- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT03526861
Tralokinumab Monotherapy for Adolescent Subjects With Moderate to Severe Atopic Dermatitis - ECZTRA 6 (ECZema TRAlokinumab Trial no. 6).
A Randomised, Double-blind, Placebo-controlled, Parallel-group, Multi-centre Trial to Evaluate the Efficacy, Safety, and Tolerability of Tralokinumab Monotherapy in Adolescent Subjects With Moderate-to-severe Atopic Dermatitis (AD) Who Are Candidates for Systemic Therapy
Primary objective:
To evaluate the efficacy of subcutaneous (SC) administration of tralokinumab compared with placebo in treating adolescent subjects (age 12 to <18 years) with moderate-to-severe AD.
Secondary objectives:
To evaluate the efficacy of tralokinumab on severity and extent of AD, itch, and health-related quality of life compared with placebo.
To investigate the safety, immunogenicity, and tolerability of SC administration of tralokinumab compared with placebo when used to treat adolescent subjects (age 12 to <18 years) with moderate-to-severe AD.
Study Overview
Status
Conditions
Intervention / Treatment
Study Type
Enrollment (Actual)
Phase
- Phase 3
Contacts and Locations
Study Locations
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Darlinghurst, Australia, 2010
- Leo Pharma Investigationel Site
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Kogarah, Australia, 2217
- Leo Pharma Investigationel Site
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Melbourne, Australia, 3002
- Leo Pharma Investigationel Site
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Woolloongabba, Australia, 4102
- Leo Pharma Investigationel Site
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Brussels, Belgium, 1200
- Leo Pharma Investigationel Site
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Gent, Belgium, B-9000
- Leo Pharma Investigationel Site
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Liège, Belgium, 4000
- Leo Pharma Investigationel Site
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Maldegem, Belgium, 9990
- LEO Pharma Investigational Site
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Alberta
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Calgary, Alberta, Canada, T3A 2N1
- LEO Pharma Investigational Site
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Edmonton, Alberta, Canada, T6G 1C9
- LEO Pharma Investigational Site
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British Columbia
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Surrey, British Columbia, Canada, V3R 6A7
- LEO Pharma Investigational Site
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Manitoba
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Winnipeg, Manitoba, Canada, R3M 3Z4
- LEO Pharma Investigational Site
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Winnipeg, Manitoba, Canada, R3C 1T6
- LEO Pharma Investigational Site
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Ontario
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Markham, Ontario, Canada, L3P 1X2
- LEO Pharma Investigational Site
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Oakville, Ontario, Canada, L6J 7W5
- LEO Pharma Investigational Site
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Toronto, Ontario, Canada, M5A 3R6
- LEO Pharma Investigational Site
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Windsor, Ontario, Canada, N8X 2G1
- LEO Pharma Investigational Site
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Quebec
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Montreal, Quebec, Canada, H3T 1C5
- LEO Pharma Investigational Site
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Saskatchewan
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Saskatoon, Saskatchewan, Canada, S7K 0H6
- LEO Pharma Investigational Site
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Marseille, France, 13285
- Leo Pharma Investigationel Site
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Nice, France, 06200
- Leo Pharma Investigationel Site
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Paris, France, 75015
- Leo Pharma Investigationel Site
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Paris, France, 75020
- Leo Pharma Investigationel Site
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Valence, France, 26000
- Leo Pharma Investigationel Site
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Berlin, Germany, 10115
- Leo Pharma Investigationel Site
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Dresden, Germany, 01307
- Leo Pharma Investigationel Site
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Jena, Germany, 49074
- Leo Pharma Investigationel Site
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Osnabrück, Germany, 49074
- Leo Pharma Investigationel Site
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Fukuoka, Japan, 814-0180
- Leo Pharma Investigationel Site
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Kagoshima city, Japan, 890-8520
- Leo Pharma Investigationel Site
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Kyoto, Japan, 602-8566
- Leo Pharma Investigationel Site
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Nagoya-shi, Japan, 457-8510
- Leo Pharma Investigationel Site
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Obihiro, Japan, 080-0013
- Leo Pharma Investigationel Site
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Osaka, Japan, 593-8324
- Leo Pharma Investigationel Site
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Osaka-fu, Japan, 560-0085
- Leo Pharma Investigationel Site
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Shimotsuke, Japan, 329-0498
- Leo Pharma Investigationel Site
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Tokyo, Japan, 136-0074
- Leo Pharma Investigationel Site
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Tokyo, Japan, 141-8625
- Leo Pharma Investigationel Site
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Tokyo, Japan, 169-0075
- Leo Pharma Investigationel Site
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Tokyo, Japan, 171-0022
- Leo Pharma Investigationel Site
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Tsu, Japan, 514-8507
- Leo Pharma Investigationel Site
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Yamanashi, Japan, 400-8506
- Leo Pharma Investigationel Site
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Bergen Op Zoom, Netherlands, 4708
- Leo Pharma Investigationel Site
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Breda, Netherlands, 4818
- Leo Pharma Investigationel Site
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Groningen, Netherlands, 9713
