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Open Label, Long-term Study Evaluating Safety and Efficacy of Subcutaneous Amlitelimab in Adult Participants With Moderate to Severe Atopic Dermatitis (ATLANTIS)

Primary Purpose

Dermatitis Atopic

Status
Recruiting
Phase
Phase 2
Locations
International
Study Type
Interventional
Intervention
Amlitelimab
Sponsored by
Sanofi
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Dermatitis Atopic

Eligibility Criteria

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

Inclusion Criteria: Participant must be at least 18 years of age inclusive, at the time of signing the informed consent. Participants must have AD as defined by the American Academy of Dermatology Consensus Criteria for 1 year or longer at baseline. Participant must have documented history within 6 months prior to screening visit, of either inadequate response or inadvisability of topical treatments. Eczema Area Severity Index (EASI) of 16 or higher at baseline visit. Validated Investigator Global Assessment scale for atopic dermatitis (vIGA-AD) of 3 or 4 at baseline visit. AD involvement of 10% or more of body surface area (BSA) at baseline visit. Weekly average of daily Peak Pruritus-Numerical Rating Scale (PP-NRS) of ≥ 4 at baseline visit. Able and willing to comply with requested study visits and procedures. Contraceptive use by men and women should be consistent with local regulations regarding the methods of contraception for those participating in clinical studies. Female participants must not be pregnant or breastfeeding. Exclusion Criteria: Skin co-morbidity that would adversely affect the ability to undertake AD assessments as per investigator's judgment Known history of or suspected significant current immunosuppression, including history of invasive opportunistic or helminthic infections despite infection resolution or otherwise recurrent infections of abnormal frequency or prolonged duration. Any malignancies or history of malignancies prior to baseline (except for non-melanoma skin cancer that has been excised and completely cured for more than 5 years prior to baseline). History of solid organ or stem cell transplant. Any pre-planned major elective surgery known about at baseline that in the opinion of the investigator would necessitate that IMP be permanently discontinued or require more than three doses to be missed. Severe concomitant illness that would in the Investigator's opinion inhibit the participant's participation in the study. Any medical or psychiatric condition which, in the opinion of the Investigator may present an unreasonable risk to the study participants as a result of his/her participation in this clinical study, may make participant's participation unreliable, or may interfere with study assessments. Any active or chronic infection including helminthic infection requiring systemic treatment within 4 weeks prior to baseline (1 week in the event of superficial skin infections); and any infection (including confirmed Covid-19 infection at screening or baseline) which as per Investigator's opinion precludes the participant's participation in the study. Treatment with live (attenuated) vaccines within 12 weeks prior to baseline; failure to complete non-live immunizations required by local regulation (eg, vaccination for COVID-19) at least 14 days prior to baseline. Having received any of the specified therapy within the specified timeframe(s) prior to the baseline visit. Positive for human immunodeficiency virus (HIV), hepatitis B or hepatitis C at the screening visit. Participants with active tuberculosis (TB), latent TB, a history of incompletely treated TB, suspected extrapulmonary TB infection, non-TB mycobacterial infection, or who are at high risk of contracting TB (such as close contact with individuals with active or latent TB) or received Bacillus Calmette-Guérin (BCG)-vaccination within 12 weeks prior to Screening. In the Investigator's opinion, any clinically significant laboratory results from the clinical chemistry, haematology or urinalysis tests at the screening visit. In the Investigator's opinion, any significant abnormality on 12-lead electrocardiogram (ECG) at the screening visit that could be suggestive of an unstable or underlying cardio-vascular condition that could preclude the participant's participation in the study. History of hypersensitivity or allergy to any of the excipients or IMP or other allergy that, in the opinion of the Investigator, contraindicates participation in the study. The above information is not intended to contain all considerations relevant to a participant's potential participation in a clinical trial.

Sites / Locations

  • Investigational Site Number :0320008Recruiting
  • Investigational Site Number :0320002Recruiting
  • Investigational Site Number :0760002Recruiting
  • Investigational Site Number :0760001Recruiting
  • Investigational Site Number :1240001Recruiting
  • Investigational Site Number :1240009Recruiting
  • Investigational Site Number :1240008Recruiting
  • Investigational Site Number :1240011Recruiting
  • Investigational Site Number :1240004Recruiting
  • Investigational Site Number :1240012Recruiting
  • Investigational Site Number :1240002Recruiting
  • Investigational Site Number :1240010Recruiting
  • Investigational Site Number :1240006Recruiting
  • Investigational Site Number :1240003Recruiting
  • Investigational Site Number :1520009Recruiting
  • Investigational Site Number :1520004Recruiting
  • Investigational Site Number :1520008Recruiting
  • Investigational Site Number :1520002Recruiting
  • Investigational Site Number :1520003Recruiting
  • Investigational Site Number :1520010Recruiting
  • Investigational Site Number :1520005Recruiting
  • Investigational Site Number :1520001Recruiting
  • Investigational Site Number :3923114Recruiting
  • Investigational Site Number :3923113Recruiting
  • Investigational Site Number :3923110Recruiting
  • Investigational Site Number :3923106Recruiting
  • Investigational Site Number :3920001Recruiting
  • Investigational Site Number :4100004Recruiting
  • Investigational Site Number :4100002Recruiting
  • Investigational Site Number :4100003Recruiting
  • Investigational Site Number :4100006Recruiting
  • Investigational Site Number :4100001Recruiting
  • Investigational Site Number :7100010Recruiting
  • Investigational Site Number :7100009Recruiting
  • Investigational Site Number :7100012Recruiting
  • Investigational Site Number :7100006Recruiting
  • Investigational Site Number :7100004Recruiting
  • Investigational Site Number :7100007Recruiting
  • Investigational Site Number :1580001Recruiting

