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NCT05131477: STREAM-AD

Study Testing Response Effect of KY1005 Against Moderate-to-Severe Atopic Dermatitis, The STREAM-AD Study

Completed Phase 2 Results posted Last updated 3 July 2025
What this trial tests

Phase 2 trial testing Amlitelimab in Eczema in 390 participants. Completed in 21 February 2024.

Timeline
13 December 2021
Primary endpoint
26 April 2023
21 February 2024

Quick facts

Lead sponsorKymab Limited
PhasePhase 2
StatusCompleted
Study typeINTERVENTIONAL
Allocationrandomized
Designparallel
Maskingquadruple
Primary purposetreatment
Enrollment390
Start date13 December 2021
Primary completion26 April 2023
Estimated completion21 February 2024
Sites103 locations across Japan, Taiwan, United Kingdom, Germany, Hungary, Poland, Canada, Bulgaria

Drugs / interventions tested

Conditions studied

Sponsor

Kymab Limited — full company profile →

Who can join

Adults 18 to 75, any sex, with Eczema or 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 Change in EASI (Eczema Area and Severity Index) From Baseline to Week 16 (Part 1) Primary · Baseline to week 16

Eczema Area and Severity Index-The EASI is an Investigator-assessed validated tool used to measure the extent (area) and severity of AD with scores from 0 to 72. Higher scores indicate worse condition.

GroupValue95% CI
250 mg (500 mg LD) KY1005 (Part 1)-61.5± 4.68
250 mg (no LD) KY1005 (Part 1)-56.8± 4.59
125 mg KY1005 (Part 1)-51.6± 4.59
62.5 mg KY1005 (Part 1)-59.6± 4.53
Placebo (Part 1)-29.4± 4.76
Percentage Change in EASI (Eczema Area and Severity Index) From Baseline to Week 24 (Part 1) Secondary · Baseline to week 24

Eczema Area and Severity Index-The EASI is an Investigator-assessed validated tool used to measure the extent (area) and severity of AD with scores from 0 to 72. Higher scores indicate worse condition.

GroupValue95% CI
250 mg (500 mg LD) KY1005 (Part 1)-64.4± 5.17
250 mg (no LD) KY1005 (Part 1)-52.2± 5.14
125 mg KY1005 (Part 1)-53.7± 5.08
62.5 mg KY1005 (Part 1)-54.4± 5.09
Placebo (Part 1)-27.6± 5.29
Percentage of Participants With at Least a 75% Reduction From Baseline in EASI (EASI 75) at Week 16 and Week 24 (Part 1) Secondary · Baseline to week 16 and week 24

Eczema Area and Severity Index-The EASI is an Investigator-assessed validated tool used to measure the extent (area) and severity of AD with scores from 0 to 72. Higher scores indicate worse condition.

Week 16
GroupValue95% CI
250 mg (500 mg LD) KY1005 (Part 1)40.3
250 mg (no LD) KY1005 (Part 1)38.5
125 mg KY1005 (Part 1)42.9
62.5 mg KY1005 (Part 1)40.5
Placebo (Part 1)11.4
Week 24
GroupValue95% CI
250 mg (500 mg LD) KY1005 (Part 1)54.5
250 mg (no LD) KY1005 (Part 1)38.5
125 mg KY1005 (Part 1)49.4
62.5 mg KY1005 (Part 1)40.5
Placebo (Part 1)17.7
Percentage of Participants With a Response of IGA (Investigator Global Assessment) 0 or 1 and a Reduction From Baseline ≥ 2 Points (Part 1) Secondary · Baseline to week 16 and week 24

The IGA is a five-point scale that provides a global clinical assessment of AD severity ranging from 0 to 4, where 0 indicates clear,1 is almost clear, 2 is mild, 3 is moderate, and 4 indicates severe AD.

Week 16
GroupValue95% CI
250 mg (500 mg LD) KY1005 (Part 1)22.1
250 mg (no LD) KY1005 (Part 1)14.1
125 mg KY1005 (Part 1)19.5
62.5 mg KY1005 (Part 1)25.3
Placebo (Part 1)5.1
Week 24
GroupValue95% CI
250 mg (500 mg LD) KY1005 (Part 1)45.5
250 mg (no LD) KY1005 (Part 1)33.3
125 mg KY1005 (Part 1)40.3
62.5 mg KY1005 (Part 1)29.1
Placebo (Part 1)11.4
Percentage of Participants With Improvement (Reduction) of Weekly Average of Pruritus NRS (Numerical Rating Scale) ≥ 4 With a Baseline Pruritus of ≥ 4 From Baseline (Part 1) Secondary · Baseline to week 16 and week 24

The pruritus NRS is a simple assessment tool to report the intensity of their pruritus (itch) ranges from 0 to 10 with 0 being 'no itch' and 10 being the 'worst itch imaginable'.

Week 16
GroupValue95% CI
250 mg (500 mg LD) KY1005 (Part 1)24.7
250 mg (no LD) KY1005 (Part 1)19.2
125 mg KY1005 (Part 1)20.8
62.5 mg KY1005 (Part 1)22.8
Placebo (Part 1)5.1
Week 24
GroupValue95% CI
250 mg (500 mg LD) KY1005 (Part 1)31.2
250 mg (no LD) KY1005 (Part 1)24.4
125 mg KY1005 (Part 1)28.6
62.5 mg KY1005 (Part 1)27.8
Placebo (Part 1)7.6
Percentage of Participants With Improvement (Reduction) of Weekly Average of Pruritus NRS (Numerical Rating Scale) ≥ 4 With a Baseline Pruritus of ≥ 4 From Baseline (Part 2) Secondary · Baseline to weeks week 24, 25, 26, 27, 28, 29, 30, 31, 32, 33, 34, 35, 36, 37, 38, 39, 40, 41, 42, 43, 44, 45, 46, 47, 48, 49, 50, 51, & 52

The pruritus NRS is a simple assessment tool to report the intensity of their pruritus (itch) ranges from 0 to 10 with 0 being 'no itch' and 10 being the 'worst itch imaginable'.