- Leo Pharma Investigationel Site
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Rotterdam, Netherlands, 3015
- Leo Pharma Investigationel Site
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Kraków, Poland, 30-033
- Leo Pharma Investigationel Site
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Kraków, Poland, 30-149
- Leo Pharma Investigationel Site
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Kraków, Poland, 31-011
- Leo Pharma Investigationel Site
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Rzeszów, Poland, 35-055
- Leo Pharma Investigationel Site
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Swidnik, Poland, 21-040
- Leo Pharma Investigationel Site
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Wrocław, Poland, 50-001
- Leo Pharma Investigationel Site
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Wrocław, Poland, 51-318
- Leo Pharma Investigationel Site
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Wrocław, Poland, 52-416
- Leo Pharma Investigationel Site
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Łódź, Poland, 90-265
- Leo Pharma Investigationel Site
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Łódź, Poland, 90-436
- Leo Pharma Investigationel Site
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Glasgow, United Kingdom, G51 4TF
- Leo Pharma Investigationel Site
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London, United Kingdom, E11 1NR
- Leo Pharma Investigationel Site
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Alabama
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Birmingham, Alabama, United States, 35209
- LEO Pharma Investigational Site
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Arkansas
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Fort Smith, Arkansas, United States, 72916
- LEO Pharma Investigational Site
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California
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Fountain Valley, California, United States, 92708
- LEO Pharma Investigational Site
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Los Angeles, California, United States, 90045
- LEO Pharma Investigational Site
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San Francisco, California, United States, 94132
- LEO Pharma Investigational Site
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Stanford, California, United States, 94304
- LEO Pharma Investigational Site
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Connecticut
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New Haven, Connecticut, United States, 06520-8059
- LEO Pharma Investigational Site
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Florida
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Miami, Florida, United States, 33137
- LEO Pharma Investigational Site
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Georgia
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Albany, Georgia, United States, 31707
- LEO Pharma Investigational Site
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Illinois
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Chicago, Illinois, United States, 60611
- LEO Pharma Investigational Site
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Kentucky
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Louisville, Kentucky, United States, 40215
- LEO Pharma Investigational Site
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Louisiana
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Baton Rouge, Louisiana, United States, 70808
- LEO Pharma Investigational Site
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Michigan
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Ann Arbor, Michigan, United States, 48103
- LEO Pharma Investigational Site
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Ypsilanti, Michigan, United States, 48197
- LEO Pharma Investigational Site
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Minnesota
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Minneapolis, Minnesota, United States, 55402
- LEO Pharma Investigational Site
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New Jersey
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East Windsor, New Jersey, United States, 08520
- LEO Pharma Investigational Site
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New York
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Corning, New York, United States, 14830
- LEO Pharma Investigational Site
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New York, New York, United States, 10075
- LEO Pharma Investigational Site
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North Carolina
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High Point, North Carolina, United States, 27262
- LEO Pharma Investigational Site
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Ohio
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Bexley, Ohio, United States, 43209
- LEO Pharma Investigational Site
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Oklahoma
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Tulsa, Oklahoma, United States, 74136
- LEO Pharma Investigational Site
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Oregon
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Portland, Oregon, United States, 97223
- LEO Pharma Investigational Site
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Portland, Oregon, United States, 97239
- LEO Pharma Investigational Site
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Pennsylvania
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Philadelphia, Pennsylvania, United States, 19104
- LEO Pharma Investigational Site
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South Carolina
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North Charleston, South Carolina, United States, 29420
- LEO Pharma Investigational Site
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Tennessee
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Murfreesboro, Tennessee, United States, 37130
- LEO Pharma Investigational Site
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Texas
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Austin, Texas, United States, 78746
- LEO Pharma Investigational Site
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Houston, Texas, United States, 77030
- LEO Pharma Investigational Site
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San Antonio, Texas, United States, 78218
- LEO Pharma Investigational Site
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Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Age 12 to 17.
