Clinical Trial Results:
A Phase 2a, Randomized, Double Blind, Vehicle Controlled, Parallel Group Study to Assess the Efficacy, Safety, Tolerability, and Pharmacokinetics of PF-07038124 Ointment for 6 Weeks in Subjects With Mild to Moderate Atopic Dermatitis or Plaque Psoriasis
Summary
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EudraCT number |
2020-003977-23 |
Trial protocol |
PL |
Global end of trial date |
18 Aug 2021
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Results information
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Results version number |
v1(current) |
This version publication date |
17 Aug 2022
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First version publication date |
17 Aug 2022
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Other versions |
Trial Information
Subject Disposition
Baseline Characteristics
End Points
Adverse Events
More Information
Subject Disposition
Baseline Characteristics
End Points
Adverse Events
More Information
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Trial identification
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Sponsor protocol code |
C3941002
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Additional study identifiers
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ISRCTN number |
- | ||
US NCT number |
NCT04664153 | ||
WHO universal trial number (UTN) |
- | ||
Sponsors
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Sponsor organisation name |
Pfizer Inc.
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Sponsor organisation address |
235 E 42nd Street, New York, United States, NY 10017
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Public contact |
Pfizer ClinicalTrials.gov Call Center, Pfizer Inc., +1 8007181021, ClinicalTrials.gov_Inquiries@pfizer.com
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Scientific contact |
Pfizer ClinicalTrials.gov Call Center, Pfizer Inc., +1 8007181021, ClinicalTrials.gov_Inquiries@pfizer.com
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Paediatric regulatory details
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Is trial part of an agreed paediatric investigation plan (PIP) |
No
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Does article 45 of REGULATION (EC) No 1901/2006 apply to this trial? |
No
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Does article 46 of REGULATION (EC) No 1901/2006 apply to this trial? |
No
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Results analysis stage
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Analysis stage |
Final
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Date of interim/final analysis |
18 Aug 2021
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Is this the analysis of the primary completion data? |
Yes
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Primary completion date |
18 Aug 2021
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Global end of trial reached? |
Yes
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Global end of trial date |
18 Aug 2021
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Was the trial ended prematurely? |
No
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General information about the trial
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Main objective of the trial |
The primary objectives of the study were to compare the efficacy of PF-07038124 versus vehicle on percent change from baseline in EASI in subjects with mild or moderate AD, and to compare the efficacy of PF-07038124 versus vehicle on change from baseline in PASI score in subjects with mild to moderate plaque psoriasis.
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Protection of trial subjects |
This study was conducted in compliance with the ethical principles originating in or derived from the Declaration of Helsinki and in compliance with all International Council for Harmonisation of Technical Requirements for Pharmaceuticals for Human Use (ICH) Good Clinical Practice (GCP) Guidelines. In addition, all local regulatory requirements were followed, in particular, those affording greater protection to the safety of trial subjects.
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Background therapy |
- | ||
Evidence for comparator |
- | ||
Actual start date of recruitment |
21 Dec 2020
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Long term follow-up planned |
No
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Independent data monitoring committee (IDMC) involvement? |
No
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Population of trial subjects
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Number of subjects enrolled per country |
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Country: Number of subjects enrolled |
Australia: 4
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Country: Number of subjects enrolled |
Canada: 12
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Country: Number of subjects enrolled |
Poland: 19
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Country: Number of subjects enrolled |
United States: 69
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Worldwide total number of subjects |
104
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EEA total number of subjects |
19
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Number of subjects enrolled per age group |
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In utero |
0
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Preterm newborn - gestational age < 37 wk |
0
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Newborns (0-27 days) |
0
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Infants and toddlers (28 days-23 months) |
0
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Children (2-11 years) |
0
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Adolescents (12-17 years) |
0
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Adults (18-64 years) |
95
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From 65 to 84 years |
9
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85 years and over |
0
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Recruitment
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Recruitment details |
- | |||||||||||||||||||||||||||||||||||||||||||||
Pre-assignment
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Screening details |
A total of 152 subjects were screened for this study and 104 subjects were assigned to study treatment (70 for atopic dermatitis [AD] group and 34 for plaque psoriasis group). | |||||||||||||||||||||||||||||||||||||||||||||
Period 1
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Period 1 title |
Overall Study (overall period)
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Is this the baseline period? |
Yes | |||||||||||||||||||||||||||||||||||||||||||||
Allocation method |
Randomised - controlled
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Blinding used |
Double blind | |||||||||||||||||||||||||||||||||||||||||||||
Roles blinded |
Subject, Investigator | |||||||||||||||||||||||||||||||||||||||||||||
Arms
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Are arms mutually exclusive |
Yes
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Arm title
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AD Vehicle Once Daily (QD) | |||||||||||||||||||||||||||||||||||||||||||||
Arm description |
Subjects in AD group received vehicle ointment in 60 g tube with QD dosing beginning on Day 1 through the final dose at Week 6 visit. | |||||||||||||||||||||||||||||||||||||||||||||
Arm type |
Placebo | |||||||||||||||||||||||||||||||||||||||||||||
Investigational medicinal product name |
Placebo
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Investigational medicinal product code |
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Other name |
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Pharmaceutical forms |
Ointment
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Routes of administration |
Topical use
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Dosage and administration details |
Placebo was administered topically with QD dosing for 6 weeks.