Week 24
GroupValue95% CI
250 mg KY1005 Re-Randomized From the LD Arm (Part 2)53.8
Placebo Re-Randomized From the 250 mg (LD) Arm (Part 2)41.2
250 mg KY1005 Re-randomized From the 250 mg (No LD) Arm (Part 2)75.0
Placebo Re-Randomized From the 250 mg (No LD) Arm (Part 2)35.7
125 mg KY1005 Re-randomized From the 125 mg Arm (Part 2)58.3
Placebo Re-randomized From the 125 mg KY1005 Arm (Part 2)45.5
62.5 mg Re-Randomized From the 62.5 mg KY1005 Arm (Part 2)71.4
Placebo Re-randomized From the 62.5 mg Arm (Part 2)45.7
Placebo (Part 2) Continued From Part 1 Placebo25.0
Week 25
GroupValue95% CI
250 mg KY1005 Re-Randomized From the LD Arm (Part 2)53.8
Placebo Re-Randomized From the 250 mg (LD) Arm (Part 2)41.2
250 mg KY1005 Re-randomized From the 250 mg (No LD) Arm (Part 2)66.7
Placebo Re-Randomized From the 250 mg (No LD) Arm (Part 2)39.3
125 mg KY1005 Re-randomized From the 125 mg Arm (Part 2)66.7
Placebo Re-randomized From the 125 mg KY1005 Arm (Part 2)39.4
62.5 mg Re-Randomized From the 62.5 mg KY1005 Arm (Part 2)57.1
Placebo Re-randomized From the 62.5 mg Arm (Part 2)37.1
Placebo (Part 2) Continued From Part 1 Placebo31.3
Week 26
GroupValue95% CI
250 mg KY1005 Re-Randomized From the LD Arm (Part 2)53.8
Placebo Re-Randomized From the 250 mg (LD) Arm (Part 2)38.2
250 mg KY1005 Re-randomized From the 250 mg (No LD) Arm (Part 2)66.7
Placebo Re-Randomized From the 250 mg (No LD) Arm (Part 2)32.1
125 mg KY1005 Re-randomized From the 125 mg Arm (Part 2)58.3
Placebo Re-randomized From the 125 mg KY1005 Arm (Part 2)33.3
62.5 mg Re-Randomized From the 62.5 mg KY1005 Arm (Part 2)71.4
Placebo Re-randomized From the 62.5 mg Arm (Part 2)42.9
Placebo (Part 2) Continued From Part 1 Placebo25.0
Week 27
GroupValue95% CI
250 mg KY1005 Re-Randomized From the LD Arm (Part 2)61.5
Placebo Re-Randomized From the 250 mg (LD) Arm (Part 2)35.3
250 mg KY1005 Re-randomized From the 250 mg (No LD) Arm (Part 2)58.3
Placebo Re-Randomized From the 250 mg (No LD) Arm (Part 2)28.6
125 mg KY1005 Re-randomized From the 125 mg Arm (Part 2)58.3
Placebo Re-randomized From the 125 mg KY1005 Arm (Part 2)39.4
62.5 mg Re-Randomized From the 62.5 mg KY1005 Arm (Part 2)71.4
Placebo Re-randomized From the 62.5 mg Arm (Part 2)37.1
Placebo (Part 2) Continued From Part 1 Placebo25.0
Week 28
GroupValue95% CI
250 mg KY1005 Re-Randomized From the LD Arm (Part 2)61.5
Placebo Re-Randomized From the 250 mg (LD) Arm (Part 2)35.3
250 mg KY1005 Re-randomized From the 250 mg (No LD) Arm (Part 2)66.7
Placebo Re-Randomized From the 250 mg (No LD) Arm (Part 2)35.7
125 mg KY1005 Re-randomized From the 125 mg Arm (Part 2)58.3
Placebo Re-randomized From the 125 mg KY1005 Arm (Part 2)42.4
62.5 mg Re-Randomized From the 62.5 mg KY1005 Arm (Part 2)57.1
Placebo Re-randomized From the 62.5 mg Arm (Part 2)37.1
Placebo (Part 2) Continued From Part 1 Placebo25.0
Week 29
GroupValue95% CI
250 mg KY1005 Re-Randomized From the LD Arm (Part 2)69.2
Placebo Re-Randomized From the 250 mg (LD) Arm (Part 2)38.2
250 mg KY1005 Re-randomized From the 250 mg (No LD) Arm (Part 2)50.0
Placebo Re-Randomized From the 250 mg (No LD) Arm (Part 2)25.0
125 mg KY1005 Re-randomized From the 125 mg Arm (Part 2)58.3
Placebo Re-randomized From the 125 mg KY1005 Arm (Part 2)45.5
62.5 mg Re-Randomized From the 62.5 mg KY1005 Arm (Part 2)57.1
Placebo Re-randomized From the 62.5 mg Arm (Part 2)40.0
Placebo (Part 2) Continued From Part 1 Placebo25.0
Week 30
GroupValue95% CI
250 mg KY1005 Re-Randomized From the LD Arm (Part 2)61.5
Placebo Re-Randomized From the 250 mg (LD) Arm (Part 2)44.1
250 mg KY1005 Re-randomized From the 250 mg (No LD) Arm (Part 2)58.3
Placebo Re-Randomized From the 250 mg (No LD) Arm (Part 2)25.0
125 mg KY1005 Re-randomized From the 125 mg Arm (Part 2)66.7
Placebo Re-randomized From the 125 mg KY1005 Arm (Part 2)36.4
62.5 mg Re-Randomized From the 62.5 mg KY1005 Arm (Part 2)42.9
Placebo Re-randomized From the 62.5 mg Arm (Part 2)42.9
Placebo (Part 2) Continued From Part 1 Placebo18.8
Week 31
GroupValue95% CI
250 mg KY1005 Re-Randomized From the LD Arm (Part 2)61.5
Placebo Re-Randomized From the 250 mg (LD) Arm (Part 2)41.2
250 mg KY1005 Re-randomized From the 250 mg (No LD) Arm (Part 2)58.3
Placebo Re-Randomized From the 250 mg (No LD) Arm (Part 2)25.0
125 mg KY1005 Re-randomized From the 125 mg Arm (Part 2)66.7
Placebo Re-randomized From the 125 mg KY1005 Arm (Part 2)36.4
62.5 mg Re-Randomized From the 62.5 mg KY1005 Arm (Part 2)42.9
Placebo Re-randomized From the 62.5 mg Arm (Part 2)40.0
Placebo (Part 2) Continued From Part 1 Placebo18.8
Absolute Change From Baseline in EASI (Eczema Area and Severity Index) (Part 1) Secondary · Baseline to weeks 2, 4, 8, 12, 16, 20 and 24

Eczema Area and Severity Index-The EASI is an Investigator-assessed validated tool used to measure the extent (area) and severity of AD with scores from 0 to 72. Higher scores indicate worse condition.

