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- Essai clinique NCT07920809
A Study of HSK60002 Tablets in Participants With Moderate-to-Severe Atopic Dermatitis
A Phase Ib Clinical Study to Evaluate the Safety, Tolerability, Pharmacokinetics, Pharmacodynamics, and Preliminary Efficacy of HSK60002 Tablets in Participants With Moderate-to-Severe Atopic Dermatitis
This is a randomized, double-blind, placebo-controlled, Phase Ib study to evaluate the safety, tolerability, pharmacokinetics (PK), pharmacodynamics (PD), and preliminary efficacy of HSK60002 tablets in approximately 60 participants with moderate-to-severe atopic dermatitis (AD). Participants are randomized within one of three dose groups (10 mg once daily [QD], 30 mg QD, or 30 mg once weekly [QW]) in a 4:1 ratio to HSK60002 or matching placebo. Treatment is given orally for up to 16 weeks (Stage 1: Weeks 1-4; Stage 2: Weeks 5-16), followed by a safety follow-up visit approximately 2 weeks after the last dose.
Aperçu de l'étude
Statut
Les conditions
Intervention / Traitement
Type d'étude
Inscription (Estimé)
Phase
- La phase 1
Contacts et emplacements
Coordonnées de l'étude
- Nom: Yongrui Wang
- Numéro de téléphone: +86-28-67258840
- E-mail: wangyr@haisco.com
Critères de participation
Critère d'éligibilité
Âges éligibles pour étudier
Accepte les volontaires sains
Sexes éligibles pour l'étude
La description
Inclusion Criteria:
- Capable of understanding and voluntarily providing informed consent before participating in any study-specific procedures.
- Aged 18 to 75 years, inclusive, of any sex.
- Able to understand and complete study-related questionnaires/scales, agree to photographic documentation of skin lesions, and comply with the visit schedule and other protocol requirements.
- Diagnosed with atopic dermatitis according to the 2014 American Academy of Dermatology (AAD) criteria, with a history of AD or eczema for at least 6 months before screening, and stable AD disease, in the investigator's judgment, within 4 weeks before signing the informed consent form.
- EASI score ≥16 at both screening and baseline visits.
- vIGA-AD score ≥3 at both screening and baseline visits.
- AD-involved body surface area (BSA) ≥10% at both screening and baseline visits.
- Weekly average of daily Worst Itch Numeric Rating Scale (WI-NRS) score ≥4 at baseline.
- In the investigator's judgment, inadequate clinical response to and/or intolerance of AD topical therapy within 6 months before screening, or disease controlled with systemic therapy.
- Use of a stable dose of drug-free topical emollient applied twice daily for at least 7 consecutive days before the baseline visit, with continued use throughout the study.
- Agreement to use highly effective contraception throughout the study.
Exclusion Criteria:
- Any of the following treatments before the baseline visit: dupilumab or stapokibart (anti-IL-4Rα biologics) within 6 weeks; other known or potentially AD-affecting biologics within 12 weeks; systemic medications for AD within 4 weeks; topical AD therapy within 7 days; phototherapy for AD within 4 weeks.
- Prior treatment with IL-4R- or IL-13-targeted biologics or JAK inhibitors with inadequate clinical response, in the investigator's judgment.
- Administration of live attenuated vaccines within 12 weeks before baseline, or planned vaccination during the study.
- Use of antihistamines within 1 week before baseline.
- Allergen-specific immunotherapy within 6 months before baseline.
- Use of any investigational product within 4 weeks or 5 half-lives before randomization, whichever is longer.
- Clinically significant abnormal laboratory findings during screening.
- Other active skin diseases or skin infections that may affect the assessment of AD treatment response, as assessed by the investigator.
- Clinically significant chest X-ray or CT abnormality at screening.
- Possible active Mycobacterium tuberculosis infection; history of TB infection or current TB infection.
- History of invasive opportunistic infections.
- Rheumatic fever, rheumatoid arthritis, systemic lupus erythematosus, dermatomyositis, multiple sclerosis, Sjögren's syndrome, inflammatory bowel disease, or other autoimmune diseases that may affect efficacy and safety assessment, as evaluated by the investigator.
- Asthma requiring high-dose inhaled corticosteroids, systemic corticosteroids, or biologic therapy.
