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    Clinical Trial Results:
    A RANDOMIZED, DOUBLE-BLIND, PLACEBO-CONTROLLED TRIAL TO EVALUATE THE EFFICACY AND SAFETY OF LEBRIKIZUMAB IN PATIENTS WITH MODERATE-TO-SEVERE ATOPIC DERMATITIS

    Summary
    EudraCT number
    2019-002932-10
    Trial protocol
    LT   ES   PL   EE   FR   LV  
    Global end of trial date
    03 May 2022

    Results information
    Results version number
    v2
    This version publication date
    21 Aug 2022
    First version publication date
    06 Jul 2022
    Other versions
    v1 , v3
    Version creation reason
    • Correction of full data set
    Corrections to outcome measures per CT.gov Quality Review.

    Trial information

    Close Top of page
    Trial identification
    Sponsor protocol code
    J2T-DM-KGAB, DRM06-AD04
    Additional study identifiers
    ISRCTN number
    -
    US NCT number
    NCT04146363
    WHO universal trial number (UTN)
    -
    Other trial identifiers
    Trial Number: 17801
    Sponsors
    Sponsor organisation name
    Eli Lilly and Company
    Sponsor organisation address
    Lilly Corporate Center, Indianapolis, IN, United States, 46285
    Public contact
    Available Mon - Fri 9 AM - 5 PM EST, Eli Lilly and Company, 1 877-CTLilly,
    Scientific contact
    Available Mon - Fri 9 AM - 5 PM EST, Eli Lilly and Company, 1 877-285-4559,
    Paediatric regulatory details
    Is trial part of an agreed paediatric investigation plan (PIP)
    No
    Does article 45 of REGULATION (EC) No 1901/2006 apply to this trial?
    No
    Does article 46 of REGULATION (EC) No 1901/2006 apply to this trial?
    No
    Results analysis stage
    Analysis stage
    Interim
    Date of interim/final analysis
    21 Jun 2021
    Is this the analysis of the primary completion data?
    Yes
    Primary completion date
    21 Jun 2021
    Global end of trial reached?
    Yes
    Global end of trial date
    03 May 2022
    Was the trial ended prematurely?
    No
    General information about the trial
    Main objective of the trial
    The primary objective of this study is to evaluate the safety and efficacy of lebrikizumab compared with placebo in participants with moderate-to-severe atopic dermatitis.
    Protection of trial subjects
    This study was conducted in accordance with International Conference on Harmonization (ICH) Good Clinical Practice, and the principles of the Declaration of Helsinki, in addition to following the laws and regulations of the country or countries in which a study is conducted.
    Background therapy
    -
    Evidence for comparator
    -
    Actual start date of recruitment
    24 Sep 2019
    Long term follow-up planned
    No
    Independent data monitoring committee (IDMC) involvement?
    Yes
    Population of trial subjects
    Number of subjects enrolled per country
    Country: Number of subjects enrolled
    France: 7
    Country: Number of subjects enrolled
    Estonia: 8
    Country: Number of subjects enrolled
    Latvia: 11
    Country: Number of subjects enrolled
    Lithuania: 18
    Country: Number of subjects enrolled
    Poland: 81
    Country: Number of subjects enrolled
    Australia: 39
    Country: Number of subjects enrolled
    Canada: 23
    Country: Number of subjects enrolled
    Korea, Republic of: 34
    Country: Number of subjects enrolled
    United States: 190
    Country: Number of subjects enrolled
    Spain: 13
    Worldwide total number of subjects
    424
    EEA total number of subjects
    138
    Number of subjects enrolled per age group
    In utero
    0
    Preterm newborn - gestational age < 37 wk
    0
    Newborns (0-27 days)
    0
    Infants and toddlers (28 days-23 months)
    0
    Children (2-11 years)
    0
    Adolescents (12-17 years)
    55
    Adults (18-64 years)
    338
    From 65 to 84 years
    29
    85 years and over
    2

    Subject disposition

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    Recruitment
    Recruitment details
    Reported are results for the Induction Period (Baseline to Week16), data for Maintenance Period (Week 16 to Week 52) will be posted at the time of final results reporting.

    Pre-assignment
    Screening details
    No Text Entered

    Period 1
    Period 1 title
    Overall Study (overall period)
    Is this the baseline period?
    Yes
    Allocation method
    Randomised - controlled
    Blinding used
    Double blind
    Roles blinded
    Subject, Investigator, Carer, Assessor

    Arms
    Are arms mutually exclusive
    Yes

    Arm title
    Placebo
    Arm description
    Induction Period (Baseline-Week 16): Two subcutaneous (SC) injections of Placebo as a loading dose at Baseline and Week 2 followed by a single injection every 2 weeks (Q2W) from Week 4 until Week 14.
    Arm type
    Placebo

    Investigational medicinal product name
    Placebo
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Injection
    Routes of administration
    Subcutaneous use
    Dosage and administration details
    Two subcutaneous (SC) injections of Placebo as a loading dose at Baseline and Week 2 followed by a single injection every 2 weeks (Q2W) from Week 4 until Week 14.

    Arm title
    Lebrikizumab Q2W
    Arm description
    Induction Period (Baseline-Week 16): 500 milligram (mg) Lebrikizumab (2 x 250 mg) SC injections as a loading dose at Baseline and Week 2 visits followed by a single 250 mg Lebrikizumab injection Q2W from Week 4 until Week 14.
    Arm type
    Experimental

    Investigational medicinal product name
    Lebrikizumab
    Investigational medicinal product code
    LY3650150
    Other name
    Pharmaceutical forms
    Injection
    Routes of administration
    Subcutaneous use
    Dosage and administration details
    500 milligram (mg) Lebrikizumab (2 x 250 mg) SC injections as a loading dose at Baseline and Week 2 visits followed by a single 250 mg Lebrikizumab injection Q2W from Week 4 until Week 14.

    Number of subjects in period 1
    Placebo Lebrikizumab Q2W
    Started
    141
    283
    Received at Least One Dose of Study Drug
    141
    282
    Completed
    120
    263
    Not completed
    21
    20
         Started systemic dexamethasone
    1
    -
         Positive quantiferon test
    -
    1
         Adverse event, non-fatal
    1
    2
         Due to Epidemic/Pandemic
    1
    1
         Withdrawal by Subject
    6
    4
         Lost to follow-up
    1
    4
         Lack of efficacy
    6
    2
         Protocol deviation
    5
    6

    Baseline characteristics

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    Baseline characteristics reporting groups
    Reporting group title
    Placebo
    Reporting group description
    Induction Period (Baseline-Week 16): Two subcutaneous (SC) injections of Placebo as a loading dose at Baseline and Week 2 followed by a single injection every 2 weeks (Q2W) from Week 4 until Week 14.

    Reporting group title
    Lebrikizumab Q2W
    Reporting group description
    Induction Period (Baseline-Week 16): 500 milligram (mg) Lebrikizumab (2 x 250 mg) SC injections as a loading dose at Baseline and Week 2 visits followed by a single 250 mg Lebrikizumab injection Q2W from Week 4 until Week 14.

    Reporting group values
    Placebo Lebrikizumab Q2W Total
    Number of subjects
    141 283 424
    Age categorical
    Units: Subjects
        In utero
    0 0 0
        Preterm newborn infants (gestational age < 37 wks)
    0 0 0
        Newborns (0-27 days)
    0 0 0
        Infants and toddlers (28 days-23 months)
    0 0 0
        Children (2-11 years)
    0 0 0
        Adolescents (12-17 years)
    18 37 55
        Adults (18-64 years)
    113 225 338
        From 65-84 years
    10 19 29
        85 years and over
    0 2 2
    Gender categorical
    Units: Subjects
        Female
    73 141 214
        Male
    68 142 210
    Race
    Units: Subjects
        American Indian or Alaska Native
    0 7 7
        Asian
    31 39 70
        Native Hawaiian or Other Pacific Islander
    0 2 2
        Black or African American
    16 33 49
        White
    93 196 289
        More than one race
    1 4 5
        Unknown or Not Reported
    0 2 2
    Region of Enrollment
    Units: Subjects
        Canada
    7 16 23
        South Korea
    13 21 34
        Lativa
    6 5 11
        United States
    62 128 190
        Poland
    25 56 81
        Australia
    13 26 39
        France
    0 7 7
        Lithuania
    7 11 18
        Spain
    4 9 13
        Estonia
    4 4 8

    End points

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    End points reporting groups
    Reporting group title
    Placebo
    Reporting group description
    Induction Period (Baseline-Week 16): Two subcutaneous (SC) injections of Placebo as a loading dose at Baseline and Week 2 followed by a single injection every 2 weeks (Q2W) from Week 4 until Week 14.

    Reporting group title
    Lebrikizumab Q2W
    Reporting group description
    Induction Period (Baseline-Week 16): 500 milligram (mg) Lebrikizumab (2 x 250 mg) SC injections as a loading dose at Baseline and Week 2 visits followed by a single 250 mg Lebrikizumab injection Q2W from Week 4 until Week 14.

    Primary: Percentage of Participants With an Investigator Global Assessment (IGA) Score of 0 or 1 and a Reduction ≥2 Points From Baseline to Week 16

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    End point title
    Percentage of Participants With an Investigator Global Assessment (IGA) Score of 0 or 1 and a Reduction ≥2 Points From Baseline to Week 16
    End point description
    The IGA measures the investigator's global assessment of the participant's overall severity of their Atopic Dermatitis (AD), based on a static, numeric 5-point scale from 0 (clear skin) to 4 (severe disease). The score is based on an overall assessment of the degree of erythema, papulation/induration, oozing/crusting, and lichenification. Analysis Population Description (APD): All randomized participants, even if the participant does not take the assigned treatment, does not receive the correct treatment, or otherwise does not follow the protocol. Markov Chain Monte Carlo Multiple Imputation (MCMC-MI) was used to handle missing data.
    End point type
    Primary
    End point timeframe
    Baseline to Week 16
    End point values
    Placebo Lebrikizumab Q2W
    Number of subjects analysed
    141
    283
    Units: Percentage of Participants
        number (confidence interval 95%)
    12.8 (7.0 to 18.6)
    43.0 (37.1 to 49.0)
    Statistical analysis title
    IGA Baseline to Week 16
    Comparison groups
    Placebo v Lebrikizumab Q2W
    Number of subjects included in analysis
    424
    Analysis specification
    Pre-specified
    Analysis type
    superiority
    P-value
    < 0.000001
    Method
    Cochran-Mantel-Haenszel
    Parameter type
    Risk difference (RD)
    Point estimate
    29.6
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    21.4
         upper limit
    37.8

    Primary: Percentage of Participants Achieving Eczema Area And Severity Index (EASI-75) (≥75% Reduction in EASI Score) From Baseline to Week 16

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    End point title
    Percentage of Participants Achieving Eczema Area And Severity Index (EASI-75) (≥75% Reduction in EASI Score) From Baseline to Week 16
    End point description
    The EASI assesses objective physician estimates of 2 dimensions of atopic dermatitis - disease extent, i.e., percentage of skin affected: 0 = 0%; 1 = 1-9%; 2 = 10-29%; 3 = 30-49%; 4 = 50-69%; 5 = 70-89%; 6 = 90-100% and the severity of 4 clinical signs: (1) erythema, (2) edema/papulation, (3) excoriation, and (4) lichenification each on a scale of 0 to 3 (0 = none, absent; 1 = mild; 2 = moderate; 3 = severe) at 4 body sites (head/neck, trunk, upper limbs, and lower limbs). Half scores are allowed between severities 1, 2, and 3. The final EASI score was obtained by weight-averaging these 4 scores and will range from 0 (none) to 72 (severe). The EASI-75 responder is defined as a participant who achieves a ≥ 75% improvement from baseline in the EASI score. APD: All randomized participants, even if the participant does not take the assigned treatment, does not receive the correct treatment, or otherwise does not follow the protocol. MCMC-MI was used to handle missing data.
    End point type
    Primary
    End point timeframe
    Baseline to Week 16
    End point values
    Placebo Lebrikizumab Q2W
    Number of subjects analysed
    141
    283
    Units: Percentage of Participants
        number (confidence interval 95%)
    16.4 (9.8 to 23.0)
    59.3 (53.4 to 65.2)
    Statistical analysis title
    EASI-75
    Comparison groups
    Placebo v Lebrikizumab Q2W
    Number of subjects included in analysis
    424
    Analysis specification
    Pre-specified
    Analysis type
    superiority
    P-value
    < 0.000001
    Method
    Cochran-Mantel-Haenszel
    Parameter type
    Risk difference (RD)
    Point estimate
    42.3
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    33.5
         upper limit
    51

    Secondary: Percentage of Participants With an IGA Score of 0 or 1 and a Reduction ≥2 Points From Baseline to Week 2

