- ICH GCP
- Registre américain des essais cliniques
- Essai clinique NCT07599813
A Phase 2b Study of the Effects of Camoteskimab in Adults With Moderate-to-Severe Atopic Dermatitis
A Phase 2b, Multicenter, Randomized, Double-blind, Placebo-controlled Study to Evaluate the Efficacy and Safety of Camoteskimab in Adults With Moderate-to-Severe Atopic Dermatitis
Aperçu de l'étude
Statut
Les conditions
Intervention / Traitement
Description détaillée
This study contains two parts: Part 1 and Part 2.
Part 1 (24-Week Placebo-controlled Period):
Eligible patients will be randomized in a 1:1:1:1 ratio to receive either camoteskimab dose 1, camoteskimab dose 2, camoteskimab dose 3 or placebo.
Part 2 (Extension Period):
In part 2, all participants will receive camoteskimab.
This study will enroll both treatment-naive participants and those with an inadequate response to previous biologic therapy.
Type d'étude
Inscription (Estimé)
Phase
- Phase 2
Contacts et emplacements
Lieux d'étude
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Bad Bentheim, Allemagne
- Pas encore de recrutement
- Fachklinik Bad Bentheim
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Dresden, Allemagne
- Pas encore de recrutement
- University Hospital Dresden
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Frankfurt, Allemagne
- Pas encore de recrutement
- Universitatsklinikum Frankfurt Klinik fur Dermatologie, Venerologie und Allergologie
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Hamburg, Allemagne
- Pas encore de recrutement
- Dermatologikum Hamburg Gmbh
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Lübeck, Allemagne
- Pas encore de recrutement
- University of Luebeck
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Münster, Allemagne
- Pas encore de recrutement
- University Hospital of Muenster
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Witten, Allemagne
- Pas encore de recrutement
- Hautarztpraxis Dr. Hoffmann
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Burgas, Bulgarie
- Pas encore de recrutement
- Medical Center Medconsult Burgas EOOD
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Kazanlak, Bulgarie
- Pas encore de recrutement
- Medical Center Kazanlak EOOD
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Lovech, Bulgarie
- Pas encore de recrutement
- Medical Center Medconsult Pleven-Lovech Branch
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Pleven, Bulgarie
- Pas encore de recrutement
- Medical center Medconsult Pleven OOD
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Varna, Bulgarie
- Pas encore de recrutement
- Medical Centre Pratia Clinic EOOD
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Alberta
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Calgary, Alberta, Canada
- Pas encore de recrutement
- Beacon Dermatology
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Calgary, Alberta, Canada
- Pas encore de recrutement
- Laser Rejuvenation Clinics Edmonton D.T. Inc.
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Edmonton, Alberta, Canada
- Recrutement
- Laser Rejuvenation Clinics Edmonton D.T. Inc.
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Contact:
- Angela Tycholaz
- Numéro de téléphone: 5874095160
- E-mail: tycholaza@rejuv.ca
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Edmonton, Alberta, Canada
- Recrutement
- Rejuvenation Dermatology Clinic Edmonton South
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Contact:
- Angela Tycholaz
- Numéro de téléphone: 5877604265
- E-mail: tycholaza@rejuv.ca
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Ontario
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Mississauga, Ontario, Canada
- Recrutement
- DermEdge Research
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Contact:
- Mark Lomaga
- Numéro de téléphone: +1 905 274 9999
- E-mail: drlomaga@dermedge.com
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Toronto, Ontario, Canada
- Pas encore de recrutement
- FACET Dermatology
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Toronto, Ontario, Canada
- Recrutement
- North York Research Inc.
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Contact:
- North York Research Inc.
- Numéro de téléphone: 416-222-7546
- E-mail: maryam@bnderm.com
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Quebec
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Sherbrooke, Quebec, Canada
- Recrutement
- Centre de Recherche Saint-Louis (Sherbrooke)
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Contact:
- Evelyn Chinchilla
- Numéro de téléphone: 1-888-728-9142
- E-mail: eachinchilla@recherchestlouis.com
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Saskatchewan
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Saskatoon, Saskatchewan, Canada
- Recrutement
- Saskatoon Dermatology Centre
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Contact:
- Kyle Cullingham
- Numéro de téléphone: +1 306-373-0040
- E-mail: kcullingham@nosm.ca
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Alicante, Espagne
- Pas encore de recrutement
- Hospital General Universitario Dr. Balmis
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Badalona, Espagne
- Pas encore de recrutement
- Hospital Universitari Germans Trias i Pujol
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La Paz, Espagne
- Pas encore de recrutement
- Hospital Universitario La Paz
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Santiago de Compostela, Espagne
- Pas encore de recrutement
- Complejo Hospitalario Universitario de Santiago de Compostela
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Zaragoza, Espagne
- Pas encore de recrutement
- Hospital Universitario Miguel Servet
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Budapest, Hongrie
- Pas encore de recrutement
- Dept. Dermatology, Venereology and Dermatooncology, Semmelweis University
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Békéscsaba, Hongrie
- Pas encore de recrutement
- Trial Pharma Kft.