- Major surgery within 3 months before screening or planned during the study.
- Uncontrolled blood pressure despite antihypertensive treatment within 3 months before screening.
- Thromboembolic events within 6 months before screening.
- Uncontrolled clinically significant major medical conditions that would pose a safety risk, in the investigator's opinion.
- History of malignancy within 5 years before screening.
- History of atopic keratoconjunctivitis (AKC) involving the cornea, or history of vernal keratoconjunctivitis (VKC).
- Dysphagia, gastrointestinal surgery, or severe gastrointestinal disease that may interfere with the pharmacokinetics of the study drug.
- Active hepatitis B, positive hepatitis C antibody, syphilis infection, or HIV infection during screening.
- History of drug abuse, illicit drug use, or alcohol abuse within 3 months before screening.
- Use of any drugs that inhibit or induce hepatic drug-metabolizing enzymes within 28 days before the first dose of study drug.
- Consumption of grapefruit (or grapefruit-containing products) within 48 hours before the first dose of study drug, or unwillingness to abstain during the study.
- History of severe drug allergy or known allergy to the study drug or its excipients.
- Pregnant or lactating women, or women planning pregnancy or lactation during the study.
- Any other condition that, in the investigator's opinion, makes the participant unsuitable for the study.
Plan d'étude
Comment l'étude est-elle conçue ?
Détails de conception
- Objectif principal: Traitement
- Répartition: Randomisé
- Modèle interventionnel: Affectation parallèle
- Masquage: Double
Armes et Interventions
Groupe de participants / Bras |
Intervention / Traitement |
|---|---|
|
Expérimental: HSK60002 Dose 1 QD
|
HSK60002 tablets, oral administration. Placebo tablets, oral administration. |
|
Expérimental: HSK60002 Dose 2 QD
|
HSK60002 tablets, oral administration. Placebo tablets, oral administration. |
|
Expérimental: HSK60002 Dose 1 QW
|
HSK60002 tablets, oral administration. Placebo tablets, oral administration. |
Que mesure l'étude ?
Principaux critères de jugement
Mesure des résultats |
Description de la mesure |
Délai |
|---|---|---|
|
Number of Participants With Treatment-Emergent Adverse Events (AEs), Serious Adverse Events (SAEs), and Adverse Events of Special Interest (AESI)
Délai: From first dose (Day 1) through Week 16 (end of treatment) and the safety follow-up visit approximately 2 weeks after the last dose.
|
Safety and tolerability of HSK60002 tablets assessed by the incidence and severity of AEs, SAEs, and AESI, clinical laboratory tests (hematology, blood chemistry, urinalysis), 12-lead ECG, T-SPOT.TB test, chest X-ray or CT, vital signs, and physical examination. |
From first dose (Day 1) through Week 16 (end of treatment) and the safety follow-up visit approximately 2 weeks after the last dose.
|
Mesures de résultats secondaires
Mesure des résultats |
Description de la mesure |
Délai |
|---|---|---|
|
Area Under the Plasma Concentration-Time Curve (AUC) of HSK60002
Délai: Day 1 to Day 127
|
Day 1 to Day 127
|
|
|
Maximum Observed Plasma Concentration (Cmax) of HSK60002
Délai: Day 1 to Day 127
|
Day 1 to Day 127
|
|
|
Time to Reach Maximum Plasma Concentration (Tmax) of HSK6000
Délai: Day 1 to Day 127
|
Day 1 to Day 127
|
|
|
Terminal Elimination Half-Life (t1/2) of HSK60002
Délai: Day 1 to Day 127
|
Day 1 to Day 127
|
|
|
Proportion of Participants Achieving at Least a 75% Improvement From Baseline in Eczema Area and Severity Index (EASI-75) at Week 16
Délai: Baseline (Day -1) to Week 16
|
The Eczema Area and Severity Index (EASI) is a composite measure of the extent and severity of atopic dermatitis, with total scores ranging from 0 (no disease) to 72 (most severe disease); higher scores indicate more severe disease. EASI-75 is defined as at least a 75% improvement (reduction) in EASI score from baseline. |
Baseline (Day -1) to Week 16
|
|
Proportion of Participants Achieving at Least a 50% Improvement From Baseline in Eczema Area and Severity Index (EASI-50) at Week 16
Délai: Baseline to Week 16
|
The Eczema Area and Severity Index (EASI) is a composite measure of the extent and severity of atopic dermatitis, with total scores ranging from 0 (no disease) to 72 (most severe disease); higher scores indicate more severe disease. EASI-50 is defined as at least a 50% improvement (reduction) in EASI score from baseline. |
Baseline to Week 16
|
|
Proportion of participants achieving a validated Investigator's Global Assessment for Atopic Dermatitis (vIGA-AD) score of 0 or 1 with a reduction of ≥2 points from baseline.