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Arm title
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AD PF-07038124 0.01% QD | |||||||||||||||||||||||||||||||||||||||||||||
Arm description |
Subjects in AD group received PF-07038124 ointment at 0.01% in 60 g tube with QD dosing beginning on Day 1 through the final dose at Week 6 visit. | |||||||||||||||||||||||||||||||||||||||||||||
Arm type |
Experimental | |||||||||||||||||||||||||||||||||||||||||||||
Investigational medicinal product name |
PF-07038124
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Investigational medicinal product code |
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Other name |
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Pharmaceutical forms |
Ointment
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Routes of administration |
Topical use
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Dosage and administration details |
PF-07038124 was administered topically with QD dosing for 6 weeks.
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Arm title
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Psoriasis Vehicle QD | |||||||||||||||||||||||||||||||||||||||||||||
Arm description |
Subjects in plaque psoriasis group received vehicle ointment in 60 g tube with QD dosing beginning on Day 1 through the final dose at Week 6 visit. | |||||||||||||||||||||||||||||||||||||||||||||
Arm type |
Placebo | |||||||||||||||||||||||||||||||||||||||||||||
Investigational medicinal product name |
Placebo
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Investigational medicinal product code |
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Other name |
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Pharmaceutical forms |
Ointment
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Routes of administration |
Topical use
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Dosage and administration details |
Placebo was administered topically with QD dosing for 6 weeks.
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Arm title
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Psoriasis PF-07038124 0.01% QD | |||||||||||||||||||||||||||||||||||||||||||||
Arm description |
Subjects in plaque psoriasis group received PF-07038124 ointment at 0.01% in 60 g tube with QD dosing beginning on Day 1 through the final dose at Week 6 visit. | |||||||||||||||||||||||||||||||||||||||||||||
Arm type |
Experimental | |||||||||||||||||||||||||||||||||||||||||||||
Investigational medicinal product name |
PF-07038124
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Investigational medicinal product code |
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Other name |
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Pharmaceutical forms |
Ointment
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Routes of administration |
Topical use
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Dosage and administration details |
PF-07038124 was administered topically with QD dosing for 6 weeks.
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Baseline characteristics reporting groups
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Reporting group title |
AD Vehicle Once Daily (QD)
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Reporting group description |
Subjects in AD group received vehicle ointment in 60 g tube with QD dosing beginning on Day 1 through the final dose at Week 6 visit. | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Reporting group title |
AD PF-07038124 0.01% QD
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Reporting group description |
Subjects in AD group received PF-07038124 ointment at 0.01% in 60 g tube with QD dosing beginning on Day 1 through the final dose at Week 6 visit. | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Reporting group title |
Psoriasis Vehicle QD
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Reporting group description |
Subjects in plaque psoriasis group received vehicle ointment in 60 g tube with QD dosing beginning on Day 1 through the final dose at Week 6 visit. | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Reporting group title |
Psoriasis PF-07038124 0.01% QD
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Reporting group description |
Subjects in plaque psoriasis group received PF-07038124 ointment at 0.01% in 60 g tube with QD dosing beginning on Day 1 through the final dose at Week 6 visit. | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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End points reporting groups
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Reporting group title |
AD Vehicle Once Daily (QD)
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Reporting group description |
Subjects in AD group received vehicle ointment in 60 g tube with QD dosing beginning on Day 1 through the final dose at Week 6 visit. | ||
Reporting group title |
AD PF-07038124 0.01% QD
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Reporting group description |
Subjects in AD group received PF-07038124 ointment at 0.01% in 60 g tube with QD dosing beginning on Day 1 through the final dose at Week 6 visit. | ||
Reporting group title |
Psoriasis Vehicle QD
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Reporting group description |
Subjects in plaque psoriasis group received vehicle ointment in 60 g tube with QD dosing beginning on Day 1 through the final dose at Week 6 visit. | ||
Reporting group title |
Psoriasis PF-07038124 0.01% QD
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Reporting group description |
Subjects in plaque psoriasis group received PF-07038124 ointment at 0.01% in 60 g tube with QD dosing beginning on Day 1 through the final dose at Week 6 visit. |
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End point title |
Percent Change From Baseline in Eczema Area and Severity Index (EASI) Total Score at Week 6 for AD Participants [1] | ||||||||||||
End point description |
EASI evaluated severity of subjects’ AD based on severity of AD clinical signs and % of body surface area (BSA) affected. Severity of clinical signs of AD scored on 4-point scale: 0= absent; 1= mild; 2= moderate; 3= severe. EASI area score was based upon % BSA with AD in body region: 0 (0%), 1 (>0 to <10%), 2 (10 to <30%), 3 (30 to <50%), 4 (50 to <70%), 5 (70 to <90%) and 6 (90 to 100%). Total EASI score =0.1*Ah*(Eh+Ih+Exh+Lh) + 0.2*Au*(Eu+Iu+ExU+Lu) + 0.3*At*(Et+It+Ext+Lt) + 0.4*Al*(El+Il+Exl+Ll); A = EASI area score; E = erythema; I = induration/papulation; Ex = excoriation; L = lichenification; h = head and neck; u = upper limbs; t = trunk; l = lower limbs. Total EASI score ranged from 0.0 to 72.0, where higher scores = greater severity of AD. Analysis population included all subjects who received at least 1 dose of study treatment. For this end point, data collection was not planned for the 2 arms of Psoriasis Vehicle QD and Psoriasis PF-07038124 0.01% QD.
