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A Study to Learn About the Study Medicine Called Tilrekimig in People With Moderate-to Severe Eczema (Tilrek)
A RANDOMIZED, DOUBLE-BLIND, DOUBLE-DUMMY, PARALLEL GROUP, ACTIVE- AND PLACEBO-CONTROLLED PHASE 3 MONOTHERAPY STUDY WITH MAINTENANCE PERIOD TO INVESTIGATE THE EFFICACY AND SAFETY OF TILREKIMIG IN ADULT AND ADOLESCENT PARTICIPANTS 12 YEARS OF AGE AND OLDER WITH MODERATE-TO-SEVERE ATOPIC DERMATITIS
The purpose of this study is to find out how well tilrekimig works, how safe it is, and how it affects the body in adults and adolescents with moderate to severe atopic dermatitis (eczema). Eczema is a condition which can cause dryness, itching, and redness of your skin.
The study is seeking participants who:
- Are aged 12 years or older.
- Were confirmed to have atopic dermatitis (AD) at least 12 months ago.
- Are not having an effective treatment result from medicines that are applied on skin for AD.
- Are considered by their doctors to have moderate to severe AD.
The study treatment period will be 52 weeks. During the 24-week initial treatment period, participants will be randomized to one of three study treatments - tilrekimig, dupilumab, or placebo. Placebo does not have any medicine in it but looks just like the medicine being studied. These treatments will be randomized based on a 2:2:1 ratio. This means out of 1375 participants, about 550 participants will receive tilrekimig, 550 will receive dupilumab, and 275 will receive placebo. This will be followed by a 28-week maintenance period. The last dose of study treatment will be administered at week 48.
Some participants will join the long-term extension (LTE) study C4531008 at week 52. A long-term extension study is an additional study that some participants may be able to join after completing the study if they are interested and meet eligibility requirements. It allows researchers to continue collecting information about how well the study medicine works. It also helps them assess how safe it is when used for a longer period of time. Participants who do not join this study will enter a 12-week safety follow-up period. This period ends 16 weeks after their last dose of study treatment.
Studie Overzicht
Toestand
Conditie
Interventie / Behandeling
Studietype
Inschrijving (Geschat)
Fase
- Fase 3
Contacten en locaties
Studiecontact
- Naam: Pfizer CT.gov Call Center
- Telefoonnummer: 1-800-718-1021
- E-mail: ClinicalTrials.gov_Inquiries@pfizer.com
Studie Locaties
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Oklahoma
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Tulsa, Oklahoma, Verenigde Staten, 74136
- Vital Prospects Clinical Research Institute., PC
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Deelname Criteria
Geschiktheidscriteria
Leeftijden die in aanmerking komen voor studie
- Kind
- Volwassen
- Oudere volwassene
Accepteert gezonde vrijwilligers
Beschrijving
Key Inclusion Criteria
- You are [12] years of age or older
- You have had moderate-to-severe eczema for at least 1 year
- Topical medicines for eczema have not worked well for you
Key Exclusion Criteria
- Clinically Significant Autoimmune Disease
- Significant Infection History or Active Infection
- Known or Suspected Immunodeficiency/Immunosuppression
- Significant psychiatric illness or suicidality
- Clinically significant hepatic, renal, or hematologic abnormalities
Studie plan
Hoe is de studie opgezet?
Ontwerpdetails
- Primair doel: Behandeling
- Toewijzing: Gerandomiseerd
- Interventioneel model: Parallelle opdracht
- Masker: Verviervoudigen
Wapens en interventies
Deelnemersgroep / Arm |
Interventie / Behandeling |
|---|---|
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Experimenteel: Tilrekimig - Initial treatment period
Subcutaneous injections given over 20 Weeks.
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Subcutaneous Injections at required timepoints
Andere namen:
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Actieve vergelijker: Dupilumab - Initial treatment period
Subcutaneous injections given over 22 Weeks.
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Subcutaneous Injections at required timepoints based on weight and age.
Andere namen:
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Placebo-vergelijker: Placebo - Initial treatment period
Subcutaneous injections given over 22 Weeks.
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Subcutaneous Injections at required timepoints
Andere namen:
Subcutaneous Injections at required timepoints during initial treatment period.
|
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Experimenteel: Tilrekimig - Maintenance Period - Dose A
Subcutaneous injections given at Week 24 through Week 48.
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Subcutaneous Injections at required timepoints
Andere namen:
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Experimenteel: Tilrekimig - Maintenance Period - Dose B
Subcutaneous injections given at Week 24 through Week 48.
