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NCT05121480

A Study Investigating the Effect of EDP1815 in the Treatment of Mild, Moderate and Severe Atopic Dermatitis

Completed Phase 2 Results posted Last updated 16 August 2023
What this trial tests

Phase 2 trial testing EDP1815 in Atopic Dermatitis in 421 participants. Completed in 28 March 2023.

Timeline
31 January 2022
Primary endpoint
9 March 2023
28 March 2023

Quick facts

Lead sponsorEvelo Biosciences, Inc.
PhasePhase 2
StatusCompleted
Study typeINTERVENTIONAL
Allocationrandomized
Designparallel
Maskingquadruple
Primary purposetreatment
Enrollment421
Start date31 January 2022
Primary completion9 March 2023
Estimated completion28 March 2023
Sites59 locations across Germany, Poland, Canada, Bulgaria, Australia, United States

Drugs / interventions tested

Conditions studied

Sponsor

Evelo Biosciences, Inc. — full company profile →

Who can join

Adults 18 to 75, 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.

Achievement of EASI-50 Primary · 16 weeks

The efficacy of EDP1815 will be measured by achieving a decrease of at least 50% from baseline in Eczema Area Severity Index (EASI) score of 50 (EASI-50) at Week 16. The EASI is a validated measure of eczema severity, which considers a combination of the disease severity and body surface area affected across 4 body regions. The EASI score ranges from 0 - 72. A lower score indicates a better outcome.

GroupValue95% CI
Cohorts 1-3 - Placebo38
Cohort 1 - Active27
Cohort 2 - Active25
Cohort 3 - Active23
Cohort 4 - Placebo17
Cohort 4 - Active25
Percentage of Participants Achieving EASI-50 Secondary · 4, 8 and 12 weeks

The efficacy of EDP1815 will be measured by the number of participants achieving an EASI-50 at Weeks 4, 8 and 12. The Eczema Area Severity Index (EASI) is a validated measure of eczema severity, which considers a combination of the disease severity and body surface area affected across 4 body regions (arms, legs, trunk, and head/neck). The EASI score ranges from 0 - 72, with a lower score indicating a better outcome.

Week 4
GroupValue95% CI
Cohorts 1-3 - Placebo20
Cohort 1 - Active18
Cohort 2 - Active14
Cohort 3 - Active18
Cohort 4 - Placebo8
Cohort 4 - Active23
Week 8
GroupValue95% CI
Cohorts 1-3 - Placebo23
Cohort 1 - Active29
Cohort 2 - Active21
Cohort 3 - Active22
Cohort 4 - Placebo16
Cohort 4 - Active27
Week 12
GroupValue95% CI
Cohorts 1-3 - Placebo26
Cohort 1 - Active33
Cohort 2 - Active21
Cohort 3 - Active24
Cohort 4 - Placebo17
Cohort 4 - Active24
Percentage of Participants Achieving EASI-75 Secondary · 4, 8, 12, and 16 weeks

The efficacy of EDP1815 will be measured by the number of participants achieving an EASI-75 at Weeks 4, 8, 12 and 16. The Eczema Area Severity Index (EASI) is a validated measure of eczema severity, which considers a combination of the disease severity and body surface area affected across 4 body regions (arms, legs, trunk, and head/neck). The EASI score ranges from 0 - 72, with a lower score indicating a better outcome.

Week 4
GroupValue95% CI
Cohorts 1-3 - Placebo1
Cohort 1 - Active9
Cohort 2 - Active4
Cohort 3 - Active6
Cohort 4 - Placebo2
Cohort 4 - Active7
Week 8
GroupValue95% CI
Cohorts 1-3 - Placebo5
Cohort 1 - Active11
Cohort 2 - Active11
Cohort 3 - Active9
Cohort 4 - Placebo9
Cohort 4 - Active11
Week 12
GroupValue95% CI
Cohorts 1-3 - Placebo11
Cohort 1 - Active13
Cohort 2 - Active8
Cohort 3 - Active13
Cohort 4 - Placebo10
Cohort 4 - Active15
Week 16
GroupValue95% CI
Cohorts 1-3 - Placebo22
Cohort 1 - Active13
Cohort 2 - Active9
Cohort 3 - Active13
Cohort 4 - Placebo9
Cohort 4 - Active11
Percentage of Participants Achieving EASI-90 Secondary · 4, 8, 12, and 16 weeks

The efficacy of EDP1815 will be measured by the number of participants achieving an EASI-90 at Weeks 4, 8, 12 and 16. The Eczema Area Severity Index (EASI) is a validated measure of eczema severity, which considers a combination of the disease severity and body surface area affected across 4 body regions (arms, legs, trunk, and head/neck). The EASI score ranges from 0 - 72, with a lower score indicating a better outcome.