Arms of the Study

Arm 1

Arm Type

Experimental

Arm Label

Amlitelimab

Arm Description

Subcutaneous injection as per protocol

Outcomes

Primary Outcome Measures

Percentage of participants who experienced Treatment-Emergent Adverse Events (TEAEs)
Percentage of participants who experienced TEAEs from baseline during the study
Percentage of participants who experienced Treatment-Emergent Serious Adverse Events (TESAEs)
Percentage of participants who experienced TESAEs from baseline during the study

Secondary Outcome Measures

Percentage of participants who experienced Treatment-Emergent Adverse Events of Special Interest (AESI)
Percentage of participants who experienced AESI from baseline during the study
Percentage of participants with Potentially Clinically Significant Abnormalities (PCSA) for vital signs and clinical laboratory assessments
Percentage of participants discontinued from study treatment due to Adverse Events (AEs)
Percent change from baseline in Eczema Area and Severity Index (EASI) score
The EASI is an Investigator-assessed tool used to measure the extent (area) and severity of AD. The severity is assessed based on 4 disease characteristics (erythema, induration/papulation, excoriation and lichenification). The extent of involvement of AD is assessed in 4 body regions (head/neck, trunk, upper extremities and lower extremities). Total score ranges from 0 to 72 with a higher score indicating increased extent and severity of AD.
Proportion of participants with at least a ≥75% reduction in EASI score (EASI-75) from baseline
EASI75: ≥ 75% reduction in EASI score from baseline
Proportion of participants with EASI-50 /EASI-90 /EASI-100
EASI-50: ≥50% reduction in EASI score from baseline; EASI-90: ≥90% reduction in EASI score from baseline; EASI-100: ≥100% reduction in EASI score from baseline.
Proportion of participants with Validated Investigator Global Assessment scale for Atopic Dermatitis (vIGA-AD) of 0 (clear) or 1 (almost clear) and a reduction of ≥2 points from baseline
The vIGA-AD is an Investigator-completed assessment scale used to determine severity of AD and clinical response to treatment. It is based on a 5-point scale, ranging from 0 (clear) to 4 (severe).
Change in percent Body Surface Area (BSA) affected by AD from baseline
BSA affected by AD will measure the extent (area) of the disease.
Percent change in Scoring Atopic Dermatitis (SCORAD) index from baseline
The SCORAD Index is a clinical tool used to standardise the evaluation of the extent and severity of AD. To determine the extent of AD, the affected area (A) as a percentage of the whole body is determined, with a maximum score of 100%. The severity (B) of 6 specific symptoms of AD (redness, swelling, oozing/crusting, scratch marks, skin thickening [lichenification], dryness [area where there is no inflammation]) is assessed on a 4-point scale, with a maximum score of 18: none (0), mild (1), moderate (2) or severe (3). Subjective symptoms (C): itch and sleeplessness are recorded as scored by the participants or relative on a visual analogue scale (VAS), where 0 = no itch (or sleeplessness) and 10 = worst imaginable itch (or sleeplessness), with a maximum possible score of 20.
Proportion of participants requiring rescue treatment at each visit
Proportion of participants with ≥4-point reduction in weekly average of daily Peak Pruritus-Numerical Rating Scale (PP-NRS) from baseline in participants with baseline weekly average of daily PP-NRS ≥4
The PP-NRS is a single item 0-10 numeric rating scale assessing peak pruritus (itch) associated with AD during the past 24 hours, with 0 = no itch and 10 = worst itch imaginable.
Percent change in weekly average of daily PP-NRS from baseline
The PP-NRS is a single item 0-10 numeric rating scale assessing peak pruritus (itch) associated with AD during the past 24 hours, with 0 = no itch and 10 = worst itch imaginable.
Change in weekly average of daily Skin Pain-Numerical Rating Scale (SP-NRS) from baseline
The SP-NRS is a single item 0-10 numeric rating scale assessing skin pain associated with AD during the past 24 hours, with 0 = no pain and 10 = worst possible pain imaginable.
Proportion of participants with a reduction in weekly average of daily SP-NRS ≥4 from baseline in participants with baseline weekly average of daily SP-NRS ≥4
The SP-NRS is a single item 0-10 numeric rating scale assessing skin pain associated with AD during the past 24 hours, with 0 = no pain and 10 = worst possible pain imaginable.
Change in weekly average of daily Sleep Disturbance-Numerical Rating Scale (SD-NRS) from baseline
The SD-NRS is a single item 0-10 numeric rating scale assessing sleep disturbance associated with AD, with 0 being 'no sleep loss related to the symptoms of atopic dermatitis' and 10 being 'I did not sleep at all' due to the symptoms of atopic dermatitis".