Week 2
GroupValue95% CI
250 mg (500 mg LD) KY1005 (Part 1)-8.49± 10.777
250 mg (no LD) KY1005 (Part 1)-5.27± 8.485
125 mg KY1005 (Part 1)-6.17± 10.071
62.5 mg KY1005 (Part 1)-7.51± 8.836
Placebo (Part 1)-3.98± 7.855
Week 4
GroupValue95% CI
250 mg (500 mg LD) KY1005 (Part 1)-11.21± 10.612
250 mg (no LD) KY1005 (Part 1)-8.38± 9.944
125 mg KY1005 (Part 1)-10.33± 10.861
62.5 mg KY1005 (Part 1)-10.27± 10.550
Placebo (Part 1)-7.20± 8.510
Week 8
GroupValue95% CI
250 mg (500 mg LD) KY1005 (Part 1)-15.67± 11.872
250 mg (no LD) KY1005 (Part 1)-11.93± 11.018
125 mg KY1005 (Part 1)-13.77± 12.964
62.5 mg KY1005 (Part 1)-14.37± 10.054
Placebo (Part 1)-7.64± 10.450
Week 12
GroupValue95% CI
250 mg (500 mg LD) KY1005 (Part 1)-18.49± 12.411
250 mg (no LD) KY1005 (Part 1)-13.84± 11.121
125 mg KY1005 (Part 1)-16.56± 14.062
62.5 mg KY1005 (Part 1)-16.46± 11.699
Placebo (Part 1)-8.76± 9.608
Week 16
GroupValue95% CI
250 mg (500 mg LD) KY1005 (Part 1)-19.71± 12.731
250 mg (no LD) KY1005 (Part 1)-16.31± 12.329
125 mg KY1005 (Part 1)-15.70± 14.226
62.5 mg KY1005 (Part 1)-17.82± 11.730
Placebo (Part 1)-7.47± 11.338
Week 20
GroupValue95% CI
250 mg (500 mg LD) KY1005 (Part 1)-21.93± 14.283
250 mg (no LD) KY1005 (Part 1)-16.46± 12.834
125 mg KY1005 (Part 1)-16.98± 15.321
62.5 mg KY1005 (Part 1)-16.76± 12.590
Placebo (Part 1)-7.91± 11.163
Week 24
GroupValue95% CI
250 mg (500 mg LD) KY1005 (Part 1)-21.92± 14.475
250 mg (no LD) KY1005 (Part 1)-15.72± 12.977
125 mg KY1005 (Part 1)-16.91± 15.085
62.5 mg KY1005 (Part 1)-17.09± 13.088
Placebo (Part 1)-7.52± 12.537
Percentage Change From Baseline in EASI (Eczema Area and Severity Index) (Part 1) Secondary · Baseline to weeks 2,4, 8,12,16, 20 and 24

Eczema Area and Severity Index-The EASI is an Investigator-assessed validated tool used to measure the extent (area) and severity of AD with scores from 0 to 72. Higher scores indicate worse condition.

Week 2
GroupValue95% CI
250 mg (500 mg LD) KY1005 (Part 1)-27.94± 30.032
250 mg (no LD) KY1005 (Part 1)-17.75± 38.988
125 mg KY1005 (Part 1)-19.09± 39.499
62.5 mg KY1005 (Part 1)-26.03± 34.462
Placebo (Part 1)-15.26± 34.143
Week 4
GroupValue95% CI
250 mg (500 mg LD) KY1005 (Part 1)-36.85± 28.901
250 mg (no LD) KY1005 (Part 1)-29.13± 42.013
125 mg KY1005 (Part 1)-35.10± 34.457
62.5 mg KY1005 (Part 1)-35.49± 38.786
Placebo (Part 1)-27.56± 31.037
Week 8
GroupValue95% CI
250 mg (500 mg LD) KY1005 (Part 1)-50.25± 30.666
250 mg (no LD) KY1005 (Part 1)-41.21± 41.129
125 mg KY1005 (Part 1)-45.96± 38.150
62.5 mg KY1005 (Part 1)-51.70± 31.046
Placebo (Part 1)-28.70± 38.603
Week 12
GroupValue95% CI
250 mg (500 mg LD) KY1005 (Part 1)-59.61± 30.717
250 mg (no LD) KY1005 (Part 1)-50.15± 36.086
125 mg KY1005 (Part 1)-55.23± 40.218
62.5 mg KY1005 (Part 1)-57.36± 34.275
Placebo (Part 1)-33.72± 35.358
Week 16
GroupValue95% CI
250 mg (500 mg LD) KY1005 (Part 1)-62.35± 32.322
250 mg (no LD) KY1005 (Part 1)-59.98± 37.444
125 mg KY1005 (Part 1)-52.50± 40.820
62.5 mg KY1005 (Part 1)-61.51± 31.663
Placebo (Part 1)-28.25± 41.173
Week 20
GroupValue95% CI
250 mg (500 mg LD) KY1005 (Part 1)-67.85± 33.135
250 mg (no LD) KY1005 (Part 1)-57.80± 38.921
125 mg KY1005 (Part 1)-56.29± 43.103
62.5 mg KY1005 (Part 1)-57.87± 38.977
Placebo (Part 1)-30.32± 40.486
Week 24
GroupValue95% CI
250 mg (500 mg LD) KY1005 (Part 1)-68.01± 36.052
250 mg (no LD) KY1005 (Part 1)-55.84± 40.299
125 mg KY1005 (Part 1)-56.72± 44.271
62.5 mg KY1005 (Part 1)-57.37± 40.225
Placebo (Part 1)-28.55± 44.004
Absolute Change From Baseline in EASI (Eczema Area and Severity Index) (Part 2) Secondary · Baseline to weeks 24, 28, 32, 36, 40, 44, 48, & 52

Eczema Area and Severity Index-The EASI is an Investigator-assessed validated tool used to measure the extent (area) and severity of AD with scores from 0 to 72. Higher scores indicate worse condition.

