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NCT03627767

Study to Investigate Efficacy and Safety of PF-04965842 in Subjects Aged 12 Years and Over With Moderate to Severe Atopic Dermatitis With the Option of Rescue Treatment in Flaring Subjects

Completed Phase 3 Results posted Last updated 20 September 2021
What this trial tests

Phase 3 trial testing PF-04965842 100 mg in Dermatitis in 1,235 participants. Completed in 7 October 2020.

Timeline
11 June 2018
Primary endpoint
2 September 2020
7 October 2020

Quick facts

Lead sponsorPfizer
PhasePhase 3
StatusCompleted
Study typeINTERVENTIONAL
Allocationrandomized
Designparallel
Maskingquadruple
Primary purposetreatment
Enrollment1,235
Start date11 June 2018
Primary completion2 September 2020
Estimated completion7 October 2020
Sites235 locations across Italy, Taiwan, Poland, Netherlands, Russia, Belgium, Mexico, Bulgaria

Drugs / interventions tested

Conditions studied

Sponsor

Pfizer — full company profile →

Who can join

12 and older, any sex, with Dermatitis or Dermatitis, Atopic. Patients with the condition only — healthy volunteers not accepted.

Results — posted to ClinicalTrials.gov

Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.

Percentage of Participants With Loss of Response: Double-blind (DB) Period Primary · From Day 1 of up to Week 40 of double blind period

Percentage of participants with loss of response requiring rescue treatment during double blind period was determined. Loss of response denoted as flare and was define as a loss of at least 50% of EASI total score at Week 12 and with an IGA score of 2 or higher. EASI quantifies severity of participant's atopic dermatitis (AD) based on both severity of lesion clinical signs and % of body surface area (BSA) affected. EASI is a composite scoring by AD clinical evaluator of degree of erythema, induration/papulation, excoriation, and lichenification for each of 4 body regions. EASI total score rang

GroupValue95% CI
PF-04965842 200 mg OL to Placebo DB77.5
PF-04965842 200 mg OL to PF-04965842 100 mg+Placebo DB39.6
PF-04965842 200 mg OL to PF-04965842 200 mg DB16.5
Time to First Loss of Response Based on Investigator's Global Assessment (IGA) Score of 2 or Higher: Double-blind Period Secondary · From date of first dose of randomized treatment until the last dose of randomized treatment (if not entered rescue) or first day of rescue treatment (if entered rescue) (maximum up to Week 40, visit window +/- 7 Days)

Time (in days) to loss of response based on achieving IGA \>=2 (for the first time) as measured from date of first dose of randomized treatment until the last dose of randomized treatment (if not entered rescue) or first day of rescue treatment (if entered rescue). IGA assesses severity of AD on a 5-point scale (0 to 4, higher scores indicated more severity), reflecting global consideration of erythema, induration and scaling. Where, 0 = clear, AD is cleared; 1 = almost clear, AD not entirely cleared, light pink residual lesions; 2 = mild, AD with light red lesions; 3 = moderate, AD with red l

GroupValue95% CI
PF-04965842 200 mg OL to Placebo DB27.026.0 – 28.0
PF-04965842 200 mg OL to PF-04965842 100 mg+Placebo DB78.032.0 – 112.0
PF-04965842 200 mg OL to PF-04965842 200 mg DB201.0177.0 – 282.0
Percentage of Participants Achieving Investigator's Global Assessment (IGA) Response of Clear (0) or Almost Clear (1) and a Reduction of Greater Than or Equal to (>=) 2 Points From Baseline at Weeks 12, 16, 28, 40, and 52: Double-blind Period Secondary · Baseline, Weeks 12, 16, 28, 40 and 52

IGA assessed severity of AD on a 5-point scale (0 to 4, higher scores indicated more severity), reflecting global consideration of erythema, induration and scaling. Where, 0 = clear, AD is cleared; 1 = almost clear, AD not entirely cleared, light pink residual lesions; 2 = mild, AD with light red lesions; 3 = moderate, AD with red lesions; 4 = severe, AD with deep dark red lesions.