- Diagnosis of AD as defined by the Hanifin and Rajka (1980) criteria for AD.
- History of AD for ≥1 year.
- History of topical corticosteroid (TCS; Europe: Class 3 or higher; US: Class 4 or lower) and/or topical calcineurin inhibitor (TCI) treatment failure or subjects for whom these topical AD treatments are medically inadvisable.
- AD involvement of ≥10% body surface area at screening and baseline.
- Stable dose of emollient twice daily (or more, as needed) for at least 14 days before randomisation.
Exclusion Criteria:
- Active dermatologic conditions that may confound the diagnosis of AD.
- Use of tanning beds or phototherapy within 6 weeks prior to randomisation.
- Treatment with systemic immunosuppressive/immunomodulating drugs and/or systemic corticosteroid within 4 weeks prior to randomisation.
- Treatment with TCS, TCI, or topical phosphodiesterase 4 (PDE-4) inhibitor within 2 weeks prior to randomisation.
- Receipt of any marketed biological therapy (i.e. immunoglobulin, anti immunoglobulin E) including dupilumab or investigational biologic agents.
- Active skin infection within 1 week prior to randomisation.
- Clinically significant infection within 4 weeks prior to randomisation.
- A helminth parasitic infection within 6 months prior to the date informed consent is obtained.
- Tuberculosis requiring treatment within the 12 months prior to screening.
- Known primary immunodeficiency disorder.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Double
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
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Experimental: Tralokinumab(Dose1) initial-> Tralokinumab(Dose1) maintenanceA
Week 0 to 16 (initial period): Tralokinumab (Dose 1) loading SC injection on Day 0 followed by tralokinumab (Dose 1) injection regimen A. Week 16 to 52 (maintenance period): Tralokinumab (Dose 1) maintenance SC injection regimen A. |
Tralokinumab is a human recombinant monoclonal antibody of the immunoglobulin G4 (IgG4) subclass that specifically binds to human interleukin (IL) 13 and blocks interaction with the IL-13 receptors.
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Experimental: Tralokinumab(Dose1) initial-> Tralokinumab(Dose1) maintenanceB
Week 0 to 16 (initial period): Tralokinumab (Dose 1) loading SC injection on Day 0 followed by tralokinumab (Dose 1) injection regimen A. Week 16 to 52 (maintenance period): Tralokinumab (Dose 1) maintenance SC injection regimen B. |
Tralokinumab is a human recombinant monoclonal antibody of the immunoglobulin G4 (IgG4) subclass that specifically binds to human interleukin (IL) 13 and blocks interaction with the IL-13 receptors.
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Experimental: Tralokinumab(Dose2) initial-> Tralokinumab(Dose2) maintenanceA
Week 0 to 16 (initial period): Tralokinumab (Dose 2) loading SC injection on Day 0 followed by tralokinumab (Dose 2) injection regimen A. Week 16 to 52 (maintenance period): Tralokinumab (Dose 2) maintenance SC injection regimen A. |
Tralokinumab is a human recombinant monoclonal antibody of the immunoglobulin G4 (IgG4) subclass that specifically binds to human interleukin (IL) 13 and blocks interaction with the IL-13 receptors.
