NCT05121480

Brief Summary

The purpose of this research study is to determine whether the study drug, EDP1815, is safe and effective in the treatment of atopic dermatitis compared with placebo. The study will look at different doses of the study drug, and whether there are differences when the drug is given once daily or twice daily.

Trial Health

93
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
421

participants targeted

Target at P75+ for phase_2

Timeline
Completed

Started Jan 2022

Shorter than P25 for phase_2

Geographic Reach
6 countries

59 active sites

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

First Submitted

Initial submission to the registry

November 4, 2021

Completed
12 days until next milestone

First Posted

Study publicly available on registry

November 16, 2021

Completed
3 months until next milestone

Study Start

First participant enrolled

January 31, 2022

Completed
1.1 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

March 9, 2023

Completed
19 days until next milestone

Study Completion

Last participant's last visit for all outcomes

March 28, 2023

Completed
5 months until next milestone

Results Posted

Study results publicly available

August 16, 2023

Completed
Last Updated

August 16, 2023

Status Verified

August 1, 2023

Enrollment Period

1.1 years

First QC Date

November 4, 2021

Results QC Date

June 12, 2023

Last Update Submit

August 13, 2023

Conditions

Keywords

Mild Atopic DermatitisModerate Atopic DermatitisSevere Atopic DermatitisMild EczemaModerate EczemaSevere Eczema

Outcome Measures

Primary Outcomes (1)

  • Achievement of EASI-50

    The efficacy of EDP1815 will be measured by achieving a decrease of at least 50% from baseline in Eczema Area Severity Index (EASI) score of 50 (EASI-50) at Week 16. The EASI is a validated measure of eczema severity, which considers a combination of the disease severity and body surface area affected across 4 body regions. The EASI score ranges from 0 - 72. A lower score indicates a better outcome.

    16 weeks

Secondary Outcomes (33)

  • Percentage of Participants Achieving EASI-50

    4, 8 and 12 weeks

  • Percentage of Participants Achieving EASI-75

    4, 8, 12, and 16 weeks

  • Percentage of Participants Achieving EASI-90

    4, 8, 12, and 16 weeks

  • Mean Absolute Change in EASI

    4, 8, 12, and 16 weeks

  • Mean Percentage Change in EASI

    4, 8, 12, and 16 weeks

  • +28 more secondary outcomes

Study Arms (4)

Cohort 1

EXPERIMENTAL

100 participants with mild, moderate or severe Atopic Dermatitis 75 participants on EDP1815 and 25 participants on matching placebo administered as 2 capsules (1.6 x 10\^11 total cells) once daily for 16 weeks

Drug: EDP1815Drug: Placebo

Cohort 2

EXPERIMENTAL

100 participants with mild, moderate or severe Atopic Dermatitis 75 participants on EDP1815 and 25 participants on matching placebo administered as 2 capsules (6.4 x 10\^11 total cells) once daily for 16 weeks

Drug: EDP1815Drug: Placebo

Cohort 3

EXPERIMENTAL

100 participants with mild, moderate or severe Atopic Dermatitis 75 participants on EDP1815 and 25 participants on matching placebo administered as 1 capsule (3.2 x 10\^11 cells) twice daily (6.4 x 10\^11 total cells) for 16 weeks

Drug: EDP1815Drug: Placebo

Cohort 4

EXPERIMENTAL

105 participants with mild, moderate or severe Atopic Dermatitis 70 participants on EDP1815 and 35 participants on matching placebo administered at 1 capsule (8.0x10\^10 total cells) once daily for 16 weeks

Drug: EDP1815Drug: Placebo

Interventions

EDP1815 is an orally administered, pharmaceutical preparation of a single strain of bacteria

Also known as: Prevotella histicola
Cohort 1Cohort 2Cohort 3Cohort 4

Placebo oral capsule

Cohort 1Cohort 2Cohort 3Cohort 4

Eligibility Criteria

Age18 Years - 75 Years
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Provide written informed consent.
  • Must meet age criteria.
  • Must have a diagnosis of atopic dermatitis (AD)for at least 6 months.
  • Must have severity of atopic dermatitis meeting the below criteria at both Screening and Day 1:
  • An IGA of 2, 3 or 4 on the vIGA scale, and;
  • A BSA of ≥5%, and;
  • An EASI score of ≥6.
  • Must agree to use emollients.
  • Must meet contraception requirements.

You may not qualify if:

  • Have been in a clinical trial for EDP1815 prior to signing of ICF.
  • Use of phototherapy or tanning beds; systemic medications/treatments that could affect AD or its symptoms including immunosuppressive therapy (e.g., oral or injectable corticosteroids, methotrexate, azathioprine, cyclosporine, mycophenolate mofetil, JAK inhibitors, tacrolimus, and/or leukotriene inhibitor) within 4 weeks of randomization.
  • Treatment with topical agents that could affect atopic dermatitis, including topical corticosteroids, topical calcineurin inhibitors (e.g., tacrolimus or pimecrolimus), or topical PDE-4 inhibitor (e.g., crisaborole) within 14 days prior to randomization.
  • Hypersensitivity to P histicola or to any of the excipients.
  • Unwillingness to comply with study procedures, including follow-up, as specified by this protocol, or unwillingness to cooperate fully with the Investigator.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (59)

