search
Back to results

Tralokinumab Monotherapy for Adolescent Subjects With Moderate to Severe Atopic Dermatitis - ECZTRA 6 (ECZema TRAlokinumab Trial no. 6).

Primary Purpose

Atopic Dermatitis

Status
Completed
Phase
Phase 3
Locations
International
Study Type
Interventional
Intervention
Tralokinumab
Placebos
Sponsored by
LEO Pharma
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Atopic Dermatitis

Eligibility Criteria

12 Years - 17 Years (Child)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • Age 12 to 17.
  • Diagnosis of AD as defined by the Hanifin and Rajka (1980) criteria for AD.
  • History of AD for ≥1 year.
  • History of topical corticosteroid (TCS; Europe: Class 3 or higher; US: Class 4 or lower) and/or topical calcineurin inhibitor (TCI) treatment failure or subjects for whom these topical AD treatments are medically inadvisable.
  • AD involvement of ≥10% body surface area at screening and baseline.
  • Stable dose of emollient twice daily (or more, as needed) for at least 14 days before randomisation.

Exclusion Criteria:

  • Active dermatologic conditions that may confound the diagnosis of AD.
  • Use of tanning beds or phototherapy within 6 weeks prior to randomisation.
  • Treatment with systemic immunosuppressive/immunomodulating drugs and/or systemic corticosteroid within 4 weeks prior to randomisation.
  • Treatment with TCS, TCI, or topical phosphodiesterase 4 (PDE-4) inhibitor within 2 weeks prior to randomisation.
  • Receipt of any marketed biological therapy (i.e. immunoglobulin, anti immunoglobulin E) including dupilumab or investigational biologic agents.
  • Active skin infection within 1 week prior to randomisation.
  • Clinically significant infection within 4 weeks prior to randomisation.
  • A helminth parasitic infection within 6 months prior to the date informed consent is obtained.
  • Tuberculosis requiring treatment within the 12 months prior to screening.
  • Known primary immunodeficiency disorder.

Sites / Locations

  • LEO Pharma Investigational Site
  • LEO Pharma Investigational Site
  • Leo Pharma Investigational Site
  • LEO Pharma Investigational Site
  • LEO Pharma Investigational Site
  • LEO Pharma Investigational Site
  • LEO Pharma Investigational Site
  • LEO Pharma Investigational Site
  • Leo Pharma Investigational Site
  • LEO Pharma Investigational Site
  • LEO Pharma Investigational Site
  • LEO Pharma Investigational Site
  • LEO Pharma Investigational Site
  • LEO Pharma Investigational Site
  • LEO Pharma Investigational Site
  • LEO Pharma Investigational Site
  • LEO Pharma Investigational Site
  • Leo Pharma Investigational Site
  • LEO Pharma Investigational Site
  • LEO Pharma Investigational Site
  • Leo Pharma Investigational Site
  • LEO Pharma Investigational Site
  • LEO Pharma Investigational Site
  • LEO Pharma Investigational Site
  • Leo Pharma Investigational Site
  • Leo Pharma Investigational Site
  • LEO Pharma Investigational Site
  • LEO Pharma Investigational Site
  • Leo Pharma Investigational Site
  • Leo Pharma Investigationel Site
  • Leo Pharma Investigationel Site
  • Leo Pharma Investigationel Site
  • Leo Pharma Investigationel Site
  • Leo Pharma Investigationel Site
  • Leo Pharma Investigationel Site
  • Leo Pharma Investigationel Site
  • Leo Pharma Investigational Site
  • LEO Pharma Investigational Site
  • LEO Pharma Investigational Site
  • LEO Pharma Investigational Site
  • LEO Pharma Investigational Site
  • LEO Pharma Investigational Site
  • LEO Pharma Investigational Site
  • LEO Pharma Investigational Site
  • LEO Pharma Investigational Site
  • LEO Pharma Investigational Site
  • LEO Pharma Investigational Site
  • LEO Pharma Investigational Site
  • Leo Pharma Investigationel Site
  • Leo Pharma Investigationel Site
  • Leo Pharma Investigationel Site
  • Leo Pharma Investigationel Site
  • Leo Pharma Investigationel Site
  • Leo Pharma Investigationel Site
  • Leo Pharma Investigationel Site
  • Leo Pharma Investigationel Site
  • Leo Pharma Investigationel Site
  • Leo Pharma Investigationel Site
  • Leo Pharma Investigationel Site
  • Leo Pharma Investigationel Site
  • Leo Pharma Investigationel Site
  • Leo Pharma Investigationel Site
  • Leo Pharma Investigationel Site
  • Leo Pharma Investigationel Site
  • Leo Pharma Investigationel Site
  • Leo Pharma Investigationel Site
  • Leo Pharma Investigationel Site
  • Leo Pharma Investigationel Site
  • Leo Pharma Investigationel Site
  • Leo Pharma Investigationel Site
  • Leo Pharma Investigationel Site
  • Leo Pharma Investigationel Site
  • Leo Pharma Investigationel Site
  • Leo Pharma Investigationel Site
  • Leo Pharma Investigationel Site
  • Leo Pharma Investigationel Site
  • Leo Pharma Investigationel Site
  • Leo Pharma Investigationel Site
  • Leo Pharma Investigationel Site
  • Leo Pharma Investigationel Site
  • Leo Pharma Investigationel Site
  • Leo Pharma Investigationel Site
  • Leo Pharma Investigationel Site
  • Leo Pharma Investigationel Site
  • Leo Pharma Investigationel Site
  • Leo Pharma Investigationel Site
  • Leo Pharma Investigationel Site