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Experimental: Tralokinumab(Dose2) initial-> Tralokinumab(Dose2) maintenanceB
Week 0 to 16 (initial period): Tralokinumab (Dose 2) loading SC injection on Day 0 followed by tralokinumab (Dose 2) injection regimen A. Week 16 to 52 (maintenance period): Tralokinumab (Dose 2) maintenance SC injection regimen B. |
Tralokinumab is a human recombinant monoclonal antibody of the immunoglobulin G4 (IgG4) subclass that specifically binds to human interleukin (IL) 13 and blocks interaction with the IL-13 receptors.
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Experimental: Placebo initial-> Placebo maintenance
Week 0 to 16 (initial period): Placebo loading SC injection on Day 0 followed by placebo injection regimen A. Week 16 to 52 (maintenance period): Placebo continuation SC injection regimen A. |
Placebo contains the same excipients in the same concentration only lacking tralokinumab.
Other Names:
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Experimental: Tralokinumab (Dose1) initial-> Open-label tralokinumab
Week 0 to 16 (initial period): Tralokinumab (Dose 1) loading SC injection on Day 0 followed by tralokinumab (Dose 1) injection regimen A. Week 16 to 52: Tralokinumab (Dose 1) maintenance SC regimen A - open-label with allowed use of topical corticosteroids |
Tralokinumab is a human recombinant monoclonal antibody of the immunoglobulin G4 (IgG4) subclass that specifically binds to human interleukin (IL) 13 and blocks interaction with the IL-13 receptors.
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Experimental: Tralokinumab (Dose2) initial-> Open-label tralokinumab
Week 0 to 16 (initial period): Tralokinumab (Dose 2) loading SC injection on Day 0 followed by tralokinumab (Dose 2) injection regimen A. Week 16 to 52: Tralokinumab (Dose 1) maintenance SC regimen A - open-label with allowed use of topical corticosteroids |
Tralokinumab is a human recombinant monoclonal antibody of the immunoglobulin G4 (IgG4) subclass that specifically binds to human interleukin (IL) 13 and blocks interaction with the IL-13 receptors.
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Experimental: Placebo initial-> Open-label tralokinumab
Week 0 to 16 (initial period): Placebo loading SC injection on Day 0 followed by placebo injection regimen A. Week 16 to 52: Tralokinumab (Dose 1) maintenance SC regimen A - open-label with allowed use of topical corticosteroids |
Tralokinumab is a human recombinant monoclonal antibody of the immunoglobulin G4 (IgG4) subclass that specifically binds to human interleukin (IL) 13 and blocks interaction with the IL-13 receptors.
Placebo contains the same excipients in the same concentration only lacking tralokinumab.
Other Names:
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What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
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Subjects With Investigator's Global Assessment (IGA) Score of 0 (Clear) or 1 (Almost Clear) at Week 16
Time Frame: At Week 16
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The IGA is an instrument used in clinical trials to rate the severity of the subject's global AD and is based on a 5-point scale ranging from 0 (clear) to 4 (severe).
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At Week 16
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Subjects With at Least 75% Reduction in Eczema Area and Severity Index (EASI75) at Week 16
Time Frame: At Week 16
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The EASI is a validated measure used in clinical practice and clinical trials to assess the severity and extent of AD.
The EASI is a composite index with scores ranging from 0 to 72, with higher values indicating more severe and/or more extensive condition.
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At Week 16
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Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
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Subjects With Reduction of Adolescent Worst Pruritus Numeric Rating Scale (NRS) (Weekly Average) of at Least 4 From Baseline to Week 16
Time Frame: At Week 16
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The Adolescent Worst Pruritus NRS is used by subjects to assess their worst itch over the past 24 hours using an 11-point NRS with 0 indicating 'no itch' and 10 indicating 'worst itch possible'.