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End point type |
Primary
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End point timeframe |
Baseline, Week 6
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Notes [1] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period. Justification: This endpoint was summarized for specified reporting arms only. |
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Statistical analysis title |
Difference From Vehicle | ||||||||||||
Comparison groups |
AD Vehicle Once Daily (QD) v AD PF-07038124 0.01% QD
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Number of subjects included in analysis |
70
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Analysis specification |
Pre-specified
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Analysis type |
superiority | ||||||||||||
P-value |
= 0.0004 | ||||||||||||
Method |
t-test, 1-sided | ||||||||||||
Parameter type |
Mean difference (final values) | ||||||||||||
Point estimate |
-39.4
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Confidence interval |
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level |
90% | ||||||||||||
sides |
2-sided
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lower limit |
-58.76 | ||||||||||||
upper limit |
-20.12 | ||||||||||||
Variability estimate |
Standard error of the mean
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Dispersion value |
11.74
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End point title |
Change From Baseline in Psoriasis Area and Severity Index (PASI) Score at Week 6 for Plaque Psoriasis Participants [2] | ||||||||||||
End point description |
Combined assessment of lesion severity and area affected into single score. Body was divided into 4 sections: head, arms, trunk, legs. For each section, percent area of skin involved was estimated: 0= 0% to 6= 90–100%. Severity was estimated by clinical signs: erythema, induration, desquamation; scale: 0= none to 4= maximum. Final PASI = sum of severity parameters for each section*area score*weight of section (head: 0.1, arms: 0.2, body: 0.3, legs: 0.4); total possible score range: 0= no disease to 72= maximal disease, where higher scores = greater severity of psoriasis. Analysis population included all subjects who received at least 1 dose of study treatment. For this end point, data collection was not planned for the 2 arms of AD Vehicle QD and AD PF-07038124 0.01% QD.
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End point type |
Primary
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End point timeframe |
Baseline, Week 6
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Notes [2] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period. Justification: This endpoint was summarized for specified reporting arms only. |
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Statistical analysis title |
Difference From Vehicle | ||||||||||||
Comparison groups |
Psoriasis Vehicle QD v Psoriasis PF-07038124 0.01% QD
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Number of subjects included in analysis |
34
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Analysis specification |
Pre-specified
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Analysis type |
superiority | ||||||||||||
P-value |
< 0.0001 | ||||||||||||
Method |
t-test, 1-sided | ||||||||||||
Parameter type |
Mean difference (final values) | ||||||||||||
Point estimate |
-4.9
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Confidence interval |
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level |
90% | ||||||||||||
sides |
2-sided
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lower limit |
-7.02 | ||||||||||||
upper limit |
-2.77 | ||||||||||||
Variability estimate |
Standard error of the mean
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Dispersion value |
1.29
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End point title |
Percentage of AD Subjects Achieving Investigator’s Global Assessment (IGA) Score of Clear (0) or Almost Clear (1) (on a 5-Point Scale) and a Reduction From Baseline of >=2 Points at Week 6 [3] | ||||||||||||
End point description |
IGA assessed severity of AD on a 5 point scale (0 to 4, higher scores indicate more severity). Scores: 0= clear, no inflammatory signs of AD; 1= almost clear, AD not fully cleared-light pink residual lesions, just perceptible erythema, papulation/induration lichenification, excoriation, and no oozing/crusting; 2= mild AD with light red lesions, slight but definite erythema, papulation/induration, lichenification, excoriation and no oozing/crusting; 3= moderate AD with red lesions, moderate erythema, papulation/induration, lichenification, excoriation and slight oozing/crusting; 4= severe AD with deep dark red lesions, severe erythema, papulation/induration, lichenification, excoriation and moderate to severe oozing/crusting. Analysis population included all subjects who received at least 1 dose of study treatment. For this end point, data collection was not planned for the 2 arms of Psoriasis Vehicle QD and Psoriasis PF-07038124 0.01% QD.
