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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
    2019-002933-12
    Trial protocol
    DE   BG   IT  
    Global end of trial date

    Results information
    Results version number
    v1
    This version publication date
    27 Jul 2022
    First version publication date
    27 Jul 2022
    Other versions
    v2

    Trial information

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    Trial identification
    Sponsor protocol code
    J2T-DM-KGAC
    Additional study identifiers
    ISRCTN number
    -
    US NCT number
    NCT04178967
    WHO universal trial number (UTN)
    -
    Other trial identifiers
    Trial Number: 17802
    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)
    Yes
    EMA paediatric investigation plan number(s)
    EMEA-002536-PIP01-18
    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
    12 Jul 2021
    Is this the analysis of the primary completion data?
    No
    Global end of trial reached?
    No
    General information about the trial
    Main objective of the trial
    This is a randomized, double-blind, placebo-controlled, parallel-group study which is 52 weeks in duration. The study is designed to confirm the safety and efficacy of lebrikizumab as monotherapy for treatment of moderate-to-severe atopic dermatitis utilizing a 16-week induction treatment period and a 36-week long-term maintenance treatment period.
    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
    29 Oct 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
    Canada: 58
    Country: Number of subjects enrolled
    Singapore: 19
    Country: Number of subjects enrolled
    United States: 185
    Country: Number of subjects enrolled
    Taiwan: 60
    Country: Number of subjects enrolled
    Ukraine: 11
    Country: Number of subjects enrolled
    Mexico: 9
    Country: Number of subjects enrolled
    Bulgaria: 22
    Country: Number of subjects enrolled
    Germany: 81
    Worldwide total number of subjects
    445
    EEA total number of subjects
    103
    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)
    50
    Adults (18-64 years)
    362
    From 65 to 84 years
    33
    85 years and over
    0

    Subject disposition

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    Recruitment
    Recruitment details
    No Text Available

    Pre-assignment
    Screening details
    Reported are results for the Induction Period (Baseline to Week16), results for Maintenance Period (Week 16 to Week 52) will be posted after study completion. One investigational site with eighteen participants was excluded from analysis due to Good Clinical Practice (GCP) issues.

    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. Maintenance Period (Week 16-Week 52): Two placebo SC injections as loading dose on Week 16 and Week 18. One placebo SC injection Q2W until Week 50.
    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
    Participants received subcutaneous Injection of Placebo.

    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. Maintenance Period (Week 16-Week 52): One 250 mg Lebrikizumab SC injection and one placebo SC injection as maintenance loading dose on Week 16 and Week 18. One 250 mg Lebrikizumab SC injection Q2W until Week 50.
    Arm type
    Experimental

    Investigational medicinal product name
    Lebrikizumab
    Investigational medicinal product code
    Other name
    LY3650150, DRM06
    Pharmaceutical forms
    Injection
    Routes of administration
    Subcutaneous use
    Dosage and administration details
    Participants received 250 mg of Lebrikizumab administered as subcutaneous injection.

    Number of subjects in period 1
    Placebo Lebrikizumab Q2W
    Started
    150
    295
    Received at Least One Dose of Study Drug
    149
    295
    Completed
    133
    273
    Not completed
    17
    22
         Consent withdrawn by subject
    8
    7
         Adverse event, non-fatal
    4
    6
         Due to Epidemic/Pandemic
    -
    1
         Lost to follow-up
    2
    -
         Lack of efficacy
    3
    1
         Protocol deviation
    -
    7

    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. Maintenance Period (Week 16-Week 52): Two placebo SC injections as loading dose on Week 16 and Week 18. One placebo SC injection Q2W until Week 50.

    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. Maintenance Period (Week 16-Week 52): One 250 mg Lebrikizumab SC injection and one placebo SC injection as maintenance loading dose on Week 16 and Week 18. One 250 mg Lebrikizumab SC injection Q2W until Week 50.

    Reporting group values
    Placebo Lebrikizumab Q2W Total
    Number of subjects
    150 295 445
    Age categorical
    Units: Subjects
        <=18 years
    17 33 50
        Between 18 and 65 years
    123 239 362
        >=65 years
    10 23 33
    Age continuous
    Units: years
        arithmetic mean (standard deviation)
    35.6 ( 17.15 ) 36.5 ( 16.64 ) -
    Gender categorical
    Units: Subjects
        Female
    79 147 226
        Male
    71 148 219
    Race (NIH/OMB)
    Units: Subjects
        American Indian or Alaska Native
    2 3 5
        Asian
    44 78 122
        Native Hawaiian or Other Pacific Islander
    1 2 3
        Black or African American
    10 26 36
        White
    89 181 270
        More than one race
    3 4 7
        Unknown or Not Reported
    1 1 2
    Region of Enrollment
    Units: Subjects
        Canada
    16 42 58
        Singapore
    8 11 19
        United States
    64 121 185
        Taiwan
    21 39 60
        Ukraine
    3 8 11
        Mexico
    3 6 9
        Bulgaria
    7 15 22
        Germany
    28 53 81

    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. Maintenance Period (Week 16-Week 52): Two placebo SC injections as loading dose on Week 16 and Week 18. One placebo SC injection Q2W until Week 50.

    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. Maintenance Period (Week 16-Week 52): One 250 mg Lebrikizumab SC injection and one placebo SC injection as maintenance loading dose on Week 16 and Week 18. One 250 mg Lebrikizumab SC injection Q2W until Week 50.

    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 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. One investigational site with eighteen participants was excluded from analysis due to Good Clinical Practice (GCP) issues. 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
    146
    281
    Units: percentage of participants
        number (confidence interval 95%)
    10.9 (5.7 to 16.1)
    33.1 (27.4 to 38.8)
    Statistical analysis title
    IGA Score of 0 or 1
    Comparison groups
    Placebo v Lebrikizumab Q2W
    Number of subjects included in analysis
    427
    Analysis specification
    Pre-specified
    Analysis type
    superiority
    P-value
    = 0.000004
    Method
    Cochran-Mantel-Haenszel
    Parameter type
    Risk difference (RD)
    Point estimate
    21.7
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    14.1
         upper limit
    29.4

    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 and clinical signs 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). 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. One investigational site with eighteen participants was excluded from analysis due to GCP issues. 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
    146
    281
    Units: percentage of participants
        number (confidence interval 95%)
    18.2 (11.8 to 24.6)
    50.8 (44.9 to 56.8)
    Statistical analysis title
    EASI-75 (≥75% Reduction in EASI Score)
    Comparison groups
    Placebo v Lebrikizumab Q2W
    Number of subjects included in analysis
    427
    Analysis specification
    Pre-specified
    Analysis type
    superiority
    P-value
    < 0.000001
    Method
    Cochran-Mantel-Haenszel
    Parameter type
    Risk difference (RD)
    Point estimate
    32.1
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    23.2
         upper limit
    41

    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
    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. One investigational site with eighteen participants was excluded from analysis due to GCP issues. 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
    146
    281
    Units: percentage of participants
        number (confidence interval 95%)
    0 (0.0 to 0.0)
    0.7 (-0.3 to 1.8)
    Statistical analysis title
    IGA score of 0 or 1
    Comparison groups
    Placebo v Lebrikizumab Q2W
    Number of subjects included in analysis
    427
    Analysis specification
    Pre-specified
    Analysis type
    superiority
    P-value
    = 0.305686
    Method
    Cochran-Mantel-Haenszel
    Parameter type
    Risk difference (RD)
    Point estimate
    0.7
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    -0.3
         upper limit
    1.8

    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. One investigational site with eighteen participants was excluded from analysis due to GCP issues. 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
    146
    281
    Units: percentage of participants
        number (confidence interval 95%)
    1.4 (-0.5 to 3.3)
    9.0 (5.6 to 12.5)
    Statistical analysis title
    IGA score of 0 or 1
    Comparison groups
    Placebo v Lebrikizumab Q2W
    Number of subjects included in analysis
    427
    Analysis specification
    Pre-specified
    Analysis type
    superiority
    P-value
    = 0.001635
    Method
    Cochran-Mantel-Haenszel
    Parameter type
    Risk difference (RD)
    Point estimate
    8.1
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    4.1
         upper limit
    12.2

    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. One investigational site with eighteen participants was excluded from analysis due to GCP issues. 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
    129
    251
    Units: percentage of participants
        number (confidence interval 95%)
    11.6 (5.9 to 17.2)
    31.8 (25.9 to 37.8)
    Statistical analysis title
    IGA score of 0 or 1
    Comparison groups
    Placebo v Lebrikizumab Q2W
    Number of subjects included in analysis
    380
    Analysis specification
    Pre-specified
    Analysis type
    superiority
    P-value
    = 0.000032
    Method
    Cochran-Mantel-Haenszel
    Parameter type
    Risk difference (RD)
    Point estimate
    20.3
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    12.2
         upper limit
    28.5

    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 and clinical signs 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). 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. One investigational site with eighteen participants was excluded from analysis due to GCP issues. 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
    146
    281
    Units: percentage of participants
        number (confidence interval 95%)
    9.4 (4.5 to 14.2)
    30.2 (24.7 to 35.7)
    Statistical analysis title
    EASI-90 (≥90% reduction in EASI score)
    Comparison groups
    Placebo v Lebrikizumab Q2W
    Number of subjects included in analysis
    427
    Analysis specification
    Pre-specified
    Analysis type
    superiority
    P-value
    = 0.000009
    Method
    Cochran-Mantel-Haenszel
    Parameter type
    Risk difference (RD)
    Point estimate
    20.3
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    12.9
         upper limit
    27.8

    Secondary: Percentage change in Pruritus Numerical Rating Scale (NRS) score from Baseline to Week 16