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm 5

Arm 6

Arm 7

Arm 8

Arm Type

Experimental

Experimental

Experimental

Experimental

Experimental

Experimental

Experimental

Experimental

Arm Label

Tralokinumab(Dose1) initial-> Tralokinumab(Dose1) maintenanceA

Tralokinumab(Dose1) initial-> Tralokinumab(Dose1) maintenanceB

Tralokinumab(Dose2) initial-> Tralokinumab(Dose2) maintenanceA

Tralokinumab(Dose2) initial-> Tralokinumab(Dose2) maintenanceB

Placebo initial-> Placebo maintenance

Tralokinumab (Dose1) initial-> Open-label tralokinumab

Tralokinumab (Dose2) initial-> Open-label tralokinumab

Placebo initial-> Open-label tralokinumab

Arm Description

Week 0 to 16 (initial period): Tralokinumab (Dose 1) loading SC injection on Day 0 followed by tralokinumab (Dose 1) injection regimen A. Week 16 to 52 (maintenance period): Tralokinumab (Dose 1) maintenance SC injection regimen A.

Week 0 to 16 (initial period): Tralokinumab (Dose 1) loading SC injection on Day 0 followed by tralokinumab (Dose 1) injection regimen A. Week 16 to 52 (maintenance period): Tralokinumab (Dose 1) maintenance SC injection regimen B.

Week 0 to 16 (initial period): Tralokinumab (Dose 2) loading SC injection on Day 0 followed by tralokinumab (Dose 2) injection regimen A. Week 16 to 52 (maintenance period): Tralokinumab (Dose 2) maintenance SC injection regimen A.

Week 0 to 16 (initial period): Tralokinumab (Dose 2) loading SC injection on Day 0 followed by tralokinumab (Dose 2) injection regimen A. Week 16 to 52 (maintenance period): Tralokinumab (Dose 2) maintenance SC injection regimen B.

Week 0 to 16 (initial period): Placebo loading SC injection on Day 0 followed by placebo injection regimen A. Week 16 to 52 (maintenance period): Placebo continuation SC injection regimen A.

Week 0 to 16 (initial period): Tralokinumab (Dose 1) loading SC injection on Day 0 followed by tralokinumab (Dose 1) injection regimen A. Week 16 to 52: Tralokinumab (Dose 1) maintenance SC regimen A - open-label with allowed use of topical corticosteroids

Week 0 to 16 (initial period): Tralokinumab (Dose 2) loading SC injection on Day 0 followed by tralokinumab (Dose 2) injection regimen A. Week 16 to 52: Tralokinumab (Dose 1) maintenance SC regimen A - open-label with allowed use of topical corticosteroids

Week 0 to 16 (initial period): Placebo loading SC injection on Day 0 followed by placebo injection regimen A. Week 16 to 52: Tralokinumab (Dose 1) maintenance SC regimen A - open-label with allowed use of topical corticosteroids

Outcomes

Primary Outcome Measures

Subjects With Investigator's Global Assessment (IGA) Score of 0 (Clear) or 1 (Almost Clear) at Week 16
The IGA is an instrument used in clinical trials to rate the severity of the subject's global AD and is based on a 5-point scale ranging from 0 (clear) to 4 (severe).
Subjects With at Least 75% Reduction in Eczema Area and Severity Index (EASI75) at Week 16
The EASI is a validated measure used in clinical practice and clinical trials to assess the severity and extent of AD. The EASI is a composite index with scores ranging from 0 to 72, with higher values indicating more severe and/or more extensive condition.