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Debrecen, Hongrie
- Pas encore de recrutement
- Debreceni Egyetem - Orvos es Egeszsegtudomanyi Centrum (DEOEC) (University of Debrecen Medical and Health Science Center)
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Pécs, Hongrie
- Pas encore de recrutement
- Pecsi Tudomanyegyetem
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Szeged, Hongrie
- Pas encore de recrutement
- University Of Szeged
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Szeged, Hongrie
- Pas encore de recrutement
- Komplex Labor Kft
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Bydgoszcz, Pologne
- Pas encore de recrutement
- NZOZ Centrum Medyczne KERmed
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Chojnice, Pologne
- Pas encore de recrutement
- OptiTrial
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Gdansk, Pologne
- Pas encore de recrutement
- Dermedea Clinic
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Katowice, Pologne
- Pas encore de recrutement
- CM Pratia Katowice
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Katowice, Pologne
- Pas encore de recrutement
- Provita Sp. z o. o.
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Kielce, Pologne
- Pas encore de recrutement
- Klinika Zdybski - Dermedic (Kielce)
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Lublin, Pologne
- Pas encore de recrutement
- Clinical Best Solution Sp. z o.o.
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Piotrkow Trybunalski, Pologne
- Pas encore de recrutement
- NZOZ Hipokrates
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Poznan, Pologne
- Pas encore de recrutement
- Twoja Przychodnia Poznanskie Centrum Medyczne Sp.
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Szczecin, Pologne
- Pas encore de recrutement
- Laser Clinic S.C. Andrzej Krolicki, Tomasz Kochanowski
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Szczecin, Pologne
- Pas encore de recrutement
- Twoja Przychodnia Szczecinskie Centrum Medyczne Sp. z o.o.
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Warsaw, Pologne
- Pas encore de recrutement
- Klinika Ambroziak Dermatologia
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Wroclaw, Pologne
- Pas encore de recrutement
- Medicus Clinic
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Wroclaw, Pologne
- Pas encore de recrutement
- Softskin Medical Center Dr Elzbieta Wojtowicz-Prus
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Ostrava, Tchéquie
- Pas encore de recrutement
- CCR Ostrava s.r.o.
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Pardubice, Tchéquie
- Pas encore de recrutement
- Pratia Pardubice a.s.
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Prague, Tchéquie
- Pas encore de recrutement
- CLINTRIAL s.r.o.
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Prague, Tchéquie
- Pas encore de recrutement
- Fakultni nemocnice Kralovske Vinohrady
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Prague, Tchéquie
- Pas encore de recrutement
- Praglandia s.r.o.