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    End point title
    Percentage 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. One investigational site with eighteen participants was excluded from analysis due to GCP issues. 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
    146
    281
    Units: percentage change
        least squares mean (standard error)
    -8.91 ( 3.908 )
    -35.67 ( 3.357 )
    Statistical analysis title
    Pruritis NRS score
    Comparison groups
    Placebo v Lebrikizumab Q2W
    Number of subjects included in analysis
    427
    Analysis specification
    Pre-specified
    Analysis type
    superiority
    P-value
    < 0.000001
    Method
    ANCOVA
    Parameter type
    LS Mean Difference (Final Values)
    Point estimate
    -26.76
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    -34.3
         upper limit
    -19.3

    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. One investigational site with eighteen participants was excluded from analysis due to GCP issues. 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
    134
    253
    Units: percentage of participants
        number (confidence interval 95%)
    11.3 (5.9 to 16.8)
    38.3 (32.2 to 44.4)
    Statistical analysis title
    Pruritus NRS score of ≥4-points
    Comparison groups
    Placebo v Lebrikizumab Q2W
    Number of subjects included in analysis
    387
    Analysis specification
    Pre-specified
    Analysis type
    superiority
    P-value
    < 0.000001
    Method
    Cochran-Mantel-Haenszel
    Parameter type
    Risk difference (RD)
    Point estimate
    26.9
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    18.7
         upper limit
    35

    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. One investigational site with eighteen participants was excluded from analysis due to GCP issues. 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
    122
    234
    Units: percentage of participants
        number (confidence interval 95%)
    11.6 (5.9 to 17.4)
    40.0 (33.6 to 46.4)
    Statistical analysis title
    Pruritus NRS score
    Comparison groups
    Placebo v Lebrikizumab Q2W
    Number of subjects included in analysis
    356
    Analysis specification
    Pre-specified
    Analysis type
    superiority
    P-value
    < 0.000001
    Method
    Cochran-Mantel-Haenszel
    Parameter type
    Risk difference (RD)
    Point estimate
    28.1
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    19.6
         upper limit
    36.7

    Secondary: Percentage change in EASI score from Baseline to Week 16

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    End point title
    Percentage 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 and clinical signs 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). 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. One investigational site with eighteen participants was excluded from analysis due to GCP issues. 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
    146
    281
    Units: percent change
        least squares mean (standard error)
    -28.22 ( 3.873 )
    -60.61 ( 3.268 )
    Statistical analysis title
    EASI score
    Comparison groups
    Placebo v Lebrikizumab Q2W
    Number of subjects included in analysis
    427
    Analysis specification
    Pre-specified
    Analysis type
    superiority
    P-value
    < 0.000001
    Method
    ANCOVA
    Parameter type
    LS Mean Difference (Final Values)
    Point estimate
    -32.39
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    -39.9
         upper limit
    -24.9

    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. 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. 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. One investigational site with eighteen participants was excluded from analysis due to GCP issue
    End point type
    Secondary
    End point timeframe
    Baseline, Week 16
    End point values
    Placebo Lebrikizumab Q2W
    Number of subjects analysed
    77
    209
    Units: percentage of BSA
        least squares mean (standard error)
    -13.76 ( 1.926 )
    -29.65 ( 1.330 )
    Statistical analysis title
    Percent BSA
    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
    Mixed models analysis
    Parameter type
    LS Mean Difference (Final Values)
    Point estimate
    -15.88
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    -20.04
         upper limit
    -11.73

    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 and clinical signs 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). 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. One investigational site with eighteen participants was excluded from analysis due to GCP issues. 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
    146
    281
    Units: percentage of participants
        number (confidence interval 95%)
    1.4 (-0.5 to 3.4)
    6.4 (3.4 to 9.3)
    Statistical analysis title
    EASI-90
    Comparison groups
    Placebo v Lebrikizumab Q2W
    Number of subjects included in analysis
    427
    Analysis specification
    Pre-specified
    Analysis type
    superiority
    P-value
    = 0.020407
    Method
    Cochran-Mantel-Haenszel
    Parameter type
    Risk difference (RD)
    Point estimate
    5
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    1.5
         upper limit
    8.5

    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. A high score is indicative of a poor quality of life. 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. One investigational site with eighteen participants was excluded from analysis due to GCP issues. 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
    118
    218
    Units: score on a scale
        least squares mean (standard error)
    -2.47 ( 1.164 )
    -6.99 ( 1.152 )
    Statistical analysis title
    Dermatology Life Quality Index (DLQI)
    Comparison groups
    Placebo v Lebrikizumab Q2W
    Number of subjects included in analysis
    336
    Analysis specification
    Pre-specified
    Analysis type
    superiority
    P-value
    < 0.000001
    Method
    ANCOVA
    Parameter type
    LS Mean Difference (Final Values)
    Point estimate
    -4.52
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    -5.9
         upper limit
    -3.1

    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
    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. A high score is indicative of a poor quality of life. 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. One investigational site with eighteen participants was excluded from analysis due to GCP issues. 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
    118
    218
    Units: percentage of participants
        number (confidence interval 95%)
    33.7 (24.9 to 42.6)
    63.5 (57.0 to 70.0)
    Statistical analysis title
    DLQI
    Comparison groups
    Placebo v Lebrikizumab Q2W
    Number of subjects included in analysis
    336
    Analysis specification
    Pre-specified
    Analysis type
    superiority
    P-value
    = 0.000001
    Method
    Cochran-Mantel-Haenszel
    Parameter type
    Risk difference (RD)
    Point estimate
    29.9
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    19.1
         upper limit
    40.8

    Secondary: Percentage of participants with a DLQI total score of ≥4-point 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 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. A high score is indicative of a poor quality of life. 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. One investigational site with eighteen participants was excluded from analysis due to GCP issues. 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
    115
    215
    Units: percentage of participants
        number (confidence interval 95%)
    34.6 (25.6 to 43.6)
    64.4 (57.8 to 70.9)
    Statistical analysis title
    DLQI
    Comparison groups
    Placebo v Lebrikizumab Q2W
    Number of subjects included in analysis
    330
    Analysis specification
    Pre-specified
    Analysis type
    superiority
    P-value
    = 0.000001
    Method
    Cochran-Mantel-Haenszel
    Parameter type
    Risk difference (RD)
    Point estimate
    29.9
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    18.9
         upper limit
    40.9

    Secondary: Percentage change in Sleep-loss score from Baseline to Week 16

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    End point title
    Percentage 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. One investigational site with eighteen participants was excluded from analysis due to GCP issues. 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
    146
    281
    Units: percent change
        least squares mean (standard error)
    -11.40 ( 5.420 )
    -47.24 ( 4.610 )
    Statistical analysis title
    Sleep-loss score
    Comparison groups
    Placebo v Lebrikizumab Q2W
    Number of subjects included in analysis
    427
    Analysis specification
    Pre-specified
    Analysis type
    superiority
    P-value
    < 0.000001
    Method
    ANCOVA
    Parameter type
    LS Mean Difference (Final Values)
    Point estimate
    -35.84
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    -46.2
         upper limit
    -25.5

    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, with 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. One investigational site with eighteen participants was excluded from analysis due to GCP issues. 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
    146
    281
    Units: score on a scale
        least squares mean (standard error)
    -0.35 ( 0.097 )
    -1.02 ( 0.080 )
    Statistical analysis title
    Sleep-loss score
    Comparison groups
    Placebo v Lebrikizumab Q2W
    Number of subjects included in analysis
    427
    Analysis specification
    Pre-specified
    Analysis type
    superiority
    P-value
    < 0.000001
    Method
    ANCOVA
    Parameter type
    LS Mean Difference (Final Values)
    Point estimate
    -0.67
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    -0.9
         upper limit
    -0.5

    Secondary: Percentage of participants with a Sleep-loss score ≥2 points at Baseline who achieve a ≥2 points reduction from Baseline to 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 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. 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. One investigational site with eighteen participants was excluded from analysis due to GCP issues. 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
    97
    161
    Units: percentage of participants
        number (confidence interval 95%)
    7.8 (2.2 to 13.4)
    26.5 (19.6 to 33.4)
    Statistical analysis title
    Sleep-loss score
    Comparison groups
    Placebo v Lebrikizumab Q2W
    Number of subjects included in analysis
    258
    Analysis specification
    Pre-specified
    Analysis type
    superiority
    P-value
    = 0.000842
    Method
    Cochran-Mantel-Haenszel
    Parameter type
    Risk difference (RD)
    Point estimate
    17.9
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    8.8
         upper limit
    27

    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. One investigational site with eighteen participants was excluded from analysis due to GCP issues. 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
    134
    253
    Units: percentage of participants
        number (confidence interval 95%)
    0.0 (0.0 to 0.0)
    0.4 (0.0 to 1.2)
    Statistical analysis title
    Pruritus NRS score
    Comparison groups
    Placebo v Lebrikizumab Q2W
    Number of subjects included in analysis
    387
    Analysis specification
    Pre-specified
    Analysis type
    superiority
    P-value
    = 0.469221
    Method
    Cochran-Mantel-Haenszel
    Parameter type
    Risk difference (RD)
    Point estimate
    0.4
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    -0.4
         upper limit
    1.2

    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 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. One investigational site with eighteen participants was excluded from analysis due to GCP issues. 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
    134
    253
    Units: percentage of participants
        number (confidence interval 95%)
    0.7 (0.0 to 2.2)
    3.6 (1.3 to 5.8)
    Statistical analysis title
    Pruritus NRS score
    Comparison groups
    Placebo v Lebrikizumab Q2W
    Number of subjects included in analysis
    387
    Analysis specification
    Pre-specified
    Analysis type
    superiority
    P-value
    = 0.118893
    Method
    Cochran-Mantel-Haenszel
    Parameter type
    Risk difference (RD)
    Point estimate
    2.6
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    -0.1
         upper limit
    5.3