Secondary Outcome Measures

Subjects With Reduction of Adolescent Worst Pruritus Numeric Rating Scale (NRS) (Weekly Average) of at Least 4 From Baseline to Week 16
The Adolescent Worst Pruritus NRS is used by subjects to assess their worst itch over the past 24 hours using an 11-point NRS with 0 indicating 'no itch' and 10 indicating 'worst itch possible'.
Change in Scoring Atopic Dermatitis (SCORAD) From Baseline to Week 16
The SCORAD is a validated tool to evaluate the extent and severity of AD lesions, along with subjective symptoms. The maximum total score is 103, with higher values indicating more severe disease.
Change in Children's Dermatology Life Quality Index (CDLQI) Score From Baseline to Week 16
The CDLQI is a validated questionnaire with content specific to those with dermatology conditions. It consists of 10 items addressing the subject's perception of the impact of their skin disease on various aspects of their quality of life over the last week such as dermatology-related symptoms and feelings, leisure, school or holidays, personal relationships, sleep, and the treatment. Each item is scored on a 4-point Likert scale (0 = 'not at all'; 1 = 'only a little'; 2 = 'quite a lot'; 3 = 'very much'). Item 7 (on school time) has one additional response category 'prevented school', which is also scored '3'. The total score of the CDLQI is the sum of the 10 items (0 to 30); a high score is indicative of a poor quality of life.
Number of Adverse Events
Number of AEs during the Initial treatment period is presented. For a summary of AEs and SAEs by MedDRA system organ class (SOC) and preferred term (PT) during the initial treatment period, maintenance treatment period, open-label treatment period, and safety follow-up period, see the Adverse Events Overview section.
Presence of Anti-drug Antibodies
Anti-tralokinumab antibody levels were analysed using a validated bioanalytical method.
Subjects With at Least 50% Reduction in Eczema Area and Severity Index (EASI50) at Week 16.
The EASI is a validated measure used in clinical practice and clinical trials to assess the severity and extent of AD. The EASI is a composite index with scores ranging from 0 to 72, with higher values indicating more severe and/or more extensive condition.
Subjects With at Least 90% Reduction in Eczema Area and Severity Index (EASI90) at Week 16.
The EASI is a validated measure used in clinical practice and clinical trials to assess the severity and extent of AD. The EASI is a composite index with scores ranging from 0 to 72, with higher values indicating more severe and/or more extensive condition.
Change in Eczema Area and Severity Index (EASI) Score From Baseline to Week 16
The EASI is a validated measure used in clinical practice and clinical trials to assess the severity and extent of AD. The EASI is a composite index with scores ranging from 0 to 72, with higher values indicating more severe and/or more extensive condition.
Subjects With at Least 75% Reduction in Scoring Atopic Dermatitis (SCORAD75) at Week 16
The SCORAD is a validated tool to evaluate the extent and severity of atopic dermatitis lesions, along with subjective symptoms. The score ranges from 0 to 103, with a higher values indicating a more extensive and/or severe condition.
Subjects With at Least 50% Reduction in Scoring Atopic Dermatitis (SCORAD50) at Week 16
The SCORAD is a validated tool to evaluate the extent and severity of atopic dermatitis lesions, along with subjective symptoms. The score ranges from 0 to 103, with a higher values indicating a more extensive and/or severe condition.
Change in Adolescent Worst Pruritus Numeric Rating Scale (NRS) (Weekly Average) From Baseline to Week 16
The Adolescent Worst Pruritus NRS is used by subjects to assess their worst itch over the past 24 hours using an 11-point NRS with 0 indicating 'no itch' and 10 indicating 'worst itch possible'.
Participants With Reduction of Adolescent Worst Pruritus Numeric Rating Scale (NRS) (Weekly Average) of at Least 3 From Baseline to Week 16
The Adolescent Worst Pruritus NRS is used by subjects to assess their worst itch over the past 24 hours using an 11-point NRS with 0 indicating 'no itch' and 10 indicating 'worst itch possible'.
Change in Patient Oriented Eczema Measure (POEM) From Baseline to Week 16
The POEM is a validated questionnaire used to assess disease symptoms in atopic eczema patients in both clinical practice and clinical trials. The tool consists of 7 items each addressing a specific symptom (itching, sleep, bleeding, weeping, cracking, flaking, and dryness). Subjects will score how often they have experienced each symptom over the previous week on a 5-point categorical response scale (0 = 'no days'; 1 = '1 to 2 days'; 2 = '3 to 4 days'; 3 = '5 to 6' days; 4 = 'every day'). The total score is the sum of the 7 items (range 0 to 28) and reflects disease-related morbidity; a high score is indicative of a worse disease severity.
Tralokinumab Serum Trough Concentration at Week 16
Serum samples for determination of tralokinumab concentrations were analysed by a laboratory using a validated bioanalytical method.
Subjects With Investigator's Global Assessment (IGA) Score of 0 (Clear) or 1 (Almost Clear) at Week 52 Among Subjects With IGA Score of 0 or 1 at Week 16 After Initial Randomisation to Tralokinumab and Without Use of Rescue From Week 2 to Week 16
The IGA is an instrument used in clinical trials to rate the severity of the subject's global AD and is based on a 5-point scale ranging from 0 (clear) to 4 (severe).
Subjects With at Least 75% Reduction in Eczema Area and Severity Index (EASI75) at Week 52 Among Subjects With at Least 75% Reduction in EASI at Week 16 After Initial Randomisation to Tralokinumab and Without Use of Rescue From Week 2 to Week 16
The EASI is a validated measure used in clinical practice and clinical trials to assess the severity and extent of AD. The EASI is a composite index with scores ranging from 0 to 72, with higher values indicating more severe and/or more extensive condition.
Tralokinumab Serum Trough Concentration at Week 66
Serum samples for determination of tralokinumab concentrations were analysed by a laboratory using a validated bioanalytical method.

Full Information

First Posted
May 4, 2018
Last Updated
May 3, 2023
Sponsor
LEO Pharma
search

1. Study Identification

Unique Protocol Identification Number
NCT03526861
Brief Title
Tralokinumab Monotherapy for Adolescent Subjects With Moderate to Severe Atopic Dermatitis - ECZTRA 6 (ECZema TRAlokinumab Trial no. 6).
Official Title
A Randomised, Double-blind, Placebo-controlled, Parallel-group, Multi-centre Trial to Evaluate the Efficacy, Safety, and Tolerability of Tralokinumab Monotherapy in Adolescent Subjects With Moderate-to-severe Atopic Dermatitis (AD) Who Are Candidates for Systemic Therapy
Study Type
Interventional

2. Study Status

Record Verification Date
May 2023
Overall Recruitment Status
Completed
Study Start Date
June 19, 2018 (Actual)
Primary Completion Date
April 15, 2020 (Actual)
Study Completion Date
March 16, 2021 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
LEO Pharma

4. Oversight

Studies a U.S. FDA-regulated Drug Product
Yes
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
Yes

5. Study Description

Brief Summary
Primary objective: To evaluate the efficacy of subcutaneous (SC) administration of tralokinumab compared with placebo in treating adolescent subjects (age 12 to <18 years) with moderate-to-severe AD. Secondary objectives: To evaluate the efficacy of tralokinumab on severity and extent of AD, itch, and health-related quality of life compared with placebo. To investigate the safety, immunogenicity, and tolerability of SC administration of tralokinumab compared with placebo when used to treat adolescent subjects (age 12 to <18 years) with moderate-to-severe AD.