Week 24
GroupValue95% CI
250 mg KY1005 Re-Randomized From the LD Arm (Part 2)-29.65± 11.278
Placebo Re-Randomized From the 250 mg (LD) Arm (Part 2)-26.28± 13.353
250 mg KY1005 Re-randomized From the 250 mg (No LD) Arm (Part 2)-27.60± 11.170
Placebo Re-Randomized From the 250 mg (No LD) Arm (Part 2)-18.90± 11.932
125 mg KY1005 Re-randomized From the 125 mg Arm (Part 2)-27.10± 12.670
Placebo Re-randomized From the 125 mg KY1005 Arm (Part 2)-22.45± 14.998
62.5 mg Re-Randomized From the 62.5 mg KY1005 Arm (Part 2)-25.47± 12.209
Placebo Re-randomized From the 62.5 mg Arm (Part 2)-22.41± 12.841
Placebo (Part 2) Continued From Part 1 Placebo-21.47± 10.420
Week 28
GroupValue95% CI
250 mg KY1005 Re-Randomized From the LD Arm (Part 2)-30.51± 12.422
Placebo Re-Randomized From the 250 mg (LD) Arm (Part 2)-26.34± 14.353
250 mg KY1005 Re-randomized From the 250 mg (No LD) Arm (Part 2)-25.86± 13.128
Placebo Re-Randomized From the 250 mg (No LD) Arm (Part 2)-17.29± 12.458
125 mg KY1005 Re-randomized From the 125 mg Arm (Part 2)-26.37± 13.067
Placebo Re-randomized From the 125 mg KY1005 Arm (Part 2)-22.87± 15.667
62.5 mg Re-Randomized From the 62.5 mg KY1005 Arm (Part 2)-23.79± 10.424
Placebo Re-randomized From the 62.5 mg Arm (Part 2)-21.75± 13.106
Placebo (Part 2) Continued From Part 1 Placebo-21.69± 11.918
Week 32
GroupValue95% CI
250 mg KY1005 Re-Randomized From the LD Arm (Part 2)-29.08± 14.544
Placebo Re-Randomized From the 250 mg (LD) Arm (Part 2)-24.79± 15.775
250 mg KY1005 Re-randomized From the 250 mg (No LD) Arm (Part 2)-22.99± 15.741
Placebo Re-Randomized From the 250 mg (No LD) Arm (Part 2)-15.38± 12.620
125 mg KY1005 Re-randomized From the 125 mg Arm (Part 2)-27.36± 13.383
Placebo Re-randomized From the 125 mg KY1005 Arm (Part 2)-22.94± 14.915
62.5 mg Re-Randomized From the 62.5 mg KY1005 Arm (Part 2)-24.94± 11.245
Placebo Re-randomized From the 62.5 mg Arm (Part 2)-20.32± 14.189
Placebo (Part 2) Continued From Part 1 Placebo-19.60± 10.632
Week 36
GroupValue95% CI
250 mg KY1005 Re-Randomized From the LD Arm (Part 2)-28.15± 15.138
Placebo Re-Randomized From the 250 mg (LD) Arm (Part 2)-22.78± 17.505
250 mg KY1005 Re-randomized From the 250 mg (No LD) Arm (Part 2)-22.27± 16.368
Placebo Re-Randomized From the 250 mg (No LD) Arm (Part 2)-14.57± 13.550
125 mg KY1005 Re-randomized From the 125 mg Arm (Part 2)-27.51± 13.550
Placebo Re-randomized From the 125 mg KY1005 Arm (Part 2)-22.99± 14.978
62.5 mg Re-Randomized From the 62.5 mg KY1005 Arm (Part 2)-24.65± 10.801
Placebo Re-randomized From the 62.5 mg Arm (Part 2)-20.09± 15.098
Placebo (Part 2) Continued From Part 1 Placebo-20.20± 10.436
Week 40
GroupValue95% CI
250 mg KY1005 Re-Randomized From the LD Arm (Part 2)-28.54± 15.203
Placebo Re-Randomized From the 250 mg (LD) Arm (Part 2)-22.30± 17.908
250 mg KY1005 Re-randomized From the 250 mg (No LD) Arm (Part 2)-22.56± 14.949
Placebo Re-Randomized From the 250 mg (No LD) Arm (Part 2)-14.81± 13.178
125 mg KY1005 Re-randomized From the 125 mg Arm (Part 2)-27.96± 14.444
Placebo Re-randomized From the 125 mg KY1005 Arm (Part 2)-20.45± 16.659
62.5 mg Re-Randomized From the 62.5 mg KY1005 Arm (Part 2)-25.51± 11.796
Placebo Re-randomized From the 62.5 mg Arm (Part 2)-20.80± 14.601
Placebo (Part 2) Continued From Part 1 Placebo-20.05± 10.596
Week 44
GroupValue95% CI
250 mg KY1005 Re-Randomized From the LD Arm (Part 2)-28.43± 15.061
Placebo Re-Randomized From the 250 mg (LD) Arm (Part 2)-22.23± 17.487
250 mg KY1005 Re-randomized From the 250 mg (No LD) Arm (Part 2)-23.07± 15.679
Placebo Re-Randomized From the 250 mg (No LD) Arm (Part 2)-14.49± 12.877
125 mg KY1005 Re-randomized From the 125 mg Arm (Part 2)-27.49± 14.324
Placebo Re-randomized From the 125 mg KY1005 Arm (Part 2)-19.76± 16.561
62.5 mg Re-Randomized From the 62.5 mg KY1005 Arm (Part 2)-22.34± 11.070
Placebo Re-randomized From the 62.5 mg Arm (Part 2)-20.70± 14.343
Placebo (Part 2) Continued From Part 1 Placebo-20.43± 11.007
Week 48
GroupValue95% CI
250 mg KY1005 Re-Randomized From the LD Arm (Part 2)-22.15± 14.876
Placebo Re-Randomized From the 250 mg (LD) Arm (Part 2)-21.82± 17.764
250 mg KY1005 Re-randomized From the 250 mg (No LD) Arm (Part 2)-22.24± 16.312
Placebo Re-Randomized From the 250 mg (No LD) Arm (Part 2)-13.95± 13.596
125 mg KY1005 Re-randomized From the 125 mg Arm (Part 2)-27.72± 14.882
Placebo Re-randomized From the 125 mg KY1005 Arm (Part 2)-18.34± 16.959
62.5 mg Re-Randomized From the 62.5 mg KY1005 Arm (Part 2)-23.88± 12.517
Placebo Re-randomized From the 62.5 mg Arm (Part 2)-19.74± 15.277
Placebo (Part 2) Continued From Part 1 Placebo-19.99± 11.292
Week 52
GroupValue95% CI
250 mg KY1005 Re-Randomized From the LD Arm (Part 2)-22.03± 14.889
Placebo Re-Randomized From the 250 mg (LD) Arm (Part 2)-19.59± 15.321
250 mg KY1005 Re-randomized From the 250 mg (No LD) Arm (Part 2)-22.68± 15.418
Placebo Re-Randomized From the 250 mg (No LD) Arm (Part 2)-13.89± 13.427
125 mg KY1005 Re-randomized From the 125 mg Arm (Part 2)-28.08± 16.097
Placebo Re-randomized From the 125 mg KY1005 Arm (Part 2)-17.30± 16.752
62.5 mg Re-Randomized From the 62.5 mg KY1005 Arm (Part 2)-23.26± 11.789
Placebo Re-randomized From the 62.5 mg Arm (Part 2)-20.81± 14.813
Placebo (Part 2) Continued From Part 1 Placebo-20.30± 11.526
Percentage Change From Baseline in EASI (Eczema Area and Severity Index) (Part 2) Secondary · Baseline to weeks 24, 28, 32, 36, 40, 44, 48, & 52