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    End point title
    Percentage of Participants With an IGA Score of 0 or 1 and a Reduction ≥2 Points From Baseline to Week 2
    End point description
    he IGA measures the investigator's global assessment of the participant's overall severity of their AD, based on a static, numeric 5-point scale from 0 (clear skin) to 4 (severe disease). The score is based on an overall assessment of the degree of erythema, papulation/induration, oozing/crusting, and lichenification. APD: All randomized participants, even if the participant does not take the assigned treatment, does not receive the correct treatment, or otherwise does not follow the protocol. MCMC-MI was used to handle missing data.
    End point type
    Secondary
    End point timeframe
    Baseline to Week 2
    End point values
    Placebo Lebrikizumab Q2W
    Number of subjects analysed
    141
    283
    Units: Percentage of Participants
        number (confidence interval 95%)
    0.7 (0.0 to 2.1)
    2.5 (0.7 to 4.4)
    Statistical analysis title
    IGA Baseline to Week 2
    Comparison groups
    Placebo v Lebrikizumab Q2W
    Number of subjects included in analysis
    424
    Analysis specification
    Pre-specified
    Analysis type
    superiority
    P-value
    = 0.218644
    Method
    Cochran-Mantel-Haenszel
    Parameter type
    Risk difference (RD)
    Point estimate
    1.7
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    -0.6
         upper limit
    4

    Secondary: Percentage of Participants With an IGA Score of 0 or 1 and a Reduction ≥2 Points From Baseline to Week 4

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    End point title
    Percentage of Participants With an IGA Score of 0 or 1 and a Reduction ≥2 Points From Baseline to Week 4
    End point description
    The IGA measures the investigator's global assessment of the participant's overall severity of their AD, based on a static, numeric 5-point scale from 0 (clear skin) to 4 (severe disease). The score is based on an overall assessment of the degree of erythema, papulation/induration, oozing/crusting, and lichenification. APD: All randomized participants, even if the participant does not take the assigned treatment, does not receive the correct treatment, or otherwise does not follow the protocol. MCMC-MI was used to handle missing data.
    End point type
    Secondary
    End point timeframe
    Baseline to Week 4
    End point values
    Placebo Lebrikizumab Q2W
    Number of subjects analysed
    141
    283
    Units: Percentage of Participants
        number (confidence interval 95%)
    1.0 (-0.8 to 2.8)
    10.2 (6.6 to 13.8)
    Statistical analysis title
    IGA Baseline to Week 4
    Comparison groups
    Placebo v Lebrikizumab Q2W
    Number of subjects included in analysis
    424
    Analysis specification
    Pre-specified
    Analysis type
    superiority
    P-value
    = 0.000982
    Method
    Cochran-Mantel-Haenszel
    Parameter type
    Risk difference (RD)
    Point estimate
    9
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    5
         upper limit
    13.1

    Secondary: Percentage of Participants With an IGA Score of 0 or 1 and a Reduction ≥2 Points From Baseline to Week 16 in Adults

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    End point title
    Percentage of Participants With an IGA Score of 0 or 1 and a Reduction ≥2 Points From Baseline to Week 16 in Adults
    End point description
    The IGA measures the investigator's global assessment of the participant's overall severity of their AD, based on a static, numeric 5-point scale from 0 (clear skin) to 4 (severe disease). The score is based on an overall assessment of the degree of erythema, papulation/induration, oozing/crusting, and lichenification. APD: All randomized, adult participants, even if the participant does not take the assigned treatment, does not receive the correct treatment, or otherwise does not follow the protocol. MCMC-MI was used to handle missing data.
    End point type
    Secondary
    End point timeframe
    Baseline to Week 16
    End point values
    Placebo Lebrikizumab Q2W
    Number of subjects analysed
    123
    246
    Units: Percentage of Participants
        number (confidence interval 95%)
    11.3 (5.4 to 17.3)
    42.2 (35.8 to 48.6)
    Statistical analysis title
    IGA - Adults Baseline to Week 16
    Comparison groups
    Placebo v Lebrikizumab Q2W
    Number of subjects included in analysis
    369
    Analysis specification
    Pre-specified
    Analysis type
    superiority
    P-value
    < 0.000001
    Method
    Cochran-Mantel-Haenszel
    Parameter type
    Risk difference (RD)
    Point estimate
    30.7
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    22
         upper limit
    39.4

    Secondary: Percentage of Participants Achieving EASI-90 (≥90% Reduction in EASI Score) From Baseline to Week 16

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    End point title
    Percentage of Participants Achieving EASI-90 (≥90% Reduction in EASI Score) From Baseline to Week 16
    End point description
    The EASI assesses objective physician estimates of 2 dimensions of atopic dermatitis - disease extent i.e., percentage of skin affected: 0 = 0%; 1 = 1-9%; 2 = 10-29%; 3 = 30-49%; 4 = 50-69%; 5 = 70-89%; 6 = 90-100% and the severity of 4 clinical signs: (1) erythema, (2) edema/papulation, (3) excoriation, and (4) lichenification each on a scale of 0 to 3 (0 = none, absent; 1 = mild; 2 = moderate; 3 = severe) at 4 body sites (head/neck, trunk, upper limbs, and lower limbs). Half scores are allowed between severities 1, 2, and 3. The final EASI score was obtained by weight-averaging these 4 scores and will range from 0 (none) to 72 (severe). The EASI-90responder is defined as a participant who achieves a ≥ 90% improvement from baseline in the EASI score. APD: All randomized participants, even if the participant does not take the assigned treatment, does not receive the correct treatment, or otherwise does not follow the protocol. MCMC-MI was used to handle missing data.
    End point type
    Secondary
    End point timeframe
    Baseline to Week 16
    End point values
    Placebo Lebrikizumab Q2W
    Number of subjects analysed
    141
    283
    Units: Percentage of Participants
        number (confidence interval 95%)
    9.1 (3.9 to 14.3)
    38.2 (32.4 to 44.0)
    Statistical analysis title
    EASI-90
    Comparison groups
    Placebo v Lebrikizumab Q2W
    Number of subjects included in analysis
    424
    Analysis specification
    Pre-specified
    Analysis type
    superiority
    P-value
    < 0.000001
    Method
    Cochran-Mantel-Haenszel
    Parameter type
    Risk difference (RD)
    Point estimate
    28.6
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    20.9
         upper limit
    36.3

    Secondary: Percent Change in Pruritus Numerical Rating Scale (NRS) Score From Baseline to Week 16

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    End point title
    Percent Change in Pruritus Numerical Rating Scale (NRS) Score From Baseline to Week 16
    End point description
    Pruritus NRS is an 11-point scale used by participants to rate their worst itch severity over the past 24 hours with 0 indicating “No itch” and 10 indicating “Worst itch imaginable.” Least Squares (LS) Mean was calculated using analysis of covariance (ANCOVA) model with treatment and randomization strata (region, disease severity, age) as fixed factors and baseline value as covariate. APD: All randomized participants, with a Baseline Pruritus NRS score >0, even if the participant does not take the assigned treatment, does not receive the correct treatment, or otherwise does not follow the protocol. MCMC-MI was used to handle missing data.
    End point type
    Secondary
    End point timeframe
    Baseline, Week 16
    End point values
    Placebo Lebrikizumab Q2W
    Number of subjects analysed
    136
    276
    Units: Percent Change
        least squares mean (standard error)
    -15.24 ± 3.855
    -45.75 ± 3.167
    Statistical analysis title
    Pruritus Numerical Rating Scale (NRS)
    Comparison groups
    Placebo v Lebrikizumab Q2W
    Number of subjects included in analysis
    412
    Analysis specification
    Pre-specified
    Analysis type
    superiority
    P-value
    < 0.000001
    Method
    ANCOVA
    Parameter type
    LS Mean Difference (Final Values)
    Point estimate
    -30.51
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    -38.2
         upper limit
    -22.8
    Variability estimate
    Standard error of the mean
    Dispersion value
    3.948

    Secondary: Percentage of Participants With a Pruritus NRS Score of ≥4-points at Baseline Who Achieve a ≥4-point Reduction in Pruritus NRS Score From Baseline to Week 16

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    End point title
    Percentage of Participants With a Pruritus NRS Score of ≥4-points at Baseline Who Achieve a ≥4-point Reduction in Pruritus NRS Score From Baseline to Week 16
    End point description
    Pruritus NRS is an 11-point scale used by participants to rate their worst itch severity over the past 24 hours with 0 indicating "No itch" and 10 indicating "Worst itch imaginable." APD: All randomized participants, with a Baseline Pruritus NRS score ≥4, even if the participant does not take the assigned treatment, does not receive the correct treatment, or otherwise does not follow the protocol. MCMC-MI was used to handle missing data.
    End point type
    Secondary
    End point timeframe
    Baseline to Week 16
    End point values
    Placebo Lebrikizumab Q2W
    Number of subjects analysed
    130
    263
    Units: Percentage of Participants
        number (confidence interval 95%)
    12.7 (6.9 to 18.6)
    46.3 (40.2 to 52.5)
    Statistical analysis title
    Pruritus NRS Score
    Comparison groups
    Placebo v Lebrikizumab Q2W
    Number of subjects included in analysis
    393
    Analysis specification
    Pre-specified
    Analysis type
    superiority
    P-value
    < 0.000001
    Method
    Cochran-Mantel-Haenszel
    Parameter type
    Risk difference (RD)
    Point estimate
    33.6
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    25.2
         upper limit
    41.9

    Secondary: Percentage of Participants With a Pruritus NRS Score of ≥5-points at Baseline Who Achieve a ≥4-point Reduction in Pruritus NRS Score From Baseline to Week 16

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    End point title
    Percentage of Participants With a Pruritus NRS Score of ≥5-points at Baseline Who Achieve a ≥4-point Reduction in Pruritus NRS Score From Baseline to Week 16
    End point description
    Pruritus NRS is an 11-point scale used by participants to rate their worst itch severity over the past 24 hours with 0 indicating "No itch" and 10 indicating "Worst itch imaginable." APD: All randomized participants, with Baseline Pruritus NRS score ≥ 5, even if the participant does not take the assigned treatment, does not receive the correct treatment, or otherwise does not follow the protocol. MCMC-MI was used to handle missing data.
    End point type
    Secondary
    End point timeframe
    Baseline to Week 16
    End point values
    Placebo Lebrikizumab Q2W
    Number of subjects analysed
    123
    141
    Units: Percentage of Participants
        number (confidence interval 95%)
    13.5 (7.3 to 19.6)
    49.4 (43.0 to 55.8)
    Statistical analysis title
    Pruritus NRS Score
    Comparison groups
    Placebo v Lebrikizumab Q2W
    Number of subjects included in analysis
    264
    Analysis specification
    Pre-specified
    Analysis type
    superiority
    P-value
    < 0.000001
    Method
    Cochran-Mantel-Haenszel
    Parameter type
    Risk difference (RD)
    Point estimate
    35.7
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    27
         upper limit
    44.5

    Secondary: Percent Change in EASI Score From Baseline to Week 16

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    End point title
    Percent Change in EASI Score From Baseline to Week 16
    End point description
    The EASI assesses objective physician estimates of 2 dimensions of atopic dermatitis - disease extent, i.e., percentage of skin affected: 0 = 0%; 1 = 1-9%; 2 = 10-29%; 3 = 30-49%; 4 = 50-69%; 5 = 70-89%; 6 = 90-100% and the severity of 4 clinical signs: (1) erythema, (2) edema/papulation, (3) excoriation, and (4) lichenification each on a scale of 0 to 3 (0 = none, absent; 1 = mild; 2 = moderate; 3 = severe) at 4 body sites (head/neck, trunk, upper limbs, and lower limbs). Half scores are allowed between severities 1, 2, and 3. The final EASI score was obtained by weight-averaging these 4 scores and will range from 0 to 72 (severe). LS Mean was calculated using ANCOVA model with treatment, stratification factors of geographic region, age group, baseline IGA score (IGA 3 versus 4) as fixed factors baseline value as covariate.
    End point type
    Secondary
    End point timeframe
    Baseline, Week 16 APD: All randomized participants, even if the participant does not take the assigned treatment, does not receive the correct treatment, or otherwise does not follow the protocol. MCMC-MI was used to handle missing data.
    End point values
    Placebo Lebrikizumab Q2W
    Number of subjects analysed
    141
    283
    Units: Percent Change
        least squares mean (standard error)
    -26.16 ± 4.049
    -64.75 ± 3.166
    Statistical analysis title
    Percent Change in EASI Score
    Comparison groups
    Placebo v Lebrikizumab Q2W
    Number of subjects included in analysis
    424
    Analysis specification
    Pre-specified
    Analysis type
    superiority
    P-value
    < 0.000001
    Method
    ANCOVA
    Parameter type
    LS Mean Difference (Final Values)
    Point estimate
    -38.58
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    -46.8
         upper limit
    -30.4
    Variability estimate
    Standard error of the mean
    Dispersion value
    4.19

