A Phase 3 Study of Rezpegaldesleukin (NKTR-358) for Patients ≥ 12 Years of Age With Moderate-to-Severe Atopic Dermatitis

Trial statusRecruiting
Trial phasePhase 3
Trial typeInterventional
Biological sexAll
Age12+
SponsorNektar Therapeutics

About this trial

This is an interventional, randomized, parallel group, treatment, Phase 3, double blind study to assess the effect of Rezpegaldesleukin in participants 12 years of age or older with moderate to severe atopic dermatitis, as compared to placebo.

The estimated participant overall duration is approximately 15 months.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Male or female patients, ≥ 12 years of age on the day of signing the informed consent form and weighing ≥ 40 kg prior to randomization at Baseline

Chronic atopic dermatitis (AD) defined as onset of AD signs and symptoms ≥ 12 months prior to Screening as determined by the Investigator through patient interview and/or review of medical history at the Screening Visit

IGA score ≥ 3 (scale of 0 to 4) at Screening and Baseline

≥ 10.0% of BSA involvement at Screening and Baseline

Disqualifiers

Are currently experiencing or have a history of concomitant skin conditions other than AD, including skin infection in the area affected by the patient's AD that requires treatment with systemic antimicrobial therapy

Are currently experiencing or have a history of unstable course of AD

History of chronic idiopathic urticaria at any time or urticaria from other causes within 4 weeks prior to randomization at the Baseline Visit.

Have a history of TCS use suggestive of a high risk for topical corticosteroid (TCS) withdrawal

Trial design

Design model

Parallel

Treatments tested in this trial

  • Rezpegaldesleukin

    Drug

    Pharmaceutical form: Injection solution Route of administration: subcutaneous

  • Placebo

    Drug

    Pharmaceutical form: Injection solution Route of administration: subcutaneous

Treatment groups

510 Participants
are divided into 6 treatment groups

6

Treatment groups

See each treatment group below.

Group A: Blinded Induction Period: Rezpegaldesleukin every 2 weeksExperimental treatment 1 intervention
Group B: Blinded Induction Period: PlaceboPlacebo comparator 1 intervention
Group C: Blinded Maintenance Period: Rezpegaldesleukin every 4 weeksExperimental treatment 1 intervention
Group D: Blinded Maintenance Period: Rezpegaldesleukin every 12 weeksExperimental treatment 1 intervention
Group E: Blinded Maintenance Period: PlaceboPlacebo comparator 1 intervention
Group F: Open-Label EscapeExperimental treatment 1 intervention

Trial outcomes

Primary outcomes

1

US only: Number of participants with an Investigator's Global Assessment (IGA) score of 0 or 1 and reduction ≥ 2 points from baseline at Week 24

The IGA scale ranges from 0 to 4, with higher score indicating more severe disease.

Time frame
Week 0 and Week 24
2

Non-US regions only: Number of participants with an Investigator's Global Assessment (IGA) score of 0 or 1 at Week 24

The IGA scale ranges from 0 to 4, with higher score indicating more severe disease.

Time frame
Week 0 and Week 24
3

Non-US regions only: Number of participants with a ≥ 75% reduction in Eczema Area and Severity Index (EASI) score from baseline at Week 24 (EASI-75)

The EASI scores range from 0 to 72, with higher scores indicating more severe atopic dermatitis.

Time frame
Week 0 and Week 24

Secondary outcomes

1

US only: Number of participants with a ≥ 75% reduction in EASI score from baseline at Week 24 (EASI-75)

The EASI scores range from 0 to 72, with higher scores indicating more severe atopic dermatitis.

Time frame
Week 0 and Week 24
2

Number of participants with a ≥ 90% reduction in EASI score from baseline at Week 24 (EASI-90)

The EASI scores range from 0 to 72, with higher scores indicating more severe atopic dermatitis.

Time frame
Week 0 and Week 24
3

Number of participants at week 6 achieving a 4-point or greater improvement in Itch numerical rating scale (NRS) in the subset of participants with a 4-point or greater Itch NRS at baseline

The itch NRS goes from 0 to 10, with higher score indicating more severe itch.

Time frame
Week 0 and Week 6
4

Number of participants at week 24 achieving a 4-point or greater improvement in Itch numerical rating scale (NRS) in the subset of participants with a 4-point or greater Itch NRS at baseline

The itch NRS goes from 0 to 10, with higher score indicating more severe itch.

Time frame
Week 0 and Week 24

Other outcomes

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