Phase 2b Study of ASLAN004 in Adults With Moderate-to-Severe Atopic Dermatitis
Atopic Dermatitis
About this trial
This is an interventional treatment trial for Atopic Dermatitis focused on measuring atopic dermatitis, IL-13, ASLAN004, IL-13Rα1, Eczema, Anti-IL-13Rα1, atopic eczema
Eligibility Criteria
Inclusion Criteria:
- Male or female patients with a clinical diagnosis of AD for at least 1 year;
- vIGA score of ≥3 at Screening and Baseline;
- ≥10% BSA of AD involvement at Screening and Baseline;
- EASI score ≥16 at Screening and Baseline;
- History of inadequate response to treatment with topical corticosteroids (TCS) or topical calcineurin inhibitors (TCI);
- Twice daily application of a consistent amount of topical emollient for at least 7 days prior to randomization.
Exclusion Criteria:
- Immunosuppressive/immunomodulating drugs, systemic therapies or phototherapy within 4 weeks prior to randomization;
- Treatment with leukotriene inhibitors within 4 weeks prior to randomization;
- Treatment with topical therapies (including TCS, TCI, topical phosphodiesterase inhibitors, topical JAK inhibitors) or prescription moisturizers, within 1 week prior to randomization;
Previous treatment at any time prior to randomization with monoclonal antibody / biologic therapeutic agents as follows;
- Prior exposure to dupilumab (Dupixent®) which was discontinued due to lack of efficacy, loss of response, or adverse event;
- Investigational or approved agents targeting interleukins IL-4 or IL-13 ligands or receptors of IL-4 or IL-13, including but not limited to lebrikizumab, tralokinumab or ASLAN004;
- Other investigational or approved biologic drug within 16 weeks or within 5 half-lives (if known), whichever is longer, prior to the Baseline visit;
- Cell-depleting biologics, including, but not limited to, rituximab within 6 months prior to the Baseline visit;
- Inadequate organ function, abnormal lab result, uncontrolled blood pressure or other health condition considered clinically significant by the investigator at the Screening visit;
- History of HIV, Hepatitis B, Hepatitis C or active/latent Tuberculosis infection;
- History of immunosuppression including history of invasive opportunistic infections;
- Treatment with live attenuated vaccine within 8 weeks prior to randomization;
- Parasitic infection within 4 weeks prior to randomization travel within 3 months prior to randomization to areas of high parasitic exposure;
- Have skin comorbidities that in the opinion of the Investigator may interfere with study assessments;
- Pregnant or breastfeeding women;
- Patients unwilling to use adequate birth control.
Sites / Locations
- ASLAN Investigative Site
- ASLAN Investigative Site
- ASLAN Investigative Site
- Tooraj Raoof, MD
- ASLAN Investigative Site
- Center for Dermatology Clinical Research, Inc.
- ASLAN Investigative Site
- ASLAN Investigative Site
- MedDerm Associates
- Clinical Science Institute
- Skin Care Research, LLC
- Encore Medical Research of Boynton Beach
- Driven Research, LLC
- Aby's New Generation Research, Inc.
- ASLAN Investigative Site
- Skin Research of South Florida
- ASLAN Investigative Site
- ASLAN Investigative Site
- ASLAN Investigative Site
- ASLAN Investigative Site
- ForCare Clinical Research
- ASLAN Investigative Site
- Skin Care Physicians of Georgia
- ASLAN Investigative Site
- Dawes Fretzin Clinical Research Group, LLC
- ASLAN Investigative Site
- ASLAN Investigative Site
- Allcutis Research LLC
- ASLAN Investigative Site
- ASLAN Investigative Site
- ASLAN Investigative Site
- Forest Hills Dermatology Group
- Bobby Buka MD, PC
- ASLAN Investigative Site
- ASLAN Investigative Site
- Oregon Dermatology and Research Center
- Oregon Health & Science University
- Clinical Partners, LLC
- Clinical Research Center of the Carolinas
- ASLAN Investigative Sites
- ASLAN Investigative Site
- Dermatology Treatment and Research Center
- Modern Research Associates
- Menter Dermatology Research Institute
- Center for Clinical Studies LTD, LLP
- ASLAN Investigative Site
- ASLAN Investigative Site
- Premier Specialist
- Holdsworth House Medical Practice
- Veracity Clinical Research
- Eastern Clinical Research
- Skin Health Institute
- Fremantle Dermatology
- Wiseman Dermatology Research, Inc.
- DermEffects
- ASLAN Investigative Site
- Gordon Sussman Clinical Research Inc.
- Skin Centre for Dermatology
- Centre de Recherche dermatologique du Quebec Metropolitain
- Centre de Recherche Saint-Louis (Quebec)
- ASLAN Investigative Site
- B. J. Medical College and Civic Hospital
- Nirmal Hospital Pvt Ltd.
- NKP Salve Institute of Medical Sciences & Research Centre and Lata Mangeshkar Hospital
- D Y Patil Hospital
- Calcutta School of Tropical Medicine
- Sir Ganga Ram Hospital
- Lifepoint Multispeciality Hospital
- King George Hospital
- Clinical Trials NZ
- ASLAN Investigative Site
- ASLAN Investigative Site
- ASLAN Investigative Site
- ASLAN Investigative Site
- ASLAN Investigative Site
- ASLAN Investigative Site
- ASLAN Investigative Site
- ASLAN Investigative Site
- ASLAN Investigative Site
- ASLAN Investigative Site
- ASLAN Investigative Site
- KK Women's and Children's Hospital
- National Skin Centre
Arms of the Study
Arm 1
Arm 2
Arm 3
Arm 4
Arm 5
Placebo Comparator
Experimental
Experimental
Experimental
Experimental
Placebo every two weeks (q2w)
ASLAN004 300 mg q2w
ASLAN004 400 mg q2w
ASLAN004 400 mg every four weeks (q4w)
ASLAN004 600 mg q4w
Placebo q2w - placebo loading dose equivalents at Baseline and Week 1, then placebo dose equivalents every 2 weeks (q2w) from Week 2 to Week 14.
ASLAN004 300 mg q2w - loading doses at Baseline and Week 1, followed by regular doses of 300mg q2w from Week 2 to Week 14.
ASLAN004 400 mg q4w - loading doses at Baseline, Week 1 and Week 2, followed by regular doses of 400 mg ASLAN004, alternating with placebo dose equivalents, q2W from Week 4 to Week 14.
ASLAN004 400 mg q4w - loading doses at Baseline, Week 1 and Week 2, followed by regular doses of 400 mg or alternating placebo (q2W) to Week 14.
ASLAN004 600 mg q4w - loading doses at Baseline, Week 1 and Week 2, followed by regular doses of 600 mg ASLAN004, alternating with placebo dose equivalents, q2W from Week 4 to Week 14.