NCT07003425

Brief Summary

This is a multicenter, double-blind, Long-Term Extension (LTE) study to evaluate the long-term safety and efficacy of APG777 in patients with moderate-to-severe AD who have completed treatment in an APG777 Parent Study (NCT06395948). The LTE study will consist of 3 periods: 1) Screening Visit will coincide with the last visit of the Maintenance Period in the Parent Study 2) Extended Treatment Period 3) Post-treatment Follow-up Period. This study will be conducted in participants with atopic dermatitis (AD) who completed the Treatment Period in a prior APG777 study and who, in the opinion of the Investigator, would benefit from long-term treatment with APG777.

Trial Health

80
On Track

Trial Health Score

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

Enrollment
350

participants targeted

Target at P75+ for phase_2

Timeline
43mo left

Started May 2025

Typical duration for phase_2

Geographic Reach
4 countries

45 active sites

Status
recruiting

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

Study Progress22%
May 2025Dec 2029

Study Start

First participant enrolled

May 14, 2025

Completed
12 days until next milestone

First Submitted

Initial submission to the registry

May 26, 2025

Completed
9 days until next milestone

First Posted

Study publicly available on registry

June 4, 2025

Completed
4.5 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

December 1, 2029

Expected
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

December 1, 2029

Last Updated

April 30, 2026

Status Verified

April 1, 2026

Enrollment Period

4.6 years

First QC Date

May 26, 2025

Last Update Submit

April 29, 2026

Conditions

Keywords

Atopic DermatitisAPG777SafetyEfficacy

Outcome Measures

Primary Outcomes (1)

  • Number of Participants with Treatment Emergent Adverse Events

    Up to 3 years

Secondary Outcomes (10)

  • Percentage of Participants who achieve Eczema Area and Severity Index (EASI) 50, 75, 90, and 100 calculated based on Parent Study Baseline

    Through Extended Treatment Period, an average of 2 years

  • Percentage of Participants who achieve a validated Investigator Global Assessment Atopic Dermatitis (vIGA AD) score of 0 (clear) or 1 (almost clear) and a ≥ 2-point reduction as calculated based on Parent Study Baseline.

    Through Extended Treatment Period, an average of 2 years

  • Percentage of Participants who achieve ≥ 4-point improvement in the weekly mean of the daily Itch Numeric Rating Scale (I-NRS) as calculated based on Parent Study Baseline

    Through Extended Treatment Period, an average of 2 years

  • Percentage of Participants who use Rescue Therapy

    Through Extended Treatment Period, an average of 2 years

  • Percentage of Participants Who Continue to Exhibit EASI 75

    From Week 52 up to Through Extended Treatment Period, an average of 2 years

  • +5 more secondary outcomes

Study Arms (3)

APG777 - Long Term Extension Treatment - 12 Weeks

EXPERIMENTAL

Participants who achieve EASI 75 or a vIGA-AD (0, 1) at the end of the Parent Study Treatment Period, and who did not use topical rescue medication during the Parent Study will maintain the same dose regimen (dose and frequency of injections) from the Maintenance Period of the Parent Study (APG777-201).

Drug: APG777

APG777 - Long Term Extension Treatment - 24 Weeks

EXPERIMENTAL

Participants who achieve EASI 75 or a vIGA-AD (0, 1) at the end of the Parent Study Treatment Period, and who did not use topical rescue medication during the Parent Study, will maintain the same dose regimen (dose and frequency of injections) from the Maintenance Period of the Parent Study (APG777-201).

Drug: APG777

APG777 - Open Label Escape Arm

EXPERIMENTAL

Participants who do not achieve EASI 75 or a vIGA-AD (0, 1) at the end of the Parent Study Treatment Period, or who used topical rescue medication during the Parent Study, will be assigned to the open-label Escape Arm and will receive APG777 per protocol defined dosing regimen.

Drug: APG777

Interventions

APG777DRUG

APG777 subcutaneous injection

APG777 - Open Label Escape Arm

Eligibility Criteria

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

You may qualify if:

  • Participants who have completed the Treatment Period in a prior APG777 study and were, in the Investigator's opinion, compliant with the study protocol
  • Participants who, in the Investigator's opinion, would benefit from long-term treatment with APG777
  • Use the same non-prescription non-medicated emollient/moisturizer of their choice from the last day of the Parent Study and throughout the LTE study

You may not qualify if:

  • Participants who have developed an AE while participating in the Parent Study. which, in the opinion of the Investigator or of the Medical Monitor, could indicate that continued treatment with APG777 may present an unreasonable risk for the patient
  • Participants who terminated early from the Parent Study or permanently discontinued the study drug during the Parent Study
  • Use of any of the prohibited medications in the Parent Study through Screening Visit (Visit 1) of the LTE study
  • Presence of dermatologic conditions and/or comorbidities that might confound the diagnosis of AD and/or interfere with study assessments

