3V 0C6
Country
Canada
Facility Name
Wiseman Dermatology Research /ID# 200323
City
Winnipeg
State/Province
Manitoba
ZIP/Postal Code
R3M 3Z4
Country
Canada
Facility Name
Dr. Irina Turchin PC Inc. /ID# 200322
City
Fredericton
State/Province
New Brunswick
ZIP/Postal Code
E3B 1G9
Country
Canada
Facility Name
Karma Clinical Trials /ID# 200316
City
St. John's
State/Province
Newfoundland and Labrador
ZIP/Postal Code
A1A 4Y3
Country
Canada
Facility Name
Hamilton Health Sciences - McMaster University Medical Centre /ID# 200313
City
Hamilton
State/Province
Ontario
ZIP/Postal Code
L8S 4K1
Country
Canada
Facility Name
Dr. Wei Jing Loo Medicine Prof /ID# 206051
City
London
State/Province
Ontario
ZIP/Postal Code
N6H 5L5
Country
Canada
Facility Name
Lynderm Research Inc. /ID# 200315
City
Markham
State/Province
Ontario
ZIP/Postal Code
L3P 1X2
Country
Canada
Facility Name
Dermatology Ottawa Research Centre /ID# 200319
City
Ottawa
State/Province
Ontario
ZIP/Postal Code
K2C 3N2
Country
Canada
Facility Name
K. Papp Clinical Research /ID# 200317
City
Waterloo
State/Province
Ontario
ZIP/Postal Code
N2J 1C4
Country
Canada
Facility Name
Dr. David Gratton Dermat Inc. /ID# 200309
City
Montreal
State/Province
Quebec
ZIP/Postal Code
H3H 1V4
Country
Canada
Facility Name
Innovaderm Research Inc. /ID# 200320
City
Montréal
State/Province
Quebec
ZIP/Postal Code
H2X 2V1
Country
Canada
Facility Name
Dre Angelique Gagne-Henley M.D. inc. /ID# 200326
City
Saint-Jerome
State/Province
Quebec
ZIP/Postal Code
J7Z 7E2
Country
Canada
Facility Name
Peking University People's Hospital /ID# 202549
City
Beijing
State/Province
Beijing
ZIP/Postal Code
100044
Country
China
Facility Name
Peking University Third Hospital /ID# 202612
City
Beijing
State/Province
Beijing
ZIP/Postal Code
100191
Country
China
Facility Name
Sun Yat-sen Memorial Hospital of Sun Yat-sen University /ID# 208597
City
Guangzhou
State/Province
Guangdong
ZIP/Postal Code
510120
Country
China
Facility Name
The Third Affiliated Hospital Of Sun Yat-Sen University /ID# 202548
City
Guangzhou
State/Province
Guangdong
ZIP/Postal Code
510630
Country
China
Facility Name
The First Hospital of China Medical University /ID# 202615
City
Shenyang
State/Province
Liaoning
ZIP/Postal Code
110001
Country
China
Facility Name
Ruijin Hospital, Shanghai Jiaotong University School of Medicine /ID# 202554
City
Shanghai
State/Province
Shanghai
ZIP/Postal Code
200065
Country
China
Facility Name
The second Affiliated hospital of Zhejiang University school of Medicine /ID# 202608
City
Hangzhou
State/Province
Zhejiang
ZIP/Postal Code
310009
Country
China
Facility Name
Beijing Friendship Hospital /ID# 202601
City
Beijing
ZIP/Postal Code
100032
Country
China
Facility Name
Huashan Hospital of Fudan University /ID# 205760
City
Shanghai
ZIP/Postal Code
200040
Country
China
Facility Name
Union Hospital affiliated to Tongji Medical College of Huazhong University of Sc /ID# 208598
City
Wuhan
ZIP/Postal Code
420022
Country
China
Facility Name
Clinisalud del sur /ID# 218100
City
Medellin
State/Province
Antioquia
ZIP/Postal Code
055422
Country
Colombia
Facility Name
Fundacion Hospital San Vicente de Paul - Rionegro /ID# 202043
City
Rionegro
State/Province
Antioquia
ZIP/Postal Code
054040
Country
Colombia
Facility Name
Ctr Int de Reum del Caribe SAS /ID# 201620
City
Barranquilla
State/Province
Atlantico
ZIP/Postal Code
80002
Country
Colombia
Facility Name
Fundacion Centro de Excelencia en Enfermedades Cronicas no Transmisibles - FUNCE /ID# 201905
City
Monteria
State/Province
Cordoba
ZIP/Postal Code
230002
Country
Colombia
Facility Name
Klinicki bolnicki centar Zagreb /ID# 201879
City
Zagreb
