TQH2722注射液治疗中重度特应性皮炎Ⅲ期临床试验评价
评价TQH2722注射液治疗中重度特应性皮炎的有效性和安全性的多中心、随机、双盲、安慰剂对照III期临床试验
This is a randomized, double-blind, placebo-controlled clinical trial with 500 participants. In this study, the safety evaluation used the common toxic reaction criteria of the National Cancer Institute to evaluate the adverse events of the drugs, and the effectiveness evaluation used the eczema area and severity score and the overall investigator score to confirm the efficacy.
研究概览
研究类型
注册 (实际的)
阶段
- 第三阶段
联系人和位置
学习地点
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Anhui
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Bengbu、Anhui、中国、233004
- The First Affiliated Hospital of Bengbu Medical College
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Tongling、Anhui、中国、244000
- Tongling People's Hospital
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Wuhu、Anhui、中国、241000
- The Second Affiliated Hospital of Wannan Medical College
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Beijing Municipality
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Beijing、Beijing Municipality、中国、100050
- Beijing Friendship Hospital, Capital Medical University
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Chongqing Municipality
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Chongqing、Chongqing Municipality、中国、400010
- The First Affiliated Hospital of Chongqing Medical University
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Chongqing、Chongqing Municipality、中国、400038
- The First Affiliated Hospital of the Chinese People's Liberation Army Army Medical University
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Chongqing、Chongqing Municipality、中国、400072
- The Second Affiliated Hospital of Chongqing Medical University
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Chongqing、Chongqing Municipality、中国、404100
- Chongqing Three Gorges Medical College affiliated People's Hospital
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Fujian
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Xiamen、Fujian、中国、361021
- The Second Affiliated Hospital of Xiamen Medical College
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Guangdong
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Guangzhou、Guangdong、中国、510000
- Dermatology Hospital of Southern Medical UniversityDermatology Hospital of Southern Medical University
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Guangzhou、Guangdong、中国、510000
- The Second Affiliated Hospital of Guangzhou Medical University
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Shenzhen、Guangdong、中国、518036
- Peking University Shenzhen Hospital
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Guangxi
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Liuzhou、Guangxi、中国、545006
- Liuzhou People's Hospital
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Hebei
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Cangzhou、Hebei、中国、061012
- Cangzhou Central Hospital
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Chengde、Hebei、中国、067000
- The Affiliated Hospital of Chengde Medical College
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Heilongjiang
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Harbin、Heilongjiang、中国、150036
- Heilongjiang Provincial Hospital
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Harbin、Heilongjiang、中国、151100
- The Second Affiliated Hospital of Harbin Medical University
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Qiqihar、Heilongjiang、中国、161005
- Qiqihar Hospital of Traditional Chinese Medicine
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Henan
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Anyang、Henan、中国、455001
- Anyang District Hospital, Puyang City
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Luoyang、Henan、中国、471000
- The Second Affiliated Hospital of Henan University of Science and Technology
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Nanyang、Henan、中国、473000
- Nanyang city first People's Hospital
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Sanmenxia、Henan、中国、472000
- Sanmenxia Central Hospital
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Zhengzhou、Henan、中国、450000
- Henan Provincial People's Hospital
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Zhengzhou、Henan、中国、471000
- The First Affiliated Hospital of Henan University of Science and Technology
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Hubei
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Jingzhou、Hubei、中国、434000
- Jingzhou Central Hospital
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Wuhan、Hubei、中国、430060
- Wuhan University People's Hospital
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Yichang、Hubei、中国、443003
- Yichang Central People's Hospital
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Hunan
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Changsha、Hunan、中国、410013
- Xiangya Third Hospital, Central South University
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Changsha、Hunan、中国、410011
- The Second Xiangya Hospital, Central South University
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Hengyang、Hunan、中国、421001
- The First Affiliated Hospital of University of South China
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Huaihua、Hunan、中国、418000
- Hunan Medical University General Hospital
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Inner Mongolia
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Baotou、Inner Mongolia、中国、14017
- The First Affiliated Hospital of Baotou Medical College, Inner Mongolia University of Science and Technology
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Baotou、Inner Mongolia、中国、14040
- Baotou Central Hospital
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Hohhot、Inner Mongolia、中国、10000
- Affiliated Hospital of Inner Mongolia Medical University