    Secondary: Change From Baseline in Percent Body Surface Area (BSA) at Week 16

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    End point title
    Change From Baseline in Percent Body Surface Area (BSA) at Week 16
    End point description
    The BSA affected by AD will be assessed for 4 separate body regions: head and neck, trunk (including genital region), upper extremities, and lower extremities (including the buttocks). Each body region will be assessed for disease extent ranging from 0% to 100% involvement. BSA was calculated using the participant's palm using the 1% rule, 1 palm was equivalent to 1% with estimates of the number of palms it takes to cover the affected AD area. Maximum number of palms were 10 palms for head and neck (10%), 20 palms for upper extremities (20%), 30 palms for trunk, including axilla and groin (30%), 40 palms for lower extremities, including buttocks (40%). Percent of BSA for a body region was calculated as = total number of palms in a body region * % surface area equivalent to 1 palm. Overall percent BSA of all 4 body regions ranges from 0% to 100 % with higher values representing greater severity of AD. MMRM was used to handle all missing data.
    End point type
    Secondary
    End point timeframe
    Baseline, Week 16 APD: All randomized participants, with observed BSA data, even if the participant does not take the assigned treatment, does not receive the correct treatment, or otherwise does not follow the protocol.
    End point values
    Placebo Lebrikizumab Q2W
    Number of subjects analysed
    77
    236
    Units: percentage of body surface area
        least squares mean (standard error)
    -11.77 ± 1.856
    -30.23 ± 1.310
    Statistical analysis title
    BSA
    Comparison groups
    Placebo v Lebrikizumab Q2W
    Number of subjects included in analysis
    313
    Analysis specification
    Pre-specified
    Analysis type
    superiority
    P-value
    < 0.000001
    Method
    Mixed models analysis
    Parameter type
    LS Mean Difference (Final Values)
    Point estimate
    -18.45
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    -22.38
         upper limit
    -14.53
    Variability estimate
    Standard error of the mean
    Dispersion value
    1.995

    Secondary: Percentage of Participants Achieving EASI-90 From Baseline to Week 4

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    End point title
    Percentage of Participants Achieving EASI-90 From Baseline to Week 4
    End point description
    The EASI assesses objective physician estimates of 2 dimensions of atopic dermatitis - disease extent, i.e., percentage of skin affected: 0 = 0%; 1 = 1-9%; 2 = 10-29%; 3 = 30-49%; 4 = 50-69%; 5 = 70-89%; 6 = 90-100% and the severity of 4 clinical signs: (1) erythema, (2) edema/papulation, (3) excoriation, and (4) lichenification each on a scale of 0 to 3 (0 = none, absent; 1 = mild; 2 = moderate; 3 = severe) at 4 body sites (head/neck, trunk, upper limbs, and lower limbs). Half scores are allowed between severities 1, 2, and 3. The final EASI score was obtained by weight-averaging these 4 scores and will range from 0 (none) to 72 (severe). The EASI-90 responder is defined as a participant who achieves a ≥ 90% improvement from baseline in the EASI score. APD: All randomized participants, even if the participant does not take the assigned treatment, does not receive the correct treatment, or otherwise does not follow the protocol. MCMC-MI was used to handle missing data.
    End point type
    Secondary
    End point timeframe
    Baseline to Week 4
    End point values
    Placebo Lebrikizumab Q2W
    Number of subjects analysed
    141
    283
    Units: Percentage of Participants
        number (confidence interval 95%)
    1.8 (-0.7 to 4.3)
    12.0 (8.2 to 15.9)
    Statistical analysis title
    EASI-90
    Comparison groups
    Placebo v Lebrikizumab Q2W
    Number of subjects included in analysis
    424
    Analysis specification
    Pre-specified
    Analysis type
    superiority
    P-value
    = 0.000878
    Method
    Cochran-Mantel-Haenszel
    Parameter type
    Risk difference (RD)
    Point estimate
    10.1
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    5.5
         upper limit
    14.8

    Secondary: Change From Baseline in Dermatology Life Quality Index (DLQI) at Week 16

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    End point title
    Change From Baseline in Dermatology Life Quality Index (DLQI) at Week 16
    End point description
    The DLQI is a 10-item, validated questionnaire used to assess the impact of skin disease on the quality of life of an affected person. The 10 questions cover the following topics: symptoms, embarrassment, shopping and home care, clothes, social and leisure, sport, work or study, close relationships, sex, and treatment, over the previous week. Response categories include "Not at all," "A little," "A lot," and "Very much," with corresponding scores of 0, 1, 2, and 3 respectively. Questions 3-10 also have an additional response category of "Not relevant" which is scored as "0". Questions are scored from 0 to 3, giving a possible total score range from 0 (no impact of skin disease on quality of life) to 30 (maximum impact on quality of life). A high score is indicative of a poor quality of life. LS Mean was calculated using the ANCOVA model with treatment, baseline value, and stratification factors of geographic region, age group, baseline IGA (3 versus 4) score as fixed factors.
    End point type
    Secondary
    End point timeframe
    Baseline, Week 16 APD: All randomized participants, with non-missing baseline DLQI score, even if the participant does not take the assigned treatment, does not receive the correct treatment, or otherwise does not follow the protocol.
    End point values
    Placebo Lebrikizumab Q2W
    Number of subjects analysed
    121 [1]
    239 [2]
    Units: Score on a Scale
        least squares mean (standard error)
    -2.94 ± 1.103
    -8.78 ± 1.056
    Notes
    [1] - MCMC-MI was used to handle missing data.
    [2] - MCMC-MI was used to handle missing data.
    Statistical analysis title
    DLQI
    Comparison groups
    Placebo v Lebrikizumab Q2W
    Number of subjects included in analysis
    360
    Analysis specification
    Pre-specified
    Analysis type
    superiority
    P-value
    < 0.000001
    Method
    ANCOVA
    Parameter type
    LS Mean Difference (Final Values)
    Point estimate
    -5.84
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    -7.2
         upper limit
    -4.5
    Variability estimate
    Standard error of the mean
    Dispersion value
    0.678

    Secondary: Percentage of Participants Achieving ≥4 Point Improvement in DLQI From Baseline to Week 16

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    End point title
    Percentage of Participants Achieving ≥4 Point Improvement in DLQI From Baseline to Week 16
    End point description
    he DLQI is a 10-item, validated questionnaire used to assess the impact of skin disease on the quality of life of an affected person. The 10 questions cover the following topics: symptoms, embarrassment, shopping and home care, clothes, social and leisure, sport, work or study, close relationships, sex, and treatment, over the previous week. Response categories include "Not at all," "A little," "A lot," and "Very much," with corresponding scores of 0, 1, 2, and 3 respectively. Questions 3-10 also have an additional response category of "Not relevant" which is scored as "0". Questions are scored from 0 to 3, giving a possible total score range from 0 (no impact of skin disease on quality of life) to 30 (maximum impact on quality of life). A high score is indicative of a poor quality of life. MCMC-MI was used to handle all missing data.
    End point type
    Secondary
    End point timeframe
    Baseline to Week 16 APD: All randomized participants, with non-missing baseline DLQI score, even if the participant does not take the assigned treatment, does not receive the correct treatment, or otherwise does not follow the protocol.
    End point values
    Placebo Lebrikizumab Q2W
    Number of subjects analysed
    121 [3]
    239 [4]
    Units: Percentage of Participants
        number (confidence interval 95%)
    32.4 (23.8 to 41.1)
    71.4 (65.5 to 77.2)
    Notes
    [3] - MCMC-MI was used to handle missing data.
    [4] - MCMC-MI was used to handle missing data.
    Statistical analysis title
    DLQI
    Comparison groups
    Placebo v Lebrikizumab Q2W
    Number of subjects included in analysis
    360
    Analysis specification
    Pre-specified
    Analysis type
    superiority
    P-value
    < 0.000001
    Method
    Cochran-Mantel-Haenszel
    Parameter type
    Risk difference (RD)
    Point estimate
    38.7
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    28
         upper limit
    49.3

    Secondary: Percentage of Participants With a DLQI Total Score of ≥4-point at Baseline Achieving ≥4-point Improvement in DLQI From Baseline to Week 16

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    End point title
    Percentage of Participants With a DLQI Total Score of ≥4-point at Baseline Achieving ≥4-point Improvement in DLQI From Baseline to Week 16
    End point description
    The DLQI is a 10-item, validated questionnaire used to assess the impact of skin disease on the quality of life of an affected person. The 10 questions cover the following topics: symptoms, embarrassment, shopping and home care, clothes, social and leisure, sport, work or study, close relationships, sex, and treatment, over the previous week. Response categories include "Not at all," "A little," "A lot," and "Very much," with corresponding scores of 0, 1, 2, and 3 respectively. Questions 3-10 also have an additional response category of "Not relevant" which is scored as "0". Questions are scored from 0 to 3, giving a possible total score range from 0 (no impact of skin disease on quality of life) to 30 (maximum impact on quality of life). A high score is indicative of a poor quality of life. MCMC-MI was used to handle missing data.
    End point type
    Secondary
    End point timeframe
    Baseline to Week 16 APD: All randomized participants, with a DLQI Total Score of ≥4-point at baseline, even if the participant does not take the assigned treatment, does not receive the correct treatment, or otherwise does not follow the protocol.
    End point values
    Placebo Lebrikizumab Q2W
    Number of subjects analysed
    116
    226
    Units: Percentage of Participants
        number (confidence interval 95%)
    33.8 (24.9 to 42.8)
    75.5 (69.8 to 81.2)
    No statistical analyses for this end point

    Secondary: Percent Change in Sleep-loss Score From Baseline to Week 16

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    End point title
    Percent Change in Sleep-loss Score From Baseline to Week 16
    End point description
    Sleep Loss due to interference of itch will be assessed by the participant. Participants rate their interference of itch on sleep based on a 5-point Likert scale [0 (not at all) to 4 (unable to sleep at all)]. Higher scores indicated a greater impact and worse outcome. Assessments will be recorded daily by the participant using an electronic diary. LS Mean was calculated using ANCOVA model with treatment, baseline value, and stratification factors of geographic region, age group, baseline IGA (3 versus 4) score as fixed factors. APD: All randomized participants, with baseline sleep-loss score >0, even if the participant does not take the assigned treatment, does not receive the correct treatment, or otherwise does not follow the protocol. MCMC-MI was used to handle missing data.
    End point type
    Secondary
    End point timeframe
    Baseline, Week 16
    End point values
    Placebo Lebrikizumab Q2W
    Number of subjects analysed
    132
    269
    Units: Percent Change
        least squares mean (standard error)
    -16.34 ± 5.156
    -48.61 ± 4.164
    Statistical analysis title
    Sleep-loss Score
    Comparison groups
    Placebo v Lebrikizumab Q2W
    Number of subjects included in analysis
    401
    Analysis specification
    Pre-specified
    Analysis type
    superiority
    P-value
    < 0.000001
    Method
    ANCOVA
    Parameter type
    LS Mean Difference (Final Values)
    Point estimate
    -32.28
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    -42.6
         upper limit
    -22
    Variability estimate
    Standard error of the mean
    Dispersion value
    5.242

    Secondary: Change From Baseline in Sleep-loss Score at Week 16

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    End point title
    Change From Baseline in Sleep-loss Score at Week 16
    End point description
    Sleep Loss due to interference of itch will be assessed by the participant. Participants rate their interference of itch on sleep based on a 5-point Likert scale [0 (not at all) to 4 (unable to sleep at all)]. Higher scores indicated a greater impact and worse outcome. Assessments will be recorded daily by the participant using an electronic diary. LS Mean was calculated using ANCOVA model with treatment, baseline value, and stratification factors of geographic region, age group, baseline IGA (3 versus 4) score as fixed factors. APD: All randomized participants, non-missing baseline Sleep-loss score, even if the participant does not take the assigned treatment, does not receive the correct treatment, or otherwise does not follow the protocol. MCMC-MI was used to handle missing data.
    End point type
    Secondary
    End point timeframe
    Baseline, Week 16
    End point values
    Placebo Lebrikizumab Q2W
    Number of subjects analysed
    136
    276
    Units: Score on a Scale
        least squares mean (standard error)
    -0.39 ± 0.095
    -1.14 ± 0.078
    No statistical analyses for this end point

    Secondary: Percentage of Participants With a Sleep-loss Score ≥2 Points at Baseline Who Achieve a ≥2 Points Reduction From Baseline at Week 16

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    End point title
    Percentage of Participants With a Sleep-loss Score ≥2 Points at Baseline Who Achieve a ≥2 Points Reduction From Baseline at Week 16
    End point description
    Sleep Loss due to interference of itch will be assessed by the participant. Participants rate their interference of itch on sleep based on a 5-point Likert scale [0 (not at all) to 4 (unable to sleep at all)]. Higher scores indicated a greater impact and worse outcome. Assessments will be recorded daily by the participant using an electronic diary. APD: All randomized participants, with baseline sleep-loss score ≥2 Points, even if the participant does not take the assigned treatment, does not receive the correct treatment, or otherwise does not follow the protocol. MCMC-MI was used to handle missing data.
    End point type
    Secondary
    End point timeframe
    Baseline to Week 16
    End point values
    Placebo Lebrikizumab Q2W
    Number of subjects analysed
    91
    195
    Units: Percentage of Participants
        number (confidence interval 95%)
    5.1 (0.3 to 9.9)
    38.7 (31.8 to 45.7)
    Statistical analysis title
    Sleep-loss Score
    Comparison groups
    Placebo v Lebrikizumab Q2W
    Number of subjects included in analysis
    286
    Analysis specification
    Pre-specified
    Analysis type
    superiority
    P-value
    < 0.000001
    Method
    Cochran-Mantel-Haenszel
    Parameter type
    Risk difference (RD)
    Point estimate
    33.9
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    25.4
         upper limit
    42.4

