Uno studio a lungo termine della medicina chiamata Abocitinib nei bambini di età pari o superiore a 2 anni con eczema da moderato a grave
Un studio di fase 3, multicentrico, a lungo termine, a marchio aperto che valuta la sicurezza e l'efficacia di Abocitinib, con o senza farmaci topici somministrati a partecipanti pediatrici di età pari o superiore a 2 anni con dermatite atopica da moderata a grave
This 24-month study will assess the long-term safety and efficacy of liquid abrocitinib oral suspension with or without topical medications in children 2 years of age or older with moderate-to-severe atopic dermatitis. The study will enroll two groups: participants who have completed other abrocitinib studies and participants who have never participated in abrocitinib studies.
Panoramica dello studio
Stato
Stato
Condizioni
Condizioni
Intervento / Trattamento
Intervento / Trattamento
Descrizione dettagliata
Phase 3, open-label study to assess the long-term safety and efficacy of liquid abrocitinib oral suspension with or without topical medications in children ≥2 years of age with moderate-to-severe atopic dermatitis (AD). This study will enroll participants in two cohorts: an extension cohort of participants who previously completed prior abrocitinib studies, and a de novo cohort of participants (6 to <12 years of age) who have not participated in previous abrocitinib studies. Study duration will be up to 2 years (or commercial availability, whichever occurs earlier). The study will enroll a maximum of approximately 500 participants with moderate-to-severe Atopic Dermatitis from study sites globally (extension cohort will enroll up to 320 participants; de novo cohort will enroll approximately 180 participants). All participants will receive the study intervention abrocitinib oral suspension.
Tipo di studio
Tipo di studio
Iscrizione (Stimato)
Iscrizione
Fase
Fase
- Fase 3
Contatti e Sedi
Contatto studio
Contatto studio
- Nome: Pfizer CT.gov Call Center
- Numero di telefono: 1-800-718-1021
- Email: ClinicalTrials.gov_Inquiries@pfizer.com
Luoghi di studio
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Shanghai, Cina, 200062
- Reclutamento
- Shanghai Children's Hospital
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Shanghai, Cina, 200092
- Reclutamento
- Xinhua Hospital Affiliated to Shanghai JiaoTong University School of Medicine
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Beijing Municipality
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Beijing, Beijing Municipality, Cina, 100045
- Reclutamento
- Beijing Children's hospital, Capital Medical University
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Guangdong
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Shenzhen, Guangdong, Cina, 518026
- Reclutamento
- Shenzhen Children's Hospital
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Hunan
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Changsha, Hunan, Cina, 410007
- Reclutamento
- Hunan Children's Hospital
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Jiangxi
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Nanchang, Jiangxi, Cina, 330000
- Non ancora reclutamento
- Dermatology Hospital of Jiangxi Province
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Zhejiang
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Hangzhou, Zhejiang, Cina, 310009
- Reclutamento
- Hangzhou Third People's Hospital
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Fukuoka, Giappone, 811-1394
- Reclutamento
- Fukuoka National Hospital
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Fukuoka, Giappone, 819-0042
- Reclutamento
- Saruta Dermatology Clinic
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Kanagawa
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Yokohama, Kanagawa, Giappone, 220-6208
- Reclutamento
- Queen's square Medical Facilities Queen's square Dermatology and Allergology
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Osaka
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Sakai, Osaka, Giappone, 593-8324
- Reclutamento
- Dermatology and Ophthalmology Kume Clinic
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Tokyo
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Setagaya-ku, Tokyo, Giappone, 157-0066
- Reclutamento
- Sasamoto Children's Clinic
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Chihuahua City, Messico, 31238
- Non ancora reclutamento
- Servicios Hospitalarios de Mexico S.A. DE C.V.
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Mexico City
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Mexico City, Mexico City, Messico, 06720
- Non ancora reclutamento
- Hospital Infantil de Mexico Federico Gomez
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Nuevo León
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Monterrey, Nuevo León, Messico, 64718
- Non ancora reclutamento
- Eukarya Pharmasite S.C.
