A Study of KY1005 in Patients With Moderate to Severe Atopic Dermatitis

January 25, 2023 updated by: Kymab Limited

A Phase 2a, Randomized, Double Blind, Placebo Controlled, Parallel Group, Multicentre Study of an Anti OX40L Monoclonal Antibody (KY1005) in Moderate to Severe Atopic Dermatitis

The purpose of this research study is to investigate if KY1005 results in improvement of eczema when given to participants with moderate to severe disease. Side effects of KY1005 will also be explored.

Study Overview

Status

Completed

Conditions

Intervention / Treatment

Detailed Description

Phase 2a, randomized, double-blinded, placebo-controlled study to evaluate the efficacy, safety and tolerability of two doses of KY1005 in adults with moderate to severe atopic dermatitis whose disease cannot be adequately controlled with topical medications or for whom topical treatment is medically inadvisable.

Study Type

Interventional

Enrollment (Actual)

89

Phase

  • Phase 2

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Locations

      • Kiel, Germany
        • Kymab investigational site 106
      • Leipzig, Germany
        • Kymab investigational site 113
      • Gdansk, Poland
        • Kymab investigational site 207
      • Katowice, Poland
        • Kymab investigational site 216
      • Krakow, Poland
        • Kymab investigational site 206
      • Kraków, Poland
        • Kymab investigational site 212
      • Kraków, Poland
        • Kymab investigational site 213
      • Kraków, Poland
        • Kymab investigational site 214
      • Olsztyn, Poland
        • Kymab investigational site 203
      • Poznań, Poland
        • Kymab investigational site 210
      • Rzeszow, Poland
        • Kymab investigator site 201
      • Warsaw, Poland
        • Kymab investigational site 204
      • Wroclaw, Poland
        • Kymab investigational site 202
      • Córdoba, Spain
        • Kymab investigational site 304
      • Madrid, Spain
        • Kymab investigational site 303
      • Seville, Spain
        • Kymab investigational site 302
      • Valencia, Spain
        • Kymab investigational site 315
      • Harrogate, United Kingdom
        • Kymab investigational site 420
      • Sheffield, United Kingdom
        • Kymab investigational site 402

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Ages Eligible for Study

18 years to 75 years (Adult, Older Adult)

Accepts Healthy Volunteers

No

Genders Eligible for Study

All

Description

Inclusion Criteria:

  • Adults (greater than or equal to [>=] 18 years but less than [<] 75 years of age) with Atopic Dermatitis (AD) for 1 year or longer at Baseline (Day 1; prior to first administration of Investigational Medicinal Product [IMP]).
  • Eczema Area and Severity Index (EASI) of 12 or higher at the Screening Visit and 16 or higher at Baseline.
  • validated Investigator Global Assessment (vIGA) of 3 or 4 at Baseline.
  • AD involvement of 10 percent or more of body surface area at Baseline.
  • Documented history, within 6 months prior to Baseline, of either inadequate response to topical treatments or inadvisability of topical treatments.
  • Must have applied a stable dose of topical bland emollient (simple moisturizer, no additives [e.g., urea]) at least twice daily for at least 7 consecutive days before Baseline.
  • Able and willing to comply with requested study visits/telephone visits and procedures.
  • Able and willing to provide punch biopsy of both lesional and non-lesional skin at Baseline.
  • Able and willing to provide written informed consent.

Exclusion Criteria:

  • Recent treatment within specific time windows before the baseline visit for the management of atopic dermatitis such as topical or systemic corticosteroids, biologic or investigational therapies and/or phototherapy.
  • Known history of or suspected significant current immunosuppression, including history of invasive opportunistic infections despite infection resolution or otherwise recurrent infections of abnormal frequency or prolonged duration.
  • Basal and squamous cell skin cancer in the last 3 years prior to Baseline. Any other malignancies in the last 5 years prior to Baseline (excluding in situ cervical carcinoma).
  • Severe concomitant illness that would in the Investigator's opinion inhibit the participant's participation in the study, including for example, but not limited to, renal disease, neurological conditions, heart failure and pulmonary disease.
  • Laboratory values at the Screening Visit:
  • a. Serum creatinine > 1.6 milligrams per deciliter (mg/dL) (141 micromole per liter [mcmol/L]) in female participants and > 1.9 mg/dL (168 mcmol/L) in male participants;
  • b. Alanine aminotransferase (ALT) or aspartate aminotransferase (AST) > 1.5 × upper limit of normal (ULN);
  • c. Platelet count < 100*10^9/L;
  • d. Haemoglobin (Hb): Male < 13.5 g/dL and Female <12 g/dL;
  • e. White blood cell count (WBCC) < 3.0*10^9/L;
  • f. Absolute neutrophil count < 2.0*10^9/L;
  • g. Absolute lymphocyte count < 0.5*10^9/L;
  • h. Total bilirubin > ULN.
  • Participation in any other clinical study, including non-interventional studies.