Eczema Area and Severity Index-The EASI is an Investigator-assessed validated tool used to measure the extent (area) and severity of AD with scores from 0 to 72. Higher scores indicate worse condition.

Week 24
GroupValue95% CI
250 mg KY1005 Re-Randomized From the LD Arm (Part 2)-91.71± 8.539
Placebo Re-Randomized From the 250 mg (LD) Arm (Part 2)-81.85± 31.624
250 mg KY1005 Re-randomized From the 250 mg (No LD) Arm (Part 2)-84.20± 16.741
Placebo Re-Randomized From the 250 mg (No LD) Arm (Part 2)-72.72± 41.299
125 mg KY1005 Re-randomized From the 125 mg Arm (Part 2)-90.91± 10.585
Placebo Re-randomized From the 125 mg KY1005 Arm (Part 2)-74.56± 39.811
62.5 mg Re-Randomized From the 62.5 mg KY1005 Arm (Part 2)-85.81± 10.212
Placebo Re-randomized From the 62.5 mg Arm (Part 2)-76.74± 30.922
Placebo (Part 2) Continued From Part 1 Placebo-78.51± 28.977
Week 28
GroupValue95% CI
250 mg KY1005 Re-Randomized From the LD Arm (Part 2)-93.56± 8.382
Placebo Re-Randomized From the 250 mg (LD) Arm (Part 2)-81.47± 32.251
250 mg KY1005 Re-randomized From the 250 mg (No LD) Arm (Part 2)-79.34± 28.091
Placebo Re-Randomized From the 250 mg (No LD) Arm (Part 2)-66.53± 43.437
125 mg KY1005 Re-randomized From the 125 mg Arm (Part 2)-87.78± 13.648
Placebo Re-randomized From the 125 mg KY1005 Arm (Part 2)-74.18± 42.104
62.5 mg Re-Randomized From the 62.5 mg KY1005 Arm (Part 2)-89.88± 6.304
Placebo Re-randomized From the 62.5 mg Arm (Part 2)-74.54± 31.665
Placebo (Part 2) Continued From Part 1 Placebo-76.87± 31.377
Week 32
GroupValue95% CI
250 mg KY1005 Re-Randomized From the LD Arm (Part 2)-86.08± 24.896
Placebo Re-Randomized From the 250 mg (LD) Arm (Part 2)-76.51± 38.401
250 mg KY1005 Re-randomized From the 250 mg (No LD) Arm (Part 2)-69.06± 38.468
Placebo Re-Randomized From the 250 mg (No LD) Arm (Part 2)-58.78± 44.767
125 mg KY1005 Re-randomized From the 125 mg Arm (Part 2)-91.07± 13.744
Placebo Re-randomized From the 125 mg KY1005 Arm (Part 2)-75.64± 41.038
62.5 mg Re-Randomized From the 62.5 mg KY1005 Arm (Part 2)-93.76± 4.960
Placebo Re-randomized From the 62.5 mg Arm (Part 2)-68.09± 34.850
Placebo (Part 2) Continued From Part 1 Placebo-71.98± 33.063
Week 36
GroupValue95% CI
250 mg KY1005 Re-Randomized From the LD Arm (Part 2)-86.56± 28.656
Placebo Re-Randomized From the 250 mg (LD) Arm (Part 2)-69.33± 43.838
250 mg KY1005 Re-randomized From the 250 mg (No LD) Arm (Part 2)-66.64± 39.631
Placebo Re-Randomized From the 250 mg (No LD) Arm (Part 2)-56.24± 46.469
125 mg KY1005 Re-randomized From the 125 mg Arm (Part 2)-91.22± 13.203
Placebo Re-randomized From the 125 mg KY1005 Arm (Part 2)-75.77± 40.984
62.5 mg Re-Randomized From the 62.5 mg KY1005 Arm (Part 2)-93.09± 6.000
Placebo Re-randomized From the 62.5 mg Arm (Part 2)-67.27± 40.162
Placebo (Part 2) Continued From Part 1 Placebo-74.93± 32.664
Week 40
GroupValue95% CI
250 mg KY1005 Re-Randomized From the LD Arm (Part 2)-84.74± 28.948
Placebo Re-Randomized From the 250 mg (LD) Arm (Part 2)-65.65± 44.932
250 mg KY1005 Re-randomized From the 250 mg (No LD) Arm (Part 2)-68.31± 38.024
Placebo Re-Randomized From the 250 mg (No LD) Arm (Part 2)-57.39± 47.379
125 mg KY1005 Re-randomized From the 125 mg Arm (Part 2)-90.68± 13.737
Placebo Re-randomized From the 125 mg KY1005 Arm (Part 2)-64.68± 64.041
62.5 mg Re-Randomized From the 62.5 mg KY1005 Arm (Part 2)-95.55± 5.011
Placebo Re-randomized From the 62.5 mg Arm (Part 2)-70.11± 37.802
Placebo (Part 2) Continued From Part 1 Placebo-74.05± 32.343
Week 44
GroupValue95% CI
250 mg KY1005 Re-Randomized From the LD Arm (Part 2)-84.46± 28.757
Placebo Re-Randomized From the 250 mg (LD) Arm (Part 2)-66.73± 44.328
250 mg KY1005 Re-randomized From the 250 mg (No LD) Arm (Part 2)-69.41± 38.731