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Veracruz Ignacio de LA Llave
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Veracruz, Veracruz Ignacio de LA Llave, Messico, 91900
- Non ancora reclutamento
- Arké SMO S.A de C.V
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Lesser Poland Voivodeship
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Krakow, Lesser Poland Voivodeship, Polonia, 30-002
- Reclutamento
- Specjalistyczny Gabinet Dermatologiczny Aplikacyjno-Badawczy, Marek Brzewski, Paweł Brzewski spółka cywilna
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Lublin Voivodeship
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Lublin, Lublin Voivodeship, Polonia, 20-573
- Reclutamento
- LUXDERM Specjalistyczny Gabinet Dermatologiczny prof. dr hab. n. med. Dorota Krasowska
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Masovian Voivodeship
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Warsaw, Masovian Voivodeship, Polonia, 02-625
- Reclutamento
- Centrum Medyczne Evimed
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Silesian Voivodeship
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Chorzów, Silesian Voivodeship, Polonia, 41-500
- Reclutamento
- DERMAPOLIS Medical Dermatology Center dr n. med. Edyta Gebska
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Łódź Voivodeship
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Lodz, Łódź Voivodeship, Polonia, 90-436
- Reclutamento
- Dermoklinika - Centrum Medyczne spółka cywilna M. Kierstan, J. Narbutt, A. Lesiak
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Świętokrzyskie Voivodeship
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Ostrowiec Świętokrzyski, Świętokrzyskie Voivodeship, Polonia, 27-400
- Reclutamento
- Dermedic Jacek Zdybski
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Zaragoza, Spagna, 50009
- Reclutamento
- Hospital Universitario Miguel Servet
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A Coruña [LA Coruña]
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Santiago de Compostela, A Coruña [LA Coruña], Spagna, 15706
- Reclutamento
- CHUS - Hospital Clinico Universitario
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Barcelona
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Granollers, Barcelona, Spagna, 08402
- Reclutamento
- Hospital General de Granollers
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Alabama
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Birmingham, Alabama, Stati Uniti, 35244
- Reclutamento
- Cahaba Dermatology & Skin Health Center
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Arkansas
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North Little Rock, Arkansas, Stati Uniti, 72117
- Reclutamento
- Arkansas Research Trials
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California
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San Diego, California, Stati Uniti, 92123
- Reclutamento
- Investigational Drug Service - Rady Childrens Hospital-San Diego
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San Diego, California, Stati Uniti, 92123
- Reclutamento
- University of California, San Diego/ Rady Children's Hospital - San Diego
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Florida
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Jacksonville, Florida, Stati Uniti, 32256
- Reclutamento
- Solutions Through Advanced Research
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Idaho
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Meridian, Idaho, Stati Uniti, 83646
- Reclutamento
- Ada West Research - Meridian
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Indiana
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Indianapolis, Indiana, Stati Uniti, 46250
- Reclutamento
- Dawes Fretzin Clinical Research Group, LLC
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Missouri
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St Louis, Missouri, Stati Uniti, 63104
- Reclutamento
- Saint Louis University
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South Carolina
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Charleston, South Carolina, Stati Uniti, 29425
- Reclutamento
- Medical University of South Carolina - South Carolina Translational Research Nexus Clinic
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Greenville, South Carolina, Stati Uniti, 29607
- Reclutamento
- Tribe Clinical Research, LLC
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Texas
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San Antonio, Texas, Stati Uniti, 78235
- Reclutamento
- Texas Dermatology and Laser Specialists
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Baranya
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Pécs, Baranya, Ungheria, 7632
- Reclutamento
- Pécsi Tudományegyetem Klinikai Központ
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Bekes County
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Békéscsaba, Bekes County, Ungheria, 5600
- Reclutamento
- Trial Pharma Kft.