6. Conditions and Keywords

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

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 3
Interventional Study Model
Parallel Assignment
Masking
ParticipantInvestigator
Masking Description
Neither the subject nor any of the investigator or LEO staff who are involved in the treatment or clinical evaluation and monitoring of the subjects will be aware of the treatment received. The packaging and labelling of the investigational medicinal products (IMPs) will contain no evidence of their identity. Since tralokinumab and placebo are visually distinct and not matched for viscosity, IMP will be handled and administered by a qualified, unblinded healthcare professional at the site who will not be involved in the management of trial subjects and who will not perform any of the assessments.
Allocation
Randomized
Enrollment
301 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Tralokinumab(Dose1) initial-> Tralokinumab(Dose1) maintenanceA
Arm Type
Experimental
Arm Description
Week 0 to 16 (initial period): Tralokinumab (Dose 1) loading SC injection on Day 0 followed by tralokinumab (Dose 1) injection regimen A. Week 16 to 52 (maintenance period): Tralokinumab (Dose 1) maintenance SC injection regimen A.
Arm Title
Tralokinumab(Dose1) initial-> Tralokinumab(Dose1) maintenanceB
Arm Type
Experimental
Arm Description
Week 0 to 16 (initial period): Tralokinumab (Dose 1) loading SC injection on Day 0 followed by tralokinumab (Dose 1) injection regimen A. Week 16 to 52 (maintenance period): Tralokinumab (Dose 1) maintenance SC injection regimen B.
Arm Title
Tralokinumab(Dose2) initial-> Tralokinumab(Dose2) maintenanceA
Arm Type
Experimental
Arm Description
Week 0 to 16 (initial period): Tralokinumab (Dose 2) loading SC injection on Day 0 followed by tralokinumab (Dose 2) injection regimen A. Week 16 to 52 (maintenance period): Tralokinumab (Dose 2) maintenance SC injection regimen A.
Arm Title
Tralokinumab(Dose2) initial-> Tralokinumab(Dose2) maintenanceB
Arm Type
Experimental
Arm Description
Week 0 to 16 (initial period): Tralokinumab (Dose 2) loading SC injection on Day 0 followed by tralokinumab (Dose 2) injection regimen A. Week 16 to 52 (maintenance period): Tralokinumab (Dose 2) maintenance SC injection regimen B.
Arm Title
Placebo initial-> Placebo maintenance
Arm Type
Experimental
Arm Description
Week 0 to 16 (initial period): Placebo loading SC injection on Day 0 followed by placebo injection regimen A. Week 16 to 52 (maintenance period): Placebo continuation SC injection regimen A.
Arm Title
Tralokinumab (Dose1) initial-> Open-label tralokinumab
Arm Type
Experimental
Arm Description
Week 0 to 16 (initial period): Tralokinumab (Dose 1) loading SC injection on Day 0 followed by tralokinumab (Dose 1) injection regimen A. Week 16 to 52: Tralokinumab (Dose 1) maintenance SC regimen A - open-label with allowed use of topical corticosteroids
Arm Title
Tralokinumab (Dose2) initial-> Open-label tralokinumab
Arm Type
Experimental
Arm Description
Week 0 to 16 (initial period): Tralokinumab (Dose 2) loading SC injection on Day 0 followed by tralokinumab (Dose 2) injection regimen A. Week 16 to 52: Tralokinumab (Dose 1) maintenance SC regimen A - open-label with allowed use of topical corticosteroids
Arm Title
Placebo initial-> Open-label tralokinumab
Arm Type
Experimental
Arm Description
Week 0 to 16 (initial period): Placebo loading SC injection on Day 0 followed by placebo injection regimen A. Week 16 to 52: Tralokinumab (Dose 1) maintenance SC regimen A - open-label with allowed use of topical corticosteroids
Intervention Type
Drug
Intervention Name(s)
Tralokinumab
Intervention Description
Tralokinumab is a human recombinant monoclonal antibody of the immunoglobulin G4 (IgG4) subclass that specifically binds to human interleukin (IL) 13 and blocks interaction with the IL-13 receptors.
Intervention Type
Drug
Intervention Name(s)
Placebos
Other Intervention Name(s)
Placebo
Intervention Description
Placebo contains the same excipients in the same concentration only lacking tralokinumab.
Primary Outcome Measure Information:
Title
Subjects With Investigator's Global Assessment (IGA) Score of 0 (Clear) or 1 (Almost Clear) at Week 16
Description
The IGA is an instrument used in clinical trials to rate the severity of the subject's global AD and is based on a 5-point scale ranging from 0 (clear) to 4 (severe).
Time Frame
At Week 16
Title
Subjects With at Least 75% Reduction in Eczema Area and Severity Index (EASI75) at Week 16
Description
The EASI is a validated measure used in clinical practice and clinical trials to assess the severity and extent of AD. The EASI is a composite index with scores ranging from 0 to 72, with higher values indicating more severe and/or more extensive condition.
Time Frame
At Week 16
Secondary Outcome Measure Information:
Title
Subjects With Reduction of Adolescent Worst Pruritus Numeric Rating Scale (NRS) (Weekly Average) of at Least 4 From Baseline to Week 16
Description
The Adolescent Worst Pruritus NRS is used by subjects to assess their worst itch over the past 24 hours using an 11-point NRS with 0 indicating 'no itch' and 10 indicating 'worst itch possible'.
Time Frame
At Week 16
Title
Change in Scoring Atopic Dermatitis (SCORAD) From Baseline to Week 16
Description
The SCORAD is a validated tool to evaluate the extent and severity of AD lesions, along with subjective symptoms. The maximum total score is 103, with higher values indicating more severe disease.
Time Frame
From Week 0 to Week 16
Title
Change in Children's Dermatology Life Quality Index (CDLQI) Score From Baseline to Week 16
Description
