Abrocitinib Taiwan Treatment Pattern and Real World Study in ATopiC Dermatitis (ATTRACT Registry) (ATTRACT)
The Real-world Treatment Patterns and Clinical Outcomes in Moderate-to-severe Atopic Dermatitis (AD) Patients Receiving Abrocitinib
Study Overview
Status
Status
Conditions
Conditions
Study Type
Study Type
Enrollment (Estimated)
Enrollment
Contacts and Locations
Study Contact
Study Contact
- Name: Pfizer CT.gov Call Center
- Phone Number: 1-800-718-1021
- Email: ClinicalTrials.gov_Inquiries@pfizer.com
Study Locations
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Kaohsiung City, Taiwan, 83301
- Recruiting
- Chang Gung Memorial Hospital at Kaohsiung
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Kaohsiung City, Taiwan, 807377
- Not yet recruiting
- Kaohsiung Medical University Hospital
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New Taipei City, Taiwan, 23561
- Not yet recruiting
- Taipei Medical University - Shuang Ho Hospital
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Taipei, Taiwan, 11217
- Not yet recruiting
- Taipei Veterans General Hospital
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Taipei, Taiwan, 10449
- Not yet recruiting
- Mackay Memorial Hospital
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Taipei, Taiwan, 100
- Recruiting
- NTUH
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Taipei, Taiwan, 11490, R.O.C.
- Not yet recruiting
- Tri-Service General Hospital
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Taoyuan District, Taiwan, 333
- Not yet recruiting
- Chang Gung Hospital Linkou
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Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
- Child
- Adult
- Older Adult
Accepts Healthy Volunteers
Sampling Method
Study Population
Description
Inclusion Criteria:
Patients must meet all of the following inclusion criteria to be eligible for inclusion in the study:
- Patients aged ≥12 years
- Patients with confirmed diagnosis of moderate-to-severe AD as assessed by the physician
- Patients for whom the physician's decision has been made to newly prescribe abrocitinib in usual clinical practice conditions
- Evidence of a personally signed and dated informed consent/assent document indicating that the patient (or a legally acceptable representative) has been informed of all pertinent aspects of the study
Exclusion Criteria:
Patients meeting any of the following criteria will not be included in the study:
- Any prior use of abrocitinib
- Simultaneous participation in a study that includes administration of any investigational drug or procedure
Study Plan
How is the study designed?
Design Details
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Percentage of Participants Achieving >= 75% Improvement From Baseline in Eczema Area and Severity Index (EASI-75) Response at Week 2, 12, 52
Time Frame: Week 2, 12, 52
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EASI quantifies severity of AD based on severity of lesion clinical signs and percentage (%) of body surface area (BSA) affected.
Severity of clinical signs of AD lesions (erythema, induration/papulation, excoriation and lichenification) were scored separately for each of 4 body regions (head and neck, upper limbs, trunk [including axillae and groin)] and lower limbs [including buttocks]) on a 4-point scale: 0= absent; 1= mild; 2= moderate; 3= severe.
EASI area score was based on % BSA with AD in body region: 0 (0%), 1 (>0 to <10%), 2 (10 to <30%), 3 (30 to <50%), 4 (50 to <70%), 5 (70 to <90%) and 6 (90 to 100%).
Total EASI score =0.1*Ah*(Eh+Ih+Exh+Lh) + 0.2*Au*(Eu+Iu+ExU+Lu) + 0.3*At*(Et+It+Ext+Lt) + 0.4*Al*(El+Il+Exl+Ll); A = EASI area score; E = erythema; I = induration/papulation; Ex = excoriation; L = lichenification; h = head and neck; u = upper limbs; t = trunk; l = lower limbs.
Total EASI score ranged from 0.0 to 72.0, with higher scores indicating greater severity of AD.
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Week 2, 12, 52
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Percentage of Participants Achieving >= 90% Improvement From Baseline in Eczema Area and Severity Index (EASI-90) Response at Week 2, 12, 52
Time Frame: Week 2, 12, 52
|
EASI quantifies severity of AD based on severity of lesion clinical signs and percentage (%) of body surface area (BSA) affected.
Severity of clinical signs of AD lesions (erythema, induration/papulation, excoriation and lichenification) were scored separately for each of 4 body regions (head and neck, upper limbs, trunk [including axillae and groin)] and lower limbs [including buttocks]) on a 4-point scale: 0= absent; 1= mild; 2= moderate; 3= severe.
EASI area score was based on % BSA with AD in body region: 0 (0%), 1 (>0 to <10%), 2 (10 to <30%), 3 (30 to <50%), 4 (50 to <70%), 5 (70 to <90%) and 6 (90 to 100%).
Total EASI score =0.1*Ah*(Eh+Ih+Exh+Lh) + 0.2*Au*(Eu+Iu+ExU+Lu) + 0.3*At*(Et+It+Ext+Lt) + 0.4*Al*(El+Il+Exl+Ll); A = EASI area score; E = erythema; I = induration/papulation; Ex = excoriation; L = lichenification; h = head and neck; u = upper limbs; t = trunk; l = lower limbs.
