Last reviewed · How we verify

NCT04178967: ADvocate2

Evaluation of the Efficacy and Safety of Lebrikizumab (LY3650150) in Moderate to Severe Atopic Dermatitis

Completed Phase 3 Results posted Last updated 24 May 2023
What this trial tests

Phase 3 trial testing Lebrikizumab in Atopic Dermatitis in 445 participants. Completed in 28 April 2022.

Timeline
29 October 2019
Primary endpoint
12 July 2021
28 April 2022

Quick facts

Lead sponsorEli Lilly and Company
PhasePhase 3
StatusCompleted
Study typeINTERVENTIONAL
Allocationrandomized
Designparallel
Maskingquadruple
Primary purposetreatment
Enrollment445
Start date29 October 2019
Primary completion12 July 2021
Estimated completion28 April 2022
Sites89 locations across Ukraine, Taiwan, Germany, Mexico, Canada, Bulgaria, Singapore, United States

Drugs / interventions tested

Conditions studied

Sponsor

Eli Lilly and Company — full company profile →

Who can join

12 and older, any sex, with Atopic Dermatitis. 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 an Investigator Global Assessment (IGA) Score of 0 or 1 and a Reduction ≥2 Points From Baseline to Week 16 Primary · Baseline to Week 16

The IGA measures the investigator's global assessment of the participant's overall severity of their atopic dermatitis (AD), based on a static, numeric 5-point scale from 0 (clear skin) to 4 (severe disease). The score is based on an overall assessment of the degree of erythema, papulation/induration, oozing/crusting, and lichenification.

GroupValue95% CI
Placebo10.85.7 – 15.9
Lebrikizumab Q2W33.227.5 – 38.9
Percentage of Participants Achieving Eczema Area And Severity Index (EASI-75) (≥75% Reduction in EASI Score) From Baseline to Week 16 Primary · Baseline to Week 16

The EASI assesses objective physician estimates of 2 dimensions of AD - 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

GroupValue95% CI
Placebo18.111.7 – 24.5
Lebrikizumab Q2W52.146.1 – 58.0
Percentage of Participants With an IGA Score of 0 or 1 and a Reduction ≥2 Points From Baseline to Week 2 Secondary · Baseline to Week 2

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.

GroupValue95% CI
Placebo00.0 – 0.0
Lebrikizumab Q2W0.7-0.3 – 1.7
Percentage of Participants With an IGA Score of 0 or 1 and a Reduction ≥2 Points From Baseline to Week 4 Secondary · Baseline to Week 4

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.

GroupValue95% CI
Placebo1.40.0 – 3.3
Lebrikizumab Q2W9.05.6 – 12.4
Percentage of Participants With an IGA Score of 0 or 1 and a Reduction ≥2 Points From Baseline to Week 16 Secondary · Baseline to Week 16

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.

GroupValue95% CI
Placebo10.85.7 – 15.9
Lebrikizumab Q2W33.227.5 – 38.9
Percentage of Participants Achieving EASI-90 (≥90% Reduction in EASI Score) From Baseline to Week 16 Secondary · Baseline to Week 16

The EASI assesses objective physician estimates of 2 dimensions of AD - 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

GroupValue95% CI
Placebo9.54.6 – 14.3
Lebrikizumab Q2W30.725.2 – 36.2
Percentage Change in Pruritus Numerical Rating Scale (NRS) Score From Baseline to Week 16 Secondary · Baseline, Week 16

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.

GroupValue95% CI
Placebo-9.02± 3.868
Lebrikizumab Q2W-36.56± 3.321
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 Secondary · Baseline to Week 16

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."

GroupValue95% CI
Placebo11.56.0 – 16.9
Lebrikizumab Q2W39.833.6 – 46.0
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 Secondary · Baseline to Week 16

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."

GroupValue95% CI
Placebo11.86.0 – 17.6
Lebrikizumab Q2W41.635.1 – 48.1
Percentage Change in EASI Score From Baseline to Week 16 Secondary · Baseline, Week 16

The EASI assesses objective physician estimates of 2 dimensions of AD - 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

GroupValue95% CI
Placebo-27.96± 3.893
Lebrikizumab Q2W-61.53± 3.300
Change From Baseline in Percent Body Surface Area (BSA) at Week 16 Secondary · Baseline, Week 16

