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A Study to Learn About the Study Medicine Etrasimod in Adults With Moderate to Severe Atopic Dermatitis (AD) Who Have Already Tried Treatments Taken by Mouth or by Injection

The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Know the risks and potential benefits of clinical studies and talk to your health care provider before participating. Read our disclaimer for details.
 
ClinicalTrials.gov Identifier: NCT05732454
Recruitment Status : Recruiting
First Posted : February 17, 2023
Last Update Posted : June 5, 2023
Sponsor:
Information provided by (Responsible Party):
Pfizer

Brief Summary:

The purpose of this study is to learn about the safety and effects of the study medicine called etrasimod for the possible treatment of atopic dermatitis (AD), also called eczema, in adults who have already tried AD treatments taken by mouth or by injection that work all over the body. These adults can have moderate to severe AD.

This study is seeking participants who:

  • have AD for at least 1 year
  • have moderate-to-severe AD
  • have tried treatments that work all over the body and saw no effects
  • are willing to apply a moisturizer at least once daily during the study

This is a 2-part study that is only selecting about 60 participants for Part 1 as of now. In Part 1, half of the participants will receive etrasimod, a pill to be taken by mouth once daily. The other half will receive a placebo, a pill that looks like etrasimod but has no medicine also taken by mouth once daily. No one will know what treatment the participant is taking. The Sponsor will compare participant experiences of those taking etrasimod to those taking placebo for 16 weeks. This will help determine if the study medicine is safe and effective. After the first 16 weeks, some participants may continue the study knowing they are taking etrasimod for an additional 52 weeks.

Those participating for just the first 16-weeks, will need to visit the study clinic at least 6 times during the study (about every 4 weeks), and will have to come for 2 safety follow up visits at 2nd and 4th week after the last dose of study medicine. People who want to and can continue for an additional 52 weeks will need to visit the study clinic for at least 6 more visits making 12 total visits over 68 weeks followed by 2 safety follow up visits at the 2nd and 4th week after the last dose of study medicine.

In Part 2 of the study, around 340 more participants will be participating. Everyone will receive etrasimod pills once daily for 52 weeks. Participants will need to go to the study clinic at least 9 times after which they will have to go for 2 more safety follow up visits at the 2nd and 4th weeks after the last dose of study medicine.

At every study visit in Part 1 and Part 2, the focus will be on signs and symptoms of AD (like lesions, itch, and pain) as well as general health and overall side effects. Blood samples and vital signs will be taken at every visit. Due to the way the study medicine works, the in-study clinic visit will last at least 4 hours on Day 1 (Part 1 and Part 2) and Week 16 (Part 1).


Condition or disease Intervention/treatment Phase
Atopic Dermatitis Atopic Dermatitis, Unspecified Eczema Eczema, Atopic Drug: etrasimod Drug: Placebo Phase 2 Phase 3

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Study Type : Interventional  (Clinical Trial)
Estimated Enrollment : 400 participants
Allocation: Randomized
Intervention Model: Parallel Assignment
Intervention Model Description:

Part 1: Approximately 60 participants with moderate-to-severe AD with a history of prior systemic treatment failure will be randomized (1:1 ratio) in a double blind (DB) manner to receive etrasimod 2 mg or placebo orally, once daily, for 16 weeks. Randomization will be stratified by disease severity as measured by IGA score (3 [moderate AD], 4 [severe AD]) at baseline.

After DB period, participants may be given the option to continue in an open label extension (OLE) phase whereby they will receive etrasimod 2 mg (tablet) for up to an additional 52 weeks.

Part 2: Approximately 340 additional participants will be enrolled to receive etrasimod 2 mg orally, once daily, for 52 weeks in an open-label manner.

Masking: Quadruple (Participant, Care Provider, Investigator, Outcomes Assessor)
Masking Description:

PART 1 Double Blind portion (Day 1 through Week 16): all parties are blinded to treatment.

PART 1 Open Label Extension portion: All parties will be aware participant is taking etrasimod for up to an additional 52 weeks.

PART 2 Open Label All parties will be aware participant is taking etrasimod for 52 weeks.

