Study Evaluating the Mechanism of Action of PF-04965842 Monotherapy for Moderate-to-severe Atopic Dermatitis (JADE MOA)
A PHASE 2A, RANDOMIZED, DOUBLE-BLIND, PLACEBO-CONTROLLED, PARALLEL GROUP, MULTI-CENTER STUDY TO INVESTIGATE THE MECHANISM OF ACTION OF ABROCITINIB MONOTHERAPY IN ADULT PARTICIPANTS WITH MODERATE-TO-SEVERE ATOPIC DERMATITIS
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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Alberta
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Calgary, Alberta, Canada, T3E 0B2
- Beacon Dermatology
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Quebec
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Montreal, Quebec, Canada, H2X 2V1
- Innovaderm Research, Inc.
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-
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California
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Encinitas, California, United States, 92024
- California Dermatology & Clinical Research Institute
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Los Angeles, California, United States, 90033
- USC/Norris Comprehensive Cancer Center
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Los Angeles, California, United States, 90033
- Keck School of Medicine of USC - IDS Pharmacy
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Florida
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Largo, Florida, United States, 33770
- Olympian Clinical Research
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Tampa, Florida, United States, 33613
- ForCare Clinical Research
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Indiana
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Plainfield, Indiana, United States, 46168
- The Indiana Clinical Trials Center, PC - Dermatology Research
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Michigan
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Dearborn, Michigan, United States, 48124
- Wayne Health - Wayne State Dermatology
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New York
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New York, New York, United States, 10029
- Icahn School of Medicine at Mount Sinai
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Texas
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Dallas, Texas, United States, 75246
- Menter Dermatology Research Institute
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-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Clinical diagnosis of chronic moderate-to-severe atopic dermatitis (AD) for at least 1 year
- Recent history of inadequate response to medicated topical therapy for AD or required systemic therapy to control disease
- Moderate-to-severe AD defined as affected BSA at least 10%, IGA at least 3, EASI at least 16, Peak Pruritus NRS at least 4
Exclusion Criteria:
- A current or past medical history of conditions associated with thrombocytopenia, coagulopathy, or platelet dysfunction
- Currently have active forms of other inflammatory skin diseases, i.e. not AD, or have evidence of skin conditions (e.g. psoriasis, seborrheic dermatitis, lupus) at the time of Day 1 that would interfere with evaluation of AD or response to treatment
- Participants who have received prior treatment with any systemic JAK inhibitors
- Require treatment with prohibited concomitant medication(s) or have received a prohibited concomitant medication within specified time frames prior to the first dose of study medication, including topical treatments that could affect AD
- Pregnant or breastfeeding women or sexually-active women of childbearing potential who are unwilling to use contraception
Study Plan
How is the study designed?
Design Details
- Primary Purpose: TREATMENT
- Allocation: RANDOMIZED
- Interventional Model: PARALLEL
- Masking: QUADRUPLE
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
PLACEBO_COMPARATOR: Placebo
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Placebo administered as two tablets to be taken orally once daily for 12 weeks
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EXPERIMENTAL: PF-04965842 100 mg
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PF-04965842 100 mg administered as two tablets to be taken orally once daily for 12 weeks
|
|
EXPERIMENTAL: PF-04965842 200 mg
|
PF-04965842 200 mg administered as two tablets to be taken orally once daily for 12 weeks
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Fold-Change From Baseline in Atopic Dermatitis Biomarkers in Lesional and Non-lesional Skin at Week 12
Time Frame: Baseline, Week 12
|
Mean fold-changes from baseline at Week 12 in the biomarkers for general inflammation (Matrix Metallopeptidase [MMP]12), hyperplasia (Keratin [KRT]16), Th2 immune response (C-C motif chemokine ligand [CCL]17, CCL18, CCL26), and Th22 immune response (S100 calcium binding protein A [S100A]8, S100A9, S100A12), in lesional (LS) and non-lesional (NL) skin tissues, respectively.
Expression levels from RT-PCR are normalized to the housekeeping gene RPLP0 by negatively transforming the Ct values to -dCt.
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Baseline, Week 12
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Fold-Change From Baseline in Cellular (T-cell and Dendritic Cell) Inflammation Markers at Week 12
Time Frame: Baseline, Week 12
|
Mean fold-changes from baseline in immunohistochemistry analysis in lesional skin endpoints at Week 12 are presented.
Fold-changes are computed by obtaining the antilog of log2 fold-changes, retaining the sign for log2 fold-change.