Proportion of participants with a reduction in weekly average of daily SD-NRS ≥2 from baseline in participants with Baseline weekly average of daily SDNRS ≥2
The SD-NRS is a single item 0-10 numeric rating scale assessing sleep disturbance associated with AD, with 0 being 'no sleep loss related to the symptoms of atopic dermatitis' and 10 being 'I did not sleep at all' due to the symptoms of atopic dermatitis".
Change in Patient Oriented Eczema Measure (POEM) from baseline
The POEM is a 7-item self-assessment questionnaire used for monitoring atopic eczema severity, focusing on the signs and symptoms as experienced by the patient during the past 7 days. Total score ranges from 0 to 28.
Proportion of participants with a reduction in POEM ≥4 from Baseline in participants with POEM baseline ≥4
The POEM is a 7-item self-assessment questionnaire used for monitoring atopic eczema severity, focusing on the signs and symptoms as experienced by the patient during the past 7 days. Total score ranges from 0 to 28.
Change in Atopic Dermatitis Control Test (ADCT) from baseline
The ADCT is a 6-item patient-reported outcomes instrument with a 7-day recall period to measure AD disease control. Total score ranges from 0 to 24.
Proportion of participants with a reduction in ADCT ≥5 from baseline in participants with baseline ADCT≥5
The ADCT is a 6-item patient-reported outcomes instrument with a 7-day recall period to measure AD disease control. Total score ranges from 0 to 24.
Change in Dermatology Quality of Life Index (DLQI) from baseline
The DLQI is a 10-item questionnaire to measure dermatology specific quality of life (QoL), covering the participant's previous week (i.e. past 7 days). Total score ranges from 0 to 30, with higher scores indicating greater detrimental impact on QoL.
Proportion of participants with a reduction in DLQI ≥4 from Baseline in participants with DLQI at baseline ≥4
The DLQI is a 10-item questionnaire to measure dermatology specific quality of life (QoL), covering the participant's previous week (i.e. past 7 days). Total score ranges from 0 to 30, with higher scores indicating greater detrimental impact on QoL.
Change in Patient Global Impression of Severity (PGIS) from baseline
The PGIS is a single item tool used to assess current severity of eczema symptoms, scored on a 5-point scale from 1 = no symptoms to 5 = very severe symptoms.
Proportions of participants who report symptoms to be "No" on the PGIS score
The PGIS is a single item tool used to assess current severity of eczema symptoms, scored on a 5-point scale from 1 = no symptoms to 5 = very severe symptoms.
Proportions of participants who report symptoms to be "No" or "Mild" on the PGIS score
The PGIS is a single item tool used to assess current severity of eczema symptoms, scored on a 5-point scale from 1 = no symptoms to 5 = very severe symptoms.
Proportion of participants who respond "Much better" on the Patient Global Impression of (PGIC) scale
The PGIC is a single item global tool used in the assessment of AD, scored on a 5-point scale from 1 = Much improved to 5 = Much worse.
Proportion of participants who respond "Much better" or "A little better" on the PGIC scale
The PGIC is a single item global tool used in the assessment of AD, scored on a 5-point scale from 1 = Much improved to 5 = Much worse.
Proportion of participants by PGIC responses
The PGIC is a single item global tool used in the assessment of AD, scored on a 5-point scale from 1 = Much improved to 5 = Much worse.
Change in Hospital Anxiety Depression Scale (HADS) from baseline
The HADS is a 14-item patient-reported outcomes measure used to assess states of anxiety and depression over the past week. It is comprised of 7 items assessing anxiety and depression respectively. A Total score is out of 42 (21 per subscale). Higher scores indicate greater levels of anxiety and/or depression.
Proportion of participants with HADS subscale Anxiety (HADS-A) <8 in participants with baseline HADS-A ≥8
The HADS is a 14-item patient-reported outcomes measure used to assess states of anxiety and depression over the past week. It is comprised of 7 items assessing anxiety and depression respectively. A Total score is out of 42 (21 per subscale). Higher scores indicate greater levels of anxiety and/or depression. HADS-A is the anxiety HADS subscale.
Proportion of participants with HADS subscale Depression (HADS-D) <8 in participants with HADS-D Baseline ≥8
The HADS is a 14-item patient-reported outcomes measure used to assess states of anxiety and depression over the past week. It is comprised of 7 items assessing anxiety and depression respectively. A Total score is out of 42 (21 per subscale). Higher scores indicate greater levels of anxiety and/or depression. HADS-D is the depression HADS subscale.