Placebo Re-Randomized From the 250 mg (No LD) Arm (Part 2)-56.30± 46.700
125 mg KY1005 Re-randomized From the 125 mg Arm (Part 2)-90.18± 12.912
Placebo Re-randomized From the 125 mg KY1005 Arm (Part 2)-62.46± 63.983
62.5 mg Re-Randomized From the 62.5 mg KY1005 Arm (Part 2)-83.57± 21.909
Placebo Re-randomized From the 62.5 mg Arm (Part 2)-69.98± 37.145
Placebo (Part 2) Continued From Part 1 Placebo-72.99± 33.353
Week 48
GroupValue95% CI
250 mg KY1005 Re-Randomized From the LD Arm (Part 2)-71.66± 40.416
Placebo Re-Randomized From the 250 mg (LD) Arm (Part 2)-65.18± 44.327
250 mg KY1005 Re-randomized From the 250 mg (No LD) Arm (Part 2)-66.61± 39.645
Placebo Re-Randomized From the 250 mg (No LD) Arm (Part 2)-53.59± 48.780
125 mg KY1005 Re-randomized From the 125 mg Arm (Part 2)-90.26± 12.961
Placebo Re-randomized From the 125 mg KY1005 Arm (Part 2)-57.47± 65.142
62.5 mg Re-Randomized From the 62.5 mg KY1005 Arm (Part 2)-88.02± 22.234
Placebo Re-randomized From the 62.5 mg Arm (Part 2)-66.63± 40.889
Placebo (Part 2) Continued From Part 1 Placebo-70.92± 33.888
Week 52
GroupValue95% CI
250 mg KY1005 Re-Randomized From the LD Arm (Part 2)-71.22± 40.152
Placebo Re-Randomized From the 250 mg (LD) Arm (Part 2)-61.78± 44.406
250 mg KY1005 Re-randomized From the 250 mg (No LD) Arm (Part 2)-68.09± 37.719
Placebo Re-Randomized From the 250 mg (No LD) Arm (Part 2)-53.58± 48.725
125 mg KY1005 Re-randomized From the 125 mg Arm (Part 2)-89.09± 15.625
Placebo Re-randomized From the 125 mg KY1005 Arm (Part 2)-54.42± 65.177
62.5 mg Re-Randomized From the 62.5 mg KY1005 Arm (Part 2)-86.51± 22.331
Placebo Re-randomized From the 62.5 mg Arm (Part 2)-69.76± 38.241
Placebo (Part 2) Continued From Part 1 Placebo-72.04± 34.827
Percentage of Participants With at Least a 50% Reduction From Baseline in EASI (EASI 50) (Part 1) Secondary · Baseline to weeks 2, 4, 8, 12, 16, 20 and 24

Eczema Area and Severity Index-The EASI is an Investigator-assessed validated tool used to measure the extent (area) and severity of AD with scores from 0 to 72. Higher scores indicate worse condition.

Week 2
GroupValue95% CI
250 mg (500 mg LD) KY1005 (Part 1)19.5
250 mg (no LD) KY1005 (Part 1)15.4
125 mg KY1005 (Part 1)16.9
62.5 mg KY1005 (Part 1)22.8
Placebo (Part 1)13.9
Week 4
GroupValue95% CI
250 mg (500 mg LD) KY1005 (Part 1)29.9
250 mg (no LD) KY1005 (Part 1)21.8
125 mg KY1005 (Part 1)39.0
62.5 mg KY1005 (Part 1)39.2
Placebo (Part 1)24.1
Week 8
GroupValue95% CI
250 mg (500 mg LD) KY1005 (Part 1)45.5
250 mg (no LD) KY1005 (Part 1)38.5
125 mg KY1005 (Part 1)53.2
62.5 mg KY1005 (Part 1)54.4
Placebo (Part 1)27.8
Week 12
GroupValue95% CI
250 mg (500 mg LD) KY1005 (Part 1)62.3
250 mg (no LD) KY1005 (Part 1)44.9
125 mg KY1005 (Part 1)61.0
62.5 mg KY1005 (Part 1)62.0
Placebo (Part 1)26.6
Week 16
GroupValue95% CI
250 mg (500 mg LD) KY1005 (Part 1)63.6
250 mg (no LD) KY1005 (Part 1)52.6
125 mg KY1005 (Part 1)57.1
62.5 mg KY1005 (Part 1)65.8
Placebo (Part 1)27.8
Week 20
GroupValue95% CI
250 mg (500 mg LD) KY1005 (Part 1)63.6
250 mg (no LD) KY1005 (Part 1)51.3
125 mg KY1005 (Part 1)58.4
62.5 mg KY1005 (Part 1)58.2
Placebo (Part 1)25.3
Week 24
GroupValue95% CI
250 mg (500 mg LD) KY1005 (Part 1)66.2
250 mg (no LD) KY1005 (Part 1)43.6
125 mg KY1005 (Part 1)55.8
62.5 mg KY1005 (Part 1)53.2
Placebo (Part 1)24.1
Percentage of Participants With at Least a 75% Reduction From Baseline in EASI (EASI 75) (Part 1) Secondary · Baseline at weeks 2, 4, 8, 12, 16, 20 and 24

Eczema Area and Severity Index-The EASI is an Investigator-assessed validated tool used to measure the extent (area) and severity of AD with scores from 0 to 72. Higher scores indicate worse condition.