Week 4
GroupValue95% CI
Cohorts 1-3 - Placebo0
Cohort 1 - Active3
Cohort 2 - Active1
Cohort 3 - Active1
Cohort 4 - Placebo0
Cohort 4 - Active1
Week 8
GroupValue95% CI
Cohorts 1-3 - Placebo1
Cohort 1 - Active3
Cohort 2 - Active3
Cohort 3 - Active4
Cohort 4 - Placebo2
Cohort 4 - Active4
Week 12
GroupValue95% CI
Cohorts 1-3 - Placebo6
Cohort 1 - Active5
Cohort 2 - Active5
Cohort 3 - Active3
Cohort 4 - Placebo4
Cohort 4 - Active7
Week 16
GroupValue95% CI
Cohorts 1-3 - Placebo8
Cohort 1 - Active3
Cohort 2 - Active5
Cohort 3 - Active6
Cohort 4 - Placebo1
Cohort 4 - Active4
Mean Absolute Change in EASI Secondary · 4, 8, 12, and 16 weeks

The efficacy of EDP1815 will be measured using the mean absolute change from baseline in EASI at weeks 4, 8, 12 and 16. The Eczema Area Severity Index (EASI) is a validated measure of eczema severity, which considers a combination of the disease severity and body surface area affected across 4 body regions (arms, legs, trunk, and head/neck). The EASI score ranges from 0 - 72, with a lower score indicating a better outcome.

Week 4
GroupValue95% CI
Cohorts 1-3 - Placebo-2.88± 5.229
Cohort 1 - Active-4.57± 6.248
Cohort 2 - Active-1.87± 7.020
Cohort 3 - Active-3.72± 7.947
Cohort 4 - Placebo-3.09± 5.834
Cohort 4 - Active-3.36± 5.293
Week 8
GroupValue95% CI
Cohorts 1-3 - Placebo-4.30± 5.642
Cohort 1 - Active-5.68± 6.823
Cohort 2 - Active-3.05± 8.001
Cohort 3 - Active-4.54± 8.930
Cohort 4 - Placebo-5.57± 6.665
Cohort 4 - Active-4.22± 5.056
Week 12
GroupValue95% CI
Cohorts 1-3 - Placebo-5.42± 5.590
Cohort 1 - Active-6.38± 7.924
Cohort 2 - Active-3.56± 8.049
Cohort 3 - Active-5.12± 8.982
Cohort 4 - Placebo-6.58± 6.758
Cohort 4 - Active-4.82± 5.063
Week 16
GroupValue95% CI
Cohorts 1-3 - Placebo-6.48± 6.360
Cohort 1 - Active-5.83± 7.915
Cohort 2 - Active-4.55± 7.897
Cohort 3 - Active-5.11± 9.116
Cohort 4 - Placebo-6.99± 6.806
Cohort 4 - Active-4.82± 5.480
Mean Percentage Change in EASI Secondary · 4, 8, 12, and 16 weeks

The efficacy of EDP1815 will be measured using the mean percentage change from baseline in EASI from baseline at weeks 4, 8, 12 and 16. The Eczema Area Severity Index (EASI) is a validated measure of eczema severity, which considers a combination of the disease severity and body surface area affected across 4 body regions (arms, legs, trunk, and head/neck). The EASI score ranges from 0 - 72, with a lower score indicating a better outcome.