Full Information

First Posted
March 3, 2023
Last Updated
September 15, 2023
Sponsor
Sanofi
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1. Study Identification

Unique Protocol Identification Number
NCT05769777
Brief Title
Open Label, Long-term Study Evaluating Safety and Efficacy of Subcutaneous Amlitelimab in Adult Participants With Moderate to Severe Atopic Dermatitis
Acronym
ATLANTIS
Official Title
An Open-Label Multinational, Multicenter Study to Evaluate the Long-term Safety, Tolerability and Efficacy of Subcutaneous Amlitelimab in Adult Participants With Moderate to Severe Atopic Dermatitis
Study Type
Interventional

2. Study Status

Record Verification Date
September 2023
Overall Recruitment Status
Recruiting
Study Start Date
April 3, 2023 (Actual)
Primary Completion Date
October 29, 2027 (Anticipated)
Study Completion Date
October 29, 2027 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Sanofi

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.
Yes
Data Monitoring Committee
Yes

5. Study Description

Brief Summary
This is a single group, 1-arm, long-term safety study for treatment of participants with moderate to severe atopic dermatitis (AD). The purpose of this study is to characterize the long-term safety and efficacy of amlitelimab in treated adult participants with moderate to severe AD. The study duration per participant will be of 180 weeks, including: A screening period of up to 2 to 4 weeks An open label treatment period of up to 160 weeks (approximately 3 years) A post-treatment safety follow-up period of up to 20 weeks after the last dose administration The planned number of visits will be 26 visits.