Week 2
GroupValue95% CI
250 mg (500 mg LD) KY1005 (Part 1)9.1
250 mg (no LD) KY1005 (Part 1)2.6
125 mg KY1005 (Part 1)2.6
62.5 mg KY1005 (Part 1)2.5
Placebo (Part 1)5.1
Week 4
GroupValue95% CI
250 mg (500 mg LD) KY1005 (Part 1)9.1
250 mg (no LD) KY1005 (Part 1)9.0
125 mg KY1005 (Part 1)11.7
62.5 mg KY1005 (Part 1)11.4
Placebo (Part 1)6.3
Week 8
GroupValue95% CI
250 mg (500 mg LD) KY1005 (Part 1)23.4
250 mg (no LD) KY1005 (Part 1)16.7
125 mg KY1005 (Part 1)27.3
62.5 mg KY1005 (Part 1)25.3
Placebo (Part 1)8.9
Week 12
GroupValue95% CI
250 mg (500 mg LD) KY1005 (Part 1)33.8
250 mg (no LD) KY1005 (Part 1)25.6
125 mg KY1005 (Part 1)44.2
62.5 mg KY1005 (Part 1)43.0
Placebo (Part 1)11.4
Week 16
GroupValue95% CI
250 mg (500 mg LD) KY1005 (Part 1)40.3
250 mg (no LD) KY1005 (Part 1)38.5
125 mg KY1005 (Part 1)42.9
62.5 mg KY1005 (Part 1)40.5
Placebo (Part 1)11.4
Week 20
GroupValue95% CI
250 mg (500 mg LD) KY1005 (Part 1)49.4
250 mg (no LD) KY1005 (Part 1)42.3
125 mg KY1005 (Part 1)48.1
62.5 mg KY1005 (Part 1)40.5
Placebo (Part 1)13.9
Week 24
GroupValue95% CI
250 mg (500 mg LD) KY1005 (Part 1)54.5
250 mg (no LD) KY1005 (Part 1)38.5
125 mg KY1005 (Part 1)49.4
62.5 mg KY1005 (Part 1)40.5
Placebo (Part 1)17.7

Adverse events — posted to ClinicalTrials.gov

Time frame: Treatment Emergent Adverse Events (TEAEs), Treatment Emergent Serious Adverse Events (TESAEs), all-cause mortality (deaths) were collected from the first dose of study treatment (Day 1) up to the last dose of the study treatment (Day 337)+ 140 days safety follow-up for each participant, up to 477 days. Reporting threshold: 5%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

250 mg (500 mg LD) KY1005 (Part 1)
Serious: 2/77 (3%)
Deaths: 0/77
250 mg (no LD) KY1005 (Part 1)
Serious: 0/78 (0%)
Deaths: 0/78
125 mg KY1005 (Part 1)
Serious: 1/77 (1%)
Deaths: 0/77
62.5 mg KY1005 (Part 1)
Serious: 5/78 (6%)
Deaths: 0/78
Placebo (Part 1)
Serious: 1/78 (1%)
Deaths: 0/78
250 mg KY1005 Re-Randomized From the 250 mg (LD) Arm (Part 2)
Serious: 1/13 (8%)
Deaths: 0/13
Placebo Re-Randomized From the 250 mg (LD) Arm (Part 2)
Serious: 1/34 (3%)
Deaths: 0/34
250 mg KY1005 Re-randomized From the 250 mg (No LD) Arm (Part 2)
Serious: 0/11 (0%)
Deaths: 0/11
Placebo Re-Randomized From the 250 mg (No LD) Arm (Part 2)
Serious: 2/28 (7%)
Deaths: 0/28
125 mg KY1005 Re-randomized From the 125 mg Arm (Part 2)
Serious: 1/12 (8%)
Deaths: 0/12
Placebo Re-randomized From the 125 mg KY1005 Arm (Part 2)
Serious: 0/32 (0%)
Deaths: 0/32
62.5 mg Re-Randomized From the 62.5 mg KY1005 Arm (Part 2)
Serious: 0/7 (0%)
Deaths: 0/7
Placebo Re-randomized From the 62.5 mg Arm (Part 2)
Serious: 0/34 (0%)
Deaths: 0/34
Placebo (Part 2)
Serious: 0/15 (0%)
Deaths: 0/15

Serious adverse events (17 terms)

ReactionSystem250 mg (500 mg LD) KY1005 …250 mg (no LD) KY1005 (Par…125 mg KY1005 (Part 1)62.5 mg KY1005 (Part 1)Placebo (Part 1)250 mg KY1005 Re-Randomize…Placebo Re-Randomized From…250 mg KY1005 Re-randomize…Placebo Re-Randomized From…125 mg KY1005 Re-randomize…Placebo Re-randomized From…62.5 mg Re-Randomized From…Placebo Re-randomized From…Placebo (Part 2)
Atrial fibrillationCardiac disorders
Supraventricular tachycardiaCardiac disorders
Haemorrhoidal haemorrhageGastrointestinal disorders
Umbilical herniaGastrointestinal disorders
AppendicitisInfections and infestations
PharyngitisInfections and infestations
Ankle fractureInjury, poisoning and procedural complications
Forearm fractureInjury, poisoning and procedural complications
Tendon ruptureInjury, poisoning and procedural complications
Abnormal loss of weightMetabolism and nutrition disorders
Metabolic acidosisMetabolism and nutrition disorders
OsteoarthritisMusculoskeletal and connective tissue disorders
Rotator cuff syndromeMusculoskeletal and connective tissue disorders
Spinal osteoarthritisMusculoskeletal and connective tissue disorders
Tension HeadacheNervous system disorders
Alcohol withdrawal syndromePsychiatric disorders
Dermatitis bullousSkin and subcutaneous tissue disorders
Other adverse events (51 terms — click to expand)