Week 12
GroupValue95% CI
PF-04965842 200 mg OL to Placebo DB99.698.9 – 100.0
PF-04965842 200 mg OL to PF-04965842 100 mg+Placebo DB99.698.9 – 100.0
PF-04965842 200 mg OL to PF-04965842 200 mg DB99.298.2 – 100.0
Week 16
GroupValue95% CI
PF-04965842 200 mg OL to Placebo DB15.411.0 – 19.7
PF-04965842 200 mg OL to PF-04965842 100 mg+Placebo DB55.549.5 – 61.5
PF-04965842 200 mg OL to PF-04965842 200 mg DB77.872.8 – 82.8
Week 28
GroupValue95% CI
PF-04965842 200 mg OL to Placebo DB10.56.8 – 14.2
PF-04965842 200 mg OL to PF-04965842 100 mg+Placebo DB45.039.0 – 51.0
PF-04965842 200 mg OL to PF-04965842 200 mg DB61.855.9 – 67.7
Week 40
GroupValue95% CI
PF-04965842 200 mg OL to Placebo DB10.66.9 – 14.3
PF-04965842 200 mg OL to PF-04965842 100 mg+Placebo DB42.336.3 – 48.3
PF-04965842 200 mg OL to PF-04965842 200 mg DB57.151.1 – 63.2
Week 52
GroupValue95% CI
PF-04965842 200 mg OL to Placebo DB11.77.9 – 15.6
PF-04965842 200 mg OL to PF-04965842 100 mg+Placebo DB36.830.9 – 42.7
PF-04965842 200 mg OL to PF-04965842 200 mg DB54.148.0 – 60.2
Percentage of Participants Achieving Eczema Area and Severity Index (EASI) Response >=50% Improvement From Baseline at Weeks 12, 16, 28, 40 and 52: Double-blind Period Secondary · Baseline, Weeks 12, 16, 28, 40 and 52

EASI quantifies severity of participant's AD (excluded scalp, palms, soles) based on severity of AD clinical signs and % of BSA affected. Severity of clinical signs of AD (erythema \[E\], induration/papulation \[I\], excoriation \[Ex\] and lichenification \[L\]) was scored separately for each of 4 body regions (head and neck \[h\], upper limbs \[u\], trunk \[t\] \[including axillae and groin\] and lower limbs \[l\] \[including buttocks\]) 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 (1

Week 12
GroupValue95% CI
PF-04965842 200 mg OL to Placebo DB100.098.6 – 100.0
PF-04965842 200 mg OL to PF-04965842 100 mg+Placebo DB100.098.6 – 100.0
PF-04965842 200 mg OL to PF-04965842 200 mg DB100.098.6 – 100.0
Week 16
GroupValue95% CI
PF-04965842 200 mg OL to Placebo DB40.834.9 – 46.7
PF-04965842 200 mg OL to PF-04965842 100 mg+Placebo DB83.378.8 – 87.8
PF-04965842 200 mg OL to PF-04965842 200 mg DB96.294.0 – 98.5
Week 28
GroupValue95% CI
PF-04965842 200 mg OL to Placebo DB22.817.8 – 27.9
PF-04965842 200 mg OL to PF-04965842 100 mg+Placebo DB68.162.4 – 73.7
PF-04965842 200 mg OL to PF-04965842 200 mg DB85.981.7 – 90.1
Week 40
GroupValue95% CI
PF-04965842 200 mg OL to Placebo DB16.612.1 – 21.1
PF-04965842 200 mg OL to PF-04965842 100 mg+Placebo DB57.351.3 – 63.3
PF-04965842 200 mg OL to PF-04965842 200 mg DB74.969.6 – 80.2
Week 52
GroupValue95% CI
PF-04965842 200 mg OL to Placebo DB15.911.5 – 20.3
PF-04965842 200 mg OL to PF-04965842 100 mg+Placebo DB50.844.7 – 56.9
PF-04965842 200 mg OL to PF-04965842 200 mg DB71.265.7 – 76.7
Percentage of Participants Achieving Eczema Area and Severity Index (EASI) Response >=75% Improvement From Baseline at Weeks 12, 16, 28, 40 and 52: Double-blind Period Secondary · Baseline, Weeks 12, 16, 28, 40 and 52

EASI quantifies severity of participant's AD (excluded scalp, palms, soles) based on severity of AD clinical signs and % of BSA affected. Severity of clinical signs of AD (erythema, induration/papulation, excoriation and lichenification) scored separately for each of 4 body regions (head and neck, upper limbs, trunk \[including axillae and groin\] and lower limbs \[including buttocks\]) 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