6. Conditions and Keywords

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

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 2
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
N/A
Enrollment
571 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
Amlitelimab
Arm Type
Experimental
Arm Description
Subcutaneous injection as per protocol
Intervention Type
Drug
Intervention Name(s)
Amlitelimab
Intervention Description
Pharmaceutical form: Solution for injection; Route of administration: Subcutaneous (SC)
Primary Outcome Measure Information:
Title
Percentage of participants who experienced Treatment-Emergent Adverse Events (TEAEs)
Description
Percentage of participants who experienced TEAEs from baseline during the study
Time Frame
Baseline up to end of study (EOS) (Week 176)
Title
Percentage of participants who experienced Treatment-Emergent Serious Adverse Events (TESAEs)
Description
Percentage of participants who experienced TESAEs from baseline during the study
Time Frame
Baseline up to EOS (Week 176)
Secondary Outcome Measure Information:
Title
Percentage of participants who experienced Treatment-Emergent Adverse Events of Special Interest (AESI)
Description
Percentage of participants who experienced AESI from baseline during the study
Time Frame
Baseline up to EOS (Week 176)
Title
Percentage of participants with Potentially Clinically Significant Abnormalities (PCSA) for vital signs and clinical laboratory assessments
Time Frame
Baseline up to EOS (Week 176)
Title
Percentage of participants discontinued from study treatment due to Adverse Events (AEs)
Time Frame
Baseline up to EOS (Week 176)
Title
Percent change from baseline in Eczema Area and Severity Index (EASI) score
Description
The EASI is an Investigator-assessed tool used to measure the extent (area) and severity of AD. The severity is assessed based on 4 disease characteristics (erythema, induration/papulation, excoriation and lichenification). The extent of involvement of AD is assessed in 4 body regions (head/neck, trunk, upper extremities and lower extremities). Total score ranges from 0 to 72 with a higher score indicating increased extent and severity of AD.
Time Frame
Baseline to EOS (Week 176)
Title
Proportion of participants with at least a ≥75% reduction in EASI score (EASI-75) from baseline
Description
EASI75: ≥ 75% reduction in EASI score from baseline
Time Frame
Baseline to EOS (Week 176)
Title
Proportion of participants with EASI-50 /EASI-90 /EASI-100
Description
EASI-50: ≥50% reduction in EASI score from baseline; EASI-90: ≥90% reduction in EASI score from baseline; EASI-100: ≥100% reduction in EASI score from baseline.
Time Frame
Baseline to EOS (Week 176)
Title
Proportion of participants with Validated Investigator Global Assessment scale for Atopic Dermatitis (vIGA-AD) of 0 (clear) or 1 (almost clear) and a reduction of ≥2 points from baseline
Description
The vIGA-AD is an Investigator-completed assessment scale used to determine severity of AD and clinical response to treatment. It is based on a 5-point scale, ranging from 0 (clear) to 4 (severe).
Time Frame
Baseline to EOS (Week 176)
Title
Change in percent Body Surface Area (BSA) affected by AD from baseline
Description
BSA affected by AD will measure the extent (area) of the disease.
Time Frame
Baseline to EOS (Week 176)
Title
Percent change in Scoring Atopic Dermatitis (SCORAD) index from baseline
Description
The SCORAD Index is a clinical tool used to standardise the evaluation of the extent and severity of AD. To determine the extent of AD, the affected area (A) as a percentage of the whole body is determined, with a maximum score of 100%. The severity (B) of 6 specific symptoms of AD (redness, swelling, oozing/crusting, scratch marks, skin thickening [lichenification], dryness [area where there is no inflammation]) is assessed on a 4-point scale, with a maximum score of 18: none (0), mild (1), moderate (2) or severe (3). Subjective symptoms (C): itch and sleeplessness are recorded as scored by the participants or relative on a visual analogue scale (VAS), where 0 = no itch (or sleeplessness) and 10 = worst imaginable itch (or sleeplessness), with a maximum possible score of 20.
Time Frame
Baseline to EOS (Week 176)
Title
Proportion of participants requiring rescue treatment at each visit
Time Frame
Baseline to EOS (Week 176)
Title
Proportion of participants with ≥4-point reduction in weekly average of daily Peak Pruritus-Numerical Rating Scale (PP-NRS) from baseline in participants with baseline weekly average of daily PP-NRS ≥4
Description
The PP-NRS is a single item 0-10 numeric rating scale assessing peak pruritus (itch) associated with AD during the past 24 hours, with 0 = no itch and 10 = worst itch imaginable.
Time Frame
Baseline to EOS (Week 176)
Title
Percent change in weekly average of daily PP-NRS from baseline
Description
The PP-NRS is a single item 0-10 numeric rating scale assessing peak pruritus (itch) associated with AD during the past 24 hours, with 0 = no itch and 10 = worst itch imaginable.
Time Frame
Baseline to EOS (Week 176)
Title
Change in weekly average of daily Skin Pain-Numerical Rating Scale (SP-NRS) from baseline
Description
The SP-NRS is a single item 0-10 numeric rating scale assessing skin pain associated with AD during the past 24 hours, with 0 = no pain and 10 = worst possible pain imaginable.
Time Frame
Baseline to EOS (Week 176)
Title
Proportion of participants with a reduction in weekly average of daily SP-NRS ≥4 from baseline in participants with baseline weekly average of daily SP-NRS ≥4
Description
The SP-NRS is a single item 0-10 numeric rating scale assessing skin pain associated with AD during the past 24 hours, with 0 = no pain and 10 = worst possible pain imaginable.
Time Frame
Baseline to EOS (Week 176)
Title
Change in weekly average of daily Sleep Disturbance-Numerical Rating Scale (SD-NRS) from baseline
Description
