A Phase IV, Non-randomized, Open-label Multinational Trial to Assess the Mechanism of Action for Lebrikizumab in Moderate-to-severe Atopic Dermatitis
Johann E Gudjonsson MD PhD
Summary
This research is studying a drug already approved for the treatment of atopic dermatitis (AD). This research collects health-related information and blood and skin samples to understand if the study drug, lebrikizumab, leads to long-term improvement in AD skin.
Description
Lebrikizumab, the drug used in the study, has been deemed IND exempt by the FDA.
Eligibility
- Age range
- 18+ years
- Sex
- All
- Healthy volunteers
- No
Inclusion Criteria: * Established diagnosis of AD for at least 1 year before the screening visit and topical treatment was inadequate or inadvisable. * Moderate-to-severe AD with involvement \> 10% of body-surface-area (BSA) and investigator global assessment (IGA) score =3 (based on the IGA scale ranging from 0 to 4, in which 3 is moderate and 4 is severe) at both the screening and baseline visits. * Subject has an Eczema Area and Severity Index (EASI) score =16 at screening and baseline. * Subject has a pruritus NRS =4. * Subject is biologic naïve. * Female subjects of childbearing potentia…
Interventions
- Druglebrikizumab
Patients will receive lebrikizumab with a 500 mg loading dose administered subcutaneously at baseline and Week 2 followed by 250 mg every 2 weeks until Week 24. At week 24, patients with ≥ Eczema Area and Severity Index (EASI) 50 will continue in the study and begin receiving lebrikizumab 250mg every 4 weeks (Q4W), while patients with \<EASI 50 will be discontinued from the study. At week 36, patients with EASI ≥50 to \<90 will remain on Q4W through W60 (do not enter withdrawal arm), while patients with sustained low disease activity (IGA 0/1 or EASI≥90 response for at least 3 months assessed at W24 and W36) will withdraw from lebrikizumab treatment
Locations (4)
- Physioseq USA - CAFolsom, California
- University of MichiganAnn Arbor, Michigan
- University of FreiburgFreiburg im Breisgau
- Lausanne University HospitalLausanne