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Prague, Tchéquie
- Pas encore de recrutement
- Pratia Prague
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Alabama
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Birmingham, Alabama, États-Unis, 35209
- Recrutement
- Allervie Clinical Research
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Contact:
- Kendra Williams
- Numéro de téléphone: 205-209-4101
- E-mail: ACRAdmin@allervie.com
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Birmingham, Alabama, États-Unis, 35244
- Recrutement
- Cahaba Dermatology and Skin Health Center
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Contact:
- Jennifer Perry
- Numéro de téléphone: 205-778-1564
- E-mail: jperry@cahabaderm.com
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Arizona
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Phoenix, Arizona, États-Unis, 85018
- Recrutement
- Saguaro Dermatology Associates
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Contact:
- Dathan Hamann
- Numéro de téléphone: 480-562-3610
- E-mail: clinicaltrials@saguaroderm.com
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Arkansas
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Bryant, Arkansas, États-Unis, 72022
- Recrutement
- Dermatology Trial Associates, Inc
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Contact:
- Tim Dugan
- Numéro de téléphone: 501-655-6138
- E-mail: tdugan@burkepharmaceutical.com
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California
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Huntington Beach, California, États-Unis, 92648
- Recrutement
- Marvel Research, LLC
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Contact:
- Mathew Campos
- Numéro de téléphone: 714-375-5970
- E-mail: mcampos@marvelclinical.com
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Los Angeles, California, États-Unis, 90095
- Pas encore de recrutement
- University of California Los Angeles
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Contact:
- Hamiya Askaryar
- Numéro de téléphone: 424-365-4129
- E-mail: haskaryar@mednet.ucla.edu
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Los Angeles, California, États-Unis, 90025
- Recrutement
- Metropolis Dermatology
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Contact:
- Jayda Pham
- Numéro de téléphone: 424-393-0005
- E-mail: jayda.pham@metropolisderm.com
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Los Angeles, California, États-Unis, 90048
- Recrutement
- Dermatology Research Associates
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Contact:
- Nadia Trejo
- Numéro de téléphone: 310-337-7171
- E-mail: ntrejo@drsofen.com
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Northridge, California, États-Unis, 91325
- Recrutement
- Northridge Clinical Trials
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Contact:
- Evelyn Jasso
- Numéro de téléphone: 818-350-7483
- E-mail: ejasso@northridgetrials.com
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Sacramento, California, États-Unis, 95815
- Recrutement
- Integrative Skin Science and Research
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Contact:
- Sydney Fong
- Numéro de téléphone: 916-524-1216
- E-mail: recruitment@integrativeresearch.com
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Tarzana, California, États-Unis, 91356
- Pas encore de recrutement
- Valiance Clinical Research - Tarzana
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Contact:
- Jesse Padilla
- Numéro de téléphone: 213-880-1730
- E-mail: j.padilla@valianceclinicalresearch.com
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Colorado
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Wheat Ridge, Colorado, États-Unis, 80033
- Recrutement
- Paradigm Clinical Research Centers, LLC: Wheat Ridge
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Contact:
- Cassandra Clayton
- Numéro de téléphone: 303-463-1947
- E-mail: cclayton@paradigm-research.com
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Florida
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Cape Coral, Florida, États-Unis, 33904
- Recrutement
- ABMED Clinical Research Corp.
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Contact:
- Jorge Remedios
- Numéro de téléphone: 239-471-7595
- E-mail: jorger@abmedclinicalresearch.com
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Hollywood, Florida, États-Unis, 33021
- Recrutement
- Skin Care Research
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Contact:
- Kimberly Gardner
- Numéro de téléphone: 954-674-3535
- E-mail: Kgardner@dermcaremgt.com
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Miami, Florida, États-Unis, 33101
- Recrutement
- Quality Care Clinical Research
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Contact:
- Mariano Sanso
- Numéro de téléphone: 305-906-1994
- E-mail: msanso@qualitycareclinicalresearch.com
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Miami, Florida, États-Unis, 33155
- Recrutement
- FXM Clinical Research Miami, LLC
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Contact:
- FXM Administrative
- Numéro de téléphone: 954-368-4406
- E-mail: info@fxmresearch.com
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North Lauderdale, Florida, États-Unis, 33068
- Pas encore de recrutement
- Eminent Clinical Research and Associates
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Contact:
- Marie Moore
- Numéro de téléphone: 954-366-5373
- E-mail: admin@eminentclinicalresearch.com
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North Miami Beach, Florida, États-Unis, 33162
- Recrutement
- Ziaderm Research LLC
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Contact:
- Tory Sullivan
- Numéro de téléphone: 305-652-8600
- E-mail: drtory@sullivandermatology.com
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Tampa, Florida, États-Unis, 33614
- Pas encore de recrutement
- NMC Research LLC
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Contact:
- Dr Thomas M Taylor
- Numéro de téléphone: 813-374-0568
- E-mail: Researchteam@nmc-research.com
