Effectiveness and Safety of Lebrikizumab Treatment in Adults and Adolescents With Moderate-to-Severe Atopic Dermatitis
ADhope
A Phase 3b, Open-label Study to Evaluate the Effectiveness and Safety of Lebrikizumab Treatment in Adults and Adolescents With Moderate-to-Severe Atopic Dermatitis
2 other identifiers
interventional
240
3 countries
33
Brief Summary
The main purpose of this study is to evaluate the effectiveness of 24 weeks of lebrikizumab in improving disease severity, signs, and symptoms in adults and adolescents with moderate-to-severe atopic dermatitis (AD).
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P50-P75 for phase_3
Started Nov 2023
33 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
August 7, 2023
CompletedFirst Posted
Study publicly available on registry
August 14, 2023
CompletedStudy Start
First participant enrolled
November 20, 2023
CompletedPrimary Completion
Last participant's last visit for primary outcome
June 23, 2025
CompletedStudy Completion
Last participant's last visit for all outcomes
June 23, 2025
CompletedApril 24, 2025
April 1, 2025
1.6 years
August 7, 2023
April 22, 2025
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Percentage of Participants Achieving Eczema Area and Severity Index (EASI) Score Less Than or Equal to (<=) 7 at Week 24
The EASI is used to assess the severity and extent of AD; it is a composite index with scores ranging from 0 to 72, with higher values indicating more severe and or extensive disease. The severity of erythema, induration/papulation, excoriation, and lichenification will be assessed by the Investigator or trained designee on a scale of 0 (absent) to 3 (severe) for each of the 4 body areas: head/neck, trunk, upper limbs, and lower limbs, with half points allowed. In addition, the extent of AD involvement in each of the 4 body areas will be assessed as a percentage by body area of head/neck, trunk, upper limbs, and lower limbs, and converted to a score of 0 (0%), 1 (0 to 9%), 2 (10 to 29%), 3 (30 to 49%), 4 (50 to 69%), 5 (70 to 89%) and 6 (90 to 100%).
At Week 24
Secondary Outcomes (13)
Percentage of Participants Achieving EASI Score <=7, EASI <=5, and EASI <=3
Baseline up to Week 24
Percentage of Participants Achieving EASI 75 and EASI 90
Baseline up to Week 24
Percentage of Participants with an Investigator Global Assessment (IGA) Score of 0 or 1 and a Reduction Greater Than or Equal to (>=2) Points
Baseline up to Week 24
Percentage of Participants Achieving Scoring Atopic Dermatitis (SCORAD) 75 and SCORAD 90
Baseline up to Week 24
Percentage Change From Baseline in Modified Total Lesion Symptom Score (mTLSS)
Baseline up to Week 24
- +8 more secondary outcomes
Study Arms (1)
Lebrikizumab
EXPERIMENTALParticipants will receive loading doses of lebrikizumab 500 milligrams (mg) subcutaneous (SC) injection at Day 1 and Week 2 followed by lebrikizumab 250 mg SC injection, every two weeks (Q2W) from Week 4 to Week 16. At Week 16, the dosing frequency will be reduced to every 4 weeks (Q4W) and will receive lebrikizumab 250 mg SC injection for up to Week 24, last dose of study medication is administered at Week 20.
Interventions
Eligibility Criteria
You may qualify if:
- Adults and adolescents (aged \>=12 to less than \[\<\] 18 years at the time of informed consent form (ICF)/informed assent form (IAF) signature and weighing \>=40 kg) who are candidates for systemic AD therapy.
- Chronic AD that has been present for \>=1 year before the Screening visit.
- EASI score \>=12 at the Day 1/Baseline Visit.
- IGA score \>=3 (moderate) (scale of 0 \[clear\] to 4 \[severe\]) at the Baseline visit.
- \>=10% BSA of AD involvement at the Day 1/Baseline visit.
- History of inadequate response to treatment with topical medications; or determination that topical treatments are otherwise medically inadvisable.
- Completed electronic diary (eDiary) entries for pruritus and sleep-loss for a minimum of 4 of 7 days before Day 1/Baseline.