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End point type |
Secondary
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End point timeframe |
Baseline, Week 6
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Notes [3] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period. Justification: This endpoint was summarized for specified reporting arms only. |
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No statistical analyses for this end point |
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End point title |
Percentage of AD Subjects Achieving EASI 75 (75% Improvement From Baseline) at Weeks 1, 2, 4, 6 and Follow-up (FUP)/End of Study (EOS) [4] | |||||||||||||||||||||||||||
End point description |
EASI evaluated severity of subjects’ AD based on severity of AD clinical signs and % of BSA affected. Severity of clinical signs of AD scored on 4-point scale: 0= absent; 1= mild; 2= moderate; 3= severe. EASI area score was based upon % BSA with AD in body region: 0 (0%), 1 (>0 to <10%), 2 (10 to <30%), 3 (30 to <50%), 4 (50 to <70%), 5 (70 to <90%) and 6 (90 to 100%). Total EASI score =0.1*Ah*(Eh+Ih+Exh+Lh) + 0.2*Au*(Eu+Iu+ExU+Lu) + 0.3*At*(Et+It+Ext+Lt) + 0.4*Al*(El+Il+Exl+Ll); A = EASI area score; E = erythema; I = induration/papulation; Ex = excoriation; L = lichenification; h = head and neck; u = upper limbs; t = trunk; l = lower limbs. Total EASI score ranged from 0.0 to 72.0, higher scores = greater severity. EASI 75 response was defined as at least a 75% reduction in EASI relative to Baseline. Analysis population included all subjects who received at least 1 dose. Data collection was not planned for the 2 arms of Psoriasis Vehicle QD and Psoriasis PF-07038124 0.01% QD.
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End point type |
Secondary
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End point timeframe |
Baseline, Weeks 1, 2, 4, 6 and FUP/EOS (28-35 days post-last dose)
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Notes [4] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period. Justification: This endpoint was summarized for specified reporting arms only. |
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Notes [5] - Number of subjects analyzed for Week 2 was 33. |
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No statistical analyses for this end point |
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End point title |
Percentage of AD Subjects Having >=4 Points of Reduction in Weekly Averages of Peak Pruritus Numerical Rating Scale (PP-NRS) From Baseline at Weeks 1, 2, 4 and 6 [6] | ||||||||||||||||||||||||
End point description |
The PP-NRS was a daily patient-reported assessment of intensity of pruritus on an 11-point numerical rating scale, ranging from 0 (‘No Itch) to 10 (‘Worst Itch Imaginable’) with a 24 hour recall period. For the PP-NRS score, baseline was defined as the average of all values recorded between Day -7 and Day -1. In this OM, percentages of AD subjects with >=4 points of reduction in weekly averages of PP-NRS from baseline are reported (percentage based on number of subjects with baseline >=4). Analysis population included all subjects who received at least 1 dose of study treatment with PP-NRS baseline >=4. For this end point, data collection was not planned for the 2 arms of Psoriasis Vehicle QD and Psoriasis PF-07038124 0.01% QD.
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End point type |
Secondary
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End point timeframe |
Baseline, Weeks 1, 2, 4 and 6
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Notes [6] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period. Justification: This endpoint was summarized for specified reporting arms only. |
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No statistical analyses for this end point |
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End point title |
Change From Baseline in EASI Total Score at Weeks 1, 2, 4, 6 and FUP/EOS for AD Participants [7] | |||||||||||||||||||||||||||
End point description |
EASI evaluated severity of subjects’ AD based on severity of AD clinical signs and % of BSA affected. Severity of clinical signs of AD scored on 4-point scale: 0= absent; 1= mild; 2= moderate; 3= severe. EASI area score was based upon % BSA with AD in body region: 0 (0%), 1 (>0 to <10%), 2 (10 to <30%), 3 (30 to <50%), 4 (50 to <70%), 5 (70 to <90%) and 6 (90 to 100%). Total EASI score =0.1*Ah*(Eh+Ih+Exh+Lh) + 0.2*Au*(Eu+Iu+ExU+Lu) + 0.3*At*(Et+It+Ext+Lt) + 0.4*Al*(El+Il+Exl+Ll); A = EASI area score; E = erythema; I = induration/papulation; Ex = excoriation; L = lichenification; h = head and neck; u = upper limbs; t = trunk; l = lower limbs. Total EASI score ranged from 0.0 to 72.0, where higher scores = greater severity of AD. Analysis population included all subjects who received at least 1 dose of study treatment. For this end point, data collection was not planned for the 2 arms of Psoriasis Vehicle QD and Psoriasis PF-07038124 0.01% QD.