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At Week 16
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Change in Scoring Atopic Dermatitis (SCORAD) From Baseline to Week 16
Time Frame: From Week 0 to Week 16
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The SCORAD is a validated tool to evaluate the extent and severity of AD lesions, along with subjective symptoms.
The maximum total score is 103, with higher values indicating more severe disease.
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From Week 0 to Week 16
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Change in Children's Dermatology Life Quality Index (CDLQI) Score From Baseline to Week 16
Time Frame: From Week 0 to Week 16
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The CDLQI is a validated questionnaire with content specific to those with dermatology conditions.
It consists of 10 items addressing the subject's perception of the impact of their skin disease on various aspects of their quality of life over the last week such as dermatology-related symptoms and feelings, leisure, school or holidays, personal relationships, sleep, and the treatment.
Each item is scored on a 4-point Likert scale (0 = 'not at all'; 1 = 'only a little'; 2 = 'quite a lot'; 3 = 'very much').
Item 7 (on school time) has one additional response category 'prevented school', which is also scored '3'.
The total score of the CDLQI is the sum of the 10 items (0 to 30); a high score is indicative of a poor quality of life.
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From Week 0 to Week 16
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Number of Adverse Events
Time Frame: From Week 0 to Week 16
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Number of AEs during the Initial treatment period is presented.
For a summary of AEs and SAEs by MedDRA system organ class (SOC) and preferred term (PT) during the initial treatment period, maintenance treatment period, open-label treatment period, and safety follow-up period, see the Adverse Events Overview section.
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From Week 0 to Week 16
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Presence of Anti-drug Antibodies
Time Frame: From Week 0 to Week 16
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Anti-tralokinumab antibody levels were analysed using a validated bioanalytical method.
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From Week 0 to Week 16
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Subjects With at Least 50% Reduction in Eczema Area and Severity Index (EASI50) at Week 16.
Time Frame: At Week 16
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The EASI is a validated measure used in clinical practice and clinical trials to assess the severity and extent of AD.
The EASI is a composite index with scores ranging from 0 to 72, with higher values indicating more severe and/or more extensive condition.
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At Week 16
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Subjects With at Least 90% Reduction in Eczema Area and Severity Index (EASI90) at Week 16.
Time Frame: At Week 16
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The EASI is a validated measure used in clinical practice and clinical trials to assess the severity and extent of AD.
The EASI is a composite index with scores ranging from 0 to 72, with higher values indicating more severe and/or more extensive condition.
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At Week 16
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Change in Eczema Area and Severity Index (EASI) Score From Baseline to Week 16
Time Frame: From Week 0 to Week 16
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The EASI is a validated measure used in clinical practice and clinical trials to assess the severity and extent of AD.
The EASI is a composite index with scores ranging from 0 to 72, with higher values indicating more severe and/or more extensive condition.
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From Week 0 to Week 16
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Subjects With at Least 75% Reduction in Scoring Atopic Dermatitis (SCORAD75) at Week 16
Time Frame: At Week 16
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The SCORAD is a validated tool to evaluate the extent and severity of atopic dermatitis lesions, along with subjective symptoms.
The score ranges from 0 to 103, with a higher values indicating a more extensive and/or severe condition.
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At Week 16
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Subjects With at Least 50% Reduction in Scoring Atopic Dermatitis (SCORAD50) at Week 16
Time Frame: At Week 16
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The SCORAD is a validated tool to evaluate the extent and severity of atopic dermatitis lesions, along with subjective symptoms.
The score ranges from 0 to 103, with a higher values indicating a more extensive and/or severe condition.
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At Week 16
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Change in Adolescent Worst Pruritus Numeric Rating Scale (NRS) (Weekly Average) From Baseline to Week 16
Time Frame: From Week 0 to Week 16
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The Adolescent Worst Pruritus NRS is used by subjects to assess their worst itch over the past 24 hours using an 11-point NRS with 0 indicating 'no itch' and 10 indicating 'worst itch possible'.