Week 12
GroupValue95% CI
PF-04965842 200 mg OL to Placebo DB99.298.2 – 100.0
PF-04965842 200 mg OL to PF-04965842 100 mg+Placebo DB100.098.6 – 100.0
PF-04965842 200 mg OL to PF-04965842 200 mg DB99.698.9 – 100.0
Week 16
GroupValue95% CI
PF-04965842 200 mg OL to Placebo DB27.021.6 – 32.3
PF-04965842 200 mg OL to PF-04965842 100 mg+Placebo DB76.070.9 – 81.2
PF-04965842 200 mg OL to PF-04965842 200 mg DB92.589.3 – 95.7
Week 28
GroupValue95% CI
PF-04965842 200 mg OL to Placebo DB18.013.4 – 22.6
PF-04965842 200 mg OL to PF-04965842 100 mg+Placebo DB60.454.4 – 66.3
PF-04965842 200 mg OL to PF-04965842 200 mg DB80.575.7 – 85.3
Week 40
GroupValue95% CI
PF-04965842 200 mg OL to Placebo DB15.110.8 – 19.4
PF-04965842 200 mg OL to PF-04965842 100 mg+Placebo DB54.248.2 – 60.3
PF-04965842 200 mg OL to PF-04965842 200 mg DB71.866.3 – 77.3
Week 52
GroupValue95% CI
PF-04965842 200 mg OL to Placebo DB14.09.8 – 18.2
PF-04965842 200 mg OL to PF-04965842 100 mg+Placebo DB46.540.4 – 52.6
PF-04965842 200 mg OL to PF-04965842 200 mg DB65.860.0 – 71.6
Percentage of Participants Achieving Eczema Area and Severity Index (EASI) Response >=90% Improvement From Baseline at Weeks 12, 16, 28, 40 and 52: Double-blind Period Secondary · Baseline, Weeks 12, 16, 28, 40 and 52

EASI quantifies severity of participant's AD (excluded scalp, palms, soles) based on severity of AD clinical signs and % of BSA affected. Severity of clinical signs of AD (erythema, induration/papulation, excoriation and lichenification) scored separately for each of 4 body regions (head and neck, upper limbs, trunk \[including axillae and groin\] and lower limbs \[including buttocks\]) 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

Week 12
GroupValue95% CI
PF-04965842 200 mg OL to Placebo DB84.680.2 – 88.9
PF-04965842 200 mg OL to PF-04965842 100 mg+Placebo DB87.183.1 – 91.2
PF-04965842 200 mg OL to PF-04965842 200 mg DB86.482.3 – 90.5
Week 16
GroupValue95% CI
PF-04965842 200 mg OL to Placebo DB13.99.7 – 18.0
PF-04965842 200 mg OL to PF-04965842 100 mg+Placebo DB51.345.3 – 57.4
PF-04965842 200 mg OL to PF-04965842 200 mg DB77.172.0 – 82.1
Week 28
GroupValue95% CI
PF-04965842 200 mg OL to Placebo DB10.56.8 – 14.2
PF-04965842 200 mg OL to PF-04965842 100 mg+Placebo DB46.940.9 – 53.0
PF-04965842 200 mg OL to PF-04965842 200 mg DB64.558.7 – 70.3
Week 40
GroupValue95% CI
PF-04965842 200 mg OL to Placebo DB12.18.2 – 16.0
PF-04965842 200 mg OL to PF-04965842 100 mg+Placebo DB41.535.5 – 47.5
PF-04965842 200 mg OL to PF-04965842 200 mg DB58.752.7 – 64.7
Week 52
GroupValue95% CI
PF-04965842 200 mg OL to Placebo DB10.66.9 – 14.3
PF-04965842 200 mg OL to PF-04965842 100 mg+Placebo DB37.631.7 – 43.5
PF-04965842 200 mg OL to PF-04965842 200 mg DB54.548.4 – 60.6
Percentage of Participants Achieving Eczema Area and Severity Index (EASI) Response >=100% Improvement From Baseline at Weeks 12, 16, 28, 40 and 52: Double-blind Period Secondary · Baseline, Weeks 12, 16, 28, 40 and 52

EASI quantifies severity of participant's AD (excluded scalp, palms, soles) based on severity of AD clinical signs and % of BSA affected. Severity of clinical signs of AD (erythema, induration/papulation, excoriation and lichenification) scored separately for each of 4 body regions (head and neck, upper limbs, trunk \[including axillae and groin\] and lower limbs \[including buttocks\]) 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 \