The BSA affected by AD will be assessed for 4 separate body regions: head and neck, trunk (including genital region), upper extremities, and lower extremities (including the buttocks). Each body region will be assessed for disease extent ranging from 0% to 100% involvement. BSA was calculated using the participant's palm using the 1% rule, 1 palm was equivalent to 1% with estimates of the number of palms it takes to cover the affected AD area. Maximum number of palms were 10 palms for head and neck (10%), 20 palms for upper extremities (20%), 30 palms for trunk, including axilla and groin (30%

GroupValue95% CI
Placebo-14.0± 1.94
Lebrikizumab Q2W-30.2± 1.33
Percentage of Participants Achieving EASI-90 From Baseline to Week 4 Secondary · Baseline to Week 4

The EASI assesses objective physician estimates of 2 dimensions of AD - 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

GroupValue95% CI
Placebo1.5-0.5 – 3.5
Lebrikizumab Q2W6.33.4 – 9.2

Adverse events — posted to ClinicalTrials.gov

Time frame: Baseline up to Week 52. Reporting threshold: 0%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Induction - Placebo
Serious: 4/149 (3%)
Deaths: 1/149
Induction - Lebrikizumab 250mg Q2W
Serious: 2/295 (1%)
Deaths: 0/295
Maintenance Blinded - Lebrikizumab Responder/ Placebo
Serious: 1/30 (3%)
Deaths: 0/30
Maintenance Blinded - Lebrikizumab Responder/Lebrikizumab Q4W
Serious: 0/59 (0%)
Deaths: 0/59
Maintenance Blinded - Lebrikizumab Responder/Lebrikizumab Q2W
Serious: 2/59 (3%)
Deaths: 0/59
Maintenance Blinded - Placebo Responder/ Placebo
Serious: 0/5 (0%)
Deaths: 0/5
Maintenance Blinded - Placebo Responder/Lebrikizumab Q4W
Serious: 2/9 (22%)
Deaths: 0/9
Maintenance Blinded - Placebo Responder/ Lebrikizumab Q2W
Serious: 0/11 (0%)
Deaths: 0/11
Escape Arm Week 16 - Maintenance Open Label (OL) -Placebo Non-Responder/Lebrikizumab Q2W
Serious: 1/108 (1%)
Deaths: 0/108
Escape Arm Week 16 - Maintenance OL- Lebrikizumab Non-Responder/Lebrikizumab Q2W
Serious: 5/125 (4%)
Deaths: 1/125
Escape Arm Week 24 to 48 - Maintenance Lebrikizumab
Serious: 0/11 (0%)
Deaths: 0/11

Serious adverse events (22 terms)

ReactionSystemInduction - PlaceboInduction - Lebrikizumab 2…Maintenance Blinded - Lebr…Maintenance Blinded - Lebr…Maintenance Blinded - Lebr…Maintenance Blinded - Plac…Maintenance Blinded - Plac…Maintenance Blinded - Plac…Escape Arm Week 16 - Maint…Escape Arm Week 16 - Maint…Escape Arm Week 24 to 48 -…
Dermatitis atopicSkin and subcutaneous tissue disorders
Cardiac failureCardiac disorders
Myocardial infarctionCardiac disorders
Rhegmatogenous retinal detachmentEye disorders
PancreatitisGastrointestinal disorders
Hepatic steatosisHepatobiliary disorders
AcarodermatitisInfections and infestations
ErysipelasInfections and infestations
Large intestine infectionInfections and infestations
Fibula fractureInjury, poisoning and procedural complications
Humerus fractureInjury, poisoning and procedural complications
Multiple injuriesInjury, poisoning and procedural complications
Paternal exposure during pregnancyInjury, poisoning and procedural complications
Tibia fractureInjury, poisoning and procedural complications
Ulna fractureInjury, poisoning and procedural complications
Spinal osteoarthritisMusculoskeletal and connective tissue disorders
Metastases to boneNeoplasms benign, malignant and unspecified (incl cysts and polyps)
Metastases to liverNeoplasms benign, malignant and unspecified (incl cysts and polyps)
Pancreatic carcinoma metastaticNeoplasms benign, malignant and unspecified (incl cysts and polyps)
Uterine leiomyomaNeoplasms benign, malignant and unspecified (incl cysts and polyps)
Cerebellar syndromeNervous system disorders
UreterolithiasisRenal and urinary disorders
Other adverse events (356 terms — click to expand)