State/Province
Grad Zagreb
ZIP/Postal Code
10000
Country
Croatia
Facility Name
Klinika za dječje bolesti Zagreb /ID# 203151
City
Zagreb
State/Province
Grad Zagreb
ZIP/Postal Code
10000
Country
Croatia
Facility Name
Duplicate_Klinicki bolnicki centar Osijek /ID# 201523
City
Osijek
State/Province
Osjecko-baranjska Zupanija
ZIP/Postal Code
31000
Country
Croatia
Facility Name
Klinicki bolnicki centar Rijeka /ID# 217423
City
Rijeka
State/Province
Primorsko-goranska Zupanija
ZIP/Postal Code
51000
Country
Croatia
Facility Name
Klinicki bolnicki centar Split /ID# 201527
City
Split
State/Province
Splitsko-dalmatinska Zupanija
ZIP/Postal Code
21000
Country
Croatia
Facility Name
Bispebjerg and Frederiksberg Hospital /ID# 200979
City
Copenhagen NV
State/Province
Hovedstaden
ZIP/Postal Code
2400
Country
Denmark
Facility Name
Herlev and Gentofte Hospital /ID# 200736
City
Hellerup
State/Province
Hovedstaden
ZIP/Postal Code
2900
Country
Denmark
Facility Name
Aarhus University Hospital /ID# 200737
City
Aarhus N
State/Province
Midtjylland
ZIP/Postal Code
8200
Country
Denmark
Facility Name
North Estonia Medical Centre /ID# 200951
City
Mustamäe Linnaosa
State/Province
Harjumaa
ZIP/Postal Code
13419
Country
Estonia
Facility Name
Confido Private Medical Clinic /ID# 200846
City
Tallinn
State/Province
Harjumaa
ZIP/Postal Code
11313
Country
Estonia
Facility Name
Tartu University Hospital /ID# 200847
City
Tartu Linn
State/Province
Tartumaa
ZIP/Postal Code
50406
Country
Estonia
Facility Name
Mehiläinen Neo /ID# 201116
City
Turku
State/Province
Varsinais-Suomi
ZIP/Postal Code
20520
Country
Finland
Facility Name
Kuopio University Hospital /ID# 202449
City
Kuopio
ZIP/Postal Code
70210
Country
Finland
Facility Name
Terveystalo Tampere /ID# 201117
City
Tampere
ZIP/Postal Code
33100
Country
Finland
Facility Name
HCL - Hôpital Lyon Sud /ID# 201529
City
Pierre Benite CEDEX
State/Province
Auvergne-Rhone-Alpes
ZIP/Postal Code
69495
Country
France
Facility Name
CHU de Nantes, Hotel Dieu -HME /ID# 206377
City
Nantes
State/Province
Pays-de-la-Loire
ZIP/Postal Code
44000
Country
France
Facility Name
Centre Hospitalier du Mans /ID# 205991
City
Le Mans CEDEX 9
State/Province
Sarthe
ZIP/Postal Code
72037
Country
France
Facility Name
Hopital Saint Vincent de Paul /ID# 218253
City
Lille Cedex
ZIP/Postal Code
59020
Country
France
Facility Name
Le Bateau BLanc /ID# 206833
City
Martigues
ZIP/Postal Code
13500
Country
France
Facility Name
AP-HP - Hopital Necker /ID# 218364
City
Paris
ZIP/Postal Code
75015
Country
France
Facility Name
Hôpital Charles-Nicolle /ID# 201525
City
Rouen
ZIP/Postal Code
76000
Country
France
Facility Name
CHU Toulouse - Hopital Larrey /ID# 201528
City
Toulouse
ZIP/Postal Code
31400
Country
France
Facility Name
Duplicate_Klinikum rechts der Isar - Technische Universitaet Muenchen /ID# 202087
City
Munich
State/Province
Bayern
ZIP/Postal Code
80802
Country
Germany
Facility Name
Universitaetsklinikum Frankfurt /ID# 202089
City
Frankfurt am Main
State/Province
Hessen
ZIP/Postal Code
60590
Country
Germany
Facility Name
Universitaetsklinikum Muenster /ID# 202085
City
Muenster
State/Province
Nordrhein-Westfalen
ZIP/Postal Code
48149
Country
Germany
Facility Name
CMS3 Company for Medical Study /ID# 205193
City
Selters
State/Province
Rheinland-Pfalz
ZIP/Postal Code
56242
Country
Germany
Facility Name
Universitaetsklinikum Schleswig-Holstein Campus Kiel /ID# 202255
City
Kiel
State/Province
Schleswig-Holstein
ZIP/Postal Code
24105
Country
Germany
Facility Name
Universitaetsklinikum Bonn /ID# 202086
City
Bonn
ZIP/Postal Code
53127
Country
Germany
Facility Name
TFS Trial Form Support GmbH /ID# 202083
City