Week 12
GroupValue95% CI
PF-04965842 200 mg OL to Placebo DB30.524.9 – 36.0
PF-04965842 200 mg OL to PF-04965842 100 mg+Placebo DB30.324.8 – 35.8
PF-04965842 200 mg OL to PF-04965842 200 mg DB28.322.9 – 33.7
Week 16
GroupValue95% CI
PF-04965842 200 mg OL to Placebo DB3.71.5 – 6.0
PF-04965842 200 mg OL to PF-04965842 100 mg+Placebo DB15.210.9 – 19.5
PF-04965842 200 mg OL to PF-04965842 200 mg DB28.923.5 – 34.4
Week 28
GroupValue95% CI
PF-04965842 200 mg OL to Placebo DB4.11.7 – 6.5
PF-04965842 200 mg OL to PF-04965842 100 mg+Placebo DB16.512.0 – 21.1
PF-04965842 200 mg OL to PF-04965842 200 mg DB30.224.6 – 35.7
Week 40
GroupValue95% CI
PF-04965842 200 mg OL to Placebo DB4.52.0 – 7.0
PF-04965842 200 mg OL to PF-04965842 100 mg+Placebo DB15.811.3 – 20.2
PF-04965842 200 mg OL to PF-04965842 200 mg DB30.124.5 – 35.7
Week 52
GroupValue95% CI
PF-04965842 200 mg OL to Placebo DB4.52.0 – 7.1
PF-04965842 200 mg OL to PF-04965842 100 mg+Placebo DB18.613.9 – 23.4
PF-04965842 200 mg OL to PF-04965842 200 mg DB28.823.3 – 34.3
Percentage of Participants With Greater Than or Equal 4 Points Improvement in the Numerical Rating Scale (NRS) for Severity of Pruritus From Baseline at Weeks 12, 16, 28, 40 and 52: Double-blind Period Secondary · Baseline, Weeks 12, 16, 28, 40 and 52

Participants were asked to assess their worst itching due to AD over the past 24 hours on an NRS scale ranged from 0 (no itch) to 10 (worst itch imaginable), where higher scores indicated worse disease status.

Week 12
GroupValue95% CI
PF-04965842 200 mg OL to Placebo DB82.277.2 – 87.1
PF-04965842 200 mg OL to PF-04965842 100 mg+Placebo DB84.079.3 – 88.6
PF-04965842 200 mg OL to PF-04965842 200 mg DB81.976.9 – 86.9
Week 16
GroupValue95% CI
PF-04965842 200 mg OL to Placebo DB15.911.4 – 20.4
PF-04965842 200 mg OL to PF-04965842 100 mg+Placebo DB54.648.4 – 60.7
PF-04965842 200 mg OL to PF-04965842 200 mg DB75.670.3 – 80.9
Week 28
GroupValue95% CI
PF-04965842 200 mg OL to Placebo DB11.67.7 – 15.5
PF-04965842 200 mg OL to PF-04965842 100 mg+Placebo DB45.038.9 – 51.2
PF-04965842 200 mg OL to PF-04965842 200 mg DB66.961.0 – 72.8
Week 40
GroupValue95% CI
PF-04965842 200 mg OL to Placebo DB10.16.4 – 13.8
PF-04965842 200 mg OL to PF-04965842 100 mg+Placebo DB39.433.4 – 45.4
PF-04965842 200 mg OL to PF-04965842 200 mg DB55.749.5 – 61.9
Week 52
GroupValue95% CI
PF-04965842 200 mg OL to Placebo DB8.34.9 – 11.7
PF-04965842 200 mg OL to PF-04965842 100 mg+Placebo DB27.621.7 – 33.6
PF-04965842 200 mg OL to PF-04965842 200 mg DB49.042.2 – 55.9
Percent Change From Baseline in Body Surface Area (BSA) at Weeks 12, 16, 28, 40 and 52: Double-blind Period Secondary · Baseline, Weeks 12, 16, 28, 40 and 52