    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, even if the participant does not take the assigned treatment, does not receive the correct treatment, or otherwise does not follow the protocol. One investigational site with eighteen participants was excluded from analysis due to GCP issues. 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
    134
    253
    Units: percentage of participants
        number (confidence interval 95%)
    3.0 (0.1 to 5.9)
    16.8 (12.2 to 21.4)
    Statistical analysis title
    Pruritus NRS score
    Comparison groups
    Placebo v Lebrikizumab Q2W
    Number of subjects included in analysis
    387
    Analysis specification
    Pre-specified
    Analysis type
    superiority
    P-value
    = 0.000216
    Method
    Cochran-Mantel-Haenszel
    Parameter type
    Risk difference (RD)
    Point estimate
    13.2
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    7.7
         upper limit
    18.7

    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. One investigational site with eighteen participants was excluded from analysis due to GCP issues. 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
    122
    234
    Units: percentage of participants
        number (confidence interval 95%)
    0.0 (0.0 to 0.0)
    0.4 (0.0 to 1.3)
    Statistical analysis title
    Pruritus NRS score
    Comparison groups
    Placebo v Lebrikizumab Q2W
    Number of subjects included in analysis
    356
    Analysis specification
    Pre-specified
    Analysis type
    superiority
    P-value
    = 0.46816
    Method
    Cochran-Mantel-Haenszel
    Parameter type
    Risk difference (RD)
    Point estimate
    0.4
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    -0.4
         upper limit
    1.3

    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. One investigational site with eighteen participants was excluded from analysis due to GCP issues. 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
    122
    234
    Units: percentage of participants
        number (confidence interval 95%)
    0.8 (0.0 to 2.4)
    3.8 (1.4 to 6.3)
    Statistical analysis title
    Pruritus NRS score
    Comparison groups
    Placebo v Lebrikizumab Q2W
    Number of subjects included in analysis
    356
    Analysis specification
    Pre-specified
    Analysis type
    superiority
    P-value
    = 0.121327
    Method
    Cochran-Mantel-Haenszel
    Parameter type
    Risk difference (RD)
    Point estimate
    2.9
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    -0.1
         upper limit
    5.8

    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. One investigational site with eighteen participants was excluded from analysis due to GCP issues. 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
    122
    234
    Units: percentage of participants
        number (confidence interval 95%)
    3.3 (0.1 to 6.5)
    18.1 (13.2 to 23.1)
    Statistical analysis title
    Pruritus NRS score
    Comparison groups
    Placebo v Lebrikizumab Q2W
    Number of subjects included in analysis
    356
    Analysis specification
    Pre-specified
    Analysis type
    superiority
    P-value
    = 0.000238
    Method
    Cochran-Mantel-Haenszel
    Parameter type
    Risk difference (RD)
    Point estimate
    14.2
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    8.3
         upper limit
    20.2

    Secondary: Percentage Change in SCORing Atopic Dermatitis (SCORAD) from Baseline to Week 16

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    End point title
    Percentage 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 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 to give a maximum possible score of 103, where 0 = no disease and 103 = severe disease. 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. One investigational site with eighteen participants was excluded from analysis due to GCP issue.
    End point type
    Secondary
    End point timeframe
    Baseline, Week 16
    End point values
    Placebo Lebrikizumab Q2W
    Number of subjects analysed
    146
    281
    Units: percent change
        least squares mean (standard error)
    -13.87 ( 3.201 )
    -43.85 ( 2.680 )
    Statistical analysis title
    SCORing Atopic Dermatitis (SCORAD)
    Comparison groups
    Placebo v Lebrikizumab Q2W
    Number of subjects included in analysis
    427
    Analysis specification
    Pre-specified
    Analysis type
    superiority
    P-value
    < 0.000001
    Method
    ANCOVA
    Parameter type
    LS Mean Difference (Final Values)
    Point estimate
    -29.98
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    -36.16
         upper limit
    -23.8

    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. 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. One investigational site with eighteen participants was excluded from analysis due to GCP issues. Missing Values were imputed using last observation carried forward (LOCF) method.
    End point type
    Secondary
    End point timeframe
    Baseline, Week 16
    End point values
    Placebo Lebrikizumab Q2W
    Number of subjects analysed
    146
    281
    Units: score on a scale
    least squares mean (standard error)
        Health State Index UK
    0.04 ( 0.018 )
    0.12 ( 0.015 )
        Health State Index US
    0.03 ( 0.013 )
    0.08 ( 0.011 )
    Statistical analysis title
    EQ-5D-5L
    Statistical analysis description
    UK
    Comparison groups
    Placebo v Lebrikizumab Q2W
    Number of subjects included in analysis
    427
    Analysis specification
    Pre-specified
    Analysis type
    superiority [1]
    P-value
    = 0.000011
    Method
    ANCOVA
    Parameter type
    LS Mean Difference (Final Values)
    Point estimate
    0.08
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    0.04
         upper limit
    0.11
    Notes
    [1] - UK
    Statistical analysis title
    EQ-5D-5L
    Statistical analysis description
    US
    Comparison groups
    Placebo v Lebrikizumab Q2W
    Number of subjects included in analysis
    427
    Analysis specification
    Pre-specified
    Analysis type
    superiority [2]
    P-value
    = 0.000012
    Method
    ANCOVA
    Parameter type
    LS Mean Difference (Final Values)
    Point estimate
    0.06
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    0.03
         upper limit
    0.08
    Notes
    [2] - US

    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.
    End point type
    Secondary
    End point timeframe
    Baseline, Week 16
    End point values
    Placebo Lebrikizumab Q2W
    Number of subjects analysed
    145
    277
    Units: millimetre(s)
        least squares mean (standard error)
    5.23 ( 1.578 )
    8.97 ( 1.325 )
    Statistical analysis title
    VAS
    Comparison groups
    Placebo v Lebrikizumab Q2W
    Number of subjects included in analysis
    422
    Analysis specification
    Pre-specified
    Analysis type
    superiority
    P-value
    = 0.016649
    Method
    ANCOVA
    Parameter type
    LS Mean Difference (Final Values)
    Point estimate
    3.73
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    0.68
         upper limit
    6.79

    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. 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. One investigational site with eighteen participants was excluded from analysis due to GCP issues. MMRM was used to handle all missing data.
    End point type
    Secondary
    End point timeframe
    Baseline, Week 16
    End point values
    Placebo Lebrikizumab Q2W
    Number of subjects analysed
    65
    184
    Units: score on a scale
        least squares mean (standard error)
    -3.45 ( 0.773 )
    -9.55 ( 0.525 )
    Statistical analysis title
    POEM
    Comparison groups
    Placebo v Lebrikizumab Q2W
    Number of subjects included in analysis
    249
    Analysis specification
    Pre-specified
    Analysis type
    superiority
    P-value
    < 0.000001
    Method
    Mixed models analysis
    Parameter type
    LS Mean Difference (Final Values)
    Point estimate
    -6.1
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    -7.81
         upper limit
    -4.39

    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 with higher scores indicating greater severity of symptoms. 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. One investigational site with eighteen participants was excluded from analysis due to GCP issues.
    End point type
    Secondary
    End point timeframe
    Baseline, Week 16
    End point values
    Placebo Lebrikizumab Q2W
    Number of subjects analysed
    17
    30
    Units: score on a scale
        least squares mean (standard error)
    0.12 ( 2.129 )
    -2.79 ( 1.550 )
    Statistical analysis title
    PROMIS
    Comparison groups
    Placebo v Lebrikizumab Q2W
    Number of subjects included in analysis
    47
    Analysis specification
    Pre-specified
    Analysis type
    superiority
    P-value
    = 0.241275
    Method
    ANCOVA
    Parameter type
    LS Mean Difference (Final Values)
    Point estimate
    -2.91
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    -7.85
         upper limit
    2.03

    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. Each question has 5 response options with values from 1 to 5. Total raw scores were converted to T-scores with higher scores indicating greater severity of symptoms. 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, adults 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. One investigational site with eighteen participants was excluded from analysis due to GCP issues.
    End point type
    Secondary
    End point timeframe
    Baseline, Week 16
    End point values
    Placebo Lebrikizumab Q2W
    Number of subjects analysed
    129
    251
    Units: score on a scale
        least squares mean (standard error)
    -0.43 ( 0.572 )
    -3.00 ( 0.416 )
    Statistical analysis title
    PROMIS
    Comparison groups
    Placebo v Lebrikizumab Q2W
    Number of subjects included in analysis
    380
    Analysis specification
    Pre-specified
    Analysis type
    superiority
    P-value
    = 0.241275
    Method
    ANCOVA
    Parameter type
    [LS Mean Difference (Final Values)
    Point estimate
    -2.91
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    -7.85
         upper limit
    2.03

    Secondary: Change from Baseline in PROMIS Depression at Week 16- Adolescents

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    End point title
    Change from Baseline in PROMIS Depression 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. The PROMIS measures will be completed by the participant in the study clinic. PROMIS depression has 8 questions on Emotion Distress-Depression. Each question has 5 response options with values from 1 to 5. Total raw scores were converted to T-scores with higher scores indicating greater severity of symptoms. 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. One investigational site with eighteen participants was excluded from analysis due to GCP issues. 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
    17
    30
    Units: score on a scale
        least squares mean (standard error)
    -0.57 ( 2.047 )
    -1.67 ( 1.493 )
    Statistical analysis title
    PROMIS
    Comparison groups
    Placebo v Lebrikizumab Q2W
    Number of subjects included in analysis
    47
    Analysis specification
    Pre-specified
    Analysis type
    superiority
    P-value
    = 0.645132
    Method
    ANCOVA
    Parameter type
    LS Mean Difference (Final Values)
    Point estimate
    -1.1
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    -5.86
         upper limit
    3.67