The SD-NRS is a single item 0-10 numeric rating scale assessing sleep disturbance associated with AD, with 0 being 'no sleep loss related to the symptoms of atopic dermatitis' and 10 being 'I did not sleep at all' due to the symptoms of atopic dermatitis".
Time Frame
Baseline to EOS (Week 176)
Title
Proportion of participants with a reduction in weekly average of daily SD-NRS ≥2 from baseline in participants with Baseline weekly average of daily SDNRS ≥2
Description
The SD-NRS is a single item 0-10 numeric rating scale assessing sleep disturbance associated with AD, with 0 being 'no sleep loss related to the symptoms of atopic dermatitis' and 10 being 'I did not sleep at all' due to the symptoms of atopic dermatitis".
Time Frame
Baseline to EOS (Week 176)
Title
Change in Patient Oriented Eczema Measure (POEM) from baseline
Description
The POEM is a 7-item self-assessment questionnaire used for monitoring atopic eczema severity, focusing on the signs and symptoms as experienced by the patient during the past 7 days. Total score ranges from 0 to 28.
Time Frame
Baseline to EOS (Week 176)
Title
Proportion of participants with a reduction in POEM ≥4 from Baseline in participants with POEM baseline ≥4
Description
The POEM is a 7-item self-assessment questionnaire used for monitoring atopic eczema severity, focusing on the signs and symptoms as experienced by the patient during the past 7 days. Total score ranges from 0 to 28.
Time Frame
Baseline to EOS (Week 176)
Title
Change in Atopic Dermatitis Control Test (ADCT) from baseline
Description
The ADCT is a 6-item patient-reported outcomes instrument with a 7-day recall period to measure AD disease control. Total score ranges from 0 to 24.
Time Frame
Baseline to EOS (Week 176)
Title
Proportion of participants with a reduction in ADCT ≥5 from baseline in participants with baseline ADCT≥5
Description
The ADCT is a 6-item patient-reported outcomes instrument with a 7-day recall period to measure AD disease control. Total score ranges from 0 to 24.
Time Frame
Baseline to EOS (Week 176)
Title
Change in Dermatology Quality of Life Index (DLQI) from baseline
Description
The DLQI is a 10-item questionnaire to measure dermatology specific quality of life (QoL), covering the participant's previous week (i.e. past 7 days). Total score ranges from 0 to 30, with higher scores indicating greater detrimental impact on QoL.
Time Frame
Baseline to EOS (Week 176)
Title
Proportion of participants with a reduction in DLQI ≥4 from Baseline in participants with DLQI at baseline ≥4
Description
The DLQI is a 10-item questionnaire to measure dermatology specific quality of life (QoL), covering the participant's previous week (i.e. past 7 days). Total score ranges from 0 to 30, with higher scores indicating greater detrimental impact on QoL.
Time Frame
Baseline to EOS (Week 176)
Title
Change in Patient Global Impression of Severity (PGIS) from baseline
Description
The PGIS is a single item tool used to assess current severity of eczema symptoms, scored on a 5-point scale from 1 = no symptoms to 5 = very severe symptoms.
Time Frame
Baseline to EOS (Week 176)
Title
Proportions of participants who report symptoms to be "No" on the PGIS score
Description
The PGIS is a single item tool used to assess current severity of eczema symptoms, scored on a 5-point scale from 1 = no symptoms to 5 = very severe symptoms.
Time Frame
Baseline to EOS (Week 176)
Title
Proportions of participants who report symptoms to be "No" or "Mild" on the PGIS score
Description
The PGIS is a single item tool used to assess current severity of eczema symptoms, scored on a 5-point scale from 1 = no symptoms to 5 = very severe symptoms.
Time Frame
Baseline to EOS (Week 176)
Title
Proportion of participants who respond "Much better" on the Patient Global Impression of (PGIC) scale
Description
The PGIC is a single item global tool used in the assessment of AD, scored on a 5-point scale from 1 = Much improved to 5 = Much worse.
Time Frame
Week 16 to EOS (Week 176)
Title
Proportion of participants who respond "Much better" or "A little better" on the PGIC scale
Description
The PGIC is a single item global tool used in the assessment of AD, scored on a 5-point scale from 1 = Much improved to 5 = Much worse.
Time Frame
Week 16 to EOS (Week 176)
Title
Proportion of participants by PGIC responses
Description
The PGIC is a single item global tool used in the assessment of AD, scored on a 5-point scale from 1 = Much improved to 5 = Much worse.
Time Frame
Week 16 to EOS (Week 176)
Title
Change in Hospital Anxiety Depression Scale (HADS) from baseline
Description
The HADS is a 14-item patient-reported outcomes measure used to assess states of anxiety and depression over the past week. It is comprised of 7 items assessing anxiety and depression respectively. A Total score is out of 42 (21 per subscale). Higher scores indicate greater levels of anxiety and/or depression.
Time Frame
Baseline to EOS (Week 176)
Title
Proportion of participants with HADS subscale Anxiety (HADS-A) <8 in participants with baseline HADS-A ≥8
Description
The HADS is a 14-item patient-reported outcomes measure used to assess states of anxiety and depression over the past week. It is comprised of 7 items assessing anxiety and depression respectively. A Total score is out of 42 (21 per subscale). Higher scores indicate greater levels of anxiety and/or depression. HADS-A is the anxiety HADS subscale.
Time Frame
Baseline to EOS (Week 176)
Title
Proportion of participants with HADS subscale Depression (HADS-D) <8 in participants with HADS-D Baseline ≥8
Description
The HADS is a 14-item patient-reported outcomes measure used to assess states of anxiety and depression over the past week. It is comprised of 7 items assessing anxiety and depression respectively. A Total score is out of 42 (21 per subscale). Higher scores indicate greater levels of anxiety and/or depression. HADS-D is the depression HADS subscale.
Time Frame
Baseline to EOS (Week 176)