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Csongrád-csanád
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Szeged, Csongrád-csanád, Ungheria, 6720
- Non ancora reclutamento
- University of Szeged
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Pest County
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Budapest, Pest County, Ungheria, 1033
- Reclutamento
- Clinexpert Kft.
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Criteri di partecipazione
Criteri di ammissibilità
Criteri di ammissibilità
Età idonea allo studio
Accetta volontari sani
Sessi ammissibili allo studio
Descrizione
Inclusion Criteria for the Extension Cohort:
1. Participants who have completed the treatment phase of the qualifying parent study (age 2 to <12 years old).
• No contraception methods are required for male participants. Female participants must not be pregnant or breastfeeding and, if the participant is of child-bearing potential, must use a highly effective form of contraception (i.e., abstinence) during the study intervention period and for at least 28 days after the last dose of study intervention.
Inclusion Criteria for the De Novo Cohort:
Age
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Children aged 6 to <12 years at the time of informed consent/assent.
• No contraception methods are required for male participants.
Disease Characteristics:
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Participants who meet all of the following AD criteria:
- A documented diagnosis of chronic AD for at least 6 months prior to screening and confirmed at screening and baseline visits according to the Hanifin and Rajka criteria; and
- A diagnosis of moderate-to-severe AD at the baseline visit (must fulfill all of the following criteria: BSA ≥10%, vIGA ≥3, EASI ≥16, and WI-NRS ≥4); and
- Documented history (within 6 months of the screening visit) of inadequate response to treatment with topical medical therapy for AD (eg, TCS and TCI), for at least 4 weeks and are candidates for systemic therapy.
Other Inclusion Criteria:
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Body weight ≥15 kg
Exclusion Criteria for the Extension Cohort:
Medical Conditions:
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Any medical or psychiatric condition including any active suicidal ideation in the past year or suicidal behavior in the past 5 years or laboratory abnormality that may increase the risk of study participation or, in the investigator's judgment, make the participant inappropriate for the study.
If the participant has SDQ total score ≥17, the investigator should exclude the child or refer them to a pediatric MHP to determine if it is safe to participate in the study. A copy or summary of the evaluation should be placed in the site source documents.
Prior/Concomitant Therapy:
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Required use of any prohibited concomitant treatments outlined in Section 6.9.3 and Appendix 9 of study protocol.
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Required vaccination with live attenuated vaccines during study treatment and for 6 weeks after discontinuing study treatment.
Diagnostic Assessments:
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Ongoing adverse event in the parent studies which in the opinion of the investigator, or sponsor, is an ongoing safety concern OR the participant is currently triggering safety monitoring criteria.
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Discontinued from treatment early in the parent studies OR triggered a discontinuation criterion at any point during the parent studies OR meets exclusion criteria from the parent studies which in the opinion of the investigator, or sponsor, is an ongoing safety concern.
Exclusion Criteria for the De Novo Cohort
Medical Conditions:
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Any medical or psychiatric condition including any active suicidal ideation in the past year or suicidal behavior in the past 5 years or laboratory abnormality that may increase the risk of study participation or, in the investigator's judgment, make the participant inappropriate for the study.
If the participant has SDQ total score ≥17, the investigator should exclude them or refer the child to a pediatric MHP to determine if it is safe to participate in the study. A copy or summary of the evaluation should be placed in the site source documents.
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Have any of the following medical conditions:
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Infections:
- Skin infections that require treatment with systemic antimicrobials within 2 weeks prior to Day 1 (baseline) or have superficial skin infections within 1 week of Day 1.
- History of systemic infection requiring hospitalization or parenteral antimicrobial therapy or as otherwise judged clinically significant by the investigator within 1 month prior to Day 1.
- Have a history (single episode) of disseminated herpes zoster or disseminated herpes simplex, or a recurrent localized, dermatomal herpes zoster.
- Infection with HIV, hepatitis B, and/or hepatitis C
- Evidence of active TB or inadequately treated latent TB.