ReactionSystem250 mg (500 mg LD) KY1005 …250 mg (no LD) KY1005 (Par…125 mg KY1005 (Part 1)62.5 mg KY1005 (Part 1)Placebo (Part 1)250 mg KY1005 Re-Randomize…Placebo Re-Randomized From…250 mg KY1005 Re-randomize…Placebo Re-Randomized From…125 mg KY1005 Re-randomize…Placebo Re-randomized From…62.5 mg Re-Randomized From…Placebo Re-randomized From…Placebo (Part 2)
DERMATITIS ATOPICSkin and subcutaneous tissue disorders
NASOPHARYNGITISInfections and infestations
COVID-19Infections and infestations
HEADACHENervous system disorders
UPPER RESPIRATORY TRACT INFECTIONInfections and infestations
DERMATITIS INFECTEDInfections and infestations
VIRAL UPPER RESPIRATORY TRACT INFECTIONInfections and infestations
BLOOD CREATINE PHOSPHOKINASE INCREASEDInvestigations
HYPERTENSIONVascular disorders
FATIGUEGeneral disorders
ACCIDENTAL OVERDOSEInjury, poisoning and procedural complications
ABDOMINAL PAIN UPPERGastrointestinal disorders
INFLUENZAInfections and infestations
ORAL HERPESInfections and infestations
PHARYNGITISInfections and infestations
POSTOPERATIVE WOUND INFECTIONInfections and infestations
RHINITISInfections and infestations
SINUSITISInfections and infestations
ALANINE AMINOTRANSFERASE INCREASEDInvestigations
HYPERCHOLESTEROLAEMIAMetabolism and nutrition disorders
BACK PAINMusculoskeletal and connective tissue disorders
SPINAL PAINMusculoskeletal and connective tissue disorders
DIZZINESSNervous system disorders
DYSMENORRHOEAReproductive system and breast disorders
OROPHARYNGEAL PAINRespiratory, thoracic and mediastinal disorders
ABDOMINAL PAINGastrointestinal disorders
FOOD POISONINGGastrointestinal disorders
INFLUENZA LIKE ILLNESSGeneral disorders
SEASONAL ALLERGYImmune system disorders
BRONCHITIS VIRALInfections and infestations
CYSTITISInfections and infestations
FOLLICULITISInfections and infestations
FUNGAL SKIN INFECTIONInfections and infestations
HERPES SIMPLEXInfections and infestations
OTITIS MediaInfections and infestations
PYURIAInfections and infestations
TONSILLITISInfections and infestations
URINARY TRACT INFECTIONInfections and infestations
MUSCLE STRAINInjury, poisoning and procedural complications
ASPARTATE AMINOTRANSFERASE INCREASEDInvestigations

Most-reported serious reactions: Atrial fibrillation, Supraventricular tachycardia, Haemorrhoidal haemorrhage, Umbilical hernia, Appendicitis, Pharyngitis, Ankle fracture, Forearm fracture.

Data from ClinicalTrials.gov NCT05131477 adverse events section.

Sponsor's own description

This is an interventional, randomized, parallel group, treatment, Phase IIb, double blind, 5-arm study to assess the effect of Anti-OX40L Monoclonal Antibody (KY1005) in adult participants with moderate to severe atopic dermatitis. The estimated duration is 28 days for screening and then up to approximately day 477 (last dose no later than day 337+140 days safety follow-up) for all patients unless enrolled into the Long-Term Extension (LTE) protocol (NCT05492578) at either Day 169 depending on responder status or no later than Day 365 due to loss of clinical response.

Publications & conference data

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

  1. 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
  2. OX40-OX40L Inhibition for the Treatment of Atopic Dermatitis-Focus on Rocatinlimab and Amlitelimab.
    Lé AM, Torres T. · · 2022 · cited 60× · PMID 36559247 · DOI 10.3390/pharmaceutics14122753
  3. OX40 in the Pathogenesis of Atopic Dermatitis-A New Therapeutic Target.
    Croft M, Esfandiari E, Chong C, Hsu H, et al · · 2024 · cited 58× · PMID 38236520 · DOI 10.1007/s40257-023-00838-9
  4. Phase 2b randomized clinical trial of amlitelimab, an anti-OX40 ligand antibody, in patients with moderate-to-severe atopic dermatitis.
    Weidinger S, Blauvelt A, Papp KA, Reich A, et al · · 2025 · cited 28× · PMID 39522654 · DOI 10.1016/j.jaci.2024.10.031
  5. Targeting TNF/TNFR superfamilies in immune-mediated inflammatory diseases.
    Veerasubramanian PK, Wynn TA, Quan J, Karlsson FJ. · · 2024 · cited 26× · PMID 39297883 · DOI 10.1084/jem.20240806
  6. Targeting alarmins in asthma: From bench to clinic.
    Akenroye A, Boyce JA, Kita H. · · 2025 · cited 24× · PMID 39855362 · DOI 10.1016/j.jaci.2025.01.017
  7. Emerging Biologic Therapies for the Treatment of Atopic Dermatitis.
    Alvarenga JM, Bieber T, Torres T. · · 2024 · cited 20× · PMID 39365406 · DOI 10.1007/s40265-024-02095-4
  8. An OX-Tra'Ordinary Tale: The Role of OX40 and OX40L in Atopic Dermatitis.
    Sadrolashrafi K, Guo L, Kikuchi R, Hao A, et al · · 2024 · cited 19× · PMID 38607026 · DOI 10.3390/cells13070587

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