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Participant must be at least 18 years of age inclusive, at the time of signing the informed consent. Participants must have AD as defined by the American Academy of Dermatology Consensus Criteria for 1 year or longer at baseline. Participant must have documented history within 6 months prior to screening visit, of either inadequate response or inadvisability of topical treatments. Eczema Area Severity Index (EASI) of 16 or higher at baseline visit. Validated Investigator Global Assessment scale for atopic dermatitis (vIGA-AD) of 3 or 4 at baseline visit. AD involvement of 10% or more of body surface area (BSA) at baseline visit. Weekly average of daily Peak Pruritus-Numerical Rating Scale (PP-NRS) of ≥ 4 at baseline visit. Able and willing to comply with requested study visits and procedures. Contraceptive use by men and women should be consistent with local regulations regarding the methods of contraception for those participating in clinical studies. Female participants must not be pregnant or breastfeeding. Exclusion Criteria: Skin co-morbidity that would adversely affect the ability to undertake AD assessments as per investigator's judgment Known history of or suspected significant current immunosuppression, including history of invasive opportunistic or helminthic infections despite infection resolution or otherwise recurrent infections of abnormal frequency or prolonged duration. Any malignancies or history of malignancies prior to baseline (except for non-melanoma skin cancer that has been excised and completely cured for more than 5 years prior to baseline). History of solid organ or stem cell transplant. Any pre-planned major elective surgery known about at baseline that in the opinion of the investigator would necessitate that IMP be permanently discontinued or require more than three doses to be missed. Severe concomitant illness that would in the Investigator's opinion inhibit the participant's participation in the study. Any medical or psychiatric condition which, in the opinion of the Investigator may present an unreasonable risk to the study participants as a result of his/her participation in this clinical study, may make participant's participation unreliable, or may interfere with study assessments. Any active or chronic infection including helminthic infection requiring systemic treatment within 4 weeks prior to baseline (1 week in the event of superficial skin infections); and any infection (including confirmed Covid-19 infection at screening or baseline) which as per Investigator's opinion precludes the participant's participation in the study. Treatment with live (attenuated) vaccines within 12 weeks prior to baseline; failure to complete non-live immunizations required by local regulation (eg, vaccination for COVID-19) at least 14 days prior to baseline. Having received any of the specified therapy within the specified timeframe(s) prior to the baseline visit. Positive for human immunodeficiency virus (HIV), hepatitis B or hepatitis C at the screening visit. Participants with active tuberculosis (TB), latent TB, a history of incompletely treated TB, suspected extrapulmonary TB infection, non-TB mycobacterial infection, or who are at high risk of contracting TB (such as close contact with individuals with active or latent TB) or received Bacillus Calmette-Guérin (BCG)-vaccination within 12 weeks prior to Screening. In the Investigator's opinion, any clinically significant laboratory results from the clinical chemistry, haematology or urinalysis tests at the screening visit. In the Investigator's opinion, any significant abnormality on 12-lead electrocardiogram (ECG) at the screening visit that could be suggestive of an unstable or underlying cardio-vascular condition that could preclude the participant's participation in the study. History of hypersensitivity or allergy to any of the excipients or IMP or other allergy that, in the opinion of the Investigator, contraindicates participation in the study. The above information is not intended to contain all considerations relevant to a participant's potential participation in a clinical trial.
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Trial Transparency email recommended (Toll free number for US & Canada)
Phone
800-633-1610
Ext
option 6
Email
Contact-US@sanofi.com
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Clinical Sciences & Operations
Organizational Affiliation
Sanofi
Official's Role
Study Director
Facility Information:
Facility Name
Investigational Site Number :0320008
City
Caba
State/Province
Buenos Aires
ZIP/Postal Code
C1023AAB
Country
Argentina
Individual Site Status
Recruiting
Facility Name
Investigational Site Number :0320002
City
Ciudad Autonoma Buenos Aires
ZIP/Postal Code
C1425BEN
Country
Argentina
Individual Site Status
Recruiting
Facility Name
Investigational Site Number :0760002
City
Salvador
State/Province
Bahia
ZIP/Postal Code
41820-020
Country
Brazil
Individual Site Status
Recruiting
Facility Name
Investigational Site Number :0760001
City
Santo Andre
State/Province
São Paulo
ZIP/Postal Code
09060-870
Country
Brazil
Individual Site Status
Recruiting
Facility Name
Investigational Site Number :1240001
City
Calgary
State/Province
Alberta
ZIP/Postal Code
T2G 1B1
Country
Canada
Individual Site Status
Recruiting
Facility Name
Investigational Site Number :1240009
City
Etobicoke
State/Province
Ontario
ZIP/Postal Code
M8X 1Y9
Country
Canada
Individual Site Status
Recruiting
Facility Name
Investigational Site Number :1240008
City
Mississauga
State/Province
Ontario
ZIP/Postal Code
L4Y 4C5
Country
Canada
Individual Site Status
Recruiting
Facility Name
Investigational Site Number :1240011
City
Oakville
State/Province
Ontario
ZIP/Postal Code
L6J 7W5
Country
