A Phase 2 Study of CIM331 for Atopic Dermatitis Patients
A PHASE II, RANDOMIZED, DOUBLE-BLIND, PLACEBO-CONTROLLED, MULTIPLE-DOSE STUDY TO EVALUATE THE SAFETY, TOLERABILITY, AND EFFICACY OF CIM331 IN ATOPIC DERMATITIS PATIENTS WHO ARE INADEQUATELY CONTROLLED BY OR INTOLERANT TO TOPICAL THERAPY
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Phase 2
Contacts and Locations
Study Locations
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Alabama
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Anniston, Alabama, United States, 36207
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California
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San Diego, California, United States, 92122
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Florida
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Miami, Florida, United States, 33142
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Georgia
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Alpharetta, Georgia, United States, 30022
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Illinois
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Arlington Heights, Illinois, United States, 60005
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Chicago, Illinois, United States, 60612
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Indiana
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Indianapolis, Indiana, United States, 46256
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Kentucky
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Louisville, Kentucky, United States, 40202
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Louisville, Kentucky, United States, 40217
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Michigan
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Bay City, Michigan, United States, 48706
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New York
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New York, New York, United States, 10016
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North Carolina
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Charlotte, North Carolina, United States, 28226
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Ohio
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Cleveland, Ohio, United States, 44106
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Oregon
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Portland, Oregon, United States, 97239
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South Carolina
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Charleston, South Carolina, United States, 29425
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Charleston, South Carolina, United States, 29407
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Texas
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College Station, Texas, United States, 77845
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Virginia
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Norfolk, Virginia, United States, 23507
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Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- ≥18 and ≤65 years of age at the time of consent.
- Patients with Atopic Dermatitis
- Pruritus visual analogue scale (VAS) ≥50 mm at the screening and baseline visit
- Eczema Area and Severity Index (EASI) ≥10 at the screening and baseline visit
- static Investigator's Global Assessment (sIGA) score ≥3 at the baseline visit
Exclusion Criteria:
- Serological evidence of hepatitis B virus or hepatitis C virus infection
- Known human immunodeficiency virus infection
- Ongoing treatment with specific or non-specific hyposensitization therapy for AD
- Treatment with mild or moderately potent topical corticosteroids (TCS) within 1 week prior to randomization
- History of infection including skin infection requiring treatment with oral or intravenous (IV) antibiotics, antivirals, or antifungals within 1 week prior to randomization.
- Evidence of tuberculosis (TB) infection as defined by a positive purified protein derivative (PPD) and/or positive interferon-gamma release assay.
- Pregnant or lactating women.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: TREATMENT
- Allocation: RANDOMIZED
- Interventional Model: PARALLEL
- Masking: DOUBLE
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
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EXPERIMENTAL: Group1
Part A: nemolizumab (CIM331) Part B: nemolizumab (CIM331)
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EXPERIMENTAL: Group2
Part A: nemolizumab (CIM331) Part B: nemolizumab (CIM331)
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EXPERIMENTAL: Group3
Part A: nemolizumab (CIM331) Part B: nemolizumab (CIM331)
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EXPERIMENTAL: Group4
Part A: nemolizumab (CIM331) Part B: nemolizumab (CIM331)
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EXPERIMENTAL: Group5
Part A: Placebo Part B: nemolizumab (CIM331)
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What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Percent Changes From Baseline in Pruritus Visual Analogue Scale (VAS) at Week 12
Time Frame: baseline to Week 12
|
Percent changes from baseline in pruritus VAS at Week 12. VAS indicates pruritus intensity in the last 24 hours, from 0 (no itch) to 10 (worst imaginable itch). When condition of pruritus improves, percent change from baseline at Week 12 indicates negative value (i.e. the higher the absolute value is, the more the condition improves). |
baseline to Week 12
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Changes From Baseline in Eczema Area and Severity Index (EASI) (Part A, PP Population)
Time Frame: baseline to Week 12 (Part A)
|
EASI score was used to measure the severity and extent of atopic eczema. The intensity of a representative area of eczema and the approximate percentage affected by eczema were calculated for each of the four body regions: head and neck, upper limbs, trunk, and lower limbs. The sum of the above 4 body region scores was calculated and should be 0 (none) to 72 (severest). When the condition of eczema improves, the percent change from baseline at each timepoint indicates negative value (i.e. the higher the absolute value is, the more the condition improves). |
baseline to Week 12 (Part A)
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Changes From Baseline in Eczema Area and Severity Index (EASI) (Part A + Part B, ITT Long Population)