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Skin Conditions:
- Including but not limited to psoriasis, seborrheic dermatitis or lupus on Day 1 that would interfere with evaluation of AD or response to treatment.
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Other Conditions:
- Documented history of skeletal dysplasia.
- Documented history of retinal detachment.
- History of or conditions associated with thrombocytopenia, coagulopathy or platelet dysfunction.
- Prior history of leukemia, lymphoma, sarcoma or any other malignancy.
- Immunodeficiency disorder or a first-degree relative with a hereditary immunodeficiency.
- Any other medical conditions that in the investigator's judgment make the participant inappropriate for the study.
Prior/Concomitant Therapy:
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Prior treatment with a systemic JAK inhibitor for AD.
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Live attenuated vaccination within 6 weeks prior to Day 1 or require vaccination with live attenuated vaccines during treatment or within 6 weeks after the last dose of study intervention.
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Concomitant use of strong inhibitors and inducers of CYP2C19 enzymes and strong inducers of CYP2C9 enzymes is not allowed in the study.
Prior/Concurrent Clinical Study Experience:
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Previous administration of an investigational drug within 30 days or 5 half lives, whichever is longer, of Day 1.
Diagnostic Assessments:
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Hepatic and/or renal and/or hematological abnormalities defined as:
- AST >2 x ULN
- Hemoglobin <10 g/dL
- ALT >2 x ULN
- ANC <1000/mm3
- Total bilirubin ≥1.5 x ULN
- ALC <500/mm3
- eGFR <60 mL/min/1.73 m2
- Platelets <150,000 /mm3
Other Exclusion Criteria:
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Investigator site staff directly involved in the conduct of the study and their family members, site staff otherwise supervised by the investigator, and sponsor and sponsor delegate employees directly involved in the conduct of the study and their family members.
Piano di studio
Come è strutturato lo studio?
Dettagli di progettazione
- Scopo principale: Trattamento
- Assegnazione: Non randomizzato
- Modello interventistico: Assegnazione di gruppo singolo
- Mascheramento: Nessuno (etichetta aperta)
Numero di armi
Armi e interventi
Gruppo di partecipanti / ArmGruppo di partecipanti / Arm |
Intervento / TrattamentoIntervento / Trattamento |
|---|---|
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Sperimentale: Extension
Patients who have completed other abrocitinib studies |
Abrocitinib administered as liquid oral suspension.
Altri nomi:
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Sperimentale: De novo
Patients who have not participated other abrocitinib studies |
Abrocitinib administered as liquid oral suspension.
Altri nomi:
|
Cosa sta misurando lo studio?
Misure di risultato primarie
Misure di risultato primarie
Misura del risultato |
Misura Descrizione |
Lasso di tempo |
|---|---|---|
|
Number of Participants with Treatment-Emergent Adverse Events (TEAEs), Serious Adverse Events (SAEs), and adverse events (AEs) that lead to study discontinuation
Lasso di tempo: 0-24 months
|
The number of the treatment emergent adverse events, serious adverse events and adverse events leading to discontinuation among patients with moderate-to-severe disease treated with abrocitinib regardless of discontinuation from study treatment. |
0-24 months
|
Misure di risultato secondarie
Misure di risultato secondarie
Misura del risultato |
Misura Descrizione |
Lasso di tempo |
|---|---|---|
|
Number of Participants With Clinically Significant Laboratory Abnormalities
Lasso di tempo: 0-24 months
|
The number of clinically significant laboratory abnormalities among participants with moderate-to-severe disease treated with abrocitinib. |