Hamburg
ZIP/Postal Code
20537
Country
Germany
Facility Name
Medizinische Hochschule Hannover /ID# 202091
City
Hannover
ZIP/Postal Code
30625
Country
Germany
Facility Name
Universitaetsmedizin der Johannes Gutenberg-Universitaet Mainz /ID# 205192
City
Mainz
ZIP/Postal Code
55131
Country
Germany
Facility Name
Fondazione PTV Policlinico Tor Vergata /ID# 201136
City
Rome
State/Province
Roma
ZIP/Postal Code
00133
Country
Italy
Facility Name
Azienda Ospedaliero Universitaria Ospedali Riuniti di Ancona /ID# 200692
City
Ancona
ZIP/Postal Code
60126
Country
Italy
Facility Name
A.O.U. di Bologna Policlinico S.Orsola-Malpighi /ID# 200746
City
Bologna
ZIP/Postal Code
40138
Country
Italy
Facility Name
A.O.U. Policlinico G. Rodolico S.Marco- Presidio G.Rodolico /ID# 200741
City
Catania
ZIP/Postal Code
95123
Country
Italy
Facility Name
Azienda Ospedaliera Universitaria Federico II /ID# 200750
City
Napoli
ZIP/Postal Code
80131
Country
Italy
Facility Name
Azienda Ospedaliero Universitaria Pisana-Stabilimento di Santa Chiara /ID# 200695
City
Pisa
ZIP/Postal Code
56126
Country
Italy
Facility Name
Aichi Medical University Hospital /ID# 202833
City
Nagakute-shi
State/Province
Aichi
ZIP/Postal Code
480-1195
Country
Japan
Facility Name
Fukuoka University Hospital /ID# 201309
City
Fukuoka-shi
State/Province
Fukuoka
ZIP/Postal Code
814-0180
Country
Japan
Facility Name
Kyushu Central Hospital of the Mutual Aid Association of Public School Teachers /ID# 202891
City
Fukuoka-shi
State/Province
Fukuoka
ZIP/Postal Code
815-8588
Country
Japan
Facility Name
Gifu University Hospital /ID# 201760
City
Gifu-shi
State/Province
Gifu
ZIP/Postal Code
501-1194
Country
Japan
Facility Name
Ogaki Municipal Hospital /ID# 203463
City
Ogaki-shi
State/Province
Gifu
ZIP/Postal Code
503-8502
Country
Japan
Facility Name
Takagi Dermatology Clinic /ID# 201238
City
Obihiro-shi
State/Province
Hokkaido
ZIP/Postal Code
080-0013
Country
Japan
Facility Name
Medical Cooperation Kojinkai Sapporo Skin Clinic /ID# 201239
City
Sapporo-shi
State/Province
Hokkaido
ZIP/Postal Code
060-0063
Country
Japan
Facility Name
University Hospital Kyoto Prefectural University of Medicine /ID# 201876
City
Kyoto-shi
State/Province
Kyoto
ZIP/Postal Code
602-8566
Country
Japan
Facility Name
Kume Clinic /ID# 201912
City
Sakai-shi
State/Province
Osaka
ZIP/Postal Code
5938324
Country
Japan
Facility Name
NTT Medical Center Tokyo /ID# 201759
City
Shinagawa-ku
State/Province
Tokyo
ZIP/Postal Code
141-8625
Country
Japan
Facility Name
University of Yamanashi Hospital /ID# 204174
City
Chuo-shi
State/Province
Yamanashi
ZIP/Postal Code
409-3821
Country
Japan
Facility Name
Hospital Raja Permaisuri Bainun /ID# 204375
City
Ipoh
State/Province
Perak
ZIP/Postal Code
30450
Country
Malaysia
Facility Name
Queen Elizabeth Hospital /ID# 204379
City
Division Pantai Barat Utara
State/Province
Sabah
ZIP/Postal Code
88200
Country
Malaysia
Facility Name
Hospital Selayang /ID# 204378
City
Batu Caves
State/Province
Selangor
ZIP/Postal Code
68100
Country
Malaysia
Facility Name
Clinical Trials NZ /ID# 205335
City
Hamilton
ZIP/Postal Code
3204
Country
New Zealand
Facility Name
Cruz-Santana, Carolina, PR /ID# 201096
City
Carolina
ZIP/Postal Code
00985
Country
Puerto Rico
Facility Name
Ponce Medical School Foundation /ID# 201821
City
Ponce
ZIP/Postal Code
00716-0377
Country
Puerto Rico
Facility Name
Clinical Research Puerto Rico /ID# 203309
City
San Juan
ZIP/Postal Code
00909
Country
Puerto Rico
Facility Name
Spitalul Clinic Colentina /ID# 205860
City
Bucuresti
ZIP/Postal Code
020121
Country
Romania
Facility Name
Cabinet Medical de Dermatovenerologie Dr. Remus Orasan /ID# 205862