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Subcutaneous Injections at required timepoints
Andere namen:
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Placebo-vergelijker: Placebo - Maintenance Period
Subcutaneous injections given at Week 24 through Week 48.
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Subcutaneous Injections at required timepoints
Andere namen:
Subcutaneous Injections at required timepoints during initial treatment period.
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Wat meet het onderzoek?
Primaire uitkomstmaten
Uitkomstmaat |
Tijdsspanne |
|---|---|
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Difference in the proportion of Eczema Area and Severity Index (EASI)75 responders between tilrekimig versus placebo.
Tijdsspanne: Week 16
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Week 16
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Difference in the proportion of validated Investigator Global Assessment- Atopic Dermatitis (vIGA-AD) 0/1 responders between tilrekimig versus placebo.
Tijdsspanne: Week 16
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Week 16
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Secundaire uitkomstmaten
Uitkomstmaat |
Tijdsspanne |
|---|---|
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Difference in the proportion of Peak Pruritis Numerical Rating Score (PP-NRS)4 responders between tilrekimig versus placebo
Tijdsspanne: Week 1 through Week 24
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Week 1 through Week 24
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Difference in the proportion of PP-NRS4 responders between tilrekimig versus dupilumab
Tijdsspanne: Week 1 through Week 24
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Week 1 through Week 24
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Incidence of treatment emergent adverse events (AEs), Serious adverse events (SAEs), and AEs leading to discontinuation
Tijdsspanne: For each participant from the time the participant provides informed consent, through and including a minimum of 16 weeks after the last administration of the study intervention.
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For each participant from the time the participant provides informed consent, through and including a minimum of 16 weeks after the last administration of the study intervention.
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Incidence of clinically significant changes in vital signs and laboratory tests.
Tijdsspanne: For each participant following first administration of the study intervention through the end of study visit (week 64).
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For each participant following first administration of the study intervention through the end of study visit (week 64).
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Difference in the proportion of Eczema Area and Severity Index (EASI)75 responders between tilrekimig versus placebo.
Tijdsspanne: Weeks 2, 4, 8, 12, 14, 20, and 24
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Weeks 2, 4, 8, 12, 14, 20, and 24
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Difference in the proportion of Eczema Area and Severity Index (EASI)75 responders between tilrekimig versus dupilumab.
Tijdsspanne: Weeks 2, 4, 8, 12, 14, 16, 20, and 24
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Weeks 2, 4, 8, 12, 14, 16, 20, and 24
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Difference in the proportion of validated Investigator Global Assessment- Atopic Dermatitis (vIGA-AD) 0/1 responders between tilrekimig versus placebo.
Tijdsspanne: Weeks 2, 4, 8, 12, 14, 20, and 24
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Weeks 2, 4, 8, 12, 14, 20, and 24
|
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Difference in the proportion of validated Investigator Global Assessment- Atopic Dermatitis (vIGA-AD) 0/1 responders between tilrekimig versus dupilumab.
Tijdsspanne: Weeks 2, 4, 8, 12, 14, 16, 20, and 24
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Weeks 2, 4, 8, 12, 14, 16, 20, and 24
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Difference in the proportion of revised Global Investigator Assessment (rIGA) 0/1 responders between tilrekimig versus placebo.
Tijdsspanne: Weeks 2, 4, 8, 12, 14, 16, 20, and 24
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Weeks 2, 4, 8, 12, 14, 16, 20, and 24
|
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Difference in the proportion of revised Global Investigator Assessment (rIGA) 0/1 responders between tilrekimig versus dupilumab.
Tijdsspanne: Weeks 2, 4, 8, 12, 14, 16, 20, and 24
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Weeks 2, 4, 8, 12, 14, 16, 20, and 24
|
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Difference in the proportion of EASI50, EASI90, and EASI100 responders between tilrekimig versus placebo.
Tijdsspanne: Weeks 2, 4, 8, 12, 14, 16, 20 and 24
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Weeks 2, 4, 8, 12, 14, 16, 20 and 24
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Difference in the proportion of EASI50, EASI90, and EASI100 responders between tilrekimig versus dupilumab.
Tijdsspanne: Weeks 2, 4, 8, 12, 14, 16, 20 and 24
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Weeks 2, 4, 8, 12, 14, 16, 20 and 24
|
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Difference in the mean percent CFB in EASI total score between tilrekimig versus placebo.