The CDLQI is a validated questionnaire with content specific to those with dermatology conditions. It consists of 10 items addressing the subject's perception of the impact of their skin disease on various aspects of their quality of life over the last week such as dermatology-related symptoms and feelings, leisure, school or holidays, personal relationships, sleep, and the treatment. Each item is scored on a 4-point Likert scale (0 = 'not at all'; 1 = 'only a little'; 2 = 'quite a lot'; 3 = 'very much'). Item 7 (on school time) has one additional response category 'prevented school', which is also scored '3'. The total score of the CDLQI is the sum of the 10 items (0 to 30); a high score is indicative of a poor quality of life.
Time Frame
From Week 0 to Week 16
Title
Number of Adverse Events
Description
Number of AEs during the Initial treatment period is presented. For a summary of AEs and SAEs by MedDRA system organ class (SOC) and preferred term (PT) during the initial treatment period, maintenance treatment period, open-label treatment period, and safety follow-up period, see the Adverse Events Overview section.
Time Frame
From Week 0 to Week 16
Title
Presence of Anti-drug Antibodies
Description
Anti-tralokinumab antibody levels were analysed using a validated bioanalytical method.
Time Frame
From Week 0 to Week 16
Title
Subjects With at Least 50% Reduction in Eczema Area and Severity Index (EASI50) at Week 16.
Description
The EASI is a validated measure used in clinical practice and clinical trials to assess the severity and extent of AD. The EASI is a composite index with scores ranging from 0 to 72, with higher values indicating more severe and/or more extensive condition.
Time Frame
At Week 16
Title
Subjects With at Least 90% Reduction in Eczema Area and Severity Index (EASI90) at Week 16.
Description
The EASI is a validated measure used in clinical practice and clinical trials to assess the severity and extent of AD. The EASI is a composite index with scores ranging from 0 to 72, with higher values indicating more severe and/or more extensive condition.
Time Frame
At Week 16
Title
Change in Eczema Area and Severity Index (EASI) Score From Baseline to Week 16
Description
The EASI is a validated measure used in clinical practice and clinical trials to assess the severity and extent of AD. The EASI is a composite index with scores ranging from 0 to 72, with higher values indicating more severe and/or more extensive condition.
Time Frame
From Week 0 to Week 16
Title
Subjects With at Least 75% Reduction in Scoring Atopic Dermatitis (SCORAD75) at Week 16
Description
The SCORAD is a validated tool to evaluate the extent and severity of atopic dermatitis lesions, along with subjective symptoms. The score ranges from 0 to 103, with a higher values indicating a more extensive and/or severe condition.
Time Frame
At Week 16
Title
Subjects With at Least 50% Reduction in Scoring Atopic Dermatitis (SCORAD50) at Week 16
Description
The SCORAD is a validated tool to evaluate the extent and severity of atopic dermatitis lesions, along with subjective symptoms. The score ranges from 0 to 103, with a higher values indicating a more extensive and/or severe condition.
Time Frame
At Week 16
Title
Change in Adolescent Worst Pruritus Numeric Rating Scale (NRS) (Weekly Average) From Baseline to Week 16
Description
The Adolescent Worst Pruritus NRS is used by subjects to assess their worst itch over the past 24 hours using an 11-point NRS with 0 indicating 'no itch' and 10 indicating 'worst itch possible'.
Time Frame
From Week 0 to Week 16
Title
Participants With Reduction of Adolescent Worst Pruritus Numeric Rating Scale (NRS) (Weekly Average) of at Least 3 From Baseline to Week 16
Description
The Adolescent Worst Pruritus NRS is used by subjects to assess their worst itch over the past 24 hours using an 11-point NRS with 0 indicating 'no itch' and 10 indicating 'worst itch possible'.
Time Frame
At Week 16
Title
Change in Patient Oriented Eczema Measure (POEM) From Baseline to Week 16
Description
The POEM is a validated questionnaire used to assess disease symptoms in atopic eczema patients in both clinical practice and clinical trials. The tool consists of 7 items each addressing a specific symptom (itching, sleep, bleeding, weeping, cracking, flaking, and dryness). Subjects will score how often they have experienced each symptom over the previous week on a 5-point categorical response scale (0 = 'no days'; 1 = '1 to 2 days'; 2 = '3 to 4 days'; 3 = '5 to 6' days; 4 = 'every day'). The total score is the sum of the 7 items (range 0 to 28) and reflects disease-related morbidity; a high score is indicative of a worse disease severity.
Time Frame
From Week 0 to Week 16
Title
Tralokinumab Serum Trough Concentration at Week 16
Description
Serum samples for determination of tralokinumab concentrations were analysed by a laboratory using a validated bioanalytical method.
Time Frame
At Week 16
Title
Subjects With Investigator's Global Assessment (IGA) Score of 0 (Clear) or 1 (Almost Clear) at Week 52 Among Subjects With IGA Score of 0 or 1 at Week 16 After Initial Randomisation to Tralokinumab and Without Use of Rescue From Week 2 to Week 16
Description
The IGA is an instrument used in clinical trials to rate the severity of the subject's global AD and is based on a 5-point scale ranging from 0 (clear) to 4 (severe).
Time Frame
At Week 52
Title
Subjects With at Least 75% Reduction in Eczema Area and Severity Index (EASI75) at Week 52 Among Subjects With at Least 75% Reduction in EASI at Week 16 After Initial Randomisation to Tralokinumab and Without Use of Rescue From Week 2 to Week 16
Description
The EASI is a validated measure used in clinical practice and clinical trials to assess the severity and extent of AD. The EASI is a composite index with scores ranging from 0 to 72, with higher values indicating more severe and/or more extensive condition.
Time Frame
At Week 52
Title
Tralokinumab Serum Trough Concentration at Week 66
Description
Serum samples for determination of tralokinumab concentrations were analysed by a laboratory using a validated bioanalytical method.
Time Frame
At Week 66