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End point type |
Secondary
|
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End point timeframe |
Baseline, Weeks 1, 2, 4, 6 and FUP/EOS (28-35 days post-last dose)
|
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Notes [7] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period. Justification: This endpoint was summarized for specified reporting arms only. |
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Notes [8] - Numbers of subjects analyzed for Week 2, Week 4, Week 6 and FUP/EOS were 30, 28, 30 and 27. [9] - Numbers of subjects analyzed for Week 4, Week 6 and FUP/EOS were 35, 34 and 32, respectively. |
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No statistical analyses for this end point |
|
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End point title |
Percentage of AD Subjects Achieving IGA Score of Clear (0) or Almost Clear (1) at Weeks 1, 2, 4, 6 and FUP/EOS [10] | |||||||||||||||||||||||||||
End point description |
IGA assessed severity of AD on a 5 point scale (0 to 4, higher scores indicate more severity). Scores: 0= clear, no inflammatory signs of AD; 1= almost clear, AD not fully cleared- light pink residual lesions, just perceptible erythema, papulation/induration lichenification, excoriation, and no oozing/crusting; 2= mild AD with light red lesions, slight but definite erythema, papulation/induration, lichenification, excoriation and no oozing/crusting; 3= moderate AD with red lesions, moderate erythema, papulation/induration, lichenification, excoriation and slight oozing/crusting; 4= severe AD with deep dark red lesions, severe erythema, papulation/induration, lichenification, excoriation and moderate to severe oozing/crusting. Analysis population included all subjects who received at least 1 dose of study treatment. For this end point, data collection was not planned for the 2 arms of Psoriasis Vehicle QD and Psoriasis PF-07038124 0.01% QD.
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End point type |
Secondary
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End point timeframe |
Weeks 1, 2, 4, 6 and FUP/EOS (28-35 days post-last dose)
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Notes [10] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period. Justification: This endpoint was summarized for specified reporting arms only. |
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Notes [11] - Number of subjects analyzed for Week 2 was 33. |
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No statistical analyses for this end point |
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End point title |
Percentage of Psoriasis Subjects with Physician Global Assessment (PGA) Score Clear (0) or Almost Clear (1) (on a 5-Point Scale) and >=2 Points Improvement From Baseline at Week 6 [12] | ||||||||||||
End point description |
The PGA of psoriasis was scored on a 5-point scale, reflecting a global consideration of the erythema, induration, and scaling across all psoriatic lesions. Average erythema, induration, and scaling were scored separately over the whole body according to a 5-point severity scale (0 [no symptom] to 4 [severe symptom]). The total score was calculated as average of the 3 severity scores and rounded to the nearest whole number score to determine the PGA score and category (0=clear; 1=almost clear; 2=mild; 3=moderate; and 4=severe). PGA response was defined as 0 (clear) or 1 (almost clear). In this end point, percentages of subjects with a PGA score of 0 or 1 and an improvement of >=2 from Baseline in PGA score are reported. Analysis population included all subjects who received at least 1 dose of study treatment. For this end point, data collection was not planned for the 2 arms of AD Vehicle QD and AD PF-07038124 0.01% QD.
|
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End point type |
Secondary
|
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End point timeframe |
Baseline, Week 6
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Notes [12] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period. Justification: This endpoint was summarized for specified reporting arms only. |
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No statistical analyses for this end point |
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End point title |
Percentage of Psoriasis Subjects Achieving PASI 75 (75% or Greater Improvement From Baseline) at Weeks 1, 2, 4, 6 and FUP/EOS [13] | |||||||||||||||||||||||||||
End point description |
The PASI quantified the severity of a subject's psoriasis based on both, "lesion severity" and the "percent of BSA" affected. PASI was a composite scoring by the investigator of degree of erythema, induration, and scaling (each scored separately) for each of 4 body regions (head and neck, upper limbs, trunk [including axillae and groin], and lower limbs [including buttocks]), with adjustment for the percent of BSA involved for each body region and for the proportion of the body region to the whole body. The PASI score could vary in increments of 0.1 and range from 0.0 to 72.0, with higher scores representing greater severity of psoriasis. PASI 75 response was defined as at least a 75 percent (%) reduction in PASI relative to Baseline. Analysis population included all subjects who received at least 1 dose of study treatment. For this end point, data collection was not planned for the 2 arms of AD Vehicle QD and AD PF-07038124 0.01% QD.