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Baseline, Week 12
|
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Fold-Change From Baseline in Epidermal Hyperplasia Markers in Skin Biopsies and Skin Thickness at Week 12
Time Frame: Baseline, Week 12
|
Mean fold-changes from baseline in hyperplasia markers in skin biopsies at Week 12 are presented.
Fold-changes are computed by obtaining the antilog of log2 fold-changes, retaining the sign for log2 fold-change.
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Baseline, Week 12
|
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Fold-Change From Baseline in Blood Biomarkers for Inflammation and Immune Response at Week 12
Time Frame: Baseline, Week 12
|
OLINK Proteomics Microassay was used to analyze biomarkers in serum to assess the effect of abrocitinib on the blood biomarkers.
Mean fold-changes at Week 12 from baseline are listed.
Baseline is defined as the last observation on or prior to day of first dose (Day 1).
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Baseline, Week 12
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Percent-Change From Baseline in T-cell Lymphocyte Subset Populations at Week 12
Time Frame: Baseline, Week 12
|
Mean percent changes from baseline at Week 12 in T-cell lymphocyte subset populations (CD3+ T cells, CD4+ T cells, CD8+ T cells, NK cells, B cells) are presented.
Baseline is defined as the last observation on or prior to day of first dose (Day 1).
|
Baseline, Week 12
|
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Response Based on at Least 4 Points Improvement in the Severity of Peak Pruritus Numerical Rating Scale (NRS) From Baseline and Changes From Baseline in Immunohistochemistry (IHC) and Gene Expression Biomarkers in Lesional Skin
Time Frame: Baseline, Week 12
|
PP-NRS assesses the severity of itch (pruritus) due to AD. Participants were asked to assess their worst itching due to AD on an NRS anchored by the terms "no itch" (0) and "worst itch imaginable" (10).
Participants who withdrew from the study were counted as non-responder.
Spearman correlation coefficient was calculated to assess the relationship between PP-NRS CFB and fold CFB of IHC and gene expression biomarkers.
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Baseline, Week 12
|
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Percentage of Participants Achieving Investigator's Global Assessment (IGA) Response of 'Clear' or 'Almost Clear' and >=2 Points Improvement From Baseline at Week 2, 4, 8 and 12
Time Frame: Baseline, Weeks 2, 4, 8, and 12
|
The IGA of AD is scored on a 5-point scale (0-4), reflecting a global consideration of the erythema, induration and scaling.
The overall severity of AD was assessed according to the 5-point scale: 0=Clear, 1=Almost Clear, 2=Mild, 3=Moderate, and 4=Severe.
Participants who withdrew from the study were counted as non-responder.
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Baseline, Weeks 2, 4, 8, and 12
|
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Percentage of Participants Achieving Eczema Area and Severity Index (EASI) Response ≥ 75% Improvement From Baseline Week 2, 4, 8 and 12
Time Frame: Baseline, Week 2, 4, 8, and 12
|
The EASI quantifies the severity of AD based on both severity of lesion clinical signs and the percent of body surface area (BSA) affected.
The EASI score can vary in increments of 0.1 and range from 0.0 to 72.0, with higher scores representing greater severity of AD.
Participants who withdrew from the study were counted as non-responder.
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Baseline, Week 2, 4, 8, and 12
|
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Percentage of Participants With >=4 Points at Baseline and Achieving >=4 Points Improvement From Baseline in Numeric Rating Scale for Severity of Pruritus (PP-NRS) at Weeks 2, 4, 8 and 12
Time Frame: Baseline, Week 2, 4, 8, 12
|
PP-NRS assesses the severity of itch (pruritus) due to AD. Participants were asked to assess their worst itching due to AD on an NRS anchored by the terms "no itch" (0) and "worst itch imaginable" (10).
Higher scores indicated worse itch.
Participants who withdrew from the study were counted as non-responder.
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Baseline, Week 2, 4, 8, 12
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Percentage of Participants Achieving EASI Response ≥ 90% Improvement From Baseline at Week 2, 4, 8 and 12
Time Frame: Baseline to Week 2, 4, 8 and 12
|
The EASI quantifies the severity of AD based on both severity of lesion clinical signs and the percent of BSA affected.
The EASI score can vary in increments of 0.1 and range from 0.0 to 72.0, with higher scores representing greater severity of AD.
Participants who withdrew from the study were counted as non-responder.