Primary Purpose: Treatment
Official Title: A PHASE 2/3, TWO-PART STUDY TO EVALUATE THE EFFICACY AND LONG-TERM SAFETY WITH ORAL ETRASIMOD, 2 MG, ONCE DAILY IN ADULT PARTICIPANTS WITH MODERATE-TO-SEVERE ATOPIC DERMATITIS WITH A HISTORY OF PRIOR SYSTEMIC TREATMENT FAILURE
Actual Study Start Date : January 18, 2023
Estimated Primary Completion Date : August 13, 2026
Estimated Study Completion Date : August 13, 2026

Resource links provided by the National Library of Medicine

MedlinePlus related topics: Eczema

Arm Intervention/treatment
Experimental: etrasimod
2 mg, oral tablet, once daily
Drug: etrasimod
PART 1 Double Blind one 2 mg tablet once daily for up to 16 weeks PART 1 Open Label Extension one 2 mg tablet once daily for an additional 52 weeks PART 2 Open Label one 2 mg tablet once daily for up 52 weeks
Other Names:
  • APD334
  • PF-07915503

Placebo Comparator: Placebo (Part 1 DB period only)
Oral sham comparator
Drug: Placebo
PART 1 DOUBLE BLIND Placebo - one table daily for up to 16 weeks




Primary Outcome Measures :
  1. Part 1 DB: Proportion of participants achieving IGA of clear (0) or almost clear (1) (on a 5-point scale) and a reduction of ≥ 2 points from baseline [ Time Frame: at Week 16 ]
    To evaluate the efficacy of etrasimod, 2 mg, QD versus placebo

  2. Part 1 OLE and Part 2: Incidence and severity of treatment-emergent adverse events (AEs), AEs leading to study treatment discontinuation, serious AEs, and AEs of special interest. [ Time Frame: Baseline up to 68 weeks in Part 1 and up to 52 weeks in Part 2 ]
    To evaluate the long-term safety of oral etrasimod, 2 mg, QD

  3. Part 1 OLE and Part 2: Incidence of clinically significant changes in Hemoglobin (g/dL) [ Time Frame: Baseline up to 68 weeks in Part 1 and up to 52 weeks in Part 2 ]
    To evaluate the long-term safety of oral etrasimod, 2 mg, QD

  4. Part 1 OLE and Part 2: Incidence of clinically significant changes in RBC (x10^6/uL) [ Time Frame: Baseline up to 68 weeks in Part 1 and up to 52 weeks in Part 2 ]
    To evaluate the long-term safety of oral etrasimod, 2 mg, QD

  5. Part 1 OLE and Part 2: Incidence of clinically significant changes in Platelets, WBC, and WBC with Diff (x10^3/uL) [ Time Frame: Baseline up to 68 weeks in Part 1 and up to 52 weeks in Part 2 ]
    To evaluate the long-term safety of oral etrasimod, 2 mg, QD

  6. Part 1 OLE and Part 2: Incidence of clinically significant changes in TBNK panel (abs/uL) [ Time Frame: Baseline up to 68 weeks in Part 1 and up to 52 weeks in Part 2 ]
    To evaluate the long-term safety of oral etrasimod, 2 mg, QD

  7. Part 1 OLE and Part 2: Incidence of clinically significant changes in Hematocrit, WBC with Diff, TBNK with Diff (%) [ Time Frame: Baseline up to 68 weeks in Part 1 and up to 52 weeks in Part 2 ]
    To evaluate the long-term safety of oral etrasimod, 2 mg, QD

  8. Part 1 OLE and Part 2: Incidence of clinically significant changes in Total bilirubin, Urea Nitrogen, Creatinine (mg/dL) [ Time Frame: Baseline up to 68 weeks in Part 1 and up to 52 weeks in Part 2 ]
    To evaluate the long-term safety of oral etrasimod, 2 mg, QD

  9. Part 1 OLE and Part 2: Incidence of clinically significant changes in AP, ALT (SGPT), AST (SGOT) (U/L) [ Time Frame: Baseline up to 68 weeks in Part 1 and up to 52 weeks in Part 2 ]
    To evaluate the long-term safety of oral etrasimod, 2 mg, QD