    Secondary: Percentage of Participants With a Pruritus NRS Score of ≥4 Points at Baseline Who Achieve a ≥4-point Reduction From Baseline to Week 1

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    End point title
    Percentage of Participants With a Pruritus NRS Score of ≥4 Points at Baseline Who Achieve a ≥4-point Reduction From Baseline to Week 1
    End point description
    Pruritus NRS is an 11-point scale used by participants to rate their worst itch severity over the past 24 hours with 0 indicating "No itch" and 10 indicating "Worst itch imaginable." APD: All randomized participants, with a Pruritus NRS Score of ≥4 Points at Baseline, even if the participant does not take the assigned treatment, does not receive the correct treatment, or otherwise does not follow the protocol. MCMC-MI was used to handle missing data.
    End point type
    Secondary
    End point timeframe
    Baseline to Week 1
    End point values
    Placebo Lebrikizumab Q2W
    Number of subjects analysed
    130
    263
    Units: Percentage of Participants
        number (confidence interval 95%)
    0.8 (0.0 to 2.3)
    2.3 (0.5 to 4.1)
    Statistical analysis title
    Pruritus NRS Score
    Comparison groups
    Placebo v Lebrikizumab Q2W
    Number of subjects included in analysis
    393
    Analysis specification
    Pre-specified
    Analysis type
    superiority
    P-value
    = 0.275529
    Method
    Cochran-Mantel-Haenszel
    Parameter type
    Risk difference (RD)
    Point estimate
    1.5
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    -0.8
         upper limit
    3.9

    Secondary: Percentage of Participants With a Pruritus NRS Score of ≥4 Points at Baseline Who Achieve a ≥4-point Reduction From Baseline to Week 2

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    End point title
    Percentage of Participants With a Pruritus NRS Score of ≥4 Points at Baseline Who Achieve a ≥4-point Reduction From Baseline to Week 2
    End point description
    Pruritus NRS is an 11-point scale used by participants to rate their worst itch severity over the past 24 hours with 0 indicating "No itch" and 10 indicating "Worst itch imaginable." APD: All randomized participant, with a Pruritus NRS Score of ≥4 Points at Baseline, even if the participant does not take the assigned treatment, does not receive the correct treatment, or otherwise does not follow the protocol. MCMC-MI was used to handle missing data.
    End point type
    Secondary
    End point timeframe
    Baseline to Week 2
    End point values
    Placebo Lebrikizumab Q2W
    Number of subjects analysed
    130
    263
    Units: Percentage of Participants
        number (confidence interval 95%)
    0.9 (-0.8 to 2.5)
    6.1 (3.2 to 9.1)
    Statistical analysis title
    Pruritus NRS Score
    Comparison groups
    Placebo v Lebrikizumab Q2W
    Number of subjects included in analysis
    393
    Analysis specification
    Pre-specified
    Analysis type
    superiority
    P-value
    = 0.016543
    Method
    Cochran-Mantel-Haenszel
    Parameter type
    Risk difference (RD)
    Point estimate
    5.3
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    1.9
         upper limit
    8.7

    Secondary: Percentage of Participants With a Pruritus NRS Score of ≥4 Points at Baseline Who Achieve a ≥4-point Reduction From Baseline to Week 4

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    End point title
    Percentage of Participants With a Pruritus NRS Score of ≥4 Points at Baseline Who Achieve a ≥4-point Reduction From Baseline to Week 4
    End point description
    Pruritus NRS is an 11-point scale used by participants to rate their worst itch severity over the past 24 hours with 0 indicating "No itch" and 10 indicating "Worst itch imaginable." APD: All randomized participants, with a Pruritus NRS Score of ≥4 Points at Baseline, if the participant does not take the assigned treatment, does not receive the correct treatment, or otherwise does not follow the protocol. MCMC-MI was used to handle missing data.
    End point type
    Secondary
    End point timeframe
    Baseline to Week 4
    End point values
    Placebo Lebrikizumab Q2W
    Number of subjects analysed
    130
    263
    Units: Percentage of Participants
        number (confidence interval 95%)
    2.4 (-0.3 to 5.0)
    21.6 (16.6 to 26.6)
    Statistical analysis title
    Pruritus NRS Score
    Comparison groups
    Placebo v Lebrikizumab Q2W
    Number of subjects included in analysis
    393
    Analysis specification
    Pre-specified
    Analysis type
    superiority
    P-value
    = 0.000003
    Method
    Cochran-Mantel-Haenszel
    Parameter type
    Risk difference (RD)
    Point estimate
    19.3
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    13.6
         upper limit
    25

    Secondary: Percentage of Participants With a Pruritus NRS Score of ≥5 Points at Baseline Who Achieve a ≥4-point Reduction From Baseline to Week 1

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    End point title
    Percentage of Participants With a Pruritus NRS Score of ≥5 Points at Baseline Who Achieve a ≥4-point Reduction From Baseline to Week 1
    End point description
    Pruritus NRS is an 11-point scale used by participants to rate their worst itch severity over the past 24 hours with 0 indicating "No itch" and 10 indicating "Worst itch imaginable." APD: All randomized participants, with a Pruritus NRS Score of ≥5 Points at Baseline, even if the participant does not take the assigned treatment, does not receive the correct treatment, or otherwise does not follow the protocol. MCMC-MI was used to handle missing data.
    End point type
    Secondary
    End point timeframe
    Baseline to Week 1
    End point values
    Placebo Lebrikizumab Q2W
    Number of subjects analysed
    123
    244
    Units: Percentage of Participants
        number (confidence interval 95%)
    0.8 (0.0 to 2.4)
    2.5 (0.5 to 4.4)
    Statistical analysis title
    Pruritus NRS Score
    Comparison groups
    Placebo v Lebrikizumab Q2W
    Number of subjects included in analysis
    367
    Analysis specification
    Pre-specified
    Analysis type
    superiority
    P-value
    = 0.244105
    Method
    Cochran-Mantel-Haenszel
    Parameter type
    Risk difference (RD)
    Point estimate
    1.8
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    -0.8
         upper limit
    4.3

    Secondary: Percentage of Participants With a Pruritus NRS Score of ≥5 Points at Baseline Who Achieve a ≥4-point Reduction From Baseline to Week 2

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    End point title
    Percentage of Participants With a Pruritus NRS Score of ≥5 Points at Baseline Who Achieve a ≥4-point Reduction From Baseline to Week 2
    End point description
    Pruritus NRS is an 11-point scale used by participants to rate their worst itch severity over the past 24 hours with 0 indicating "No itch" and 10 indicating "Worst itch imaginable." APD: All randomized participants, with a Pruritus NRS Score of ≥5 Points at Baseline, even if the participant does not take the assigned treatment, does not receive the correct treatment, or otherwise does not follow the protocol. MCMC-MI was used to handle missing data.
    End point type
    Secondary
    End point timeframe
    Baseline to Week 2
    End point values
    Placebo Lebrikizumab Q2W
    Number of subjects analysed
    123
    244
    Units: Percentage of Participants
        number (confidence interval 95%)
    0.9 (-0.9 to 2.7)
    6.6 (3.5 to 9.8)
    Statistical analysis title
    Pruritus NRS Score
    Comparison groups
    Placebo v Lebrikizumab Q2W
    Number of subjects included in analysis
    367
    Analysis specification
    Pre-specified
    Analysis type
    superiority
    P-value
    = 0.014375
    Method
    Cochran-Mantel-Haenszel
    Parameter type
    Risk difference (RD)
    Point estimate
    5.8
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    2.2
         upper limit
    9.5

    Secondary: Percentage of Participants With a Pruritus NRS Score of ≥5 Points at Baseline Who Achieve a ≥4-point Reduction From Baseline to Week 4

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    End point title
    Percentage of Participants With a Pruritus NRS Score of ≥5 Points at Baseline Who Achieve a ≥4-point Reduction From Baseline to Week 4
    End point description
    Pruritus NRS is an 11-point scale used by participants to rate their worst itch severity over the past 24 hours with 0 indicating "No itch" and 10 indicating "Worst itch imaginable." APD: All randomized participants, with a Pruritus NRS Score of ≥5 Points at Baseline, even if the participant does not take the assigned treatment, does not receive the correct treatment, or otherwise does not follow the protocol. MCMC-MI was used to handle missing data.
    End point type
    Secondary
    End point timeframe
    Baseline to Week 4
    End point values
    Placebo Lebrikizumab Q2W
    Number of subjects analysed
    123
    244
    Units: Percentage of Participants
        number (confidence interval 95%)
    2.5 (-0.3 to 5.3)
    23.2 (17.9 to 28.6)
    Statistical analysis title
    Pruritus NRS Score
    Comparison groups
    Placebo v Lebrikizumab Q2W
    Number of subjects included in analysis
    367
    Analysis specification
    Pre-specified
    Analysis type
    superiority
    P-value
    = 0.000002
    Method
    Cochran-Mantel-Haenszel
    Parameter type
    Risk difference (RD)
    Point estimate
    21
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    14.9
         upper limit
    27

    Secondary: Percent Change in SCORing Atopic Dermatitis (SCORAD) From Baseline to Week 16

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    End point title
    Percent Change in SCORing Atopic Dermatitis (SCORAD) From Baseline to Week 16
    End point description
    The SCORAD index uses the rule of nines to assess disease extent and evaluates 6 clinical characteristics to determine disease severity: (1) erythema, (2) edema/papulation, (3) oozing/crusts, (4) excoriation, (5) lichenification, and (6) dryness on a scale of 0 to 3 (0=absence, 1=mild, 2=moderate, 3=severe). The SCORAD index also assesses subjective symptoms of pruritus and sleep loss with VAS where 0 is no itching or no trouble sleeping and 10 is unbearable itching or a lot of trouble sleeping. These 3 aspects: extent of disease (A: 0-1-2), disease severity (B: 0-18), & subjective symptoms (C: 0-20) combine using A/5 + 7*B/2+ C to give a maximum possible score of 103, where 0 = no disease and 103 = severe disease. LS Mean was calculated using the ANCOVA model with treatment group and stratification factors of geographic region, age group, baseline IGA (3 versus 4) score as fixed factors and baseline value as covariate. Missing Values were imputed using LOCF method.
    End point type
    Secondary
    End point timeframe
    Baseline, Week 16 APD: All randomized participants, with baseline SCORAD >0, even if the participant does not take the assigned treatment, does not receive the correct treatment, or otherwise does not follow the protocol.
    End point values
    Placebo Lebrikizumab Q2W
    Number of subjects analysed
    138
    276
    Units: Score on a Scale
        least squares mean (standard error)
    -16.79 ± 3.164
    -47.26 ± 2.552
    Statistical analysis title
    SCORing Atopic Dermatitis
    Comparison groups
    Placebo v Lebrikizumab Q2W
    Number of subjects included in analysis
    414
    Analysis specification
    Pre-specified
    Analysis type
    superiority
    P-value
    < 0.000001
    Method
    ANCOVA
    Parameter type
    Risk difference (RD)
    Point estimate
    -30.47
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    -36.77
         upper limit
    -24.17

    Secondary: Change From Baseline in European Quality of Life-5 Dimensions-5 Levels (EQ-5D-5L) at Week 16 - Health State Index

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    End point title
    Change From Baseline in European Quality of Life-5 Dimensions-5 Levels (EQ-5D-5L) at Week 16 - Health State Index
    End point description
    The EQ-5D-5L is a 2-part measurement. The first part is comprised of the following 5 participant-reported dimensions: mobility, self-care, usual activities, pain/discomfort, and anxiety/depression. Each dimension has 5 levels: no problems, slight problems, moderate problems, severe problems, and extreme problems. The responses are used to derive the health state index scores using the United Kingdom (UK) algorithm, with scores ranging from -0.594 to 1, and the United States (US) algorithm, with scores ranging from -0.109 to 1, with higher score indicating better health state. LS Mean was calculated using the ANCOVA model with treatment and stratification factors of geographic region, age group, baseline IGA (3 versus 4) score as fixed factors and baseline value as covariate. Missing Values were imputed using last observation carried forward (LOCF) method.
    End point type
    Secondary
    End point timeframe
    Baseline, Week 16 APD: All randomized participants, with non-missing EQ-5D-5L data at baseline, even if the participant does not take the assigned treatment, does not receive the correct treatment, or otherwise does not follow the protocol.
    End point values
    Placebo Lebrikizumab Q2W
    Number of subjects analysed
    141
    282
    Units: Score on a Scale
    least squares mean (standard error)
        Health State Index UK
    0.05 ± 0.017
    0.19 ± 0.014
        Health State Index US
    0.03 ± 0.012
    0.13 ± 0.010
    Statistical analysis title
    Health State Index UK
    Comparison groups
    Placebo v Lebrikizumab Q2W
    Number of subjects included in analysis
    423
    Analysis specification
    Pre-specified
    Analysis type
    superiority
    P-value
    < 0.000001
    Method
    ANCOVA
    Parameter type
    LS Mean Difference (Final Values)
    Point estimate
    0.14
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    0.11
         upper limit
    0.18
    Variability estimate
    Standard error of the mean
    Dispersion value
    0.018
    Statistical analysis title
    Health State Index US
    Comparison groups
    Placebo v Lebrikizumab Q2W
    Number of subjects included in analysis
    423
    Analysis specification
    Pre-specified
    Analysis type
    superiority
    P-value
    < 0.000001
    Method
    ANCOVA
    Parameter type
    LS Mean Difference (Final Values)
    Point estimate
    0.1
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    0.08
         upper limit
    0.13
    Variability estimate
    Standard error of the mean
    Dispersion value
    0.013