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Jiangsu
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Changzhou、Jiangsu、中国、213000
- Changzhou First People's Hospital
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Suzhou、Jiangsu、中国、215000
- The Second Affiliated Hospital of Soochow University
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Suzhou、Jiangsu、中国、Weiling
- Suzhou Municipal Hospital
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Xuzhou、Jiangsu、中国、221132
- Affiliated Hospital of Xuzhou Medical University
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Yancheng、Jiangsu、中国、224005
- Yancheng First People's Hospital
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Zhenjiang、Jiangsu、中国、210039
- Affiliated Hospital of Jiangsu University
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Jiangxi
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Nanchang、Jiangxi、中国、330006
- The Second Affiliated Hospital of Nanchang University
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Jilin
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Changchun、Jilin、中国、130041
- Second Hospital of Jilin University
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Liaoning
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Panjin、Liaoning、中国、124120
- Panjin Liao oil precious stone flower hospital
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Ningxia
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Yinchuan、Ningxia、中国、750010
- Yinchuan First People's Hospital
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Qinghai
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Xining、Qinghai、中国、810000
- Affiliated Hospital of Qinghai University
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Shandong
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Dezhou、Shandong、中国、277102
- Dezhou People's Hospital
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Jinan、Shandong、中国、250012
- Shandong University Qilu Hospital
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Liaocheng、Shandong、中国、252000
- Liaocheng People's Hospital
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Yantai、Shandong、中国、264000
- Yantai Yuhuangding Hospital
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Zaozhuang、Shandong、中国、277102
- Zaozhuang Municipal Hospital
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Shanghai Municipality
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Shanghai、Shanghai Municipality、中国、545006
- Shanghai Dermatology Hospital
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Shanxi
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Baoji、Shanxi、中国、721008
- Baoji Central Hospital
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Taiyuan、Shanxi、中国、030000
- Shanxi Provincial People's Hospital
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Taiyuan、Shanxi、中国、030009
- Peking University First Hospital Taiyuan Hospital
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Xi’an、Shanxi、中国、710004
- The Second Affiliated Hospital of Xi 'an Jiaotong University
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Xi’an、Shanxi、中国、710032
- The First Affiliated Hospital of PLA Air Force Medical University
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Xi’an、Shanxi、中国、710032
- The First Affiliated Hospital of Xi 'an Medical College
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Xi’an、Shanxi、中国、710032
- The Second Affiliated Hospital of the Chinese People's Liberation Army Air Force Medical University
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Sichuan
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Chengdu、Sichuan、中国、610000
- Sichuan Provincial People's Hospital
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Chengdu、Sichuan、中国、610000
- Chengdu Second People's Hospital
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Chengdu、Sichuan、中国、610072
- Chengdu Second People's Hospital
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Luzhou、Sichuan、中国、646000
- Affiliated Hospital of Southwest Medical University
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Suining、Sichuan、中国、629000
- Suining Central Hospital
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Tianjin Municipality
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Tianjin、Tianjin Municipality、中国、300120
- Tianjin Academy of Traditional Chinese Medicine Affiliated Hospital
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Tianjin、Tianjin Municipality、中国、300190
- Tianjin First Central Hospital
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Xinjiang
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Ürümqi、Xinjiang、中国、830002
- People's Hospital of Xinjiang Uygur Autonomous Region
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Ürümqi、Xinjiang、中国、830002
- Xinjiang Uygur Autonomous Region Hospital of Traditional Chinese Medicine
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Yunnan
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Kunming、Yunnan、中国、650032
- The First Affiliated Hospital of Kunming Medical University
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Zhejiang
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Hangzhou、Zhejiang、中国、310006
- Hangzhou First People's Hospital
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Hangzhou、Zhejiang、中国、310009
- Hangzhou Third People's Hospital
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Jiaxing、Zhejiang、中国、545006
- Jiaxing second Hospital
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Jinhua、Zhejiang、中国、321000
- Jinhua Central Hospital
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Ningbo、Zhejiang、中国、315211
- The First Affiliated Hospital of Ningbo University
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参与标准
资格标准
适合学习的年龄
接受健康志愿者
有资格学习的性别
描述
Inclusion Criteria:
- The age of signing the informed consent is 18-75 years old, regardless of gender.