4 body regions evaluated: head and neck, upper limbs, trunk (including axillae, groin/genitals), lower limbs (including buttocks) excluding scalp, palms, soles. BSA calculated by handprint method. Number (No) of handprints (size of participant's hand with fingers in closed position) fitting in affected area of a body region was estimated. Maximum No of handprints were 10, 20, 30, 40 for head and neck, upper limbs, trunk, and lower limbs respectively. Surface area (SA) of body region equivalent to 1 handprint: 1 handprint=10% for head and neck, 5% for upper limbs, 3.33% for trunk and 2.5% for l

Change at Week 12
GroupValue95% CI
PF-04965842 200 mg OL to Placebo DB-95.6-100.0 – -88.5
PF-04965842 200 mg OL to PF-04965842 100 mg+Placebo DB-96.7-100.0 – -91.5
PF-04965842 200 mg OL to PF-04965842 200 mg DB-96.7-100.0 – -89.2
Change at Week 16
GroupValue95% CI
PF-04965842 200 mg OL to Placebo DB-68.5-89.8 – -37.5
PF-04965842 200 mg OL to PF-04965842 100 mg+Placebo DB-90.9-97.6 – -78.3
PF-04965842 200 mg OL to PF-04965842 200 mg DB-96.3-100.0 – -88.7
Change at Week 28
GroupValue95% CI
PF-04965842 200 mg OL to Placebo DB-85.2-95.8 – -63.5
PF-04965842 200 mg OL to PF-04965842 100 mg+Placebo DB-93.8-99.5 – -81.4
PF-04965842 200 mg OL to PF-04965842 200 mg DB-96.4-100.0 – -85.7
Change at Week 40
GroupValue95% CI
PF-04965842 200 mg OL to Placebo DB-91.2-100.0 – -77.9
PF-04965842 200 mg OL to PF-04965842 100 mg+Placebo DB-95.8-100.0 – -83.5
PF-04965842 200 mg OL to PF-04965842 200 mg DB-96.8-100.0 – -88.8
Change at Week 52
GroupValue95% CI
PF-04965842 200 mg OL to Placebo DB-91.5-100.0 – -77.9
PF-04965842 200 mg OL to PF-04965842 100 mg+Placebo DB-96.9-100.0 – -83.4
PF-04965842 200 mg OL to PF-04965842 200 mg DB-96.9-100.0 – -88.2
Percent Change From Baseline in Scoring Atopic Dermatitis (SCORAD) Total Score at Weeks 12, 16, 28, 40 and 52: Double-blind Period Secondary · Baseline, Weeks 12, 16, 28, 40 and 52

SCORAD: scoring index for AD combining extent (A), severity (B), subjective symptoms (C). A: rule of 9 used to calculate BSA affected by AD as % of whole BSA for each body region- head and neck 9%; upper limbs 9% each; lower limbs 18% each; anterior trunk 18%; back 18%; genitals 1%. Score of each body region added to determine A (0-100). B: severity of each sign (erythema; edema; oozing; excoriation; skin thickening; dryness) was assessed as none (0), mild (1), moderate (2), severe (3); severity scores added to give B (0-18). C: pruritus and sleep loss, each of these 2 were scored by participa

Change at Week 12
GroupValue95% CI
PF-04965842 200 mg OL to Placebo DB-84.0-94.7 – -73.5
PF-04965842 200 mg OL to PF-04965842 100 mg+Placebo DB-84.4-95.2 – -74.9
PF-04965842 200 mg OL to PF-04965842 200 mg DB-84.4-93.8 – -74.2
Change at Week 16
GroupValue95% CI
PF-04965842 200 mg OL to Placebo DB-50.4-68.3 – -32.1
PF-04965842 200 mg OL to PF-04965842 100 mg+Placebo DB-71.7-87.8 – -60.5
PF-04965842 200 mg OL to PF-04965842 200 mg DB-83.6-95.1 – -70.6
Change at Week 28
GroupValue95% CI
PF-04965842 200 mg OL to Placebo DB-63.4-81.9 – -48.3
PF-04965842 200 mg OL to PF-04965842 100 mg+Placebo DB-77.8-90.2 – -62.6
PF-04965842 200 mg OL to PF-04965842 200 mg DB-83.8-97.4 – -66.4
Change at Week 40
GroupValue95% CI
PF-04965842 200 mg OL to Placebo DB-74.4-89.5 – -60.6
PF-04965842 200 mg OL to PF-04965842 100 mg+Placebo DB-77.1-94.1 – -64.3
PF-04965842 200 mg OL to PF-04965842 200 mg DB-84.6-98.6 – -68.4
Change at Week 52
GroupValue95% CI
PF-04965842 200 mg OL to Placebo DB-73.3-89.8 – -58.0
PF-04965842 200 mg OL to PF-04965842 100 mg+Placebo DB-82.5-97.7 – -64.1
PF-04965842 200 mg OL to PF-04965842 200 mg DB-83.2-100.0 – -69.1
Change From Baseline in Scoring Atopic Dermatitis (SCORAD) Visual Analogue Scale (VAS) of Itch and Sleep Loss at Weeks 12, 16, 28, 40 and 52: Double-blind Period Secondary · Baseline, Weeks 12, 16, 28, 40 and 52