    Secondary: Change From Baseline in EQ-5D-5L at Week 16 - Visual Analog Scale (VAS)

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    End point title
    Change From Baseline in EQ-5D-5L at Week 16 - Visual Analog Scale (VAS)
    End point description
    The EQ-5D-5L is a 2-part measurement. The second part is assessed using a VAS that ranged from 0 to 100 millimeter (mm), where 0 is the worst health you can imagine and 100 is the best health you can imagine. LS Mean was calculated using the ANCOVA model with treatment and stratification factors of geographic region, age group, baseline IGA (3 versus 4) score as fixed factors and baseline value as covariate. APD: All randomized participants, with non-missing EQ-5D-5L data at baseline, even if the participant does not take the assigned treatment, does not receive the correct treatment, or otherwise does not follow the protocol. Missing values were imputed using LOCF method.
    End point type
    Secondary
    End point timeframe
    Baseline, Week 16
    End point values
    Placebo Lebrikizumab Q2W
    Number of subjects analysed
    141
    282
    Units: Score on a Scale
        least squares mean (standard error)
    2.19 ± 1.641
    10.48 ± 1.329
    Statistical analysis title
    EQ-5D-5L VAS
    Comparison groups
    Placebo v Lebrikizumab Q2W
    Number of subjects included in analysis
    423
    Analysis specification
    Pre-specified
    Analysis type
    superiority
    P-value
    < 0.000001
    Method
    ANCOVA
    Parameter type
    LS Mean Difference (Final Values)
    Point estimate
    8.29
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    5.02
         upper limit
    11.56
    Variability estimate
    Standard error of the mean
    Dispersion value
    1.664

    Secondary: Change From Baseline in Patient Oriented Eczema Measure (POEM) at Week 16

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    End point title
    Change From Baseline in Patient Oriented Eczema Measure (POEM) at Week 16
    End point description
    POEM is a 7-item, validated, questionnaire used by the participant to assess disease symptoms over the last week. The participant is asked to respond to 7 questions on skin dryness, itching, flaking, cracking, sleep loss, bleeding and weeping. All 7 answers carry equal weight with a total possible score from 0 to 28 (answers scored as: No days=0; 1# 2 days = 1; 3-4 days = 2; 5#6 days = 3; everyday = 4). A high score is indicative of a poor quality of life. POEM responses will be captured using an electronic diary and transferred into the clinical database. LS Mean was calculated using MMRM model using treatment, baseline value, visit, the interaction of the baseline value-by-visit, the interaction of treatment by-visit as covariates, geographic region, age group, baseline IGA (3 versus 4) score as fixed. MMRM was used to handle all missing data
    End point type
    Secondary
    End point timeframe
    Baseline, Week 16 APD: All randomized participants, with observed POEM data, even if the participant does not take the assigned treatment, does not receive the correct treatment, or otherwise does not follow the protocol.
    End point values
    Placebo Lebrikizumab Q2W
    Number of subjects analysed
    70
    203
    Units: Score on a Scale
        least squares mean (standard error)
    -4.02 ± 0.723
    -11.28 ± 0.475
    Statistical analysis title
    POEM
    Comparison groups
    Placebo v Lebrikizumab Q2W
    Number of subjects included in analysis
    273
    Analysis specification
    Pre-specified
    Analysis type
    superiority
    P-value
    < 0.000001
    Method
    Mixed models analysis
    Parameter type
    LS Mean Difference (Final Values)
    Point estimate
    -7.26
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    -8.85
         upper limit
    -5.66
    Variability estimate
    Standard error of the mean
    Dispersion value
    0.811

    Secondary: Change From Baseline in Patient-Reported Outcomes Measurement Information System (PROMIS) Anxiety at Week 16 - Adolescents

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    End point title
    Change From Baseline in Patient-Reported Outcomes Measurement Information System (PROMIS) Anxiety at Week 16 - Adolescents
    End point description
    PROMIS® is a set of person-centered measures that evaluates and monitors physical, mental, and social health in adults and children. Participants ≤17 years will complete pediatric versions for the duration of the study. PROMIS anxiety has 8 questions on Emotion Distress-Anxiety (or Pediatric Anxiety Symptom). Each question has 5 response options with values from 1 to 5. Total raw scores were converted to T-Scores (mean = 50 and a standard deviation = 10) with higher scores representing greater anxiety. LS Mean was calculated using the ANCOVA model with treatment and stratification factors of geographic region, age group, baseline IGA (3 versus 4) score as fixed factors and baseline value as covariate. APD: All randomized, adolescent participants, even if the participant does not take the assigned treatment, does not receive the correct treatment, or otherwise does not follow the protocol. Missing values were imputed using the LOCF method.
    End point type
    Secondary
    End point timeframe
    Baseline, Week 16
    End point values
    Placebo Lebrikizumab Q2W
    Number of subjects analysed
    18
    37
    Units: Score on a Scale
        least squares mean (standard error)
    -2.80 ± 2.435
    -3.87 ± 1.830
    Statistical analysis title
    PROMIS Anxiety Adolescents
    Comparison groups
    Placebo v Lebrikizumab Q2W
    Number of subjects included in analysis
    55
    Analysis specification
    Pre-specified
    Analysis type
    superiority
    P-value
    = 0.716224
    Method
    ANCOVA
    Parameter type
    LS Mean Difference (Final Values)
    Point estimate
    -1.07
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    -6.93
         upper limit
    4.8
    Variability estimate
    Standard error of the mean
    Dispersion value
    2.917

    Secondary: Change From Baseline in PROMIS Depression at Week 16 - Adolescent

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    End point title
    Change From Baseline in PROMIS Depression at Week 16 - Adolescent
    End point description
    PROMIS® is a set of person-centered measures that evaluates and monitors physical, mental, and social health in adults and children. Participants ≤17 years will complete pediatric versions for the duration of the study. PROMIS depression has 8 questions on Emotion Distress-Depression (or Pediatric Depressive Symptom). Each question has 5 response options with values from 1 to 5. Total raw scores were converted to T-Scores (mean = 50 and a standard deviation = 10) with higher scores representing greater depression. LS Mean was calculated using the ANCOVA model with treatment and stratification factors of geographic region, age group, baseline IGA (3 versus 4) score as fixed factors and baseline value as covariate. APD: All randomized, adolescent participants, even if the participant does not take the assigned treatment, does not receive the correct treatment, or otherwise does not follow the protocol. Missing values were imputed using the LOCF method.
    End point type
    Secondary
    End point timeframe
    Baseline, Week 16
    End point values
    Placebo Lebrikizumab Q2W
    Number of subjects analysed
    18
    37
    Units: Score on a Scale
        least squares mean (standard error)
    -0.11 ± 2.165
    -4.62 ± 1.623
    Statistical analysis title
    PROMIS Depression Adolescents
    Comparison groups
    Placebo v Lebrikizumab Q2W
    Number of subjects included in analysis
    55
    Analysis specification
    Pre-specified
    Analysis type
    superiority
    P-value
    = 0.089275
    Method
    ANCOVA
    Parameter type
    LS Mean Difference (Final Values)
    Point estimate
    -4.51
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    -9.73
         upper limit
    0.72
    Variability estimate
    Standard error of the mean
    Dispersion value
    2.599

    Secondary: Change From Baseline in PROMIS Anxiety at Week 16 - Adults

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    End point title
    Change From Baseline in PROMIS Anxiety at Week 16 - Adults
    End point description
    PROMIS is a set of person-centered measures that evaluates and monitors physical, mental, and social health in adults and children. The PROMIS measures will be completed by the participant in the study clinic. PROMIS anxiety has 8 questions on Emotion Distress-Anxiety (or Pediatric Anxiety Symptom). Each question has 5 response options with values from 1 to 5. Total raw scores were converted to T-Scores (mean = 50 and a standard deviation = 10) with higher scores representing greater anxiety. LS Mean was calculated using the ANCOVA model with treatment and stratification factors of geographic region, age group, baseline IGA (3 versus 4) score as fixed factors and baseline value as covariate. APD: All randomized, adult participants, with Week 16 PROMIS anxiety data, even if the participant does not take the assigned treatment, does not receive the correct treatment, or otherwise does not follow the protocol. Missing values are imputed with the LOCF method.
    End point type
    Secondary
    End point timeframe
    Baseline, Week 16
    End point values
    Placebo Lebrikizumab Q2W
    Number of subjects analysed
    122
    244
    Units: Score on a Scale
        least squares mean (standard error)
    -0.62 ± 0.663
    -3.99 ± 0.477
    Statistical analysis title
    PROMIS Anxiety Adults
    Comparison groups
    Placebo v Lebrikizumab Q2W
    Number of subjects included in analysis
    366
    Analysis specification
    Pre-specified
    Analysis type
    superiority
    P-value
    = 0.000032
    Method
    ANCOVA
    Parameter type
    LS Mean Difference (Final Values)
    Point estimate
    -3.36
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    -4.93
         upper limit
    -1.79
    Variability estimate
    Standard error of the mean
    Dispersion value
    0.799

    Secondary: Change From Baseline in PROMIS Depression at Week 16 - Adults

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    End point title
    Change From Baseline in PROMIS Depression at Week 16 - Adults
    End point description
    PROMIS is a set of person-centered measures that evaluates and monitors physical, mental, and social health in adults and children. The PROMIS measures will be completed by the participant in the study clinic. PROMIS depression has 8 questions on Emotion Distress-Depression (or Pediatric Depressive Symptom). Each question has 5 response options with values from 1 to 5. Total raw scores were converted to T-Scores (mean = 50 and a standard deviation = 10) with higher scores representing greater depression. LS Mean was calculated using the ANCOVA model with treatment and stratification factors of geographic region, age group, baseline IGA (3 versus 4) score as fixed factors and baseline value as covariate. APD: All randomized , adult participants, with Week 16 PROMIS Depression data, even if the participant does not take the assigned treatment, does not receive the correct treatment, or otherwise does not follow the protocol. Missing values were imputed using the LOCF method.
    End point type
    Secondary
    End point timeframe
    Baseline, Week 16
    End point values
    Placebo Lebrikizumab Q2W
    Number of subjects analysed
    122
    244
    Units: Score on a Scale
        least squares mean (standard error)
    -0.40 ± 0.581
    -3.16 ± 0.418
    Statistical analysis title
    PROMIS Depression Adults
    Comparison groups
    Placebo v Lebrikizumab Q2W
    Number of subjects included in analysis
    366
    Analysis specification
    Pre-specified
    Analysis type
    superiority
    P-value
    = 0.000096
    Method
    ANCOVA
    Parameter type
    LS Mean Difference (Final Values)
    Point estimate
    -2.76
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    -4.13
         upper limit
    -1.38
    Variability estimate
    Standard error of the mean
    Dispersion value
    0.699

    Secondary: Change From Baseline in Asthma Control Questionnaire (ACQ-5) Score at Week 16 in Participants Who Have Self-Reported Comorbid Asthma

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    End point title
    Change From Baseline in Asthma Control Questionnaire (ACQ-5) Score at Week 16 in Participants Who Have Self-Reported Comorbid Asthma
    End point description
    The ACQ-5 is a five-item, self-completed questionnaire, which is used as a measure of asthma control of a participant. The five questions (concerning nocturnal awakening, waking in the morning, activity limitation, shortness of breath and wheeze) enquire about the frequency and/or severity of symptoms over the previous week. The response options for all these questions range from zero (no impairment/limitation) to six (total impairment/ limitation) scale. The ACQ-5 score is the average of the individual item scores and ranges from 0 (totally controlled) to 6 (severely uncontrolled). Higher scores indicate lower asthma control. LS Mean was calculated using ANCOVA with treatment, geographic region, age group, baseline IGA (3 versus 4) score as fixed factors and baseline value as covariate. APD: All randomized participants, with non-missing baseline ACQ-5 score, even if the participant does not take the assigned treatment, does not receive the correct treatment, or otherwise does not f
    End point type
    Secondary
    End point timeframe
    Baseline, Week 16
    End point values
    Placebo Lebrikizumab Q2W
    Number of subjects analysed
    51
    95
    Units: Score on a Scale
        least squares mean (standard error)
    -0.05 ± 0.118
    -0.13 ± 0.096
    Statistical analysis title
    Asthma Control Questionnaire
    Comparison groups
    Placebo v Lebrikizumab Q2W
    Number of subjects included in analysis
    146
    Analysis specification
    Pre-specified
    Analysis type
    superiority
    P-value
    = 0.513146
    Method
    ANCOVA
    Parameter type
    LS Mean Difference (Final Values)
    Point estimate
    -0.08
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    -0.32
         upper limit
    0.16
    Variability estimate
    Standard error of the mean
    Dispersion value
    0.122