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (45)

Investigational Site

Fountain Valley, California, 92708, United States

RECRUITING

Investigational Site

Los Angeles, California, 90024, United States

RECRUITING

Investigational Site

Coral Gables, Florida, 33134, United States

RECRUITING

Investigational Site

Jacksonville, Florida, 32256, United States

RECRUITING

Investigational Site

Margate, Florida, 33063, United States

RECRUITING

Investigational Site

Douglasville, Georgia, 30135, United States

RECRUITING

Investigational Site

Skokie, Illinois, 60077, United States

RECRUITING

Investigational Site

Bowling Green, Kentucky, 42101, United States

RECRUITING

Investigational Site

Detroit, Michigan, 48202, United States

RECRUITING

Investigational Site

Troy, Michigan, 48084, United States

RECRUITING

Investigational Site

New York, New York, 10023, United States

RECRUITING

Investigational Site

Wilmington, North Carolina, 28403, United States

RECRUITING

Investigational Site

Boardman, Ohio, 44512, United States

RECRUITING

Investigational Site

Mason, Ohio, 45040, United States

RECRUITING

Investigational Site

Portland, Oregon, 97223, United States

RECRUITING

Investigational Site

Pittsburgh, Pennsylvania, 15213, United States

RECRUITING

Investigational Site

Charleston, South Carolina, 29425, United States

RECRUITING

Investigational Site

Nashville, Tennessee, 37215, United States

RECRUITING

Investigational Site

Dallas, Texas, 75230, United States

RECRUITING

Investigational Site

Frisco, Texas, 75235, United States

RECRUITING

Investigational Site

San Antonio, Texas, 78213, United States

RECRUITING

Investigational Site

Calgary, Alberta, T2J 7E1, Canada

RECRUITING

Investigational Site

Edmonton, Alberta, T5J 3S9, Canada

RECRUITING

Investigational Site

Fredericton, Brunswick, E3B 1G9, Canada

RECRUITING

Investigational Site

Ajax, Ontario, L1S 7K8, Canada

RECRUITING

Investigational Site

Markham, Ontario, L3P 1X3, Canada

RECRUITING

Investigational Site

Mississauga, Ontario, L4Y 4C5, Canada

RECRUITING

Investigational Site

Peterborough, Ontario, K9J 5K2, Canada

RECRUITING

Investigational Site

Toronto, Ontario, M3B 0A7, Canada

RECRUITING

Investigational Site

Toronto, Ontario, M4E 2Y9, Canada

RECRUITING

Investigational Site

Toronto, Ontario, M4W 2N4, Canada

RECRUITING

Investigational Site

Montreal, Quebec, H2X 2V1, Canada

RECRUITING

Investigational Site

Québec, Quebec, G1V 4X7, Canada

RECRUITING

Investigational Site

Blankenfelde-Mahlow, Brandenburg, 15831, Germany

RECRUITING

Investigational Site

Wroclaw, Lower Silesian Voivodeship, 50-450, Poland

RECRUITING

Investigational Site

Wroclaw, Lower Silesian Voivodeship, 51-503, Poland

RECRUITING

Investigational Site

Lublin, Lublin Voivodeship, 20-573, Poland

RECRUITING

Investigational Site

Warsaw, Masovian Voivodeship, 01-595, Poland

RECRUITING

Investigational Site

Warsaw, Masovian Voivodeship, 02-482, Poland

RECRUITING

Investigational Site

Gdansk, Pomeranian Voivodeship, 80-546, Poland

RECRUITING

Investigational Site

Katowice, Silesian Voivodeship, 40-600, Poland

RECRUITING

Investigational Site

Sosnowiec, Silesian Voivodeship, 41-218, Poland

RECRUITING

Investigational Site

Szczecin, West Pomeranian Voivodeship, 71-500, Poland

RECRUITING

Investigational Site

Krakow, Woj. Małopolskie, 30-727, Poland

RECRUITING

Investigational Site

Lodz, 90-237, Poland

RECRUITING

MeSH Terms

Conditions

Dermatitis, Atopic

Condition Hierarchy (Ancestors)

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

Central Study Contacts

Study Design

Study Type
interventional
Phase
phase 2
Allocation
NON RANDOMIZED
Masking
QUADRUPLE
Who Masked
PARTICIPANT, CARE PROVIDER, INVESTIGATOR, OUTCOMES ASSESSOR
Purpose
TREATMENT
Intervention Model
SEQUENTIAL
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR

Study Record Dates

First Submitted

May 26, 2025

First Posted

June 4, 2025

Study Start

May 14, 2025

Primary Completion (Estimated)

December 1, 2029

Study Completion (Estimated)

December 1, 2029

Last Updated

April 30, 2026

Record last verified: 2026-04

Locations