    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. Each question has 5 response options with values from 1 to 5. Total raw scores were converted to T-scores with higher scores indicating greater severity of symptoms. 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. One investigational site with eighteen participants was excluded from analysis due to GCP issues.
    End point type
    Secondary
    End point timeframe
    Baseline, Week 16
    End point values
    Placebo Lebrikizumab Q2W
    Number of subjects analysed
    129
    251
    Units: score on a scale
        least squares mean (standard error)
    0.19 ( 0.533 )
    -2.38 ( 0.387 )
    Statistical analysis title
    PROMIS
    Comparison groups
    Lebrikizumab Q2W v Placebo
    Number of subjects included in analysis
    380
    Analysis specification
    Pre-specified
    Analysis type
    superiority
    P-value
    = 0.000081
    Method
    ANCOVA
    Parameter type
    LS Mean Difference (Final Values)
    Point estimate
    -2.57
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    -3.84
         upper limit
    -1.3

    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 has been shown to reliably measure asthma control and distinguish participants with well-controlled asthma (score ≤0.75 points) from those with uncontrolled asthma (score ≥1.5 points). It consists of 5 questions that are scored on a 7- point Likert scale with a recall period of 1 week. The total ACQ-5 score is the mean score of all questions; a lower score represents better 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 follow the protocol. One investigational site with eighteen participants was excluded from analysis due to GCP issues. 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
    35
    75
    Units: score on a scale
        least squares mean (standard error)
    0.19 ( 0.138 )
    0.20 ( 0.106 )
    Statistical analysis title
    ACQ-5
    Comparison groups
    Placebo v Lebrikizumab Q2W
    Number of subjects included in analysis
    110
    Analysis specification
    Pre-specified
    Analysis type
    superiority
    P-value
    = 0.919129
    Method
    ANCOVA
    Parameter type
    LS Mean Difference (Final Values)
    Point estimate
    0.01
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    -0.25
         upper limit
    0.28

    Secondary: Change from Baseline in Children's Dermatology Life Quality Index (CDLQI) at Week 16

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    End point title
    Change from Baseline in Children's Dermatology Life Quality Index (CDLQI) at Week 16
    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). 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. One investigational site with eighteen participants was excluded from analysis due to GCP issues. MMRM was used to handle all missing data.
    End point type
    Secondary
    End point timeframe
    Baseline, Week 16
    End point values
    Placebo Lebrikizumab Q2W
    Number of subjects analysed
    4
    17
    Units: score on a scale
        least squares mean (standard error)
    -4.13 ( 2.276 )
    -7.49 ( 1.120 )
    Statistical analysis title
    CDLQI
    Comparison groups
    Placebo v Lebrikizumab Q2W
    Number of subjects included in analysis
    21
    Analysis specification
    Pre-specified
    Analysis type
    superiority
    P-value
    = 0.196507
    Method
    Mixed models analysis
    Parameter type
    LS Mean Difference (Final Values)
    Point estimate
    -3.37
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    -8.59
         upper limit
    1.86