- Meet the 2014 American Academy of Dermatology (AAD) standards, diagnosed as AD.
- During screening and baseline visit, eczema area and severity score (EASI) ≥16 points; Investigator global score (IGA) ≥3 points; Affected body surface area (BSA) ≥10%; Baseline pruritus Peak Value Scale (NRS) weekly mean ≥4 points.
- Have received at least 4 weeks of moderate-to-strong action or at least 2 weeks of super effective external glucocorticoid (TCS) treatment or sufficient duration of systemic glucocorticoid treatment, the efficacy is not sufficient; Or subjects cannot receive the above treatment due to adverse reactions or potential risks.
Exclusion Criteria:
- Used immunosuppressants/immunomodulatory drugs, ultraviolet phototherapy, systemic Chinese medicine treatment within 4 weeks before randomization.
- Received topical calcineurin inhibitors (TCS), topical calcineurin inhibitors (TCI), and other topical preparations within 2 weeks before randomization.
- Received anti-interleukin-4 receptor alpha (IL-4R) monoclonal antibodies, anti-ige monoclonal antibodies, or other biologic agents within 12 weeks or 5 half-lives (whichever is longer) prior to randomization.
- Had received live attenuated vaccine within 12 weeks prior to randomization or planned to receive it during the study period.
- Use of antihistamines within 1 week prior to randomization (unless you have received steady doses of antihistamines for at least 7 days).
- Received allergen specific immunotherapy within 6 months before randomization.
- There are skin comorbidities that may interfere with study evaluation.
- There is a history of clinically significant illness that the investigator believes poses a risk to the safety of the subject and is poorly controlled.
- A known or suspected history of immunosuppression (immune deficiency).
- Subjects with any type of active malignancy or a history of malignancy (except cervical cancer or non-metastatic cutaneous squamous cell carcinoma, basal cell carcinoma, and papillary thyroid carcinoma that have been cured for more than 5 years prior to the screening period).
- Subject may have active Mycobacterium tuberculosis infection.
- Subjects with severe liver and kidney function impairment.
- Screening period HIV antibody positive, or have a history of HIV infection.
- Screening period of treponema pallidum antibody positive.
- Participated in clinical trials of other drugs or medical devices within 12 weeks prior to randomization.
- Treatment-requiring infections were present in the 4 weeks prior to randomization.
- During the study period, subjects plan to undergo major surgical operations.
- Pregnant or lactating women.
- Alcohol, drug abuse and known drug dependence.
- History of atopic keratoconjunctivitis with corneal involvement.
- The subject has any medical or psychiatric symptoms that interfere with participation in the study or with the interpretation of the study results.
学习计划
研究是如何设计的?
设计细节
- 主要用途:治疗
- 分配:随机化
- 介入模型:并行分配
- 屏蔽:四人间
武器和干预
参与者组/臂 |
干预/治疗 |
|---|---|
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实验性的:TQH2722 injection
TQH2722 injection, 14 days for a treatment cycle |
Humanized interleukin-4 receptor alpha (4Rα) monoclonal antibody |
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安慰剂比较:Placebo of TQH2722 injection
Placebo of TQH2722 injection, 14 days for a treatment cycle |
Placebo without drug substance |
研究衡量的是什么?
