E.1 Medical condition or disease under investigation |
E.1.1 | Medical condition(s) being investigated |
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E.1.1.1 | Medical condition in easily understood language |
Atopic dermatitis is a form of eczema. It is a condition that causes the skin to become itchy, red, dry and cracked. It can affect any part of the body. |
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E.1.1.2 | Therapeutic area | Diseases [C] - Skin and Connective Tissue Diseases [C17] |
MedDRA Classification |
E.1.2 Medical condition or disease under investigation |
E.1.2 | Version | 19.0 |
E.1.2 | Level | PT |
E.1.2 | Classification code | 10012438 |
E.1.2 | Term | Dermatitis atopic |
E.1.2 | System Organ Class | 10040785 - Skin and subcutaneous tissue disorders |
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E.1.3 | Condition being studied is a rare disease | No |
E.2 Objective of the trial |
E.2.1 | Main objective of the trial |
• To measure the decrease of cytokines within interstitial fluid, where saline and house dust mite (HDM) have been administered, in patients receiving ANB020 compared to placebo. • To assess the effect of ANB020 on differential white blood cell (WBC) counts. • To assess the safety and tolerability of single dose administration of ANB020 in patients with atopic dermatitis (AD). |
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E.2.2 | Secondary objectives of the trial |
• To assess the effect of ANB020 on serum cytokines. • To compare the changes in urticarial manifestation 0.5 hours after HDM challenge between patients receiving placebo and then ANB020. • To describe the limited pharmacokinetics (PK) of ANB020 following a single, intravenous (IV) dose. • To assess the activity of ANB020 after single dose administration on clinical scores such as the Eczema Area Severity Index (EASI), Investigator’s Global Assessment (IGA), Scoring Atopic Dermatitis (SCORAD), Dermatology Quality Life Index (DLQI), 5D Itch Score, and use of topical corticosteroids in patients with moderate to severe AD over a period of 8 weeks after administration of the IP. |
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E.2.3 | Trial contains a sub-study | No |
E.3 | Principal inclusion criteria |
• Male and female patients with age >18 years and able to give informed consent. • Patients with a confirmed clinical diagnosis of AD based on the Hanifin/Rajka criteria. • The EASI score ≥14 at screening to reflect moderate to severe. • Patients with a confirmed positive response to a skin HDM challenge. • BMI of 18 to 32 kg/m2 (inclusive) and total body weight >50 kg. • Willing and able to comply with the study protocol requirements, in the Investigator’s opinion, including applying topical corticosteroid ointment and emollient as specified by the protocol. • Have the ability to read and understand the study procedures and have the ability to communicate meaningfully with the Investigator and staff. • Female patients of childbearing potential must have a negative pregnancy test at screening and Day 1, must not be lactating, or intend to become pregnant during the study period, and be surgically sterile or using an acceptable method of contraception throughout the study and for 8 weeks after the last dose of the IP. Postmenopausal patients defined as 1) aged over 45 years with at least 1 year of amenorrhea and levels of follicle stimulating hormone over 20 UI/L or 2) aged over 50 years with at least 1 year of amenorrhea. • Male patients must be willing to use contraception during the entire study period. |
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E.4 | Principal exclusion criteria |
• Have concomitant dermatological or medical condition(s) which may interfere with the Investigator’s ability to evaluate the patient's response to the IP. • Have applied any topical medication (including corticosteroids, calcineurin inhibitor, topical H1 and H2 antihistamines, topical antimicrobials, and other medicated topical agents) or herbal preparation to the area selected for treatment within 14 days before screening. • Have received antibiotic treatment within 2 weeks before screening. • Have received systemic treatment for AD (including systemic corticosteroids, non steroidals, immunosuppressants or immunomodulating drugs, antihistamines, or treatment with light or use of a tanning booth) within 4 weeks before screening. • Have received any investigational drug or been part of any interventional clinical study within a period of 3 months or 5 half-lives (whichever is longer) before screening. • Have a history of hypersensitivity or allergic reactions to polysorbate 80 a component of ANB020 formulation or the inactive ingredients (excipients). • Have a history of severe allergic or anaphylactic reactions to human, humanized, chimeric, or murine monoclonal antibodies. • History of drug, alcohol or other substance abuse, or other factors limiting the ability to cooperate and to comply with the study protocol. • Hypersensitivity to topical corticosteroid or to any other ingredients contained in the topical corticosteroid product used in the study. • Use of any over the counter or complementary medicines, within 7 days before screening. • Clinical diagnosis of bacterial infections of the skin, including impetigo or abscesses which meet any of the following criteria: hospital admission within 4 weeks of screening; received IV, oral or topical antibiotics within 2 weeks of screening. • Positive blood screen for hepatitis C antibody, hepatitis B surface antigen, or HIV 1 and 2 antibodies. • Have any other physical, mental, or medical conditions which, in the opinion of the Investigator, make study participation inadvisable or could confound study assessments. • History of parasitic infections within 12 months before screening. • Receipt of a live attenuated vaccine within 4 weeks before screening. • Planned surgery during the study. • History of malignancy within 5 years, except non melanoma skin cancer which has been fully treated with no current active disease.