Canada
Individual Site Status
Recruiting
Facility Name
Investigational Site Number :1240004
City
Peterborough
State/Province
Ontario
ZIP/Postal Code
K9J5K2
Country
Canada
Individual Site Status
Recruiting
Facility Name
Investigational Site Number :1240012
City
Toronto
State/Province
Ontario
ZIP/Postal Code
M3H 5Y8
Country
Canada
Individual Site Status
Recruiting
Facility Name
Investigational Site Number :1240002
City
Montreal
State/Province
Quebec
ZIP/Postal Code
H3Z 2S6
Country
Canada
Individual Site Status
Recruiting
Facility Name
Investigational Site Number :1240010
City
Quebec
ZIP/Postal Code
G1V 4X7
Country
Canada
Individual Site Status
Recruiting
Facility Name
Investigational Site Number :1240006
City
Quebec
ZIP/Postal Code
G1W 4R4
Country
Canada
Individual Site Status
Recruiting
Facility Name
Investigational Site Number :1240003
City
Richmond Hill
ZIP/Postal Code
L4C 9M7
Country
Canada
Individual Site Status
Recruiting
Facility Name
Investigational Site Number :1520009
City
Osorno
State/Province
Los Lagos
ZIP/Postal Code
5310644
Country
Chile
Individual Site Status
Recruiting
Facility Name
Investigational Site Number :1520004
City
Valdivia
State/Province
Los Ríos
ZIP/Postal Code
5110683
Country
Chile
Individual Site Status
Recruiting
Facility Name
Investigational Site Number :1520008
City
Santiago
State/Province
Reg Metropolitana De Santiago
ZIP/Postal Code
7500588
Country
Chile
Individual Site Status
Recruiting
Facility Name
Investigational Site Number :1520002
City
Santiago
State/Province
Reg Metropolitana De Santiago
ZIP/Postal Code
7580206
Country
Chile
Individual Site Status
Recruiting
Facility Name
Investigational Site Number :1520003
City
Santiago
State/Province
Reg Metropolitana De Santiago
ZIP/Postal Code
7640881
Country
Chile
Individual Site Status
Recruiting
Facility Name
Investigational Site Number :1520010
City
Santiago
State/Province
Reg Metropolitana De Santiago
ZIP/Postal Code
8330034
Country
Chile
Individual Site Status
Recruiting
Facility Name
Investigational Site Number :1520005
City
Santiago
State/Province
Reg Metropolitana De Santiago
ZIP/Postal Code
8380465
Country
Chile
Individual Site Status
Recruiting
Facility Name
Investigational Site Number :1520001
City
Santiago
State/Province
Reg Metropolitana De Santiago
ZIP/Postal Code
8420383
Country
Chile
Individual Site Status
Recruiting
Facility Name
Investigational Site Number :3923114
City
Obihiro-Shi
State/Province
Hokkaido
ZIP/Postal Code
080-0013
Country
Japan
Individual Site Status
Recruiting
Facility Name
Investigational Site Number :3923113
City
Yokohama-Shi
State/Province
Kanagawa
ZIP/Postal Code
221-0825
Country
Japan
Individual Site Status
Recruiting
Facility Name
Investigational Site Number :3923110
City
Sakai-shi
State/Province
Osaka
ZIP/Postal Code
593-8324
Country
Japan
Individual Site Status
Recruiting
Facility Name
Investigational Site Number :3923106
City
Shimotsuga-gun
State/Province
Tochigi
ZIP/Postal Code
321-0293
Country
Japan
Individual Site Status
Recruiting
Facility Name
Investigational Site Number :3920001
City
Tachikawa-shi
State/Province
Tokyo
ZIP/Postal Code
190-0023
Country
Japan
Individual Site Status
Recruiting
Facility Name
Investigational Site Number :4100004
City
Daejeon
State/Province
Daejeon-gwangyeoksi
ZIP/Postal Code
35015
Country
Korea, Republic of
Individual Site Status
Recruiting
Facility Name
Investigational Site Number :4100002
City
Ansan-si
State/Province
Gyeonggi-do
ZIP/Postal Code
15355
Country
Korea, Republic of
Individual Site Status
Recruiting
Facility Name
Investigational Site Number :4100003
City
Yangsan-si
State/Province
Gyeongsangnam-do
Country
Korea, Republic of
Individual Site Status
Recruiting
Facility Name
Investigational Site Number :4100006
City
Seoul
State/Province
Seoul-teukbyeolsi
ZIP/Postal Code
05030
Country
Korea, Republic of
Individual Site Status
Recruiting
Facility Name
Investigational Site Number :4100001
City
Seoul
ZIP/Postal Code
07441
Country
Korea, Republic of
Individual Site Status
Recruiting
Facility Name
Investigational Site Number :7100010
City
Cape Town
ZIP/Postal Code
7530
Country
South Africa
Individual Site Status
Recruiting
Facility Name
Investigational Site Number :7100009
City
Claremont
ZIP/Postal Code
7708
Country
South Africa
Individual Site Status
Recruiting
Facility Name
Investigational Site Number :7100012
City
Durban
ZIP/Postal Code
3630
Country
South Africa
Individual Site Status
Recruiting
Facility Name
Investigational Site Number :7100006
City
Kempton Park
ZIP/Postal Code
1619
Country
South Africa
Individual Site Status
Recruiting
Facility Name
Investigational Site Number :7100004
City
Reiger Park
ZIP/Postal Code
1459
Country
South Africa
Individual Site Status
Recruiting
Facility Name
Investigational Site Number :7100007
City
Sandton
ZIP/Postal Code
2196
Country
South Africa
Individual Site Status
Recruiting
Facility Name
Investigational Site Number :1580001
City
Taipei
ZIP/Postal Code
10002
Country
Taiwan
Individual Site Status
Recruiting

12. IPD Sharing Statement

Plan to Share IPD
Yes
IPD Sharing Plan Description
Qualified researchers may request access to patient level data and related study documents including the clinical study report, study protocol with any amendments, blank case report form, statistical analysis plan, and dataset specifications. Patient level data will be anonymized and study documents will be redacted to protect the privacy of trial participants. Further details on Sanofi's data sharing criteria, eligible studies, and process for requesting access can be found at: https://vivli.org

Learn more about this trial

Open Label, Long-term Study Evaluating Safety and Efficacy of Subcutaneous Amlitelimab in Adult Participants With Moderate to Severe Atopic Dermatitis

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