Tijdsspanne: Weeks 2, 4, 8, 12, 16, 20 and 24
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Weeks 2, 4, 8, 12, 16, 20 and 24
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Difference in the mean percent CFB in EASI total score between tilrekimig versus dupilumab.
Tijdsspanne: Weeks 2, 4, 8, 12, 16, 20 and 24
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Weeks 2, 4, 8, 12, 16, 20 and 24
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Difference in the mean percent CFB in Body Surface Area (BSA) between tilrekimig versus placebo.
Tijdsspanne: Weeks 2, 4, 8, 12, 16, 20 and 24
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Weeks 2, 4, 8, 12, 16, 20 and 24
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Difference in the mean percent CFB in Body Surface Area (BSA) between tilrekimig versus dupilumab.
Tijdsspanne: Weeks 2, 4, 8, 12, 16, 20 and 24
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Weeks 2, 4, 8, 12, 16, 20 and 24
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Difference in the proportion of Patient Oriented Eczema Measure (POEM) responders achieving ≥4-point improvement from baseline between tilrekimig versus placebo.
Tijdsspanne: Weeks 8, 16, and 24
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Weeks 8, 16, and 24
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Difference in the proportion of POEM responders achieving ≥4-point improvement from baseline between tilrekimig versus dupilumab.
Tijdsspanne: Weeks 8, 16, and 24
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Weeks 8, 16, and 24
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Difference in the proportion of Dermatology Life Quality Index (DLQI) responders achieving ≥4-point improvement from baseline between tilrekimig versus placebo.
Tijdsspanne: Weeks 8, 16, and 24
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Weeks 8, 16, and 24
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Difference in the proportion of Dermatology Life Quality Index (DLQI) responders achieving ≥4-point improvement from baseline between tilrekimig versus dupilumab
Tijdsspanne: Weeks 8, 16, and 24
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Weeks 8, 16, and 24
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Difference in the proportion of Patient Global Impression of Severity (PGI-S) responders achieving a score of 0 or 1 between tilrekimig versus placebo.
Tijdsspanne: Weeks 8, 16, and 24
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Weeks 8, 16, and 24
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Difference in the proportion of Patient Global Impression of Severity (PGI-S) responders achieving a score of 0 or 1 between tilrekimig versus dupilumab.
Tijdsspanne: Weeks 8, 16, and 24
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Weeks 8, 16, and 24
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Difference in the proportion of Patient Global Impression of Change (PGI-C) responders achieving "Much better" between tilrekimig versus placebo.
Tijdsspanne: Weeks 8, 16, and 24
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Weeks 8, 16, and 24
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Difference in the proportion of Patient Global Impression of Change (PGI-C) responders achieving "Much better" between tilrekimig versus dupilumab.
Tijdsspanne: Weeks 8, 16, and 24
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Weeks 8, 16, and 24
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Difference in the proportion of Atopic Dermatitis Control Tool (ADCT) responders achieving ≥5-point improvement from baseline between tilrekimig versus placebo.
Tijdsspanne: Weeks 8, 16, and 24
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Weeks 8, 16, and 24
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Difference in the proportion of Atopic Dermatitis Control Tool (ADCT) responders achieving ≥5-point improvement from baseline between tilrekimig versus dupilumab.
Tijdsspanne: Weeks 8, 16, and 24
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Weeks 8, 16, and 24
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Difference in the mean percent CFB in POEM between tilrekimig versus placebo.
Tijdsspanne: Weeks 8, 16, and 24
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Weeks 8, 16, and 24
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Difference in the mean percent CFB in EASI total score between tilrekimig versus dupilumab.
Tijdsspanne: Weeks 8, 16, and 24
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Weeks 8, 16, and 24
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Difference in the mean percent CFB in DLQI between tilrekimig versus placebo.
Tijdsspanne: Weeks 8, 16, and 24
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Weeks 8, 16, and 24
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Difference in the mean percent CFB in DLQI between tilrekimig versus dupilumab.
Tijdsspanne: Weeks 8, 16, and 24
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Weeks 8, 16, and 24
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Difference in the mean percent CFB in Children's Dermatology Life Quality Index (CDLQI) between tilrekimig versus placebo.
Tijdsspanne: Weeks 8, 16, and 24
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Weeks 8, 16, and 24
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Difference in the mean percent CFB in CDLQI between tilrekimig versus dupilumab.
Tijdsspanne: Weeks 8, 16, and 24
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Weeks 8, 16, and 24
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Difference in the mean percent CFB in PP-NRS weekly average between tilrekimig versus placebo.