    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
    -

    Reporting group title
    Placebo
    Reporting group description
    -

    Serious adverse events
    Lebrikizumab 250mg Q2W Placebo
    Total subjects affected by serious adverse events
         subjects affected / exposed
    2 / 295 (0.68%)
    4 / 149 (2.68%)
         number of deaths (all causes)
    0
    1
         number of deaths resulting from adverse events
    0
    0
    Neoplasms benign, malignant and unspecified (incl cysts and polyps)
    uterine leiomyoma
    alternative dictionary used: MedDRA 24.0
         subjects affected / exposed [1]
    0 / 147 (0.00%)
    1 / 78 (1.28%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Injury, poisoning and procedural complications
    fibula fracture
    alternative dictionary used: MedDRA 24.0
         subjects affected / exposed
    0 / 295 (0.00%)
    1 / 149 (0.67%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    multiple injuries
    alternative dictionary used: MedDRA 24.0
         subjects affected / exposed
    1 / 295 (0.34%)
    0 / 149 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    tibia fracture
    alternative dictionary used: MedDRA 24.0
         subjects affected / exposed
    0 / 295 (0.00%)
    1 / 149 (0.67%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Cardiac disorders
    cardiac failure
    alternative dictionary used: MedDRA 24.0
         subjects affected / exposed
    1 / 295 (0.34%)
    0 / 149 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    myocardial infarction
    alternative dictionary used: MedDRA 24.0
         subjects affected / exposed
    0 / 295 (0.00%)
    1 / 149 (0.67%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 1
    Nervous system disorders
    cerebellar syndrome
    alternative dictionary used: MedDRA 24.0
         subjects affected / exposed
    1 / 295 (0.34%)
    0 / 149 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Skin and subcutaneous tissue disorders
    dermatitis atopic
    alternative dictionary used: MedDRA 24.0
         subjects affected / exposed
    1 / 295 (0.34%)
    1 / 149 (0.67%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Infections and infestations
    large intestine infection
    alternative dictionary used: MedDRA 24.0
         subjects affected / exposed
    1 / 295 (0.34%)
    0 / 149 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Notes
    [1] - The number of subjects exposed to this adverse event is less than the total number of subjects exposed to this adverse event. 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.
    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
    155 / 295 (52.54%)
    97 / 149 (65.10%)
    Neoplasms benign, malignant and unspecified (incl cysts and polyps)
    bowen's disease
    alternative dictionary used: MedDRA 24.0
         subjects affected / exposed
    0 / 295 (0.00%)
    1 / 149 (0.67%)
         occurrences all number
    0
    1
    fibroadenoma of breast
    alternative dictionary used: MedDRA 24.0
         subjects affected / exposed
    0 / 295 (0.00%)
    1 / 149 (0.67%)
         occurrences all number
    0
    1
    skin papilloma
    alternative dictionary used: MedDRA 24.0
         subjects affected / exposed
    3 / 295 (1.02%)
    0 / 149 (0.00%)
         occurrences all number
    3
    0
    squamous cell carcinoma
    alternative dictionary used: MedDRA 24.0
         subjects affected / exposed
    1 / 295 (0.34%)
    1 / 149 (0.67%)
         occurrences all number
    1
    1
    Vascular disorders
    haematoma
    alternative dictionary used: MedDRA 24.0
         subjects affected / exposed
    0 / 295 (0.00%)
    1 / 149 (0.67%)
         occurrences all number
    0
    1
    hot flush
    alternative dictionary used: MedDRA 24.0
         subjects affected / exposed
    1 / 295 (0.34%)
    0 / 149 (0.00%)
         occurrences all number
    1
    0
    hypertension
    alternative dictionary used: MedDRA 24.0
         subjects affected / exposed
    2 / 295 (0.68%)
    2 / 149 (1.34%)
         occurrences all number
    2
    2
    General disorders and administration site conditions
    chills
    alternative dictionary used: MedDRA 24.0
         subjects affected / exposed
    1 / 295 (0.34%)
    0 / 149 (0.00%)
         occurrences all number
    1
    0
    cyst rupture
    alternative dictionary used: MedDRA 24.0
         subjects affected / exposed
    1 / 295 (0.34%)
    0 / 149 (0.00%)
         occurrences all number
    1
    0
    fatigue
    alternative dictionary used: MedDRA 24.0
         subjects affected / exposed
    3 / 295 (1.02%)
    1 / 149 (0.67%)
         occurrences all number
    3
    1
    injection site discomfort
    alternative dictionary used: MedDRA 24.0
         subjects affected / exposed
    1 / 295 (0.34%)
    0 / 149 (0.00%)
         occurrences all number
    1
    0
    injection site erythema
    alternative dictionary used: MedDRA 24.0
         subjects affected / exposed
    2 / 295 (0.68%)
    0 / 149 (0.00%)
         occurrences all number
    3
    0
    injection site pain
    alternative dictionary used: MedDRA 24.0
         subjects affected / exposed
    3 / 295 (1.02%)
    1 / 149 (0.67%)
         occurrences all number
    4
    1
    injection site reaction
    alternative dictionary used: MedDRA 24.0
         subjects affected / exposed
    2 / 295 (0.68%)
    0 / 149 (0.00%)
         occurrences all number
    2
    0
    injection site swelling
    alternative dictionary used: MedDRA 24.0
         subjects affected / exposed
    0 / 295 (0.00%)
    1 / 149 (0.67%)
         occurrences all number
    0
    1
    malaise
    alternative dictionary used: MedDRA 24.0
         subjects affected / exposed
    0 / 295 (0.00%)
    1 / 149 (0.67%)
         occurrences all number
    0
    1
    oedema
    alternative dictionary used: MedDRA 24.0
         subjects affected / exposed
    0 / 295 (0.00%)
    1 / 149 (0.67%)
         occurrences all number
    0
    1
    oedema peripheral
    alternative dictionary used: MedDRA 24.0
         subjects affected / exposed
    0 / 295 (0.00%)
    1 / 149 (0.67%)
         occurrences all number
    0
    2
    peripheral swelling
    alternative dictionary used: MedDRA 24.0
         subjects affected / exposed
    0 / 295 (0.00%)
    1 / 149 (0.67%)
         occurrences all number
    0
    2
    swelling
    alternative dictionary used: MedDRA 24.0
         subjects affected / exposed
    0 / 295 (0.00%)
    1 / 149 (0.67%)
         occurrences all number
    0
    1
    Immune system disorders
    allergy to animal
    alternative dictionary used: MedDRA 24.0
         subjects affected / exposed
    1 / 295 (0.34%)
    0 / 149 (0.00%)
         occurrences all number
    1
    0
    drug hypersensitivity
    alternative dictionary used: MedDRA 24.0
         subjects affected / exposed
    1 / 295 (0.34%)
    0 / 149 (0.00%)
         occurrences all number
    1
    0
    seasonal allergy
    alternative dictionary used: MedDRA 24.0
         subjects affected / exposed
    3 / 295 (1.02%)
    1 / 149 (0.67%)
         occurrences all number
    4
    1
    Reproductive system and breast disorders
    breast ulceration
    alternative dictionary used: MedDRA 24.0
         subjects affected / exposed
    0 / 295 (0.00%)
    1 / 149 (0.67%)
         occurrences all number
    0
    1
    heavy menstrual bleeding
    alternative dictionary used: MedDRA 24.0
         subjects affected / exposed [2]
    0 / 147 (0.00%)
    1 / 78 (1.28%)
         occurrences all number
    0
    1
    vulvovaginal dryness
    alternative dictionary used: MedDRA 24.0
         subjects affected / exposed [3]
    1 / 147 (0.68%)
    0 / 78 (0.00%)
         occurrences all number
    1
    0
    Respiratory, thoracic and mediastinal disorders
    asthma
    alternative dictionary used: MedDRA 24.0
         subjects affected / exposed
    1 / 295 (0.34%)
    0 / 149 (0.00%)
         occurrences all number
    1
    0
    cough
    alternative dictionary used: MedDRA 24.0
         subjects affected / exposed
    2 / 295 (0.68%)
    0 / 149 (0.00%)
         occurrences all number
    2
    0
    dyspnoea
    alternative dictionary used: MedDRA 24.0
         subjects affected / exposed
    0 / 295 (0.00%)
    1 / 149 (0.67%)
         occurrences all number
    0
    1
    nasal congestion
    alternative dictionary used: MedDRA 24.0
         subjects affected / exposed
    1 / 295 (0.34%)
    1 / 149 (0.67%)
         occurrences all number
    1
    1
    oropharyngeal pain
    alternative dictionary used: MedDRA 24.0
         subjects affected / exposed
    2 / 295 (0.68%)
    1 / 149 (0.67%)
         occurrences all number
    2
    1
    rhinitis allergic
    alternative dictionary used: MedDRA 24.0
         subjects affected / exposed
    3 / 295 (1.02%)
    1 / 149 (0.67%)
         occurrences all number
    3
    1
    sinus congestion
    alternative dictionary used: MedDRA 24.0
         subjects affected / exposed
    1 / 295 (0.34%)
    0 / 149 (0.00%)
         occurrences all number
    1
    0
    Psychiatric disorders
    anxiety
    alternative dictionary used: MedDRA 24.0
         subjects affected / exposed
    0 / 295 (0.00%)
    2 / 149 (1.34%)
         occurrences all number
    0
    2
    depression
    alternative dictionary used: MedDRA 24.0
         subjects affected / exposed
    0 / 295 (0.00%)
    1 / 149 (0.67%)
         occurrences all number
    0
    1
    insomnia
    alternative dictionary used: MedDRA 24.0
         subjects affected / exposed
    1 / 295 (0.34%)
    1 / 149 (0.67%)
         occurrences all number
    1
    2
    middle insomnia
    alternative dictionary used: MedDRA 24.0
         subjects affected / exposed
    1 / 295 (0.34%)
    0 / 149 (0.00%)
         occurrences all number
    1
    0
    panic attack
    alternative dictionary used: MedDRA 24.0
         subjects affected / exposed
    1 / 295 (0.34%)
    0 / 149 (0.00%)
         occurrences all number
    1
    0
    sleep disorder
    alternative dictionary used: MedDRA 24.0
         subjects affected / exposed
    0 / 295 (0.00%)
    1 / 149 (0.67%)
         occurrences all number
    0
    1
    Investigations
    blood alkaline phosphatase increased
    alternative dictionary used: MedDRA 24.0
         subjects affected / exposed
    1 / 295 (0.34%)
    0 / 149 (0.00%)
         occurrences all number
    1
    0
    blood pressure increased
    alternative dictionary used: MedDRA 24.0
         subjects affected / exposed
    1 / 295 (0.34%)
    1 / 149 (0.67%)
         occurrences all number
    1
    1
    eosinophil count increased
    alternative dictionary used: MedDRA 24.0