|
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End point type |
Secondary
|
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End point timeframe |
Baseline, Weeks 1, 2, 4, 6 and FUP/EOS (28-35 days post-last dose)
|
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Notes [13] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period. Justification: This endpoint was summarized for specified reporting arms only. |
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No statistical analyses for this end point |
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End point title |
Percentage of Psoriasis Subjects Who Achieved a Psoriasis Symptoms Inventory (PSI) Score of 0 (Not at All) or 1 (Mild) on Every Item at Weeks 1, 2, 4, 6 and FUP/EOS [14] | |||||||||||||||||||||||||||
End point description |
PSI was a self-administered 8 item questionnaire that measured the severity of psoriasis symptoms over the past 24 hours and the past 7 days. The measure included concepts of itch, pain, burning, stinging, cracking, scaling, flaking, and redness. Subjects were asked to respond to each item using a 5 point Likert response scale: 0: not all severe, 1: mild, 2: moderate, 3: severe and 4: very severe. In this end point, percentages of subjects with a PSI score of 0 or 1 on every item at weeks 1, 2, 4, 6 and FUP/EOS are reported. Analysis population included all subjects who received at least 1 dose of study treatment. For this end point, data collection was not planned for the 2 arms of AD Vehicle QD and AD PF-07038124 0.01% QD.
|
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End point type |
Secondary
|
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End point timeframe |
Weeks 1, 2, 4, 6 and FUP/EOS (28-35 days post-last dose)
|
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Notes [14] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period. Justification: This endpoint was summarized for specified reporting arms only. |
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Notes [15] - Numbers of subjects analyzed for Week 2 and Week 4 were both 16. |
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No statistical analyses for this end point |
|
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End point title |
Change From Baseline in PASI Scores at Weeks 1, 2, 4 and FUP/EOS [16] | ||||||||||||||||||||||||
End point description |
Combined assessment of lesion severity and area affected into single score. Body was divided into 4 sections: head, arms, trunk, legs. For each section, percent area of skin involved was estimated: 0= 0% to 6= 90–100%. Severity was estimated by clinical signs: erythema, induration, desquamation; scale: 0= none to 4= maximum. Final PASI = sum of severity parameters for each section*area score*weight of section (head: 0.1, arms: 0.2, body: 0.3, legs: 0.4); total possible score range: 0= no disease to 72= maximal disease, where higher scores = greater severity of psoriasis. Analysis population included all subjects who received at least 1 dose of study treatment. For this end point, data collection was not planned for the 2 arms of AD Vehicle QD and AD PF-07038124 0.01% QD.
|
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End point type |
Secondary
|
||||||||||||||||||||||||
End point timeframe |
Baseline, Weeks 1, 2, 4 and FUP/EOS (28-35 days post-last dose)
|
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Notes [16] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period. Justification: This endpoint was summarized for specified reporting arms only. |
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Notes [17] - Numbers of subjects analyzed for Week 4 and FUP/EOS were 16 and 13, respectively. [18] - Number of subjects analyzed for FUP/EOS was 15. |
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No statistical analyses for this end point |
|
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End point title |
Percent Change From Baseline in PASI Scores at Weeks 1, 2, 4, 6 and FUP/EOS [19] | |||||||||||||||||||||||||||
End point description |
Combined assessment of lesion severity and area affected into single score. Body was divided into 4 sections: head, arms, trunk, legs. For each section, percent area of skin involved was estimated: 0= 0% to 6= 90–100%. Severity was estimated by clinical signs: erythema, induration, desquamation; scale: 0= none to 4= maximum. Final PASI = sum of severity parameters for each section*area score*weight of section (head: 0.1, arms: 0.2, body: 0.3, legs: 0.4); total possible score range: 0= no disease to 72= maximal disease, where higher scores = greater severity of psoriasis. Analysis population included all subjects who received at least 1 dose of study treatment. For this end point, data collection was not planned for the 2 arms of AD Vehicle QD and AD PF-07038124 0.01% QD.