SCORAD: scoring index for AD combining extent (A), severity (B), subjective symptoms (C). A: rule of 9 used to calculate BSA affected by AD as % of whole BSA for each body region-head and neck 9%; upper limbs 9% each; lower limbs 18% each; anterior trunk 18%; back 18%; genitals 1%. Score of each body region added to determine A (0-100). B: severity of each sign (erythema; edema; oozing; excoriation; skin thickening; dryness) was assessed as none (0), mild (1), moderate (2), severe (3). Severity scores added to give B (0-18). C: pruritus and sleep loss, each were scored by participant/caregiver

Pruritus VAS: Change at Week 12
GroupValue95% CI
PF-04965842 200 mg OL to Placebo DB-6.1-6.3 – -5.9
PF-04965842 200 mg OL to PF-04965842 100 mg+Placebo DB-6.1-6.3 – -5.9
PF-04965842 200 mg OL to PF-04965842 200 mg DB-6.1-6.3 – -5.9
Pruritus VAS: Change at Week 16
GroupValue95% CI
PF-04965842 200 mg OL to Placebo DB3.43.0 – 3.7
PF-04965842 200 mg OL to PF-04965842 100 mg+Placebo DB1.21.0 – 1.5
PF-04965842 200 mg OL to PF-04965842 200 mg DB0.2-0.1 – 0.4
Pruritus VAS: Change at Week 28
GroupValue95% CI
PF-04965842 200 mg OL to Placebo DB2.41.9 – 2.9
PF-04965842 200 mg OL to PF-04965842 100 mg+Placebo DB1.10.8 – 1.4
PF-04965842 200 mg OL to PF-04965842 200 mg DB0.50.3 – 0.8
Pruritus VAS: Change at Week 40
GroupValue95% CI
PF-04965842 200 mg OL to Placebo DB2.21.6 – 2.8
PF-04965842 200 mg OL to PF-04965842 100 mg+Placebo DB1.20.9 – 1.6
PF-04965842 200 mg OL to PF-04965842 200 mg DB0.40.1 – 0.7
Pruritus VAS: Change at Week 52
GroupValue95% CI
PF-04965842 200 mg OL to Placebo DB1.81.2 – 2.4
PF-04965842 200 mg OL to PF-04965842 100 mg+Placebo DB1.30.9 – 1.6
PF-04965842 200 mg OL to PF-04965842 200 mg DB0.50.2 – 0.8
Sleep Loss VAS: Change at Week 12
GroupValue95% CI
PF-04965842 200 mg OL to Placebo DB-5.0-5.2 – -4.8
PF-04965842 200 mg OL to PF-04965842 100 mg+Placebo DB-5.0-5.2 – -4.8
PF-04965842 200 mg OL to PF-04965842 200 mg DB-5.1-5.3 – -4.9
Sleep Loss VAS: Change at Week 16
GroupValue95% CI
PF-04965842 200 mg OL to Placebo DB2.32.0 – 2.6
PF-04965842 200 mg OL to PF-04965842 100 mg+Placebo DB0.50.3 – 0.8
PF-04965842 200 mg OL to PF-04965842 200 mg DB0.0-0.2 – 0.2
Sleep Loss VAS: Change at Week 28
GroupValue95% CI
PF-04965842 200 mg OL to Placebo DB1.30.9 – 1.7
PF-04965842 200 mg OL to PF-04965842 100 mg+Placebo DB0.60.4 – 0.9
PF-04965842 200 mg OL to PF-04965842 200 mg DB0.20.0 – 0.4
Percentage of Participants With >=50% Improvement From Baseline in Scoring Atopic Dermatitis (SCORAD) Response at Weeks 12, 16, 28, 40 and 52: Double-blind Period Secondary · Baseline, Weeks 12, 16, 28, 40 and 52