         subjects affected / exposed
    2 / 295 (0.68%)
    0 / 149 (0.00%)
         occurrences all number
    2
    0
    gamma-glutamyltransferase increased
    alternative dictionary used: MedDRA 24.0
         subjects affected / exposed
    1 / 295 (0.34%)
    0 / 149 (0.00%)
         occurrences all number
    1
    0
    neutrophil count decreased
    alternative dictionary used: MedDRA 24.0
         subjects affected / exposed
    0 / 295 (0.00%)
    1 / 149 (0.67%)
         occurrences all number
    0
    1
    neutrophil count increased
    alternative dictionary used: MedDRA 24.0
         subjects affected / exposed
    0 / 295 (0.00%)
    1 / 149 (0.67%)
         occurrences all number
    0
    1
    nitrite urine present
    alternative dictionary used: MedDRA 24.0
         subjects affected / exposed
    1 / 295 (0.34%)
    0 / 149 (0.00%)
         occurrences all number
    1
    0
    platelet count increased
    alternative dictionary used: MedDRA 24.0
         subjects affected / exposed
    1 / 295 (0.34%)
    2 / 149 (1.34%)
         occurrences all number
    1
    2
    white blood cell count increased
    alternative dictionary used: MedDRA 24.0
         subjects affected / exposed
    1 / 295 (0.34%)
    0 / 149 (0.00%)
         occurrences all number
    1
    0
    Injury, poisoning and procedural complications
    accident at work
    alternative dictionary used: MedDRA 24.0
         subjects affected / exposed
    1 / 295 (0.34%)
    0 / 149 (0.00%)
         occurrences all number
    1
    0
    animal bite
    alternative dictionary used: MedDRA 24.0
         subjects affected / exposed
    1 / 295 (0.34%)
    0 / 149 (0.00%)
         occurrences all number
    1
    0
    clavicle fracture
    alternative dictionary used: MedDRA 24.0
         subjects affected / exposed
    1 / 295 (0.34%)
    0 / 149 (0.00%)
         occurrences all number
    1
    0
    concussion
    alternative dictionary used: MedDRA 24.0
         subjects affected / exposed
    1 / 295 (0.34%)
    1 / 149 (0.67%)
         occurrences all number
    1
    1
    contusion
    alternative dictionary used: MedDRA 24.0
         subjects affected / exposed
    0 / 295 (0.00%)
    1 / 149 (0.67%)
         occurrences all number
    0
    1
    epicondylitis
    alternative dictionary used: MedDRA 24.0
         subjects affected / exposed
    0 / 295 (0.00%)
    1 / 149 (0.67%)
         occurrences all number
    0
    1
    fall
    alternative dictionary used: MedDRA 24.0
         subjects affected / exposed
    1 / 295 (0.34%)
    0 / 149 (0.00%)
         occurrences all number
    1
    0
    fibula fracture
    alternative dictionary used: MedDRA 24.0
         subjects affected / exposed
    0 / 295 (0.00%)
    1 / 149 (0.67%)
         occurrences all number
    0
    1
    hand fracture
    alternative dictionary used: MedDRA 24.0
         subjects affected / exposed
    2 / 295 (0.68%)
    0 / 149 (0.00%)
         occurrences all number
    2
    0
    injection related reaction
    alternative dictionary used: MedDRA 24.0
         subjects affected / exposed
    0 / 295 (0.00%)
    1 / 149 (0.67%)
         occurrences all number
    0
    2
    injury corneal
    alternative dictionary used: MedDRA 24.0
         subjects affected / exposed
    1 / 295 (0.34%)
    0 / 149 (0.00%)
         occurrences all number
    1
    0
    joint dislocation
    alternative dictionary used: MedDRA 24.0
         subjects affected / exposed
    0 / 295 (0.00%)
    1 / 149 (0.67%)
         occurrences all number
    0
    1
    ligament sprain
    alternative dictionary used: MedDRA 24.0
         subjects affected / exposed
    0 / 295 (0.00%)
    1 / 149 (0.67%)
         occurrences all number
    0
    1
    limb injury
    alternative dictionary used: MedDRA 24.0
         subjects affected / exposed
    0 / 295 (0.00%)
    1 / 149 (0.67%)
         occurrences all number
    0
    1
    muscle strain
    alternative dictionary used: MedDRA 24.0
         subjects affected / exposed
    1 / 295 (0.34%)
    1 / 149 (0.67%)
         occurrences all number
    1
    1
    overdose
    alternative dictionary used: MedDRA 24.0
         subjects affected / exposed
    3 / 295 (1.02%)
    1 / 149 (0.67%)
         occurrences all number
    4
    1
    post procedural complication
    alternative dictionary used: MedDRA 24.0
         subjects affected / exposed
    0 / 295 (0.00%)
    1 / 149 (0.67%)
         occurrences all number
    0
    1
    procedural headache
    alternative dictionary used: MedDRA 24.0
         subjects affected / exposed
    0 / 295 (0.00%)
    1 / 149 (0.67%)
         occurrences all number
    0
    1
    procedural pain
    alternative dictionary used: MedDRA 24.0
         subjects affected / exposed
    0 / 295 (0.00%)
    2 / 149 (1.34%)
         occurrences all number
    0
    2
    skin abrasion
    alternative dictionary used: MedDRA 24.0
         subjects affected / exposed
    1 / 295 (0.34%)
    0 / 149 (0.00%)
         occurrences all number
    1
    0
    skin laceration
    alternative dictionary used: MedDRA 24.0
         subjects affected / exposed
    1 / 295 (0.34%)
    1 / 149 (0.67%)
         occurrences all number
    1
    1
    thermal burn
    alternative dictionary used: MedDRA 24.0
         subjects affected / exposed
    1 / 295 (0.34%)
    0 / 149 (0.00%)
         occurrences all number
    1
    0
    tibia fracture
    alternative dictionary used: MedDRA 24.0
         subjects affected / exposed
    0 / 295 (0.00%)
    1 / 149 (0.67%)
         occurrences all number
    0
    1
    vaccination complication
    alternative dictionary used: MedDRA 24.0
         subjects affected / exposed
    2 / 295 (0.68%)
    0 / 149 (0.00%)
         occurrences all number
    3
    0
    wound dehiscence
    alternative dictionary used: MedDRA 24.0
         subjects affected / exposed
    1 / 295 (0.34%)
    0 / 149 (0.00%)
         occurrences all number
    1
    0
    wrist fracture
    alternative dictionary used: MedDRA 24.0
         subjects affected / exposed
    1 / 295 (0.34%)
    0 / 149 (0.00%)
         occurrences all number
    1
    0
    Cardiac disorders
    tachycardia
    alternative dictionary used: MedDRA 24.0
         subjects affected / exposed
    1 / 295 (0.34%)
    0 / 149 (0.00%)
         occurrences all number
    1
    0
    Nervous system disorders
    burning sensation
    alternative dictionary used: MedDRA 24.0
         subjects affected / exposed
    0 / 295 (0.00%)
    1 / 149 (0.67%)
         occurrences all number
    0
    1
    cerebellar syndrome
    alternative dictionary used: MedDRA 24.0
         subjects affected / exposed
    1 / 295 (0.34%)
    0 / 149 (0.00%)
         occurrences all number
    2
    0
    dizziness
    alternative dictionary used: MedDRA 24.0
         subjects affected / exposed
    4 / 295 (1.36%)
    0 / 149 (0.00%)
         occurrences all number
    4
    0
    headache
    alternative dictionary used: MedDRA 24.0
         subjects affected / exposed
    15 / 295 (5.08%)
    8 / 149 (5.37%)
         occurrences all number
    17
    8
    hypoaesthesia
    alternative dictionary used: MedDRA 24.0
         subjects affected / exposed
    1 / 295 (0.34%)
    2 / 149 (1.34%)
         occurrences all number
    1
    2
    neuralgia
    alternative dictionary used: MedDRA 24.0
         subjects affected / exposed
    1 / 295 (0.34%)
    0 / 149 (0.00%)
         occurrences all number
    1
    0
    paraesthesia
    alternative dictionary used: MedDRA 24.0
         subjects affected / exposed
    1 / 295 (0.34%)
    1 / 149 (0.67%)
         occurrences all number
    1
    1
    Blood and lymphatic system disorders
    eosinophilia
    alternative dictionary used: MedDRA 24.0
         subjects affected / exposed
    1 / 295 (0.34%)
    0 / 149 (0.00%)
         occurrences all number
    1
    0
    iron deficiency anaemia
    alternative dictionary used: MedDRA 24.0
         subjects affected / exposed
    1 / 295 (0.34%)
    0 / 149 (0.00%)
         occurrences all number
    1
    0
    lymphadenitis
    alternative dictionary used: MedDRA 24.0
         subjects affected / exposed
    1 / 295 (0.34%)
    0 / 149 (0.00%)
         occurrences all number
    1
    0
    lymphadenopathy
    alternative dictionary used: MedDRA 24.0
         subjects affected / exposed
    1 / 295 (0.34%)
    0 / 149 (0.00%)
         occurrences all number
    1
    0
    lymphocytosis
    alternative dictionary used: MedDRA 24.0
         subjects affected / exposed
    0 / 295 (0.00%)
    1 / 149 (0.67%)
         occurrences all number
    0
    1
    lymphopenia
    alternative dictionary used: MedDRA 24.0
         subjects affected / exposed
    0 / 295 (0.00%)
    1 / 149 (0.67%)
         occurrences all number
    0
    1
    Ear and labyrinth disorders
    ear discomfort
    alternative dictionary used: MedDRA 24.0
         subjects affected / exposed
    1 / 295 (0.34%)
    0 / 149 (0.00%)
         occurrences all number
    1
    0
    paraesthesia ear
    alternative dictionary used: MedDRA 24.0
         subjects affected / exposed
    1 / 295 (0.34%)
    0 / 149 (0.00%)
         occurrences all number
    1
    0
    tinnitus
    alternative dictionary used: MedDRA 24.0
         subjects affected / exposed
    1 / 295 (0.34%)
    0 / 149 (0.00%)
         occurrences all number
    1
    0
    vertigo
    alternative dictionary used: MedDRA 24.0
         subjects affected / exposed
    1 / 295 (0.34%)
    0 / 149 (0.00%)
         occurrences all number
    1
    0
    Eye disorders
    atopic keratoconjunctivitis
    alternative dictionary used: MedDRA 24.0
         subjects affected / exposed
    2 / 295 (0.68%)
    0 / 149 (0.00%)
         occurrences all number
    3
    0
    blepharitis
    alternative dictionary used: MedDRA 24.0
         subjects affected / exposed
    2 / 295 (0.68%)
    1 / 149 (0.67%)
         occurrences all number
    3
    1
    cataract
    alternative dictionary used: MedDRA 24.0
         subjects affected / exposed
    1 / 295 (0.34%)
    2 / 149 (1.34%)
         occurrences all number
    1
    2
    conjunctivitis allergic
    alternative dictionary used: MedDRA 24.0
         subjects affected / exposed
    6 / 295 (2.03%)
    2 / 149 (1.34%)
         occurrences all number
    6
    2
    dark circles under eyes
    alternative dictionary used: MedDRA 24.0
         subjects affected / exposed
    0 / 295 (0.00%)
    1 / 149 (0.67%)
         occurrences all number
    0
    1
    dermatochalasis
    alternative dictionary used: MedDRA 24.0
         subjects affected / exposed
    0 / 295 (0.00%)
    1 / 149 (0.67%)
         occurrences all number
    0
    1