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Georgia
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Savannah, Georgia, États-Unis, 31406
- Pas encore de recrutement
- Georgia Skin & Cancer Center
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Contact:
- Dr. Sidney Smith
- Numéro de téléphone: 912-925-0067
- E-mail: sidney.smith@elligodirect.com
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Idaho
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Meridian, Idaho, États-Unis, 83646
- Recrutement
- Ada West Research, LLC
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Contact:
- Stacy Gonzales
- Numéro de téléphone: 208-279-1520
- E-mail: research@adawestdermatology.com
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Illinois
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Skokie, Illinois, États-Unis, 60077
- Pas encore de recrutement
- Endeavor Health
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Contact:
- Karla Radillo Mendoza
- Numéro de téléphone: 847-663-8530
- E-mail: karla.radillomendoza@endeavorhealth.com
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Indiana
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Clarksville, Indiana, États-Unis, 47129
- Recrutement
- DS Research of Southern Indiana,LLC
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Contact:
- Megan Vissing
- Numéro de téléphone: 812-213-9769
- E-mail: mvissing@dsresearch.com
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Indianapolis, Indiana, États-Unis, 46250
- Recrutement
- Dawes Fretzin Clinical Research Group, LLC
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Contact:
- Joannie Prusa
- Numéro de téléphone: 317-516-5030
- E-mail: jprusa@ecommunity.com
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Maryland
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Pasadena, Maryland, États-Unis, 21122
- Recrutement
- Chesapeake Clinical Research, Inc
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Contact:
- Jonathan Matz
- Numéro de téléphone: 410-931-1966
- E-mail: jonathanmatz@yahoo.com
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Nevada
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Reno, Nevada, États-Unis, 89509
- Recrutement
- Skin Cancer and Dermatology Institute
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Contact:
- Jennifer Craddock
- Numéro de téléphone: 775-336-3665
- E-mail: Jdiaz@skincancerderm.com
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New Jersey
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Clifton, New Jersey, États-Unis, 07013
- Pas encore de recrutement
- Trail Horizon
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Contact:
- Chirag Patel
- Numéro de téléphone: 732-798-0301
- E-mail: cpatel@trialhorizon.com
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New York
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New York, New York, États-Unis, 10021
- Recrutement
- Sadick Research Group, LLC
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Contact:
- Zoe Ataker
- Numéro de téléphone: 212-772-7243
- E-mail: zoe.ataker@sadickdermatology.com
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North Dakota
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Fargo, North Dakota, États-Unis, 58103
- Recrutement
- Red River Research Partners, LLC
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Contact:
- Gunar Loftsgard
- Numéro de téléphone: 701-997-1510
- E-mail: gunar@redriverresearchpartners.com
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Ohio
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Columbus, Ohio, États-Unis, 43213
- Recrutement
- ClinOhio Research Services
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Contact:
- Kelly Thomas
- Numéro de téléphone: 614-683-5800
- E-mail: Kthomas@clinohioresearch.com
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Pennsylvania
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Camp Hill, Pennsylvania, États-Unis, 17011
- Recrutement
- Best Skin Research, LLC
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Contact:
- Erin McDonald
- Numéro de téléphone: 717-385-5426
- E-mail: erin@bestskinresearch.com
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Pittsburgh, Pennsylvania, États-Unis, 15213
- Pas encore de recrutement
- UPMC Department of Dermatology
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Contact:
- Charity Ruhl
- Numéro de téléphone: 412-647-2013
- E-mail: ruhlcl@upmc.edu
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Texas
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San Antonio, Texas, États-Unis, 78213
- Recrutement
- Progressive Clinical Research, PA
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Contact:
- Jamie Renker
- Numéro de téléphone: 210-614-5557
- E-mail: jrenker@progclin.com
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Critères de participation
Critère d'éligibilité
Âges éligibles pour étudier
- Adulte
- Adulte plus âgé
Accepte les volontaires sains
La description
Inclusion Criteria:
- Age 18-65 inclusive, at the time of signing the informed consent.
- Chronic AD for at least 1 year based on clinically confirmed diagnosis of active AD, according to Hanfin and Rajka criteria.
Participants with moderate-to-severe AD defined by:
- Investigator global assessment (IGA) score of ≥ 3 (on a scale of 0 to 4, in which three is moderate and four is severe) at Screening and Baseline.
- AD involvement of ≥ 10% body surface area (BSA) at Screening and Baseline.
- EASI score of ≥ 16 at Screening and at Baseline.
- Peak pruritus numerical rating scale (PP-NRS) ≥ 4 at Baseline. Note: The PP-NRS will be calculated from the 7 consecutive days immediately preceding Baseline. A minimum of 4 daily scores out of the 7 days is needed.
- Participants who are candidates for systemic therapy, defined as history of inadequate response to topical AD treatments applied for at least 28 days, or for the maximum duration recommended by the product prescribing information, or for treatment with topical AD treatments is medically inadvisable due to important side effects or safety risks.