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

  • Primary Purpose: Treatment
  • Allocation: Randomized
  • Interventional Model: Parallel Assignment
  • Masking: Triple

Arms and Interventions

Participant Group / Arm
Intervention / Treatment
Experimental: KY1005 lower dose
Low dose KY1005
A human anti-OX40 ligand monoclonal antibody
Other Names:
  • SAR445229
Experimental: KY1005 higher dose
High dose KY1005
A human anti-OX40 ligand monoclonal antibody
Other Names:
  • SAR445229
Placebo Comparator: Placebo
Matched placebo
Matched placebo

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Time Frame
Percentage change in Eczema Area and Severity Index (EASI)
Time Frame: Baseline to day 113
Baseline to day 113
Incidence of treatment-emergent adverse events (TEAEs)
Time Frame: Baseline to day 113
Baseline to day 113

Secondary Outcome Measures

Outcome Measure
Time Frame
Percentage and absolute change from Baseline in EASI over time
Time Frame: Baseline to day 113
Baseline to day 113
Change in epidermal thickness
Time Frame: Baseline to day 113
Baseline to day 113
Change in keratin 16 staining of skin biopsies
Time Frame: Baseline to day 113
Baseline to day 113
Percentage of patients with at least a 50% reduction in EASI (EASI 50)
Time Frame: Baseline to day 113
Baseline to day 113
Percentage of patients with at least a 75% reduction in EASI (EASI 75)
Time Frame: Baseline to day 113
Baseline to day 113
Percentage of patients with at least a 90% reduction in EASI (EASI 90)
Time Frame: Baseline to day 113
Baseline to day 113
Change in Validated Investigator Global Assessment (vIGA)
Time Frame: Baseline to day 113
Baseline to day 113
Percentage of patients with a response of vIGA 0 or 1
Time Frame: Baseline to day 113
Baseline to day 113
Change in SCORing of Atopic Dermatis (SCORAD) Index
Time Frame: Baseline to day 113
Baseline to day 113
Change in affected body surface area (BSA)
Time Frame: Baseline to day 113
Baseline to day 113
Change in Patient Orientated Eczema Measure (POEM)
Time Frame: Baseline to Day 113
Baseline to Day 113
Change in Patient Orientated SCORing of Atopic Dermatitis (PO-SCORAD) Index
Time Frame: Baseline to day 113
Baseline to day 113
Change in Dermatology Quality of Life Index (DLQI)
Time Frame: Baseline to Day 113
Baseline to Day 113
Change in Numerical Rating Scale (NRS) for pruritus
Time Frame: Baseline to day 113
Baseline to day 113

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Sponsor

Investigators

  • Principal Investigator: Stephan Weidinger, MaHM, University Hospital Schleswig-Holstein, 24105 Kiel, Germany

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start (Actual)

December 13, 2018

Primary Completion (Actual)

May 12, 2020

Study Completion (Actual)

October 8, 2020

Study Registration Dates

First Submitted

November 19, 2018

First Submitted That Met QC Criteria

November 26, 2018

First Posted (Actual)

November 27, 2018

Study Record Updates

Last Update Posted (Actual)

January 27, 2023

Last Update Submitted That Met QC Criteria

January 25, 2023

Last Verified

January 1, 2023

More Information

Terms related to this study

Other Study ID Numbers

  • KY1005-CT02
  • 2018-002299-41 (EudraCT Number)
  • ACT17369 (Other Identifier: Sanofi)

Plan for Individual participant data (IPD)

Plan to Share Individual Participant Data (IPD)?

Yes

IPD Plan Description

Qualified researchers may request access to patient level data and related study documents including the clinical study report, study protocol with any amendments, blank case report form, statistical analysis plan, and dataset specifications. Patient level data will be anonymized and study documents will be redacted to protect the privacy of trial participants. Further details on Sanofi's data sharing criteria, eligible studies, and process for requesting access can be found at: https://vivli.org

Drug and device information, study documents

Studies a U.S. FDA-regulated drug product

No

Studies a U.S. FDA-regulated device product

No

product manufactured in and exported from the U.S.

No

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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