    dry eye
    alternative dictionary used: MedDRA 24.0
         subjects affected / exposed
    7 / 295 (2.37%)
    0 / 149 (0.00%)
         occurrences all number
    8
    0
    episcleritis
    alternative dictionary used: MedDRA 24.0
         subjects affected / exposed
    1 / 295 (0.34%)
    0 / 149 (0.00%)
         occurrences all number
    1
    0
    eye discharge
    alternative dictionary used: MedDRA 24.0
         subjects affected / exposed
    2 / 295 (0.68%)
    0 / 149 (0.00%)
         occurrences all number
    2
    0
    eye pruritus
    alternative dictionary used: MedDRA 24.0
         subjects affected / exposed
    1 / 295 (0.34%)
    0 / 149 (0.00%)
         occurrences all number
    1
    0
    eyelid erosion
    alternative dictionary used: MedDRA 24.0
         subjects affected / exposed
    0 / 295 (0.00%)
    2 / 149 (1.34%)
         occurrences all number
    0
    2
    keratitis
    alternative dictionary used: MedDRA 24.0
         subjects affected / exposed
    1 / 295 (0.34%)
    0 / 149 (0.00%)
         occurrences all number
    2
    0
    lacrimation increased
    alternative dictionary used: MedDRA 24.0
         subjects affected / exposed
    0 / 295 (0.00%)
    1 / 149 (0.67%)
         occurrences all number
    0
    1
    ocular hyperaemia
    alternative dictionary used: MedDRA 24.0
         subjects affected / exposed
    1 / 295 (0.34%)
    0 / 149 (0.00%)
         occurrences all number
    1
    0
    vision blurred
    alternative dictionary used: MedDRA 24.0
         subjects affected / exposed
    1 / 295 (0.34%)
    0 / 149 (0.00%)
         occurrences all number
    1
    0
    vitreous floaters
    alternative dictionary used: MedDRA 24.0
         subjects affected / exposed
    0 / 295 (0.00%)
    1 / 149 (0.67%)
         occurrences all number
    0
    1
    Gastrointestinal disorders
    abdominal pain
    alternative dictionary used: MedDRA 24.0
         subjects affected / exposed
    1 / 295 (0.34%)
    0 / 149 (0.00%)
         occurrences all number
    1
    0
    breath odour
    alternative dictionary used: MedDRA 24.0
         subjects affected / exposed
    1 / 295 (0.34%)
    0 / 149 (0.00%)
         occurrences all number
    1
    0
    constipation
    alternative dictionary used: MedDRA 24.0
         subjects affected / exposed
    0 / 295 (0.00%)
    1 / 149 (0.67%)
         occurrences all number
    0
    1
    diarrhoea
    alternative dictionary used: MedDRA 24.0
         subjects affected / exposed
    2 / 295 (0.68%)
    1 / 149 (0.67%)
         occurrences all number
    2
    1
    dyspepsia
    alternative dictionary used: MedDRA 24.0
         subjects affected / exposed
    1 / 295 (0.34%)
    1 / 149 (0.67%)
         occurrences all number
    1
    1
    flatulence
    alternative dictionary used: MedDRA 24.0
         subjects affected / exposed
    1 / 295 (0.34%)
    0 / 149 (0.00%)
         occurrences all number
    1
    0
    gastrointestinal inflammation
    alternative dictionary used: MedDRA 24.0
         subjects affected / exposed
    0 / 295 (0.00%)
    1 / 149 (0.67%)
         occurrences all number
    0
    1
    haematemesis
    alternative dictionary used: MedDRA 24.0
         subjects affected / exposed
    1 / 295 (0.34%)
    0 / 149 (0.00%)
         occurrences all number
    1
    0
    haemorrhoids
    alternative dictionary used: MedDRA 24.0
         subjects affected / exposed
    1 / 295 (0.34%)
    1 / 149 (0.67%)
         occurrences all number
    1
    1
    hiatus hernia
    alternative dictionary used: MedDRA 24.0
         subjects affected / exposed
    1 / 295 (0.34%)
    0 / 149 (0.00%)
         occurrences all number
    1
    0
    inguinal hernia
    alternative dictionary used: MedDRA 24.0
         subjects affected / exposed
    1 / 295 (0.34%)
    1 / 149 (0.67%)
         occurrences all number
    1
    1
    nausea
    alternative dictionary used: MedDRA 24.0
         subjects affected / exposed
    4 / 295 (1.36%)
    1 / 149 (0.67%)
         occurrences all number
    4
    1
    toothache
    alternative dictionary used: MedDRA 24.0
         subjects affected / exposed
    0 / 295 (0.00%)
    1 / 149 (0.67%)
         occurrences all number
    0
    1
    vomiting
    alternative dictionary used: MedDRA 24.0
         subjects affected / exposed
    1 / 295 (0.34%)
    0 / 149 (0.00%)
         occurrences all number
    2
    0
    Skin and subcutaneous tissue disorders
    acne
    alternative dictionary used: MedDRA 24.0
         subjects affected / exposed
    1 / 295 (0.34%)
    3 / 149 (2.01%)
         occurrences all number
    1
    3
    alopecia
    alternative dictionary used: MedDRA 24.0
         subjects affected / exposed
    2 / 295 (0.68%)
    0 / 149 (0.00%)
         occurrences all number
    2
    0
    alopecia areata
    alternative dictionary used: MedDRA 24.0
         subjects affected / exposed
    1 / 295 (0.34%)
    0 / 149 (0.00%)
         occurrences all number
    1
    0
    angioedema
    alternative dictionary used: MedDRA 24.0
         subjects affected / exposed
    0 / 295 (0.00%)
    1 / 149 (0.67%)
         occurrences all number
    0
    1
    dermatitis
    alternative dictionary used: MedDRA 24.0
         subjects affected / exposed
    2 / 295 (0.68%)
    1 / 149 (0.67%)
         occurrences all number
    2
    1
    dermatitis atopic
    alternative dictionary used: MedDRA 24.0
         subjects affected / exposed
    27 / 295 (9.15%)
    37 / 149 (24.83%)
         occurrences all number
    30
    40
    dermatitis contact
    alternative dictionary used: MedDRA 24.0
         subjects affected / exposed
    1 / 295 (0.34%)
    2 / 149 (1.34%)
         occurrences all number
    1
    2
    dermatitis exfoliative generalised
    alternative dictionary used: MedDRA 24.0
         subjects affected / exposed
    1 / 295 (0.34%)
    1 / 149 (0.67%)
         occurrences all number
    1
    1
    dermatitis psoriasiform
    alternative dictionary used: MedDRA 24.0
         subjects affected / exposed
    2 / 295 (0.68%)
    0 / 149 (0.00%)
         occurrences all number
    2
    0
    diffuse alopecia
    alternative dictionary used: MedDRA 24.0
         subjects affected / exposed
    1 / 295 (0.34%)
    0 / 149 (0.00%)
         occurrences all number
    1
    0
    dyshidrotic eczema
    alternative dictionary used: MedDRA 24.0
         subjects affected / exposed
    0 / 295 (0.00%)
    1 / 149 (0.67%)
         occurrences all number
    0
    1
    eczema
    alternative dictionary used: MedDRA 24.0
         subjects affected / exposed
    1 / 295 (0.34%)
    1 / 149 (0.67%)
         occurrences all number
    1
    1
    erythema
    alternative dictionary used: MedDRA 24.0
         subjects affected / exposed
    1 / 295 (0.34%)
    0 / 149 (0.00%)
         occurrences all number
    1
    0
    hair disorder
    alternative dictionary used: MedDRA 24.0
         subjects affected / exposed
    1 / 295 (0.34%)
    0 / 149 (0.00%)
         occurrences all number
    1
    0
    night sweats
    alternative dictionary used: MedDRA 24.0
         subjects affected / exposed
    2 / 295 (0.68%)
    0 / 149 (0.00%)
         occurrences all number
    2
    0
    pityriasis rosea
    alternative dictionary used: MedDRA 24.0
         subjects affected / exposed
    1 / 295 (0.34%)
    0 / 149 (0.00%)
         occurrences all number
    1
    0
    prurigo
    alternative dictionary used: MedDRA 24.0
         subjects affected / exposed
    0 / 295 (0.00%)
    1 / 149 (0.67%)
         occurrences all number
    0
    1
    pruritus
    alternative dictionary used: MedDRA 24.0
         subjects affected / exposed
    5 / 295 (1.69%)
    1 / 149 (0.67%)
         occurrences all number
    5
    1
    rash
    alternative dictionary used: MedDRA 24.0
         subjects affected / exposed
    1 / 295 (0.34%)
    0 / 149 (0.00%)
         occurrences all number
    1
    0
    rash erythematous
    alternative dictionary used: MedDRA 24.0
         subjects affected / exposed
    0 / 295 (0.00%)
    1 / 149 (0.67%)
         occurrences all number
    0
    2
    rosacea
    alternative dictionary used: MedDRA 24.0
         subjects affected / exposed
    0 / 295 (0.00%)
    1 / 149 (0.67%)
         occurrences all number
    0
    1
    seborrhoea
    alternative dictionary used: MedDRA 24.0
         subjects affected / exposed
    1 / 295 (0.34%)
    0 / 149 (0.00%)
         occurrences all number
    1
    0
    skin fissures
    alternative dictionary used: MedDRA 24.0
         subjects affected / exposed
    1 / 295 (0.34%)
    1 / 149 (0.67%)
         occurrences all number
    1
    1
    skin lesion inflammation
    alternative dictionary used: MedDRA 24.0
         subjects affected / exposed
    1 / 295 (0.34%)
    1 / 149 (0.67%)
         occurrences all number
    1
    1
    urticaria
    alternative dictionary used: MedDRA 24.0
         subjects affected / exposed
    2 / 295 (0.68%)
    1 / 149 (0.67%)
         occurrences all number
    3
    1
    Renal and urinary disorders
    bladder disorder
    alternative dictionary used: MedDRA 24.0
         subjects affected / exposed
    1 / 295 (0.34%)
    0 / 149 (0.00%)
         occurrences all number
    1
    0
    nephrolithiasis
    alternative dictionary used: MedDRA 24.0
         subjects affected / exposed
    0 / 295 (0.00%)
    1 / 149 (0.67%)
         occurrences all number
    0
    1
    renal pain
    alternative dictionary used: MedDRA 24.0
         subjects affected / exposed
    0 / 295 (0.00%)
    1 / 149 (0.67%)
         occurrences all number
    0
    1
    Musculoskeletal and connective tissue disorders
    arthralgia
    alternative dictionary used: MedDRA 24.0
         subjects affected / exposed
    3 / 295 (1.02%)
    1 / 149 (0.67%)
         occurrences all number
    3
    1
    arthritis
    alternative dictionary used: MedDRA 24.0
         subjects affected / exposed
    0 / 295 (0.00%)
    1 / 149 (0.67%)
         occurrences all number
    0
    1
    bursitis
    alternative dictionary used: MedDRA 24.0
         subjects affected / exposed
    0 / 295 (0.00%)
    1 / 149 (0.67%)
         occurrences all number
    0
    1
    coccydynia
    alternative dictionary used: MedDRA 24.0
         subjects affected / exposed
    1 / 295 (0.34%)
    0 / 149 (0.00%)
         occurrences all number
    1
    0
    joint swelling
    alternative dictionary used: MedDRA 24.0
         subjects affected / exposed
    0 / 295 (0.00%)
    1 / 149 (0.67%)
         occurrences all number
    0
    1
    limb discomfort
    alternative dictionary used: MedDRA 24.0
         subjects affected / exposed
    1 / 295 (0.34%)
    0 / 149 (0.00%)