10. Eligibility

Sex
All
Minimum Age & Unit of Time
12 Years
Maximum Age & Unit of Time
17 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Age 12 to 17. Diagnosis of AD as defined by the Hanifin and Rajka (1980) criteria for AD. History of AD for ≥1 year. History of topical corticosteroid (TCS; Europe: Class 3 or higher; US: Class 4 or lower) and/or topical calcineurin inhibitor (TCI) treatment failure or subjects for whom these topical AD treatments are medically inadvisable. AD involvement of ≥10% body surface area at screening and baseline. Stable dose of emollient twice daily (or more, as needed) for at least 14 days before randomisation. Exclusion Criteria: Active dermatologic conditions that may confound the diagnosis of AD. Use of tanning beds or phototherapy within 6 weeks prior to randomisation. Treatment with systemic immunosuppressive/immunomodulating drugs and/or systemic corticosteroid within 4 weeks prior to randomisation. Treatment with TCS, TCI, or topical phosphodiesterase 4 (PDE-4) inhibitor within 2 weeks prior to randomisation. Receipt of any marketed biological therapy (i.e. immunoglobulin, anti immunoglobulin E) including dupilumab or investigational biologic agents. Active skin infection within 1 week prior to randomisation. Clinically significant infection within 4 weeks prior to randomisation. A helminth parasitic infection within 6 months prior to the date informed consent is obtained. Tuberculosis requiring treatment within the 12 months prior to screening. Known primary immunodeficiency disorder.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Medical expert
Organizational Affiliation
LEO Pharma
Official's Role
Study Director
Facility Information:
Facility Name
LEO Pharma Investigational Site
City
Birmingham
State/Province
Alabama
ZIP/Postal Code
35209
Country
United States
Facility Name
LEO Pharma Investigational Site
City
Fort Smith
State/Province
Arkansas
ZIP/Postal Code
72916
Country
United States
Facility Name
Leo Pharma Investigational Site
City
Fountain Valley
State/Province
California
ZIP/Postal Code
92708
Country
United States
Facility Name
LEO Pharma Investigational Site
City
Los Angeles
State/Province
California
ZIP/Postal Code
90045
Country
United States
Facility Name
LEO Pharma Investigational Site
City
San Francisco
State/Province
California
ZIP/Postal Code
94132
Country
United States
Facility Name
LEO Pharma Investigational Site
City
Stanford
State/Province
California
ZIP/Postal Code
94304
Country
United States
Facility Name
LEO Pharma Investigational Site
City
New Haven
State/Province
Connecticut
ZIP/Postal Code
06520-8059
Country
United States
Facility Name
LEO Pharma Investigational Site
City
Miami
State/Province
Florida
ZIP/Postal Code
33137
Country
United States
Facility Name
Leo Pharma Investigational Site
City
Albany
State/Province
Georgia
ZIP/Postal Code
31707
Country
United States
Facility Name
LEO Pharma Investigational Site
City
Chicago
State/Province
Illinois
ZIP/Postal Code
60611
Country
United States
Facility Name
LEO Pharma Investigational Site
City
Louisville
State/Province
Kentucky
ZIP/Postal Code
40215
Country
United States
Facility Name
LEO Pharma Investigational Site
City
Baton Rouge
State/Province
Louisiana
ZIP/Postal Code
70808
Country
United States
Facility Name
LEO Pharma Investigational Site
City
Ann Arbor
State/Province
Michigan
ZIP/Postal Code
48103
Country
United States
Facility Name
LEO Pharma Investigational Site
City
Ypsilanti
State/Province
Michigan
ZIP/Postal Code
48197
Country
United States
Facility Name
LEO Pharma Investigational Site
City
Minneapolis
State/Province
Minnesota
ZIP/Postal Code
55402
Country
United States
Facility Name
LEO Pharma Investigational Site
City
East Windsor
State/Province
New Jersey
ZIP/Postal Code
08520
Country
United States
Facility Name
LEO Pharma Investigational Site
City
Corning
State/Province
New York
ZIP/Postal Code
14830
Country
United States
Facility Name
Leo Pharma Investigational Site
City
New York
State/Province
New York
ZIP/Postal Code
10075
Country
United States
Facility Name
LEO Pharma Investigational Site
City
High Point
State/Province
North Carolina
ZIP/Postal Code
27262
Country
United States
Facility Name
LEO Pharma Investigational Site
City
Bexley
State/Province
Ohio
ZIP/Postal Code
43209
Country
United States
Facility Name
Leo Pharma Investigational Site
City
Tulsa
State/Province
Oklahoma
ZIP/Postal Code
74136
Country
United States
Facility Name
LEO Pharma Investigational Site
City
Portland
State/Province
Oregon
ZIP/Postal Code
97223
Country
United States
Facility Name
LEO Pharma Investigational Site
City
Portland
State/Province
Oregon
ZIP/Postal Code
97239
Country
United States
Facility Name
LEO Pharma Investigational Site
City
Philadelphia
State/Province
Pennsylvania
ZIP/Postal Code
19104
Country
United States
Facility Name
Leo Pharma Investigational Site
City
North Charleston
State/Province
South Carolina
ZIP/Postal Code
29420
Country
United States
Facility Name
Leo Pharma Investigational Site
City
Murfreesboro
State/Province
Tennessee
ZIP/Postal Code
37130
Country
United States
Facility Name
LEO Pharma Investigational Site
City
Austin
State/Province
Texas
ZIP/Postal Code
78746
Country
United States
Facility Name
LEO Pharma Investigational Site
City
Houston
State/Province
Texas
ZIP/Postal Code
77030
Country
United States
Facility Name
Leo Pharma Investigational Site
City
San Antonio
State/Province
Texas
ZIP/Postal Code
78218
Country
United States
Facility Name
Leo Pharma Investigationel Site
City
Darlinghurst
ZIP/Postal Code
2010
Country
Australia
Facility Name
Leo Pharma Investigationel Site
City
Kogarah
ZIP/Postal Code
2217
Country
Australia
Facility Name
Leo Pharma Investigationel Site