ReactionSystemInduction - PlaceboInduction - Lebrikizumab 2…Maintenance Blinded - Lebr…Maintenance Blinded - Lebr…Maintenance Blinded - Lebr…Maintenance Blinded - Plac…Maintenance Blinded - Plac…Maintenance Blinded - Plac…Escape Arm Week 16 - Maint…Escape Arm Week 16 - Maint…Escape Arm Week 24 to 48 -…
Dermatitis atopicSkin and subcutaneous tissue disorders
ConjunctivitisInfections and infestations
NasopharyngitisInfections and infestations
HeadacheNervous system disorders
Conjunctivitis allergicEye disorders
Dry eyeEye disorders
Covid-19Infections and infestations
Urinary tract infectionInfections and infestations
PruritusSkin and subcutaneous tissue disorders
NauseaGastrointestinal disorders
Oral herpesInfections and infestations
Upper respiratory tract infectionInfections and infestations
Vaccination complicationInjury, poisoning and procedural complications
DizzinessNervous system disorders
Rhinitis allergicRespiratory, thoracic and mediastinal disorders
FatigueGeneral disorders
Seasonal allergyImmune system disorders
Conjunctivitis bacterialInfections and infestations
FolliculitisInfections and infestations
GastroenteritisInfections and infestations
ImpetigoInfections and infestations
OverdoseInjury, poisoning and procedural complications
ArthralgiaMusculoskeletal and connective tissue disorders
Skin papillomaNeoplasms benign, malignant and unspecified (incl cysts and polyps)
AnxietyPsychiatric disorders
AcneSkin and subcutaneous tissue disorders
HypertensionVascular disorders
EosinophiliaBlood and lymphatic system disorders
Atopic keratoconjunctivitisEye disorders
BlepharitisEye disorders
CataractEye disorders
Eye dischargeEye disorders
Eye pruritusEye disorders
Eyelid erosionEye disorders
Abdominal painGastrointestinal disorders
ConstipationGastrointestinal disorders
Dental cariesGastrointestinal disorders
DiarrhoeaGastrointestinal disorders
Injection site painGeneral disorders
Injection site reactionGeneral disorders

Most-reported serious reactions: Dermatitis atopic, Cardiac failure, Myocardial infarction, Rhegmatogenous retinal detachment, Pancreatitis, Hepatic steatosis, Acarodermatitis, Erysipelas.

Data from ClinicalTrials.gov NCT04178967 adverse events section.

Sponsor's own description

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.

Publications & conference data

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

  1. Antibodies to watch in 2020.
    Kaplon H, Muralidharan M, Schneider Z, Reichert JM. · · 2020 · cited 332× · PMID 31847708 · DOI 10.1080/19420862.2019.1703531
  2. Two Phase 3 Trials of Lebrikizumab for Moderate-to-Severe Atopic Dermatitis.
    Silverberg JI, Guttman-Yassky E, Thaçi D, Irvine AD, et al · · 2023 · cited 230× · PMID 36920778 · DOI 10.1056/nejmoa2206714
  3. Antibodies to watch in 2021.
    Kaplon H, Reichert JM. · · 2021 · cited 215× · PMID 33459118 · DOI 10.1080/19420862.2020.1860476
  4. Antibodies to watch in 2023.
    Kaplon H, Crescioli S, Chenoweth A, Visweswaraiah J, et al · · 2023 · cited 204× · PMID 36472472 · DOI 10.1080/19420862.2022.2153410
  5. 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
  6. Antibodies to watch in 2024.
    Crescioli S, Kaplon H, Chenoweth A, Wang L, et al · · 2024 · cited 122× · PMID 38178784 · DOI 10.1080/19420862.2023.2297450
  7. Biologics for Treatment of Atopic Dermatitis: Current Status and Future Prospect.
    Ratchataswan T, Banzon TM, Thyssen JP, Weidinger S, et al · · 2021 · cited 102× · PMID 33685604 · DOI 10.1016/j.jaip.2020.11.034
  8. Efficacy and safety of lebrikizumab in moderate-to-severe atopic dermatitis: 52-week results of two randomized double-blinded placebo-controlled phase III trials.
    Blauvelt A, Thyssen JP, Guttman-Yassky E, Bieber T, et al · · 2023 · cited 92× · PMID 36994947 · DOI 10.1093/bjd/ljad022

Verify or expand the search:

Other trials of Lebrikizumab

Trials testing the same drug.

Other recruiting trials for Atopic Dermatitis

Currently open trials in the same condition.

Other Eli Lilly and Company trials

Trials by the same sponsor.

Verify against primary sources

Data sources for this page

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/NCT04178967.

Primary sources · FDA · ClinicalTrials.gov · EMA · SEC EDGAR · ChEMBL · Wikidata · full sourcing