- Contraceptive use should be consistent with local regulations regarding the methods of contraception for those participating in clinical studies.
- Participant provides signed informed consent
Exclusion Criteria:
- History or other evidence of severe illness or any other conditions such as psychiatric illness, severe depression or previous history of suicidal attempt in past 10 years that would render the participant, in the opinion of the Investigator, unsuitable for the study.
- Active, chronic or acute infection requiring systemic antibiotics, antivirals, antiparasitics, antiprotozoals, or antifungals within 2 weeks before the Baseline.
- Participant has a current diagnosis of other active skin disease (e.g., psoriasis or lupus erythematosus) or skin infection (bacterial, fungal, or viral) that may affect the evaluation of AD or would interfere with the study assessments based on the Investigator's judgement.
- Participant has history of significant flares of AD within 4 weeks prior to screening, in the opinion of the investigator.
- Participant has a severe comorbidity that may require systemic steroids therapy or other interventions or requires active frequent monitoring (e.g., unstable chronic asthma) based on investigator judgement.
- Any clinically significant abnormalities in rhythm, conduction or morphology of the resting electrocardiogram (ECG) and any clinically significant abnormalities in the 12-lead ECG as considered by the Investigator that may interfere with the interpretation of QTc interval changes.
- Participant has severe and uncontrolled seasonal or allergic rhinitis, severe and uncontrolled asthma or any other severe and uncontrolled atopic disease as judged by the Investigator.
- Treatment of AD with medicated moisturizers available only by prescription within 2 weeks prior to the Baseline visit.
- Active human immunodeficiency virus (HIV): confirmed positive anti-HIV antibody (HIV Ab) test.
- Active hepatitis B virus (HBV): hepatitis B surface antigen (HBs Ag) positive (+) or hepatitis B core antibody (HBc Ab) positive (+) confirmed by HBV PCR positive (+).
- Active hepatitis C virus (HCV): If hepatitis C antibody positive (+), confirmed by HCV RNA test. Note: a participant with documented proof of cure from HCV may be enrolled.
- Evidence of active or latent tuberculosis.
- Receipt of live or attenuated live vaccine within 6 weeks prior to screening.
- Participant had a major surgery within 8 weeks prior to Baseline or has a major surgery planned during the study.
- Participant is known to have immune deficiency or is immunocompromised
Diagnosed with a malignancy within 5 years of enrollment (suspected malignancy should be ruled out by blood or tissue biopsy, as applicable) with the exception of:
- Completely resected basal cell or squamous cell carcinoma of the skin.
- Carcinoma in situ of the cervix.
- Has had previous exposure to anti-IL-18 therapy.
- Known allergy/sensitivity to any component of IMP.
History of use of any of these medications as follows:
- Dupilumab, tralokinumab, lebrikizumab, nemolizumab within 8 weeks prior to Baseline.
- Systemic JAKi within 4 weeks prior to Baseline.
- Any topical medicated treatment that could affect AD within 2 weeks prior to Baseline, including, but not limited to, topical corticosteroids, topical phosphodiesterase (PDE4) inhibitors, topical calcineurin inhibitors, topical JAKi, tars, antimicrobials, medical devices, and bleach baths.
- Systemic therapies (other than biologics) that could affect AD not noted above, within 4 weeks prior to Baseline, including but not limited to, retinoids, calcineurin inhibitors, methotrexate, hydroxycarbamide (hydroxyurea), azathioprine, oral/injectable corticosteroids. Note: Intranasal corticosteroids and inhaled corticosteroids are allowed. Eye and ear drops containing corticosteroids are also allowed.
- Treatment with any investigational biologic agent or biologic agent approved after publication of this protocol, within 12 weeks (or 5 half-lives, whichever is greater) of screening.
- Treatment with any investigational nonbiologic agent, or any investigational device or procedure, within 4 weeks (or 5 half-lives, whichever is greater) of screening.
- UV-B phototherapy (including tanning beds) or excimer laser use within 4 weeks prior to Baseline or during the study.
- PUVA treatment within 4 weeks prior to Baseline
- Sedating antihistamines, including but not limited to doxepin, hydroxyzine or diphenhydramine within 1 week prior to Baseline
- Topical products containing urea within 1 week prior to Baseline
- Systemic antibiotics within 2 weeks or topical antibiotics within 1 week prior to Baseline
- Intravenous immunoglobulin (IVIg) therapy within 12 weeks prior to Baseline.
