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NCT04626297

A Study of Lebrikizumab (LY3650150) on Vaccine Response in Adults With Atopic Dermatitis (ADopt-VA)

Completed Phase 3 Results posted Last updated 17 October 2023
What this trial tests

Phase 3 trial testing Lebrikizumab in Atopic Dermatitis in 254 participants. Completed in 30 September 2022.

Timeline
17 November 2020
Primary endpoint
3 August 2022
30 September 2022

Quick facts

Lead sponsorEli Lilly and Company
PhasePhase 3
StatusCompleted
Study typeINTERVENTIONAL
Allocationrandomized
Designparallel
Maskingdouble
Primary purposetreatment
Enrollment254
Start date17 November 2020
Primary completion3 August 2022
Estimated completion30 September 2022
Sites85 locations across United States

Drugs / interventions tested

Conditions studied

Sponsor

Eli Lilly and Company — full company profile →

Who can join

Adults 18 to 55, 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 Who Develop a Booster Response to Tetanus Toxoid 4 Weeks After Tdap (Tetanus-diphtheria-pertussis) Vaccine Administration Primary · Week 16

Booster response to tetanus toxoid is defined as: ≥4-fold increase in anti-tetanus toxoid immunoglobulin G (IgG) antibody concentration if the pre-vaccination level was \>0.10 International units per milliliter (IU/mL) and ≤2.7 IU/mL; OR ≥2-fold increase in anti-tetanus toxoid IgG antibody concentration if the pre-vaccination level was \>2.7 IU/mL; OR ≥4-fold increase in anti-tetanus toxoid IgG antibody concentration and a post-vaccination level ≥0.10 IU/mL if the pre-vaccination level was ≤0.10 IU/mL

GroupValue95% CI
Placebo73.4
Lebrikizumab 250 mg73.6
Percentage of Participants Who Have Positive Antibody Response to Meningococcus C Antigen 4 Weeks After Meningococcal Conjugate Vaccine (MCV) Administration Primary · Week 16

Positive antibody response to Meningococcus C antigen as measured by group C serum bactericidal antibodies is defined as: post-vaccination rabbit complement serum bactericidal assay (rSBA) titer ≥4 times the lower limit of quantitation (LLOQ), if the pre-vaccination rSBA titer is less than the LLOQ; OR post-vaccination rSBA titer ≥4 times the pre-vaccination titer, if the pre-vaccination rSBA titer is greater than or equal to the LLOQ.

GroupValue95% CI
Placebo75
Lebrikizumab 250 mg86.9
Percentage of Participants Achieving an Investigator Global Assessment (IGA) Score of 0 or 1 and a Reduction of ≥2 Points From Baseline Secondary · Week 16

The IGA measures the investigator's global assessment of the participants 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. Markov Chain Monte Carlo Multiple Imputation (MCMC-MI) was used to handle missing data.

GroupValue95% CI
Placebo18.911.4 – 26.3
Lebrikizumab 250 mg40.631.8 – 49.4
Percentage of Participants Achieving a ≥75% Reduction From Baseline in Eczema Area and Severity Index Score (EASI-75) Secondary · Week 16

The EASI-75 is defined as a ≥ 75% improvement from baseline in the EASI score. EASI assesses objective physician estimates of 2 dimensions of atopic dermatitis - disease extent and clinical signs, by scoring the extent of disease (percentage of skin affected: 0 = 0%; 1 = 1-9%; 2 = 10-29%; 3 = 30-49%; 4 = 50-69%; 5 = 70-89%; 6 = 90-100%) and the severity of 4 clinical signs (erythema, edema/papulation, excoriation, and lichenification) each on a scale of 0 to 3 (0 = none, absent; 1 = mild; 2 = moderate; 3 = severe) at 4 body sites (head and neck, trunk, upper limbs, and lower limbs). Half score

GroupValue95% CI
Placebo32.723.5 – 41.9
Lebrikizumab 250 mg58.049.1 – 66.9
Percentage of Participants Achieving ≥90% Reduction From Baseline in Eczema Area and Severity Index Score (EASI-90) Secondary · Week 16

The EASI-90 is defined as a ≥ 90% improvement from baseline in the EASI score. EASI assesses objective physician estimates of 2 dimensions of atopic dermatitis - disease extent and clinical signs, by scoring the extent of disease (percentage of skin affected: 0 = 0%; 1 = 1-9%; 2 = 10-29%; 3 = 30-49%; 4 = 50-69%; 5 = 70-89%; 6 = 90-100%) and the severity of 4 clinical signs (erythema, edema/papulation, excoriation, and lichenification) each on a scale of 0 to 3 (0 = none, absent; 1 = mild; 2 = moderate; 3 = severe) at 4 body sites (head and neck, trunk, upper limbs, and lower limbs). Half score

GroupValue95% CI
Placebo18.911.3 – 26.4
Lebrikizumab 250 mg39.230.5 – 47.9
Percentage of Participants Achieving ≥4-Point Improvement From Baseline in Pruritus Numeric Rating Scale (NRS) Score Secondary · Week 16

The 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." MCMC-MI was used to handle missing data.

