Proof of Concept Study of Rilzabrutinib in Adult Patients With Moderate-to-severe Atopic Dermatitis

Study on Investigational Medication for Moderate-to-Severe Atopic Dermatitis

Not Recruiting
18 years or above
All
Phase 2
124 participants needed

Study Overview

This was a parallel treatment, Phase 2, double-blind, 2-arm, placebo-controlled study with 2 staggered cohorts (2 arms in each cohort) to evaluate the efficacy and safety of rilzabrutinib in adult participants (aged at least 18 years) with moderate-to-severe AD and intolerance or inadequate response to topical corticosteroids (TCS).

The total study duration per participant was expected to be approximately 21 weeks, including up to 4 weeks of screening, 16 weeks of on-treatment double-blind period, 1 week of post-treatment follow-up.

Eligibility Criteria

You may be eligible for this study if you meet the following criteria:

  • Conditions: Atopic Dermatitis
  • Age: 18 years or above
  • Gender: All

Inclusion Criteria:

  • AD as defined by the American Academy of Dermatology Consensus Criteria.
  • History of AD for at least 12 months prior to baseline as determined by the Investigator through patient interview.
  • Eczema Area and Severity Index (EASI) score ≥ 12 at screening and at baseline.
  • IGA score ≥ 3 (on the 0 to 4 IGA scale) at baseline.
  • BSA of AD involvement ≥ 10% at baseline.
  • Documented inadequate response or intolerance to TCS within 6 months prior to baseline visit
  • Baseline PP-NRS score for maximum itch intensity ≥4.
  • All contraceptive use by men and women should be consistent with local regulations regarding the methods of contraception for those participating in clinical studies.
  • For optional substudy only: Willingness to have 2 tape strips for comparison of baseline and treatment response.

Exclusion Criteria:

  • Skin comorbidities that may interfere with study assessments such as psoriasis, tinea corporis, lupus erythematosus.
  • Conditions that may predispose the patient to excessive bleeding.
  • Any other clinically significant disease, condition, or medical history that, in the opinion of the Investigator, would interfere with participant safety, trial evaluations, and/or trial procedures.
  • Laboratory abnormalities at the screening visit
  • History of serious infections requiring intravenous therapy with the potential for recurrence (as judged by the Site Investigator and the Sponsor Medical Monitor), with less than 4 weeks interval between resolution of serious infection and first dose of study drug, or currently active moderate to severe infection at Screening (Grade 2 or higher) including active coronavirus disease 2019 (COVID-19).
  • Live vaccine except Bacille Calmette Guerin-vaccination within 28 days prior to Day 1 or plan to receive one during the trial; Bacille Calmette Guerin-vaccination within 12 months prior to Screening.
  • COVID-19 vaccine within 14 days prior to Study Day 1.
  • Refractory nausea and vomiting, malabsorption, external biliary shunt, or significant bowel resection that would preclude adequate rilzabrutinib/placebo absorption.
  • Initiation of prescription moisturizers (with or without additives such as ceramide, hyaluronic acid, urea, or filaggrin), topical anesthetics or antihistamines during the screening period.
  • Use of TCS, topical calcineurin (tacrolimus, and/or pimecrolimus) or topical phosphodiesterase 4 inhibitor within 1 week prior to baseline and as concomitant medication.
  • Use of systemic corticosteroids within 4 weeks prior to baseline and as concomitant medication.
  • Phototherapy for AD or regular use (more than 2 visits per week) of a tanning booth/parlor within 4 weeks prior to baseline or likely to be required as concomitant procedure during the study.
  • Use of mycophenolate mofetil, azathioprine, methotrexate, cyclosporine, dapsone, intravenous immunoglobulin (IVIG), Kineret (anakinra), Enbrel (etanercept), or any other immunosuppressant not mentioned in this exclusion criterion within 4 weeks prior to baseline.
  • Use of infliximab, adalimumab, golimumab, abatacept, tocilizumab, certolizumab, secukinumab, IFN-γ, JAK inhibitors, dupilumab, and any other biologic or targeted-synthetic disease modifier drug not mentioned in this exclusion criterion or in exclusion criterion, as well as plasmapheresis within 12 weeks prior to baseline.
  • Use of anti-CD20 drugs such as rituximab, ofatumumab, other long-acting biologics within 6 months prior to baseline (or shorter if there is documented B cell reconstitution for anti-CD20 drugs).
  • Use of proton pump inhibitor drugs such as omeprazole and esomeprazole within 3 days of baseline (it is acceptable to change participant to H2 receptor blocking drugs prior to baseline).
  • Concomitant use of known systemic strong-to-moderate inhibitors and inducers of cytochrome P450 3A (CYP3A) within 14 days or 5 half-lives (whichever is longer) prior to baseline.
  • Previous use of a BTK inhibitor.
  • Had received any investigational drug (or is currently using an investigational device) within the 30 days before baseline, or at least 5 times the respective elimination half-life time (whichever is longer).
  • Active TB or a history of incompletely treated TB, Quantiferon positive patients, Clinically significant abnormality consistent with prior/active TB infection based upon chest radiograph with at least posterior-anterior view, Suspected extrapulmonary TB infection, or patients at high risk of contracting TB.

The above information is not intended to contain all considerations relevant to a patient's potential participation in a clinical trial.

Updated on 13 Dec 2024. Study ID: NCT05018806

This study investigates the use of an investigational medication for adults with moderate-to-severe atopic dermatitis (AD) who do not respond well to topical corticosteroids. Atopic dermatitis is a skin condition that causes itchy and inflamed skin. The study aims to evaluate how effective and safe this medication is for treating AD.

Participants will be randomly assigned to one of two study arms. One group will receive the investigational medication, while the other group will receive a placebo, which is an inactive substance that looks like the investigational medication but does not contain any medicine. The study is double-blind, meaning neither the participants nor the researchers know who is receiving the actual medication versus the placebo during the study.

  • Who can participate: Adults aged 18 and older with moderate-to-severe atopic dermatitis and an inadequate response to topical corticosteroids can participate. Eligibility requires a history of AD for at least 12 months, specific eczema severity scores, and willingness to comply with study procedures.
  • Study details: Participants will take part in a double-blind trial where they will receive either the investigational medication or a placebo. The placebo is an inactive substance that looks like the investigational medication but does not contain any medicine. Participants will follow specific guidelines regarding the use of other medications and treatments during the study.
  • Study Timelines: The study will last 21 weeks.