    Secondary: Change From Baseline in Children’s Dermatology Life Quality Index (CDLQI) at Week 16 - Adolescents

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    End point title
    Change From Baseline in Children’s Dermatology Life Quality Index (CDLQI) at Week 16 - Adolescents
    End point description
    The CDLQI questionnaire is designed for use in children (4 to 16 years of age). It consists of 10 items that are grouped into 6 domains: symptoms & feelings, leisure, school or holidays, personal relationships, sleep, & treatment. The scoring of each question is: Very much =3; Quite a lot = 2; Only a little = 1; Not at all = 0. CDLQI total score is calculated by summing all 10 items responses, and has a range of 0 to 30 (higher scores are indicative of greater impairment). LS Mean was calculated using MMRM model which includes treatment, baseline value, visit, the interaction of the baseline value-by-visit as covariates, the interaction of treatment by-visit, geographic region, age group, and baseline IGA (3 versus 4) score as fixed factors. MMRM was used to handle all missing data.
    End point type
    Secondary
    End point timeframe
    Baseline, Week 16 APD: All randomized, adolescent participants, with non-missing baseline CDLQI score, even if the participant does not take the assigned treatment, does not receive the correct treatment, or otherwise does not follow the protocol.
    End point values
    Placebo Lebrikizumab Q2W
    Number of subjects analysed
    9
    26
    Units: Score on a Scale
        least squares mean (standard error)
    -0.99 ± 1.293
    -7.96 ± 0.802
    Statistical analysis title
    Children’s Dermatology Life Quality Index
    Comparison groups
    Placebo v Lebrikizumab Q2W
    Number of subjects included in analysis
    35
    Analysis specification
    Pre-specified
    Analysis type
    superiority
    P-value
    = 0.000069
    Method
    Mixed models analysis
    Parameter type
    LS Mean Difference (Final Values)
    Point estimate
    -6.97
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    -10.07
         upper limit
    -3.87
    Variability estimate
    Standard error of the mean
    Dispersion value
    1.52

    Adverse events

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    Adverse events information
    Timeframe for reporting adverse events
    Baseline up to Week 16
    Adverse event reporting additional description
    All randomized participants who received at least one dose of study drug. Gender specific events only occurring in male or female participants have had the number of participants At Risk adjusted accordingly.
    Assessment type
    Systematic
    Dictionary used for adverse event reporting
    Dictionary name
    MedDRA
    Dictionary version
    24.0
    Reporting groups
    Reporting group title
    Lebrikizumab 250mg Q2W
    Reporting group description
    Induction Period (Baseline-Week 16): Two subcutaneous (SC) injections of Placebo as a loading dose at Baseline and Week 2 followed by a single injection every 2 weeks (Q2W) from Week 4 until Week 14.

    Reporting group title
    Placebo
    Reporting group description
    Induction Period (Baseline-Week 16): Two subcutaneous (SC) injections of Placebo as a loading dose at Baseline and Week 2 followed by a single injection every 2 weeks (Q2W) from Week 4 until Week 14.