主要结果指标
结果测量 |
措施说明 |
大体时间 |
|---|---|---|
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Participants who achieved EASI-75 (≥75% improvement from baseline) on the eczema Area and Severity score (EASI)
大体时间:Baseline to 16 weeks after treatment
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Percentage of participants who achieved EASI-75 (≥75% improvement from baseline) on the eczema Area and Severity score (EASI) |
Baseline to 16 weeks after treatment
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Subjects with an Investigator's Overall Rating (IGA) score (5-scale) of 0 or 1 and ≥2 points decline from baseline
大体时间:Baseline to 16 weeks after treatment
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Percentage of subjects with an Investigator's Overall Rating (IGA) score (5-scale) of 0 or 1 and ≥2 points decline from baseline. |
Baseline to 16 weeks after treatment
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次要结果测量
结果测量 |
措施说明 |
大体时间 |
|---|---|---|
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The incidence of adverse events
大体时间:After medication to 60 weeks
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Adverse events that occur during treatment |
After medication to 60 weeks
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Steady valley concentration of TQH2722
大体时间:After medication to 60 weeks
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Relatively stable concentration levels of TQH2722 |
After medication to 60 weeks
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The incidence and titer of drug-resistant antibodies (ADA) in subjects
大体时间:After medication to 60 weeks
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The incidence and titer of drug-resistant antibodies (ADA) in subjects |
After medication to 60 weeks
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Incidence of neutralizing antibodies (Nab)
大体时间:After medication to 60 weeks
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Incidence of neutralizing antibodies (Nab) |
After medication to 60 weeks
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Eczema area and severity score (EASI) change from baseline
大体时间:From baseline to week 60
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The affected area of each site was assessed. According to the percentage of the affected area, the corresponding Region score was 0 to 6. The higher the score, the more severe the involvement. |
From baseline to week 60
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Rate of change from baseline in the Investigator's overall Score (IGA)
大体时间:After medication to 60 weeks
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The researchers assessed the form of the dermatitis using a 5-point scale (0-5), with higher scores being more severe. |
After medication to 60 weeks
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Change of body surface area from baseline in moderate to severe atopic dermatitis
大体时间:After medication to 60 weeks
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The researchers used a nine-point scale to assess the percentage of AD affected area in the whole body (0-100%), with the larger the value, the more severe the involvement. |
After medication to 60 weeks
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Change rate of atopic dermatitis score (SCORAD) from baseline
大体时间:After medication to 60 weeks
|
According to the involvement of skin surface area, the severity of skin lesions and the subjective symptom score, the higher the value, the more severe the dermatitis. |
After medication to 60 weeks
|
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Change in daily Peak Itch Digital Rating Scale (NRS) score from baseline
大体时间:After medication to 60 weeks
|
Rate the most severe itching in the past 24 hours on a scale of 0-10, with higher numbers being more severe. |
After medication to 60 weeks
|
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Rate of change in dermatological quality of life (DLQI) score from baseline
大体时间:After medication to 60 weeks
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Assess how much the skin problems of the last week have affected the subjects' lives |
After medication to 60 weeks
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Change in patients' self-assessment of eczema (POEM) from baseline
大体时间:After medication to 60 weeks
|
The number of days in the past 7 days to assess whether eczema caused skin problems such as itching and bleeding, 0 indicates no days, 1 indicates 1-2 days, 2 indicates 3-4 days, 3 indicates 5-6 days, and 4 indicates all days. |
After medication to 60 weeks
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合作者和调查者
研究记录日期
研究主要日期
学习开始 (实际的)
初级完成 (实际的)
研究完成 (实际的)
研究注册日期
首次提交
首先提交符合 QC 标准的
首次发布 (实际的)
研究记录更新
最后更新发布 (实际的)
上次提交的符合 QC 标准的更新
最后验证
更多信息
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