- Willing and able to comply with all clinic visits and study-related procedures and questionnaires.
- For women of childbearing potential: agree to remain abstinent (refrain from heterosexual intercourse) or to use a highly effective contraceptive method during the treatment period and for at least 4 weeks or 1 menstrual period after the last dose of lebrikizumab.
- Participant must provide signed ICF. Adolescent participants must also provide separate informed assent to enroll in the study and sign and date either a separate IAF or the ICF signed by the parent/legal guardian (as appropriate based on local regulations and requirements).
You may not qualify if:
- Prior treatment at any time with tralokinumab, lebrikizumab, or an oral JAK inhibitor.
- Intention to use any concomitant medication or therapy that is not permitted by this protocol or failure to undergo the required washout period for a particular prohibited medication.
- History of anaphylaxis as defined by the Sampson criteria.
- Uncontrolled chronic disease that might require bursts of oral corticosteroids, example, co-morbid severe uncontrolled asthma (defined by an Asthma Control Questionnaire-5 score \>=1.5 or a history of \>=2 asthma exacerbations within the last 12 months requiring systemic \[oral and/or parenteral\] corticosteroid treatment or hospitalisation for \>24 hours).
- Occurrence of the following types of infection within 3 months of Screening or develop any of these infections before Day 1/Baseline:
- Serious (requiring hospitalisation, and/or IV or equivalent oral antibiotic treatment, as per the Investigator's opinion);
- Opportunistic
- Chronic (duration of symptoms, signs, and/or treatment of 6 weeks or longer);
- Recurring (including, but not limited to herpes simplex, herpes zoster, recurring cellulitis, chronic osteomyelitis).
- Known current or chronic infection with hepatitis B virus.
- Known liver cirrhosis and/or chronic hepatitis of any aetiology.
- Known active endoparasitic infections or at high risk of these infections.
- Known or suspected history of immunosuppression, including history of invasive opportunistic infections (example, tuberculosis, histoplasmosis, listeriosis, coccidioidomycosis, pneumocystosis, and aspergillosis) despite infection resolution: or unusually frequent, recurrent, or prolonged infections, per the Investigator's judgement.
- History of human immunodeficiency virus (HIV) infection or known positive HIV serology.
- Any clinically significant laboratory test results from the chemistry or haematology tests obtained at the Screening visit that would jeopardise the patient's participation in the study, per the Investigator's judgement.
- +4 more criteria
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Almirall, S.A.lead
Study Sites (33)
Site 34
Augsburg, Germany
Site 9
Berlin, Germany
Site 29
Bonn, Germany
Site 27
Dresden, Germany
Site 28
Düsseldorf, Germany
Site 11
Erlangen, Germany
Site 37
Frankfurt, Germany
Site 32
Freiburg im Breisgau, Germany
Site 5
Göttingen, Germany
Site 15
Hamburg, Germany
Site 3
Hamburg, Germany
Site 8
Hamburg, Germany
Site 23
Heidelberg, Germany
Site 1
Kiel, Germany
Site 19
Langenau, Germany
Site 10
Lübeck, Germany
Site 26
Mainz, Germany
Site 6
Mannheim, Germany
Site 36
Marburg, Germany
Site 13
München, Germany
Site 17
München, Germany
Site 33
München, Germany
Site 4
Münster, Germany
Site 12
Oberhausen, Germany
Site 22
Oldenburg, Germany
Site 2
Potsdam, Germany
Site 30
Regensburg, Germany
Site 7
Rostock, Germany
Site 18
Tübingen, Germany
Site 35
Bergen op Zoom, Netherlands
Site 41
Utrecht, Netherlands
Site 38
Leeds, United Kingdom
Site 14
York, United Kingdom
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Study Design
- Study Type
- interventional
- Phase
- phase 3
- Allocation
- NA
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- SINGLE GROUP
- Sponsor Type
- INDUSTRY
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
August 7, 2023
First Posted
August 14, 2023
Study Start
November 20, 2023
Primary Completion
June 23, 2025
Study Completion
June 23, 2025
Last Updated
April 24, 2025
Record last verified: 2025-04
Data Sharing
- IPD Sharing
- Will not share