GroupValue95% CI
Placebo33.222.6 – 43.8
Lebrikizumab 250 mg51.741.2 – 62.3
Change From Baseline in Percent Body Surface Area (BSA) Secondary · Baseline, Week 16

The BSA assessment estimates the extent of disease or skin involvement with respect to AD and is expressed as a percentage of body surface area. It was assessed for 4 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%. BSA was calculated using the participant's palm, 1 palm = 1% with estimates of the number of palms it takes to cover the affected AD area. Maximum number of palms were 10 for head and neck (10%), 20 for upper extremities (20%

GroupValue95% CI
Placebo-19.34± 1.882
Lebrikizumab 250 mg-27.55± 1.719
Change From Baseline in Sleep-Loss Score Secondary · Baseline, Week 16

Sleep Loss due to interference of itch will be assessed by the participant. Participants rate their interference of itch on sleep based on a 5-point Likert scale \[0 (not at all) to 4 (unable to sleep at all)\]. Higher scores indicate a greater impact and worse outcome. Assessments will be recorded daily by the participant using an electronic diary, and the week 16 score was calculated by averaging the daily scores from the previous 7 days and the average score was used to compute a change from baseline. MCMC-MI was used to handle missing data.

GroupValue95% CI
Placebo-0.87± 0.122
Lebrikizumab 250 mg-1.35± 0.107

Adverse events — posted to ClinicalTrials.gov

Time frame: Baseline Up To Week 26. Reporting threshold: 0%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Placebo
Serious: 1/127 (1%)
Deaths: 0/127
Lebrikizumab 250 mg
Serious: 1/127 (1%)
Deaths: 0/127

Serious adverse events (2 terms)

ReactionSystemPlaceboLebrikizumab 250 mg
Breast cancer stage iiNeoplasms benign, malignant and unspecified (incl cysts and polyps)
Dermatitis atopicSkin and subcutaneous tissue disorders
Other adverse events (92 terms — click to expand)

ReactionSystemPlaceboLebrikizumab 250 mg
Dermatitis atopicSkin and subcutaneous tissue disorders
Covid-19Infections and infestations
NasopharyngitisInfections and infestations
HeadacheNervous system disorders
ConjunctivitisInfections and infestations
Conjunctivitis allergicEye disorders
Chest painGeneral disorders
FatigueGeneral disorders
Injection site bruisingGeneral disorders
Otitis externaInfections and infestations
Upper respiratory tract infectionInfections and infestations
Urinary tract infectionInfections and infestations
Skin abrasionInjury, poisoning and procedural complications
Dermatitis contactSkin and subcutaneous tissue disorders
AnaemiaBlood and lymphatic system disorders
Iron deficiency anaemiaBlood and lymphatic system disorders
LeukopeniaBlood and lymphatic system disorders
LymphadenopathyBlood and lymphatic system disorders
ThrombocytopeniaBlood and lymphatic system disorders
TachycardiaCardiac disorders
Ear discomfortEar and labyrinth disorders
Eye pruritusEye disorders
Abdominal painGastrointestinal disorders
DiarrhoeaGastrointestinal disorders
DyspepsiaGastrointestinal disorders
NauseaGastrointestinal disorders
Chest discomfortGeneral disorders
Injection site erythemaGeneral disorders
Injection site hypersensitivityGeneral disorders
Injection site painGeneral disorders
Injection site pruritusGeneral disorders
PainGeneral disorders
PyrexiaGeneral disorders
Secretion dischargeGeneral disorders
Vaccination site painGeneral disorders
HypertransaminasaemiaHepatobiliary disorders
Bacterial vaginosisInfections and infestations
BronchitisInfections and infestations
Gastroenteritis viralInfections and infestations
Helicobacter infectionInfections and infestations

Most-reported serious reactions: Breast cancer stage ii, Dermatitis atopic.

Data from ClinicalTrials.gov NCT04626297 adverse events section.

Sponsor's own description

The reason for this study is to assess the impact of lebrikizumab on vaccine immune response in adult participants with moderate to severe atopic dermatitis (AD).

Publications & conference data

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

  1. Selective IL-13 inhibitors for the treatment of atopic dermatitis.
    Gonçalves F, Freitas E, Torres T. · · 2021 · cited 33× · PMID 33889195 · DOI 10.7573/dic.2021-1-7
  2. Lebrikizumab for the Treatment of Moderate-to-Severe Atopic Dermatitis.
    Bernardo D, Bieber T, Torres T. · · 2023 · cited 31× · PMID 37266844 · DOI 10.1007/s40257-023-00793-5
  3. Managing Atopic Dermatitis with Lebrikizumab - The Evidence to Date.
    Labib A, Ju T, Yosipovitch G. · · 2022 · cited 24× · PMID 35702658 · DOI 10.2147/ccid.s295672
  4. A Comprehensive Review of Biologics in Phase III and IV Clinical Trials for Atopic Dermatitis.
    Waligóra-Dziwak K, Dańczak-Pazdrowska A, Jenerowicz D. · · 2024 · cited 16× · PMID 39064040 · DOI 10.3390/jcm13144001
  5. The Impact of Lebrikizumab on Vaccine-Induced Immune Responses: Results from a Phase 3 Study in Adult Patients with Moderate-to-Severe Atopic Dermatitis.
    Soung J, Laquer V, Merola JF, Moore A, et al · · 2024 · cited 3× · PMID 39009804 · DOI 10.1007/s13555-024-01217-w

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.

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