    Serious adverse events
    Lebrikizumab 250mg Q2W Placebo
    Total subjects affected by serious adverse events
         subjects affected / exposed
    6 / 282 (2.13%)
    1 / 141 (0.71%)
         number of deaths (all causes)
    0
    0
         number of deaths resulting from adverse events
    0
    0
    Injury, poisoning and procedural complications
    accidental overdose
    alternative dictionary used: MedDRA 24.0
         subjects affected / exposed
    1 / 282 (0.35%)
    0 / 141 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Cardiac disorders
    myocardial infarction
    alternative dictionary used: MedDRA 24.0
         subjects affected / exposed
    1 / 282 (0.35%)
    0 / 141 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Nervous system disorders
    carpal tunnel syndrome
    alternative dictionary used: MedDRA 24.0
         subjects affected / exposed
    1 / 282 (0.35%)
    0 / 141 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    General disorders and administration site conditions
    oedema peripheral
    alternative dictionary used: MedDRA 24.0
         subjects affected / exposed
    1 / 282 (0.35%)
    0 / 141 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Musculoskeletal and connective tissue disorders
    arthralgia
    alternative dictionary used: MedDRA 24.0
         subjects affected / exposed
    1 / 282 (0.35%)
    0 / 141 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    synovitis
    alternative dictionary used: MedDRA 24.0
         subjects affected / exposed
    1 / 282 (0.35%)
    0 / 141 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Infections and infestations
    cellulitis
    alternative dictionary used: MedDRA 24.0
         subjects affected / exposed
    0 / 282 (0.00%)
    1 / 141 (0.71%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    sepsis
    alternative dictionary used: MedDRA 24.0
         subjects affected / exposed
    0 / 282 (0.00%)
    1 / 141 (0.71%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Frequency threshold for reporting non-serious adverse events: 0%
    Non-serious adverse events
    Lebrikizumab 250mg Q2W Placebo
    Total subjects affected by non serious adverse events
         subjects affected / exposed
    126 / 282 (44.68%)
    72 / 141 (51.06%)
    Neoplasms benign, malignant and unspecified (incl cysts and polyps)
    acrochordon
    alternative dictionary used: MedDRA 24.0
         subjects affected / exposed
    0 / 282 (0.00%)
    1 / 141 (0.71%)
         occurrences all number
    0
    2
    haemangioma
    alternative dictionary used: MedDRA 24.0
         subjects affected / exposed
    1 / 282 (0.35%)
    0 / 141 (0.00%)
         occurrences all number
    1
    0
    Vascular disorders
    hypertension
    alternative dictionary used: MedDRA 24.0
         subjects affected / exposed
    3 / 282 (1.06%)
    1 / 141 (0.71%)
         occurrences all number
    3
    1
    peripheral venous disease
    alternative dictionary used: MedDRA 24.0
         subjects affected / exposed
    1 / 282 (0.35%)
    0 / 141 (0.00%)
         occurrences all number
    1
    0
    General disorders and administration site conditions
    administration site reaction
    alternative dictionary used: MedDRA 24.0
         subjects affected / exposed
    1 / 282 (0.35%)
    0 / 141 (0.00%)
         occurrences all number
    1
    0
    asthenia
    alternative dictionary used: MedDRA 24.0
         subjects affected / exposed
    1 / 282 (0.35%)
    0 / 141 (0.00%)
         occurrences all number
    2
    0
    chest discomfort
    alternative dictionary used: MedDRA 24.0
         subjects affected / exposed
    0 / 282 (0.00%)
    1 / 141 (0.71%)
         occurrences all number
    0
    1
    chills
    alternative dictionary used: MedDRA 24.0
         subjects affected / exposed
    0 / 282 (0.00%)
    1 / 141 (0.71%)
         occurrences all number
    0
    2
    fatigue
    alternative dictionary used: MedDRA 24.0
         subjects affected / exposed
    2 / 282 (0.71%)
    1 / 141 (0.71%)
         occurrences all number
    2
    1
    hyperthermia
    alternative dictionary used: MedDRA 24.0
         subjects affected / exposed
    1 / 282 (0.35%)
    0 / 141 (0.00%)
         occurrences all number
    1
    0
    injection site bruising
    alternative dictionary used: MedDRA 24.0
         subjects affected / exposed
    0 / 282 (0.00%)
    1 / 141 (0.71%)
         occurrences all number
    0
    1
    injection site erythema
    alternative dictionary used: MedDRA 24.0
         subjects affected / exposed
    1 / 282 (0.35%)
    0 / 141 (0.00%)
         occurrences all number
    1
    0
    injection site pain
    alternative dictionary used: MedDRA 24.0
         subjects affected / exposed
    1 / 282 (0.35%)
    2 / 141 (1.42%)
         occurrences all number
    2
    4
    injection site reaction
    alternative dictionary used: MedDRA 24.0
         subjects affected / exposed
    1 / 282 (0.35%)
    0 / 141 (0.00%)
         occurrences all number
    3
    0
    oedema peripheral
    alternative dictionary used: MedDRA 24.0
         subjects affected / exposed
    3 / 282 (1.06%)
    0 / 141 (0.00%)
         occurrences all number
    4
    0
    pyrexia
    alternative dictionary used: MedDRA 24.0
         subjects affected / exposed
    1 / 282 (0.35%)
    0 / 141 (0.00%)
         occurrences all number
    1
    0
    Immune system disorders
    food allergy
    alternative dictionary used: MedDRA 24.0
         subjects affected / exposed
    0 / 282 (0.00%)
    1 / 141 (0.71%)
         occurrences all number
    0
    1
    hypersensitivity
    alternative dictionary used: MedDRA 24.0
         subjects affected / exposed
    1 / 282 (0.35%)
    0 / 141 (0.00%)
         occurrences all number
    1
    0
    Reproductive system and breast disorders
    dysmenorrhoea
    alternative dictionary used: MedDRA 24.0
         subjects affected / exposed [1]
    3 / 141 (2.13%)
    0 / 73 (0.00%)
         occurrences all number
    5
    0
    heavy menstrual bleeding
    alternative dictionary used: MedDRA 24.0
         subjects affected / exposed [2]
    1 / 141 (0.71%)
    0 / 73 (0.00%)
         occurrences all number
    1
    0
    Respiratory, thoracic and mediastinal disorders
    asthma
    alternative dictionary used: MedDRA 24.0
         subjects affected / exposed
    3 / 282 (1.06%)
    0 / 141 (0.00%)
         occurrences all number
    3
    0
    chronic obstructive pulmonary disease
    alternative dictionary used: MedDRA 24.0
         subjects affected / exposed
    1 / 282 (0.35%)
    0 / 141 (0.00%)
         occurrences all number
    1
    0
    cough
    alternative dictionary used: MedDRA 24.0
         subjects affected / exposed
    1 / 282 (0.35%)
    1 / 141 (0.71%)
         occurrences all number
    1
    1
    dyspnoea
    alternative dictionary used: MedDRA 24.0
         subjects affected / exposed
    0 / 282 (0.00%)
    1 / 141 (0.71%)
         occurrences all number
    0
    1
    nasal congestion
    alternative dictionary used: MedDRA 24.0
         subjects affected / exposed
    1 / 282 (0.35%)
    0 / 141 (0.00%)
         occurrences all number
    1
    0
    oropharyngeal pain
    alternative dictionary used: MedDRA 24.0
         subjects affected / exposed
    1 / 282 (0.35%)
    0 / 141 (0.00%)
         occurrences all number
    1
    0
    pneumonia aspiration
    alternative dictionary used: MedDRA 24.0
         subjects affected / exposed
    1 / 282 (0.35%)
    0 / 141 (0.00%)
         occurrences all number
    1
    0
    rhinitis allergic
    alternative dictionary used: MedDRA 24.0
         subjects affected / exposed
    2 / 282 (0.71%)
    0 / 141 (0.00%)
         occurrences all number
    2
    0
    rhinorrhoea
    alternative dictionary used: MedDRA 24.0
         subjects affected / exposed
    0 / 282 (0.00%)
    1 / 141 (0.71%)
         occurrences all number
    0
    1
    sleep apnoea syndrome
    alternative dictionary used: MedDRA 24.0
         subjects affected / exposed
    0 / 282 (0.00%)
    1 / 141 (0.71%)
         occurrences all number
    0
    1
    Psychiatric disorders
    anxiety
    alternative dictionary used: MedDRA 24.0
         subjects affected / exposed
    4 / 282 (1.42%)
    0 / 141 (0.00%)
         occurrences all number
    6
    0
    attention deficit hyperactivity disorder
    alternative dictionary used: MedDRA 24.0
         subjects affected / exposed
    0 / 282 (0.00%)
    1 / 141 (0.71%)
         occurrences all number
    0
    1
    depression
    alternative dictionary used: MedDRA 24.0
         subjects affected / exposed
    2 / 282 (0.71%)
    1 / 141 (0.71%)
         occurrences all number
    2
    1
    insomnia
    alternative dictionary used: MedDRA 24.0
         subjects affected / exposed
    1 / 282 (0.35%)
    1 / 141 (0.71%)
         occurrences all number
    1
    1
    persistent depressive disorder
    alternative dictionary used: MedDRA 24.0
         subjects affected / exposed
    0 / 282 (0.00%)
    1 / 141 (0.71%)
         occurrences all number
    0
    1
    stress
    alternative dictionary used: MedDRA 24.0
         subjects affected / exposed
    0 / 282 (0.00%)
    1 / 141 (0.71%)
         occurrences all number
    0
    1
    Investigations
    blood lactate dehydrogenase increased
    alternative dictionary used: MedDRA 24.0
         subjects affected / exposed
    0 / 282 (0.00%)
    1 / 141 (0.71%)
         occurrences all number
    0
    1
    blood pressure increased
    alternative dictionary used: MedDRA 24.0
         subjects affected / exposed
    0 / 282 (0.00%)
    1 / 141 (0.71%)
         occurrences all number
    0
    1
    eosinophil count increased
    alternative dictionary used: MedDRA 24.0
         subjects affected / exposed
    0 / 282 (0.00%)
    1 / 141 (0.71%)
         occurrences all number
    0
    1
    hepatic enzyme increased
    alternative dictionary used: MedDRA 24.0
         subjects affected / exposed
    1 / 282 (0.35%)
    0 / 141 (0.00%)
         occurrences all number
    1
    0
    neutrophil count decreased
    alternative dictionary used: MedDRA 24.0
         subjects affected / exposed
    1 / 282 (0.35%)
    0 / 141 (0.00%)
         occurrences all number
    1
    0
    neutrophil count increased
    alternative dictionary used: MedDRA 24.0
         subjects affected / exposed
    0 / 282 (0.00%)
    1 / 141 (0.71%)
         occurrences all number
    0
    1
    platelet count increased
    alternative dictionary used: MedDRA 24.0
         subjects affected / exposed
    0 / 282 (0.00%)
    1 / 141 (0.71%)
         occurrences all number
    0
    1
    Injury, poisoning and procedural complications
    back injury
    alternative dictionary used: MedDRA 24.0
         subjects affected / exposed
    1 / 282 (0.35%)
    0 / 141 (0.00%)
         occurrences all number
    1
    0
    contusion
    alternative dictionary used: MedDRA 24.0
         subjects affected / exposed
    0 / 282 (0.00%)
    1 / 141 (0.71%)
         occurrences all number
    0
    1
    head injury
    alternative dictionary used: MedDRA 24.0
         subjects affected / exposed
    1 / 282 (0.35%)
    0 / 141 (0.00%)
         occurrences all number
    1
    0
    ligament sprain
    alternative dictionary used: MedDRA 24.0
         subjects affected / exposed
    1 / 282 (0.35%)
    0 / 141 (0.00%)
         occurrences all number
    1
    0
    meniscus injury
    alternative dictionary used: MedDRA 24.0
         subjects affected / exposed
    1 / 282 (0.35%)
    0 / 141 (0.00%)
         occurrences all number
    1
    0
    muscle strain
    alternative dictionary used: MedDRA 24.0
         subjects affected / exposed
    1 / 282 (0.35%)
    0 / 141 (0.00%)
         occurrences all number
    1
    0
    overdose
    alternative dictionary used: MedDRA 24.0
         subjects affected / exposed
    1 / 282 (0.35%)
    0 / 141 (0.00%)
         occurrences all number
    1
    0
    post procedural inflammation
    alternative dictionary used: MedDRA 24.0
         subjects affected / exposed
    0 / 282 (0.00%)
    1 / 141 (0.71%)
         occurrences all number
    0
    1
    sunburn
    alternative dictionary used: MedDRA 24.0
         subjects affected / exposed
    0 / 282 (0.00%)
    1 / 141 (0.71%)
         occurrences all number
    0
    1
    tooth injury
    alternative dictionary used: MedDRA 24.0
         subjects affected / exposed
    1 / 282 (0.35%)
    0 / 141 (0.00%)
         occurrences all number
    1
    0
    Cardiac disorders
    angina pectoris
    alternative dictionary used: MedDRA 24.0
         subjects affected / exposed
    1 / 282 (0.35%)
    0 / 141 (0.00%)
         occurrences all number
    1
    0
    palpitations
    alternative dictionary used: MedDRA 24.0
         subjects affected / exposed
    0 / 282 (0.00%)
    1 / 141 (0.71%)
         occurrences all number
    0
    1
    Nervous system disorders
    dizziness
    alternative dictionary used: MedDRA 24.0
         subjects affected / exposed
    2 / 282 (0.71%)
    1 / 141 (0.71%)
         occurrences all number
    5
    1
    dysgeusia
    alternative dictionary used: MedDRA 24.0
         subjects affected / exposed
    0 / 282 (0.00%)
    1 / 141 (0.71%)
         occurrences all number
    0
    1
    epilepsy
    alternative dictionary used: MedDRA 24.0
         subjects affected / exposed
    1 / 282 (0.35%)
    0 / 141 (0.00%)
         occurrences all number
    1
    0
    headache
    alternative dictionary used: MedDRA 24.0
         subjects affected / exposed
    9 / 282 (3.19%)
    2 / 141 (1.42%)
         occurrences all number
    10
    2
    hypersomnia
    alternative dictionary used: MedDRA 24.0
         subjects affected / exposed
    1 / 282 (0.35%)
    0 / 141 (0.00%)
         occurrences all number
    1
    0
    post herpetic neuralgia
    alternative dictionary used: MedDRA 24.0
         subjects affected / exposed
    1 / 282 (0.35%)
    0 / 141 (0.00%)
         occurrences all number
    1
    0
    radiculopathy
    alternative dictionary used: MedDRA 24.0
         subjects affected / exposed
    1 / 282 (0.35%)
    0 / 141 (0.00%)
         occurrences all number
    1
    0
    seizure
    alternative dictionary used: MedDRA 24.0
         subjects affected / exposed
    0 / 282 (0.00%)
    1 / 141 (0.71%)
         occurrences all number
    0
    1
    syncope
    alternative dictionary used: MedDRA 24.0
         subjects affected / exposed
    0 / 282 (0.00%)
    1 / 141 (0.71%)
         occurrences all number
    0
    1
    Blood and lymphatic system disorders
    anaemia
    alternative dictionary used: MedDRA 24.0
         subjects affected / exposed
    1 / 282 (0.35%)
    0 / 141 (0.00%)
         occurrences all number
    1
    0
    eosinophilia
    alternative dictionary used: MedDRA 24.0
         subjects affected / exposed
    1 / 282 (0.35%)
    2 / 141 (1.42%)
         occurrences all number
    1
    2
    erythropenia
    alternative dictionary used: MedDRA 24.0
         subjects affected / exposed
    1 / 282 (0.35%)
    0 / 141 (0.00%)
         occurrences all number
    1
    0
    iron deficiency anaemia
    alternative dictionary used: MedDRA 24.0
         subjects affected / exposed
    1 / 282 (0.35%)
    0 / 141 (0.00%)
         occurrences all number
    1
    0
    lymphopenia
    alternative dictionary used: MedDRA 24.0
         subjects affected / exposed
    1 / 282 (0.35%)
    0 / 141 (0.00%)
         occurrences all number
    1
    0
    thrombocytopenia
    alternative dictionary used: MedDRA 24.0
         subjects affected / exposed
    2 / 282 (0.71%)
    0 / 141 (0.00%)
         occurrences all number
    2
    0
    Eye disorders
    blepharitis
    alternative dictionary used: MedDRA 24.0
         subjects affected / exposed
    3 / 282 (1.06%)
    0 / 141 (0.00%)
         occurrences all number
    3
    0
    chalazion
    alternative dictionary used: MedDRA 24.0
         subjects affected / exposed
    2 / 282 (0.71%)
    0 / 141 (0.00%)
         occurrences all number
    2
    0
    conjunctival hyperaemia
    alternative dictionary used: MedDRA 24.0
         subjects affected / exposed
    1 / 282 (0.35%)
    0 / 141 (0.00%)
         occurrences all number
    1
    0
    conjunctivitis allergic
    alternative dictionary used: MedDRA 24.0
         subjects affected / exposed
    6 / 282 (2.13%)
    1 / 141 (0.71%)
         occurrences all number
    6
    1
    dry eye
    alternative dictionary used: MedDRA 24.0
         subjects affected / exposed
    1 / 282 (0.35%)
    2 / 141 (1.42%)
         occurrences all number
    1
    2
    eye irritation
    alternative dictionary used: MedDRA 24.0
         subjects affected / exposed
    2 / 282 (0.71%)
    0 / 141 (0.00%)
         occurrences all number
    2
    0
    eyelids pruritus
    alternative dictionary used: MedDRA 24.0
         subjects affected / exposed
    1 / 282 (0.35%)
    0 / 141 (0.00%)
         occurrences all number
    1
    0
    eye pruritus
    alternative dictionary used: MedDRA 24.0
         subjects affected / exposed
    1 / 282 (0.35%)
    0 / 141 (0.00%)
         occurrences all number