Total EASI score ranged from 0.0 to 72.0, with higher scores indicating greater severity of AD.
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Week 2, 12, 52
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|
Percentage of Participants Achieving Investigator's Global Assessment (IGA) Response of Clear (0) or Almost Clear (1) and Greater Than or Equal to 2 Points Improvement From Baseline at Week 2, 12, 52
Time Frame: Week 2, 12, 52
|
IGA assesses severity of AD on a 5 point scale (0 to 4, higher scores indicate more severity).
Scores: 0= clear, no inflammatory signs of AD; 1= almost clear, AD not fully cleared- light pink residual lesions (except post-inflammatory hyperpigmentation), just perceptible erythema, papulation/induration lichenification, excoriation, and no oozing/crusting; 2= mild AD with light red lesions, slight but definite erythema, papulation/induration, lichenification, excoriation and no oozing/crusting; 3= moderate AD with red lesions, moderate erythema, papulation/induration, lichenification, excoriation and slight oozing/crusting; 4= severe AD with deep dark red lesions, severe erythema, papulation/induration, lichenification, excoriation and moderate to severe oozing/crusting.
Assessment excluded sole, palms and scalp.
|
Week 2, 12, 52
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Duration of Abrocitinib Treatment: All Participants
Time Frame: During post-index period (12 months duration post index date)
|
Duration of treatment with abrocitinib was the time from date of start of abrocitinib treatment to date of end of abrocitinib treatment or of latest follow-up if not suspended.
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During post-index period (12 months duration post index date)
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|
Demographic and baseline characteristics
Time Frame: During pre-index period
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During pre-index period
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Percent Change From Baseline in Eczema Area and Severity Index (EASI) Total Score at Week 2, 4, 12, 16, 24, and 52
Time Frame: Baseline, Week 2, 4, 12, 16, 24, and 52
|
EASI evaluates severity of participant's AD (excluded scalp, palms, soles) based on severity of AD clinical signs and % of body surface area (BSA) affected.
Severity of clinical signs of AD (erythema, induration/papulation, excoriation and lichenification) scored separately for each of 4 body regions(head and neck, upper limbs, trunk [including axillae and groin] and lower limbs [including buttocks]) on4-point scale: 0= absent; 1= mild; 2= moderate; 3= severe.
EASI area score was based upon % BSA with AD in each 4 body region: 0 (0%), 1 (>0 to <10%), 2 (10 to <30%), 3 (30 to <50%), 4 (50 to <70%), 5 (70 to <90%) and 6 (90 to 100%).
Total EASI score =0.1*Ah*(Eh+Ih+Exh+Lh) + 0.2*Au*(Eu+Iu+ExU+Lu) + 0.3*At*(Et+It+Ext+Lt) + 0.4*Al*(El+Il+Exl+Ll); A = EASI area score; E = erythema; I = induration/papulation; Ex = excoriation; L = lichenification; h = head and neck; u = upper limbs; t = trunk; l = lower limbs.
Total EASI score ranged from 0.0 to 72.0, higher scores = greater severity of AD.
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Baseline, Week 2, 4, 12, 16, 24, and 52
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Change From Baseline in Investigator's Global Assessment (IGA) at Weeks 2, 4, 12, 16, 24, and 52
Time Frame: Baseline, Week 2, 4, 12, 16, 24, and 52
|
IGA assesses severity of participant's AD on a 5 point scale.
0= clear, no inflammatory signs of AD; 1= almost clear, AD not fully cleared- light pink residual lesions (except post-inflammatory hyperpigmentation), just perceptible erythema, papulation/induration lichenification, excoriation, and no oozing/crusting; 2= mild AD with light red lesions, slight but definite erythema, papulation/induration, lichenification, excoriation and no oozing/crusting; 3= moderate AD with red lesions, moderate erythema, papulation/induration, lichenification, excoriation and slight oozing/crusting and 4= severe AD with deep dark red lesions, severe erythema, papulation/induration, lichenification, excoriation and moderate to severe oozing/crusting.
Higher scores indicating more severity of AD.
Assessment excluded soles, palms and scalp.
|
Baseline, Week 2, 4, 12, 16, 24, and 52
|
|
Change From Baseline in Percentage Body Surface Area at Week 2, 4, 12, 16, 24, and 52
Time Frame: Baseline, Week 2, 4, 12, 16, 24, and 52
|
4 body regions were evaluated: head and neck, upper limbs, trunk (including axillae and groin) and lower limbs (including buttocks).
Scalp, palms and soles were excluded.
BSA was calculated using handprint method.
Number of handprints (size of participant's hand with fingers in a closed position) fitting in the affected area of a body region was estimated.
Maximum number of handprints were 10 for head and neck, 20 for upper limbs, 30 for trunk and 40 for lower limbs.
Surface area of body region equivalent to 1 handprint: 1 handprint was equal to 10% for head and neck, 5% for upper limbs, 3.33% for trunk and 2.5% for lower limbs.
Percent BSA for a body region was calculated as = total number of handprints in a body region * % surface area equivalent to 1 handprint.