         occurrences all number
    2
    0
    muscle spasms
    alternative dictionary used: MedDRA 24.0
         subjects affected / exposed
    1 / 295 (0.34%)
    0 / 149 (0.00%)
         occurrences all number
    1
    0
    pain in extremity
    alternative dictionary used: MedDRA 24.0
         subjects affected / exposed
    1 / 295 (0.34%)
    1 / 149 (0.67%)
         occurrences all number
    1
    2
    synovial cyst
    alternative dictionary used: MedDRA 24.0
         subjects affected / exposed
    0 / 295 (0.00%)
    1 / 149 (0.67%)
         occurrences all number
    0
    1
    Infections and infestations
    abscess
    alternative dictionary used: MedDRA 24.0
         subjects affected / exposed
    0 / 295 (0.00%)
    1 / 149 (0.67%)
         occurrences all number
    0
    1
    asymptomatic bacteriuria
    alternative dictionary used: MedDRA 24.0
         subjects affected / exposed
    0 / 295 (0.00%)
    1 / 149 (0.67%)
         occurrences all number
    0
    1
    body tinea
    alternative dictionary used: MedDRA 24.0
         subjects affected / exposed
    1 / 295 (0.34%)
    0 / 149 (0.00%)
         occurrences all number
    1
    0
    covid-19
    alternative dictionary used: MedDRA 24.0
         subjects affected / exposed
    2 / 295 (0.68%)
    2 / 149 (1.34%)
         occurrences all number
    2
    2
    conjunctivitis
    alternative dictionary used: MedDRA 24.0
         subjects affected / exposed
    22 / 295 (7.46%)
    3 / 149 (2.01%)
         occurrences all number
    23
    3
    conjunctivitis bacterial
    alternative dictionary used: MedDRA 24.0
         subjects affected / exposed
    3 / 295 (1.02%)
    0 / 149 (0.00%)
         occurrences all number
    3
    0
    cystitis
    alternative dictionary used: MedDRA 24.0
         subjects affected / exposed
    2 / 295 (0.68%)
    1 / 149 (0.67%)
         occurrences all number
    2
    1
    dermatitis infected
    alternative dictionary used: MedDRA 24.0
         subjects affected / exposed
    0 / 295 (0.00%)
    1 / 149 (0.67%)
         occurrences all number
    0
    1
    eczema herpeticum
    alternative dictionary used: MedDRA 24.0
         subjects affected / exposed
    0 / 295 (0.00%)
    1 / 149 (0.67%)
         occurrences all number
    0
    1
    eczema impetiginous
    alternative dictionary used: MedDRA 24.0
         subjects affected / exposed
    0 / 295 (0.00%)
    1 / 149 (0.67%)
         occurrences all number
    0
    1
    eczema infected
    alternative dictionary used: MedDRA 24.0
         subjects affected / exposed
    1 / 295 (0.34%)
    0 / 149 (0.00%)
         occurrences all number
    2
    0
    erysipelas
    alternative dictionary used: MedDRA 24.0
         subjects affected / exposed
    1 / 295 (0.34%)
    0 / 149 (0.00%)
         occurrences all number
    1
    0
    folliculitis
    alternative dictionary used: MedDRA 24.0
         subjects affected / exposed
    1 / 295 (0.34%)
    3 / 149 (2.01%)
         occurrences all number
    1
    3
    gastroenteritis
    alternative dictionary used: MedDRA 24.0
         subjects affected / exposed
    3 / 295 (1.02%)
    1 / 149 (0.67%)
         occurrences all number
    4
    1
    genital herpes simplex
    alternative dictionary used: MedDRA 24.0
         subjects affected / exposed
    0 / 295 (0.00%)
    1 / 149 (0.67%)
         occurrences all number
    0
    1
    herpes dermatitis
    alternative dictionary used: MedDRA 24.0
         subjects affected / exposed
    1 / 295 (0.34%)
    1 / 149 (0.67%)
         occurrences all number
    1
    1
    herpes simplex
    alternative dictionary used: MedDRA 24.0
         subjects affected / exposed
    2 / 295 (0.68%)
    0 / 149 (0.00%)
         occurrences all number
    3
    0
    herpes zoster
    alternative dictionary used: MedDRA 24.0
         subjects affected / exposed
    1 / 295 (0.34%)
    0 / 149 (0.00%)
         occurrences all number
    1
    0
    hordeolum
    alternative dictionary used: MedDRA 24.0
         subjects affected / exposed
    1 / 295 (0.34%)
    1 / 149 (0.67%)
         occurrences all number
    1
    1
    impetigo
    alternative dictionary used: MedDRA 24.0
         subjects affected / exposed
    0 / 295 (0.00%)
    3 / 149 (2.01%)
         occurrences all number
    0
    3
    large intestine infection
    alternative dictionary used: MedDRA 24.0
         subjects affected / exposed
    1 / 295 (0.34%)
    0 / 149 (0.00%)
         occurrences all number
    1
    0
    nasopharyngitis
    alternative dictionary used: MedDRA 24.0
         subjects affected / exposed
    15 / 295 (5.08%)
    3 / 149 (2.01%)
         occurrences all number
    17
    3
    oral herpes
    alternative dictionary used: MedDRA 24.0
         subjects affected / exposed
    4 / 295 (1.36%)
    3 / 149 (2.01%)
         occurrences all number
    4
    3
    oral infection
    alternative dictionary used: MedDRA 24.0
         subjects affected / exposed
    1 / 295 (0.34%)
    0 / 149 (0.00%)
         occurrences all number
    1
    0
    otitis externa
    alternative dictionary used: MedDRA 24.0
         subjects affected / exposed
    1 / 295 (0.34%)
    1 / 149 (0.67%)
         occurrences all number
    1
    1
    paronychia
    alternative dictionary used: MedDRA 24.0
         subjects affected / exposed
    2 / 295 (0.68%)
    0 / 149 (0.00%)
         occurrences all number
    2
    0
    pharyngitis
    alternative dictionary used: MedDRA 24.0
         subjects affected / exposed
    0 / 295 (0.00%)
    1 / 149 (0.67%)
         occurrences all number
    0
    1
    pharyngitis streptococcal
    alternative dictionary used: MedDRA 24.0
         subjects affected / exposed
    0 / 295 (0.00%)
    1 / 149 (0.67%)
         occurrences all number
    0
    1
    pharyngotonsillitis
    alternative dictionary used: MedDRA 24.0
         subjects affected / exposed
    1 / 295 (0.34%)
    0 / 149 (0.00%)
         occurrences all number
    1
    0
    post procedural infection
    alternative dictionary used: MedDRA 24.0
         subjects affected / exposed
    0 / 295 (0.00%)
    1 / 149 (0.67%)
         occurrences all number
    0
    1
    pustule
    alternative dictionary used: MedDRA 24.0
         subjects affected / exposed
    0 / 295 (0.00%)
    1 / 149 (0.67%)
         occurrences all number
    0
    1
    rhinitis
    alternative dictionary used: MedDRA 24.0
         subjects affected / exposed
    1 / 295 (0.34%)
    0 / 149 (0.00%)
         occurrences all number
    1
    0
    skin infection
    alternative dictionary used: MedDRA 24.0
         subjects affected / exposed
    1 / 295 (0.34%)
    0 / 149 (0.00%)
         occurrences all number
    2
    0
    superinfection
    alternative dictionary used: MedDRA 24.0
         subjects affected / exposed
    0 / 295 (0.00%)
    1 / 149 (0.67%)
         occurrences all number
    0
    1
    tinea infection
    alternative dictionary used: MedDRA 24.0
         subjects affected / exposed
    0 / 295 (0.00%)
    1 / 149 (0.67%)
         occurrences all number
    0
    1
    tinea pedis
    alternative dictionary used: MedDRA 24.0
         subjects affected / exposed
    1 / 295 (0.34%)
    0 / 149 (0.00%)
         occurrences all number
    1
    0
    tooth abscess
    alternative dictionary used: MedDRA 24.0
         subjects affected / exposed
    1 / 295 (0.34%)
    1 / 149 (0.67%)
         occurrences all number
    1
    1
    tooth infection
    alternative dictionary used: MedDRA 24.0
         subjects affected / exposed
    1 / 295 (0.34%)
    1 / 149 (0.67%)
         occurrences all number
    1
    1
    upper respiratory tract infection
    alternative dictionary used: MedDRA 24.0
         subjects affected / exposed
    0 / 295 (0.00%)
    2 / 149 (1.34%)
         occurrences all number
    0
    2
    urinary tract infection
    alternative dictionary used: MedDRA 24.0
         subjects affected / exposed
    4 / 295 (1.36%)
    1 / 149 (0.67%)
         occurrences all number
    4
    1
    viral infection
    alternative dictionary used: MedDRA 24.0
         subjects affected / exposed
    1 / 295 (0.34%)
    0 / 149 (0.00%)
         occurrences all number
    1
    0
    vulvovaginal candidiasis
    alternative dictionary used: MedDRA 24.0
         subjects affected / exposed [4]
    0 / 147 (0.00%)
    1 / 78 (1.28%)
         occurrences all number
    0
    1
    Metabolism and nutrition disorders
    decreased appetite
    alternative dictionary used: MedDRA 24.0
         subjects affected / exposed
    1 / 295 (0.34%)
    0 / 149 (0.00%)
         occurrences all number
    1
    0
    hypercholesterolaemia
    alternative dictionary used: MedDRA 24.0
         subjects affected / exposed
    0 / 295 (0.00%)
    1 / 149 (0.67%)
         occurrences all number
    0
    1
    hypoglycaemia
    alternative dictionary used: MedDRA 24.0
         subjects affected / exposed
    0 / 295 (0.00%)
    1 / 149 (0.67%)
         occurrences all number
    0
    1
    obesity
    alternative dictionary used: MedDRA 24.0
         subjects affected / exposed
    1 / 295 (0.34%)
    0 / 149 (0.00%)
         occurrences all number
    1
    0
    Notes
    [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.

    More information

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    Substantial protocol amendments (globally)

    Were there any global substantial amendments to the protocol? Yes
    Date
    Amendment
    20 May 2020
    Revised to align with FDA and EU received recommendations and regulations, to add more clarifications and ensuring consistencies between different sections, and to be consistent across the Phase 3 studies of Lebrikizumab in atopic dermatitis.

    Interruptions (globally)

    Were there any global interruptions to the trial? No

    Limitations and caveats

    Limitations of the trial such as small numbers of subjects analysed or technical problems leading to unreliable data.
    One investigational site with eighteen participants was excluded from analysis due to GCP issues.
    For support, Contact us.
    The status and protocol content of GB trials is no longer updated since 1 January 2021. For the UK, as of 31 January 2021, EU Law applies only to the territory of Northern Ireland (NI) to the extent foreseen in the Protocol on Ireland/NI. Legal notice
    As of 31 January 2023, all EU/EEA initial clinical trial applications must be submitted through CTIS . Updated EudraCT trials information and information on PIP/Art 46 trials conducted exclusively in third countries continues to be submitted through EudraCT and published on this website.

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