SCORAD: scoring index for AD combining extent (A), severity (B), subjective symptoms (C). A: rule of 9 used to calculate BSA affected by AD as % of whole BSA for each body region- head and neck 9%; upper limbs 9% each; lower limbs 18% each; anterior trunk 18%; back 18%; genitals 1%. Score of each body region added to determine A (0-100). B: severity of each sign (erythema; edema; oozing; excoriation; skin thickening; dryness) was assessed as none (0), mild (1), moderate (2), severe (3). Severity scores added to give B (0-18). C: pruritus and sleep loss, each were scored by participant/caregive

Week 12
GroupValue95% CI
PF-04965842 200 mg OL to Placebo DB97.495.4 – 99.3
PF-04965842 200 mg OL to PF-04965842 100 mg+Placebo DB98.597.0 – 100.0
PF-04965842 200 mg OL to PF-04965842 200 mg DB97.094.9 – 99.0
Week 16
GroupValue95% CI
PF-04965842 200 mg OL to Placebo DB25.620.3 – 30.8
PF-04965842 200 mg OL to PF-04965842 100 mg+Placebo DB72.066.6 – 77.4
PF-04965842 200 mg OL to PF-04965842 200 mg DB89.185.4 – 92.8
Week 28
GroupValue95% CI
PF-04965842 200 mg OL to Placebo DB15.811.4 – 20.2
PF-04965842 200 mg OL to PF-04965842 100 mg+Placebo DB56.850.7 – 62.8
PF-04965842 200 mg OL to PF-04965842 200 mg DB75.770.5 – 80.9
Week 40
GroupValue95% CI
PF-04965842 200 mg OL to Placebo DB14.410.2 – 18.6
PF-04965842 200 mg OL to PF-04965842 100 mg+Placebo DB51.245.1 – 57.2
PF-04965842 200 mg OL to PF-04965842 200 mg DB69.063.3 – 74.6
Week 52
GroupValue95% CI
PF-04965842 200 mg OL to Placebo DB14.810.5 – 19.1
PF-04965842 200 mg OL to PF-04965842 100 mg+Placebo DB44.638.5 – 50.6
PF-04965842 200 mg OL to PF-04965842 200 mg DB65.860.0 – 71.6

Adverse events — posted to ClinicalTrials.gov

Time frame: From screening up to 28 days after last dose of study treatment (maximum up to Week 56). Reporting threshold: 5%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

PF-04965842 200 mg OL
Serious: 20/1233 (2%)
Deaths: 1/1233
PF-04965842 200 mg OL to Placebo DB
Serious: 3/267 (1%)
Deaths: 0/267
PF-04965842 200 mg OL to PF-04965842 100 mg+Placebo DB
Serious: 9/265 (3%)
Deaths: 0/265
PF-04965842 200 mg OL to PF-04965842 200 mg DB
Serious: 14/266 (5%)
Deaths: 0/266
PF-04965842 200 mg Rescue Period
Serious: 4/351 (1%)
Deaths: 0/351

Serious adverse events (40 terms)

ReactionSystemPF-04965842 200 mg OLPF-04965842 200 mg OL to P…PF-04965842 200 mg OL to P…PF-04965842 200 mg OL to P…PF-04965842 200 mg Rescue …
Dermatitis atopicSkin and subcutaneous tissue disorders
CellulitisInfections and infestations
Vitello-intestinal duct remnantCongenital, familial and genetic disorders
Microcytic anaemiaBlood and lymphatic system disorders
ThrombocytopeniaBlood and lymphatic system disorders
SeizureNervous system disorders
CataractEye disorders
Retinal detachmentEye disorders
Retinal vein thrombosisEye disorders
Ulcerative keratitisEye disorders
Gastrointestinal haemorrhageGastrointestinal disorders
Inguinal herniaGastrointestinal disorders
UreterolithiasisRenal and urinary disorders
HaemarthrosisMusculoskeletal and connective tissue disorders
MyositisMusculoskeletal and connective tissue disorders
OsteonecrosisMusculoskeletal and connective tissue disorders
HypokalaemiaMetabolism and nutrition disorders
Abscess neckInfections and infestations
AppendicitisInfections and infestations
DiverticulitisInfections and infestations
Eczema herpeticumInfections and infestations
Gastrointestinal viral infectionInfections and infestations
Hepatitis EInfections and infestations
PeriodontitisInfections and infestations
Peritonsillar abscessInfections and infestations
Other adverse events (8 terms — click to expand)