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Baseline to Week 2, 4, 8 and 12
|
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Percentage of Participants Achieving EASI Response ≥ 50% Improvement From Baseline at Week 2, 4, 8 and 12
Time Frame: Baseline to Week 2, 4, 8 and 12
|
The EASI quantifies the severity of AD based on both severity of lesion clinical signs and the percent of BSA affected.
The EASI score can vary in increments of 0.1 and range from 0.0 to 72.0, with higher scores representing greater severity of AD.
Participants who withdrew from the study were counted as non-responder.
|
Baseline to Week 2, 4, 8 and 12
|
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Percent Change From Baseline in Percentage Body Surface Area (BSA) at Week 2, 4, 8 and 12
Time Frame: Baseline and Week 2, 4, 8 and 12
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BSA efficacy is derived from the sum of the BSA in handprints across 4 body regions assessed as part of the EASI assessment.
Handprint refers to that of each individual participant for their own measurement.
The BSA efficacy ranges from 0 to 100%, with higher values representing greater severity of AD.
The percentage BSA ranges from 0 to 100, with higher scores representing greater severity of AD.
Since the scalp, palms, and soles were excluded from the BSA (efficacy) assessment, the maximum possible percentage BSA was less than 100.
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Baseline and Week 2, 4, 8 and 12
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Number of Participants With Treatment Emergent Adverse Events (TEAEs)
Time Frame: Baseline to 16 weeks
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An adverse event (AE) was any untoward medical occurrence in a clinical investigation participant administered a product; the event did not need to have a causal relationship with the treatment.
TEAEs were AEs that occurred following the start of treatment or AEs increasing in severity during treatment.
Treatment-related TEAEs were determined by the investigator.
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Baseline to 16 weeks
|
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Number of Participants With Serious Adverse Events (SAEs)
Time Frame: Baseline to 16 weeks
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A serious adverse event (SAE) was any untoward medical occurrence at any dose that resulted in death; was life threatening; required inpatient hospitalization or prolongation of existing hospitalization; resulted in persistent or significant disability/incapacity; resulted in congenital anomaly/birth defect.
Treatment-related SAEs were determined by the investigator.
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Baseline to 16 weeks
|
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Number of Participants Who Discontinued From the Study Due to TEAEs
Time Frame: Baseline to 16 weeks
|
An AE was any untoward medical occurrence in a clinical investigation participant administered a product; the event did not need to have a causal relationship with the treatment.
TEAEs were AEs that occurred following the start of treatment or AEs increasing in severity during treatment.
Treatment-related TEAEs were determined by the investigator.
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Baseline to 16 weeks
|
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Number of Participants With Laboratory Test Abnormalities (Without Regard to Baseline Abnormality)
Time Frame: Baseline to 16 weeks
|
Laboratory tests included hematology (including coagulation panel), clinical chemistry, lipid profile panel, and routine urinalysis.
LLN is lower limit of normal.
ULN is upper limit of normal.
|
Baseline to 16 weeks
|
Other Outcome Measures
Other Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Change From Baseline in Erythrocytes at Week 2, 4, 8 and 12
Time Frame: Baseline and Week 2, 4, 8 and 12
|
Clinical laboratory tests including red blood cell (erythrocytes) were performed at Week 2, 4, 8, and 12 by collecting blood samples and performing the corresponding analysis per the laboratory manual.
Fasting was only required prior to labs that included the lipid profile panel.
|
Baseline and Week 2, 4, 8 and 12
|
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Change From Baseline in Reticulocytes at Week 2, 4, 8 and 12
Time Frame: Baseline and Week 2, 4, 8 and 12
|
Clinical laboratory tests including reticulocytes were performed at Week 2, 4, 8, and 12 by collecting blood samples and performing the corresponding analysis per the laboratory manual.
Fasting was only required prior to labs that included the lipid profile panel.
|
Baseline and Week 2, 4, 8 and 12
|
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Change From Baseline in Platelet Counts at Week 2, 4, 8 and 12
Time Frame: Baseline and Week 2, 4, 8 and 12
|
Clinical laboratory tests including platelet counts were performed at Week 2, 4, 8, and 12 by collecting blood samples and performing the corresponding analysis per the laboratory manual.
Fasting was only required prior to labs that included the lipid profile panel.
|
Baseline and Week 2, 4, 8 and 12
|
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Change From Baseline in High-Sensitivity C-Reactive Protein (Hs-CRP) at Week 2, 4, 8 and 12
Time Frame: Baseline and Week 2, 4, 8 and 12
|
Clinical laboratory tests including hs-CRP were performed at Week 2, 4, 8, and 12 by collecting blood samples and performing the corresponding analysis per the laboratory manual.