Tijdsspanne: Week 1 through week 24
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Week 1 through week 24
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Difference in the mean percent CFB in PP-NRS weekly average between tilrekimig versus dupilumab.
Tijdsspanne: Week 1 through Week 24
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Week 1 through Week 24
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Proportion of responders for EASI75, rIGA 0/1, vIGA-AD 0, PP-NRS4, EASI50, EASI90, and EASI100 for tilrekimig doses and placebo.
Tijdsspanne: Weeks 26, 28, 32, 36, 40, 44, 48, 52, and 64
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Weeks 26, 28, 32, 36, 40, 44, 48, 52, and 64
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Mean of percent CFB in EASI and BSA for tilrekimig doses and placebo
Tijdsspanne: Weeks 26, 28, 32, 36, 40, 44, 48, 52, and 64
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Weeks 26, 28, 32, 36, 40, 44, 48, 52, and 64
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Proportion of maintaining response at Week 52 (defined as meeting ≥50% improvement from baseline in EASI and vIGA-AD <3) for participants who responded to tilrekimig (defined as achieving either EASI75 or vIGA-ADTM 0/1 at Week 24).
Tijdsspanne: Week 52
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Week 52
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The proportion of POEM responders achieving ≥4-point improvement from baseline for tilrekimig doses and placebo.
Tijdsspanne: Weeks 28, 36, 44, 52, and 64
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Weeks 28, 36, 44, 52, and 64
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The proportion of DLQI responders achieving ≥4-point improvement from baseline for tilrekimig doses and placebo.
Tijdsspanne: Weeks 28, 36, 44, 52, and 64
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Weeks 28, 36, 44, 52, and 64
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The proportion of PGI-S responders achieving a score of 0 or 1 for tilrekimig doses and placebo.
Tijdsspanne: Weeks 28, 36, 44, 52, and 64
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Weeks 28, 36, 44, 52, and 64
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The proportion of PGI-C responders achieving "Much better" for tilrekimig doses and placebo.
Tijdsspanne: Weeks 28, 36, 44, 52, and 64
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Weeks 28, 36, 44, 52, and 64
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The proportion of ADCT responders achieving ≥5-point improvement from baseline for tilrekimig doses and placebo.
Tijdsspanne: Weeks 28, 36, 44, 52, and 64
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Weeks 28, 36, 44, 52, and 64
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Mean of CFB in POEM, DLQI, and CDLQI for tilrekimig doses and placebo.
Tijdsspanne: Weeks 28, 36, 44, 52, and 64
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Weeks 28, 36, 44, 52, and 64
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Mean of CFB in weekly averages of PP=NRS for tilrekimig doses and placebo.
Tijdsspanne: Weeks 26, 28, 32, 36, 40, 44, 48, 52, and 64
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Weeks 26, 28, 32, 36, 40, 44, 48, 52, and 64
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Medewerkers en onderzoekers
Sponsor
Onderzoekers
- Studie directeur: Pfizer CT.gov Call Center, Pfizer
Publicaties en nuttige links
Studie record data
Bestudeer belangrijke data
Studie start (Geschat)
Primaire voltooiing (Geschat)
Studie voltooiing (Geschat)
Studieregistratiedata
Eerst ingediend
Eerst ingediend dat voldeed aan de QC-criteria
Eerst geplaatst (Werkelijk)
Updates van studierecords
Laatste update geplaatst (Werkelijk)
Laatste update ingediend die voldeed aan QC-criteria
Laatst geverifieerd
Meer informatie
Termen gerelateerd aan deze studie
Trefwoorden
Aanvullende relevante MeSH-voorwaarden
- Genetische ziekten, aangeboren
- Overgevoeligheid, Onmiddellijk
- Overgevoeligheid
- Aangeboren, erfelijke en neonatale ziekten en afwijkingen
- Huid- en bindweefselaandoeningen
- Dermatitis, atopisch
- Dermatitis
- Eczeem
- Huidziektes
- Ziekten van het immuunsysteem
- Huidziekten, genetisch
- Huidziekten, Eczeem
- dupilumab
Andere studie-ID-nummers
- C4531005
- 2026-525743-32-00 (Register-ID: CTIS (EU))
Plan Individuele Deelnemersgegevens (IPD)
Bent u van plan om gegevens van individuele deelnemers (IPD) te delen?
Beschrijving IPD-plan
Informatie over medicijnen en apparaten, studiedocumenten
Bestudeert een door de Amerikaanse FDA gereguleerd geneesmiddel
Bestudeert een door de Amerikaanse FDA gereguleerd apparaatproduct
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