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E.5 End points |
E.5.1 | Primary end point(s) |
1. Cytokine in blister fluid after HDM skin challenge, including, but not limited to IL-4, IL-5, IL-13, and IL-33.
2. Differential WBC counts will be measured to monitor peripheral cell populations.
3. Safety and Tolerability: •Assessment of AEs •Potentially significant and clinically important AEs, SAEs, AEs of special interests, and AEs leading to withdrawal •Physical examinations •Vital signs •Clinical safety laboratory tests (haematology, biochemistry, and urinalysis) •Electrocardiogram (ECG)
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E.5.1.1 | Timepoint(s) of evaluation of this end point |
1. Cytokine in blister fluid after HDM skin challenge, including, but not limited to IL-4, IL-5, IL-13, and IL-33: At Day 5, 24 hours after placebo / HDM challenge and at Day 12, 24 hours after ANB020 / HDM challenge.
2. Differential WBC counts: Day 5 and 12.
3. Safety and Tolerability: •Assessment of AEs: Throughout the study period. •Physical examinations: Screening, Days 1, 8, 15 and 64. •Vital signs and clinical safety laboratory tests (haematology, biochemistry, and urinalysis): Screening, Days 1, 8, 15, 22, 36 and 64. •Electrocardiogram: Screening and Day 64.
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E.5.2 | Secondary end point(s) |
1. Urticarial manifestation 0.5 hours after HDM skin challenge between placebo and ANB020. 2. Circulating cytokines including, but not limited to IL-4, IL-5, IL-13, IL-33, and sST2. 3. Clinical scores for EASI, IGA, SCORAD, DLQI, and 5D Itch Score. 4. Patient diary data of corticosteroid usage. 5. Determination of ANB020 in human serum for PK assessment. Where possible, the following PK parameters will be determined for ANB020 after a single IV infusion; maximum observed concentration and time to maximum observed concentration
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E.5.2.1 | Timepoint(s) of evaluation of this end point |
1. Urticarial manifestation 0.5 hours after HDM skin challenge between placebo (Day 4) and ANB020 (Day 11). 2. Circulating cytokines: Days 1, 5, 8 and 12. 3. Clinical scores for EASI, IGA, SCORAD, DLQI, and 5D Itch Score: Screening, Days 1,8,15,22, 36 and 64. 4. Patient diary data of corticosteroid usage: Throughout study duration. 5. PK assessment: Screening, Days 8, 11 and 12.
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E.6 and E.7 Scope of the trial |
E.6 | Scope of the trial |
E.6.1 | Diagnosis | No |
E.6.2 | Prophylaxis | No |
E.6.3 | Therapy | No |
E.6.4 | Safety | Yes |
E.6.5 | Efficacy | Yes |
E.6.6 | Pharmacokinetic | Yes |
E.6.7 | Pharmacodynamic | Yes |
E.6.8 | Bioequivalence | No |
E.6.9 | Dose response | No |
E.6.10 | Pharmacogenetic | No |
E.6.11 | Pharmacogenomic | No |
E.6.12 | Pharmacoeconomic | No |
E.6.13 | Others | No |
E.7 | Trial type and phase |
E.7.1 | Human pharmacology (Phase I) | No |
E.7.1.1 | First administration to humans | No |
E.7.1.2 | Bioequivalence study | No |
E.7.1.3 | Other | No |
E.7.1.3.1 | Other trial type description | |
E.7.2 | Therapeutic exploratory (Phase II) | Yes |
E.7.3 | Therapeutic confirmatory (Phase III) | No |
E.7.4 | Therapeutic use (Phase IV) | No |
E.8 Design of the trial |
E.8.1 | Controlled | Yes |
E.8.1.1 | Randomised | No |
E.8.1.2 | Open | Yes |
E.8.1.3 | Single blind | No |
E.8.1.4 | Double blind | No |
E.8.1.5 | Parallel group | No |
E.8.1.6 | Cross over | No |
E.8.1.7 | Other | No |
E.8.2 | Comparator of controlled trial |
E.8.2.1 | Other medicinal product(s) | No |
E.8.2.2 | Placebo | Yes |
E.8.2.3 | Other | No |
E.8.2.4 | Number of treatment arms in the trial | 1 |
E.8.3 |
The trial involves single site in the Member State concerned
| Yes |
E.8.4 | The trial involves multiple sites in the Member State concerned | No |
E.8.5 | The trial involves multiple Member States | No |
E.8.6 Trial involving sites outside the EEA |
E.8.6.1 | Trial being conducted both within and outside the EEA | No |
E.8.6.2 | Trial being conducted completely outside of the EEA | No |
E.8.7 | Trial has a data monitoring committee | No |
E.8.8 |
Definition of the end of the trial and justification where it is not the last
visit of the last subject undergoing the trial
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last visit of the last subject |
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E.8.9 Initial estimate of the duration of the trial |
E.8.9.1 | In the Member State concerned years | |
E.8.9.1 | In the Member State concerned months | |
E.8.9.1 | In the Member State concerned days | 78 |