  10. Part 1 OLE and Part 2: Incidence of clinically significant changes in Total Protein and Albumin-BCG (g/dL) [ Time Frame: Baseline up to 68 weeks in Part 1 and up to 52 weeks in Part 2 ]
    To evaluate the long-term safety of oral etrasimod, 2 mg, QD

  11. Part 1 OLE and Part 2: Incidence of clinically significant changes in Serum Sodium, Serum Potassium (mmol/L) [ Time Frame: Baseline up to 68 weeks in Part 1 and up to 52 weeks in Part 2 ]
    To evaluate the long-term safety of oral etrasimod, 2 mg, QD

  12. Part 1 OLE and Part 2: Incidence of clinically significant changes in urinalysis (pos/neg local dipstick) [ Time Frame: Baseline up to 68 weeks in Part 1 and up to 52 weeks in Part 2 ]
    To evaluate the long-term safety of oral etrasimod, 2 mg, QD

  13. Part 1 OLE and Part 2: Incidence of clinically significant changes in vital sign values (BP) [ Time Frame: Baseline up to 68 weeks in Part 1 and up to 52 weeks in Part 2 ]
    To evaluate the long-term safety of oral etrasimod, 2 mg, QD

  14. Part 1 OLE and Part 2: Incidence of clinically significant changes in vital sign values (pulse rate) [ Time Frame: Baseline up to 68 weeks in Part 1 and up to 52 weeks in Part 2 ]
    To evaluate the long-term safety of oral etrasimod, 2 mg, QD

  15. Part 1 OLE and Part 2: Incidence of clinically significant changes in vital sign values (temperature) [ Time Frame: Baseline up to 68 weeks in Part 1 and up to 52 weeks in Part 2 ]
    To evaluate the long-term safety of oral etrasimod, 2 mg, QD

  16. Part 1 OLE and Part 2: Incidence of clinically significant changes in vital sign values (respiratory rate) [ Time Frame: Baseline up to 68 weeks in Part 1 and up to 52 weeks in Part 2 ]
    To evaluate the long-term safety of oral etrasimod, 2 mg, QD

  17. Part 1 OLE and Part 2: Incidence of clinically significant changes in ECG measurements (QT interval) [ Time Frame: Baseline up to 68 weeks in Part 1 and up to 52 weeks in Part 2 ]
    To evaluate the long-term safety of oral etrasimod, 2 mg, QD

  18. Part 1 OLE and Part 2: Incidence of clinically significant changes in ECG measurements (QTc interval) [ Time Frame: Baseline up to 68 weeks in Part 1 and up to 52 weeks in Part 2 ]
    To evaluate the long-term safety of oral etrasimod, 2 mg, QD

  19. Part 1 OLE and Part 2: Incidence of clinically significant changes in ECG measurements (heart rate) [ Time Frame: Baseline up to 68 weeks in Part 1 and up to 52 weeks in Part 2 ]
    To evaluate the long-term safety of oral etrasimod, 2 mg, QD

  20. Part 1 OLE and Part 2: Incidence of clinically significant changes in ECG measurements (PR interval) [ Time Frame: Baseline up to 68 weeks in Part 1 and up to 52 weeks in Part 2 ]
    To evaluate the long-term safety of oral etrasimod, 2 mg, QD

  21. Part 1 OLE and Part 2: Incidence of clinically significant changes in ECG measurements (QRS complex) [ Time Frame: Baseline up to 68 weeks in Part 1 and up to 52 weeks in Part 2 ]
    To evaluate the long-term safety of oral etrasimod, 2 mg, QD

  22. Part 1 OLE and Part 2: Change from Baseline in Hemoglobin (g/dL) [ Time Frame: Baseline up to 68 weeks in Part 1 and up to 52 weeks in Part 2 ]
    To evaluate the long-term safety of oral etrasimod, 2 mg, QD

  23. Part 1 OLE and Part 2: Change from Baseline in RBC (x10^6/uL) [ Time Frame: Baseline up to 68 weeks in Part 1 and up to 52 weeks in Part 2 ]
    To evaluate the long-term safety of oral etrasimod, 2 mg, QD

  24. Part 1 OLE and Part 2: Change from Baseline in Platelets, WBC, and WBC with diff (x10^3/uL) [ Time Frame: Baseline up to 68 weeks in Part 1 and up to 52 weeks in Part 2 ]
    To evaluate the long-term safety of oral etrasimod, 2 mg, QD