Week 4
GroupValue95% CI
Cohorts 1-3 - Placebo-20.13± 36.926
Cohort 1 - Active-27.36± 38.993
Cohort 2 - Active-13.96± 48.008
Cohort 3 - Active-22.80± 40.131
Cohort 4 - Placebo-23.30± 35.369
Cohort 4 - Active-27.30± 41.493
Week 8
GroupValue95% CI
Cohorts 1-3 - Placebo-30.96± 36.521
Cohort 1 - Active-35.33± 42.920
Cohort 2 - Active-22.70± 50.991
Cohort 3 - Active-27.14± 43.544
Cohort 4 - Placebo-43.08± 36.432
Cohort 4 - Active-35.92± 40.244
Week 12
GroupValue95% CI
Cohorts 1-3 - Placebo-40.05± 38.450
Cohort 1 - Active-38.40± 48.605
Cohort 2 - Active-24.69± 49.969
Cohort 3 - Active-31.95± 44.916
Cohort 4 - Placebo-44.99± 34.922
Cohort 4 - Active-41.28± 40.377
Week 16
GroupValue95% CI
Cohorts 1-3 - Placebo-46.97± 44.193
Cohort 1 - Active-35.72± 49.737
Cohort 2 - Active-31.03± 46.957
Cohort 3 - Active-32.68± 45.752
Cohort 4 - Placebo-45.58± 35.526
Cohort 4 - Active-39.35± 39.316
Percentage of Participants Achieving Investigator's Global Assessment (vIGA) of 0 or 1 With a ≥2 Point Improvement Secondary · 4, 8, 12, and 16 weeks

The efficacy of EDP1815 will be measured by the number of participants achieving a vIGA of 0 or 1 with a ≥2 Point Improvement from baseline at Weeks 4, 8, 12 and 16

Week 4
GroupValue95% CI
Cohorts 1-3 - Placebo1
Cohort 1 - Active5
Cohort 2 - Active3
Cohort 3 - Active2
Cohort 4 - Placebo2
Cohort 4 - Active4
Week 8
GroupValue95% CI
Cohorts 1-3 - Placebo3
Cohort 1 - Active5
Cohort 2 - Active5
Cohort 3 - Active6
Cohort 4 - Placebo5
Cohort 4 - Active9
Week 12
GroupValue95% CI
Cohorts 1-3 - Placebo6
Cohort 1 - Active6
Cohort 2 - Active5
Cohort 3 - Active6
Cohort 4 - Placebo6
Cohort 4 - Active9
Week 16
GroupValue95% CI
Cohorts 1-3 - Placebo12
Cohort 1 - Active5
Cohort 2 - Active7
Cohort 3 - Active10
Cohort 4 - Placebo2
Cohort 4 - Active7
Percentage of Participants Achieving vIGA of 0 or 1 Secondary · 4, 8, 12, and 16 weeks

The efficacy of EDP1815 will be measured by the number of participants achieving a vIGA of 0 or 1 at Weeks 4, 8, 12 and 16

Week 4
GroupValue95% CI
Cohorts 1-3 - Placebo2
Cohort 1 - Active7
Cohort 2 - Active3
Cohort 3 - Active4
Cohort 4 - Placebo3
Cohort 4 - Active8
Week 8
GroupValue95% CI
Cohorts 1-3 - Placebo4
Cohort 1 - Active7
Cohort 2 - Active5
Cohort 3 - Active7
Cohort 4 - Placebo8
Cohort 4 - Active12
Week 12
GroupValue95% CI
Cohorts 1-3 - Placebo12
Cohort 1 - Active10
Cohort 2 - Active5
Cohort 3 - Active9
Cohort 4 - Placebo9
Cohort 4 - Active11
Week 16
GroupValue95% CI
Cohorts 1-3 - Placebo19
Cohort 1 - Active10
Cohort 2 - Active7
Cohort 3 - Active11
Cohort 4 - Placebo5
Cohort 4 - Active9
Percentage of Participants Achieving vIGA of 0 Secondary · 16 weeks

The efficacy of EDP1815 will be measured by the number of participants achieving a vIGA of 0 at Week16

GroupValue95% CI
Cohorts 1-3 - Placebo2
Cohort 1 - Active1
Cohort 2 - Active2
Cohort 3 - Active1
Cohort 4 - Placebo0
Cohort 4 - Active3
Mean Absolute Change in vIGA*BSA Secondary · 4, 8, 12, and 16 weeks

The efficacy of EDP1815 will be measured using the mean absolute change from baseline in vIGA (Validated Investigator Global Assessment) multiplied by the BSA (body surface area) at weeks 4, 8, 12 and 16.