Time Frame: baseline to Week 12 (Part A), up to Week 64 (Part B)
|
EASI score was used to measure the severity and extent of atopic eczema. The intensity of a representative area of eczema and the approximate percentage affected by eczema were calculated for each of the four body regions: head and neck, upper limbs, trunk, and lower limbs. The sum of the above 4 body region scores was calculated and should be 0 (none) to 72 (severest). When the condition of eczema improves, the percent change from baseline at each timepoint indicates negative value (i.e. the higher the absolute value is, the more the condition improves). |
baseline to Week 12 (Part A), up to Week 64 (Part B)
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|
Changes From Baseline in SCORing Atopic Dermatitis (SCORAD) (Part A, PP Population)
Time Frame: baseline to Week 12 (Part A)
|
SCORAD is a clinical tool used to assess the extent and severity of eczema. Area and intensity, were assessed by the Investigator and subjective symptoms were reported by the patient in order to determine an overall score. The score should be 0 to 103: mild [<25], moderate [25-50] or severe [>50]). When the condition of eczema improves, the percent change from baseline at each timepoint indicates negative value (i.e. the higher the absolute value is, the more the condition improves). |
baseline to Week 12 (Part A)
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|
Changes From Baseline in SCORing Atopic Dermatitis (SCORAD) (Part A + Part B, ITT Long Population)
Time Frame: baseline to Week 12 (Part A), up to Week 64 (Part B)
|
SCORAD is a clinical tool used to assess the extent and severity of eczema. Area and intensity, were assessed by the Investigator and subjective symptoms were reported by the patient in order to determine an overall score. The score should be 0 to 103: mild [<25], moderate [25-50] or severe [>50]). When the condition of eczema improves, the percent change from baseline at each timepoint indicates negative value (i.e. the higher the absolute value is, the more the condition improves). |
baseline to Week 12 (Part A), up to Week 64 (Part B)
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Changes From Baseline in Static Investigator's Global Assessment (sIGA) (Part A, PP Population)
Time Frame: baseline to Week 12 (Part A)
|
The sIGA consisted of a 6-point severity scale from clear to very severe disease (0 = clear, 1 = almost clear, 2 = mild disease, 3 = moderate disease, 4 = severe disease and 5 = very severe disease). The sIGA assessed clinical characteristics of erythema, infiltration, papulation, oozing and crusting for the overall severity assessment at the time of evaluation. When the skin condition improves, the change from baseline at each timepoint indicates negative value (i.e. the higher the absolute value is, the more the condition improves). |
baseline to Week 12 (Part A)
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|
Changes From Baseline in Static Investigator's Global Assessment (sIGA) (Part A + Part B, ITT Long Population)
Time Frame: baseline to Week 12 (Part A), up to Week 64 (Part B)
|
The sIGA consisted of a 6-point severity scale from clear to very severe disease (0 = clear, 1 = almost clear, 2 = mild disease, 3 = moderate disease, 4 = severe disease and 5 = very severe disease). The sIGA assessed clinical characteristics of erythema, infiltration, papulation, oozing and crusting for the overall severity assessment at the time of evaluation. When the skin condition improves, the change from baseline at each timepoint indicates negative value (i.e. the higher the absolute value is, the more the condition improves). |
baseline to Week 12 (Part A), up to Week 64 (Part B)
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Changes From Baseline in Body Surface Area (BSA) of Atopic Dermatitis (AD) Involvement (Part A, PP Population)
Time Frame: baseline to Week 12 (Part A)
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The total BSA affected by AD was assessed as part of SCORAD. The BSA is a measure of the severity of AD, and it is considered to be severe when the rash with strong inflammation is 10 % or more of the total BSA. When the BSA of AD involvement decreases, the change from baseline at each timepoint indicates negative value (i.e. the higher the absolute value is, the more the BSA of AD involvement decreases). |
baseline to Week 12 (Part A)
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Changes From Baseline in Body Surface Area (BSA) of Atopic Dermatitis (AD) Involvement (Part A + Part B, ITT Long Population)
Time Frame: baseline to Week 12 (Part A), up to Week 64 (Part B)
|
The total BSA affected by AD was assessed as part of SCORAD. The BSA is a measure of the severity of AD, and it is considered to be severe when the rash with strong inflammation is 10 % or more of the total BSA. When the BSA of AD involvement decreases, the change from baseline at each timepoint indicates negative value (i.e. the higher the absolute value is, the more the BSA of AD involvement decreases). |
baseline to Week 12 (Part A), up to Week 64 (Part B)
|
Collaborators and Investigators
Sponsor
Sponsor
Investigators
Investigators
- Study Director: Ryosuke Mihara, Chugai Pharmaceutical
Publications and helpful links
General Publications
- Kabashima K, Furue M, Hanifin JM, Pulka G, Wollenberg A, Galus R, Etoh T, Mihara R, Nakano M, Ruzicka T. Nemolizumab in patients with moderate-to-severe atopic dermatitis: Randomized, phase II, long-term extension study. J Allergy Clin Immunol. 2018 Oct;142(4):1121-1130.e7. doi: 10.1016/j.jaci.2018.03.018. Epub 2018 May 10.
- Ruzicka T, Hanifin JM, Furue M, Pulka G, Mlynarczyk I, Wollenberg A, Galus R, Etoh T, Mihara R, Yoshida H, Stewart J, Kabashima K; XCIMA Study Group. Anti-Interleukin-31 Receptor A Antibody for Atopic Dermatitis. N Engl J Med. 2017 Mar 2;376(9):826-835. doi: 10.1056/NEJMoa1606490.
Study record dates
Study Major Dates
Study Start
Study Start
Primary Completion (ACTUAL)
Primary Completion
Study Completion (ACTUAL)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (ESTIMATE)
First Posted
Study Record Updates
Last Update Posted (ACTUAL)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
Other Study ID Numbers
- CIM003JG
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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