City
Melbourne
ZIP/Postal Code
3002
Country
Australia
Facility Name
Leo Pharma Investigationel Site
City
Woolloongabba
ZIP/Postal Code
4102
Country
Australia
Facility Name
Leo Pharma Investigationel Site
City
Brussels
ZIP/Postal Code
1200
Country
Belgium
Facility Name
Leo Pharma Investigationel Site
City
Gent
ZIP/Postal Code
B-9000
Country
Belgium
Facility Name
Leo Pharma Investigationel Site
City
Liège
ZIP/Postal Code
4000
Country
Belgium
Facility Name
Leo Pharma Investigational Site
City
Maldegem
ZIP/Postal Code
9990
Country
Belgium
Facility Name
LEO Pharma Investigational Site
City
Calgary
State/Province
Alberta
ZIP/Postal Code
T3A 2N1
Country
Canada
Facility Name
LEO Pharma Investigational Site
City
Edmonton
State/Province
Alberta
ZIP/Postal Code
T6G 1C9
Country
Canada
Facility Name
LEO Pharma Investigational Site
City
Surrey
State/Province
British Columbia
ZIP/Postal Code
V3R 6A7
Country
Canada
Facility Name
LEO Pharma Investigational Site
City
Winnipeg
State/Province
Manitoba
ZIP/Postal Code
R3C 1T6
Country
Canada
Facility Name
LEO Pharma Investigational Site
City
Winnipeg
State/Province
Manitoba
ZIP/Postal Code
R3M 3Z4
Country
Canada
Facility Name
LEO Pharma Investigational Site
City
Markham
State/Province
Ontario
ZIP/Postal Code
L3P 1X2
Country
Canada
Facility Name
LEO Pharma Investigational Site
City
Oakville
State/Province
Ontario
ZIP/Postal Code
L6J 7W5
Country
Canada
Facility Name
LEO Pharma Investigational Site
City
Toronto
State/Province
Ontario
ZIP/Postal Code
M5A 3R6
Country
Canada
Facility Name
LEO Pharma Investigational Site
City
Windsor
State/Province
Ontario
ZIP/Postal Code
N8X 2G1
Country
Canada
Facility Name
LEO Pharma Investigational Site
City
Montreal
State/Province
Quebec
ZIP/Postal Code
H3T 1C5
Country
Canada
Facility Name
LEO Pharma Investigational Site
City
Saskatoon
State/Province
Saskatchewan
ZIP/Postal Code
S7K 0H6
Country
Canada
Facility Name
Leo Pharma Investigationel Site
City
Marseille
ZIP/Postal Code
13285
Country
France
Facility Name
Leo Pharma Investigationel Site
City
Nice
ZIP/Postal Code
06200
Country
France
Facility Name
Leo Pharma Investigationel Site
City
Paris
ZIP/Postal Code
75015
Country
France
Facility Name
Leo Pharma Investigationel Site
City
Paris
ZIP/Postal Code
75020
Country
France
Facility Name
Leo Pharma Investigationel Site
City
Valence
ZIP/Postal Code
26000
Country
France
Facility Name
Leo Pharma Investigationel Site
City
Berlin
ZIP/Postal Code
10115
Country
Germany
Facility Name
Leo Pharma Investigationel Site
City
Dresden
ZIP/Postal Code
01307
Country
Germany
Facility Name
Leo Pharma Investigationel Site
City
Jena
ZIP/Postal Code
49074
Country
Germany
Facility Name
Leo Pharma Investigationel Site
City
Osnabrück
ZIP/Postal Code
49074
Country
Germany
Facility Name
Leo Pharma Investigationel Site
City
Fukuoka
ZIP/Postal Code
814-0180
Country
Japan
Facility Name
Leo Pharma Investigationel Site
City
Kagoshima city
ZIP/Postal Code
890-8520
Country
Japan
Facility Name
Leo Pharma Investigationel Site
City
Kyoto
ZIP/Postal Code
602-8566
Country
Japan
Facility Name
Leo Pharma Investigationel Site
City
Nagoya-shi
ZIP/Postal Code
457-8510
Country
Japan
Facility Name
Leo Pharma Investigationel Site
City
Obihiro
ZIP/Postal Code
080-0013
Country
Japan
Facility Name
Leo Pharma Investigationel Site
City
Osaka-fu
ZIP/Postal Code
560-0085
Country
Japan
Facility Name
Leo Pharma Investigationel Site
City
Osaka
ZIP/Postal Code
593-8324
Country
Japan
Facility Name
Leo Pharma Investigationel Site
City
Shimotsuke
ZIP/Postal Code
329-0498
Country
Japan
Facility Name
Leo Pharma Investigationel Site
City
Tokyo
ZIP/Postal Code
136-0074
Country
Japan
Facility Name
Leo Pharma Investigationel Site
City
Tokyo
ZIP/Postal Code
141-8625
Country
Japan
Facility Name
Leo Pharma Investigationel Site
City
Tokyo
ZIP/Postal Code
169-0075
Country
Japan
Facility Name
Leo Pharma Investigationel Site
City
Tokyo
ZIP/Postal Code
171-0022
Country
Japan
Facility Name
Leo Pharma Investigationel Site
City
Tsu
ZIP/Postal Code
514-8507
Country
Japan
Facility Name
Leo Pharma Investigationel Site
City
Yamanashi
ZIP/Postal Code
400-8506
Country
Japan
Facility Name
Leo Pharma Investigationel Site
City
Bergen Op Zoom
ZIP/Postal Code
4708
Country
Netherlands
Facility Name
Leo Pharma Investigationel Site
City
Breda
ZIP/Postal Code
4818
Country
Netherlands
Facility Name
Leo Pharma Investigationel Site
City
Groningen
ZIP/Postal Code
9713
Country
Netherlands
Facility Name
Leo Pharma Investigationel Site
City
Rotterdam
ZIP/Postal Code
3015
Country
Netherlands
Facility Name
Leo Pharma Investigationel Site
City
Kraków
ZIP/Postal Code
30-033
Country
Poland
Facility Name
Leo Pharma Investigationel Site
City
Kraków
ZIP/Postal Code
30-149
Country
Poland
Facility Name
Leo Pharma Investigationel Site
City
Kraków
ZIP/Postal Code
31-011
Country
Poland
Facility Name
Leo Pharma Investigationel Site
City
Rzeszów
ZIP/Postal Code
35-055
Country
Poland
Facility Name
Leo Pharma Investigationel Site
City
Swidnik
ZIP/Postal Code
21-040
Country
Poland
Facility Name
Leo Pharma Investigationel Site
City
Wrocław
ZIP/Postal Code
50-001
Country
Poland
Facility Name
Leo Pharma Investigationel Site
City
Wrocław
ZIP/Postal Code
51-318
Country
Poland
Facility Name
Leo Pharma Investigationel Site
City
Wrocław
ZIP/Postal Code
52-416
Country
Poland
Facility Name
Leo Pharma Investigationel Site
City
Łódź
ZIP/Postal Code
90-265
Country
Poland
Facility Name
Leo Pharma Investigationel Site
City
Łódź
ZIP/Postal Code
90-436
Country
Poland
Facility Name
Leo Pharma Investigationel Site
City
Glasgow
ZIP/Postal Code
G51 4TF
Country
United Kingdom
Facility Name
Leo Pharma Investigationel Site
City
London
ZIP/Postal Code
E11 1NR
Country
United Kingdom