  25. Part 1 OLE and Part 2: Change from Baseline in TBNK Panel (abs/uL) [ Time Frame: Baseline up to 68 weeks in Part 1 and up to 52 weeks in Part 2 ]
    To evaluate the long-term safety of oral etrasimod, 2 mg, QD

  26. Part 1 OLE and Part 2: Change from Baseline in Hematocrit, WBC with diff, TBNK with diff (%) [ Time Frame: Baseline up to 68 weeks in Part 1 and up to 52 weeks in Part 2 ]
    To evaluate the long-term safety of oral etrasimod, 2 mg, QD

  27. Part 1 OLE and Part 2: Change from Baseline in Total bilirubin, Urea Nitrogen, Creatinine (mg/dL) [ Time Frame: Baseline up to 68 weeks in Part 1 and up to 52 weeks in Part 2 ]
    To evaluate the long-term safety of oral etrasimod, 2 mg, QD

  28. Part 1 OLE and Part 2: Change from Baseline in AP, ALT (SGPT), AST (SGOT) (U/L) [ Time Frame: Baseline up to 68 weeks in Part 1 and up to 52 weeks in Part 2 ]
    To evaluate the long-term safety of oral etrasimod, 2 mg, QD

  29. Part 1 OLE and Part 2: Change from Baseline in Total Protein and Albumin-BCG (g/dL) [ Time Frame: Baseline up to 68 weeks in Part 1 and up to 52 weeks in Part 2 ]
    To evaluate the long-term safety of oral etrasimod, 2 mg, QD

  30. Part 1 OLE and Part 2: Change from Baseline in Serum Sodium, Serum Potassium (mmol/L) [ Time Frame: Baseline up to 68 weeks in Part 1 and up to 52 weeks in Part 2 ]
    To evaluate the long-term safety of oral etrasimod, 2 mg, QD

  31. Part 1 OLE and Part 2: Change from Baseline in urinalysis (pos/neg local dipstick) [ Time Frame: Baseline up to 68 weeks in Part 1 and up to 52 weeks in Part 2 ]
    To evaluate the long-term safety of oral etrasimod, 2 mg, QD

  32. Part 1 OLE and Part 2: Change from Baseline in vital sign values (BP) [ Time Frame: Baseline up to 68 weeks in Part 1 and up to 52 weeks in Part 2 ]
    To evaluate the long-term safety of oral etrasimod, 2 mg, QD

  33. Part 1 OLE and Part 2: Change from Baseline in vital sign values (pulse rate) [ Time Frame: Baseline up to 68 weeks in Part 1 and up to 52 weeks in Part 2 ]
    To evaluate the long-term safety of oral etrasimod, 2 mg, QD

  34. Part 1 OLE and Part 2: Change from Baseline in vital sign values (temperature) [ Time Frame: Baseline up to 68 weeks in Part 1 and up to 52 weeks in Part 2 ]
    To evaluate the long-term safety of oral etrasimod, 2 mg, QD

  35. Part 1 OLE and Part 2: Change from Baseline in vital sign values (respiratory rate) [ Time Frame: Baseline up to 68 weeks in Part 1 and up to 52 weeks in Part 2 ]
    To evaluate the long-term safety of oral etrasimod, 2 mg, QD

  36. Part 1 OLE and Part 2: Change from Baseline in ECG values (QT interval) [ Time Frame: Baseline up to 68 weeks in Part 1 and up to 52 weeks in Part 2 ]
    To evaluate the long-term safety of oral etrasimod, 2 mg, QD

  37. Part 1 OLE and Part 2: Change from Baseline in ECG values (QTc interval) [ Time Frame: Baseline up to 68 weeks in Part 1 and up to 52 weeks in Part 2 ]
    To evaluate the long-term safety of oral etrasimod, 2 mg, QD

  38. Part 1 OLE and Part 2: Change from Baseline in ECG values (heart rate) [ Time Frame: Baseline up to 68 weeks in Part 1 and up to 52 weeks in Part 2 ]
    To evaluate the long-term safety of oral etrasimod, 2 mg, QD