USA-131

Birmingham, Alabama, 35244, United States

Location

USA-112

Fountain Valley, California, 92708, United States

Location

USA-123

Fremont, California, 94538, United States

Location

USA-114

Newport Beach, California, 92660, United States

Location

USA-101

Fort Lauderdale, Florida, 33308, United States

Location

USA-124

Jacksonville, Florida, 32216, United States

Location

USA-108

Miami, Florida, 33165, United States

Location

USA-120

Miami, Florida, 33175, United States

Location

USA-105

Miramar, Florida, 33027, United States

Location

USA-102

Orlando, Florida, 32801, United States

Location

USA-115

Sweetwater, Florida, 33172, United States

Location

USA-126

Tampa, Florida, 33613, United States

Location

USA-106

Tampa, Florida, 33624, United States

Location

USA-118

Sandy Springs, Georgia, 30328, United States

Location

USA-111

Clarksville, Indiana, 47129, United States

Location

USA-116

Louisville, Kentucky, 40241, United States

Location

USA-119

Baton Rouge, Louisiana, 70806, United States

Location

USA-109

Metairie, Louisiana, 70006, United States

Location

USA-125

Silver Spring, Maryland, 20902, United States

Location

USA-130

Ann Arbor, Michigan, 48103, United States

Location

USA-121

Columbus, Ohio, 43221, United States

Location

USA-128

Concord, Ohio, 44077, United States

Location

USA-104

Portland, Oregon, 97239, United States

Location

USA-127

Memphis, Tennessee, 38119, United States

Location

USA-117

Frisco, Texas, 75034, United States

Location

USA-110

Pflugerville, Texas, 78660, United States

Location

USA-113

Bellevue, Washington, 98004, United States

Location

AUS-102

Carlton, Australia

Location

AUS-104

Kogarah, Australia

Location

AUS-101

Melbourne, Australia

Location

AUS-106

Woolloongabba, Australia

Location

BGR-105

Pleven, Bulgaria

Location

BGR-104

Sevlievo, Bulgaria

Location

BGR-101

Sofia, Bulgaria

Location

BGR-102

Sofia, Bulgaria

Location

BGR-103

Sofia, Bulgaria

Location

CAN-109

Barrie, Canada

Location

CAN-108

Edmonton, Canada

Location

CAN-105

Markham, Canada

Location

CAN-104

Mississauga, Canada

Location

CAN-101

Ottawa, Canada

Location

CAN-107

Richmond Hill, Canada

Location

CAN-103

Surrey, Canada

Location

CAN-106

Waterloo, Canada

Location

CAN-111

Winnipeg, Canada

Location

DEU-105

Berlin, Germany

Location

DEU-107

Bochum, Germany

Location

DEU-106

Erlangen, Germany

Location

DEU-102

Frankfurt am Main, Germany

Location

DEU-104

Gera, Germany

Location

DEU-101

Hamburg, Germany

Location

DEU-103

Heidelberg, Germany

Location

POL-104

Gdansk, Poland

Location

POL-106

Gdynia, Poland

Location

POL-107

Katowice, Poland

Location

POL-105

Lodz, Poland

Location

POL-101

Lublin, Poland

Location

POL-102

Warsaw, Poland

Location

POL-103

Wroclaw, Poland

Location

MeSH Terms

Conditions

Dermatitis, AtopicEczema

Condition Hierarchy (Ancestors)

Skin Diseases, GeneticGenetic Diseases, InbornCongenital, Hereditary, and Neonatal Diseases and AbnormalitiesDermatitisSkin DiseasesSkin and Connective Tissue DiseasesSkin Diseases, EczematousHypersensitivity, ImmediateHypersensitivityImmune System Diseases

Results Point of Contact

Title
Duncan McHale, MBBS, MRCP, PhD
Organization
Evelo Biosciences, Inc

Study Officials

  • Benjamin Ehst, MD, PhD

    Oregon Medical Research Center

    PRINCIPAL INVESTIGATOR
  • Yanislav Mihaylov, MD

    Evelo Biosciences, Inc.

    STUDY DIRECTOR

Publication Agreements

PI is Sponsor Employee
No
Restriction Type
OTHER
Restrictive Agreement
Yes

Study Design

Study Type
interventional
Phase
phase 2
Allocation
RANDOMIZED
Masking
QUADRUPLE
Who Masked
PARTICIPANT, CARE PROVIDER, INVESTIGATOR, OUTCOMES ASSESSOR
Purpose
TREATMENT
Intervention Model
PARALLEL
Model Details: Cohorts 1, 2 \& 3 will be run concurrently, and Cohort 4 recruitment will commence after enrollment for Cohorts 1, 2, \& 3 are completed. Randomization to Cohort 4 will not start before randomization to Cohorts 1, 2 \& 3 have completed.
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR

Study Record Dates

First Submitted

November 4, 2021

First Posted

November 16, 2021

Study Start

January 31, 2022

Primary Completion

March 9, 2023

Study Completion

March 28, 2023

Last Updated

August 16, 2023

Results First Posted

August 16, 2023

Record last verified: 2023-08

Data Sharing

IPD Sharing
Will not share

Locations