Evaluation of Upadacitinib in Adolescent and Adult Patients with Moderate to Severe Atopic Dermatitis (Eczema)– Measure Up 1

Overview

Sponsor-declared trial summary

Key facts

Sponsor

Abbvie Deutschland GmbH & Co. KG

Participant type

Pediatric, Patients

Age range

0-17 years, 18-64 years, 65+ years

Gender

Male and Female

Therapeutic area

Diseases [C] - Immune System Diseases [C20]

Trial duration

10 Dec 2018 → 10 Oct 2025

Decision date (initial)

2023-08-15

Transition trial

Yes

Low-intervention

No

Rare-disease indication

No

Vulnerable population

Yes

Funding sources

AbbVie Inc.

External identifiers

EU CT number

2022-502938-30-00

EudraCT number

2017-005125-20

Trial design

CTIS Part I — objectives, methods, condition coding

Main objective

Scope: Pharmacokinetic, Safety, Efficacy

To assess the efficacy and safety of upadacitinib for the treatment of adolescent and adult subjects with moderate to severe Atopic Dermatitis who are candidates for systemic therapy.

Secondary objectives 1

1. To assess the efficacy and safety of 15 mg and 30mg upadacitinib for the treatment of adolescent and adult subjects with moderate to severe Atopic Dermatitis through up to 260 weeks in subjects who have completed week 16.

Conditions and MedDRA coding

Moderate and Severe Atopic Dermatitis

Study design 2 periods

Regulatory references

Scientific advice from competent authorities

European Medicines Agency

EMA paediatric investigation plan (PIP)

EMEA-001741-PIP04-17

Plan to share IPD

Yes

IPD plan description

AbbVie is committed to responsible clinical trial data sharing. This includes access to anonymized, individual and trial-level data (analysis data sets), as well as other information. To learn more about the process, or to submit a request, visit the following link https://www.abbvieclinicaltrials.com/hcp/data-sharing/ For details on when studies are available for sharing visit https://vivli.org/ourmember/abbvie/

Eligibility criteria

Principal inclusion / exclusion criteria as submitted by sponsor

Inclusion criteria 3

1. Male or female subjects 12-75 years of age
2. Active moderate to severe atopic dermatitis defined by EASI, IGA, BSA, and pruritus
3. Candidate for systemic therapy or have recently required systemic therapy for atopic dermatitis

Exclusion criteria 5

1. Prior exposure to any JAK inhibitor
2. Unable or unwilling to discontinue current AD treatments prior to the study
3. Requirement of prohibited medications during the study
4. Other active skin diseases or skin infections requiring systemic treatment or would interfere with appropriate assessment of atopic dermatitis lesions
5. Female subject who is pregnant, breastfeeding, or considering pregnancy during the study

Endpoints

Primary and secondary outcome measures (English text)

Primary endpoints 2

1. Proportion of subjects achieving validated IGA scale for Atopic Dermatitis (vIGA-AD) of 0 or 1 with at least two grades of reduction from baseline at Week 16
2. Proportion of subjects achieving improvement from baseline of at least 75% on Eczema Area Severity Index (EASI 75) at Week 16.