Fasting was only required prior to labs that included the lipid profile panel.
|
Baseline and Week 2, 4, 8 and 12
|
|
Change From Baseline in Interleukin 6 at Week 2, 4, 8 and 12
Time Frame: Baseline and Week 2, 4, 8 and 12
|
Clinical laboratory tests including interleukin were performed at Week 2, 4, 8, and 12 by collecting blood samples and performing the corresponding analysis per the laboratory manual.
Fasting was only required prior to labs that included the lipid profile panel.
|
Baseline and Week 2, 4, 8 and 12
|
|
Change From Baseline in Erythropoietin at Week 2, 4, 8 and 12
Time Frame: Baseline and Week 2, 4, 8 and 12
|
Clinical laboratory tests including erythropoietin were performed at Week 2, 4, 8, and 12 by collecting blood samples and performing the corresponding analysis per the laboratory manual.
Fasting was only required prior to labs that included the lipid profile panel.
|
Baseline and Week 2, 4, 8 and 12
|
|
Change From Baseline in Thrombopoietin at Week 2, 4, 8 and 12
Time Frame: Baseline and Week 2, 4, 8 and 12
|
Clinical laboratory tests including thrombopoietin were performed at Week 2, 4, 8, and 12 by collecting blood samples and performing the corresponding analysis per the laboratory manual.
Fasting was only required prior to labs that included the lipid profile panel.
|
Baseline and Week 2, 4, 8 and 12
|
|
Change From Baseline in Night Time Itch Scale Score at Week 2, 4, 8 and 12
Time Frame: Baseline and Week 2, 4, 8 and 12
|
The severity and frequency of itch (pruritus) during the night due to AD was assessed using the Night Time Itch Scale Score.
Participants assessed their worst itching due to AD during their most recent night's sleep on an NRS anchored by the terms "no itch" (0) and "worst itch imaginable" (10).
Higher scores indicated worse itch.
The frequency of itch was assessed using a 5-point qualitative scale, with responses including "Never", "Rarely", "Sometimes", "Often" and "Almost Always".
|
Baseline and Week 2, 4, 8 and 12
|
|
Plasma PF-04965842 Concentration
Time Frame: Day 29 Hour 0 (prior to dosing) and 30 miniute post-dose, Day 85 30 minute and Hour 4 post-dose
|
Pharmacokinetic (PK) samples were collected at Week 4 and 12 for measurement of plasma concentration of PF-04965842.
|
Day 29 Hour 0 (prior to dosing) and 30 miniute post-dose, Day 85 30 minute and Hour 4 post-dose
|
|
Plasma PF-06471658 (M1) Concentration
Time Frame: Day 29 Hour 0 (prior to dosing) and 30 miniute post-dose, Day 85 30 minute and Hour 4 post-dose
|
PK samples were collected at Week 4 and 12 for measurement of plasma concentration of abrocitinib's metabolite PF-06471658 (M1).
|
Day 29 Hour 0 (prior to dosing) and 30 miniute post-dose, Day 85 30 minute and Hour 4 post-dose
|
|
Plasma PF-07055087 (M2) Concentration
Time Frame: Day 29 Hour 0 (prior to dosing) and 30 miniute post-dose, Day 85 30 minute and Hour 4 post-dose
|
PK samples were collected at Week 4 and 12 for measurement of plasma concentration of abrocitinib's metabolite PF-07055087 (M2).
|
Day 29 Hour 0 (prior to dosing) and 30 miniute post-dose, Day 85 30 minute and Hour 4 post-dose
|
|
Plasma PF-07054874 (M4) Concentration
Time Frame: Day 29 Hour 0 (prior to dosing) and 30 miniute post-dose, Day 85 30 minute and Hour 4 post-dose
|
PK samples were collected at Week 4 and 12 for measurement of plasma concentration of abrocitinib's metabolites PF-07054874 (M4).
|
Day 29 Hour 0 (prior to dosing) and 30 miniute post-dose, Day 85 30 minute and Hour 4 post-dose
|
Collaborators and Investigators
Sponsor
Sponsor
Publications and helpful links
Study record dates
Study Major Dates
Study Start (ACTUAL)
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 (ACTUAL)
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
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
Other Study ID Numbers
- B7451037
- JADE MOA (OTHER: Alias Study Number)
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
IPD Plan Description
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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