Délai: Baseline to Week 16 and follow-up
|
The validated Investigator's Global Assessment for Atopic Dermatitis (vIGA-AD) is a 5-point scale ranging from 0 (clear) to 4 (severe), with higher scores indicating more severe disease. Treatment success is defined as a score of 0 (clear) or 1 (almost clear) with at least a 2-point reduction from baseline. |
Baseline to Week 16 and follow-up
|
|
Change from baseline in weekly average of daily Worst Itch Numeric Rating Scale (WI-NRS) score
Délai: Baseline to Week 16 and follow-up
|
The Worst Itch Numeric Rating Scale (WI-NRS) is an 11-point scale ranging from 0 (no itch) to 10 (worst imaginable itch), with higher scores indicating worse itch severity |
Baseline to Week 16 and follow-up
|
|
Change from baseline in percentage of body surface area (BSA) affected by Atopic Dermatitis (AD).
Délai: Baseline to Week 16 and follow-up
|
The percentage of body surface area (BSA) affected by atopic dermatitis ranges from 0% (no involvement) to 100% (full-body involvement), with higher percentages indicating greater extent of disease. |
Baseline to Week 16 and follow-up
|
|
Change from baseline in SCORing Atopic Dermatitis (SCORAD) score.
Délai: Baseline to Week 16 and follow-up
|
The SCORing Atopic Dermatitis (SCORAD) index is a composite measure of disease extent, intensity, and subjective symptoms (itch and sleep loss). Total scores range from 0 (no disease) to 103 (most severe disease), with higher scores indicating more severe atopic dermatitis. |
Baseline to Week 16 and follow-up
|
|
Change From Baseline in Patient-Oriented Eczema Measure (POEM) Score
Délai: Baseline to Week 16 and follow-up
|
The Patient-Oriented Eczema Measure (POEM) is a 7-item patient-reported questionnaire assessing symptoms of atopic dermatitis (itch, sleep disturbance, dryness, flaking, cracking, bleeding, and oozing/weeping) over the previous week. Total scores range from 0 (no symptoms) to 28 (most severe symptoms), with higher scores indicating more severe disease. |
Baseline to Week 16 and follow-up
|
|
Change From Baseline in Dermatology Life Quality Index (DLQI) Score
Délai: Baseline to Week 16 and follow-up
|
The Dermatology Life Quality Index (DLQI) is a 10-item patient-reported questionnaire assessing the impact of skin disease on quality of life over the previous week, covering symptoms and feelings, daily activities, leisure, work and school, personal relationships, and treatment burden. Total scores range from 0 (no impact) to 30 (maximum impact), with higher scores indicating greater impairment of quality of life. |
Baseline to Week 16 and follow-up
|
|
STAT6 protein levels in whole blood and skin tissue and change from baseline.
Délai: Baseline to Week 16 and follow-up
|
Baseline to Week 16 and follow-up
|
|
|
Change from baseline in serum Th2 biomarker(TARC).
Délai: Baseline to Week 16 and follow-up
|
Baseline to Week 16 and follow-up
|
Collaborateurs et enquêteurs
Parrainer
Dates d'enregistrement des études
Dates principales de l'étude
Début de l'étude (Estimé)
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
- Maladies de la peau, Génétique
- Maladies de la peau, eczémateux
- Dermatite
- Maladies et anomalies congénitales, héréditaires et néonatales
- Maladies de la peau et du tissu conjonctif
- Dermatite atopique
Autres numéros d'identification d'étude
- HSK60002-104
Plan pour les données individuelles des participants (IPD)
Prévoyez-vous de partager les données individuelles des participants (DPI) ?
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
produit fabriqué et exporté des États-Unis.
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