12. IPD Sharing Statement

Plan to Share IPD
Yes
IPD Sharing Plan Description
De-identified IPD can be made available to researchers in a closed environment for a specified period of time.
IPD Sharing Time Frame
Data are available to request after results of the trial are available on leopharmatrials.com.
IPD Sharing Access Criteria
Data-sharing is subject to approved scientifically sound research proposal and signed data-sharing agreement.
IPD Sharing URL
http://leopharmatrials.com/for-professionals
Citations:
PubMed Identifier
37074705
Citation
Paller AS, Flohr C, Cork M, Bewley A, Blauvelt A, Hong HC, Imafuku S, Schuttelaar MLA, Simpson EL, Soong W, Arlert P, Lophaven KW, Kurbasic A, Soldbro L, Vest NS, Wollenberg A. Efficacy and Safety of Tralokinumab in Adolescents With Moderate to Severe Atopic Dermatitis: The Phase 3 ECZTRA 6 Randomized Clinical Trial. JAMA Dermatol. 2023 Jun 1;159(6):596-605. doi: 10.1001/jamadermatol.2023.0627. Erratum In: JAMA Dermatol. 2023 Jun 1;159(6):673.
Results Reference
result
PubMed Identifier
35671038
Citation
Soehoel A, Larsen MS, Timmermann S. Population Pharmacokinetics of Tralokinumab in Adult Subjects With Moderate to Severe Atopic Dermatitis. Clin Pharmacol Drug Dev. 2022 Aug;11(8):910-921. doi: 10.1002/cpdd.1113. Epub 2022 Jun 7.
Results Reference
derived

Learn more about this trial

Tralokinumab Monotherapy for Adolescent Subjects With Moderate to Severe Atopic Dermatitis - ECZTRA 6 (ECZema TRAlokinumab Trial no. 6).

We'll reach out to this number within 24 hrs