ReactionSystemPF-04965842 200 mg OLPF-04965842 200 mg OL to P…PF-04965842 200 mg OL to P…PF-04965842 200 mg OL to P…PF-04965842 200 mg Rescue …
NauseaGastrointestinal disorders
HeadacheNervous system disorders
Dermatitis atopicSkin and subcutaneous tissue disorders
NasopharyngitisInfections and infestations
AcneSkin and subcutaneous tissue disorders
Upper respiratory tract infectionInfections and infestations
Blood creatine phosphokinase increasedInvestigations
VomitingGastrointestinal disorders

Most-reported serious reactions: Dermatitis atopic, Cellulitis, Vitello-intestinal duct remnant, Microcytic anaemia, Thrombocytopenia, Seizure, Cataract, Retinal detachment.

Data from ClinicalTrials.gov NCT03627767 adverse events section.

Sponsor's own description

B7451014 is a Phase 3 study to investigate PF-04965842 in patients aged 12 years and over with a minimum body weight of 40 kg who have moderate to severe atopic dermatitis. Subjects responding well to an initial open-label 12 week treatment of PF-04965842 (200 mg) taken orally once daily (QD) will be identified and randomized in a double-blind manner to receive 200 mg QD PF-04965842, 100 mg QD PF-04965842, or QD placebo. Efficacy and safety of 2 doses of PF-04965842 will be evaluated relative to placebo over 40 weeks. Subjects experiencing significant worsening of their symptoms, i.e., protocol-defined flare, enter 12 weeks rescue treatment and receive 200 mg PF-04965842 together with a marketed topical medicine. Eligible patients will have the option to enter a long-term extension study after completing the initial 12 week treatment, the 12 week rescue treatment, and the 40 week blinded treatment.

Publications & conference data

8 peer-reviewed publications reference this trial (live from Europe PMC):

  1. Atopic dermatitis: an expanding therapeutic pipeline for a complex disease.
    Bieber T. · · 2022 · cited 421× · PMID 34417579 · DOI 10.1038/s41573-021-00266-6
  2. JAK inhibitors in the treatment of atopic dermatitis.
    Chovatiya R, Paller AS. · · 2021 · cited 258× · PMID 34437922 · DOI 10.1016/j.jaci.2021.08.009
  3. A Comprehensive Overview of Globally Approved JAK Inhibitors.
    Shawky AM, Almalki FA, Abdalla AN, Abdelazeem AH, et al · · 2022 · cited 222× · PMID 35631587 · DOI 10.3390/pharmaceutics14051001
  4. Emerging Topical and Systemic JAK Inhibitors in Dermatology.
    Solimani F, Meier K, Ghoreschi K. · · 2019 · cited 199× · PMID 31849996 · DOI 10.3389/fimmu.2019.02847
  5. JAK-STAT signaling pathway in the pathogenesis of atopic dermatitis: An updated review.
    Huang IH, Chung WH, Wu PC, Chen CB. · · 2022 · cited 195× · PMID 36569854 · DOI 10.3389/fimmu.2022.1068260
  6. Targeting the Janus Kinase Family in Autoimmune Skin Diseases.
    Howell MD, Kuo FI, Smith PA. · · 2019 · cited 180× · PMID 31649667 · DOI 10.3389/fimmu.2019.02342
  7. Selective JAKinibs: Prospects in Inflammatory and Autoimmune Diseases.
    T Virtanen A, Haikarainen T, Raivola J, Silvennoinen O. · · 2019 · cited 164× · PMID 30701418 · DOI 10.1007/s40259-019-00333-w
  8. The translational revolution in atopic dermatitis: the paradigm shift from pathogenesis to treatment.
    Facheris P, Jeffery J, Del Duca E, Guttman-Yassky E. · · 2023 · cited 150× · PMID 36928371 · DOI 10.1038/s41423-023-00992-4

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Drug Landscape aggregates and links these public records for informational use only. Always verify against the primary source before clinical or regulatory decisions. Canonical URL: https://druglandscape.com/trial/NCT03627767.

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