Week 4
GroupValue95% CI
Cohorts 1-3 - Placebo-6.47± 27.832
Cohort 1 - Active-15.84± 33.960
Cohort 2 - Active-5.96± 40.678
Cohort 3 - Active-10.92± 52.802
Cohort 4 - Placebo-11.04± 29.770
Cohort 4 - Active-14.07± 30.797
Week 8
GroupValue95% CI
Cohorts 1-3 - Placebo-14.49± 36.336
Cohort 1 - Active-21.31± 41.564
Cohort 2 - Active-12.46± 45.651
Cohort 3 - Active-14.53± 59.754
Cohort 4 - Placebo-21.63± 32.517
Cohort 4 - Active-17.88± 29.523
Week 12
GroupValue95% CI
Cohorts 1-3 - Placebo-20.83± 36.619
Cohort 1 - Active-24.85± 58.901
Cohort 2 - Active-10.48± 45.919
Cohort 3 - Active-17.26± 60.858
Cohort 4 - Placebo-28.91± 40.904
Cohort 4 - Active-19.56± 30.250
Week 16
GroupValue95% CI
Cohorts 1-3 - Placebo-25.70± 36.633
Cohort 1 - Active-18.90± 58.271
Cohort 2 - Active-14.52± 46.948
Cohort 3 - Active-18.10± 59.953
Cohort 4 - Placebo-31.00± 42.250
Cohort 4 - Active-24.23± 35.523
Mean Percentage Change in vIGA*BSA Secondary · 4, 8, 12, and 16 weeks

The efficacy of EDP1815 will be measured using the mean percentage change from baseline in vIGA (Validated Investigator Global Assessment) multiplied by the BSA (body surface area) at weeks 4, 8, 12 and 16.

Week 4
GroupValue95% CI
Cohorts 1-3 - Placebo-14.82± 47.171
Cohort 1 - Active-21.83± 47.440
Cohort 2 - Active-9.70± 59.410
Cohort 3 - Active-13.26± 75.742
Cohort 4 - Placebo-19.01± 49.996
Cohort 4 - Active-25.99± 51.487
Week 8
GroupValue95% CI
Cohorts 1-3 - Placebo-25.95± 51.703
Cohort 1 - Active-32.16± 54.509
Cohort 2 - Active-21.27± 65.335
Cohort 3 - Active-15.77± 78.290
Cohort 4 - Placebo-42.98± 44.572
Cohort 4 - Active-35.85± 47.881
Week 12
GroupValue95% CI
Cohorts 1-3 - Placebo-39.10± 50.435
Cohort 1 - Active-33.23± 74.662
Cohort 2 - Active-18.83± 68.537
Cohort 3 - Active-23.49± 79.946
Cohort 4 - Placebo-43.64± 52.832
Cohort 4 - Active-37.27± 51.582
Week 16
GroupValue95% CI
Cohorts 1-3 - Placebo-49.25± 51.883
Cohort 1 - Active-28.17± 78.637
Cohort 2 - Active-23.15± 71.749
Cohort 3 - Active-23.74± 81.817
Cohort 4 - Placebo-44.29± 60.140
Cohort 4 - Active-43.02± 41.198
Mean Absolute Change From Baseline in BSA Secondary · 4, 8, 12, and 16 weeks

The efficacy of EDP1815 will be measured using the mean absolute change from baseline in BSA (body surface area) at weeks 4, 8, 12 and 16. The Body Surface Area (BSA) is a measure of the extent of atopic dermatitis at a given time. It is calculated by estimating the number of participant's handprints of active atopic dermatitis are present where one handprint represents 1% body surface area. This higher the BSA %, the more active atopic dermatitis is present.

Week 4
GroupValue95% CI
Cohorts 1-3 - Placebo-2.06± 7.127
Cohort 1 - Active-3.87± 8.429
Cohort 2 - Active-1.81± 10.573
Cohort 3 - Active-3.09± 13.025
Cohort 4 - Placebo-2.50± 7.886
Cohort 4 - Active-3.43± 7.503
Week 8
GroupValue95% CI
Cohorts 1-3 - Placebo-3.96± 8.354
Cohort 1 - Active-5.58± 10.766
Cohort 2 - Active-4.10± 12.211
Cohort 3 - Active-4.09± 14.854
Cohort 4 - Placebo-5.42± 8.712
Cohort 4 - Active-4.50± 8.021
Week 12
GroupValue95% CI
Cohorts 1-3 - Placebo-5.61± 9.432
Cohort 1 - Active-6.79± 14.420
Cohort 2 - Active-3.21± 12.990
Cohort 3 - Active-5.13± 15.342
Cohort 4 - Placebo-7.96± 11.601
Cohort 4 - Active-5.36± 8.550
Week 16
GroupValue95% CI
Cohorts 1-3 - Placebo-7.18± 9.772
Cohort 1 - Active-5.65± 14.554
Cohort 2 - Active-4.30± 12.902
Cohort 3 - Active-4.96± 15.289
Cohort 4 - Placebo-8.87± 11.221
Cohort 4 - Active-6.28± 9.078