  39. Part 1 OLE and Part 2: Change from Baseline in ECG values (PR interval) [ Time Frame: Baseline up to 68 weeks in Part 1 and up to 52 weeks in Part 2 ]
    To evaluate the long-term safety of oral etrasimod, 2 mg, QD

  40. Part 1 OLE and Part 2: Change from Baseline in ECG values (QRS complex) [ Time Frame: Baseline up to 68 weeks in Part 1 and up to 52 weeks in Part 2 ]
    To evaluate the long-term safety of oral etrasimod, 2 mg, QD


Secondary Outcome Measures :
  1. Part 1 DB: Proportion of participants achieving a EASI-75 [ Time Frame: at Week 16 ]
    To evaluate the efficacy of etrasimod, 2 mg, QD based on additional measures

  2. Part 1 DB: Percent change from baseline in EASI [ Time Frame: at Week 16 ]
    To evaluate the efficacy of etrasimod, 2 mg, QD based on additional measures



Information from the National Library of Medicine

Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the contacts provided below. For general information, Learn About Clinical Studies.


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Ages Eligible for Study:   18 Years to 80 Years   (Adult, Older Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

Participants must meet the following key inclusion criteria to be eligible for enrollment into the study:

1. Age 18-80 at screening (or minimum age of consent according to local regulations).

2 Chronic AD (also known as atopic eczema) that was diagnosed at least 1 year prior to Screening and meets Hanifin and Rajka criteria at screening).1 3. Moderate to severe AD:

  1. IGA score ≥3 (on the 0 to 4 IGA scale, in which 3 = moderate and 4 = severe) at screening and baseline (Day 1)
  2. BSA ≥10% of AD involvement at screening and baseline (Day 1)
  3. Eczema Area and Severity Index (EASI) ≥16 at screening and baseline (Day 1) 4. A participant who has failed a prior systemic therapy for AD, ie, refractory, moderate-to-severe AD that is not adequately controlled with other systemic drug products, including biologics, or when use of those therapies is inadvisable.

    5. Willing to apply a topical emollient/moisturizer at least once daily for ≥1 week prior to baseline (Day 1) and willing to maintain consistent (ie, no change in type, frequency, or application) daily application over the course of the study.

    Exclusion Criteria:

    Participants are excluded from the study if any of the following criteria apply:

    Medical Conditions:

    1. Presence of confounding factors:

      • Skin conditions (eg, psoriasis, seborrheic dermatitis) that may interfere with evaluation of AD or assessment of treatment response as deemed by the investigator.
      • Current significant active infection or requiring a treatment for infection that may interfere with the assessment of AD.
    2. Hypersensitivity to etrasimod or any of the excipients.
    3. Other medical or psychiatric condition including recent (within the past year) or active suicidal ideation/behavior or laboratory abnormality that may increase the risk of study participation or, in the investigator's judgment, make the participant inappropriate for the study.

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT05732454


Contacts
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Contact: Pfizer CT.gov Call Center 1-800-718-1021 ClinicalTrials.gov_Inquiries@pfizer.com

Locations
Show Show 97 study locations
Sponsors and Collaborators
Pfizer
Investigators
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Study Director: Pfizer CT.gov Call Center Pfizer
Additional Information:
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Responsible Party: Pfizer
ClinicalTrials.gov Identifier: NCT05732454    
Other Study ID Numbers: C5041005
2022-003361-37 ( EudraCT Number )
APD334-314 ( Other Identifier: Alias Study Number )
First Posted: February 17, 2023    Key Record Dates
Last Update Posted: June 5, 2023
Last Verified: June 2023
Individual Participant Data (IPD) Sharing Statement:
Plan to Share IPD: Yes
Plan Description: 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.
URL: https://www.pfizer.com/science/clinical_trials/trial_data_and_results/data_requests

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Studies a U.S. FDA-regulated Drug Product: Yes
Studies a U.S. FDA-regulated Device Product: No
Keywords provided by Pfizer:
Systemic Failure
Oral
Additional relevant MeSH terms:
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Dermatitis, Atopic
Dermatitis
Eczema
Skin Diseases
Skin Diseases, Genetic
Genetic Diseases, Inborn
Skin Diseases, Eczematous
Hypersensitivity, Immediate
Hypersensitivity
Immune System Diseases