0-24 months
|
|
Response based on achieving Validated Investigator's Global Assessment (vIGA) score of clear (0) or almost clear (1) (on a 5-point scale) and a 2 -point reduction from baseline at all scheduled time points
Lasso di tempo: Baseline, 24 months
|
Proportion of responders based on vIGA at all scheduled time points in patients with moderate-to-severe disease treated with abrocitinib |
Baseline, 24 months
|
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Percentage of Response based on achieving a ≥4 point improvement from baseline in the Worst Itch Numerical Rating Scale (WI-NRS) at all scheduled time points in participants aged ≥2 to <6 years
Lasso di tempo: 0-24 months
|
Percentage of responders based on achieving an improvement ≥4 points from baseline at all scheduled time points in the WI-NRS (in patients aged ≥2 to <6 years) with moderate-to-severe disease treated with abrocitinib. |
0-24 months
|
|
Percentage of Response based on achieving a ≥4-point improvement from baseline in the WSI-NRS at all scheduled time points in participants aged ≥6 to 12 years
Lasso di tempo: 0-24 months
|
Percentage of responders based on achieving an improvement ≥4 points from baseline at all scheduled time points in the WSI-NRS (in patients aged ≥6 to 12 years) with moderate-to-severe disease treated with abrocitinib. |
0-24 months
|
|
Percentage of Responders based on achieving Eczema Area and Severity Index (EASI)-50, EASI-90 and EASI-100 at all scheduled time points in participants with moderate-to-severe disease treated with abrocitinib
Lasso di tempo: 0-24 months
|
Percentage of response based on achieving ≥50%, ≥90%, 100% improvement from parent study baseline in the EASI total score (EASI-50, EASI-90, EASI-100) at all scheduled time points. |
0-24 months
|
|
Percent Change from Baseline (CFB) in EASI total score at all scheduled time points.
Lasso di tempo: 0-24 months
|
Mean percent CFB in EASI total score at all scheduled time points in patients with moderate-to-severe disease treated with abrocitinib |
0-24 months
|
|
Percentage of Participants with Flares
Lasso di tempo: 0-24 months
|
Percentage of participants reporting flares in patients with moderate-to-severe disease treated with abrocitinib. |
0-24 months
|
|
CFB in the percentage Body Surface Area (BSA) affected at all scheduled time points
Lasso di tempo: 0-24 months
|
Mean CFB in BSA affected at all scheduled time points in patients with moderate-to-severe disease treated with abrocitinib. |
0-24 months
|
|
CFB in Children's Dermatology Life Quality Index (CDLQI) at all scheduled time points.
Lasso di tempo: 0-24 months
|
Mean CFB in CDLQI at all scheduled time points in participants aged ≥4 to <16 years with moderate-to-severe disease treated with abrocitinib. |
0-24 months
|
|
CFB in in Infants' Dermatitis Quality of Life (IDQOL) Index at all scheduled time points
Lasso di tempo: 0-24 months
|
Mean CFB in IDQOL Index or CDQLI depending on age at all scheduled time points in participants aged <4 years with moderate-to-severe disease treated with abrocitinib |
0-24 months
|
|
CFB in Patient-Oriented Eczema Measure (POEM) at all scheduled time points
Lasso di tempo: 0-24 months
|
Mean CFB in POEM at all scheduled time points in participants with moderate-to-severe disease treated with abrocitinib. |
0-24 months
|
|
CFB in Dermatitis Family Impact (DFI) at all scheduled time points
Lasso di tempo: 0-24 months
|
Mean CFB in DFI at all scheduled time points in participants with moderate-to-severe disease treated with abrocitinib. |
0-24 months
|
|
CFB in Patient Global Impression of Severity (PGIS) at all scheduled time points
Lasso di tempo: 0-24 months
|
Mean CFB in PGIS (in patients aged 6 to <12 years) at all scheduled time points in patients with moderate-to-severe disease treated with abrocitinib. |
0-24 months
|
|