|
|||||||||||||||||||||||||||
End point type |
Secondary
|
|||||||||||||||||||||||||||
End point timeframe |
Baseline, Weeks 1, 2, 4, 6 and FUP/EOS (28-35 days post-last dose)
|
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Notes [19] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period. Justification: This endpoint was summarized for specified reporting arms only. |
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|
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Notes [20] - Numbers of subjects analyzed for Week 4, Week 6 and FUP/EOS were 16, 14 and 13, respectively. [21] - Number of subjects analyzed for FUP/EOS was 15. |
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No statistical analyses for this end point |
|
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End point title |
Percentage of Psoriasis Subjects With PGA Score Clear (0) or Almost Clear (1) at Weeks 1, 2, 4, 6 and FUP/EOS [22] | |||||||||||||||||||||||||||
End point description |
The PGA of psoriasis was scored on a 5-point scale, reflecting a global consideration of the erythema, induration, and scaling across all psoriatic lesions. Average erythema, induration, and scaling were scored separately over the whole body according to a 5-point severity scale (0 [no symptom] to 4 [severe symptom]). The total score was calculated as average of the 3 severity scores and rounded to the nearest whole number score to determine the PGA score and category (0=clear; 1=almost clear; 2=mild; 3=moderate; and 4=severe). PGA response was defined as 0 (clear) or 1 (almost clear). In this end point, percentages of subjects with a PGA score of 0 or 1 are reported. Analysis population included all subjects who received at least 1 dose of study treatment. For this end point, data collection was not planned for the 2 arms of AD Vehicle QD and AD PF-07038124 0.01% QD.
|
|||||||||||||||||||||||||||
End point type |
Secondary
|
|||||||||||||||||||||||||||
End point timeframe |
Weeks 1, 2, 4, 6 and FUP/EOS (28-35 days post-last dose)
|
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Notes [22] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period. Justification: This endpoint was summarized for specified reporting arms only. |
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|
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No statistical analyses for this end point |
|
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End point title |
Percent Change From Baseline in affected Body Surface Area (BSA) at Weeks 1, 2, 4, 6 and FUP/EOS | |||||||||||||||||||||||||||||||||||||||||||||
End point description |
Four body regions were evaluated: head and neck, upper limbs, trunk (including axillae and groin) and lower limbs (including buttocks). Scalp, palms and soles were excluded. BSA was calculated using handprint method. Number of handprints fitting in the affected area of a body region was estimated. Maximum number of handprints were 10 for head and neck, 20 for upper limbs, 30 for trunk and 40 for lower limbs. Surface area of body region equivalent to 1 handprint: 1 handprint was equal to 10% for head and neck, 5% for upper limbs, 3.33% for trunk and 2.5% for lower limbs. Percent BSA for a body region was calculated as = total number of handprints in a body region * % surface area equivalent to 1 handprint. Overall % BSA for an individual: arithmetic mean of % BSA of all 4 body regions, ranges from 0 to 100%, with higher values representing greater severity of AD. Analysis population included all subjects who received at least 1 dose of study treatment.
|
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End point type |
Secondary
|
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End point timeframe |
Baseline, Weeks 1, 2, 4, 6 and FUP/EOS (28-35 days post-last dose)
|
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Notes [23] - Numbers of subjects analyzed for Week 2, Week 4, Week 6 and FUP/EOS were 30, 28, 30, and 27. [24] - Numbers of subjects analyzed for Week 4, Week 6 and FUP/EOS were 35, 34 and 32, respectively. [25] - Numbers of subjects analyzed for Week 4, Week 6 and FUP/EOS were 16, 14 and 13, respectively. [26] - Number of subjects analyzed for FUP/EOS was 15. |
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No statistical analyses for this end point |
|
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End point title |
Number of Subjects With All-Causality Treatment Emergent Adverse Events (TEAEs) and Serious Adverse Events (SAEs) | |||||||||||||||||||||||||
End point description |
An adverse event (AE) was any untoward medical occurrence in a clinical investigation where subjects administered a product or medical device; the event needed not necessarily have a causal relationship with the treatment or usage. TEAEs were events between first dose of study drug and up to discharge from study that were absent before treatment or that worsened relative to pretreatment state. An SAE was any untoward medical occurrence at any dose that: resulted in death, was life threatening, required inpatient hospitalization or prolongation of existing hospitalization, resulted in persistent or significant disability/incapacity, or resulted in congenital anomaly/birth defect.
|
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End point type |
Secondary
|
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End point timeframe |
Day 1 through Week 6
|
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No statistical analyses for this end point |
|
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End point title |
Number of Subjects With Vital Signs Data Meeting Pre-defined Criteria | |||||||||||||||||||||||||||||||||||
End point description |
Abnormality in vital signs: increase and decrease of change of supine diastolic blood pressure (SDBP) from baseline >=20 mmHg, supine systolic blood pressure (SSBP) <90 mmHg, and increase in change of SSBP from baseline >=30 mmHg. Analysis population included all subjects evaluated against criteria.
|
|||||||||||||||||||||||||||||||||||
End point type |
Secondary
|
|||||||||||||||||||||||||||||||||||
End point timeframe |
Day 1 through Week 6
|
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No statistical analyses for this end point |
|
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End point title |
Number of Subjects With Electrocardiogram (ECG) Data Meeting Pre-defined Criteria | ||||||||||||||||||||||||||||||
End point description |
ECG abnormalities criteria included: value of PR interval >=300 msec, percent change of PR interval >=25/50% and change of corrected QT interval using Fridericia’s Formula (QTcF) >=30 msec and <60 msec. Analysis population included all subjects evaluated against criteria.