Secondary endpoints 28

1. Proportion of subjects achieving an improvement (reduction) in worst pruritus Numerical Rating Scale (NRS) ≥ 4 from Baseline at Week 16 for subjects with pruritus NRS ≥4 at baseline;
2. Proportion of subjects achieving EASI 90 at Week 16
3. Percent change from Baseline of worst pruritus NRS at Week 16
4. Percent change in EASI from Baseline at Week 16
5. Proportion of subjects achieving an improvement (reduction) in worst pruritus NRS ≥ 4 from Baseline at Week 4 for subjects with pruritus NRS ≥ 4 at Baseline
6. Proportion of subjects achieving EASI 75 at Week 4
7. Proportion of subjects achieving EASI 75 at Week 2
8. Proportion of subjects achieving EASI 90 at Week 4
9. Proportion of subjects achieving an improvement (reduction) in worst pruritus NRS ≥ 4 from Baseline at Week 1 for subjects with pruritus NRS ≥ 4 at Baseline
10. Proportion of subjects achieving an improvement (reduction) in Patient Oriented Eczema Measure (POEM) ≥ 4 from Baseline at Week 16 for subjects with POEM ≥ 4 at Baseline
11. Proportion of subjects age ≥ 16 years old at screening achieving an improvement (reduction) in Dermatology Life Quality Index (DLQI) ≥ 4 from Baseline at Week 16 for subjects with DLQI ≥ 4 at Baseline
12. Proportion of subjects achieving an improvement (reduction) in worst pruritus NRS ≥ 4 from Baseline at Day 2 for subjects with pruritus NRS ≥ 4 at Baseline (upadacitinib 30 mg vs. placebo)
13. Proportion of subjects achieving an improvement (reduction) in worst pruritus NRS ≥ 4 from Baseline at Day 3 for subjects with pruritus NRS ≥ 4 at Baseline (upadacitinib 15 mg vs. placebo)
14. Proportion of subjects achieving EASI 50 at Week 1
15. Proportion of subjects experiencing a flare, characterized as a clinically meaningful worsening in EASI, defined as an increase of EASI by ≥ 6.6 from Baseline, during double-blind treatment period (DB Period)
16. Proportion of subjects age ≥ 16 years old at screening achieving DLQI score of 0 or 1 at Week 16
17. Percent change in Scoring Atopic Dermatitis (SCORAD) from Baseline at Week 16
18. Change from Baseline in Hospital Anxiety and Depression Scale (HADS) total score at Week 16
19. Proportion of subjects achieving a Hospital Anxiety and Depression Scale-anxiety (HADS-A) < 8 and Hospital Anxiety and Depression Scale depression (HADS-D) < 8 at Week 16 among subjects with HADS-A ≥ 8 or HADS-D ≥ 8 at Baseline
20. Proportion of subjects achieving an improvement (reduction) in Atopic Dermatitis Impact Scale (ADerm-IS) sleep domain score ≥ minimal clinically important difference (MCID) from Baseline at Week 16 for subjects with ADerm-IS sleep domain score ≥ MCID at Baseline
21. Proportion of subjects achieving an improvement (reduction) in Atopic Dermatitis Symptom Scale (ADerm-SS) skin pain score ≥ MCID from Baseline at Week 16 for subjects with ADerm-SS skin pain score ≥ MCID at Baseline
22. Proportion of subjects achieving an improvement (reduction) in ADerm-SS 7-item total symptom score (TSS-7) ≥ MCID from Baseline at Week 16 for subjects with ADerm TSS-7 ≥ MCID at Baseline; ADerm-SS TSS-7 is defined as the algebraic sum of the responses to items 1 – 7 of the ADerm-SS
23. Proportion of subjects achieving an improvement (reduction) in ADerm-IS emotional state domain score ≥ MCID from Baseline at Week 16 for subjects with ADerm-IS emotional state domain score ≥ MCID at Baseline
24. Proportion of subjects achieving an improvement (reduction) in ADerm-IS daily activities domain score ≥ MCID from Baseline at Week 16 for subjects with ADerm-IS daily activities domain score ≥ MCID at Baseline
25. Proportion of subjects achieving EASI 100 at Week 16
26. Proportion of subjects achieving an improvement (reduction) in ADerm-SS TSS-7 ≥ MCID from Baseline at Week 4 for subjects with ADerm-SS TSS-7 ≥ MCID at Baseline
27. Proportion of subjects achieving an improvement (reduction) in ADerm-IS sleep domain score ≥ MCID from Baseline at Week 4 for subjects with ADerm-IS sleep domain score ≥ MCID at Baseline
28. Proportion of subjects achieving a vIGA-AD of 0 with a reduction from Baseline of ≥ 2 points at Week 16

Investigational products

Investigational medicinal products (IMPs), comparators, placebo, auxiliary

Test 2

Placebo 1

Sponsors and contacts

Sponsor organisations, regulatory contacts, third parties

Abbvie Deutschland GmbH & Co. KG

Sponsor organisation

Abbvie Deutschland GmbH & Co. KG

Address

Knollstrasse

City

Ludwigshafen Am Rhein

Postcode

67061

Country

Germany

Scientific contact point

Organisation

Abbvie Deutschland GmbH & Co. KG

Contact name

Global Clinical Trials Helpdesk

Public contact point

Organisation

Abbvie Deutschland GmbH & Co. KG

Contact name

Global Clinical Trials Helpdesk

Third parties 5

Locations

9 EU/EEA countries · 30 investigational sites

By country

Investigational sites

Country notifications

Trial-start, recruitment-start, end and early-termination notifications submitted per Member State

Oversight and notifications

Regulatory notifications under CTR Articles 38, 52, 53, 54 and 77

Serious breaches 1 · Art. 52 CTR

Results and documents

Annex IV summary of results, Annex V layperson summary, and all documents registered in CTIS for this trial

Summary of results Art. 37(4) CTR

Layperson summary Annex V

Documents 57 files

Public protocol annexes, IB summaries, regulatory submissions and post-authorisation documents registered in CTIS.

Application history

3 submissions — initial application plus substantial / non-substantial modifications