    1
    0
    keratoconus
    alternative dictionary used: MedDRA 24.0
         subjects affected / exposed
    0 / 282 (0.00%)
    1 / 141 (0.71%)
         occurrences all number
    0
    1
    keratitis
    alternative dictionary used: MedDRA 24.0
         subjects affected / exposed
    0 / 282 (0.00%)
    1 / 141 (0.71%)
         occurrences all number
    0
    1
    pupils unequal
    alternative dictionary used: MedDRA 24.0
         subjects affected / exposed
    1 / 282 (0.35%)
    0 / 141 (0.00%)
         occurrences all number
    1
    0
    vernal keratoconjunctivitis
    alternative dictionary used: MedDRA 24.0
         subjects affected / exposed
    1 / 282 (0.35%)
    0 / 141 (0.00%)
         occurrences all number
    1
    0
    vision blurred
    alternative dictionary used: MedDRA 24.0
         subjects affected / exposed
    1 / 282 (0.35%)
    0 / 141 (0.00%)
         occurrences all number
    1
    0
    visual impairment
    alternative dictionary used: MedDRA 24.0
         subjects affected / exposed
    1 / 282 (0.35%)
    0 / 141 (0.00%)
         occurrences all number
    1
    0
    Gastrointestinal disorders
    abdominal pain
    alternative dictionary used: MedDRA 24.0
         subjects affected / exposed
    1 / 282 (0.35%)
    0 / 141 (0.00%)
         occurrences all number
    1
    0
    anal haemorrhage
    alternative dictionary used: MedDRA 24.0
         subjects affected / exposed
    0 / 282 (0.00%)
    1 / 141 (0.71%)
         occurrences all number
    0
    1
    gastric polyps
    alternative dictionary used: MedDRA 24.0
         subjects affected / exposed
    0 / 282 (0.00%)
    1 / 141 (0.71%)
         occurrences all number
    0
    1
    gastrointestinal inflammation
    alternative dictionary used: MedDRA 24.0
         subjects affected / exposed
    0 / 282 (0.00%)
    1 / 141 (0.71%)
         occurrences all number
    0
    1
    nausea
    alternative dictionary used: MedDRA 24.0
         subjects affected / exposed
    0 / 282 (0.00%)
    2 / 141 (1.42%)
         occurrences all number
    0
    2
    odynophagia
    alternative dictionary used: MedDRA 24.0
         subjects affected / exposed
    0 / 282 (0.00%)
    1 / 141 (0.71%)
         occurrences all number
    0
    1
    toothache
    alternative dictionary used: MedDRA 24.0
         subjects affected / exposed
    1 / 282 (0.35%)
    1 / 141 (0.71%)
         occurrences all number
    1
    1
    vomiting
    alternative dictionary used: MedDRA 24.0
         subjects affected / exposed
    1 / 282 (0.35%)
    1 / 141 (0.71%)
         occurrences all number
    1
    1
    Hepatobiliary disorders
    non-alcoholic steatohepatitis
    alternative dictionary used: MedDRA 24.0
         subjects affected / exposed
    1 / 282 (0.35%)
    0 / 141 (0.00%)
         occurrences all number
    1
    0
    Skin and subcutaneous tissue disorders
    dermal cyst
    alternative dictionary used: MedDRA 24.0
         subjects affected / exposed
    1 / 282 (0.35%)
    0 / 141 (0.00%)
         occurrences all number
    1
    0
    dermatitis atopic
    alternative dictionary used: MedDRA 24.0
         subjects affected / exposed
    15 / 282 (5.32%)
    28 / 141 (19.86%)
         occurrences all number
    16
    31
    dermatitis contact
    alternative dictionary used: MedDRA 24.0
         subjects affected / exposed
    0 / 282 (0.00%)
    1 / 141 (0.71%)
         occurrences all number
    0
    1
    drug eruption
    alternative dictionary used: MedDRA 24.0
         subjects affected / exposed
    1 / 282 (0.35%)
    0 / 141 (0.00%)
         occurrences all number
    1
    0
    dyshidrotic eczema
    alternative dictionary used: MedDRA 24.0
         subjects affected / exposed
    0 / 282 (0.00%)
    1 / 141 (0.71%)
         occurrences all number
    0
    1
    eczema
    alternative dictionary used: MedDRA 24.0
         subjects affected / exposed
    1 / 282 (0.35%)
    0 / 141 (0.00%)
         occurrences all number
    1
    0
    milia
    alternative dictionary used: MedDRA 24.0
         subjects affected / exposed
    0 / 282 (0.00%)
    1 / 141 (0.71%)
         occurrences all number
    0
    1
    pruritus
    alternative dictionary used: MedDRA 24.0
         subjects affected / exposed
    3 / 282 (1.06%)
    6 / 141 (4.26%)
         occurrences all number
    3
    7
    rash
    alternative dictionary used: MedDRA 24.0
         subjects affected / exposed
    1 / 282 (0.35%)
    0 / 141 (0.00%)
         occurrences all number
    1
    0
    seborrhoea
    alternative dictionary used: MedDRA 24.0
         subjects affected / exposed
    1 / 282 (0.35%)
    0 / 141 (0.00%)
         occurrences all number
    1
    0
    seborrhoeic dermatitis
    alternative dictionary used: MedDRA 24.0
         subjects affected / exposed
    2 / 282 (0.71%)
    1 / 141 (0.71%)
         occurrences all number
    2
    1
    skin burning sensation
    alternative dictionary used: MedDRA 24.0
         subjects affected / exposed
    1 / 282 (0.35%)
    0 / 141 (0.00%)
         occurrences all number
    1
    0
    solar dermatitis
    alternative dictionary used: MedDRA 24.0
         subjects affected / exposed
    0 / 282 (0.00%)
    1 / 141 (0.71%)
         occurrences all number
    0
    1
    Renal and urinary disorders
    cystitis noninfective
    alternative dictionary used: MedDRA 24.0
         subjects affected / exposed
    1 / 282 (0.35%)
    0 / 141 (0.00%)
         occurrences all number
    1
    0
    nephrolithiasis
    alternative dictionary used: MedDRA 24.0
         subjects affected / exposed
    0 / 282 (0.00%)
    1 / 141 (0.71%)
         occurrences all number
    0
    1
    Endocrine disorders
    hyperparathyroidism secondary
    alternative dictionary used: MedDRA 24.0
         subjects affected / exposed
    0 / 282 (0.00%)
    1 / 141 (0.71%)
         occurrences all number
    0
    1
    Musculoskeletal and connective tissue disorders
    arthralgia
    alternative dictionary used: MedDRA 24.0
         subjects affected / exposed
    1 / 282 (0.35%)
    0 / 141 (0.00%)
         occurrences all number
    1
    0
    back pain
    alternative dictionary used: MedDRA 24.0
         subjects affected / exposed
    2 / 282 (0.71%)
    1 / 141 (0.71%)
         occurrences all number
    2
    1
    bursitis
    alternative dictionary used: MedDRA 24.0
         subjects affected / exposed
    1 / 282 (0.35%)
    1 / 141 (0.71%)
         occurrences all number
    1
    1
    muscle twitching
    alternative dictionary used: MedDRA 24.0
         subjects affected / exposed
    1 / 282 (0.35%)
    0 / 141 (0.00%)
         occurrences all number
    1
    0
    musculoskeletal chest pain
    alternative dictionary used: MedDRA 24.0
         subjects affected / exposed
    1 / 282 (0.35%)
    0 / 141 (0.00%)
         occurrences all number
    1
    0
    musculoskeletal stiffness
    alternative dictionary used: MedDRA 24.0
         subjects affected / exposed
    1 / 282 (0.35%)
    0 / 141 (0.00%)
         occurrences all number
    1
    0
    myalgia
    alternative dictionary used: MedDRA 24.0
         subjects affected / exposed
    0 / 282 (0.00%)
    1 / 141 (0.71%)
         occurrences all number
    0
    2
    pain in extremity
    alternative dictionary used: MedDRA 24.0
         subjects affected / exposed
    1 / 282 (0.35%)
    0 / 141 (0.00%)
         occurrences all number
    1
    0
    Infections and infestations
    abscess neck
    alternative dictionary used: MedDRA 24.0
         subjects affected / exposed
    0 / 282 (0.00%)
    1 / 141 (0.71%)
         occurrences all number
    0
    1
    bacterial vaginosis
    alternative dictionary used: MedDRA 24.0
         subjects affected / exposed [3]
    1 / 141 (0.71%)
    0 / 73 (0.00%)
         occurrences all number
    1
    0
    bronchitis
    alternative dictionary used: MedDRA 24.0
         subjects affected / exposed
    2 / 282 (0.71%)
    0 / 141 (0.00%)
         occurrences all number
    2
    0
    covid-19
    alternative dictionary used: MedDRA 24.0
         subjects affected / exposed
    5 / 282 (1.77%)
    3 / 141 (2.13%)
         occurrences all number
    5
    3
    cellulitis
    alternative dictionary used: MedDRA 24.0
         subjects affected / exposed
    0 / 282 (0.00%)
    1 / 141 (0.71%)
         occurrences all number
    0
    1
    conjunctivitis
    alternative dictionary used: MedDRA 24.0
         subjects affected / exposed
    21 / 282 (7.45%)
    4 / 141 (2.84%)
         occurrences all number
    22
    4
    ear infection
    alternative dictionary used: MedDRA 24.0
         subjects affected / exposed
    0 / 282 (0.00%)
    1 / 141 (0.71%)
         occurrences all number
    0
    1
    ecthyma
    alternative dictionary used: MedDRA 24.0
         subjects affected / exposed
    0 / 282 (0.00%)
    1 / 141 (0.71%)
         occurrences all number
    0
    1
    eczema herpeticum
    alternative dictionary used: MedDRA 24.0
         subjects affected / exposed
    0 / 282 (0.00%)
    1 / 141 (0.71%)
         occurrences all number
    0
    1
    folliculitis
    alternative dictionary used: MedDRA 24.0
         subjects affected / exposed
    3 / 282 (1.06%)
    1 / 141 (0.71%)
         occurrences all number
    3
    1
    furuncle
    alternative dictionary used: MedDRA 24.0
         subjects affected / exposed
    0 / 282 (0.00%)
    2 / 141 (1.42%)
         occurrences all number
    0
    3
    gastroenteritis
    alternative dictionary used: MedDRA 24.0
         subjects affected / exposed
    2 / 282 (0.71%)
    0 / 141 (0.00%)
         occurrences all number
    3
    0
    gastroenteritis viral
    alternative dictionary used: MedDRA 24.0
         subjects affected / exposed
    2 / 282 (0.71%)
    0 / 141 (0.00%)
         occurrences all number
    2
    0
    helicobacter infection
    alternative dictionary used: MedDRA 24.0
         subjects affected / exposed
    1 / 282 (0.35%)
    0 / 141 (0.00%)
         occurrences all number
    1
    0
    herpes zoster
    alternative dictionary used: MedDRA 24.0
         subjects affected / exposed
    1 / 282 (0.35%)
    0 / 141 (0.00%)
         occurrences all number
    1
    0
    impetigo
    alternative dictionary used: MedDRA 24.0
         subjects affected / exposed
    4 / 282 (1.42%)
    2 / 141 (1.42%)
         occurrences all number
    4
    2
    infection
    alternative dictionary used: MedDRA 24.0
         subjects affected / exposed
    0 / 282 (0.00%)
    1 / 141 (0.71%)
         occurrences all number
    0
    1
    influenza
    alternative dictionary used: MedDRA 24.0
         subjects affected / exposed
    1 / 282 (0.35%)
    0 / 141 (0.00%)
         occurrences all number
    1
    0
    lower respiratory tract infection
    alternative dictionary used: MedDRA 24.0
         subjects affected / exposed
    1 / 282 (0.35%)
    0 / 141 (0.00%)
         occurrences all number
    1
    0
    nasopharyngitis
    alternative dictionary used: MedDRA 24.0
         subjects affected / exposed
    11 / 282 (3.90%)
    3 / 141 (2.13%)
         occurrences all number
    11
    3
    oral herpes
    alternative dictionary used: MedDRA 24.0
         subjects affected / exposed
    9 / 282 (3.19%)
    5 / 141 (3.55%)
         occurrences all number
    9
    10
    paronychia
    alternative dictionary used: MedDRA 24.0
         subjects affected / exposed
    1 / 282 (0.35%)
    0 / 141 (0.00%)
         occurrences all number
    1
    0
    pharyngitis
    alternative dictionary used: MedDRA 24.0
         subjects affected / exposed
    0 / 282 (0.00%)
    1 / 141 (0.71%)
         occurrences all number
    0
    1
    skin infection
    alternative dictionary used: MedDRA 24.0
         subjects affected / exposed
    1 / 282 (0.35%)
    1 / 141 (0.71%)
         occurrences all number
    1
    1
    tinea capitis
    alternative dictionary used: MedDRA 24.0
         subjects affected / exposed
    1 / 282 (0.35%)
    0 / 141 (0.00%)
         occurrences all number
    1
    0
    tonsillitis
    alternative dictionary used: MedDRA 24.0
         subjects affected / exposed
    1 / 282 (0.35%)
    2 / 141 (1.42%)
         occurrences all number
    1
    2
    tooth abscess
    alternative dictionary used: MedDRA 24.0
         subjects affected / exposed
    0 / 282 (0.00%)
    1 / 141 (0.71%)
         occurrences all number
    0
    1
    upper respiratory tract infection
    alternative dictionary used: MedDRA 24.0
         subjects affected / exposed
    1 / 282 (0.35%)
    3 / 141 (2.13%)
         occurrences all number
    1
    4
    urinary tract infection
    alternative dictionary used: MedDRA 24.0
         subjects affected / exposed
    1 / 282 (0.35%)
    1 / 141 (0.71%)
         occurrences all number
    1
    1
    vaginal infection
    alternative dictionary used: MedDRA 24.0
         subjects affected / exposed [4]
    0 / 141 (0.00%)
    1 / 73 (1.37%)
         occurrences all number
    0
    1
    viral upper respiratory tract infection
    alternative dictionary used: MedDRA 24.0
         subjects affected / exposed
    0 / 282 (0.00%)
    1 / 141 (0.71%)
         occurrences all number
    0
    1
    vulvovaginal candidiasis
    alternative dictionary used: MedDRA 24.0
         subjects affected / exposed [5]
    2 / 141 (1.42%)
    0 / 73 (0.00%)
         occurrences all number
    2
    0
    Metabolism and nutrition disorders
    decreased appetite
    alternative dictionary used: MedDRA 24.0
         subjects affected / exposed
    0 / 282 (0.00%)
    1 / 141 (0.71%)
         occurrences all number
    0
    1
    dehydration
    alternative dictionary used: MedDRA 24.0
         subjects affected / exposed
    1 / 282 (0.35%)
    0 / 141 (0.00%)
         occurrences all number
    1
    0
    hyperlipidaemia
    alternative dictionary used: MedDRA 24.0
         subjects affected / exposed
    1 / 282 (0.35%)
    0 / 141 (0.00%)
         occurrences all number
    1
    0
    vitamin d deficiency
    alternative dictionary used: MedDRA 24.0
         subjects affected / exposed
    0 / 282 (0.00%)
    1 / 141 (0.71%)
         occurrences all number
    0
    1
    Notes
    [1] - The number of subjects exposed to this adverse event is less than the total number of subjects exposed for the reporting group. These numbers are expected to be equal.
    Justification: Gender specific events only occurring in male or female participants have had the number of participants At Risk adjusted accordingly.
    [2] - The number of subjects exposed to this adverse event is less than the total number of subjects exposed for the reporting group. These numbers are expected to be equal.
    Justification: Gender specific events only occurring in male or female participants have had the number of participants At Risk adjusted accordingly.
    [3] - The number of subjects exposed to this adverse event is less than the total number of subjects exposed for the reporting group. These numbers are expected to be equal.
    Justification: Gender specific events only occurring in male or female participants have had the number of participants At Risk adjusted accordingly.
    [4] - The number of subjects exposed to this adverse event is less than the total number of subjects exposed for the reporting group. These numbers are expected to be equal.
    Justification: Gender specific events only occurring in male or female participants have had the number of participants At Risk adjusted accordingly.
    [5] - The number of subjects exposed to this adverse event is less than the total number of subjects exposed for the reporting group. These numbers are expected to be equal.
    Justification: Gender specific events only occurring in male or female participants have had the number of participants At Risk adjusted accordingly.

    More information

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    Substantial protocol amendments (globally)

    Were there any global substantial amendments to the protocol? Yes
    Date
    Amendment
    16 Oct 2019
    • Clarification of primary, co-primary and secondary endpoints to be analyzed for the FDA and EMEA • Updated inclusion criterion 10 for contraceptive use after last dose of study drug (increased from 17 to 18 weeks) • Added inclusion criterion 11 to require male patients to use an effective method of contraception if sexually active with a female of child-bearing potential. • Other minor clarifications and editorial changes.
    20 May 2020
    • Added hormone testing to adolescent patients • Removed requirement for TB screening serology at screening visit. • Added PK sample at Week 4 • Clarifications on analysis timing, study procedures and protocol wording.

    Interruptions (globally)

    Were there any global interruptions to the trial? Yes
    Date
    Interruption
    Restart date
    24 Mar 2020
    Global enrollment hold on new patient screening and enrollment.
    28 May 2020

    Limitations and caveats

    Limitations of the trial such as small numbers of subjects analysed or technical problems leading to unreliable data.
    None reported
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