Overall % BSA for an individual: arithmetic mean of % BSA of all 4 body regions, ranges from 0 to 100%, with higher values representing greater severity of AD.
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Baseline, Week 2, 4, 12, 16, 24, and 52
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Change From Baseline in Patient-Oriented Eczema Measure (POEM) at Week 2, 4, 12, and 52
Time Frame: Baseline, Week 2, 4, 12, and 52
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POEM is a 7-item participant reported outcome (PRO) measure used to assess the impact of AD (dryness, itching, flaking, cracking, sleep loss, bleeding and weeping) over the past week.
Each item is scored as "no days (0)", "1-2 days (1)", "3-4 days (2)", "5-6 days (3)" and "every day (4)".
The score ranges from 0 to 28, where higher score indicated greater severity.
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Baseline, Week 2, 4, 12, and 52
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Change from baseline of Atopic Dermatitis Control Tool (ADCT) score at Week 2, 4, 12, and 52
Time Frame: Baseline, Week 2, 4, 12, and 52
|
The Atopic Dermatitis Control Tool (ADCT) is a brief patient self-administered instrument designed and validated to assess patient-perceived AD control; AD symptoms and impacts are evaluated over the past week, including overall severity of symptoms, days with intense episodes of itching, intensity of bother, problem with sleep, impact on daily activities, and impact on mood or emotions
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Baseline, Week 2, 4, 12, and 52
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Change From Baseline in Dermatology Life Quality Index (DLQI) Total Score to Week 2, 4, 12, and 52
Time Frame: Baseline, Week 2, 4, 12, and 52
|
The DLQI was a 10-item questionnaire that measures the impact of skin disease on participant's quality of life.
Each question was evaluated on a 4-point scale ranging from 0 (not at all) to 3 (very much); where higher scores indicate more impact on quality of life.
The DLQI total score ranges from 0 (not at all) to 30 (very much): 0-1 = no effect at all on the participant's life; 2-6 = small effect on the participant's life; 7-12 = moderate effect on the participant's life; 13-18 = very large effect on the participant's life; 19-30 = extremely large effect on the participant's life.
Higher scores indicate more impact on quality of life of participants.
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Baseline, Week 2, 4, 12, and 52
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Change From Baseline in Patient Global Assessment (PtGA)
Time Frame: Baseline, Week 2, 4, 12, 16, 24, and 52
|
The PtGA asked the participant to evaluate the overall cutaneous disease at that point in time on a single-item, 5-point scale.
The same category labels used in the IGA were used for the PtGA, ie, "severe (4)", "moderate (3)", "mild (2)","almost clear (1)", and "clear (0)".
The PtGA was completed as per schedule of activities.
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Baseline, Week 2, 4, 12, 16, 24, and 52
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Percentage Change From Baseline in Peak Pruritus Numerical Rating Scale (PP-NRS) From Baseline at Weeks 2, 4, 12, 16, 24, and 52
Time Frame: Baseline, Week 2, 4, 12, 16, 24, and 52
|
The severity of itch (pruritus) due to AD was assessed using a horizontal NRS.
Participants at specified time points were asked the following question: "How would you rate your itch due to AD at the worst moment during the previous 24 hours?"
The scale ranged from 0-10, where 0= no itch and 10= worst itch imaginable.
Higher scores indicated worse itch.
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Baseline, Week 2, 4, 12, 16, 24, and 52
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Percentage of Participants Achieving >=4 Points Reduction in Peak Pruritus Numerical Rating Scale (PP-NRS) From Baseline at Week 2, 4, 12, 16, 24, and 52
Time Frame: Baseline, Week 2, 4, 12, 16, 24, and 52
|
The severity of itch (pruritus) due to AD was assessed using a horizontal NRS.
Participants at specified time points were asked the following question: "How would you rate your itch due to AD at the worst moment during the previous 24 hours?"
The scale ranged from 0-10, where 0= no itch and 10= worst itch imaginable.
Higher scores indicated worse itch.
|
Baseline, Week 2, 4, 12, 16, 24, and 52
|
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Percentage of Participants Achieving 0 or 1 in Peak Pruritus Numerical Rating Scale (PP-NRS) From Baseline at Week 2, 4, 12, 16, 24, and 52
Time Frame: Baseline, Week 2, 4, 12, 16, 24, and 52
|
The severity of itch (pruritus) due to AD was assessed using a horizontal NRS.
Participants at specified time points were asked the following question: "How would you rate your itch due to AD at the worst moment during the previous 24 hours?"
The scale ranged from 0-10, where 0= no itch and 10= worst itch imaginable.
Higher scores indicated worse itch.
|
Baseline, Week 2, 4, 12, 16, 24, and 52
|
Collaborators and Investigators
Sponsor
Sponsor
Investigators
Investigators
- Study Director: Pfizer CT.gov Call Center, Pfizer
Publications and helpful links
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Estimated)
Primary Completion
Study Completion (Estimated)
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 (Estimated)
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
- B7451114
- NCT06353087 (Registry Identifier: ClinicalTrials.gov)
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
IPD Plan Description
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