CFB in Observer Reported Global Impression of Severity (OGIS) at all scheduled time points
Lasso di tempo: 0-24 months
|
Mean CFB in OGIS (in patients aged 2 to <6 years) at all scheduled time points in patients with moderate-to-severe disease treated with abrocitinib |
0-24 months
|
|
CFB in the the EuroQol- 5 Dimension Youth (EQ-5D-Y)
Lasso di tempo: 0-24 months
|
Mean CFB in EQ-5D-Y at all scheduled time points in patients with moderate-tosevere AD treated with abrocitinib versus placebo. |
0-24 months
|
|
Number of topical corticosteroid and /or topical calcineurin inhibitor free days
Lasso di tempo: 0-24 months
|
Mean number of days free from topical corticosteroids and /or topical calcineurin inhibitor use in patients with moderate-to-severe disease treated with abrocitinib. |
0-24 months
|
|
Percentage of Participants Achieving satisfactory response in Tdap/DTaP and/or pneumococcal antibody titers as appropriate in participants who receive Tdap/DTaP and/or pneumococcal vaccinations
Lasso di tempo: 0-24 months
|
For patients that receive Tdap/ DTap and/or pneumococcal vaccinations during the study, the proportion of patients treated with abrocitinib who achieve satisfactory immunogenicity at 4 weeks after receiving the vaccinations. |
0-24 months
|
Collaboratori e investigatori
Sponsor
Sponsor
Investigatori
Investigatori
- Direttore dello studio: Pfizer CT.gov Call Center, Pfizer
Pubblicazioni e link utili
Studiare le date dei record
Studia le date principali
Inizio studio (Effettivo)
Inizio studio
Completamento primario (Stimato)
Completamento primario
Completamento dello studio (Stimato)
Completamento dello studio
Date di iscrizione allo studio
Primo inviato
Primo inviato
Primo inviato che soddisfa i criteri di controllo qualità
Primo inviato che soddisfa i criteri di controllo qualità
Primo Inserito (Effettivo)
Primo Inserito
Aggiornamenti dei record di studio
Ultimo aggiornamento pubblicato (Effettivo)
Ultimo aggiornamento pubblicato
Ultimo aggiornamento inviato che soddisfa i criteri QC
Ultimo aggiornamento inviato che soddisfa i criteri QC
Ultimo verificato
Ultimo verificato
Maggiori informazioni
Termini relativi a questo studio
Parole chiave
Termini MeSH pertinenti aggiuntivi
- Malattie genetiche, congenite
- Malattie del sistema immunitario
- Ipersensibilità, immediata
- Ipersensibilità
- Malattie della pelle
- Malattie della pelle, genetiche
- Malattie della pelle, eczematose
- Dermatite
- Malattie e anomalie congenite, ereditarie e neonatali
- Malattie della pelle e del tessuto connettivo
- Dermatite, atopica
- Eczema
- Abrocitinib
Altri numeri di identificazione dello studio
Altri numeri di identificazione dello studio
- B7451031
- 2023-509124-18-00 (Identificatore di registro: CTIS (EU))
- 2023 (Sovvenzione/contratto NIH degli Stati Uniti)
Piano per i dati dei singoli partecipanti (IPD)
Hai intenzione di condividere i dati dei singoli partecipanti (IPD)?
Descrizione del piano IPD
Pfizer will provide access to individual de-identified participant data and related study documents (e.g. protocol, Statistical Analysis Plan (SAP), Clinical Study Report (CSR)) upon request from qualified researchers, and subject to certain criteria, conditions, and exceptions. Further details on Pfizer's data sharing criteria and process for requesting access can be found at: https://www.pfizer.com/science/clinical_trials/trial_data_and_results/data_requests.
Informazioni su farmaci e dispositivi, documenti di studio
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Studia un dispositivo regolamentato dalla FDA degli Stati Uniti
Queste informazioni sono state recuperate direttamente dal sito web clinicaltrials.gov senza alcuna modifica. In caso di richieste di modifica, rimozione o aggiornamento dei dettagli dello studio, contattare register@clinicaltrials.gov. Non appena verrà implementata una modifica su clinicaltrials.gov, questa verrà aggiornata automaticamente anche sul nostro sito web .