- Female participant who is pregnant or breastfeeding or trying to conceive.
- Participant considered unlikely to adhere to treatment and/or follow the protocol in the opinion of the Investigator.
Plan d'étude
Comment l'étude est-elle conçue ?
Détails de conception
- Objectif principal: Traitement
- Répartition: Randomisé
- Modèle interventionnel: Affectation parallèle
- Masquage: Quadruple
Armes et Interventions
Groupe de participants / Bras |
Intervention / Traitement |
|---|---|
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Comparateur placebo: Placebo
Dummy version of the study drug administered subcutaneously
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Substance inactive
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Expérimental: Camoteskimab Dose Level 1
Camoteskimab administered subcutaneously
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Produit médicamenteux
Autres noms:
|
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Expérimental: Camoteskimab Dose Level 2
Camoteskimab administered subcutaneously
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Produit médicamenteux
Autres noms:
|
|
Expérimental: Camoteskimab Dose Level 3
Camoteskimab administered subcutaneously
|
Produit médicamenteux
Autres noms:
|
Que mesure l'étude ?
Principaux critères de jugement
Mesure des résultats |
Description de la mesure |
Délai |
|---|---|---|
|
Percentage change from baseline in Eczema Area and Severity Index (EASI) between camoteskimab and placebo at Week 24
Délai: From Baseline visit until Week 24 visit
|
An EASI score is a tool used to measure the extent (area) and severity of atopic eczema.
The EASI utilizes area assessments that rate the four involved regions on a 0% to 100% scale for each region.
The scores are added up for each of the four body regions (head, arms, trunk, and legs).
For each of these components, the individual scores are added together to calculate the EASI score, which ranges from 0 to 72.
The higher the EASI score, the more severe the AD.
|
From Baseline visit until Week 24 visit
|
Mesures de résultats secondaires
Mesure des résultats |
Description de la mesure |
Délai |
|---|---|---|
|
Proportion of participants achieving at least 75% improvement from baseline in EASI (EASI-75)
Délai: 24 weeks
|
To further assess the efficacy of camoteskimab in participants with moderate-to-severe AD via the Eczema Area and Severity Index (EASI) which measures the severity of clinical signs in atopic dermatitis (AD).
|
24 weeks
|
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Proportion of participants with vIGA-AD 0/1 and a decrease in vIGA-AD of ≥ 2 points from baseline
Délai: 24 weeks
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To further assess the efficacy of camoteskimab in participants with moderate-to-severe AD via Validated Investigator's Global Assessment Scale, which provides a global clinical assessment of AD severity
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24 weeks
|
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Proportion of participants with an improvement of ≥ 4 or more points from baseline in peak pruritus NRS (PP-NRS) weekly average of the daily scores
Délai: 24 weeks
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To further assess the efficacy of camoteskimab in participants with moderate-to-severe AD via the Peak Pruritus Numerical Rating Scale, which assesses itch severity.
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24 weeks
|
Collaborateurs et enquêteurs
Parrainer
Dates d'enregistrement des études
Dates principales de l'étude
Début de l'étude (Réel)
Achèvement primaire (Estimé)
Achèvement de l'étude (Estimé)
Dates d'inscription aux études
Première soumission
Première soumission répondant aux critères de contrôle qualité
Première publication (Réel)
Mises à jour des dossiers d'étude
Dernière mise à jour publiée (Réel)
Dernière mise à jour soumise répondant aux critères de contrôle qualité
Dernière vérification
Plus d'information
Termes liés à cette étude
Termes MeSH pertinents supplémentaires
- Maladies génétiques, innées
- Maladies du système immunitaire
- Hypersensibilité immédiate
- Hypersensibilité
- Maladies de la peau, Génétique
- Maladies de la peau, eczémateux
- Maladies et anomalies congénitales, héréditaires et néonatales
- Maladies de la peau et du tissu conjonctif
- Dermatite atopique
- Dermatite
- Eczéma
- Maladies de la peau
Autres numéros d'identification d'étude
- AP43CP04
Informations sur les médicaments et les dispositifs, documents d'étude
Étudie un produit pharmaceutique réglementé par la FDA américaine
Étudie un produit d'appareil réglementé par la FDA américaine
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