City
Cluj Napoca
ZIP/Postal Code
400105
Country
Romania
Facility Name
Chelyabinsk Regional Clinical Dermatovenerologic Dispensary /ID# 201996
City
Chelyabinsk
State/Province
Chelyabinskaya Oblast
ZIP/Postal Code
454048
Country
Russian Federation
Facility Name
Clinical Dermatovenerology Dispensary /ID# 203439
City
Krasnodar
State/Province
Krasnodarskiy Kray
ZIP/Postal Code
350020
Country
Russian Federation
Facility Name
Saratov State Medical University n.a. V.I. Razumovskiy /ID# 201595
City
Saratov
State/Province
Saratovskaya Oblast
ZIP/Postal Code
410012
Country
Russian Federation
Facility Name
Ural Research Institute of dermatovenerology and immunopathology /ID# 201593
City
Yekaterinburg
State/Province
Sverdlovskaya Oblast
ZIP/Postal Code
620076
Country
Russian Federation
Facility Name
National Medical Research Center for Children's Health /ID# 203440
City
Moscow
ZIP/Postal Code
119296
Country
Russian Federation
Facility Name
Universitätsspital Basel /ID# 201599
City
Basel
State/Province
Basel-Stadt
ZIP/Postal Code
4031
Country
Switzerland
Facility Name
Hôpitaux Universitaires Genève /ID# 201600
City
Genève
State/Province
Geneve
ZIP/Postal Code
1205
Country
Switzerland
Facility Name
CHUV, Centre hospitalier universitaire vaudois /ID# 200910
City
Lausanne
State/Province
Vaud
ZIP/Postal Code
1011
Country
Switzerland
Facility Name
CHUV, Centre hospitalier universitaire vaudois /ID# 206505
City
Lausanne
State/Province
Vaud
ZIP/Postal Code
1011
Country
Switzerland
Facility Name
Inselspital, Universitätsspital Bern /ID# 201598
City
Bern
ZIP/Postal Code
3010
Country
Switzerland
Facility Name
Erciyes University Medical Fac /ID# 204098
City
Melikgazi
State/Province
Kayseri
ZIP/Postal Code
38030
Country
Turkey
Facility Name
Hacettepe University Faculty of Medicine /ID# 204099
City
Ankara
ZIP/Postal Code
06100
Country
Turkey
Facility Name
Istanbul University-Cerrahpasa, Cerrahpasa Medical Faculty /ID# 204100
City
Istanbul
ZIP/Postal Code
34098
Country
Turkey
Facility Name
Gazi Universitesi Tip Fakultes /ID# 204176
City
Yenimahalle
ZIP/Postal Code
06560
Country
Turkey
Facility Name
Military Hospital of Military-Medical Clinical Center of Southern Region /ID# 201962
City
Zaporizhzhya
State/Province
Zaporizka Oblast
ZIP/Postal Code
69063
Country
Ukraine
Facility Name
ME "Rivne Regional Dermatology and Venereology Dispensary" of RRC /ID# 210504
City
Rivne
ZIP/Postal Code
33028
Country
Ukraine
Facility Name
West Middlesex University Hospital /ID# 202273
City
Isleworth
State/Province
London, City Of
ZIP/Postal Code
TW7 6AF
Country
United Kingdom
Facility Name
Barts Health NHS Trust /ID# 201043
City
London
State/Province
London, City Of
ZIP/Postal Code
E1 2ES
Country
United Kingdom
Facility Name
Guy's and St Thomas' NHS Foundation Trust /ID# 201192
City
London
State/Province
London, City Of
ZIP/Postal Code
SE1 9RT
Country
United Kingdom
Facility Name
Chelsea and Westminster Hospital NHS Foundation Trust9 /ID# 201971
City
London
ZIP/Postal Code
SW10 9NH
Country
United Kingdom
Facility Name
Northern Care Alliance NHS Group /ID# 201194
City
Salford
ZIP/Postal Code
M6 8HD
Country
United Kingdom
12. IPD Sharing Statement
Plan to Share IPD
Yes
IPD Sharing Plan Description
AbbVie is committed to responsible data sharing regarding the clinical trials we sponsor. This includes access to anonymized, individual and trial-level data (analysis data sets), as well as other information (e.g., protocols and clinical study reports), as long as the trials are not part of an ongoing or planned regulatory submission. This includes requests for clinical trial data for unlicensed products and indications.