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From Week 0 to Week 16
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Participants With Reduction of Adolescent Worst Pruritus Numeric Rating Scale (NRS) (Weekly Average) of at Least 3 From Baseline to Week 16
Time Frame: At Week 16
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The Adolescent Worst Pruritus NRS is used by subjects to assess their worst itch over the past 24 hours using an 11-point NRS with 0 indicating 'no itch' and 10 indicating 'worst itch possible'.
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At Week 16
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Change in Patient Oriented Eczema Measure (POEM) From Baseline to Week 16
Time Frame: From Week 0 to Week 16
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The POEM is a validated questionnaire used to assess disease symptoms in atopic eczema patients in both clinical practice and clinical trials.
The tool consists of 7 items each addressing a specific symptom (itching, sleep, bleeding, weeping, cracking, flaking, and dryness).
Subjects will score how often they have experienced each symptom over the previous week on a 5-point categorical response scale (0 = 'no days'; 1 = '1 to 2 days'; 2 = '3 to 4 days'; 3 = '5 to 6' days; 4 = 'every day').
The total score is the sum of the 7 items (range 0 to 28) and reflects disease-related morbidity; a high score is indicative of a worse disease severity.
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From Week 0 to Week 16
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Tralokinumab Serum Trough Concentration at Week 16
Time Frame: At Week 16
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Serum samples for determination of tralokinumab concentrations were analysed by a laboratory using a validated bioanalytical method.
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At Week 16
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Subjects With Investigator's Global Assessment (IGA) Score of 0 (Clear) or 1 (Almost Clear) at Week 52 Among Subjects With IGA Score of 0 or 1 at Week 16 After Initial Randomisation to Tralokinumab and Without Use of Rescue From Week 2 to Week 16
Time Frame: At Week 52
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The IGA is an instrument used in clinical trials to rate the severity of the subject's global AD and is based on a 5-point scale ranging from 0 (clear) to 4 (severe).
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At Week 52
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Subjects With at Least 75% Reduction in Eczema Area and Severity Index (EASI75) at Week 52 Among Subjects With at Least 75% Reduction in EASI at Week 16 After Initial Randomisation to Tralokinumab and Without Use of Rescue From Week 2 to Week 16
Time Frame: At Week 52
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The EASI is a validated measure used in clinical practice and clinical trials to assess the severity and extent of AD.
The EASI is a composite index with scores ranging from 0 to 72, with higher values indicating more severe and/or more extensive condition.
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At Week 52
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Tralokinumab Serum Trough Concentration at Week 66
Time Frame: At Week 66
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Serum samples for determination of tralokinumab concentrations were analysed by a laboratory using a validated bioanalytical method.
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At Week 66
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Collaborators and Investigators
Sponsor
Investigators
- Study Director: Medical Expert, LEO Pharma
Publications and helpful links
General Publications
- Soehoel A, Larsen MS, Timmermann S. Population Pharmacokinetics of Tralokinumab in Adult Subjects With Moderate to Severe Atopic Dermatitis. Clin Pharmacol Drug Dev. 2022 Aug;11(8):910-921. doi: 10.1002/cpdd.1113. Epub 2022 Jun 7.
- Paller AS, Flohr C, Cork M, Bewley A, Blauvelt A, Hong HC, Imafuku S, Schuttelaar MLA, Simpson EL, Soong W, Arlert P, Lophaven KW, Kurbasic A, Soldbro L, Vest NS, Wollenberg A. Efficacy and Safety of Tralokinumab in Adolescents With Moderate to Severe Atopic Dermatitis: The Phase 3 ECZTRA 6 Randomized Clinical Trial. JAMA Dermatol. 2023 Jun 1;159(6):596-605. doi: 10.1001/jamadermatol.2023.0627. Erratum In: JAMA Dermatol. 2023 Jun 1;159(6):673. doi: 10.1001/jamadermatol.2023.1908.
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Actual)
Study Completion (Actual)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Actual)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- LP0162-1334
- 2017-005143-33 (EudraCT Number)
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
IPD Plan Description
IPD Sharing Time Frame
IPD Sharing Access Criteria
IPD Sharing Supporting Information Type
- STUDY_PROTOCOL
- SAP
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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