Adverse events — posted to ClinicalTrials.gov

Time frame: Adverse events (AEs) were collected after the participant signing of the informed consent form (ICF) through 16 weeks of treatment plus an additional 28 days after taking their last dose of study drug.. Reporting threshold: 5%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

All Placebo
Serious: 1/113 (1%)
Deaths: 0/113
Cohort 1 - Active
Serious: 2/74 (3%)
Deaths: 0/74
Cohort 2 - Active
Serious: 2/74 (3%)
Deaths: 0/74
Cohort 3 - Active
Serious: 1/85 (1%)
Deaths: 0/85
Cohort 4 - Active
Serious: 0/74 (0%)
Deaths: 0/74

Serious adverse events (6 terms)

ReactionSystemAll PlaceboCohort 1 - ActiveCohort 2 - ActiveCohort 3 - ActiveCohort 4 - Active
PneumoniaInfections and infestations
Dermatitis AtopicSkin and subcutaneous tissue disorders
Ischaemic StrokeNervous system disorders
Hepatitis ToxicHepatobiliary disorders
Papillary Thyroid CancerNeoplasms benign, malignant and unspecified (incl cysts and polyps)
Cerebrovascular AccidentNervous system disorders
Other adverse events (6 terms — click to expand)

ReactionSystemAll PlaceboCohort 1 - ActiveCohort 2 - ActiveCohort 3 - ActiveCohort 4 - Active
Dermatitis atopicSkin and subcutaneous tissue disorders
HeadacheNervous system disorders
Upper respiratory tract infectionRespiratory, thoracic and mediastinal disorders
NasopharyngitisInfections and infestations
COVID-19Infections and infestations
DiarrhoeaGastrointestinal disorders

Most-reported serious reactions: Pneumonia, Dermatitis Atopic, Ischaemic Stroke, Hepatitis Toxic, Papillary Thyroid Cancer, Cerebrovascular Accident.

Data from ClinicalTrials.gov NCT05121480 adverse events section.

Sponsor's own description

The purpose of this research study is to determine whether the study drug, EDP1815, is safe and effective in the treatment of atopic dermatitis compared with placebo. The study will look at different doses of the study drug, and whether there are differences when the drug is given once daily or twice daily.

Publications & conference data

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

  1. A Systematic Review of Atopic Dermatitis: The Intriguing Journey Starting from Physiopathology to Treatment, from Laboratory Bench to Bedside.
    Radi G, Campanti A, Diotallevi F, Martina E, et al · · 2022 · cited 17× · PMID 36359220 · DOI 10.3390/biomedicines10112700
  2. Clinical translation of anti-inflammatory effects of <i>Prevotella histicola</i> in Th1, Th2, and Th17 inflammation.
    Itano A, Maslin D, Ramani K, Mehraei G, et al · · 2023 · cited 12× · PMID 37215725 · DOI 10.3389/fmed.2023.1070433
  3. Microbiome Therapeutics for Food Allergy.
    Chernikova DA, Zhao MY, Jacobs JP. · · 2022 · cited 8× · PMID 36501184 · DOI 10.3390/nu14235155
  4. Gut microbiota and transcriptome dynamics in every-other-day fasting are associated with neuroprotection in rats with spinal cord injury.
    Wang J, Zhao X, Zhou R, Wang M, et al · · 2023 · cited 6× · PMID 37577426 · DOI 10.3389/fmicb.2023.1206909

Verify or expand the search:

Other trials of EDP1815

Trials testing the same drug.

Other recruiting trials for Atopic Dermatitis

Currently open trials in the same condition.

Other Evelo Biosciences, Inc. 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/NCT05121480.

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