IPD Sharing Time Frame
Data requests can be submitted at any time and the data will be accessible for 12 months, with possible extensions considered.
IPD Sharing Access Criteria
Access to this clinical trial data can be requested by any qualified researchers who engage in rigorous, independent scientific research, and will be provided following review and approval of a research proposal and Statistical Analysis Plan (SAP) and execution of a Data Sharing Agreement (DSA). For more information on the process, or to submit a request, visit the following link.
IPD Sharing URL
https://www.abbvie.com/our-science/clinical-trials/clinical-trials-data-and-information-sharing/data-and-information-sharing-with-qualified-researchers.html
Citations:
PubMed Identifier
35714786
Citation
Mendes-Bastos P, Ladizinski B, Guttman-Yassky E, Jiang P, Liu J, Prajapati VH, Simpson EL, Vigna N, Teixeira HD, Barbarot S. Characterization of acne associated with upadacitinib treatment in patients with moderate-to-severe atopic dermatitis: A post hoc integrated analysis of 3 phase 3 randomized, double-blind, placebo-controlled trials. J Am Acad Dermatol. 2022 Oct;87(4):784-791. doi: 10.1016/j.jaad.2022.06.012. Epub 2022 Jun 15.
Results Reference
derived
PubMed Identifier
35262646
Citation
Simpson EL, Papp KA, Blauvelt A, Chu CY, Hong HC, Katoh N, Calimlim BM, Thyssen JP, Chiou AS, Bissonnette R, Stein Gold LF, Wegzyn C, Hu X, Liu M, Liu J, Tenorio AR, Chu AD, Guttman-Yassky E. Efficacy and Safety of Upadacitinib in Patients With Moderate to Severe Atopic Dermatitis: Analysis of Follow-up Data From the Measure Up 1 and Measure Up 2 Randomized Clinical Trials. JAMA Dermatol. 2022 Apr 1;158(4):404-413. doi: 10.1001/jamadermatol.2022.0029.
Results Reference
derived
PubMed Identifier
34023008
Citation
Guttman-Yassky E, Teixeira HD, Simpson EL, Papp KA, Pangan AL, Blauvelt A, Thaci D, Chu CY, Hong HC, Katoh N, Paller AS, Calimlim B, Gu Y, Hu X, Liu M, Yang Y, Liu J, Tenorio AR, Chu AD, Irvine AD. Once-daily upadacitinib versus placebo in adolescents and adults with moderate-to-severe atopic dermatitis (Measure Up 1 and Measure Up 2): results from two replicate double-blind, randomised controlled phase 3 trials. Lancet. 2021 Jun 5;397(10290):2151-2168. doi: 10.1016/S0140-6736(21)00588-2. Epub 2021 May 21. Erratum In: Lancet. 2021 Jun 5;397(10290):2150.
Results Reference
derived
Links:
URL
http://rxabbvie.com
Description
This clinical study may be evaluating a usage that is not currently FDA approved. Please see US Prescribing Information for approved uses.
Learn more about this trial
Evaluation of Upadacitinib in Adolescent and Adult Patients With Moderate to Severe Atopic Dermatitis (Eczema)
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