|
||||||||||||||||||||||||||||||
End point type |
Secondary
|
||||||||||||||||||||||||||||||
End point timeframe |
Day 1 through Week 6
|
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|
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No statistical analyses for this end point |
|
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End point title |
Number of Subjects With Laboratory Test Abnormalities | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
End point description |
Laboratory parameters included: hematology (hemoglobin, hematocrit, red blood cell, platelet and white blood cell count, neutrophils, eosinophils, monocytes, basophils and lymphocytes), chemistry (blood urea nitrogen, creatinine, sodium, potassium, aspartate aminotransferase, alanine aminotransferase, total bilirubin, alkaline phosphatase, albumin, total protein and serum pregnancy test [for all female subjects]) and urine (urine pregnancy test [for all female subjects]). Analysis population included subjects with at least 1 observation of the given laboratory test while on study treatment or during lag time.
|
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End point type |
Secondary
|
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End point timeframe |
Day 1 through Week 6
|
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Notes [27] - Numbers of subjects analyzed for URINE Erythrocytes/Leukocytes and Hyaline Casts were 15, 18 and 0. [28] - Numbers of subjects analyzed for URINE Erythrocytes/ Leukocytes and Hyaline Casts were 16, 20 and 4. [29] - Numbers of subjects analyzed for URINE Erythrocytes/Leukocytes and Hyaline Casts were 12, 13 and 2. [30] - Numbers of subjects analyzed for URINE Erythrocytes/Leukocytes and Hyaline Casts were 8, 10 and 0. |
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No statistical analyses for this end point |
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End point title |
Number of Subjects With Different Severity Grades in Skin Tolerability at Day 1, Weeks 1, 2, 4, 6, Early Termination (ET) and FUP | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
End point description |
The investigator or designee assessed tolerability at the site of investigational product application (pre-dose and immediately post-dose). This assessment focused on the treated non-lesional skin using the scale: none = no evidence of local intolerance; mild = minimal erythema and/or oedema, slight glazed appearance; moderate = definite erythema and/or oedema with peeling and/or cracking but needs no adaptation of posology; severe (to be reported as an AE) = erythema, oedema glazing with fissures, few vesicles or papules: consider removing topical agent (if still in place); very severe (to be reported as an AE) = strong reaction spreading beyond the treated area, bullous reaction, erosions: removal of topical agent (if still in place). Analysis population included all subjects who received at least 1 dose of study treatment.
|
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End point type |
Secondary
|
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End point timeframe |
Day 1, Weeks 1, 2, 4, 6, ET and FUP (28-35 days post-last dose)
|
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No statistical analyses for this end point |
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Adverse events information
|
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Timeframe for reporting adverse events |
Day 1 through Week 6
|
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Adverse event reporting additional description |
The same event may appear as both an AE and an SAE. An event may be categorized as serious in 1 subject and as non-serious in another subject, or 1 subject may have experienced both a serious and non-serious event during the study. Total number at risk below refers to the number of subjects evaluable for SAEs or AEs.
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Assessment type |
Non-systematic | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Dictionary used for adverse event reporting
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Dictionary name |
MedDRA | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Dictionary version |
24.0
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Reporting groups
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Reporting group title |
AD Vehicle QD
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Reporting group description |
Subjects in AD group received vehicle ointment in 60 g tube with QD dosing beginning on Day 1 through the final dose at Week 6 visit. | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Reporting group title |
AD PF-07038124 0.01% QD
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Reporting group description |
Subjects in AD group received PF-07038124 ointment at 0.01% in 60 g tube with QD dosing beginning on Day 1 through the final dose at Week 6 visit. | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Reporting group title |
Psoriasis Vehicle QD
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Reporting group description |
Subjects in plaque psoriasis group received vehicle ointment in 60 g tube with QD dosing beginning on Day 1 through the final dose at Week 6 visit. | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Reporting group title |
Psoriasis PF-07038124 0.01% QD
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Reporting group description |
Subjects in plaque psoriasis group received PF-07038124 ointment at 0.01% in 60 g tube with QD dosing beginning on Day 1 through the final dose at Week 6 visit. | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Frequency threshold for reporting non-serious adverse events: 5% | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Substantial protocol amendments (globally) |
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Were there any global substantial amendments to the protocol? No | |||
Interruptions (globally) |
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Were there any global interruptions to the trial? No | |||
Limitations and caveats |
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Limitations of the trial such as small numbers of subjects analysed or technical problems leading to unreliable data. | |||
None reported |